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Orion Construction Corporation - 2022-06-21 (2)
RECEIVED BY: CITY CLERK RECEIPT COPY kJe.41+ (� __ ! _AAC r N Return DUPLICATE to r'WW `��l City Clerk's Office (Name) after signing/dating I /7-14 (Date) 4% , Q CITY OF HUNTINGTON BEACH 13 INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: I /I I l'?/)..71,1 SUBJECT: Bond Acceptance I have received the bonds for Grim '‘FY(_)().3Y (Company Name) I CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. J Warranty or Maintenance Bond No. 3o/ 11117 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 to/e)/ •? / ,�,, (Council Approval Date) CC No. /142 f/Z4y Agenda Item No. - SO3 MSC No. City Clerk Vault No. bOd. SQ Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer © CITY OF HUNTINGTON BEACH o► INTERDEPARTMENTAL COMMUNICATION DATE: 11/28/2023 TO: THOSE LISTED HEREON FROM: Keegan Olds, PW Capital Projects Administrator SUBJECT: Retention Release Payment- PO#28936 OJ Supplier#76090 Co. #507 Florida/Georgia Kiner/Gleada Water Main Projects, Project#CC-1663 and CC-1664 Contractor's Name: Orion Construction Address: 2185 La Mirada Drive City, State and Zip Code: Vista, CA 92081-8830 Phone Number: 760-597-9660 City Business License Number: A312474 Notice of Completion (Date by City Clerk): 10/26/2023 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 outstanding invoices are on file with the City. I certify that no stop notices are on file. 1 � ate Chau Vu, Director of ublic Works I certify that there are no outstanding invoices on file. Date ;;1 ce 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. //,/a Date Robin Estanislau, City Clerk 0// 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 • PLEASE COMPLETE THIS INFORMATION Recorded in Official Records, Orange County RECORDING REQUESTED BY: Hugh Nguyen, Clerk-RecorderIIIII II �• I II I III 111111 NO FEE * $ R 0 0 1 4 6 2 3 3 9 6 $ * • 2023000261747 9:29 am 10126123 434 Sec4A N12 1 WHEN RECORDED MAIL.TO: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn::Keegan Olds 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 Orlon Construction,who was the company thereon for doing the following work to-wit: Florida/Georgia Kiner/Gleada Water Main Projects,Project#CC-1663 and CC-1664 That said work was completed 07/12/2023 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 07/12/2023,per City Council Resolution No.2003-70 adopted October 6,2003. • That upon said contract Western Surety 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. ll Director o Public Works or City ngineer QI�SUa e� • City of Huntington Beach,California . Chau Vu !� 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 Cou ty. This document is solely the official business of • the City of Huntington Beach,as contemplated plrecto of Public orks or City Engineer to under Government code section 27383 and City of Huntington Beach,California should be recorded free of charge. Chau Vu • THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) BOND NUMBER:30154028-M MAINTENANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: That Orion Construction Corporation (contractor's name) 2185 La Mirada Drive,Vista, CA 92081 (contractor's street address,city and state and zip code) as Principal(hereinafter called Contractor),and: Western Surety Company (surety's name) 1455 Frazee Road,Suite 300,San Diego, CA 92108 (surety's street address,city and state and zip code) a corporation organized and existing under the laws of the State of South Dakota with its principal office in the City of Chicago as Surety(hereinafter called Surety),are held firmly bound unto CITY OF HUNTINGTON BEACH as Obligee (hereinafter called Owner), in the amount of Two Million Five Hundred Thirty* Dollars ($2,532,801.59 ), 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, *Two Thousand Eight Hundred One and 59/100 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 June 21,20 22,entered into a contract with Owner for the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT (CC NO.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO.1664) 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 July 12 ,2023, NOW, THEREFORE,THE CONDITION OF THIS OBLIGATION is such that if Contractor shall, for a period of one year from and after the date of completion and acceptance of the Contract by Owner, repair and/or replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship, then this obligation shall be null and void;otherwise it will remain in full force and effect. The Surety hereby waives notice of any alteration or extension of time made by the Owner. Whenever Contractor shall be, and declared by Owner to be in default under the Contract, the Surety shall,within thirty (30) days following Owner's written notice of default, either: '(a) remedy the default, or (b) shall promptly complete the Contract in accordance with its terms and conditions. Surety shall save the Owner harmless from any claims,Judgments,liens or losses arising from the Surety's failure to either remedy the default or to complete the Contract in accordance with its terms and conditions in a timely manner. 15-4584/118138 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 6th day of November ,.20 23 Principal Raised Corporate Seal Orion Construction Corporation [MUST BE AFFIXED] (Contr me) (Seal • Principal Raised Corporate Seal Mark Dowsing [MUST BE AFFIXED] President (Title) Western Sur- Com•an (Surf Name) By: (Seal) Lawren F.McMahon,Attorney-in-Fact APPROVE," AS RM: • B • NOTES: ichael E. Gates, City Attorney 1. Acknowledgments must be completed and returned as part of the bond. 111301 [r0 j T�i; 2. Raised Corporate Seals are mandatory. ` 3. Please attach Power of Attorney. 15-4584/118138 2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of San Diego On NOV 0 6 2023 before me, Maria Guise, Notary Public Date Here Insert Name and Title of the Officer personally appeared Lawrence F. McMahon 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. • MARIAGum WITNESS my hand and official seal. • Commission#2444156 _ z: !_i7i. Notary Public-California * " SAN DIEGO County Signature My Comm.Expires APR , g ---------------14 —2027—j Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): __ ❑Corporate Officer — Title(s): ❑ Partner — ❑Limited ❑General ❑Partner — ❑ Limited ❑General ❑ Individual 0 Attorney in Fact ❑Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: U.Other: Signer Is Representing: Surety Company Signer Is Representing: ©2015 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Lawrence F Mc Mahon, Sarah Myers, Janice Martin, Christopher J Conte, Lilia De Loera, Individually of San Diego,CA,its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature -In Unlimited Amounts- • and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 16th day of July,2021. ytaErf WESTERN SURETY COMPANY =re� sr SE AV ��Kop aul T.Bruflat,Vice President State of South Dakota ss County of Minnehaha On this 16th day of July,2021,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges"same to be the act and deed of said corporation. My commission expires M.BENT N PUBLIC B /92. 46"4 "11.7 March 2,2026 ouroarrc►i arKor��f M.Bent,Notary Public CERTIFICATE I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 6th day of November,2023. dean7'o WESTERN SURETY COMPANY ° „09. ru i; y .;`SBA'/'•.s 41 tM OP ` C)T. L.Nelson,Assistant Secretary Form F4280-7-2012 Go to www.cnasuretv.com>Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. Authorizing By-Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company. Section 7. 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, and 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. rr CONTRACTOR'S CERTIFICATE I, I�kLOt.s , state and certify that: (Name of Declarant) 1. Orion Construction Corporation is the general contractor to the City of Huntington Beach("City") on Contract No. CC-1663 & CC-1664 (the "Contract") for the construction of the public work of improvement entitled: Alley West of Florida Street and Georgia Street Water Main Replacement Projects, and Kiner-Gleada Water Main Improvement Project (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 ���� on this 21- day of OCtbN(-/ , . (Signature of Decla ant APPROVED AS ORM 77 Micha J . Gates City,Attorney 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-1663 & CC-1664 Project: Alley West of Florida Street and Georgia Street Water Main Replacement Projects Kiner-Gleada Water Main Improvement Project 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 a4 day of n bed , 20 -)3 , at \R5 , California. 11 (Contractor Name) N kw 1� APPROVED By: Mic el E. Gates Ci Attorney 1 Certification of Compliance with Prevailing Wage Laws To: City of Huntington Beach Department of Public Works 2000 Main Street/P.O. Box 190 Huntington Beach, CA 92648 Re: Certification of Compliance with Prevailing Wage Laws Contract: CC-1663 & CC-1664 Project: Alley West of Florida Street and Georgia Street Water Main Replacement Projects Kiner-Gleada Water Main Improvement Project The undersigned contractor on the above-referenced project ("Project")hereby certifies that all laborers, mechanics, apprentices, trainees, watchmen and guards employed by him or by any subcontractor performing work under the contract for the Project have been paid pursuant to the minimum wage and bona fide fringe benefit requirements specified for each particular classification of work, as set forth in the wage-rate determinations of the State of California, Department of Industrial Relations, and/or the United States Department of Labor. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed this day of OC.kobe/ , 20 ?3 , at \I kStc— , California. (Contractor Name) ?A1w\c APPROVED 111rO FO // By: a / Mi. ael E. Gates 41,ty Attorney 1 1 -4748/121329 CONSENT OF ORCHIRECT ❑ Bond No. 30154028 SURETY COMPANY CONTRACTOR ❑ TO FINAL PAYMENT SURETY OTHER LI AIA DOCUMENT G707 PROJECT: ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT (name,address) (CC NO.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO.1664) TO(Owner) I ARCHITECT'S PROJECT NO: City of Huntington Beach CONTRACT FOR:FLORIDA-GEORGIA WATER MAIN PROJECT,CC1663 2000 Main Street AND KINER-GLEADA WATER MAIN PROJECT,CC1664) Huntington Beach, CA 92648 CONTRACT DATE: June 21,2022 L J CONTRACTOR: Orion Construction Corporation 2185 La Mirada Drive, Vista, CA 92081 In accordance with the provisions of the Contract between the Owner and the Contractor as Indicated above, the (here insert name end address of Surety Company) Western Surety Company 151 N. Franklin Street, Chicago, IL 60606 ,SURETY COMPANY, on bond Of(here Insert name and address of Contractor) Orion Construction Corporation 2185 La Mirada Drive Vista, CA 92081 ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here Insert name and address of Owner) City of Huntington Beach 2000 Main St Huntington Beach, CA 92648 ,OWNERS, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 15th day of November, 2023 Western ure Com an Surety Co pany • Signet of Authorized Representative Attest: V^G)(Seal): Maria Guise Lawre a F. McMahon,Attorney-in-Fact Title NOTE: This form Is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,Current Edition AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•APRIL 1970 EDITION•AIA® ONE PAGE ©1970•THE AMERICAN INSTITUTE OF ARCHITECTS.1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20008 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of San Diego On NOV 1 5 2023 before me, N. Kirk-Smith, Notary Public Date Here Insert Name and Title of the Officer personally appeared Lawrence F. McMahon 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. ��o., N.KIRK SMITH WITNESS my hand and official seal. y � _i�~!'hG Notary Public-California 1\\\ ` � San Diego County :AAA() Commission l�2417893 `u 6". My Comm.Expires Sep 23,2026 Signature Signatu f 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: D Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑Limited ❑General ❑ Partner — ❑Limited ❑General ❑Individual , l Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Surety Company Signer Is Representing: ©2015 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know AB Mee By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and costing eavporation having its prin al office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signattue and seal herein affixed hereby make, constitute and appoint Lawrence F.McMahon ,Individually of San Diego,CA its true and lawful Attomey(s)-m-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds,undertakings and other obligatory iasiraomts of similar nature -In Unlimited Amounts- Smety Bond No: 30154028 Peaeipek Orion Construction Corporation Obligee City of Huntington Beach and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,me hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law and Resolutions printed on the reverse hereof duly adopted, as indicated,by the shareholders of the corporation. L Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and ik corporate seal to be hereto affixed on this 9th day of May,2023. TM WESTERN SURETY COMPANY C?Pm.--1 /ascr Larry Raster Vice President State of South Dakota 1 County of Mi>mebaha f a On this 9th day of May,2023,before me personally came Larry Kasten,to me known,who,being by lire duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is a Vice President of WESTERN SURETY COMPANY desaibed in and which executed the above instrument that he knows the seal of said coapoaatiao;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 Dinctors of said corporation and that he signed his name thereto pursuant to like authority,and aclmowledges same to be the act and deed of said corporation. My won irnpires M.BENT 4;til /27 8.4"°Ikt. March 2,2026 pirrit)eauni mn • M.Bent,Nctaiy public CERTIFICATE I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Porter of Attorney hereinabove set forth is still in force, and further certify that the By-Law and Resohr ions of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereto subscribed my name and affixed the seal of the said corporation this 15th day of November , 2023 . WE,STERN SURETY, COMPANY 24. • L Nelson,Assistant Secretary PwsuF 0-4.2023 Go to www.cnasurety.com>Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. Authorizing By-Laws and Resolutions ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company. Section 7. 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,and 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. This Power of Attorney is signed by Larry Kasten,Vice President,who has been authorized pursuant to the above Bylaw to execute power of attorneys on behalf of Western Surety Company. This Power of Attorney may be.signed by digital signature and sealed by a digital or otherwise electronic-formatted corporate seal under and by the authority of the following Resolution adopted by the Board of Directors of the Company by unanimous written consent dated the 27th day of April,2022: "RESOLVED:That it is in the best interest of the Company to periodically ratify and confirm any corporate documents signed by digital signatures and to ratify and confirm the use of a digital or otherwise electronic-formatted corporate seal,each to be considered the act and deed of the Company." RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: 1///J.w SUBJECT: Bond Acceptance I have received the bonds for Ori fTYL (7(TndrL/ciflt1(Jp,r' ll1J1 (Company Name) 1 CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond(Labor and Materials) Bond No. Warranty or Maintenance Bond No. 30/5'/122 g"M 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 W02/I 02-2J (Council Approval Date) CC No. Meg /la4y Aged,-No. c2— SO3 MSC No. City Clerk Vault No. hod. So Other No. SIRE System ID No. g:/fomis/bond transmittal to treasurer • PLEASE COMPLETE THIS INFORMATION Recorded in Official Records, Orange County RECORDING REQUESTED BY: Hugh Nguyen, Clerk-Recorder . III II0 IU 111111IIII II 01E11E4 NO FEE * $ R 0 0 1 4 6 2 3 3 9 6 $ * '2023000261747 9:29 am 10126123 434 Sec4A N12 1 WHEN RECORDED MAIL TO: 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 'CITY OF HUNTINGTON BEACH • • PUBLIC WORKS DEPARTMENT Attn:Keegan Olds P.O.Box 190—2000 Main Street Huntington Beach,CA 92648 • THIS SPACE 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 Orion Construction,who was the company thereon for doing the following work to-wit: Florida/Georgia Kiner/Gleada Water Main Projects,Project#CC-1663 and CC-1664 • • That said work was completed 07/12/2023 by said company according to plans and specifications arid-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 07/12/2023,per City Council Resolution No.2003-70 adopted October 6,2003. • That upon said contract Western Surety 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 Public Works or City ngineer /' Iat J • City of Huntington Beach,California . Chau Vu 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 trueand correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange Cou ty. • This document is solely the official business of J/I'L- I L4. L�l under Government code section 27383 and Director of Public orks or City Engineer to should be recorded free of charge. City of Huntington Beach,California Chau Vu • • THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) RECEIVED BY: CITY CLERK RECEIPT COPY ,¢ Return DUPLICATE to City Clerk's Office (Name) after signing/dating I (Date) I 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. Payment Bond (Labor and Materials) Bond No. /L) / Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. /�D�O3 ��lDy Agenda Item No. 061� MSC No. City Clerk Vault No. �yU•`S� Other No. SIRE System ID No. UJQ g:/forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Orion Construction Corporation FOR Alley West of Florida St and Georgia St Water Main Replacement Projects, CC1663 AND Kiner-Gleada Water Main Improvement Project, CC1664 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 Orion Construction Corporation , 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 Florida-Georgia Water Main Project, CC1663 AND Kiner-Gleada Water Main Project, CC1664 in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: I. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the 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 16-5 195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of .Standard Specifications for Public TVorks 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 CON"iRACTOR'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. 16-5195/City Funded Construction Contract.doex—revised 04/2016 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed Two Million Five Hundred Sixty Seven Thousand Three Hundred Thirty Seven Dollars ($ 2,567,337.00 ), as set forth in the Contract Documents, to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10) working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within One Hundred Eighty 1( g0 ) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, 4 16-5195/City Funded Construction Contract.docx—revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason,relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.doex—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition. CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is,and shall be,acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll 6 16-5195/City Funded Construction Contract.docx—revised 04/2016 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of One Thousand Dollars ($ 1,000.00 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided. and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay(unless DPW shall grant a further period of time), notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.doex—revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event oil' a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed,but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen (15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order" means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5 195/City Funded Construction Contract.docx-revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires, floods, labor disputes,epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW (or his or her written designee). All Demands shall be submitted promptly, but in no event later than thirty(30)days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to detennine 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.doex—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 conf-erence 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 titne. 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 l (commencing with Section 900)and Chapter 2 (commencing with Section 910) of Part 3 of'Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the CONTRACTOR submits his 10 16-5195/City Funded Construction Contract.docx—revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule, the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion, DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work, will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent (50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/City Funded Construction Contraet.docx—revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT,as determined in its sole discretion by DPW, less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR, if unencumbered,or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided, however,that in the event of a dispute between CITY and CONTRACTOR. CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law, each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items, if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contraet.docx—revised 04/2016 or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California L.,abor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California. Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof' for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code, Sections 1810 et seq, shall apply to the performance of this Agreement; thereunder, not more than eight(8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8) hours of labor per day or forty(40)hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one 14 16-5195/City Funded Construction Contract.docx—revised 04/2016 (1) calendar day or forty (40)hours in any one (1)calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION DEFENSE HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, 15 16-5195/City Funded Construction Contract.docx—revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers" compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/City Funded Construction Contract.docx—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend,hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees,agents,and volunteers(the"Additionally Insured Parties")as Additional Insureds,and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimurn coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars ($5,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSURANCE: ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement; the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30)days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten (10)days of receipt of such claim or claims. 18 16-5 195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten(10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have, terminate this Agreement upon the expiration of'that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause, and whether or not PROJECT is fully complete upon seven(7)calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience,the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof,or any right or duty created herein,without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIAI.,S CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100)for every Stop Notice filed in excess of two(2),regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 20 16-5195/City Funded Construction Contract.docx—revised 04/2016 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section I hereinabove) or to CITY as the situation shall warrant,or by enclosing the same in a sealed envelope,postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach Orion Construction Corporation ATTN:Lili Hernandez . Public Works ATTN: Richard Dowsing 2000 Main Street 2185 La Mirada Drive Huntington Beach, CA 92648 Vista CA 92081 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 Contraet.docx—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of' services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY, and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.doex—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this .Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation,and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements,promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.docx—revised 04/2016 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by and through their authorized officers on ,j(tij , J1S�- , 20 22 CONTRACTOR: CITY OF HUNTINGTON municipal BEAC a corp ion o he State al or � By: �cs---� Richard Dowsing, President/Secretary/Treasurer yo (print name) Ma 6 (an i&j ITS: Chairman President Vice-President City Clerk (circle one) INIT AND APP OVED: AND Bv: Director of lic Works Richard Dowsing, President/Secretary/Treasurer (pr' Preasurer ) VODNDAP OVED: ITS: ecr / Chief Financial Officer / Asst. Secretary (circle one) anager APPROVED City Attorney 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 �n �D, � ) On � l �cJ: 2�- before me, eA �A , IC Date Here Insert Name and Title of the Officer 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 oregoingparagraph is true and co t. ,�. �.>tis SARAHA.NEWELL WITNESS my and d offici I. Notary Public-California san Diego County r � Commission S 2377406 �,��.a��'�.My Comm.Expires Oct 4,2025 Sign gnature of Notary Pub`___r 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 .Qocument: Document Date: Number of Pages: Signers) Other Than Named Above: Capacity(ies) Claimed by Sign6r{s) Signer's Name: Signer's Name: I❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General �'� ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ndividual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Truustee ❑ Guardian or Conservator El Other: ❑ Other: Signer Is Representing: Signer Is Represe . ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) 1tern#5907 SECTION C PROPOSAL for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS(CC NO.1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) 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 perfonn 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 180 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 16-5195/City Funded Construction Contract.docx—revised 04/2016 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. in the amount of 2S9 y34•`which said Accompanying this proposal of bid, find �`sC� ??QY`l� �---�-- amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids,payable to the AGENCY. (Please insert the words"Cash", "Certified Check",or"Bidder's Bond for %",as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda 1VA. Dale Received Bidder's Signature 1 05/11/2022 C-2 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 BID ITEMS 1 Mobilization and Setup 1 LS $(03 $ 2 Preconstruction Survey Documentation 1 LS $' $ Furnish and Install Temporary Bypass to 3 Maintain Service in Alley 1 LS $��.�,� $ Furnish and Install 6-inch C-900 PVC Water LF " 6b 4 Main within Alley west of Florida 960 $�` $ 9+ Furnish and Install 8-inch C-900 PVC n 5 Water Main within Georgia Street 285 LF $?)9(P'o $ 6 Connection to Existing 8-inch at Alley west �q �,(�� of Florida and Indianapolis Avenue 1 LS $� $ 19,Y_ Connection to Existing 6-inch at Alley west of Florida and Knoxville Avenue 1 LS $ 28,400 8 Connection to Existing 6-inch at Alley and Lincoln Avenue 1 LS $_ $ -4 40 9 Connection to Existing 8-inch PVC on LS $ $ WVb fir Georgia Street 1 10 Connection to Existing 12-inch PVC on LS $ $I'L Georgia Street and Knoxville Avenue 1 Furnish and Install 6-inch Gate Valve and '`1� 11 Valve Box(Sta 13+00.00) 2 EA $ Remove,Dispose and Replace Existing Fire 12 $ Hydrant Assembly 2 EA $� Construct New 1-inch Service and New 3/4- $ $1wupl�n 13 inch or 1-inch Meter 45 EA Construct New 2-inch Service and New 1.5- $�..V $ 14 inch or 2-inch Meter 5 EA C-3 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 . . ilpl ► V" Thai Remove and Dispose Existing AC Pavement Cy $ DO $ 15 and Base Within Alley 750 Remove and Dispose Existing Concrete Gutter SF $Zdo $ ►�L 16 within Alley 325 Reconstruct 3-inch AC Base Coarse 240 (P l o 17 Pavement Within Alley 290 TONS $ $ -- Construct 11-inch Aggregate Base within $ $�C�0 18 Alley 520 CY 19 Install 4-foot Wide Cross-Gutter within SF $ $ Alley 3,400 20 Install 2-Inch Surface Course(Alley and TONS $ d $ 551�J9 Borgia) 350 21 Sta 100+20—Remove and Replace LS $ $ 2-s i mb Indianapolis Alley Approach 1 22 Sta 103+50—Remove and Replace LS $2`64b� $ 2g Joliet(North)Alley Approach 1 23 Sta 103+10—Remove and Replace Joliet $ � $ "N t000 (South)Alley Approach 1 LS 24 Sta 106+40—Remove and Replace LS $ %, $ 06,00o Knoxville(South)Alley Approach 1 25 Sta 106+80—Remove and Replace $ �� $ �$�QO� Knoxville(North)Alley Approach 1 LS 26 Sta 109+70—Remove and Replace $'Zg�QO(� $ �46i0 Lincoln Alley Approach 1 LS 27 Construct Concrete Sidewalk 170 SF $_ $ Construct Concrete Curb and Gutter 28 60 LF $112 OD C-4 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 TOW Can 29 Pressure Test,Disinfect and Flush New Mains LS $ 5010 1 Removal,Handling and Legal Disposal of c' 30 Interfering Existing ACP 670 LF $� � $ 31 Abandon Existing 4-inch or 6-inch Pipeline $ � $ 55 ��� and Fill with Slurry 330 LF 32 Adjust Existing Utility Box to Grade $01 , $� 21 EA 33 Traffic Control 1 LS $1AQ3���� 0W $ 12,800 _ �� �� 34 Georgia Street 3-Inch Grind SF $ 140 $ 35 Install 1-Inch Leveling Course and Pavement TONS $ LC $ Fabric(Georgia Street) 80 t10 36 Replace Striping 1 LS $M� $ /"�! 37 Prepare SWPPP and BMPs Implementation $ 1 LS ���(( //�—��((��— 38 Demobilization and Cleanup 1 LS $ �� $�w`� ov 39 Pavement Subgrade Over Excavation 760 CY $ $4 , 40 Pipe Trench Over Excavation $�C" $ 1,245 LF 41 Sewer Lateral Reconstruction 10 EA $ $� Construct Pavement Fabric(Georgia Street) SF 42 12840 43 Replace Survey Monument 2 EA $ C,01W $ 2 t C-5 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 TOWCOO SUB-TOTAL BID AMOUNT (IN FIGURES)-SCHEDULE A $ I c + SUB-TOTAL BID AMOUNT IN WORDS-SCHEDULE A: Notes: c�jx ( SAX dtl ,�XS . YUo 1) Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule A. 2) Bid Item Nos. 39,40 and 41 -The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the 25% limit as stated in Section 2-7.1 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the City reserves the right to increase or decrease the quantity of this item. C-6 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 item Na aw UY& v Tam! Mobilization and setup including permits, 1 bonds,insurance,SWPPP preparation and 1 LS $ $ M BMPs implementation 2 Demobilization and Cleanup 1 LS $ROM $ 19 PM Furnish traffic control in accordance with City 3 of Huntington Beach requirements,complete i and in lace 1 LS $l�l�� $ MMW Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all required reports,videos,and photographs 1 LS $ $ 1 Furnish and install 8-inch diameter PVC C900 DR14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and compaction 1,270 LF $9`2' $ ��� Furnish and install 1-inch plastic coated copper water service,and connect to existing%-inch water meter including 6 potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and -,. compaction 33 EA $1 $ b rl��vv Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City Std Plan 612 3 EA $ ' $ kl 8 Remove and salvage existing fire hydrant, dp I.DAy bury valve and appurtenances 2 EA $ $ Construct 6-inch fire hydrant assembly, 9 pipe,valve box assembly,concrete pad, corn lete and in place per City Std Plan 607 2 EA $15.50D $ Connect to existing water mains with 710 h �}� transition couplings per details on Dwg C-4 1 LS $2- t.TV U $ C-7—Addendum No. 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 b� U" that 1 OLIauilN " i»1} it Abandon non-interfering existing pipe in place by snap cutting,filling with cement-sand slurry dp and capping r CityStd Plan 613 1,240 LF $ I$. $ 320 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and dO removing 30 LF $ 2' $ 13 Remodel existing sewer house connection laterals conflicting with proposed waterline 5 EA $ $ 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per G� regulations 1 LS $ $ [t 15 Construct slurry sea] type I including full street width(curb-to-curb)where shown on drawings 43,000 SFT .TkJW 16 Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ S SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE B S 4201 COQ71.0-0 SUB-TOTAL BID AMOUNT IN WORDS-SCHEDULE B: Yti"l�P� �Note: Refer Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8—Addendum No. 1 16-5195/City Funded Construction Contract.docx-revised 04/2016 SECTION C PROJECT BID SCHEDULE TOTALS ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 SUB-TOTAL BID SCHEDULE A $ ' ���' 1 `QyIQ ,00 SUB-TOTAL BID SCHEDULE B $ CrU TOTAL BID AMOUNT,BASIS OF AWARD (SCHEDULES A& B) TOTAL BID AMOUNT,BASIS OF AWARD IN WORDS: "��o m*%on, L- 9- V-\,k�&reA nau" �iur 4"w5anli Notes: All extensions of unit prices will be subject to verification by Owner.In case of a verification between the unit price and the extension,the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-9 16-5195/City Funded Construction Contract.docx—revised 04/2016 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104,the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Class DIR PWC Dollar %o Bit _ Name and 14ddress o,j State .f bemN Suklontraetor License Registration# Amount Contract Number P�M�fn can } _W49i09 h 1000000kA'S 23,a�t�0 . ,vex dst C °�5� I C7'01 ito—2s, loll A�m�x;e� � k 36s,�15 33('� po.s� �-� �.to�0�'3 At,C►Z t©ooCX)lu�� 440ro 2'441 co-se, 1-0n "BL&"`y"b� y'� t�l4 rl.etc InoS L5 ppp 411 � I oc�15 33t5,85t`y O.�R,'� © ,G4 Li 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-10 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 May 25,2022,at Vista,CA Date City State Richard Dowsing being first duly sworn, deposes and says that he or she is President of Orion Construction Corporation 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. Orion Construction Corporation Name of Bidder Signature of Bidder 2185 La Mirada Dr. Vista, CA 92081 Address of Bidder C-11 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 On .t neJ; before me, 1 ir, Date Here Insert Name and Title of the Offic personally appeared Name(s)of Signe ) 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 It fo egoing paragraph is tr d corr6t. , NESS my han and off! ial or r SARAH A.NEWELL a` Notary Public-California San Diego County _ Si n Commission x 2377406 Signature gf° of Public My Comm.Expires Oct 4,2025 Place Notary Seal Above OPTIONAL Tho h this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description o ched Document Title or Type of Doc ent: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacitypes)Claimed by Signe Signer's Name: Signer's Name: I-Corporate Officer —Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑ Limited ❑General ❑Partner — El Limited El General El Individual El Attorney in Fact ❑Individual El Attorney in Fact ❑Trustee ❑Guardian or Conservator _ ustee El Guardian or Conservator ❑Other: El Sig Signer Is Representing: Signer Is resenting: tint c e c e < c�x�v» cxz z c c mac:_ - 4%l �5 X-1c,�c�cup 02014 National Notary Association-www.NationalNotary.org-1-800-US NOTARY(1- -876-6827) Item#5907 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO. 1664),(I)(we)(it)will employ and utilize only qualified persons,as hereinafter defined,to work in proximity to any electrical secondary or transmission facilities. The tern "Qualified Person" is defined in Title 8,California Administrative Code, Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements,Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned,and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Orion Construction Corporation Contractor 7 By Richard Dowsing, President Title 05/25/2022 Date: C-12 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 X 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-13 16-5195/City Funded Construction Contract.docx—revised 04/2016 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. Orion Construction Corporation Contractor By Richard Dowsing, President Title Date: 05/25/2022 C-14 16-5195/City Funded Construction Contract.docx—revised 04/2016 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Orion Construction Corporation Bidder Name 2185 La Mirada Dr. Business Address Vista CA 92081 City, State Zip ( 760 )597-9660 estimating@orionconstruction.com Telephone Number Email Address 549309 Clas: A B C27 State Contractor's License No. and Class 11/22/1988 Original Date Issued 11/30/2022 Expiration Date The work site was inspected by Chad Opper of our office on May 20 2022 The following are persons,firms, and corporations having a principal interest in this proposal: Orion Construction Corporation Richard Dowsing, 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. Orion Construction Corporation Company Name Signature of Bidder Richard Dowsing, President Printed or Typed Signature C-15 16-5195/City Funded Construction Contract.docx—revised 04/2016 NOTARY CERTIFICATE Subscribed and sworn to before me this 25 day of May ,202 2. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy,or validity of that document. State of California ) County of San Diego ) On May 25, 2022 before me, Sarah A. Newell, Notary Public Month,Day,and Year Insert Name and Title of Notary personally appeared Richard Dowsing 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. '*my SARAH A.NEWELL WITNESS my hand and 1 seal. Notary Public•California San Diego County Commission#2377406 Comm.Expires Oct 4,2025 Sig ITn re cWo6ry Public (PLACE NOTARY SEAL ABOVE) C-16 16-5195/City Funded Construction Contract.docx—revised 04/2016 Bidder's Project History For the purposes of this project,the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within public right-of-way in alley and/or street, alley and street paving projects within public right-of-way, and working within major arterials, alleys and streets and in close proximity to other underground utilities.Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names,address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1 Pipeline Project 4459,Helix Water District,7811 University Ave.La Mesa,91942 Name and Address of Public Agency Name and Telephone No.of Project Manager: Chris McRae(619)667-6278 $2,677,806.96 Water Main Replacement 11/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Install of approx.7 OOOLF of 8" 12"PVC pipelines to replace aging cast iron pipelines Work included trenching,Wipe installation, backfilling,pavement restoration,hydrostatic testing,and pipe disinfection.Pipelines were installed in heavily traveled roads in East County San Diego and required traffic control pans and implementation within the County of Nan IFIZgo—a—nd city of El Cajon. 2. Design-Build P1046-B Reclaimed Water Conveyance,NAVFAC Southwest,750 Coast Hwy.San Diego,CA 92132 Name and Address of Public Agency Name and Telephone No.of Project Manager: Benjamin Miller(760)765-7590 $21,844,738.07 Design-Build Reclaimed Water Conveyance 07/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Construction of 64 OOOLF of 11DPE reclaimed water conveyance pipelines crossing 3 creeks and 1 river.The project included two pump stations,three storage reservoirs,four trenchless installations totaling 8,80OLF,new irrigation systems,road rehabilitation,access road construction through wetland asms,groundwater injection,and several culturally and environmentally-sensitive work areas. 3. Catalina Design-Build 24"Water Main&Sewer Main,City of San Diego,9573 Chesapeake Dr.San Diego,CA 92123 Name and Address of Public Agency Name and Telephone No. of Project Manager: Steve Lindsay,(619)929-4507 $18,525,277.00 Design-Build Water& Sewer Main 11/2018 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Reglaced 16,000 LF of Cl water main with new 24"Cement-Mortar Lined and Coated Steel ICML•CSl pipe and 16"PVC,14,97 LF of sewer main,relocated 4,959 LF of sewer main from easement to right of way on Catalina Blvd. C-17 16-5195/City Funded Construction Contract.docx-revised 04/2016 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, Ryan Danielson Name of proposed Project Manager Telephone No. of proposed Project Manager: (760)597-9660 P-079 Potable Water Distribution Improvements 1 $30,919,549 1 Transmission Main 12021 Project Name & Contract Amount Type of Work Date Completed AC Water& Sewer Group 10291 $7,763,591.00 1 Potable Water Main Replacement 12021 Project Name & Contract Amount Type of Work Date Completed AC Water& Sewer Group 1019 1 $6,039,814.73 1 Potable Water Main Replacement 12019 Project Name & Contract Amount Type of Work Date Completed 2. Branden Love Name of proposed Superintendent Telephone No.of proposed Superintendent: (760)597-9660 16Inch and Larger CI Water Main and Sewer Replacement 1$6,430,941.61 1 Replace 16" Potable Water Main] 2021 Project Name& Contract Amount Type of Work Date Completed AC Water& Sewer Group 1024 1$13,919,016.10 1 Potable Water Main Replacement 12021 Project Name&Contract Amount Type of Work Date Completed AC Water& Sewer Group 10291$7,763,591.00 ( Potable Water Main Replacement 12021 Project Name& Contract Amount Type of Work Date Completed C-18 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 W CR/ActionServlet?action=displayPW CRegistrationFonn 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. Orion Construction Corporation Contractor By estimating@orionconstruction.com Email Richard Dowsing, President Title Date: 05/25/2022 PWC Registration 4: 1000863563 C-19 16-5195/City Funded Construction Contract.docx—revised 04/2016 Document A310 TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (,'%'aam,legal watax anda&fmm) (,'1.'mne,legal nutas tatd principal place r jhooni m) Orion Construction Corporation Western Surety Company This document has important 2185 La Mirada Drive 151 N. Franklin Street legal consequences.Consultation Vista,CA 92081 Chicago, IL 60606 with an attorney is encouraged with respect to its completion or OWNER: modification. (A'anm legal slaters and acJ b=) Any singular reference to ty,Omer or City of Huntington Beach other party shale be considered 2000 Main St plural where applicable. Huntington Beach,CA 92648 BOND AMOUNT: $ 10% Ten Percent of Amount Bid PROJECT: (%Ihaie,location oraddresr mrdPmjeclnumber,jjmgJ ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO. 1663) AND K1NER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO. 1664) The Contractor and Surety are bound to the Owner in the amount set fotth 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 Utrmcr and Contractor,and the Contractor either(l)ethers into a contract with the Owner in accordance with the terns of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in Vic jurisdiction of the project and othen%isc 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)pars to the Chaffer the difference,not to exceed the amount of this bond,betwwn the amount specified in said bid and such larger amount for which ilia Oraer may in good faith contract with another party to perti/M ilia wort;covered by said bid,then this obligation shall be null and void,otherwiw to remain in full force and effect.The Surety hereby%suites any notice of an agreement between ilia Owner and Contractor to extend the time in which the Owner may accept the bid.Whiver of malice by the Surety%hall not apply to any extensoo n exceeding sixty(60)days in the aggregate be}•ond the time for acceptamme of bids specified in the bid documents,and the Otvnerand Contactor Amll obtain lite Surety'%ccmtient li+r an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the teat 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 famished to comply%with u statutory or other legal requirement in the location ofthe Project,any provision in this Bond conflicting filth said statutory or legal requirement shall be deemed deleted herefrom and provisions comflorming to such statutory or other legal requirement shall be deemed incorporated herein.When so fumished,ilia intent is that this Bond Awll be construed as a statutory bond and not as a /mnuul lute bond. (3Llgid this t day of May,202 Orion Construction Corporation h (Priwpal) (Seal) By: Merle.) Richard Dowsing President Western %irety Company aurew 'inreKe) Maria Guise ` B : (line)Wence F.McMahonAttomey-in=Fact. S-OW41AS 8110 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Civil Code§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness accuracy or validity of that document. STATE OF CALIFORNIA County of San Diego On MAY 16 2022, before me, Maria Guise Notary Public, Date - Insert Name of Notary exactly as it appears on the official seal personally appeared Lawrence F. McMahon Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(W whose name( is/#f# subscribed to the within instrument and acknowledged to me that he/#y#/M#y'/ executed the same in his/###/#f t authorized capacity(!), and that by his/###fit/signature(]} on the instrument the personN, or the entity upon behalf of which the person* acted,executed the instrument. MARIA GUISE .; COMMISSION#2283717 3 I certify under PENALTY OF PERJURY under the laws of E Notary Public-California 3 the State of California that the foregoing paragraph is true ORANGE COUNTY and correct. °« My Comm.Expires Apr.14.2023q Witness my ha d and Acial seal. Signature Place Notary Seal Above Signature of Notary Public Maria Guise 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 RIGHT THUkIBPRINT ❑ Attorney in Fact RIGHT T�I •■■ ❑ Trustee • ❑ Trustee OF SISNER ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other. Signer is Representing: Signer is Representing: Surety Company VV�, Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know AM Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal olfloe in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint Lawrence F.McMahon,Individually of.San Diego, CA ,its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds,undertakings and other obligatory inshuments of similar nature -In Unlimited Amounts- SuretyBontiNo.: Bid Bond Principal:Orion Construction Corporation obugee:City of Huntington Beach and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attomey,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. in Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be bereto affixed on this I6th day of June,202). WESTERN SURETY COMPANY Y aul T.Bruflat,Vice President State of South Dakota I ss County ofMinuchaha On this l6th day of June,2421,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota.that be is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said imstrument is such corporatc seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expires M,� � March 2.2026 •.►.....................• �—. M.Bent,Notary Public CERTIFICATE 1,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Low of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 16th day of May,2022. a WESTERN SURETY COMPANY Y . Form F4280-7 2012 L.Nelson,Assistant Secretary Go to www.cnasure Lcom>Owner/Obligee Services>Validate Bond Coverage,N you want to verify bond authenticity. 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 Calliifomia ) County of `fo xy,�.7 Q � On before me, Date ere Insert Name and Title of the Of>lcer personally appeared Names)of Signers) 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 oing paragraph is true an true my hand nd offici se r SARAH A.NEWELL ` Notary Puhlic California San Diego county S' ature commission tl 2377406Ll My Comm.Expires Oct 4,2025 rgnature of tart' ublic Place Notary Seal Above OPTIONAL ough this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description o ched Document Title or Type of Doc nt: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer t Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑ Limited ❑General ❑Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact --'-'Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator stee ❑Guardian or Conservator ❑Other: ❑ Oth Signer Is Representing: Signer Is esenting: 02014 National Notary Association •www.NationalNotary.org- 1-800-US NOTARY(1-8 76-6827) Item#5907 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714) 374-1573 ADDENDUM NUMBER ONE For FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT (CC 1663) And KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT (CC 1664) May 11,2022 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) Bid Electronically Due Date changed from May 18,2022 at 11:00 AM to May 26,2022 at 11:00 AM. 2) Delete Bid Item No. 17—Survey Monument Preservation, Bid Schedule B,Kiner-Gleada CC 1664, and Section 7-6, Bid Item Description, Item 17, Page E-24. Attached is revised Bid Schedule B dated 05111/22. This is to acknowledge receipt and review of Addendum Number One,dated May 11,2022. Orion Construction Corporation 3 Company Name BY Richard Dowsi resident 05/25/2022 Date 1 of 1 of Addendum No.1 CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE OBLIGATIONS FROM: Orion Construction Corporation momm Florida-Georgia Water Main (CorAnw°rl'o—) Replacement and Kiner- leads Water Main Improvement muert 2185 La Mirada Dr. (street Addveas) Vista, CA 92081 (0tv,stabs one zip) TO: CM OF HUNTINGTON BEACH DECLARATION Attached hereto 15 a tree and correct copy of the nrrent Certificate of lns rarx:e and Additional Inswed Endorsement OG 2010 1135, which CertlAcate complies with the Insurance requirements of the Contract by and between Cte Oty of HunlIngton mKh('apn and OW above-named Contractor("Contractor")for the alcove-described project("Project'. I de I under penalty of poij ry urder the laves of the State of Caefornia that the abcme statanent is true and correct. Sig W on -r�. , 202-2 at Vista, CA �) (City,State) (Signature of Individual Who is Making Dedaration) WARRANTY Contractor hereby warrants and aWees to maintain Products and Completed Operations Insurance Ln cornphance m'th the Insurance requirmments of the Contract:for the Project Said insurance shall be maintained through and until the expiration of aA Warranaes provided by Contractor_ Said insurance Shall contain Additional Insured Endorsement CIS 2010 1185,naming City as an addttional rsured. Contractor shall supply to City,on at least an annual basis,a Certificate of tnatrance and the aforementioned Endorsement evldemN Continued amerage which meets the Contract requirements. Signed on ,&— 202_2 at Vista, CA {oeb (ct`y,staiej CONTRACTOR: Now: Orion Construction Corporation �r meal x This form to be turned in with Payment Bond 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 fo ) County of c Z1Y1 -� On �' �• • before me, Y'C• t c Date C-<—\ Here Insert Name and Title of the Officer personally appeared Name(s)of Sign ) 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 f oin ar raph is true and ct. WITNESS han and officia s *my SARAHA.NEWELL Notary Public-CaliforniaSan Diego County Sign re Commission#2377406 Sig ature of to ublic Comm.Expires Oct 4,2025 Place Notary Seal Above OPTIONAL hough this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description o ached Document Title or Type of Doc nt: Document Date: Number of Pages: ner(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s Signer's Name: Signer's Name: El Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑ General El Individual El Attorney in Fact ndividual El Attorney in Fact El Trustee ❑ Guardian or Conservator ❑ ee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Rep nting: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876- 7) Item#5907 ORIOCON-07 AC,ORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `. 7/1112022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must 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 Ileu of such endorsement(s). PRODUCER ¢CT Jill Tucker J.S.Tucker Insurance Services PHONE FAX 5330 Carroll Canyon Road Arc,No,Ext: 858 345-5769 Arc,No: Suite 110 RMss.jlll@jstuckerins.com San Diego,CA 92121 INSURERS AFFORDING COVERAGE NAIC fl INSURERANalley Forge Insurance Company 20508 INSURED INSURER B:Continental Casualty Company 20443 Orlon Construction Corporation INSURERC;American Casualty Company of Reading,Pennsylvania 20427 2186 La Mirada Dr INSURER D:Ironshore Specialty Insurance Company 25445 Vista,CA 92081-8830 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000 CLAIMS-MADE a OCCUR X X 7017791823 12/3/2021 12/312022 DAMAGE TO RENTED 100,000 MEDEXP(Any oneperson) 15,000 PERSONAL&ADV INJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: APPROVED AS O FORM GENERAL AGGREGATE $ 4,000,000 POLICY T& LOC PRODUCTS-COMPlOPAGG 4,000,000 OTHER: By'i _z _��_ _ $ 13 AUTOMOBILE LIABILITY CITY ATTORNEY COMBINED SINGLE LIMIT 2�000 000 X ANY AUTO X X 7017791837 CITY OF HUNTING TonvVROMH 12/312022 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS pp BODILY INJURY Per accident Al1TOS ONLY AUTOSLY PPeoecc deT nl AMAGE UMBRELLA LIAR HOCCUR EACH OCCURRENCE EXCESS LIAO CLAIMS-MADE AGGREGATE DED RETENTIONS C WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY A LITE ER 7017791840 12/3/2021 12/3/2022 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE Y!N X E.L.EACH,ACCIDENT FICERIM Mg��EXCLUDED? NIA 1,000,000 andatory�nNH) E.L.DISEASE-EA EMPLOYE If es describe under 1,000,000 DE IPTION 0 OPERATIONS bet E.L.b SEASE-POLICY LIMIT D Professional Liab DCP7LABVXRM003 12/3/2021 12/3/2022 Each Claim/Aggregate 6,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule may be attached if more space Is required RE:Alley West of Florida St and Georgia St Water Main Replacement Projects,C61663 and Kiner-Gleada Water Man Improvement Project,CC1664 The City of Huntington Beach,It's officers,elected or appointed officials,employees,agents and volunteers are provided additional Insured status when required by written contract and per the attached forms.Primary and Non-Contributory applies to General Liability and all other coverages when required by written contract. Waiver of Subrogation applies when required by written contract.30 days notice of cancellation;10 days notice of non-payment when required by written contract. Professional Liability Retroactive Date:0011212011 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of Huntington Beach THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City 9 ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street Huntington Beach,CA 92648 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) C 1988-2015 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD General Liability-Per Project Aggregate Endorsement CNA Policy No. 7017791823 General Aggregate Limit - Per Project Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. For each single construction or service project away from premises the Named Insured owns or rents, a separate Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: A. all damages under Coverage A, except damages because of bodily injury or property damage included in the products-completed operations hazard; and B. all medical expenses under Coverage C; that arise from occurrences or accidents which can be attributed solely to ongoing operations at that project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Project General Aggregate Limit applicable to any other project. II. All: A. damages under Coverage B, regardless of the number of locations or projects involved; B. damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single project, except damages because of bodily injury or property damage included in the products- completed operations hazard; and C. medical expenses under Coverage C, caused by accidents which cannot be attributed solely to ongoing operations at a single project, will reduce the General Aggregate Limit shown in the Declarations. III. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular project. IV. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products-completed operations hazard will reduce the Products-Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. V. If a single construction or service project away from premises owned by or rented to the Named Insured has been abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, such project will still be deemed to be the same project. VI. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75061XX (1-15) Policy No: 7017791823 Page 1 of 1 Effective Date: 12/3/2021 Insured Name: Orion Construction Corporation Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. General Liability-Blanket Additional Insured Ongoing and Completed Ops; Blanket Primary/ Non-Contributory OVAPolicy No. 7017791823 Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS,the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079XX(10-16) Policy No: 7017791823 Effective Date: 12/03/2021 Page 1 of 2 Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Policy No. 7017791823 Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self-insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3.does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX(10-16) Policy No: 7017791823 Effective Date: 12/03/2021 Page 2 of 2 Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Policy No.7017791823 General Liability-Blanket Waiver of Subroclation OVA Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed in writing in a contract or agreement to waive any right of recovery against such person or organization, but only if the contract or agreement: 1. Is in effect or becomes effective during the term of this policy; and 2. Was executed prior to loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX(1-15) Policy No: 7017791823 Page 1 of 1 Effective Date: 12/01/2021 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Policy No.7017791823 General Liability Blanket 30 Day Cancellation crv�► Changes - Notice of Cancellation or Material Restriction Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART EMPLOYEE BENEFITS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART STOP GAP LIABILITY COVERAGE PART TECHNOLOGY ERRORS AND OMISSIONS LIABILITY COVERAGE PART SPECIAL PROTECTIVE AND HIGHWAY LIABILITY POLICY—NEW YORK DEPARTMENT OF TRANSPORTATION SCHEDULE Number of days notice(other than for nonpayment of 30 premium): Number of days notice for nonpayment of premium: 10 Name of person or organization to whom notice will be sent: Entity Scheduled with Carrier and only when required by written contract Address: If no entry appears above, the number of days notice for nonpayment of premium will be 10 days. It is understood and agreed that in the event of cancellation or any material restrictions in coverage during the policy period, the Insurer also agrees to mail prior written notice of cancellation or material restriction to the person or organization listed in the above Schedule. Such notice will be sent prior to such cancellation in the manner prescribed in the above Schedule. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA74702XX(1-15) Policy No: 7017791823 Page 1 of 1: Effective Date: 12/03/2021 Insured Name: Copyright CNA All Rights Reserved. Policy No.7017791837 Business Auto Blanket Additional Insured,Primary and Non-Contributory,Waiver of Subrogation CNA63359XX CNA (Ed. 04/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE 4. An "employee"of yours is an "insured"while A. Who Is An Insured operating an "auto" hired or rented under a contract or agreement in that "employee's" The following is added to Section II, Paragraph name, with your permission, while A.1.,Who Is An Insured: performing duties related to the conduct of 1. a. Any incorporated entity of which the your business. Named Insured owns a majority of the "Policy," as used in this provision A. Who Is An voting stock on the date of inception of Insured, includes those policies that were in this Coverage Form; provided that, force on the inception date of this Coverage b. The insurance afforded by this provision Form but: A.I. does not apply to any such entity 1. Which are no longer in force; or that is an "insured" under any other 2. Whose limits have been exhausted. liability "policy" providing "auto" coverage. B. Bail Bonds and Loss of Earnings 2. Any organization you newly acquire or form, Section II, Paragraphs A.2. (2) and A.2. (4) other than a limited liability company, are revised as follows: partnership or joint venture, and over which 1. In a.(2), the limit for the cost of bail bonds is you maintain majority ownership interest. changed from $2,000 to$5,000; and The insurance afforded by this provision 2. In a.(4), the limit for the loss of earnings is A.2.. changed from $250 to$500 a day. a. Is effective on the acquisition or C. Fellow Employee formation date, and is afforded only until the end of the policy period of this Section II, Paragraph B.5 does not apply. Coverage Form, or the next anniversary of its inception date, whichever is Such coverage as is afforded by this provision earlier. C. is excess over any other collectible insurance. b. Does not apply to: II. PHYSICAL DAMAGE COVERAGE (1) "Bodily injury" or "property damage" A. Glass Breakage— Hitting A Bird Or Animal — caused by an "accident" that occurred before you acquired or Falling Objects Or Missiles formed the organization; or The following is added to Section III, (2) Any such organization that is an Paragraph A.3.: "insured" under any other liability With respect to any covered "auto," any "policy"providing "auto"coverage. deductible shown in the Declarations will not 3. Any person or organization that you are apply to glass breakage if such glass is required by a written contract to name as an repaired, in a manner acceptable to us, rather additional insured is an "insured" but only than replaced. with respect to their legal liability for acts or B. Transportation Expenses omissions of a person, who qualifies as an "insured" under Section II — Who Is An Section III, Paragraph A.4.a. is revised, with Insured and for whom Liability Coverage is respect to transportation expense incurred by afforded under this policy. If required by you, to provide: written contract, this insurance will be a. $60 per day, in lieu of$20; subject to primary and non-contributory to insurance on which the additional insured is a Named b. $1,800 maximum, in lieu of$600. Insured. CNA63359XX Copyright,CNA Corporation,2000. Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. Policy No.7017791837 Business Auto Blanket Additional Insured, Primary and Non-Contributory,Waiver of Subrogation CNA63359XX CNA (Ed. 04/12) C. Loss of Use Expenses Section III, Paragraphs B.4.c and B.4.d. are Section III, Paragraph A.4.b. is revised, with deleted and replaced by the following: respect to loss of use expenses incurred by you, c. Physical Damage Coverage on a covered to provide: "auto" also applies to "loss" to any a. $1,000 maximum, in lieu of$600. permanently installed electronic equipment including its antennas and other D. Hired "Autos" accessories. The following is added to Section III. d. A$100 per occurrence deductible applies to Paragraph A.: the coverage provided by this provision. 5. Hired "Autos" G. Diminution In Value If Physical Damage coverage is provided under The following is added to Section Ill, this policy, and such coverage does not extend Paragraph B.6.: to Hired Autos, then Physical Damage coverage Subject to the following, the "diminution in is extended to: value"exclusion does not apply to: a. Any covered "auto" you lease, hire, rent a. Any covered "auto" of the private or borrow without a driver; and passenger type you lease, hire, rent or b. Any covered "auto" hired or rented by borrow, without a driver for a period of your "employee" without a driver, under 30 days or less, while performing duties a contract in that individual related to the conduct of your business; "employee's" name, with your and permission, while performing duties b. Any covered "auto" of the private related to the conduct of your business. passenger type hired or rented by your c. The most we will pay for any one "employee"without a driver for a period "accident" or "loss" is the actual cash of 30 days or less, under a contract in value, cost of repair, cost of that individual "employee's" name, with replacement or $75,000, whichever is your permission, while performing less, minus a $500 deductible for each duties related to the conduct of your covered auto. No deductible applies to business. "loss"caused by fire or lightning. c. Such coverage as is provided by this d. The physical damage coverage as is provision is limited to a "diminution in provided by this provision is equal to the value" loss arising directly out of physical damage coverage(s) provided accidental damage and not as a result on your owned"autos." of the failure to make repairs; faulty or e. Such physical damage coverage for incomplete maintenance or repairs; or hired "autos"will: the installation of substandard parts. (1) Include loss of use, provided it is d. The most we will pay for "loss" to a the consequence of an "accident" covered auto In any one accident is for which the Named Insured is the lesser of: legally liable, and as a result of (1) $5,000; or which a monetary loss is sustained (2) 20% of the "auto's" actual cash by the leasing or rental concern. value(ACV). (2) Such coverage as is provided by Ill. Drive Other Car Coverage—Executive Officers this provision will be subject to a limit of$750 per"accident." The following is added to Sections 11 and Ill: E. Airbag Coverage 1. Any "auto" you don't own, hire or borrow is a The following is added to Section Ill, covered "auto"for Liability Coverage while being Paragraph B.3.: used by, and for Physical Damage Coverage while in the care, custody or control of, any of The accidental discharge of an airbag shall not your"executive officers,"except: be considered mechanical breakdown. a. An "auto" owned by that "executive officer" F. Electronic Equipment or a member of that person's household; or CNA63359XX Copyright,CNA Corporation,2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. Policy No.7017791837 Business Auto Blanket Additional Insured,Primary and Non-Contributory,Waiver of Subrogation CNA63359XX (Ed. 04/12) b. An "auto" used by that "executive officer" The following is added to Section IV, while working in a business of selling, Paragraph A.5. Transfer Of Rights Of servicing, repairing or parking"autos." Recovery Against Others To Us: Such Liability and/or Physical Damage We waive any right of recovery we may have, Coverage as is afforded by this provision. because of payments we make for injury or (1) Equal to the greatest of those damage, against any person or organization for coverages afforded any covered "auto'; whom or which you are required by written and contract or agreement to obtain this waiver from us. (2) Excess over any other collectible This injury or damage must arise out of your insurance. activities under a contract with that person or 2. For purposes of this provision, "executive organization. officer' means a person holding any of the You must agree to that requirement prior to an officer positions created by your charter, "accident"or"loss." constitution, by-laws or any other similar governing document, and, while a resident of C. Concealment, Misrepresentation or Fraud the same household, includes that person's The following is added to Section IV, spouse. Paragraph B.2.: Such "executive officers" are "insureds" while Your failure to disclose all hazards existing on the using a covered "auto" described in this date of inception of this Coverage Form shall not provision. prejudice you with respect to the coverage afforded IV. BUSINESS AUTO CONDITIONS provided such failure or omission is not intentional. A. Duties In The Event Of Accident, Claim, Suit D. Other Insurance Or Loss The following is added to Section IV, The following is added to Section IV, Paragraph B.5.: Paragraph A.2.a.: Regardless of the provisions of Paragraphs 5.a. (4) Your "employees" may know of an and 5.d. above, the coverage provided by this "accident" or "loss." This will not mean policy shall be on a primary non-contributory that you have such knowledge, unless basis. This provision is applicable only when such "accident" or "loss" is known to required by a written contract. That written you or if you are not an individual, to contract must have been entered into prior to any of your executive officers or "Accident"or"Loss." partners or your insurance manager. E. Policy Period, Coverage Territory The following is added to Section IV, Paragraph A.2.b.: Section IV, Paragraph B. 7.(5).(a). is revised to provide: (6) Your "employees" may know of a. 45 days of coverage in lieu of 30 days. documents received concerning a claim or "suit." This will not mean that you V. DEFINITIONS have such knowledge, unless receipt of Section V. Paragraph C. is deleted and replaced such documents is known to you or if you are not an individual, to any of your by the following: executive officers or partners or your "Bodily injury" means bodily injury, sickness or insurance manager. disease sustained by a person, including mental B. Transfer Of Rights Of Recovery Against anguish, mental injury or death resulting from any of Others To Us these. CNA63359XX Copyright,CNA Corporation,2000. Page 3 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. Policy No.7017791837 Business Auto Blanket 30 day cancellation CNA72315XX OVA (Ed. 02/13) NOTICE OF CANCELLATION OR MATERIAL CHANGE - DESIGNATED PERSON OR ORGANIZATION It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows: In the event of cancellation or material change that reduces or restricts the insurance provided by this Coverage Form, we agree to send prior notice of cancellation or material change to the person or organization scheduled below at the address scheduled below. This endorsement does not amend our obligation to notify the Named Insured of cancellation as described in the Common Policy Conditions or in another endorsement attached to this policy. SCHEDULE 1. Number of days advance notice: 10 Days if we cancel for non-payment of premium. 30 Days if the policy is cancelled for any other reason, or if coverage is restricted or reduced by endorsement. 2. Person or Organization's Name and Address Name: Attention: Street Address: Entity scheduled with carrier and only when required by written contract. City, State, ZIP: e-mail address: All other terms and conditions of the Policy remain unchanged. CNA72315XX(02/13) Policy No: 7017791837 Page 1 of 1 Effective Date: 12/03/2021 Insured Name: Orion Construction Corporation Copyright CNA All Rights Reserved. Policy s ompen atio CNA Workers Compensation Blanket Waiver of Subrogation I - _k . 6 a This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is Blanket Waiver of Subrogation Percentage Charge%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-19160-B (11-1997) Policy No: 7017791840 Endorsement Effective Date: 12/03/2021 Policy Effective Date: 12/03/2021 Underwriting Company: American Casualty Company of Reading,PA 0 Copyright CNA All Rights Reserved. Policy No.7017791840 NA Workers Compensation CBlanket 30 day notice of Cancellation This endorsement modifies insurance provided under the WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY: In the event of cancellation or material change that reduces or restricts coverage during the policy period, we agree to send prior written notice in the manner prescribed, to the person or organization listed in the Schedule. SCHEDULE 1. Number of days advance notice: For nonpayment of premium: 10 For any other reason: 3© 2. Name and Address of Person or Organization: Entity scheduled with carrier and only when required by written contract All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, stakes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another affective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy. Form No: CNA873BOXX (11-2016) Policy No: 7017791840 Endorsement Effective Date: 12/03/2021 Endorsement Expiration Date: 12/03/2022 Policy Effective Date: 12/03/2021 Underwriting Company: Continental Casualty Company ©Copyright CNA All Rights Reserved. Bond No. 30154028 Premium: $20,004.00 SUBJECT TO ADJUSTMENT BASED ON FINAL CONTRACT PRICE PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS, City of Huntington Beach(hereafler referred to as'City')has, by written agreement dated ,20 , entered into a contract with Orion Construction Corporation 2185 La Mirada Drive Vista CA 92081 (name and address of Contractor) (hereinafter referred to as'Principal'),for performance of the work described as follows: .ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER M®h. -REf ACtEMENT PROJECT(CC N�1663)AND KINER-GI.E,,,B,DA WATER MAIN IMPRnVFMFNT PRC)IFrT(CC: No- 166d) (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 AM.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 Western Surety Company 1455 Frazee Road, Suite 300, San Diego, CA 92108 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Two Million Five Hundred Sixty Seven Thousand Three Hundred Thirty Seven and 00/100 Dollars ($2,567 337.00 ), 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 ail 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, arnindments and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shalt 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 15r4584/117174 Boi-id Not. 30154018 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 2848. 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: July 20,2022 ATTEST Orion Construction Corporation (Corporate Seal) (Principal Name) Name: lchara Dowsing — Title: President ATTEST WesterrlSurety Company If I (Corporate Seal) (Surety Name) _ By: Name: awrence F. McMahon Attorney-in-Fact ignature of Attorney-in-Fact for Surety) (Attach Attorney-in-Fact Certificate) Q_t9j 682-3510 (Area Code&Telephone Number for Surety) APPROVED AS TO By: 'Michael E.Gates,City Attorney '� -19- ��' { Note- This bond must be executed in duplicate and dated,all sgnalures must be notarized, and evidence of the authority of any person signing as attomey-in-fact must be attachod. PERFORMANCE BOND Page 2 of 2 15-458411171i4 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 San Diego o J 9 On before me, Maria Guise Notary Public, a Insert Name of Notary exactly as it appears on the official seal personally appeared Lawrence F. McMahon Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(Q whose name(W is/#f# subscribed to the within instrument and acknowledged to me that he/ftIfIft executed the same in his/f 0f/ffi#t authorized capacitygA#J, and that by his/n###*#signature4h on the instrument the personN, or the entity upon behalf of which the personN acted, executed the instrument. MAR;A GUISE COMMISSION#2283717 1 certify under PENALTY OF PERJURY under the laws of ENotary Public-California P the State of California that the foregoing paragraph is true ORANGE COUNTY and correct. My Comm.Expires Apr.14,2023 Witness my hanq and o eal. Signature //iL7- S . Place Notary Seal Above Signature of Notary Public Maria Guise 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: Surety Company Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Lawrence F Me Mahon, Sarah Myers, Janice Martin, Christopher J Conte, Lilia De Loera, Individually of San Diego,CA,its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 16th day of July,2021. _d.+'VRET" , WESTERN SURETY COMPANY �5�...-.,.,ODx L"epPp�A4jo 3W44 �,9 2s �CA TM DP w� ail T.Bruflat,Vice President State of South Dakota ss County of Minnehaha On this 16th day of July,2021,before me personally came Paul T.Bruflat,to me known,who,being by me duly swom,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota,that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expires M.BENT ` M.BENT CC, S-UTHNOTAR PUBUC�` March 2,2026 sourH nnuorn s ; ♦rrrrrrrrrrrrrrrrrrrrrrr4 M.Bent,Notary Public CERTIFICATE I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof]have hereunto subscribed my name and affixed the seal of the said corporation this 20th day of July,2022. �SURETy WESTERN SURETY COMPANY Fz¢ E'� L.Nelson,Assistant Secretary Fonn F4280-7-2012 Go to vtww.cnasurety.com >Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. 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 �� On �.��� 2r�, s�--� before me, Date Here Insert Name and Title of the Offi personally appeared Q_\C"\1m_r8 Name(s) of Signers) 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 going paragraph is true and correct. WITNESS' y han and offici se *my SARAH A.NEWELL _ Notary Public-California San Diego CountyCommission#2377406 gnature Comm.Expires Oct 4,2025 ignature o ota u lic 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. Descrip ' n of Attached Document Title or Type Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by ner(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator Trustee ❑ Guardian or Conservator ❑Other: ❑ er: Signer Is Representing: Signer epresenting: 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1- Q-876-6827) Item #5907 Bond No. 30154018 Premium Included in Performance Bond PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as"City") has awarded to Orion Construction Corporation 2185 La Mirada Drive Vista- CA 92081 (name and address of Contractor) (hereinafter referred to as"Principal"),a contract("Contract")for the work described as follows: ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO. 1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO. 1664) (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 AM, 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 Western Surety Company 1455 Frazee Road Suite 300, San Diego,CA 92108 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of Two Million Five Hundred Sixty Seven Thousand Three Hundred Thirty Seven and 00/100 dollars($ ,5� 67.337.00 ),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. PAYN4ENIT BOAR Pa-e I of 2 ts-assa;tl?�5� 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 duty executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its goveming body. Surety, by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or property execute this bond. Dated: July 20,2022 ATTEST Qrion Construction Corporatign (Corporate Seal) (Principal Name) Sy: �- Name: Richard Dowsing Title: President ATTEST Western Surety Company (Corporate Seal) (Surety Name) Namq awrence F.McMahon,Attorney-in-Fact ignature of Attorney-in-Fact for Surety) (Attach Attorney-in-Fad Certificate) (619)682-3510 (Area Code&Telephone Number for Surety) APPROVED AS T0'F-,(76: r .-.•-^. ter. Michael E.Galestity`�ttomey 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 BONE) Page 2 of 2 I5-4534%117357 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Civil Code § 1189 FtA notary public or other officer completing this certificate verifies only the identity of the individual who signed he document,to which this certificate is attached, and not the truthfulness,accuracy or validity of that document. STATE OF CALIFORNIA County of San Diego On JUL 2 0 2022 before me, Maria Guise Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Lawrence F. McMahon Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(/Q whose name(/$/l is/#f# subscribed to the within instrument and acknowledged to me that he/001MOg executed the same in his/ft#t/ffiNt authorized capacityu,#h, and that by his/n&/#AW#signature(Q on the instrument the personN, or the entity upon behalf of which the person((¢,Ij acted, executed the instrument. MARIA GUISE COMMISSION#2283717 I certify under PENALTY OF PERJURY under the laws of E �'r NotaryPublic-California 3 the State of California that the foregoing paragraph is true ORANGE COUNrf and correct. My Comm.Expires Apr.14,2023 Witness my hand/ nd offi I seal. Signature r Place Notary Seal Above Signature of Notary P—Mic Maria Guise 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 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: Surety Company Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized and existing corporation having its principal office in the City of Sioux Falls,and State of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make, constitute and appoint Lawrence F Mc Mahon, Sarah Myers, Janice Martin, Christopher J Conte, Lilia De Loera, Individually of San Diego,CA,its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited Amounts - and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly adopted,as indicated,by the shareholders of the corporation. In Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 16th day of July,2021. „wmm WESTERN SURETY COMPANY eWQ`pNQ�AgJ�g -w AFPaul T.Bruflat,Vice President State of South Dakota 1 JT County of Minnehaha ss On this 16th day of July,2021,before me personally came Paul T.Bruflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expires M.BENT kmNarAHY PUBIIC�� March 2,2026 i SOUTH DAKOTA i M.Bent,Notary Public CERTIFICATE I,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 20th day of July,2022. ����.•-� •-.,�o�; WESTERN SURETY COMPANY �. S i J,\,l E A 4P,. M DAK www L.Nelson,Assistant Secretary Fonn F4280-7-2012 Go to%r,,ww.cnasurety.com >Owner/Obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. Authorizing By-Law ADOPTED BY THE SHAREHOLDERS OF WESTERN SURETY COMPANY This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders of the Company. Section 7. 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, and Assistant Secretary, Treasurer, or any Vice President, or by such other of5cers 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. 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 �o- ) On before me, Date Here Insert Name and Title of the cer personally appeared cy-�GLV—A �(__��-L��V)(:�_, (d 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 f g ing paragraph is true and r WITNESS han and official eal. SARAH A.NEWELL s Notary Public-California W. : W m San Diego County $I natur commission A 2377406 g +i•o•"� My Comm.Expires Oct 4,2025 Sl nature of to lic 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 o ttached Document Title or Type of Doc ent: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑ Limited ❑General ❑ Individual ❑Attorney in Fact idual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator ❑Trus ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Repres ing: ©2014 National Notary Association -www.NationalNotary.org • 1-800-US NOTARY(1-800-876- Item#5907 CITY OF HUNTINGTON BEACH xI1J11i BUSINESS LICENSE P.O.Box 190 Huntington Beach,CA 92648-2702 (714)536-5267 Dahle Bulosan Chief Financial Officer HUY0324A _ 4000000075 75/1. Ilr�l'�llrell�+hlld��rlf IId1��11�11�11'I��I�IyN�lnlll'1�111 ORION CONSTRUCTION CORPORATION 2185 LA MIRADA OR VISTA CA 92081-8830 Dear Business Owner: Thank you for your payment. Attached is your City of Huntington Beach Business License certificate.Please note that approximately one month prior to the license expiration date,you will be mailed a renewal notice for the upcoming year. If for any reason your renewal notice does not arrive,you are still responsible for renewing and paying your business license prior to the expiration date. Penalties will be incurred if the payment is not received by the expiration date. Please post the business license in public view. If you do not transact business from a fixed location within the City,you must carry this license with you at all times. If a vehicle license plate number is displayed on the Business License certificate below,you must carry a copy of the certificate in that vehicle. Please contact the Business License office if there are any changes to:ownership, address,business name,business vehicle,or type of business conducted.Additionally,please notify our office if you discontinue your business. The Gender Tax Repeal Act of 1995(Act)prohibits a business from discriminating based on a person's gender for prices of similar or like-kind goods and services.However,the Act does not prohibit price differences based on the amount of time,difficulty,or cost of providing the services.In addition to prohibiting discrimination based on a person's gender,the Act requires certain businesses to dearly and conspicuously disclose to customers in writing the pricing for each standard service provided.The posting requirement applies to barbers and hair salons,tailors or businesses providing aftermarket clothing alterations,dry cleaners,and laundries providing services to individuals.To access the Department of Consumer Affairs publication,please use the following webpage: https://www.barbercosmo.ca.gov/consumers/gender_policy.pdf. To access the publication in Korean,Spanish,Vietnamese, Traditional Chinese,Simplified Chinese,or Tagalog,please use the following webpage: hftps-/A,vww.dca.ca.gov/publicaffionstindex.shtmi There are many resources available to our business owners. Listed below are a few that might be of interest and assistance to you. Office of Business Development -(714)536-5582 Service Corps of Retired Executives-(714)550-7369 Huntington Beach Chamber of Commerce-(714)536-8888 Fictitious Business Name Information-(714)834-2889 CA Department of Tax and Fee Administration-(949)440-3473 Community Development-(714)536-5271 If you have any questions, please call a Business License representative at(714)536-5267. ... __.___..____._.__- . ____....... � .... City o,f Huntington Beach Business License License Number Business Name/Service Address POST IN PUBLIC VIEW A312474 ORION CONSTRUCTION CORPORATION Effective Date 03/01/2022 Owner/Corporation Expiration Date j ORION CONSTRUCTION CORPORATION 02/28/2023 License Type . § Amount Paid CONTRACTOR $126.70 THIS LICENSE IS ONLY FOR THE BUSINESS AND TYPE SHOWN. IT IS FOR THE PERSON TO WHOM ISSUED AND IS NON-TRANSFERABLE. RENEWAL IS DUE ON OR BEFORE THE EXPIRATION DATE. ., ,.._ �„ _, _. __� _. ...... ___._.___.. ......................... _. .._..___ _ ___ ....... _...._ _., Document A310 TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Main,legal atalus and addrecv) ,(,'Warne,legal strrtas and principal place r f hresines) Orion Construction Corporation Western Surety Company This document has important 2185 La Mirada Drive 151 N. Franklin Street legal consequences.Consultation Vista, CA 92081 Chicago, IL 60606 with an attorney is encouraged with respect to its completion or OWNER: modification. (Xame,legal slants and address) Any singular reference to City of Huntington Beach Contractor,Surety,Owner or y g other party shall be considered 2000 Main St plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: $ 10% Ten Percent of Amount Bid PROJECT: ('Wane,location or address andlrro%ectnumber.ifanty ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO. 1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO. 1664) 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 0%,mer 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 perfortnancc of such Contract and for the prompt payment of labor and material fumisbcd 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 perlbnn the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full lirrce and ellect.The Surety hereby waives any notice ol'an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.1%Iaiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time lirr acceptance ol'bids speeited 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 ton Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the terns Owner shall be deemed to be Contractor. When this Bond has been lurnished to comply with a statutory,or other legal requirement in the location of the Project,any provision in this Bond conflicting%vith said statutory or legal requirement shall be deemed deleted herelrom and provisions conlitriing to such statutory or other legal requirement shall be deemed incorporated herein.When so lumished,the intent is that this Bond shall be construed as a statutory bond and not as a •ommon law bond. Sial scaled this t day of May, 202 Orion Construction Corporation (Principal) (Seal) ss) By: (Tw) Richard Dowsing PresI ent F✓ Western Aurety Company 61aw)) (Seal) sans,) Maria Guise By: (Tide)(21Wrence F. McMahon Attorney-in-Fact S-0054/AS 8110 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT Civil Code§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document,to which this certificate is attached,and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA County of San Diego On MAY 16 2022, before me, Maria Guise Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Lawrence F. McMahon Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personWh whose nameN is/#f# subscribed to the within instrument and acknowledged to me that he/ft1f)YOW executed the same in his/fI#t/,tF#jf authorized capacityq#Q, and that by his/N#r/#A*signature(Q on the instrument the person ffl, or the entity upon behalf of which the person(/¢,/] MARIA GUISE acted, executed the instrument. -q ': COMMISSION#2283717 3 1 certify under PENALTY OF PERJURY under the laws of E4,.. Notary Public-California 3 the State of California that the foregoing paragraph is true ORANGE COUNTY and correct. 1� My Comm.Expires Apr. 14,2023 Witness my hT_- d and cial seal. Signature _ Place Notary Seal Above Signature of Notary Public Maria Guise 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 FactRIGHT-THUMBPRINT ❑ Attorney in Fact RIGHT THUMBPRINT 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: Surety Company Western Surety Company POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents,That WESTERN SURETY COMPANY,a South Dakota corporation,is a duly organized tmd existing corporation having its principal office in the City of Sioux Falls,and Slate of South Dakota,and that it does by virtue of the signature and seal herein affixed hereby make,constitute and appoint Lawrence F. McMahon,Individually of,San Diego, CA its true and lawful Attomey(s)-in-Fact with full power and authority hereby conferred to sign,seal and execute for and on its behalf honds,undertakings and other obligatory instruments of similar nature -In Unlimited Amounts- Surety Bond No.: Bid Bond Principal: Orion Construction Corporation Obligee: City of Huntington Beach and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said Attorney,pursuant to the authority hereby given,are hereby ratified and confirmed. This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof,duly,adopted,as indicated,by the shareholders of the corporation, In'Witness Whereof,WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be hereto affixed on this 16th day of Junc,2021. Err WESTERN SURETY COMPANY t.q� PO 0 00 aul T.Bruflat,Vice President State of South Dakota 1 Jj County of Minnchaha ss On this 16th day of June,2021,before me personally came Paul T.Bntflat,to me known,who,being by me duly sworn,did depose and say: that he resides in the City of Sioux Falls,State of South Dakota;that he is the Vice President of WESTERN SURETY COMPANY described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority,and acknowledges same to be the act and deed of said corporation. My commission expires M.BENT f �s�NOGRYnNLIe, t soh7iH h>.iaorn� March 2,2026 &yt�,....�...�,......�..�.,� M.Bent,Notary Public CERTIFICATE 1,L.Nelson,Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in force,and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed my name and affixed the seal of the said corporation this 16th day of May,2022. WESTERN SURETY COMPANY Mlt•Ogq)��y _ f= TN DryQy- CAV Fonn F4280-7-2012 L.Nelson,Assistant Secretary Go to www.cnasurety.com>owner/obligee Services>Validate Bond Coverage,if you want to verify bond authenticity. 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 �)CLC 7 1 P_ao ) On T- , before me, . 1�C_ Date ere Insert Name and' of the Officer personally appeared . Q\ C 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 going paragraph is true an WITN , my hand nd offici se Fri�•Tti SARAH A.NEWELL W Notary Public-California - San Diego County S. ature Commission Y 2377406 Comm.Expires Oct 4,2015 ►gnature of tary UbIIC Place Notary Seal Above OPTIONAL hough this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description o ached Document Title or Type of Doc ent: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signe Signer's Name: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑ Individual El Attorney in Fact Individual ❑Attorney in Fact ❑Trustee ❑ Guardian or Conservator stee ❑Guardian Coeao ❑Other: ❑ Oth Signer Is Representing: Signer Is esenting: 02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY(1-8 76-6827) Item#5907 OFFICIAL BID SECURITY- DO NOT OPEN " Project Name: Alley West of Florida Street and Georgia Street AND Kiner-Gleada Water Main Improvement Project ! G` CC #: 1663 and 1664 Bid Opening Date: May 26, 2022 at 11:00 AM 12 (olz Submitted By: l b 3 r�fi� Lic.MA549309 CON5TRUCTION CORPORATION .�y1. 34 t t �+ vUy A P a r"�ti a a# it °fiTB� S � sr Alf 1 '� x•i p Y� t r .�. +'g � eh fitr� v rt p c , Sri k �,�2 �i " , tttgg&�my}g�'�, ��,�� ' dip }� IRA , ��V F3'c�r�n [f *�, ' ,fit ' �mt t✓ Jr 4 �y t� t f s �s t ti �r #fir UM+ 1 n k � A qi -;..+b`C^4 � s � ` a '«. 'Y. $iM f �� 't s,}p q� •''"` k r � t F k St' a R�' 4 °3re � 7 r:f 6 ? Sw9df� v , RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) is CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: '? SUBJECT: Bond Acceptance I have received the bonds for �I,ml z (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. Payment Bond (Labor and Materials) Bond No. Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved (Council Approval Date) CC No. /lDlv3 f ��O�Oy Aget�da-k�e�No. ,4�� 2 —,. 3 MSC No. City Clerk Vault No. 604)U• Other No. SIRE System ID No. � g:/forms/bond transmittal to treasurer City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Fe- 1909_� Office of the City Clerk q, Robin Estanislau, City Clerk August 29, 2022 Orion Construction Corporation Attn: Richard Dowsing 2185 La Mirada Drive Vista, CA 92081 Re: Alley West of Florida St and Georgia St Water Main Replacement Projects, CC 1663 And Kiner-Gleada Water Main Improvement Project CC 1664 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. Si rely, �l 7 Robin Estanislau, CMC City Clerk RE:ds Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister City. Anjo, Japan 100 , 2000 Main Street, Huntington Beach, CA City of Huntington Beach 92648 �PUWAI aEXT File #: 22-503 MEETING DATE: 6/21/2022 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: Lili Hernandez, Senior Civil Engineer Subiect: Award and authorize the execution of a construction contract with Orion Construction Corporation in the amount of $2,594,343 for the Florida-Georgia Water Main Replacement Project, CC-1663 and Kiner-Gleada Water Main Improvement Project, CC-1664; declare CEM Construction Corporation and AID Builders Inc. as non-responsive and authorize appropriation of funds Statement of Issue: On May 26, 2022, bids were received for the Florida-Georgia Water Main Replacement Project and Kiner-Gleada Water Main Improvement Project. City Council action is requested to award the construction contract to Orion Construction Corporation, the lowest responsive and responsible bidder. Financial Impact: Funding for this project in the amount of$2,955,150 is available in the Capital Improvement Program (CIP) budget. Cost of the project, including contingency, is estimated at $3,163,343. Funding to move the project forward (design, construction, etc.) is recommended as follows: Funding Source Status Amount ($) Water Master Plan CIP $2,955,150 Account 50791006.82100 Water Master Plan (507) Requested Appropriation $208,193 Total $3,163,343 Recommended Action: A) Appropriate $208,193 from the Water Master Plan Fund (507) to Account 50791006.82100, Water Improvement Fund; and, City of Huntington Beach Page 1 of 3 Printed on 6/16/2022 powered Legistarr" 101 File #: 22-503 MEETING DATE: 6/21/2022 B) Declare the first apparent lowest bid from CEM Construction, Inc. and second lowest bid from AID Builders, Inc., as non-responsive; and, C) Accept the third lowest responsive and responsible bid submitted by Orion Construction Corporation, in the amount of$2,594,343; and, D) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids and provide staff with an alternative direction. Analysis: As part of the City's Water Main Replacement Program per the 2016 Water Master Plan to annually replace old asbestos cement pipelines, the City identified Florida and Georgia Water Main Replacement Project (CC-1663) and Kiner-Gleada Water Main Improvement Project (CC-1664) for this fiscal year's replacement. The Florida-Georgia Project will replace approximately 1,300 lineal feet of 4-inch water facilities located in the alley west of Florida Street and another existing 4-inch water main in Georgia Street. These water facilities, constructed in 1950 and 1960 respectively, are undersized and require replacement. Since construction activities will likely further degrade the street pavement condition, this project will repave and grade the alleys to improve pre-existing drainage and aesthetics issues after construction of the water main. The proposed project will install 8-inch diameter pipelines to enhance the City's water system redundancy and reliability and provide greater fire protection to the area. The Kiner-Gleada Project will replace approximately 1,270 lineal feet of 6-inch water facilities constructed in 1956 and located along the parkway. The existing landscaping of enhanced pavers and trees installed above the water facilities has caused a persistent maintenance issue for Utilities staff and thus, the replacement waterline will be relocated. The proposed project will install 8-inch diameter pipelines in the street to facilitate efficient maintenance, access and increase fire protection. The existing street paving is in good condition and a slurry seal treatment will be applied to improve aesthetics after construction of the water main. The bids were received electronically on May 26, 2022. The verified bid amounts are listed below: Bidding Contractor Bid Amount Submitted CEM Construction Corporation $2,323,760 ID Builders, Inc. $2,452,298 Orion Construction Corporation $2,569,343 Excel Paving $2,678,341 Mehta Mechanical Company, Inc. $3,154,255 Mike Bubalo Construction Co., Inc. $3,460,715 City of Huntington Beach Page 2 of 3 Printed on 6/16/2022 powereMU Legistar- 102 File #: 22-503 MEETING DATE: 6/21/2022 The apparent first and second lowest bids were submitted by CEM Construction Corporation and AID Builder, Inc., respectively. After a thorough review of the bids, staff recommends that these first two contractors' bids be found non-responsive for not providing construction experience similar to the work required per the project specifications. Staff recommends award of the construction contract to the third apparent lowest bidder Orion Construction Corporation (Orion). Staff checked their experience and references and received acceptable responses from past clients, including the City's positive experience working with Orion for a construction project that is currently underway. The City recommends award of a construction contract to Orion in the amount of $2,569,343. The estimated construction cost is $3,163,343, which includes the construction contract amount, a 10% contingency, and supplemental expenses, including contracted construction project management, and materials testing. Environmental Status: The project is categorically exempt pursuant to Section 15304 of California Environmental Quality Act. Strategic Plan Goal: Infrastructure & Parks Attachment(s): 1. Location Map - Florida-Georgia, CC-1663 2. Location Map - Kiner-Gleada, CC-1664 City of Huntington Beach Page 3 of 3 Printed on 6/16/2022 powerelOg Legistar- 103 FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT (CC 1663) LOCATION MAP s BGLSA AVE.) I � Vc FADDEN AYE EDINGER c { I�NC44h I AV£. v HEILCI AV `.� bi WARNER KNOXVILLE I AVE. S 6.TER c AVE.v 405 ` ',ALgERT AVE_ PAGGIC _ J � . ''.� ELLIS iA�VE � JOLIET ++�� AVE. m 5� / — GARFIELD _ '` AVE_ id J{ .,. y YpRKT4W V" ZITAVM.f n ¢ — - �_� A•,+E_ Aa'?AM$ � AVE. IN)IA o IS Avg +� , f PROJECT AREA ATtANT'A .cza N iAR FCRD AVE. � 4 FiAM'=LTOht P A BANNING A 07CEAH loll VICINITY MAP LOCATION MAP N.T.S. N.T.S. 103 104 KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC 1664) LOCATION MAP 4� -�_ BCX`5A ME FADOEN _ EOtyGER TALStRT AVE fJ 2el N Ki /� OONMERCUL 3 Q, WARNER � INAY,At.ARTj � � ii m S_ATE53 ® < A ETC 5, STERRUNG @R EB TAERT aW�! PACIFlC X ! i Ews m KJNER DR 75 r_ GARFOEL `1- }- i TAYCGR OR®AMSF'OREtkf ORMIANAPOISA1lA.NTA `U OCEAN ELLS AVI A N VICINITY MAP f LOCATION MAP N.T.S. 11 N.T.S. 104 SECTION A 51 12/ZL NOTICE INVITING ELECTRONIC BIDS for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENTS (CC NO. 1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT (CC NO. 1664) 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 11:00 AM on WEDNESDAY, MAY, 18, 2022, on the City's PlanetBids System Vendor Portal, at which time or thereafter bids will be opened and made available online. Bids received after this time will be considered non-responsive. Prospective bidders must first register as a vendor and then bid on this project via the City's PlanetBids System Vendor Portal website at: htti)s://www.planetbids.com/portal/i)ortal.cfrn?CompqnLID=l 5340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.l)lanetbids.com/l)ortal/-portal.cfin?CompanylD=l 5340. Bidders must first register as a vendor on the City of Huntington Beach PlanetBids system to view and download the Contract Documents, to be added to the prospective bidders list, and to receive addendum notifications when issued. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are available online at www.dir.ca.g_ov/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. A-1 No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. 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: Alley West of Florida Street and Georgia Street AND Kiner-Gleada Water Main Improvement Project CC #: 1663 and 1664 Bid Opening Date: May 18, 2022 at 11:00 AM. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A, at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension, the unit price will govern. Project Description: Alley West of Florida Street and Georgia Street(CC 1663): The project consists of the installation of approximately 960 linear feet of 6-inch diameter PVC, AWWA C900 (DR-14)water pipeline, 10,250 square feet of alley pavement replacement, and reconstruction of alley approaches and cross gutter within the alley west of Florida Street between Lincoln Ave and Indianapolis Ave. The project will also consist of the installation of approximately 285 linear feet of 8-inch diameter PVC, AWWA C900 (DR-18) water pipeline within Georgia St between Knoxville Ave and Joliet Ave. Kiner-Gleada Water Main Improvement Project(CC 1664): The project consists of the installation of approximately 1,270 linear feet of new 8-inch diameter AWWA C900 DR14 water pipeline, fittings, and appurtenances, reconnection to existing mains, new water services, and abandonment of old water mains and services in Kiner Drive and Gleada Lane, including trench pavement restoration and slurry sealing curb-to-curb within project limits. For both projects (CC 1663 and CC 1664), the contract shall allow the Contractor 180 working days to complete the contract. The engineer's estimate of probable construction cost for the work included in the basis of award is $3,100,000. A-2 All questions related to this bid solicitation must be submitted through the City's PlanetBids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the PlanetBids system. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 29th day of June 2020,by Resolution No. 2020-39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-3 Switzer, Donna From: Christine Gonzalez <cgonzales@scng.com> Sent: Thursday, May 12, 2022 10:59 AM To: Switzer, Donna Cc: Hernandez, Lili; Moore,Tania Subject: Re: Request for Publication - NIEB CC Nos. 1663 and 1664 - Group account# 5190751 Attachments: 11533728.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 29, 2022 at 8:23 AM Christine Gonzalez<cgonzalesnscng com>wrote: Cost $2,194.40, pub 5/5, 5/12 Hb Wave 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, Apr 28, 2022 at 4:44 PM Switzer, Donna<Donna.Switzerksurkity-hb.org>wrote: Hi Chrissy, 1 Please publish the attached NIEB for CC Nos. 1663 & 1664, in The Wave, on May 5th and 12th, 2022. Thank you, DOVUI,a1SIVX,7,ex, CMC Senior Deputy City Clerk-City of Huntington Beach 2000 Main Street-Huntington Beach,CA 92648 (714)374-1649 2 Huntington 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. 0011533728 HUNTINGTON BEACH, CA 92648-2763 FILE NO. NIEB for CC Nos. 1663 & 1664 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: 05/05/2022,05/12/2022 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: May 12, 2022. C, �rcia�CpTj' Signature r.LP1-12/15/16 1 SEtTICIN A NOTICE I NVITI ING ELECTRONIC BIDS for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENTS(CC NO.1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROD ECT(CC NO.1664) in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITYOF HUNTINGTON BEACH ,as AGENCY, invites electronic bids for the above stated praiect and will receive such bids prior to 11.00 AM on WEDNESDAY, MAY, 18, 2022, on the City's PlanetBids System Vendor Portal,at which time or thereafter beds will be opened and mode available an line. Bids received after this time will be considered non-responsive. Prospective bidders must €irst register as a vendor and then bid on this project via the City`s PlanetBids System Vendor Portal web5'tte at: https:fJwww.pIanetbids eorWporial(portaI._cfm?Company1D.153d4__ Copies of the bed doe-urnents, including instructions to bidders, bidder proposal form, and specifications maybe ownlo¢ded free at; nTtpS_/}www.p artetbitls.cprrw+pDri4Upf,Ytal.cfrn7[_ornpurlyl a=153dD_ Bidders must first register as a vendor on the City of Huntington Beach PlanetBids system to view and download the Contract Documentsr to be added to the prospective bidders list, and to receive addendum notifications when issued. Any contract entered into pursuant to this notice well 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/D -A and also on file at the Office of the Director of Public Works, 2000 Main$11reet,Huntington Beach,CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of eoval value to the retention in accordance with the provisions of the Public Contract Cade, 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, sexr or religion In any consideration leading to the award of contract, No bid shall be considered unless if 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 optening (fate 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 es follows: OFFICIAL 51D SECURITY-DO NOT OPEN Project Name: Alley Vilest of Florida Street and Georg-in Street AND Kiner-Gleada Water Main Improvement Project CC#:1663 and 1664 Bid Opening bate:May it,2022 at 11:110 AM. The successful bidder shall be Licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A,at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY.All extension of unit Prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension,the unit price will glove rn- Project Description Alley West of Florida Street and Georgia Street(CSC 1"3): The project consists of the Installation of approximately 960 linear feet of 6-inch diameter PVC, AWWA C90G (DR-14) water pipeline, 10,250 square feet of alley pavement replacement,and reconstruction of alley approaches and cross gutter within 1he alley west of Florida Street between Lincoln Ave and Indianaaolis Ave. The project will also gonSist of the installation of approximately 285 linear feet of 8-inch diameter PVC, AWWA C900 (DR-18) water pipeline within Georgia St between Knoxville Ave and JoIlet Ave, Kiner-Glcoda Water Main Improvement Project(CC 1664) The project consists of the Installation of approximately 1,270 linear feet of new 8-Inch diameter AWWA C900 DRi4 water pipeline, fittings, and opovrtenancesv reconnection 10 existing mains, new water services, and abandonment of old water mains and services In Kiner Drive and Gleada Lane, including trench pavement restoration and slurry sealing curb-to-curb with i n proiect limits. For both proiects (CC 1662 and CC 1664), the contract shall allow the Contractor 1.00 workins days to complete the contract. -rip.. ....�._�.ww..,., x..r.+�,..r.. ..s�..�...1..... ........r.., ..r.wr ww..r 2....•,......�rl, .�wl...,..a ...rl�,. I...w.... �2 ,LP1-12/15/16 2 i rite erivwepr b ewiectuir ur pruuuure LUrIbI i UPI IVrI wni ALPI rile Win F.rntiuueu I r rue uubl9 ui award is$3,100,000 . All questions related to this bid solicitation must be submitled through the City`s PlonelBids System Vendor Portal Per the information Provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the PlanetBids syslem. The AGENCY reserves the right to relect any or all bids,to waive any irregularlty and to 10ke all bids under advisement for a maximum Period of 60 dot's. BY ORDER of the CITY COUNCI L of the CITY OF H UNT I NGTON BEACH,CALI FORN IA, Ihe,2"h day of J une 2M.by Resolution No.2020-F. Fattest: 1sl Robin Estanrslau _ C1T1(CLERK OF THE CITY OF HUNTINGTON BEACH Pubished Huntington Beach Wave MayS,12,2022 11533729 ,-LPt-1 vi ene 3 UNSUCCESSFUL BIDS CC No. 1663 Alley West of Florida St. and Georgia St. Water Main Replacement Projects and CC No. 1664 Kiner-Gleada Water Main Improvement Project 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 29, 2022 Aid Builders Inc. 10605 Bloomfield Street Los Alamitos, CA 90720 RE: Alley West of Florida St and Georgia St Water Main Replacement Projects —CC No. 1663 And Kiner-Gleada Water Main Improvement Project—CC No. 1664 Enclosed please find your original bid bond for CC Nos. 1663 and 1664. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SECTION C PROPOSAL for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS (CC NO.1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) 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 184 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 from the bid opening date. If at such time the contract is not awarded,the guaranteed NCYY will reject all bids ddays w 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 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 oft ,,,' f�1. which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids,payable to the AGENCY. (Please insert the words"Cash","Certified Check",or"Bidder's Bond forte% ", 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 01 05/25/2022 r C-2 16-5195/City Funded Construction Contract.docx-revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 BID ITEMS k ygx, 14� It �pr tri COS DEC"#)Q19>� Qtlari$ly t TIIIt " Unit Ct " Yf I Mobilization and Setup 1 LS $ 95.000 $ 95.000 2 Preconstruction Survey Documentation LS $ 45,000 $ 45,000 1 3 Furnish and Install Temporary Bypass to Maintain Service in Alley 1 LS $ 21,000 $ 21,000 Furnish and Install 6-inch C-900 PVC Water 4 Main within Alley west of Florida 960 LF $ 100.00 $ 96,000 Furnish and Install 8-inch C-900 PVC 5 Water Main within Georgia Street 285 LF $ 100.00 $ 31,350 6 Connection to Existing 8-inch at Alley west of Florida and Indianapolis Avenue 1 LS $ 5,700 $5,700 7 Connection to Existing 6-inch at Alley west of Florida and Knoxville Avenue 1 LS $ 4,700 $ 4,700 8 Connection to Existing 6-inch at Alley and Lincoln Avenue 1 LS $ 4,700 $ 4,700 9 Connection to Existing 8-inch PVC on LS $ 4,700 $ 4,700 Georgia Street I 10 Connection to Existing 12-inch PVC on LS $ 5,700 $ 5,700 Georgia Street and Knoxville Avenue 1 11 Furnish and Install 6-inch Gate Valve and Valve Box(Sta 13+00.,00) 2 EA $ 9,000 $ 9,000 12 Remove,Dispose and Replace Existing Fire E Hydrant Assembly 2 A $ 6,000 $ 6,000 13 Construct New I-inch Service and New 3/4- $_ 1450 $ 1.55,250 inch or 1-inch Meter 45 EA 14 Construct New 2-inch Service and New 1.5- $ 6,250 $ 31,250 inch or 2-inch Meter 5 EA C-3 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 Item No. Description uaniaty iTnit Unit Cost Total (Eacterion�; Remove and Dispose Existing AC Pavement 15 and Base Within Alley 750 Cy $ 85.00 $ 63,750 Remove and Dispose Existing Concrete Gutter 16 within Alley 325 SF $ 7.50 $ 2,437.50 17 Reconstruct 3-inch AC Base Coarse 110.00 31 900 Pavement Within Alley 290 TONS $ $ } Construct 1 I-inch Aggregate Base within 18 Alley 520 CY $ 70.00 $ 36,400 19 Install 4-foot Wide Cross-Gutter within SF Alley 3,400 $ 15.00 $ 51,000 20 Install 2-Inch Surface Course(Alley and Borgia) 350 TONS $ 110 $ 38,500 21 Sta 100+20-Remove and Replace Indianapolis Alley Approach I LS $ 4,800 $ 4,800 22 Sta 103+50-Remove and Replace LS $ 15,000 $ 15,000 Joliet(North)Alley Approach 1 23 Sta 103+10—Remove and Replace Joliet (South)Alley Approach 1 LS $- 16,000 $ 24 Sta 106+40—Remove and Replace Knoxville(South)Alley Approach I LS $ I S_000 $ 15,000 Z5 Sta 106+80-Remove and Replace Knoxville(North)Alley Approach I LS $ 16,000 $ 16,000 26 Sta 109+70-Remove and Replace $ 15,000 $ 15,000 Lincoln Alley Approach I LS Construct Concrete Sidewalk 27 170 SF $ 8.50 $ 1,445 28 Construct Concrete Curb and Gutter 60 LF $ $ 3,540 C-4 16-5195/City Funded Construction Contract.docx—revised 04l2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 Item No. D"Cii tt Quantity Unit iTnit Cost T+nta t ,.m Pressure Test,Disinfect and Flush New Mains 29 1 LS $ 7+500 $ 7,500 0 r Removal,Handling and Legal Disposal of 30 Interfering Existing ACP 670 LF $ 35.00 $ 23,450 31 Abandon Existing 4-inch or 6-inch Pipeline and Fill with Slurry 330 LF $ 35.00 $ 11,SSQ 32 Adjust Existing Utility Box to Grade 21 EA $ 250 $ 5,250 33 Traffic Control LS 1 $ 85.000 $ 85,000 34 Georgia Street 3-Inch Grind 12,800 SF $ 1:50 $ 19,200 Install 1-Inch Leveling Course and Pavement 135 10,800 35 Fabric(Georgia Street) 80 TONS $ $ 36 Replace Striping 1 LS $ 13,90Q $ 13,900 37 Prepare SWPPP and BMPs Implementation I LS $ 25,0OQ $ 25,000 38 Demobilization and Cleanup I LS $ 45,000 $ 45,000 39 Pavement Subgrade Over Excavation 760 CY $ 85 $ 64,600 40 Pipe Trench Over Excavation $_65 $ 80 925 I,245 LF + Sewer Lateral Reconstruction 41 10 EA $ 7,800 $ 7,800 42 Construct Pavement Fabric(Georgia Street) SF $ $ 192,600 12840 15,00 43 Replace Survey Monument 2 EA $ $ 10,000 C-5 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 ItemNo.N Descrttpt%on Qu�nt�ty i3nit Unit Oust T4taI Cost SUB-TOTAL BID AMOUNT (IN FIGURES)-SCHEDULE A S 1,523,397.50 SUB-TOTAL BID AMOUNT IN WORDS- SCHEDULE A: One Million Five hundred twenty three thousand three hundred ninety seven dollars and fifty cents Notes: 1) Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule A. 2) Bid Item Nos. 39,40 and 41 -The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the 25% limit as stated in Section 2-7.1 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the City reserves the right to increase or decrease the quantity of this item. C-6 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 Item No. Description Quantity Unit Unit Gast Total Cost (Extension) Mobilization and setup including permits, 1 bonds,insurance,SWPPP preparation and 1 LS $ 95,000 $ 95,000 BMPs implementation 2 Demobilization and Cleanup 1 LS $ 45,000 $ 45,000 Furnish traffic control in accordance with City 3 of Huntington Beach requirements,complete and in place 1 LS $ 60,000 $ 60,000 Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all required reports,videos,and photographs 1 LS $ 32,000 $ 32,000 Furnish and install 8-inch diameter PVC C900 DR14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and compaction 1,270 LF 1 $ 240 $ 304,800 Furnish and install l-inch plastic coated copper water service,and connect to existing 3/,-inch water meter including 6 potholing, saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and compaction 33 EA $ 5.000 1 $ 165,000 Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City Std Plan 612 3 EA $ 6 500 $ 19,500 S Remove and salvage existing fire hydrant, bury valve and appurtenances 2 EA $ 4 000 $ 8 000 Construct 6-inch fire hydrant assembly, 9 pipe,valve box assembly,concrete pad, complete and in place per City Std Plan 607 2 EA $ 33,000 $ 66,000 10 Connect to existing water mains with transition couplings per details on Dwg C-4 1 LS $ 14,000 $ 14,000 C-7—Addendum No. 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 Item No. Description Quantity Unit Unit Cast Total Cost (Extension) 11 Abandon non-interfering existing pipe in place by snap cutting,filling with cement-sand slurry ( and capping er City Std Plan 613 1,240 LF $ 19.00 $ 23,560 ( 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and -removing 30 LF $ 300.00 $ 9,000 13 Remodel existing sewer house connection E laterals conflicting with proposed waterline 5 EA $ 7,500 $ 37,500 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations 1 LS $ 20,000 $ 20,000 IS Construct slurry seal type I including full street width(curb-to-curb)where shown on drawings 43,000 SFT $ 0.70 $ 30,100 16 Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ 80.00 $ 2,640 SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE B $ 932,500 SUB-TOTAL BID AMOUNT IN WORDS-SCHEDULE B: Nine Hundred Thirty two thousand five hundred dollars Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8-Addendum No. 1 16-51951'City Funded Construction Contract.docr-revised 04i2016 SECTION C PROJECT BID SCHEDULE TOTALS ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 SUB-TOTAL BID SCHEDULE A $ 1,523 397 50 SUB-TOTAL BID SCHEDULE B $ 932,500 TOTAL BID AMOUNT,BASIS OF AWARD (SCHEDULES A& B) 2,455,497.50 TOTAL BID AMOUNT,BASIS OF AWARD IN WORDS: Two Million four hundred fifty five thousand four hundred ninety seven dollars and fifty cents Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension,the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-9 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 15- Gami Construction 104%32 c12 1000064052 736,649.2 30% 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-10 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 05/26/2 at Lns Alimitns CA- Date City State Ed H Albadry being first duly sworn, deposes and says that he or she is President of AID Builders, 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, f n Cher, 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. AID Builders,Inc Name of idd Signat dder 10605 Bloomfield St, Los Alamitos CA 90720 Address of Bidder C-11 16-5195/City Funded Construction Contract.docx—revised 04/2016 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO. 1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO. 1664),(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 petformed 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. AID Builders, Inc Contracto By President Title Date: 05-25-2022 C-12 I6-51951City Funded Construction Contract.doex - revised 04i2016 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-13 16-51951City Funded Construction Contract.docx—revised 04/2016 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. AID Bu' krs, WC Contractor By President Title Date: 05-26-2022 C-14 16-51951City Funded Construction Contract.docx--revised 04/2016 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: AID Builders Inc Bidder Name 10605 Bloomfield fit Business Address Los alamitos CA 90720 City, State Zip (562 ) 296-8773 hid4aidh iild r¢enm Telephone Number Email Address 800389 Class A. B. C36 State Contractor's License No. and Class 10/19/2001 Original Date Issued 05/31/2023 Expiration Date The work site was inspected by Ed H Albadry of our office on 05/25 , 202 2. The following are persons, firms,and corporations having a principal interest in this proposal: Ed H Albadry President Silvia J Virgen Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for I he proposed work and improvements in accordance with the plans and specifications set forth. AID BLjjde s, Inc Compan 7 -1 Signatur der Ed H Albadry Printed or Typed Signature C-15 16-51.45/City Funded Construction Contract.docx—revised 04/2016 NOTARY CERTIFICATE Subscribed and sworn to before me this 2 day of &&A ,202-L . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. Stateof �it't�l ►G� ) County of rrct()C�_C ) 1 On Y i to * 2ZZ Z before me,9 A V�i U, � � tQ� __N1��.�1 k It� Month, Day,and Year Insert Name and Title of Notary personally appeared ,, NameO of Signer) who proved to me on the basis of satisfactory evidence to be the person(,,) whose name(A is/,art subscribed to the within instrument and acknowledged to me that he/skip/t4ep executed the same in his/�ef/their authorized capacity(*), and that by his/1 e6/tl*signature(Al on the instrument the person(^ or the entity upon behalf of which the person')acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. LO StwIAJ,VIRGEvNotary PUblif.Ca!i'*Oranse CountyCommission;13137:iy Comm.Expi,ss Sep 4,2G2; Signature QWature of Notary Public (PLACE NOTARY SEAL ABOVE) C-16 16-5195/City Funded Construction Contract.docx—revised 04/ 016 Bidder's Project History For the purposes of this project,the bidder shall provide project history of similar work,specifically referencing the construction of potable water pipelines within public right-of-way in alley and/or street, alley and street paving projects within public right-of-way, and working within major arterials, alleys and streets and in close proximity to other underground utilities.Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1• Torrance USD 2335 Plaza Del Amo Torrance CA 90501 Name and Address of Public Agency Name and Telephone No. of Project Manager: Cesar Vergara (310)972-6291 2,447,100 Playground Renovation mno?I Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Minor Asphalt Patching,renovation of playgrounds for 18 elementary schools 2. Downey USD 11627 Brookshire Ave,Downey, CA 90241 Name and Address of Public Agency Name and Telephone No. of Project Manager: Joshua Harris 310.204.3400 1,300,000 Freezer replacement 09/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: minor asphalt patching, grading,concrete paving,concrete foundation. 3. CA Military Dept. 9800 Goethe Rd,Sacramento,CA 95827 Name and Address of Public Agency Name and Telephone No. of Project Manager: Bill Kendall 916-854-1948 1,218,000 Sewer Pipe Replacement 05/2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Minor asphalt patching, concrete paving striping, trenching etc.. C-17 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 Ed H Albadry Name of proposed Project Manager Telephone No. of proposed Project Manager: 626-559-4827 Torrance USD 2,447,100 Playground renovation 02/2021 Project Name&Contract Amount Type of Work Date Completed Downey USD 1,300,000 Freezer Replacement 09/2021 Project Name&Contract Amount Type of Work Date Completed CA Military Dept 1,218,000 ,sewer Replacement 05/2021 Project Name&Contract Amount Type of Work Date Completed 2. Ed H Albadry Name of proposed Superintendent Telephone No.of proposed Superintendent: 626-559-4927 Torrance USD 2,447,100 Playground renovation 02/2021 Project Name&Contract Amount Type of Work Date Completed Downey USD 1,300,000 Freezer Replacement 09/2021 Project Name&Contract Amount Type of Work Date Completed CA Military Dept 1,218,000 Sewer Replacement 05/2021 Project Name&Contract Amount Type of Work Date Completed C-18 16-5195/City Funded Construction Contract.docx-revised 04/2016 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 S.B 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link--Call(844)522-6734 https:Hefiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm 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. AID Bu'' ers, Inc Contr or 0 r By }�jdgjd]y��ilrlPre rnm Email President Title Date: 05/25/2022 PWC Registration#: 1 nr1n049434 C-19 16-5195/City Funded Construction Contract.docx—revised 04/2016 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 ADDENDUM NUMBER ONE For FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT(CC 1663) And KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC 1664) May 11,2022 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) Bid Electronically Due Date changed from May 18,2022 at 11:00 AM to May 26,2022 at 11:00 AM. 2) Delete Bid Item No.17—Survey Monument Preservation,Bid Schedule B,Nner-Gleada CC 1664, and Section 7-6, Bid Item Description, Item 17, Page E-24. Attached is revised Bid Schedule B dated 05111122. This is to acknowledge receipt and review of end Number One,dated May 11,2022. AID Builders Inc Company Name 05l2512022 Date 1 of 1 of Addendum No.1 PHILADELPHIA INSURANCE COMPANIES BID BOND KNOW ALL MEN BY THESE PRESENTS: That We Aid Builders Inc., as Principal, and Philadelphia Indemnity Insurance Company, a corporation organized and existing under the laws of the State of Pennsylvania, and authorized to do business in the State of California as Surety, are held and firmly bound unto the City of Huntington Beach, as Obligee, in the sum of Ten Percent of Amount Bid DOLLARS ($10% of Bid), lawful money of the United States of America, to the payment of which sum well and truly to be made,the said Principal and Surety bind themselves, their and each of their heirs, executors, administrators, successors and assigns, jointly and severally by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Obligee shall make any award to the Principal for:Alley West of Florida St and Georgia St Water Main Replacement CC No 1663 according to the terms of the proposal or bid made by the Principal therefor,and the Principal shall duly make and enter into a contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, with the Philadelphia Indemnity Insurance Company as Surety or with other Surety or Sureties approved by the Obligee, or if the Principal shall,in case of failure so to do,pay to the Obligee the damages which the Obligee may suffer by reason of such failure not exceeding the penalty of this bond,then this obligation shall be null and void;otherwise it shalt be and remain in full force and effect. Signed,sealed and dated this 25th day of May,2021, Aid Builders I (Principal) (Seal) By; Philadelphia Indemnity Insurance Company (Surety) (Seal) By: ` Cyn�h' Y ung,,4(tt ney-ln- act CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT 3 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 MAY 2 5 2022 before me, Rebecca Elizabeth Adcock, Notary Public Name and Title of Officer(s.g.,"Jane Doe.Notary Public') personally appeared Cynthia J. Young Name(s)of Signers) 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 .. Adcockperson, or the entity upon behalf of which the person Rebecca Etizat; acted, executed the instrument. caM�ttsstcta#19 o + xoT ERWa uc I certify under PENALTY OF PERJURY under the laws of SAN BERNAE?�tNo C0�24TM MY Nco,m. 3'. the State of California that the foregoing paragraph is true and correct. ,TNESS my h d and official se S+ store 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: M . © Individual Tap©f thumb here J Corporate Officer Title © Partner -- O Limited O General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: STATE OF CALIFORNIA DEPARTMENT OF INSURANCE N° 07927 SAN FR.ANCISCO Amended Certificate of Authority M THIS IS TO CERTIFY THAT,Pursuant to the Insurance Code of the State of California, Pbiladelphia Indemnity Insurance Company Of Bala Cynwyd, Pennsylvania organized under the laws of Pennsylvania subject to its Articles of Incorporation or other fundamental organizational documents,is hereby authorized to transact within the State,subject to all provisions of this Certificate,the following classes of insurance; Fire, Marine, Surety, Plate Glass, Liabiliiy, Boiler and Machinery, Burglary, Sprinkler, 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 4eVressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of any,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are,or may hereafter be changed or amended IN WITNESS WHEREOF,effective as of the 14 th day of October 2004 ,I have hereunto set my hand and caused my official seat to be aj}'zxed this 14th dayof October 0 _, John GoxWendi Insu Wioner By f i P. for Ida Zodrow NOTICE: Asst. Chief Depu Quallfieatioa with the Secretary of State must be accomplished as required by the Calfi i o ores omp after issuance of this Certificate of Authority.Failure to do so will be a violation of Insurance C ection 701 and will be grounds for revoking this Certificate of Authority pursuant to the convenants made in the application therefor and the conditions contained herein. mess OW osrao aMi PHILADELPHIA INDEMNITY iNSURANCE COMPANY One Bala Plaza,Suite I Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existine under the taws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jay P.Freeman,Cynthia.I.Young,Laurie B.Druck,Christina Alountz and Cynthia J.Russell of Alliant Insurance Services,Inc.,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds, undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed VS,000,000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 141 of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company:(1)Appoint Attorney(s)in Fact and authorize the Attomey(s)in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto,and (2)to remove,at anytime,any such Attorney-in-Fact and revoke the authority given. And. be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attomev so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. iN TESTIMONY WHEREOF, PHILADELPHIA INDEMNIFY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 5TH DAY OF MI ARCH,2021. (Seal) Uj 4J.hAGIL.mb, President&:CEO Philadelphia Indemnity Insurance Company On this 51 day of March,2021 before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA LNDEMNrTY INSURANCE COMPANY:that the seal affixed to said instrument is the Corporate seal of said Company,that the said Corporate Seal and his signature were duty affixed. Notary Public: ! GsawrrotrwssRRdPaernt/NtiNM-ti rYSsst 1t VWus nMakensk.tWiryPubm ►AoragemsryCormty mytott+mtcatonsitom November3,2024 Commission rrurt+bt+t 368394 residing at: Bala Cynwyd,PA My commission expires: November 3,2024 1,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 5"day March,2021 are true and correct and are still in full force and effect.I do further certify that John Giomb,who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attomey the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 25th day of May 20 22 Edward Sayago,Corporate Secretary PHILADELPHIA iNDEMNITY INSURANCE COMPANY CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of tx _ On Mc T �, before me, �� ` oVty,61evl, (} / Date ( ff� ii ## Here 11 ert Name and Title%of the Officer personally appeared it `Ci. A t t�C�rV) NameX of Signer�S) who proved to me on the basis of satisfactory evidence to be the persono}whose nameXis>res subscribed to the within instrument and acknowledged to me that helsl;lse/tbcy execdied the same in hislhet/tl� authorized capacity4e5);and that by his/be'rL#rMr signatureks)on the instrument the person(aj or the entity upon behalf of which the persorl acted,executed the instrument. _ i certify under PENALTY OF PERJURY under the utvu�VIRGEN, laws of the State of California that the foregoing Notary Public-california paragraph is true and correct. Orange County commission f 2373715 '�.a••'` My Comm.Expires Sep 4,zo25 + WITNESS my hand and 6fffifidial seal. Signature _ Place Notary Seal and/or Stomp Above Sign ture of Notory Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: ` Signer(s)Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: __ Signer's Name: ❑Corporate Officer-Titie(s): ❑ Corporate Officer-Title(s): ❑ Partner- ❑ Limited ❑ General ❑ Partner- ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: _...._ ❑ Other' Signer is Representing: Signer is Representing: ��j2019 National Notary Association PHILADELPHIA INSURANCE COMPANIES A Member of the Tokio Marine Group BID BOND KNOW ALL MEN BY THESE PRESENTS: That We Aid Builders Inc., as Principal, and Philadelphia Indemnity Insurance Company, a corporation organized and existing under the laws of the State of Pennsylvania, and authorized to do business in the State of California as Surety, are held and firmly bound unto the City of Huntington Beach, as Obligee, in the sum of Ten Percent of Amount Bid DOLLARS ($10% of Bid), lawful money of the United States of America, to the payment of which sum well and truly to be made,the said Principal and Surety bind themselves, their and each of their heirs, executors, administrators, successors and assigns, jointly and severally by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that, if the Obligee shall make any award to the Principal for: Alley West of Florida St and Georgia St Water Main Replacement CC No. 1663 according to the terms of the proposal or bid made by the Principal therefor, and the Principal shall duly make and enter into a contract with the Obligee in accordance with the terms of said proposal or bid and award and shall give bond for the faithful performance thereof, with the Philadelphia Indemnity Insurance Company as Surety or with other Surety or Sureties approved by the Obligee, or if the Principal shall, in case of failure so to do, pay to the Obligee the damages which the Obligee may suffer by reason of such failure not exceeding the penalty of this bond,then this obligation shall be null and void;otherwise it shall be and remain in full force and effect. Signed, sealed and dated this 25th day of May,2021. Aid Builders I (Principal) (Seal) By: JULA Philadelphia Indemnity Insurance Company (Surety) (Seal) r By: Cyn� ' Y ung, ey-In- act CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT LNQWQW 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 MAY 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. Younq 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 Rebecca Elizabeth Adcock acted, executed the instrument. Y COMMISSION#2327252 Ts 'ALIF/ *�° NOTARYPDBL�'ccRN� TY BERNAR 16, 2024 I certify under PENALTY OF PERJURY under the laws of 4' - �SAN DINO COON MYcomm.Upfres:3-MaY the State of California that the foregoing paragraph is true and correct. W TNESS my h d and official se Si ature 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 O Partner -- O Limited O General O Attorney-in-Fact O Trustee O Guardian or Conservator Other: Signer is Representing: STATE OF CALIFORNIA DEPARTMENT OF.INSURANCE NQ 07927 SAN FRANCISCO Amended Certificate of Authority v THIS IS TO CERTIFY THAT,Pursuant to the Insurance Code of the State of California, Philadelphia Indemnity Insurance Company o Of' Bala Cynwyd, Pennsylvania ,organized under the laws of Pennsylvania ,subject to its Articles oflncorporation or other fundamental organizational documents,is hereby authorized to transact within the State,subject to all provisions of this Certificate,the following classes of insurance: Fire, Marine, Surety, Plate Glass, Liability, Boiler and Machinery, Burglary, Sprinkler, Automobile, and Miscellaneous as such classes are now or mazy, hereafter be defined in the Insurance Laws of the State of California THIS CERTIFICATE is e�'cpressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of any,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are, or may hereafter be changed or amended. IN WITNESS WHEREOF,effective as of the 14th day of October 2004 1 have hereunto set my hand and caused my official seal to be affixed this 14th day of October 2004 John G endi Insur sioner By 1 for Ida Zodrow Asst. Chief Depu NOTICE: Qualification with the Secretary of State must be accomplished as required by the Califo 0 orations C crop after issuance of this Certificate of Authority.Failure to do so will be a violation of Fnsurance C e ection 701 and will be grounds for revoldng this Certificate of Authority pursuant to the convenants made in the application therefor and the conditions contained herein, FORM CB-7 osP 00 3W91 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jay P.Freeman,Cynthia J.Young,Laurie B.Druck,Christina Mountz and Cynthia J.Russell of Alliant Insurance Services,Inc.,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds, undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof;issued in the course of its business and to bind the Company thereby,in an amount not to exceed$25,000,000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14te of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company:(1)Appoint Attorney(s)in Fact and authorize the Attomey(s)in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto;and (2)to remove,at any time,any such Attorney-in-Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 5TH DAY OF MARCH,2021. 1927 - (Seal) 4JOhAGlo.b, President&CEO Philadelphia Indemnity Insurance Company On this 51 day of March,2021 before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. Notary Public: Commom"iM of Pennrylvar"-Noury Seal Y c n Z cSZ Vanessa Mckenzie,Notary Public Montgomery County my commission aWres November 3,2024 Commission number 1366394 Member,Pern"a^-e A►aodaWn of Nelanes residing at: Bala Cynwyd,PA My commission expires: November 3,2024 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and the Power of Attorney issued pursuant thereto on the 51 day March,2021 are true and correct and are still in full force and effect.I do further certify that John Glomb, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 25th day of May 20 22 1 t Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California l County of Los aqQAe- J} On � u L�, `lI_ ZZ before me,J",1yICA V`i Y-wA �� ✓�l t'( ke . Date I I Here/ ert Name and Title of the Officer /� personally appeared . I`1(YY A✓t Nome(4 of Signe�K) who proved to me on the basis of satisfactory evidence to be the persono whose nameXis/we subscribed to the within instrument and acknowledged to me that he/sAe7'l , exec ted the same in his/hci tt authorized capacity(ies,-and that by his/I4eTW,*1r signature{ on the instrument the person(a) or the entity upon behalf of which the persori acted, executed the instrument. I certify under PENALTY OF PERJURY under the sicvuJ.wRCEHj laws of the State of California that the foregoing Notary Public•California paragraph is true and correct. orange County Commission*2373715 •o�•'' WITNESS my hand and fficial seal. My Comm.Expires Sep 4,2025 Signature Place Notary Seal and/or Stamp Above Sign ture of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer—Title(s): ❑ Corporate Officer —Title.(s): ❑ Partner— ❑ Limited ❑ General ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: ©2019 National Notary Association I L Q) Q_ Y p Z Q Q� z n u Q LLJ a `� A) 0 O L L Q) 4- 0 C7 C: }' Z cu Rt m c E N 0 f° > `r,° o o N N w V) rn U co V) O p 4�-. a� U m m p — U p _a N U � co N No LL > O O u n 0 Q z m vi � U rn E °; E o 00 m z p 0 +' 0 u E oo a L u o m o Q m a p to N Ln f Q U t i 04� 1�A t.6 61 x4hv�lwu 61).1 h SECTION C PROPOSAL for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS (CC NO.1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT (CC-1664) 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 180 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 16-5195/City Funded Construction Contract.docx—revised 04/2016 If awarded the Contract. the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER. the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may. at the AGENCY'S option. be considered null and void. ten percent of the total bid amount Accompanying this proposal of bid, find Bidder's Bond in the amount of which said amount is not less than 10% of the aggregate of the total bid price. as required by the Notice Inviting, ELECTRONIC Bids.payable to the AGENCY. (Please insert the%fiords "Cash". "Certified Check", or"Bidder's Bond for_% ". as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here. if any: Addenda No. Date Received der`s Si gnutu e 1 5/11/22 C 16-519S Cit% Funded Construction Contract.doc.x re,,ised 04 2016 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax(714) 374-1573 ADDENDUM NUMBER ONE For FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT (CC 1663) And KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT (CC 1664) May 11,2022 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) Bid Electronically Due Date changed from May 18, 2022 at 11:00 AM to May 26,2022 at 11:00 AM. 2) Delete Bid Item No. 17—Survey Monument Preservation, Bid Schedule B,Kiner-Gleada CC 1664, and Section 7-6, Bid Item Description, Item 17, Page E-24. Attached is revised Bid Schedule B dated 05/11/22. This is to acknowledge receipt and review of Addendum Number One,dated May 11,2022. MIKE BUBALO CONSTRUCTION CO., INC. "L r__;,Ioz - — Company Name By DAVE SOREM May 26, 2022 Date 1 of 1 of Addendum No.1 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT, CC 1663 BID ITEMS it }{ r 1 Mobilization and Setup 1 LS $ $ 2 Preconstruction Survey Documentation LS $ $ 1 3 Furnish and Install Temporary Bypass to LS $ $ Maintain Service in Alley 1 Furnish and Install 6-inch C-900 PVC Water 4 Main within Alley west of Florida 960 LF $ $ Furnish and Install 8-inch C-900 PVC 5 Water Main within Georgia Street 285 LF $ $ 6 Connection to Existing 8-inch at Alley west of Florida and Indianapolis Avenue 1 LS $ $ 7 Connection to Existing 6-inch at Alley west of Florida and Knoxville Avenue 1 LS $ $ 8 Connection to Existing 6-inch at Alley and Lincoln Avenue 1 LS $ $ Connection to Existing 8-inch PVC on 9 Georgia Street I LS $ $ Connection to Existing 12-inch PVC on 10 Georgia Street and Knoxville Avenue I LS $ $ 11 Furnish and Install 6-inch Gate Valve and EA $ $ Valve Box(Sta 13+00.00) 2 12 Remove,Dispose and Replace Existing Fire EA $ $ Hydrant Assembly 2 13 Construct New 1-inch Service and New 3/4- $ $ inch or 1-inch Meter 45 EA 14 Construct New 2-inch Service and New 1.5- $ $ inch or 2-inch Meter 5 EA C-3 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT, CC 1663 a Remove and Dispose Existing AC Pavement 15 and Base Within Alley 750 Cy $ $ Remove and Dispose Existing Concrete Gutter 16 within Alley 325 SF $ $ Reconstruct 3-inch AC Base Coarse 17 Pavement Within Alley 290 TONS $ $ Construct 11-inch Aggregate Base within $ $ 18 Alley 520 CY Install 4-foot Wide Cross-Gutter within SF 19 Alley 3,400 $ $ 20Install 2-Inch Surface Course(Alley and TONS $ $ Borgia) 350 21 Sta 100+20—Remove and Replace LS $ $ Indianapolis Alley Approach 1 22 Sta 103+50—Remove and Replace LS $ $ Joliet(North)Alley Approach 1 23 Sta 103+10—Remove and Replace Joliet $ $ (South)Alley Approach 1 LS 24 Sta 106+40—Remove and Replace LS $ $ Knoxville(South)Alley Approach 1 25 Sta 106+80—Remove and Replace $ $ Knoxville(North)Alley Approach I LS 26 Sta 109+70—Remove and Replace $ $ Lincoln Alley Approach 1 LS 27 Construct Concrete Sidewalk 170 SF $ $ 28 Construct Concrete Curb and Gutter 60 LF $ $ C-4 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT, CC 1663 Pressure Test, Disinfect and Flush New Mains 29 1 LS $ $ Removal,Handling and Legal Disposal of 30 Interfering Existing ACP 670 LF $ $ 31 Abandon Existing 4-inch or 6-inch Pipeline $ $ and Fill with Slurry 330 LF 32 Adjust Existing Utility Box to Grade $ $ 21 EA 33 Traffic Control 1 LS $ $ 34 Georgia Street 3-Inch Grind SF $ $ 12,800 Install 1-Inch Leveling Course and Pavement 35 Fabric(Georgia Street) 80 TONS $ $ 36 Replace Striping 1 LS $ $ 37 Prepare SWPPP and BMPs Implementation $ $ 1 LS 38 Demobilization and Cleanup LS $ $ 1 Pavement Subgrade Over Excavation 39 760 CY $ $ Pipe Trench Over Excavation 40 1,245 LF $ $ Sewer Lateral Reconstruction 41 10 EA $ $ 42 Construct Pavement Fabric(Georgia Street) SF $ $ 12840 43 Replace Survey Monument 2 EA $ $ C-5 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT, CC 1663 SUB-TOTAL BID AMOUNT (IN FIGURES)- SCHEDULE A $ SUB-TOTAL BID AMOUNT IN WORDS- SCHEDULE A: Notes: 1) Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule A. 2) Bid Item Nos. 39, 40 and 41 - The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the 25% limit as stated in Section 2-7.1 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the City reserves the right to increase or decrease the quantity of this item. C-6 16-5 195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B (REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT, CC 1664 1�i'�i,,,L�., ,��.-F�... ,.;nos.�.. ::�a ... Mobilization and setup including permits, 1 bonds, insurance, SWPPP preparation and 1 LS $ $ BMPs implementation 2 Demobilization and Cleanup 1 LS $ $ Furnish traffic control in accordance with City 3 of Huntington Beach requirements, complete and in place 1 LS $ $ Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all required reports,videos, and photographs 1 LS $ $ Furnish and install 8-inch diameter PVC C900 DR14 pipeline, ductile iron fittings, 5 including potholing, saw-cutting,removal and disposal of existing pavement,trench excavation, shoring, backfill and compaction 1,270 LF $ $ Furnish and install 1-inch plastic coated copper water service, and connect to existing 3/4-inch water meter including 6 potholing,saw-cutting, removal and disposal of existing pavement,trench excavation, shoring, backfill and -compaction 33 EA $ $ Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City Std Plan 612 3 EA $ $ 8 Remove and salvage existing fire hydrant, bury valve and appurtenances 2 EA $ $ Construct 6-inch fire hydrant assembly, 9 pipe, valve box assembly,concrete pad, complete and in place per City Std Plan 607 2 EA $ $ 10 Connect to existing water mains with transition couplings per details on Dwg C-4 1 LS $ $ C-7—Addendum No. 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B (REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT, CC 1664 W ft 11 Abandon non-interfering existing pipe in place by snap cutting,filling with cement-sand slurry and capping er City Std Plan 613 1,240 LF $ $ 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and removing 30 LF $ $ 13 Remodel existing sewer house connection laterals conflicting with proposed waterline 5 EA $ $ 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs, appurtenances and treatment and disposal of test water per regulations 1 LS $ $ 15 Construct slurry seal type I including full street width(curb-to-curb) where shown on drawings 43,000 SFT $ $ 16 Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ $ SUB-TOTAL BID AMOUNT (IN FIGURES)- SCHEDULE B $ SUB-TOTAL BID AMOUNT IN WORDS—SCHEDULE B: Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8—Addendum No. 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE TOTALS ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT, CC 1663 AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT, CC 1664 SUB-TOTAL BID SCHEDULE A $ SUB-TOTAL BID SCHEDULE B $ TOTAL BID AMOUNT,BASIS OF AWARD (SCHEDULES A & B) TOTAL BID AMOUNT,BASIS OF AWARD IN WORDS: Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-9 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 4 Amount Contract Number 15,16,17,18 All American Asphalt, Inc. 267073 A C12 1000001051 759,209 21.9% 19,20,21,22 23,24,25,26 PO Box 2229,Corona,CA 92878 27,28,33,34 35,42, 15 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-10 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 onMay 26,2022 at BALDWIN PARK.California Dule Cio Slule DAVE SOREM being first duly s,�Norn. deposes and says that he or she is Secretary of MIKE BUBALO CONSTRUCTION CO.,INC the party making the toregoing 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 \,\ith 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 cont'erence ��ith anyone to fix the bid price, or that of any other bidder. or to secure any advantage against the public body ax\ardinl�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 breakdoNNn 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. MIKE BUBALO CONSTRUCTION CO. INC. Name of Bidder Signature of Bidder 5102 GAYHURST AVENUE. BALDWIN PARK, CA 91706 Address of Bidder C-II 16-�195 ('itv 1=unded Construction('ontraet.(locx rep ised 0-4 '016 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 x-,ork specified in the contract.known as the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO. 1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT (CC NO. 1664), will employ and utilize only qualified persons.as hereinafter defined. to ,�sork 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: .4 1wi-son who. h'v re(lson ofe.YI)erienee or instruction. is finnillar iviih the olvralion to he 1vi.-Ibrvne(I and the ha:ardc 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-OS11A 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 %Kith the requirements contained herein. MIKE BUBALO CONSTRUCTION CO., INC. Contract( By DAVE SOREM Secretary Title Date: May 26, 2022 C-12 16-5195;'('ity t=unded(Construction('ontract.ducx re%ised 04 2016 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 XNo 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-13 16-5 l95/City Funded Construction Contract.docx—revised 04/2016 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 ofthat code. and I will comply \\ith such provisions before commencing the performance of the work of this contract. MIKE BUBALO CONSTRUCTION CO., INC. Contractor By DAVE SOREM Secretary Title Date: May 26, 2022 C-14 16-519j:('itN Funded Construction Contract.docx - rekised 04 2016 BIDDER'S INFORMATION BIDDER certifies that the follo�Ning information is true and correct: MIKE BUBALO CONSTRUCTION CO., INC. Bidder Name 5102 GAYHURST AVENUE Business Address BALDWIN PARK California 91706 City. State 'Lip { )626 960-7787 info@bubalo.com Telephone Number Email Address 771279 A State Contractor"s L..icense No. and Class 11/30/99 Original Date Issued 11/30/2023 Expiration Date The �wrk site was inspected by ,John Sarna of our office on 05/16 '102 2. The following are persons. firms. and corporations having a principal interest in this proposal: MIKE BUBALO CONSTRUCTION CO., INC. Mike Buablo DAVE SOREM 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 Mork and improvements in accordance with the plans and specifications set forth. MIKE BUBALO CONSTRUCTION CO., INC. Co y Natn Signature of Bidder DAVE SOREM Printed or T}ped Signature C-I5 16-i 195/City Funded Construction Contramdocx re\ised 04 2016 NOTARY CERTIFICATE Subscribed and sworn to before me this Z day 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 County of. LoS Arwwts On _ i o ,a�-�— ,before me. YA011C j i(►'y tl�1,C Month. Day.and Year Insert Name and Title of Notary personally appeared -.1DAVG- viC,trr ey, Name(s) of Sioner(s) who proved to me on the basis of satisfactory evidence to be the person(%) whose nameiN) is'af+asubscribed to the within instrument and acknowledged to me that he/saaewy executed the same in his/herrt�+eHa� authorized capacity(tes). and that by his/he.*rr"their signaturci*) on the instrument the person(sy, or the entity upon behalf of which the personN) acted. executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. HEI015.GRANIC Notary Public•California Los Angeles County > Commission#2I44115 QAAy Comm.Expires Aiay 17,2022 Y S i-nature 'j. Signature of Notary Public (PLACE NOTARY SEAL. ABOVE) C-16 16-i 19,; ('itN Funded Construction('ontract.docx rep ised 0-t _016 Bidder's Project History For the purposes of this project,the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within public right-of-way in alley and/or street, alley and street paving projects within public right-of-way, and working within major arterials, alleys and streets and in close proximity to other underground utilities. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. SEE ATTACHED Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency zn Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-17 16-5 195/City Funded Construction Contract.docx—revised 04/2016 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. BRIAN RICKEY Name of proposed Project Manager Telephone No. of proposed Project Manager: 626-705-2055 SEE ATTACHED Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed 2. John Sarna Name of proposed Superintendent Telephone No. of proposed Superintendent: 760-399-6927 SEE ATTACHED Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-18 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 Pro(Tram. which requires all contractors and subcontractors bidding,and performing «ork on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year)\\ith 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 a\Narded shall sign the following certificate. DIR FACT SHEET on SB 854 http://ww\�.dir.ca.�,ov/Dl.,SE/Public Works/SB854FactSheet_6.30.14.pdf DIR's Contractor Registration Link —Call (844) 522-6734 https:i'/efilin<(y.dir.ca.yov;PWCR/ActionServlet'?action=displa3 MCRe-istrationForm DIR's Contractor Reoistration searchable database: https:/ietiIin`l.dir.ca.gov/PWCR/Search.action I am aware and »ill comply \N ith 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 \\ork, 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 re`,istration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submittint;the bid. MIKE BUBALO CONSTRUCTION CO., INC. Contractor a~ By DAVE SOREM info@bubalo.com Email Secretary Title Date: May 26, 2022 PWC Registration #: 1000001341 C-19 16-5 1 95/Cit), Funded Construction C ontract.docs re\ised 04 2010 BID BOND KNOW ALL BY THESE PRESENTS,That we, MIKE BUBALO CONSTRUCTION CO., INC. of 5102 GAYHURST AVE. BALDWIN PARK, CA 91706 (hereinafter called the Principal), as Principal, and GREAT AMERICAN INSURANCE COMPANY (hereinafter called the Surety),as Surety are held and fu-mly bound unto CITY OF HUNTINGTON BEACH (hereinafter called die Obligee) in the penal sum of TEN PERCENT OF AMOUNT Dollars(S 10% ) for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally,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 ALLEY WEST OF FLORIDA ST.AND GEORGIA ST,WATER MAIN REPLACEMENT PROJECT(CC NO. 1664) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO. 1664) NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful perforiance of the said Contract,then this obligation shall be void; otherwise to remain in full force and effect. Signed and sealed this 18TH day of MAY 2022 MIKE BUBALO CONSTRUCTION CO., INC. (Seal) Princiu Witness S itle GREAT AMERICA SU N CO PANY Witness By Attorney-in-Fact GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 301 E 4TH STREET • CINCiNNATI,OHIO 45202 0 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney is not more than FOUR No,0 20974 POWER OFATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the GREATAMERICAN INSURANCE COMPANY,a corporation organized and existing under and by virtue of the laws of the State of Ohio,does hereby nominate,constitute and appoint the person or persons named below,each individually if more than one is named,its true and lawful attomey-in-fact,for it and in its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds, undertakings and contracts of suretyship,or other written obligations in the nature thereof;provided that the liability of the said Company on any such bond, undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power PHILIP E.VEGA ALL OF ALL KEVIN VEGA COVINA,CALIFORNIA $100,000,000 BRITTON CHRISTIANSEN MYRNA F.SMITH This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF the GREAT AMERiCAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 9TH day of FEBRUARY 2021 Attest GREATAMERiCAN INSURANCE COMPANY 0!1-10 Assistant Secretary Divisional Srnior rice President STATE OF OHIO,COUNTY OF HAMILTON-ss: NARK VICA io(877o77-2405) On this 9TH day of FEBRUARY 2021 ,before me personally appeared MARK VICARIO,tome known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company,the Company described in and which executed the above instrument;that he knows the seal ofthe 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.ErVlres - MaY 18t 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 authorised,from time to time,to appoint one or more Attorneys-in-Fact to execute on beha/jof 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: Thar the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company maybe affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond undertaking,contract of suretyship, or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION 1,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 18th day of May , 2022 44-- Astistant Secretary S1029AH(OVM CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of LOS ANGELES ) On 05/18/2022 before me, PHILIP VEGA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared KEVIN VEGA,ATTORNEY-in-FACT Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personK whose nameN is/are subscribed to the within instrument and acknowledged to me that he/sloe/tl`W executed the same in his/rra;/thsir authorized capacity(fes) and that by his/he0tye r signature(*on the instrument the person('SL or the entity upon behalf of which the personN acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official se *my PHILIP VEGA Notary Public-California Los Angeles County isCommission#2327592 Signature Comm.Expires May 31,2024 Signa otary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer —Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑Limited ❑General ❑ Partner — ❑Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ! Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: @2014 National Notary Association• www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Los Angeles ) On May 26, 2022 beforeme, Heidi S. Granic, Notary Public Date Here Insert Name and Title of the Officer personally appeared Dave Snrem----------------------- 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/6ho/40,ey executed the same in his/her/their authorized capacity(ies),and that by his/heM4ieir signature(s)on the instrument the person(s), or the entity upon behalf of which the persons)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. '—'— —'r` —= WITNESS my hand and•official seal. •, HEIDI S.GRANIC , r Notary Public-California Los Angeles County Commission A 22441a5 Signature My Comm.Expires May 27,2022 Signature of Notary Public A 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 DocumentBid Rnnrl-Hiintirigi-nn Rea(QQcument Date:Ma�18, 2022 Number of Pages: _2_ Signer(s) Other Than Named Above: ) pal ies almed by Signer(s) Signer's Name: Dave Sorem Signer's Name: ®Corporate Officer — Title(s): ec reas ❑Corporate Officer — Title(s): ❑Partner — ❑ Limited ❑General ❑ Partner — ❑ Limited ❑General ❑Individual C Attorney in Fact ❑ Individual C Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator C Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org• 1-800-US NOTARY(1-800-876-6827) Item #5907 Mike Bubalo Construction Co., Inc. began work under its present organization as a corporation in 1999. Presently we have multiple projects with government agencies. Mike Bubalo, owner, and Dave Sorem, General Manager, have extensive underground construction experience. Mike Bubalo Construction Company has been in business since 1974 as an individual general contractor and performing construction services for Steve Bubalo Construction Co., Inc. prior to incorporation. Mike Bubalo was General Superintendent for Steve Bubalo Construction Co., Inc. whose responsibilities included supervision of construction projects that ranged in cost from $500,000 to $21,000,000. Mike Bubalo has owned and operated his company since 1974. Dave Sorem is General Manager of MBC. Dave was also employed by Steve Bubalo Construction Co. Inc. as Project Manager from 1992 to 1999. His responsibilities included project management, estimating and engineering duties for all construction projects. Prior to employment with Steve Bubalo Construction Co., Inc. Dave Sorem worked for the Los Angeles County Department of Public Works, Design Division from 1982 to 1992 as a Civil Engineer III/Section Head. Brian Rickey is Project Manager for MBC. and his responsibilities include project management and engineering duties for large construction projects. His vast experience comes from his many years working up the ranks (1986-2006) with Los Angeles County Dept. of Public Works. Brad Sorem is Project Coordinator for MBC. His responsibilities include project scheduling, permit review, submittals, loss control and procurement for all construction projects. Anton Brkic is Project Estimator for MBC. Anton was also employed by Steve Bubalo Construction Co. Inc. as Project Coordinator from 1993 to 1999. His responsibilities include project scheduling, permit review, submittals, and estimating. Oscar Camerena is a Job Foreman for MBC. Oscar has had a specialized focus on sewer and storm drain construction for the majority of his career as a laborer. His responsibilities included plan review, subcontractor supervision, and management of the labor, equipment and material procurement for water construction projects John Sarna is a Job Foreman for MBC. John has extensive experience in sewer and storm drain construction over the majority of his career as an operator. His responsibilities included plan review, subcontractor supervision, and management of the labor, equipment and material procurement for construction projects Mike Bubalo Construction Co., Inc. has the unique ability to perform all of the required elements for a successful and prompt emergency repair"in-house". We have the ability to provide civil engineering tasks that include: Shoring design CPM Scheduling SWPPP Preparation (Primavera) Utility conduit design Dewatering & Bypass Traffic Control Detour Plans Design Value Engineering Quality Assurance Plans Hydraulic Calculation Underground structure Site specific safety plans design In addition to these skills, we have assisted utility owners in liaison coordination and permit review. Emergency repairs that might require participation from agencies outside of the Owner's control will benefit from our experience with various federal, state and local agencies. Site Specific Emergency Response Details: • Storm Water Compliance We have in-house staff qualified and experienced in producing site specific SWPPP's that will ensure compliance with permit conditions. • Shoring We have in-house staff qualified and experienced in producing site specific Shoring plans that will ensure compliance with Cal-OSHA. • Hot-Taps and High-Lines If existing water services must be maintained, the existing water mains can be hot-tapped to connect with the new water mains. The existing water services can be maintained with a temporary above ground supply line (high-lines). • Construction Sequencing Schools— night time work to reduce impact on school traffic flow • Traffic Control Whenever possible the staging and alignment of the repairs shall be arranged in such a manner as to minimize impacts to traffic congestion and limit the amount of disruption. We provide in house production of stamped traffic control plans. • Utility Conflicts Every effort will be made to locate utilities in advance of construction. We will make every effort to utilize all of the information and coordination resources available with DigAlert-811. Our first order of work will be identifying and contacting all utility owners as soon as practicable. Initiating field meetings to identify conflicts and planned concurrent activities. • Subcontractors MBC self-performs earthwork, bypass pumping, shoring, dewatering, concrete, pipeline assembly, trench installation and equipment procurement and installation. We typically subcontract for rebar fabrication, traffic striping, paving & electrical (SCADA) installation. Mike Bubalo Construction Co., Inc. has a proven record of appropriate business ethics toward subcontractors, including, but not limited to, the following: a. Demonstrated knowledge of and compliance with federal, state and City of Los Angeles laws and regulations pertaining to utilization of subcontractors and business practices toward subcontractors; b. Demonstrated commitment to practices of good faith and fair dealing toward subcontractors; and C. Demonstrated record of satisfactory performance of contractual obligations owing to subcontractors, including timely payment. The following subcontractors have performed satisfactory work on our previous projects: Subcontractor Firm Work Performed E-nor Innovations Pavement Delineation Statewide Traffic Traffic Control Maintenance LnA Concrete Concrete Structures/Flatwork All American Asphalt Asphalt Paving Beard Electric Electrical/SCADA instrumentation Knowledge of Local Conditions Mike Bubalo personnel have extensive first hand experience trenching utilities throughout the entire City of Los Angeles over the past 38 years. Our staff has a working relationship with various local public utilities as well as numerous state and federal authorities. Safety: Overall safety has improved on site over the last two years for our worksites. We have zero (0) hours of lost time reported on OSHA form 300 reports for the last two years and have had a successful voluntary review and inspection of our safety plan and implementation by Cal-OSHA staff. We also have regular satisfactory reviews of our safety procedures from our insurance underwriters. On-Call Project History: MBC's has extensive experience responding to emergency repairs for various public agencies. MBC has encountered many challenges in all forms and manners of damages sustained by storm drain, sewer and waterlines and we have had considerable success and experience in quickly, safely and efficiently repairing broken pipes and damaged structures with our extensive history of work experience in underground utility construction. The majority of the emergencies that we have performed have resulted in positive benefits to the governing agency, the publics' convenience and safety and more efficient system performance. All repairs, modifications and redesigns were completed in-house by MBC staff. Listed below is a partial list of agencies that we have provided on-call services. Inland Empire Utilities District Chino Desalter Authority Orange County Water District Three Valleys Municipal Water District City of Industry City of Rancho Cucamonga City of Upland City of Long Beach City of Anaheim Los Angeles County Department of Public Works Los Angeles County Sanitation District Los Angeles Internal Services Department This partial list is what we have accomplished over the last 13 plus years of providing construction services to agencies of Southern California. We work closely with agencies to solve problems, not create them. From this cooperative effort many agencies request us to perform emergency work when the need arises. On those occasions when we are called out to repair the infrastructure we provide our expertise for repair and reconstruction in the most efficient and equitable manner. APPENDIX A: RESUMES DAVID D. SOREM, P.E. EDUCATION University of Southern California, Los Angeles, CA 8/84 to 5/85, graduate courses, Advanced Steel and Concrete Design California State University of Los Angeles, Los Angeles, CA 4/83 to 12/83, graduate courses, Engineering Application of Computers and Advance Structural Analysis. North Dakota State University, Fargo, ND Bachelor of Science, Civil Engineering, 11/81 Moorhead State University, Moorhead, MN Pre-engineering, 8/77 to 8/80 EXPERIENCE Mike Bubalo Construction Co., Inc. 1/00 to present Manager and Partner of Mike Bubalo Construction Co., Inc. Responsibilities include management, estimating, engineering and general operation of the corporation. Steve Bubalo Construction Co., Inc. 6/92 to 12/99 Project Manager Responsibilities include staff support and estimating for the construction of sewers, storm drains and water lines. Los Angeles County Department of Public Works (formerly Los Angeles County Flood Control District), Alhambra, CA 4/89 to 6/92 Section Head—Design Division, Contracting Section Responsibilities include the supervision of engineering staff for the preparation of plans and specifications for Public Works projects, the review and selection of consultants and negotiating contracts for their engineering services. Additional responsibilities include providing technical assistance to County Counsel and the presentation of projects to County Administration and other agencies. Total construction dollar amount-$90 million. 4/88 to 4/89 Unit Head—Design Division, Contracting Unit Same responsibilities listed above as Section Head. Total construction dollar amount-$20 million. 8/87 to 4/88 Project Engineer—Design Division, Technical Support section Act as the Department's Project Engineer/Manager for the planning and design of drainage and roadway projects. Encompasses instructing and advising Consultants that prepare construction drawings for the Department, Processing change orders and seeing that the overall project is on schedule. Partial list of projects as Project/Manager include: -Lincoln-Pico-Kanter Low Flow Bypass Department's portion ($430,000) -Harbor City Relief Drain ($8,300,000) 11/85 to 8/87 Project Engineer/Civil Engineer 1 —Design Division. Worked both in Structural Analysis Group and Technical Support Section. Same responsibilities as described previously in Project Engineer—Design Division. Technical Support Section with additional tasks of the Structural Analysis Group, which include analysis and preparation of construction drawings and specifications for Public Works projects. Worked as structural consultant to other Divisions and Administration within the Department. Performed structural review of permit submittals from private companies and public agencies. Partial list of projects as Project Engineer include: -Adams Blvd. Drain, Unit 1 and 2 ($6,200,000) -Poplink Drain, Unit 1 ($2,600,00) -Adams Blvd. Drain, Unit 3 ($6,250,000) -No. Torrance Relief Drain Concept Report -Adams Blvd. Drain, Unit 4 Concept Report -Little Tujunga Wash Bridge Stabilizer($490,000) -White Canyon Road; Phase 1 ($5,300,000) 12/83 to 11/85 Senior Civil Engineering Assistant, promoted to Civil Engineer 1, 2/85—Design Division, Structural Analysis Group. Same responsibilities as described above for the Structural Analysis Group 7/83 to 12/83 Senior Civil Engineering Assistant—Design Division, Project Design Section Performed design work for flood control projects. Typical assignments consisted of alignment, grading, hydraulic and structural analysis for storm drains, channels, debris basin and other flood control facilities. 2/82 to 7/83 Civil Engineering Assistant, Operation and Maintenance Division. Responsibilities included engineering for the maintenance and repair of dams, debris basins, spreading grounds, channels, and debris disposal areas. Professional Affiliations: 1. American Society of Civil Engineers (ASCE) 2. Construction Institute of American Society of Civil Engineers 3. Engineering Contractors Association (E.C.A.) Board of Directors, Secretary 2010& 2011,Vice President 2012. President 2013. 4. "Greenbook" Committee of Public Works Standards, Inc. 5. Construction Industry Coalition on Water Quality(CICWQ),Board of Directors 6. Rebuild SoCal Partnership, Board Member 2016-Present, Chairman 2018-2019 Technical Committee Involvement: Standard Specifications for Public Works Construction (Greenbook) New Materials-Underground Precast Reinforced Concrete Box Standard Plans Rewriting Section 306-Underground Conduit Construction Construction Industry Coalition on Water Quality(CICWQ) Low Impact Development(L.I.D.) Cost Estimates for Orange County Public Works LICENSE State of California, RCE No. 38784 K. BRIAN RICKEY, P.E. EDUCATION California State University of Long Beach, Long Beach, CA Bachelor of Science-Civil Engineering (BSCE) 1988 Masters of Science-Civil Engineering (MSCE) 1991 -Construction Management EXPERIENCE Mike Bubalo Construction Co, Inc. —Baldwin Park, CA 8/07-Present Project Manager Responsibilities include project management and engineering of Public Works related projects. Sully Miller Contracting Co. —Anaheim, CA 2/06 to 5/07 Quality Control Director Responsible for all elements of the quality control department including daily oversight and materials testing/certification for construction,AC production, and aggregate crushing business units to ensure conformance with specifications. Also provided technical analyses for materials related issues associated with bid estimating, ongoing construction projects, and material supply contracts. Los Angeles County Department of Public Works 1/03 to 2/06 Section Head/Materials Engineer-Geotechnical &Materials Engineering Division, Materials Engineering Section Responsibilities included the supervision of engineering and technical staff within the materials laboratory, materials analysis, and pavement management work groups including the coordination of services performed for contract cities. The materials laboratory provided quality assurance testing and analysis for rock products, asphalt, concrete, and also geotechnical analysis. Additional responsibilities included representing the Department on all materials related issues related to public works contracts including technical and forensic analyses for County Counsel. 7/02- 1/03 Assistant Section Head-Construction Division, Contract Inspection II Section Responsibilities included supervision of contract administration and quality assurance inspection staff for Department administered storm drain and water conservation related capital improvement projects. Also provided technical and procedural oversight to meet field conditions and ensure conformance with project plans and specifications. 6/96-7/02 Supervising Civil Engineer I/Resident Engineer-Construction Division, Contract Inspection I Section Responsibilities included the supervision of technical staff performing utility coordination, contract administration and contract compliance for the Alameda Street Ports Access Demonstration Projects. Alameda Street projects (Phases I thru II113, Del Amo Grade Separation, and Sepulveda Grade Separation) Included: (3) grade separations, (6) miles of road reconstruction, traffic signals, storm drains, rail and (2) pump stations-total project value exceeding $100 million. 5/92—6/96 Principal Civil Engineering Assistant—Construction Division, Contract Inspection I Section Provided quality assurance inspection for bridge retrofit projects to ensure conformance of materials and construction with plans and specifications. Inspection included the preparation of daily work reports, analysis and processing of change orders, review of monthly pay estimates, claims review, negotiation, and coordinating work with utility agencies, and adjacent businesses. 1/89 to 5/92 Civil Engineering Assistant—Land Development Division, Road Sewer and Water Section Performed engineering review of plans to ensure conformance with County standards in the design of roads associated with land development tracts and parcel maps. 3/86 to 1/89 Student Worker—Land Development Division, Road Sewer and Water Section Responsible for mapping and maintaining wall sheets of tract and parcel maps recorded within Los Angeles County including annexations to cities. PROFESSIONAL AFFILIATIONS Association of Asphalt Paving Technologists(AAPT) American Society of Civil Engineers (ASCE) TECHNICAL COMMITTEE INVOLVEMENT Caltrans Section 39 Rewrite Task Group Rock Products Standard Specifications for Public Works Construction (Greenbook) New Material and Methods—Surface AC Task Force Slurry Seal Task Force: Past Chairman Concrete Ad-Hoc Asphalt Pavement Association(APA) Los Angeles Technical Committee: Past Co-Chairman Rubberized Concrete Committee: Past Co-Chairman LICENSE State of California, RCE No. 54535 Brad Sorem Education California State Polytechnic University Pomona,CA March 2009 to Pomona December 2013 ■ Bachelor of Science,Construction Engineering Technology Work Experience Mike Bubalo Construction Co. Inc. Baldwin Park,CA June 2001 to Present Project Coordinator ■ Laborer 2001 to 2005 ■ Project Coordinator/Project Manager 2005 to Present:responsible for take offs,estimating, coordination with subcontractors and material suppliers,change orders,submittals,permits, safety,project coordination and management,equipment management,air quality compliance, storm water pollution prevention plans,etc. Project Experience • Dover Drive Trunk Sewer Relief and Domestic Waterline Relocation—Orange County Sanitation District-2013 o Project Coordinator- Construct 7,200 LF of VCP sewer and relocate 2,400 LF of 8-inch and 6-inch PVC waterline. • Dana Point Town Center Infrastructure Improvements Phase II—South Coast Water District-2014 o Project Manager—Construct 2,800 LF of 8-inch and 15-inch PVC sewer and 6,500 LF of 8-inch and 10-inch PVC waterline. • Wineville Recycled Waterline Extension Segment B—Inland Empire Utilities Agency -2014 o Project Coordinator—Construct 12,400 LF of 36-inch CML&C recycled waterline and 9 triple offset butterfly valves. • Newport Ave. 16-Inch Watermain Valve Installation Project—City of Tustin- 2015 o Project Manager—Install three 16-inch gate valves with the use of line stops. • Avenida Palizada Turnout Refurbishment—South Coast Water District-2015 o Project Manager—Demolish three existing turnout vaults and 10-inch piping and consolidate new turnout and piping into one large vault. • El Camino Real Improvements—Toll Brothers Inc. -2015 o Project Manager—Construct 5,000 LF of 12-inch recycled waterline, 200 LF of 12-inch potable waterline, 500 LF of 8-inch PVC sewer and 5,200 LF of RCP ranging in size from 12-inches to 48-inches. Also the construction of 34 LF of double 4'x8' RCB and 92 other concrete drainage structures. • Los Cerritos Channel Sub Basin 4 Infiltration - City of Signal Hill—2016 to 2019 o Assistant Project Manager—Design build project consisting of the construction of 31-acre-foot subterranean storm water infiltration basin, a storm water diversion inlet from the Los Cerritos Channel and two hydrodynamic separators capable of handling a total of 166 cubic feet per second of storm water. • City of Los Angeles Emergency Sewer Repair Program—City of Los Angeles 2017 to Present o Project Manager—Oversight of all tasks relating to emergency sewer repairs within the City of Los Angeles. • City of Los Angeles Emergency Storm Drain Repair Program—City of Los Angeles 2017 to Present o Project Manager—Oversight of all tasks relating to emergency storm drain repairs within the City of Los Angeles. ANTON BRKIC EDUCATION California State Polytechnic University of Pomona, Pomona, CA Bachelor of Arts, Architecture, 8/95 EXPERIENCE Mike Bubalo Construction Co., Inc. 1/00 to present Project Estimator Responsibilities include project management, estimating, engineering and general management of main office and field operations. Steve Bubalo Construction Co., Inc. 4/93 to 10/99 Project Coordinator Responsibilities include project management, estimating, engineering and general management of main office and field operations. Tomislav Gabric&Associates, Architects 6/92 to 4/93 Draftsman Responsibilities include production of plans and specifications for various types of commercial and industrial building designs. Loffredo&Volarich, Insurance Investigators 2/89 to 6/92 Field Agent Responsibilities include sub-rosa investigations, process server, claims investigator, legal research, court records research and retrieval. Operating Engineers, Local 12, Health and Welfare Trust Funds 6/87 to 9/88 File Clerk Responsibilities include mail room duties and archival records research and retrieval. Oscar Camarena, Foreman 2005 to Present Mike Bubalo Construction Co., Inc. 1989 to 2005 Precision Pipeline Duties: Set up and coordinate public works projects. Oversee the installation of water lines, sewer lines, and recycled water lines. Potable water lines installed were from 8 to 48 inches in diameter. Installation of copper house connections, blow off assemblies, air vacuum assemblies and fire hydrants. Installation of valves includes inline gate valves, butterfly valves, check valves, cathodic protection and pressure reducing valves in various sizes. Also have completed hydrostatic testing, chlorination of potable water lines and worked with microbiology laboratories. Recycled water lines installed were from 8 to 60 inches in diameter. Completed the retrofitting and upgrading of existing and new pump stations. Agencies Worked For: Inland Empire Utilities Agency, Eastern Municipal Water District, Central Basin Municipal Water District, City of Seal Beach, City of Anaheim Public Utilities Department, City of Chino Public Works, Los Angeles County Sanitation District, City of Glendora Water Division, City of Covina Public Works, City of Pico Rivera Water Division, City of Ontario Public Works, City of Montclair Public Works and Upper San Gabriel Valley Municipal Water District. John Sarna 2010 to Present- Mike Bubalo Construction Co., Inc. Upper San Gabriel Valley Municipal Water District—City of Industry Phase IIB Recycled Waterline Inland Empire Utilities Agency—Turner Basin 16 inch Reclaimed Waterline Extension Foothill Transit— Parking Structure Fire Line Extension 2006 to 2009—Surf City Construction Desert Water Authority - 12 inch Mainline Extension and Hydrant Installations Coachella Valley Water— 16 inch Mainline Extension and Hydrant Installations Longs Drug— Fire Line Installations Indio Water— Fantasy Springs 12 inch Bypass and Mainline 1998 to 2006—JMS Excavating and Grading Arizona Water Co. —Various watermain, hydrants and service connections installed as well as booster pumpstations. Kachina Village Improvement District-Various watermain, hydrants and service connections installed and repairs to existing mainlines. Munds Park Water Co. -Various watermain, hydrants and service connections installed. Prescott Valley Water Co. -Various watermain, hydrants and service connections installed. Williamson Valley Water-Various watermain, hydrants and service connections installed. City of Phoenix-Various watermain, hydrants and service connections installed and booster pumpstation upgrades. 1996 to 1998—Peter Kiewit Pulliam Airport Waterline Improvements— 12 inch mainline with hydrants and service connections. 1982 to 1996—MMW Equipment Rentals Various Utility Projects • City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov FB Office of the City Clerk Robin Estanislau, City Clerk August 29, 2022 CEM Construction Corporation 1412 Espanol Ave. Montebello, CA 90640 RE: Alley West of Florida St and Georgia St Water Main Replacement Projects —CC No. 1663 and Kiner-Gleada Water Main Improvement Project—CC No. 1664 Enclosed please find your original bid bond for CC Nos. 1663 and 1664. Sincerely, Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City: Anjo, Japan City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 ADDENDUM NUMBER ONE For FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT(CC 1663) And KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC 1664) May 11,2022 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. I Bid Electronically Due Date changed from May 18,2022 at 11:00 AM to May 26,2022 at 11:00 AM. 2) Delete Bid Item No.17—Survey Monument Preservation,Bid Schedule B,Kiner-Gleada CC 1664, and Section 7-6, Bid Item Description, Item 17, Page E-24. Attached is revised Bid Schedule B dated 05/11/22. This is to acknowledge receipt and review of Addendum Number One,dated May 11,2022. GEM Construction Corporation f=:::- �'- - - Company Name y 0 Date 1 of 1 of Addendum No.1 SECTION C PROJECT BID SCHEDULE B (REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT, CC 1664 Mobilization and setup including permits, 1 bonds,insurance,SWPPP preparation and l LS $ 64,180 $ 64,180 BMPs implementation 2 Demobilization and Cleanup 1 LS $ 45,000 $ 45,000 Furnish traffic control in accordance with City 3 of Huntington Beach requirements,complete and in place 1 LS $ 35,000 $ 35,000 Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all required reports,videos and photographs 1 LS $ 3,300 $ 3,300 Furnish and install 8-inch diameter PVC C900 DR14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and compaction 1,270 LF $ 210 $266,700 Furnish and install 1-inch plastic coated copper water service,.and connect to existing'/4-inch water meter including 6 potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and _compaction 33 EA $ 4,200 $ 138,600 Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City Std Plan 612 3 EA $ 6,000 $ 18,000 S Remove and salvage existing fire hydrant, bury valve and appurtenances 2 EA $ 2,500 $ 5,000 Construct 6-inch fire hydrant assembly, 9 pipe,valve box assembly,concrete pad, complete and in place per City Std Plan 607 2 EA $ 18,000 $ 36,000 10 Connect to existing water mains with transition couplings per details on Dwg C-4 1 LS $ 6,000 $ 6,0000 C-7—Addendum No. 1 16-5195/City Funded Construction Contract.doex—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No, 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT, CC 1664 11 Abandon non-interfering existing pipe in place by snap cutting,filling with cement-sand slurry and capping per CityStd Plan 613 1,240 LF $ 25 $ 31,000 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and removing 30 LF $ 150 $ 4,500 13 Remodel existing sewer house connection laterals conflicting with proposed waterline 5 EA $ 4 200 $ 21,000 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations I LS $ 9,800 $ 9,800 15 Construct slurry seal type I including full street width (curb-to-curb)where shown on drawings 43,000 SFT $ 1.25 $ 53,750 16 Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ 125 $ 4,125 SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE B S 741,955.00 SUB-TOTAL BID AMOUNT IN WORDS—SCHEDULE B: Seven hundred forty-one thousand,nine hundred fifty-five dollars Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8—Addendum No. 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROPOSAL for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS (CC NO.1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) in the CITY OF HUNTINGTON REACH 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 1.80 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 tirne 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 16-5195/City Funded Construction Contract.docN—revised 04,12016 ...................................... ............. ................ If awarded the Conti-act, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER,the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bid Bond in the amount of 10%of bid which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting 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: Addenda No." D;ie_Recetve4( Bidder's Signature May 12,2022 C-2 16-5195/City Funded Construction Contract.doex—revised 04/2016 SECTION C PROTECT DID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 BID ITEMS I Mobilization and Setup � LS $ 80,000 $ 80,000 2 Preconstruction Survey Documentation I LS $ 3,000 $ 3,000 3 Furnish and Install Temporary Bypass to Maintain Service in Alley I I'S $ 75,000 $ 75,000 4 Furnish and Install 6-inch C-900 PVC Water Main within Alley west of Florida 960 LF $ 195 $ 187,200 Furnish and Install 8-inch C-900 PVC 5 Water Main within Georaia Street 285 C F $ 210 $ 59,850 6 Connection to Existing 8-inch at Alley west of Florida and Indianapolis Avenue I LS $ 8,500 $ 8,500 7 Connection to Existing 6-inch at Alley west of Florida and Knoxville Avenue I LS $ 12�000 $ 12,000 S Connection to Existing 6-inch at Alley and Lincoln Avenue I LS $ 6,000 $ 6,000 9 Connection to Existing 8-inch PVC on Georgia Street I LS $ 7,500 $ 7,500 IO Connection to Existing 12-inch PVC on Georgia Street and Knoxville Avenue I I,S $ 9,000 $ 9,000 t I Furnish and Install 6-inch Gate;Valve and Valve Box(Sta 13+00.00) 2 EA $ 9,800 $ 19,600 12 Remove,Dispose and Replace Existing Fire Hydrant Assembly 2 EA $ 18,000 $ 36,000 1.3 Construct New I-inch Service and New 3/4- $ 4,500 $ 202,500 inch or I-inch Meter 45 EA 14 Construct New 2-inch Service and New 1.5- $ 6,000 $ 30,000 inch or 2-inch Meter 5 EA C-3 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BIND SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 EMININIMM" Remove and Dispose Existing AC Pavement 15 and Base Within Alley 7S0 CY $ 55 $ 41,250 Remove and Dispose Existing Concrete Gutter 16 within Alley 325 SF $ 20 $ 6,500 17 Reconstruct 3-inch AC Base Coarse 160 46,400 Pavement Within Alley 290 TONS $ $ Construct 11-inch Aggregate Base within $ 85 $ 44,200 1s Alley 520 CY 19 Install 4-foot Wide Crass-Cutter within SF $ 15 $ 51,000 Alley ley 3,400 20 Install 2-Inch Surface Course(Alley and TONS $ 175 $ 61,250 Georgia) 350 21 Sta 100+20—Remove and Replace LS $ 9,000 $ 9,000 Indianapolis Alley Approach 1 22 Sta 103+50—Remove and Replace LS $ $9,000 Joliet(North)Alley Approach 1 9,000 23 Sta 103+10—Remove and Replace Joliet $ 9,000 $ 9,000 (South) Alley Approach I L S 24 Sta 106+40—Remove and Replace LS $ 9,000 $ 9,000 Knoxville(South)Alley Approach 1 25 Sta 106+80—Remove and Replace $ 9,000 $ 9,000 Knoxville(North)Alley Approach I LS 26 Sta 109+70—Remove and Replace 9,000 $ 9,000 Lincoln Alley Approach I LS 27 Construct Concrete Sidewalk 170 SF $ 25 $ 4,250 28 Construct Concrete Curb and Gutter 60 LF $ $ 4,500 75 C-4 16-5195/City Funded Construction Contract.doox—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 Pressure Test,Disinfect and Flush New Mains 2g I LS $ 45,000 $ 45,000 Removal„Handling and Legal Disposal of 30 Interfering Existing ACP 670 LF $ 110 $ 73,700 31 Abandon Existing 4-inch or 6-inch Pipeline $ 45 $ 14,850 and Fill with Slurry 330 LF 32 Adjust Existing Utility Box to Grade 21 EA $ 400 $ 8,400 33 Traffic Control LS 55,000 1 $ $ 55,0oo 34 Georgia Street 3-Inch Grind 12,800 SF $ 1.50 $ 19,200 35 Instal I I-Inch Leveling Course and Pavement 9,200 Fabric(Georgia Street) 80 TONS $ 115 $ 36 Replace Striping 1 LS $ 15,000 $ 15,000 37 Prepare SWPPP and l3MPs Implementation LS $25,000 $ 25,000 1 Demobilization and Cleanup 3$ I LS $ 45,000 $ 45.000 39 Pavement Subgrade Over Excavation 760 CY $ 125 $ 95.000 40 Pipe Trench Over Excavation 1,245 LF $ 35 $ 43,575 Sewer Lateral Reconstruction 41 10 EA $ 1,500 $ 15,000 42 Construct Pavement Fabric(Georgia Street) 12840 SF $ 5.00 $ 64,200 Replace Survey Monument 43 2 EA $2,090 $ 4,180 C-5 16-5195fCity Funded Construction L:ontract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 SUB-TOTAL RID AMOUNT(IN FIGURES)- SCHEDULE A $ 1,581,805.00 SUB-TOTAL BID AMOUNT IN WORDS-SCHEDULE A: One million,five hundred eighty-one thousand,eight hundred five dollars Notes: 1) Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule A. 2) Bid Item Nos. 39, 40 and 41 -The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the 25% limit as stated in Section 2-7.1 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the City reserves the right to increase or decrease the quantity of this item. C-6 1 G-5195/City Funded Construction Contract.doc-e—revised 04/2016 PLEASE SEE ADDENDUM#1 SECTION C PROJECT BID SCHEDULE B KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 Mobilization and setup including permits, 1 bands,insurance, SWPPP preparation and 1 LS $ $ BMPs implementation 2 Demobilization and Cleanup I LS $ $ Furnish traffic control in accordance with City 3 of Huntington Beach requirements, complete and in place I LS $ $ Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all re aired re orts,videos,and ph2tographs I I.S $ $ Furnish and install 8-inch diameter PVC C900 DR 14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring, backfill and compaction 1,270 LF $ $ Furnish and install I-inch plastic coated copper water service,and connect to existing 3/4-inch water meter including 6 potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and compaction 33 EA $ $ Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City Std Plan 612 3 EA $ $ 8 Remove and salvage existing fire hydrant, bury valve and appurtenances 2 EA $ Construct 6-inch fire hydrant assembly, 9 pipe, valve box assembly,concrete pad, complete and in place per City Std Plan 607 2 EA $ $ 10 Connect to existing water mains with transition couplings per details on Dwg C-4 I LS $ C-7 16-5195/C_.ity Funded Construction Contract.doex—revised 04/2016 PLEASE SEE ADDENDUM#1 SECTION C PROJECT BID:SCHEDULE B KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 r� 11 Abandon non-interfering existing pipe in place by snap cutting, tilling with cement-sand slurry and capping er City Std Plan 613 1,240 LF $ $ 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and removing 30 LP $ $ 13 Remodel existing sewer house connection laterals conflicting with proposed waterline 5 EA $ $ 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations I LS $ $ 1.5 Constrict slurry seal type I including full street width (curb-to-curb)where shown on drawings 43,000 SFT $ $ 16 Rernove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 1.117 $ $ 17 Survey Monument Preservation 2 EA $ SUB-TOTAL.BID AMOUNT(IN FIG JRES)-SCHEDULE B S SUB-TOTAL BID AMOUNT IN WORDS—SCHEDULE B: Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8 16-5195/City Funded Construction C ontrac:t.doex-revised 04/2016 SECTION C PROJECT BID SCHEDULE TOTALS ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 SUB-TOTAL. BID SCHEDULE A $ 1,581,805.00 SUB-TOTAL BID SCHEDULE B $ 741,955.00 TOTAL BID AMOUNT, BASIS OF AWARD(SCHEDULES A &B) $2,323,760.00 TOTAL BID AMOUNT,BASIS OF AWARD IN WORDS: Two million,three hundred twenty-three thousand,seven hundred sixty dollars Notes: All extensions of unit prices will be subject to verification by Owner. In case of verification between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-9 16-51951City Funded Construction Contract.docs—revised 04/2016 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 dome by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar %of Item(s) Subcontractor License Registration# Amount Contract Number American Asphalt South Inc. Schedule B 19792 El Rivino Rd. C-32 1000000645 .66% BID 11,15 784969 $15,380.50 Riverside,CA 92509 EcMule B On Point Land Surveying,Inc. BID 4 1906 Orange Tree Lane,Suite 240 8133 LS 1000003100 $4,800 .20% Redlands,CA 92374 Schedule B Brickley Environmental BID 12 957 Reece St San Bernardino,CA 92411 610414 C-22 1000000851 $11,201 .48% Schedule B Rangeline Tapping Services,Inc. BID 10 30866 Wealth Street 1000863274 C057091 CU $1,100 .0496 Murietta,CA 92563 Schedule A American Asphalt South Inc. BID 17 19792 El Rivino Rd. 784969 C-32 1000000645 $7,689 .33% Riverside,CA 92509 Schedule A Brickley Environmental BID 30 957 Reece St 610414 1000000851 $24,290 1.0% San Bernardino,CA 92411 C-22 Schedule A Rangeline Tapping Services,Inc. BID 6,7,8,9,10 30866 Wealth Street C057091 C-A 1000863274 $7,950 .34% Murietta,CA 92563 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 listinlo. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-1Q 16-5195/City Funded Construction Contract.docx—revised 04/2016 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on. at S— 4 5-2.0K - , Montebello CA Date city State Emigdio Carrillo being first duly sworn., deposes and says that he or she is Vice President of CEM Construction Corporation 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. Emigdio Carrillo Name of Bidder Signa e of_Bidder 1412 Espanol Ave.,Montebello, CA 90640 Address of Bidder C-11 16-5195/City Funded Construction Contract.doex—revised 04/2016 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 s 4/ } On_, ktV ` ." before me, �(�i"nse�rtname �and title of the officer) personally appeared ` J C16+"d 4 i°r,'lid who proved to me on the basis of satisMctory 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. IEXANORAA RpRO TRApq WITNESS my hand and official seal. "otdry Public-California Lin Angeles County GOM Commission s 2264439 Y Comm.Ezaires(kt 26,2C22 Signature,` � � '' (Seal) UTILITY AGREEMENT HONORABLE MAYOR.AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO. 1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO. 1664),(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. CEM Construction Corporation Contractor _d4 By \J 'ice-President Title Date:,. 0 5- 09- ?_C)�,2 C-12 16-5195/City Funded Construction Contract.doex—revised 04/2016 .......... DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTTONNAIRE 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-13 16-5195/City Funded Construction Contract.docx—revised 04/2016 ................................. ..................... 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. CEM Construction Corporation Contractor By \J,i Ce--~President Title Date: 0 S— C-14 16-5195JCity Funded Construction Contract.doex—revised 04/2016 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: CEM Construction Corporation Bidder Name 1412 Espanol Ave. Business Address Montebello CA 90640 City, State Zip (323 597-1084 estimating(&cem-construction.coni Telephone Number Email Address 951234 Class: A, B, C-8,C-12, C-21, C-27 State Contractor's License No. and Class August 16, 2010 Original Date Issued August 31, 2022 Expiration Date The work site was inspected by Pedro Lopez of our office on-May 13 -------- -1022. The following are persons, firms, and corporations having a principal interest in this proposal: ID Jesus E. Carrillo-President Emigdio Carrillo-Vice President The undersigned is prepared to satisfy the Council of tile 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. CEM Construction Corporation /777Com y I e ��' ignature of Bidder Printed or Typed Signature C-15 16-5 195/City funded Construction Contract.doc-(-revised 04/2016 ..................... NOTARY CERTIFICATE Subscribed and sworn to before me this—day of , 202_. A notary public or other officer completing this certificate verities only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy. or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s)of Signer(s) who proved to rile 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 die 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 SEAT..ABOVE) C-16 t 6-5195/City Funded Construction Contract.docx—revised 04/201 6 ____................................................. . ..._..............._.__..___... 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 1 �5 AyA~AJ,k-k — } On Mctl tto Z022.- before me, wbri (insert name and title of the officer) personally appeared Je5 L4 S if CCU r n 1 i o 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. nLNotaoaablic-o ESTRAlolma a Notary Public-California '- Los Angeles County Commission N 2264439 °My Comm,Expires Oct 26,2022 Signature /?J�&ayVgy Seal Bidder's Project History For the purposes of this project,the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within public right-of-way in alley and/or street, alley and street paving projects within public right-of-way, and working within major arterials, alleys and streets and in close proximity to other underground utilities.Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past rive years: I CITY OF TEMPLE-CITY-9701 Las Tunas Drive,Temple City,CA,91780 -Pa -?!'Uka Name and Address of Public Agency Name and Telephone No. of Project Manager: Okart Dernirei(714)319-6137 $2,400,000.00 Park Improvement 3/5/2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. ROCKWOOD CONSTRUCTION/City ol'Perris(inspecting agency)-33302 Valle Road,Ste 125,San Juan Capistrano,CA 92675 Name and Address of Public Agency Name and Telephone No. of Project Manager, Alex Sanchez-(949)423-4784 31.100.000.00 Water main work 12111/2020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Upsizing water lines;adding water lines;removc,install storm drain;increase dept],of sewer line 3. crry Or INGLEWOOD -I West Manchester Blvd.,3rd Fl.,Inglew-ood,CA Name and Address of Public Agency Name and Telephone No. of Project Manager: Roosevelt Robinson-(310)412-5479 C! - $3,14,250.00 Sewer system work Oil-going Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Maintenance Of sewer system as needed. C-17 16-5195/City Funded Construction Contract.docx—revised 04/2016 .............. 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 prqje-,t�Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. JVL6 I\S6 ge_SjMe� 1, Jesus E Carrillo Name of proposed Project Manager Telephone No. of proposed Project Manager: 562-659-8213 Project Name &Contract Amount Type of Work Date Completed 1 ftyCJ ........wae-4 31r ogmss Project Name & ("ontract Amount Type of Work. Date Comple'tdd -eeJPA VACA'kfAft(*VI e Se%,A]6>�_ _ Project Name &Contract Amount Type of Work Date Completed 2, -Ernigdio Carrillo Narne of proposed Superintendent Telephone No. of proposed Superintendent: 562-708-0016 �ntTypco W�oV Date Completed e tract Amount ProjectNm &, Con )-e I {; S t-ka(6 k T1c,2x, vsxA-�f i Eva,,Y\, 5roject Name&Contract Amount Type of Work Date Completed QMLU2� i 'Oer,4vical goo,DO6 -,-a Gt)-2— Project Name& Contract Amount Type of Work Date Completed C-18 16-5195/City Funded Construction Contract.docx-revised 04/2016 ............... .......... Eduardo J. Carrillo, M.S., P.E. Whittier, CA 90640 Cell: (562)708-3586 E-Mail:eddiec@cem-construction.com ACHIEVEMENT: Registered Professional Engineer(Lic#C77737) EDUCATION: Master of Science in Civil Engineering 2008-2009 University Of California, Los Angeles Los Angeles, CA Focus Sequences: Structural/Earthquake Engineering Bachelor of Science in Civil Engineering 2004-2008 California State Polytechnic University Pomona Pomona, CA Emphasis: Structural Engineering Associate of Science in Construction Technology 2003-2004 Don Bosco Technical Institute Rosemead, CA Emphasis: Construction CERTIFICATIONS/TRAINING • Competent Person's Certification • First Aid Certified • OSHA 10 Confines Space Training-Competent Person • Trenching&Excavating -Competent Person CIPP Certified • CA Anti-Harassment Prevention EXPERIENCE: Project Engineer March 2010—Present CEM Construction Corp Montebello, CA Project Engineer April 2011 —April 2014 Castillo Engineering, Inc. Long Beach, CA - Designed Multi-residential(multi-floor wood shear walls over concrete podium deck),commercial(cmu walls/moment frames with truss roof system), industrial(concrete tilt-up with flexible diaphragm)and custom residential (hillside and beach side). - Responsible for structural design(calculations)and structural drawings and specifications Projects 2021— Project Name: Primrose Park Project Owner: City of Temple City Owners Address: Primrose Park Contact name:Okan Demirci, PE, QSD/P Contact Phone: (714)319-6137 Contract amount:$2,400,000 Project Name:Jasmine Storm Drain Project Owner: City of Laguna Beach Owners Address: Laguna Beach Contact name: Matthew Oxford Contact Phone: (949)497-0792 Contract amount:$1,500,000 Project Name: Perris March Plaza—Utilities Project Owner: Rockwood Construction Owners Address: Perris, CA Contact name:Alex Sanchez Contact Phone: 949-423-4784 Contract amount: $ 1,100,000 Projects 2020 Project Name: Irwindale Park Phase III Project Owner: City of Irwindale Owners Address:5050 Irwindale Ave Irwindale, CA 91706 Contact name: Daniel Co, P.E. Contact Phone: (626)848-4670 Contract amount:$1,137,772 Project Name: 2020—City Hall Remodel Project Owner: City of Covina Owners Address: 125 E Collage St Covina, CA 91723 Contact name: Mr. Rafael M, Fajardo P.E. Contact Phone: 626-858-7294 Contract amount: $108,605 Project Name: Construction of Drywell and Catch Basin at Royal Oaks Park Project Owner: City of Duarte Owners Address: 1600 Huntington Drive,CA 91010 Contact name:Yessina Serra Development Technician Contact Phone: 626-357-7931 Ext 262 Contract amount: $75,000 Projects 2019 Project Name: Phil and Nell Soto Park Construction Project No.428-2590-71040 Project Owner: City of Pomona Owners Address:505 S Garey Ave, Pomona, CA 91766 Contact name: Matt Pillarz, Senior Civil Engineer Contact Phone: (909)620-3652 Contract amount:$2,297,151.50 Project Name: Baldwin Park—Walnut Creek Nature Park Project Owner: City of Baldwin Park Owners Address: 14403 E. Pacific Avenue, Baldwin Park, CA 91706 Contact name: David Lopez Contact Phone: (626)960-4011 Contract amount:$893,010 Project Name: Diamond Bar-Sycamore Canyon Park Project Owner: City of Diamond Bar Owners Address: 21810 Copley Drive Diamond Bar California 91765 Contact name: Nasar Abbaszadeh Contact Phone: (909)839-7000 Contract amount: $1,090,546.00 Project Name: Construction Contract for Project 16-6862 Cabrillo Parts Sidewalk Improvements Project Owner: City of Santa Ana Owners Address:City Hall Ross Annex, 3rd Floor 20 Civic Center Plaza Santa Ana, CA 92701 Contact name:Victor So, P.E. Project Coordinator Contact Phone: 714-647-5076 Contract amount: $373,000 Project Name: Baldwin Park—Walnut Creek Nature Park Project Owner: City of Baldwin Park Owners Address: 14403 E. Pacific Avenue, Baldwin Park, CA 91706 Contact name: David Lopez Contact Phone: (626)960-4011 Contract amount: $893,010 Projects 2018 Project Name:Treder Park Restroom Renovation Project Owner: City of Bell Address: 6250 Pine Avenue, Bell, CA 90201 Contact name: Dahi Kim Contact Phone: 323-588-6211 Contract amount:$171,250 Project Name:2017 Sibrie Park Improvement Project Project Owner: City of Compton Address: 1300 West El Segundo Compton,CA 90220 Contact name: Marvin Hunt Contact Phone: (310)761-1448 Contract amount:$815,445 Final Adjusted Contract Price:$878,196.17 Projects 2017 Project Name: Center Park Improvement Project Project Owner: City of Inglewood Address: 111th Place,City of Inglewood, CA 90303 Contact name: Boytrese Osias, Senior Engineer Contact Phone: 310-412-5333 Contract amount: $1,398,585.00 Final Adjusted Contract Price:$1,518,655.75 Project Name: Steep Cayon and Pantera Dr Park Trail Project Owner: City of Diamond Bar Address: 21810 Copley Drive Project Address: Diamond Bar CA 91765 Contact name:John Beshay Contact Phone: 909-376-0794 Contract amount: $471,340.75 Final Adjusted Contract Price: $481,495.75 Projects 2016 Project Name:Zacatecas Park Project Owner: City of Azusa Address:213 E. Foothill Blvd Azusa,CA 91702 Project Address: Zacatecas Park Contact name: Christina Curiel Contact Phone:626-812-5247 Contract amount: $69,270.00 Final Adjusted Contract Price:$76,150.00 Project Name: Broadous HS Project Owner: LAUSD Address:333 S. Beaudry Ave., 21 st Floor Los Angeles, CA 90017 Project Address: 12561 Filmore St Pacoima CA 91331 Contact name: Norm Myers Contact Phone: 818-394-2463 Contract amount:$67,305.00 Final Adjusted Contract Price: $67,305.00 Projects 2015 Project Name: Construction and Repair of Sidewalk at Various Locations Project Owner: City of West Covina Address: 1444 W Garvey Ave S, West Covina,CA 91790 Project Address:various locations Contact name: Kun Chung Contact Phone:626-939-8733 Contract amount:$65,897,00 Project Name: Misc. Concrete Repairs Project Owner: City of La Canada Flintridge Address: 1327 Foothill Blvd La Canada Flintridge,CA Contact Name: Kris Markarian P:818 790-8882 Original Contract Duration: 30 calendar days Actual Project Completion duration:05/01/15 Original Contract price:$69,700.00 Final Adjusted Contract Price:$99,857.00 Project Name: City of Bell-Curb and Ramps Project Project Owner: City of Bell Address: 5330 Pine Ave Bell CA Contact Name: Kevin Ko P:323-588-6211 Original Contract Duration:05/19/15 Actual Project Completion duration Original Contract price: S199,050.00 Final Adjusted Contract price: $207,657.00 Project Name: Rosemead Community Recreation Center Facade Improvement Project Project Owner: City Of Rosemead Address:8838 Valley Blvd, Rosemead, CA 91770 Contact Name: Rafael Fajardo P: 626-569-2151 Contract price: $1,475,750 Emigdio Carrillo Jr., M.S., P.E. Downey, CA 90240 Cell: (562)708-708-0016 E-Mail:emigdioc@cem-construction.com Contract Award, Negotiations, Estimating, Inspection and Management of Project ACHIEVEMENT: - Registered Professional Engineer(Lic#) EDUCATION: Master of Science in Civil Engineering 2009-2010 University of California, Los Angeles Los Angeles, CA Focus Sequences: Structural/Earthquake Engineering Bachelor of Science in Civil Engineering 2006-2009 California State Polytechnic University Pomona Pomona, CA Emphasis: Structural Engineering EXPERIENCE: Project Engineer March 2010—Present CEM Construction Corp Montebello, CA Civil Engineer July 2008—March 2015 United States Army Corps of Engineers—Construction Division South El Monte, C CERTIFICATIONS/TRAINING • Competent Person's Certification • First Aid Certified • OSHA 10 • OSHA 30 • Confines Space Training-Competent Person • Trenching &Excavating-Competent Person • CIPP Certified • CA Anti-Harassment Prevention Projects 2021 — Project Name: Primrose Park Project Owner: City of Temple City Owners Address: Primrose Park Contact name: Okan Demirci,PE, QSD/P Contact Phone: (714)319-6137 Contract amount: $2,400,000 Project Name: Jasmine Storm Drain Project Owner: City of Laguna Beach Owners Address: Laguna Beach Contact name: Matthew Oxford Contact Phone: (949)497-0792 Contract amount: $ 1,500,000 Project Name:Perris March Plaza—Utilities Project Owner: Rockwood Construction Owners Address: Perris, CA Contact name: Alex Sanchez Contact Phone: 949 -423-4784 Contract amount: $ 1,100,000 Projects 2020 Project Name: Irwindale Park Phase III Project Owner: City of Irwindale Owners Address: 5050 Irwindale Ave Irwindale,CA 91706 Contact name: Daniel Co,P.E. Contact Phone: (626) 848-4670 Contract amount: $ 1,137,772 Project Name: 2020—City Hall Remodel Project Owner: City of Covina Owners Address: 125 E Collage St Covina,CA 91723 Contact name: Mr. Rafael M. Fajardo P.E. Contact Phone: 626-858-7294 Contract amount: $ 108,605 Project Name: Construction of Drywell and Catch Basin at Royal Oaks Park Project Owner: City of Duarte Owners Address: 1600 Huntington Drive, CA 91010 Contact name: Yessina Serra Development Technician Contact Phone: 626-357-7931 Ext 262 Contract amount: $75,000 Projects 2019 Project Name: Phil and Nell Soto Park Construction Project No. 428-2590-71040 Project Owner: City of Pomona Owners Address: 505 S Garey Ave,Pomona,CA 91766 Contact name: Matt Pillarz,Senior Civil Engineer Contact Phone: (909)620-3652 Contract amount: $2,297,151.50 Project Name: Baldwin Park—Walnut Creek Nature Park Project Owner: City of Baldwin Park Owners Address: 14403 E.Pacific Avenue,Baldwin Park,CA 91706 Contact name: David Lopez Contact Phone:(626)960-4011 Contract amount: $ 893,010 Project Name: Diamond Bar-Sycamore Canyon park Project Owner: City of Diamond Bar Owners Address: 21810 Copley Drive Diamond Bar California 91765 Contact name:Nasar Abbaszadeh Contact Phone:(909) 839-7000 Contract amount: $1,090,546.00 Project Name: Construction Contract for Project 16-6862 Cabrillo Park Sidewalk Improvements Project Owner: City of Santa Ana Owners Address: City Hall Ross Annex, 3rd Floor 20 Civic Center Plaza Santa Ana, CA 92701 Contact name: Victor So,P.E. Project Coordinator Contact Phone: 714-647-5076 Contract amount: $373,000 Project Name: Baldwin Park—Walnut Creek Nature Park Project Owner: City of Baldwin Park Owners Address: 14403 E.Pacific Avenue, Baldwin Park, CA 91706 Contact name: David Lopez Contact Phone: (626)960-4011 Contract amount: $ 893,010 Projects 2018 Project Name: Treder Park Restroom Renovation Project Owner: City of Bell Address: 6250 Pine Avenue,Bell, CA 90201 Contact name: Dahi Kim Contact Phone: 323-588-6211 Contract amount: $171,250 Project Name: 2017 Sibrie Park Improvement Project Project Owner: City of Compton Address: 1300 West El Segundo Compton, CA 90220 Contact name:Marvin Hunt Contact Phone: (310)761-1448 Contract amount: $815,445 Final Adjusted Contract Price: $878,196.17 Projects 2017 Project Name: Center Park Improvement Project Project Owner: City of Inglewood Address: I I I''Place,City of Inglewood, CA 90303 Contact name: Boytrese Osias, Senior Engineer Contact Phone: 310-412-5333 Contract amount: $1,398,585.00 Final Adjusted Contract Price: $1,518,655.75 Project Name: Steep Cayon and Pantera Dr Park Trail Project Owner:City of Diamond Bar Address: 21810 Copley Drive Project Address: Diamond Bar CA 91765 Contact name: John Beshay Contact Phone:909-376-0794 Contract amount: $471,340.75 Final Adjusted Contract Price: $481,495.75 Projects 2016 Project Name: Zacatecas Park Project Owner: City of Azusa Address: 213 E. Foothill Blvd Azusa,CA 91702 Project Address: Zacatecas Park Contact name: Christina Curiel Contact Phone: 626-812-5247 Contract amount: $69,270.00 Final Adjusted Contract Price: $76,150.00 Project Name: Broadous HS Project Owner: LAUSD Address: 333 S.Beaudry Ave.,21st Floor Los Angeles, CA 90017 Project Address: 12561 Filmore St Pacoima CA 91331 Contact name:Norm Myers Contact Phone: 818-394-2463 Contract amount: $67,305.00 Final Adjusted Contract Price: $67,305.00 Projects 2015 Project Name: Construction and Repair of Sidewalk at Various Locations Project Owner: City of West Covina Address: 1444 W Garvey Ave S,West Covina,CA 91790 Project Address:various locations Contact name:Kun Chung Contact Phone:626-939-8733 Contract amount: $65,897.00 Project Name: Misc. Concrete Repairs Project Owner: City of La Canada Flintridge Address: 1327 Foothill Blvd La Canada Flintridge,CA Contact Name: Kris Markarian P: 818 790-8882 Original Contract Duration: 30 calendar days Actual Project Completion duration: 05/01/15 Original Contract price: $69,700.00 Final Adjusted Contract Price: $99,857.00 Project Name: City of Bell-Curb and Ramps Project Project Owner:City of Bell Address: 5330 Pine Ave Bell CA Contact Name: Kevin Ko P: 323-588-6211 Original Contract Duration: 05/19/15 Actual Project Completion duration Original Contract price: S199,050.00 Final Adjusted Contract price: $207,657.00 Project Name: Rosemead Community Recreation Center Facade Improvement Project Project Owner: City Of Rosemead Address: 8838 Valley Blvd,Rosemead, CA 91770 Contact Name: Rafael Fajardo P:626-569-2151 Contract price: $1,475,750 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: CEM Construction Corporation Bidder Name 1412 Espanol Ave. Business Address Montebello CA 90640 City, State Zip -W 597-1084 estimating(iDcem-coilstruction.com Telephone Number Email Address 951234 Class; A,B, C-8,C-12, C-21.C-27 State Contractor's License No. and Class August 16,2010 Original Date Issued August 31, 2022 Expiration Date The work site was inspected by Pedro Lopez of our office on May 13 2022, The following are persons, firms,, and corporations having a principal interest in this proposal: Jesus E. Carrillo- President Emigdio Carrillo-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. CEM Construction Corporation Company Name Signatov of Bidder P-- kam jin Oaicn�o Printed o yped Signature C-15 16-5195,'City Funded Construction Contractdoc-(—revised 04/2016 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL. RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing I.,abor 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:/hvww.dir.ca.gov/DLS.E/Pubi.icWorks/SB854FactShect 6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionSmlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://etiling.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. CEM Construction Corporation Contractor >3y :Email Title Date: (' ,=C� - o`Z()�„2 PWC Registration ##:� � C-19 16-5195/City Funded Construction Contract.docx—revised 04/2016 Document A310TM - 2010 Conforms with The American Institute of Architects AIA Document310 Bid Bond CONTRACTOR: SURETY: (4'alm,legal s/tatts anal additmv) {Xio ne,legal sAtrltis anrdlniarclp(jl place r f hrrrl1mxs) CEM Construction Corporation U.S.Specialty Insurance Company 1412 Espanol Ave. 13403 Northwest Freeway Montebello,CA 90640 Houston,TX 77040 This document has Important legal consequences.Consultation Mailing Address for Notices with an attorney Is encouraged U.S.Specialty Insurance Company with respect to Its completion or OWNER: 13403 Northwest Freeway modification. 4'4 1110.legal stains and addi=) Houston,TX 77040 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: (Sarue.location or address and Project nrunber,if ain) ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS(CC NO.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) 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 111catsclt-cs,their heirs,executors,administrators,successors and assign%jointly and severalty,as provided herein.The conditions of this Bond are such that if the Olvncr accepts the bid of the Contractor within ilia time specified in the bid documents,or withitl such time period as nlav be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract will)the Owner in accordance with the tenors ofsuch bid,and gives such bond or bonds as inay be specified in Ilia bidding or Contract documents,with a surety admitted in the jurisdiction of the Project and otherw•iso acceptable to tile Owner,for file faithful 1lorfonnance of such Contract and for ilia prompt Payment of tabor 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 aulotult for which the Owner ntay in good faith contract with another party to peribnlm the work covered by said bid,then this obligation shall be null and void,otherwise It)remain in full force and eflccl.The Surety hereby waives any Ilutice(ll*an agreement between the Owner and Contractor it)extend the time in which the Owner may accept the bid.Walser of notice by the Surety shall not apply to ally extension exceeding sixty(60)days in the aggrepte beyond the little lilt acceptance ol'bids Specified in Ili bill doetllnerlt4,and tie Owner and Contractor shut)obtain ilia Surety s consent lilr all exic)isinit beyond Sixty(60)days. If this Bond is issued in connection with a subcontractor's bid ton Contractor.Ile tone Contractor in this Bond shall be deemed to be Subcontractor and tile teriu Owner shall be deemed to be Contractor. When this Build has been tiumished to comply with a statutoty or tether legal requirement in the location of the project,any provision in this Bond conflicting with said statutory(it legal requirement stall be deemed deleted herel'romi and provisions cunfimuing it)such statutory or other!caul requirement shall be deemted incorporated herein.When.%)lumished,the intent is that this Bond shall he construed as a statutory bond and not us a con)niun law bond. Signed and sealed this 24th day of May,2022 CEM Construction Corporation (Principal) (Seal) 001) (Title) � Specialty Insurance o Ipany 6vol } irrtl) (f nlext) Lisa Pellerito e)Vanessa Co an _ey-in-• Nt �+tl "054/AS 8/10 - _�.. ........_......._._. ._.... CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189 Rh nhA/h�R�i�A~hvA� 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 Orang On �� before me, Lisa PeHerito Notary Public, personally appeared Vanessa Copeland Naine(s)of Signers) 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 holshe/thrr executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(a) 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 �S,piLwIA,+0 p=graph is true and correct. Nnury bubtic•California Q11 Orane county Cammiuion*2383234 WITNESS my and and official s q Carom.Exoim Nov 16.2u25 Signature: .daj�AQk4�-- Place Notary Seal Above Sigh re oTNotwy Public ------- OPTIONAL -�--w— - Though the information 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 ACKNOWLEDGMENT A notary public or other officer completing this certifidate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness,accuracy, or valid' of that document. State of California County of On before before me,' 'X (insert nam and title of(heo personally appeared. 'b 11"Cl CX 0 who proved to me on the bast's 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. Q'1"?'X0-"1DbPAAM➢AROESTRADANotary Public•CalifornianLosAnyriesCounty Commission N 2264439 // ty Comm.Expires Oct 26,2022 Signature .�',t.���� .. Q�,�-�-t..tJ r��.�-r�=�'tl(Seat) ?O�C�NIAR.�fiX>c R:C POWER OF ATTORNEY AMERICAN°.CONTRi4CTORS INDEMNITY Gt?MPANY T0, BONDING COMPANY UNITED S*TIES.6URETY COMPANY U S SPEC IA"'TY INSURANCE Ci m W& KNOW ALL MEN BY THESE PRESENTS:That American ContractA µ are Indemnity Company,a Ca omia corporation,Texas Bonding ' Company,an assumed name of American Contractors Indemnity Company, United States Surety Company,a Maryland corporation and U.S.Specialty Insurance Company,a Texas corporation(collectively,the"Companies"),do by these presents make,constitute and appoint: Eric Lowey,Mark Richardson, Kevin Cathcart,Jennifer Grenrood,Vanessa.Copeland, Natassia Kirk-Smith,or Mike Castaneda of Costa Mesa,Califomia its true and lawful Attomey(s)-in-fact,each in their separate capacity if more than one Is named above,with full power and authority hereby conferred'in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other Instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Ten Million***** Dollars ("**$l0400.000.00"*}. This Power of Attorney shall expire without.further;action.on January 31a,2024 This Power.of Attorney is granted under and by authoribr of.the following resolutions adopted.by the Boards}pf Directors of the;Cornpanies' ea It Resahied,that the President,any %ice-President,any Assistant vice President,any secretary or any Assistant 5ecrptary elicit be and is hereby ; vested with full power and+authority tts appoint any one or more suitable persons as Attomey(s)-in-Fact to represent aril actfor and on behalf of the . Company subject to the following provisions: Attomey-in-Fact may be given full power and authority for and In the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings, including any and ail consents for the release of retained percentages and/or final estimates on engineering and construction contracts,and any and all notices and documents canceling or terminating the Company's liability thereunder,and any such instruments so executed by any such Attorney-In-Fact shall be binding upon the Company es.ifsigned by the President and seated and effected by the Corporate secretary. Be It Rested,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attomey or any certifica°ielatir�g'iijeletoyTa'cSimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon Cojripanywi respect toany bond or undertaking to which it is attached. IN Vt?ft+ttc5 MPt40P,T �Mmpanies.have caused this instrument to be signed and their corporate seals to be hereto affixed,this 23ro Eay @f S`e s�,teml r~,202 Y 1 i IClKN C001*CTORS INDEINNITY GplNPItfJY TEXAS BONDING aOMPANY Jf iTED`&TsskTEt3;SURETY QMRANY tJ;8 SpEDtALTY INSURANCE COMttAI+tY d,_ State County of Los Angeles 7 a By: Daniel P.Aguilar,Vice President 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 On this 23rd day of September, 2021, before me, D. Littlefield, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors indemnity Company,Texas Bonding Company,United States Surety Company and,U.S.Specialty insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within Instrument and acknowledged to me..that;he executed the same in his,,authorized capacity, and that by.his;signature on the instrumentthe person,or.the.entlty upon behalf of which the person acted,execsted ttte instrument' I certify under PENALTY:OF PERJURY under the laws of the State of Caitfamta that the foregoing pail"graph is tnie and correct. WITNESS my hand and offs _ l seal, ; xetr p Signature (seal) .. .: 1, Kio Lo, Assistant Secre tary 0 �1 American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S.Specialty Insurance Company,do hereby certify that the aboveoan4 foregoing is a true and correct copy of a Power of Attorney,executed by said Companies,which is still in full force and effect,ftirtlt+ o�to the resoiutions of the'Boards of Directors, set out in the Power of Attorney are in full force and effect. rI Witness Whereof I have hereunto set a a affixed the 6eaisMof said Cgi^yp�nies at Los Angeles, California this ..C1t1 day of ` r Corporate Seals Bond No. TV Agency No. 18200 w ' ; �� Kio Lo, Assi ` 'Secretary Document A310 TM - 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Marne,legal stalas and address) (Xanw,legal stalus and principal place a f haeefne.�) CEM Construction Corporation U.S.Specialty Insurance Company 1412 Espanol Ave. 13403 Northwest Freeway Montebello,CA 90640 Houston,TX 77040 This document has important legal consequences.Consultation Mailing Address for Notices with an attorney is encouraged U.S.Specialty Insurance Company with respect to its completion or OWNER' 13403 Northwest Freeway modification. (Same.legal stattes and address) Houston,TX 77040 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: (Saare,location or address and Project number..if at{t j ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS(CC N0.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) Tile Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surcty bind thcniselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond arc such that if the Owner accepts the bid of the Contractor within the tine specified in the bid documents,or within such lime 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 tenus 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 1'roject 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(o remain in full three and effect.The Surely hereby waives any notice ol'an agreement between the Owner and Contractor to extend the lime 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 as aresale beyond the lime lift acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent lair 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 deenied to be Subcontractor and the lain Owncr sliall be deemed to be Contractor. When this Bond has been lirrnished to comply with a statutory or other legal requirement in the location of the Projec4 any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herelro n and provisions conlhmiing to such statutory or other legal requirement shall be deenied incorporated herein.When so fiamished,the intent is that(his Band shall be construed ax a statutory bond and not as a coninion la\w bond. Signed and scaled this 24th day of May,2022 CEM Construction Corporation (Principal) (seal) (11'itr s By: (Talk) Specialty Insurance o pany (.Sal ) cal) (II7 ness) Lisa Pellerito 0.,.I U.7' (Title)Vanessa Co an ,At orney-in••Fact S-0054/AS 8110 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 l u S !-i?"J(- , 1 , 1 ! f/ On �d'rG ' 1 T G"� before me, "f FX��I 'J<< ;�� 011-1 l`r (insert nam6 and title of the officer personally appeared 'i1q; <'ri �' L��/%' 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. Al- !:XANDRA AMPARO El WITNESS WITNESS my hand and official seal. _ _ Notary Public-Caiiiorn;a i 1� Los Angeles County _ Commission M Oct 26, 9 My Comm.Expires Oct 26,2022 a Signature `t_(Seal) y TOKIO MARINE H C C POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY_TE-XAS BONDING COMPANY -_ UNITED-STATES-SURETY COMPANY' U.S.SPECIALTY=-INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS:That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively,the"Companies"), do by these presents make, constitute and appoint: Eric Lowey, Mark Richardson, Kevin Cathcart, Jennifer Grenrood, Vanessa Copeland, Natassia Kirk-Smith, or Mike Castaneda of Costa Mesa, California its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed *****Ten Million***** Dollars (,`**$10,000,000.00***). This Power of-Attorney shall expire without further.,action on January 315t, 2024 This Power_of Attorney is granted under and by _authority of thefow olling resolutions adopted i -the Bard os_of Directors ofthe_Companies -- Be it Resolved,that the President=any VIce-President,any Assistant Vice President any=Secretary or any Assistant5e - rys tahah tie and is hereby-= vested with full power and authonty to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent andact`for and on behalf of the Company subject to the following provisions: Attomey-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages;and/or final estimates on engineering and construction contracts,and any and all notices and documents canceling or terminating the Company's liability thereunder,and any such instruments so executed by any such Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. 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 relatirg ihereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF,The Companies-have caused this instrument to be signed and their corporate seals to be hereto affixed,this 23d^ y of Septem - -22 _ = _ _=AMERICAN=CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNIT ED STATES_SURETY COMPANY US SPECIALTY"INSURANCE COMPANY MIIII �, 1111 4 �,\II IW14rry, - �g11111 Ig44 _ ��P,.CiORd�W a0"pIN6�iy #g53Up./y �a�y 4nsuiary Nby — - a'► /6 + State of^alifornia pi "\Sls ,�v o:• toy acraofl' E +�19G: �...ram sl avtzs.ws :v4 !� r3 i009_ 1 ,' l s i County of Los Angeles W,E ,'o <„ ,y f y` € '. $ ,t€ By: `w°+ioxw4 �''�oF 'r� '' ;#' � 4*y ' Per Daniel P,Aguilar,Vice President �!umI @ rmulll +N.r44„..00 Wi 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 On this 23rd day of September, 2021, before me, D. Littlefield, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company,Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me-that--he executed the same in his- authorized capacity, and that by-his signature on the instrument the person_or the entity upon behalf of which the person acted executed the instrument= - — — as izK - _ certify under PENALTY_OF PERJURY under the laws of the=State-of Califer that the foregoing paragraph is Prue and correct. D,UMEFIE+p WITNESS my hand and offs ' I oo An I seal. purr k les-.eREtiw„i ' ye 'ccunq L°mmisslpR N?J403b7 Signature (seal) Mrcannl.ExpsrK I.n 31.20�� 1, Kio Lot Assistant Secretary o °American Contractors Indemnity Company, Texas Bonding Company, United States 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 out in the Power of Attorney are in full force and effect. Ir),Witness Whereof I have hereunto set rr)y and a d affixed the seals of said Companies at Los Angeles,-California this �iFlday of 1 w� �,u Ilp 11N14� r„v.n' Corporate Seals o� �...e,wc� m°" �°o� �04 g ` rig Bond No. fS w•[glws c� r4 �z r, s3�N :s fY&*� '� - Kio Lo, ASSI Secretary Agency No. 18200 C�(fFOR1Pto` 4 w�rF "+ * * + rc brbpn nl OFm„aP '�44u1N,l0 '/iWndln•�... HCCSMANPOA0912021 visit tmhcc.com/surety for more information f CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 1189 A notary public or other officer completing this certificate verifies only the identity of the uidividual 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, Lisa Pellerito Notary Public, personally appeared Vanessa Copeland Name(s)of Siper(s) who proved to me on the basis of satisfactory evidence to be the persona) 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(-&), 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. LISA PELLERITO Notary Public-California Orange County Commission M 2383234 VY 11NESS my and and official s My Comm.Expires hov 16.2C25 Signature: Signature'6YN7olary Public Place Notary Seal Above OPHONAL --------____-- Though the information 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 7:7- F�.. ...r�..s•..a.�3r x.�,. t s m 4�M Q W J = d N Q a U O m qzll O w L S m g a s m O 4r Ol O L7 0.O N O N 9 F - •� +` I c c -a N W O o Q rn 0 � N t mL cu c % � o� F= .� p Q Z .c u +w E co N 2 w (U c V Z Y m U n 3 0 kD 2 m N o w i O p W C. Z Z N uJ L.L 0 tj LI 0 .a1 4- m C = U 0 O n �- U c J LL ,� F- U = H 2 Q p c O a U Z -, V in ai O LL a 0) Q O 3 0 Y W W ^yW h a L Z A u •0 a` City of Huntington Beach 200o Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk Robin Estanislau, City Clerk August 29, 2022 PALP, Inc. dba Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 RE: Alley West of Florida St and Georgia St Water Main Replacement Projects—CC No. 1663 and Kiner-Gleada Water Main Improvement Project—CC No. 1664 Enclosed please find your original bid bond for CC Nos. 1663 and 1664. Sincerely, Robin Estanislau, CIVIC City Clerk RE:pe Enclosure City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 For FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT (CC 1663) And KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC 1664) May 11,2022 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) Bid Electronically Due Date changed from May 18,2022 at 11:00 AM to May 26,2022 at 11:00 AM. 2) Delete Bid Item No. 17—Survey Monument Preservation, Bid Schedule B,Kiner-Gleada CC 1664, and Section 7-6, Bid Item Description, Item 17, Page E-24. Attached is revised Bid Schedule B dated 05/11/22. This is to acknowledge receipt and review of Addendum Number One,dated May 11,2022. PALP, INC CeA EXCEL P Company Name By ddrfla P. Brown III President MAY 2 6 7077 Date 1 of 1 of Addendum No.1 SECTION C PROPOSAL for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS(CC NO.1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) 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 180 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 16-5195/City Funded Construction Contract.docx—revised 04/2016 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. „MN PSHCENT OF AMUNT 8117 Accompanying this proposal of bid, find b 's in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids,payable to the AGENCY. (Please insert the words"Cash","Certified Check",or"Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here,if any: _....__ .. .... _........ __....____ ....:.... Addenda No. Date Received Bidder's Si nature Is P. Brown (I� 5 2'� -----g+- Pr ident C-2 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 BID ITEMS � a Item k/. l GMix a U tit, tv r N�0 d„ YB 7 1 Mobilization and Setup l LS $(4 ,- $ ig4000 Preconstruction Survey Documentation 2 1 LS $1 Imo"' $ l 6� .— Furnish and Install Temporary Bypass to 3 Maintain Service in Alley 1 LS $ bl�' $ Furnish and Install 6-inch C-900 PVC Water 4 Main within Alley west of Florida 960 LF $ Furnish and Install 8-inch C-900 PVC 5 Water Main within Georgia Street 285 LF $ZL¢ "� $ 7, 575. 6 Connection to Existing 8-inch at Alley west of Florida and Indianapolis Avenue 1 LS $tGxo. $ t5ao. 7 Connection to Existing 6-inch at Alley west of Florida and Knoxville Avenue 1 LS MOW, $ 8 Connection to Existing 6-inch at Alley and ���, Lincoln Avenue 1 LS $ $ Connection to Existing 8-inch PVC on LS $ 9 Georgia Street 1 $ Connection to Existing 12-inch PVC on 10 Georgia Street and Knoxville Avenue 1 LS $ $ ^r'v't 11 Furnish and Install 6-inch Gate Valve and Valve Box(Sta 13+00.00) 2 EA $ 2� $ Remove,Dispose and Replace Existing Fire 12 Hydrant Assembly 2 EA $ � $3�' , Construct New 1-inch Service and New 3/4 $ $ 13 inch or 1-inch Meter 45 EA Construct New 2-inch Service and New 1.5- $17 $ �,(} 14 inch or 2-inch Meter 5 EA C-3 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 Rimnp IE SC111 Eg!�� I- Remove and Dispose Existing AC Pavement ,1 15 and Base Within Alley 750 Cy $i--`t— $ ��" Remove and Dispose Existing Concrete Gutter 16 within Alley 325 SF $ 4-f $ 17 Reconstruct 3-inch AC Base Coarse $ 3 $ � d�}, Pavement Within Alley 290 TONS �— Construct 11-inch Aggregate Base within $ zp .. $ tW24A, Q, 18 Alley 520 CY 19 Install 4-foot Wide Cross-Gutter within 3,400 SF Alley 20 install 2-Inch Surface Course(Alley and TONS $�' $ �. Georgia) 350 21 Sta 100+20-Remove and Replace LS $11 M) $ Indianapolis Alley Approach 1 22 Sta 103+50-Remove and Replace LS $ '' $110M Joliet(North)Alley Approach 1 23 Sta 103+10-Remove and Replace Joliet $�l ,� $ (South)Alley Approach 1 LS 24 Sta 106+40-Remove and Replace LS $ 1! _ $ 1 b Knoxville(South)Alley Approach 1 Sta 106+80-Remove and Replace $ $ 25 Knoxville(North)Alley Approach 1 LS - - Sta 109+70-Remove and Replace $ $ L 26 Lincoln Alley Approach 1 LS 27 Construct Concrete Sidewalk 170 SF $ .._ $ Construct Concrete Curb and Gutter 60 LF $ r $ 28 1 C-4 16-5195/City Funded Construction Contract.docx-revised 0412016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 k )item No. �irigo>ri � un � IIniI CCt Ttit Pressure Test,Disinfect and Flush New Mains 29 1 LS $ Removal,Handling and Legal Disposal of 30 Interfering Existing ACP 670 LF $ ILO—. $ ? 31 Abandon Existing 4-inch or 6-inch Pipeline 330 LF $ S3 •— $� and Fill with Slurry Adjust Existing Utility Box to Grade 32 21 EA $ S C), $ 33 Traffic Control 1 LS $1e $Ib 34 Georgia Street 3-Inch Grind SF $ } $�_ 12,800 35 Install 1-Inch Leveling Course and Pavement TONS $-300.— $ 24C(:�O• Fabric(Georgia Street) 80 36 Replace Striping 1 LS $� $ .""` ' 37 Prepare SWPPP and BMPs Implementation $ $� 1 LS 38 Demobilization and Cleanup 1 LS $ $ LOM, 39 Pavement Subgrade Over Excavation 760 CY $ — $ '� �'� 40 Pipe Trench Over Excavation 1,245 LF $ $ " 41 r- Sewer Lateral Reconstruction 10 EA $72Y-0 $ 77-(=.'-- 42 Construct Pavement Fabric(Georgia Street) SF $ $ S 12840 � 43 Replace Survey Monument EA $ $ 2 7Gb. r C-5 16-5195/City Funded Construction Contractdocx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 f, nia j �1%i : x a e� 1w �• ,� i t _ •,,z'„ fix ' SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE A s 00 -7 l - SUB-TOTAL BID AMOUNT IN WORDS-SCHED LE A: tom h�n6(' ,5e,4 'K Notes: 1) Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule A. 2) Bid Item Nos. 39, 40 and 41 -The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the 25% limit as stated in Section 2-7.1 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the City reserves the right to increase or decrease the quantity of this item. C-6 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN EUPROVEMENT PROJECT,CC 1664 al z t Itemt No Descnpfa u Unit Cost Mobilization and setup including permits, 1 bonds,insurance, SWPPP preparation and 1 LS $` $ BMPs implementation 2 Demobilization and Cleanup 1 LS $ 1 Gam'},""- $ Furnish traffic control in accordance with City 3 of Huntington Beach requirements,complete and in place 1 LS $ $ Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all rec uired reports,videos,and phot64ra hs 1 LS $(01 , Furnish and install 8-inch diameter PVC C900 DR14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation, shoring,backfill and com action 1,270 LF $Z 1 $7-7& ' bb Furnish and install 1-inch plastic coated copper water service,and connect to existing%-inch water meter including 6 potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and compaction 33 EA $ t 7{ &c;O- Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City Std Plan 612 3 EA $ $ - 8 Remove and salvage existing fire hydrant, bury valve and appurtenances 2 EA $(PCM. - $)2,t}, Construct 6-inch fire hydrant assembly, 9 pipe,valve box assembly,concrete pad, complete and in place per City Std Plan 607 2 EA $ 70Q�" $ 10 Connect to existing water mains with transition couplings per details on Dwg C-4 1 LS I $12 C-CD,_ $1I CW. ~ �� e C-7 Acid 16-5195/City Funded Construction Contract.docx—revised 0412016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 �Ite�t1 s Desctph© y I1 ~ y r �:. � Qtatgnhty 11 Abandon non-interfering existing pipe in place by snap cutting,filling with cement-sand slurry and capping er City Std Plan 613 1.240 1 LF $L $ '?_400. ` 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and removing 30 LF $ ) r $ 13 Remodel existing sewer house connection ��}} laterals conflicting with proposed waterline 5 EA $ $`�q 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations 1 LS $ � $ bra• 15 Construct slurry seal type I including full street width(curb-to-curb)where shown on drawings 43,000 SFT $ $2-7 b 16 Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ C). zzo. '— SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE B $ SUB-TOTAL BID AMOUNT Lei WORDS—SCHEDLLE B: G`+,r ,.� r-o 07u`t'tM 132.`1>4-Ytt 3 Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8 ,. 16-5195/City Funded`Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE TOTALS ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 AND FINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 SUB-TOTAL BID SCHEDULE A $ 1 R 8) 871. -- SUB-TOTAL BID SCHEDULE B $ 6:;, q5 0-70 .- TOTAL BID AMOUNT,BASIS OF AWARD (SCHEDULES A& B) 2- -7 TOTAL BID AMOUNT,BASIS OF AWARD IN WORDS: ,l r U `mod irkG Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension,the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-9 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 perfonn work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or 510,000, whichever is greater, and the portion of the work to be done by such subcontractor. _.........._...._.......—.__...._._ __..... .__..........._ .. ._..._..._..._....__.._..................... _-------- ........ :... Bid Nttme and Address of State Class DIR PWC Dollar %of Items) Subcontractor License Registration# Amount Contract Number �Nca r fit-" °j ra,zt- � t5ga, � +� 1 �525 1 J..-- �S tta c,CA c'S 7-434 t { vacEr Pn2, a. t�ixn�ndi CIL , C - 35 NAIT L 5b Vt2ru+r'YtYs+tt'� ^�7 Wx7t�.4ATO-N so $114 t5 czti 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-10 16-5195/City Funded Constriction Contract.docx—revised 04/2016 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at LQNG BEACH GALIFOBRiA ate �� City State c uni,;E. gown Ill bej sworn, deposes and says that he or she is PrPside�'1t of the party making the foregoing bid that the bid is not made in the interest of, or on e e , an disclosed 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. PAII.P, INC DBA EXCEL PAVING COMPANY Name of Bidder Curtis P. Brown ItI s+t President S' ature of Bidder 2230 LEMON AVE LONG LEACH, CA 90806 Address of Bidder C-11 16-5195/City Funded Construction Contract.docx—revised 04/2016 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT T A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document'to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } a- On �2 2 before me, R. Covington, Notary Public , ere imin Flame 65371E1e ' a personally appeared Curtis P. Brown III who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that , he/skeXIM executed the same in his/W it authorized capacity(ies), and that by i his/hexdbWr signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. 9 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. Y� ty s t�: WITNESS my hand and official seal. ,y,j 3..+ ,. n R rXx 97 .-,_ Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This farm eomphes with current Caljfornia statutes regarding notary wording and DESCRIPTION OF THE ATTACHED DOCUMENT Ifneeded,should be completed and attached to the document,Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notariartion. CAPACITY CLAIMED BY THE SIGNER • Indicate the corrm singular or plural forms by crossing off incorrect forms(i.e. WsbelEltley,is late)or circling the correct forms.Failure to correctly indicate this ❑ Individual(s) information may lead to rejection ofdoeument recording. Xy( Corporate Officer • The notary seal impression must be clear and photographically reproducible. President Impression must not cover text or lines.If seal impression smudges,re-seal if a 1 e sufficient area permits,otherwise complete a different aclmowledgmcat form. Signature of the—notary public must matchth"gnature on-file with.:the_office_oL__ I] .__-Partner(sj—--- the county clerk. ❑ Attorney-in-Fact +b Additional information is not required but could help to ensure this © Trustee(s) ackmowledgment is not misused or attached to a different document. Other Indicate title or type of attached docurmt,munber of pages and date. ❑ -- ad _Indicate the capacity claimed by%t _si gaer.If the claimed capacity is a ctnparate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www,NotaryClasses.corn 800-873 9865 Securely attach this document to the signed document with a staple. UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO.1664),(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. FALP: I1110' 113A EhC�_L PAk/ING COWANY Contractor Curtis P. Brown III President Title Date: MAY 2 t .,. C-12 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 UKo 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-13 16-5195/City Funded Construction Contract.docx—revised 04/2016 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code,and I will comply with such provisions before commencing the performance of the work of this contract. PALP. INN Dim EXCEL PAVING COh1PANY Contractor By Curtis P. Brown III President Title Date: C-14 16-5195/City Funded Construction Contract.docx—revised 04/2016 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PALP, INC DBA EXCEL PAVING Business Address LONG BEACH, CA 90806 City, State Zip `�32)599-5841 t wro g Telephone Number Email Address State Contractor's License No. and Class STATE LIC#6 88659 �III l gq A, C12, C31 - Original Date Issued Expiration bate The work site was inspected by W U 1S E jd( L S of our office on 5 [I i LUL-,202_. The following are persons, firms,and corporations having a principal interest in this proposal: Curtis P grown III p es dg"tynp Shief Execatly.�Officer David A.Drukker Vice President and Chief Financial Officer Marcia C millpr SGGF . Crissa A.Phillips Asst.Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. A. P. 1 six Z)8 EXCEL PAVING COMPANY Company Name Tigny&e of Bidder CUrtis P. grown III President Printed or Typed Signature C-15 16-5195/City Funded Construction Contract.docx—revised 04/2016 NOTARY CERTIFICATE Subscribed and sworn to before me this_day ofa -�` a , 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 MUFO RN"A ) County of Los Angeles ) On ;�i Y r 7 before me, U/i nI lit Month, bay,and Year Insert Name and Title of Notary personally appeared C'Vrfirs P. Brown III Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/a;e'subscribed to the within instrument and acknowledged to me that he/SW/tw executed the same in his/hoffte authorized capacity(ies), and that by his/hef/thheG 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. c€vtoro Y CoS,sim.# 339692 � ' -Cal€t rt.iz ..... t€^.�L£5�. tF':.ry LL L 2024 Signature ' Signature of atary Public (PLACE NOTARY SEAL ABOVE) C-16 16-5195/City Funded Construction Contract.docx—revised 04/2016 SEE ATTACHED Bidder's Project History For the purposes of this project,the bidder shall provide project history of similar work,specifically referencing the construction of potable water pipelines within public right-of-way in alley and/or street, alley and street paving projects within public right-of-way, and working within major arterials, alleys and streets and in close proximity to other underground utilities.Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No.of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No.of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-17 1 b-5195/City Funded Construction Contract.docx—revised 04/201 b 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 SEE ATTACHED 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. �C- cx,00Ja— Name of proposed Superintendent SEE ATTACHED 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-18 16-5195/City Funded Construction Contract.docx-revised 04/2016 r 01 Roe Schoonover 209 39*Street Newport Beach,CA 92663 Cell:(562)755-4719 Email:RocAlan@sbcglobal.net QUALIFIUTIONS. • OSHA certified • First Aid/CPR certified • Confined Space certified EXPERIENCE: 06/06-present Ewel Paving Long Beach,CA Construction Superintendent • Job Scheduling • Personnel Scheduling • Dealing with various agencies,e.g.State,Public and Private • Responsible for all aspects of job construction and quantities 08/77-06/06 Sully-Miller Contracting Anaheim,CA Construction Superintendent(01/98-06/06) • Job Scheduling • Personnel Scheduling • Dealing with various agencies,e.g.Static,Public and Private • Responsible for all aspects of job construction and quantities Construction Foreman(1995-01198) • Ran individual jobs including grading,paving,concrete and quantities Asphalt Plant Superintendent(1990-1995) • Building,operating and maintenance of portable and stationary Plants • Personnel supervision Asphalt Plant Foremmt(1983-1990) • Responsible for ordering materials for production of asphalt • Maintenance of Plant Asphalt Plant Operator(1982-1985) • Mixed asphalt Plant and Loader Operator for portable crushers(1979-1982) • Manufacturing of recybled base material Operating Engineer(1978-1979) . • Ran various equipment in the grading operation Construction Labor(1977-1978) • General labor work • Grade checking EDUCAMNs June I975 Downey HS High School Diploma Downey,CA s Excel Paving Company Roc Schoonover Project Manager Project Experience: 07/06 — 12/10 Owner: CaiTrans Project: Lincoln Boulevard Improvements Project Value:$10,000,000.00 + Contractor: Palp Inc. dba Excel Paving Company Position: Project Manager Description: Construct 25'Wide by 400' long double barrel concrete drainage box with various drains. Widen & raise entire road between V to 6', also installed all new curb-& gutter, new sidewalks, grade&pave entire site. 01/05—5/06 Owner: Irvine Company Project: Sand Canyon Widening Project Value: $25,000,000.00 Contractor: Sul"iller Contractor Position: Project Superintendent Description: Widen the East side of Sand Canyon, and add three additional lanes West of existing road. Install all underground utilities, drains, new medians, sub- grade, place rock, grade & Pave. 02/05-12/05 Owner: Irvine Company& City of Irvine Project: Crystal Cove Project Value: $8,500,000.00 Contractor: Sully-Miller Contractor Position: Project Superintendent Description: Construct all new roads in upper Crystal Cove, including all underground utilities, rough grade, layout, concrete, base & pave. 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=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. EXCEL PAVING COMPANY Contractor Curtis P. Brown III President B Email Title Date: MAY 22 PWC Registration#: DIRO 1000003331 C-19 16-5195/City Funded Construction'Contract.docx—revised 04/2016 PALP INC.DBA EXCEL PAVING COMPANY-PROJECT REFERENCES Job# Job Name Agency Address City contact Phone Emall .............................. !3t.Nt -MLContract 1" Lynwood 1133-O Mis-RA --- Lynwood Antonia Perez PIKez 03127117. � 55116-Del Obispo Son Juan Capistrano 32400 Passo Adelanto San Juan Caloistrano Paid Meshldn _L"�493-11711 pmeShidnosaquaricapistrano.ow 06115118 10115118 $ 1,499,801 5548 Uptown Parking Lot Whittier 13230 Penn Street Whittier Alfredo Hernandez 562.567.9-512 ifiiiiia—ndez@dWAltder.orq 0410111118 --b-/Olfii-t-920j4' -......................... M VON-St Pavement Rehab Conoon 205 S Vfllowbrook Ave Compton Peter S*ado 949.232.6281 PoW.Sdgado@nv5.=n 03104lI9 07/01/19 S 1,614,000 5664- S-h-W-8-d-D—Cany-on-- OCPW 1152 E.Fruit St Santa Ana Robert Valle (714)2454625 roberLv&@ocpw.ocpv.com 07/-09/19--1-1121/19 f-1.175,877 5572 C Lot Ontario 1425 S Bon View Ave Ontario Steve SGra1w1ck@onW=gov, 0911101118 T2,649,3211 5593 kic�di Beach—415 Diamond Street I urrielaCredondoogg 1111201118 ad Streets Rehab Redondo Beach Javier Lmsta 310--31 )&W. OCPW 9`10 Calle Negodo,Sulte 100 San Clemente Gary Vd)m* 949-MI-6132 volliordrig@sm-clamenteorg 121IMil-6 010iii-8 .-1.1-1-- ---- -................- ��9,9 Modena-InAne Channel Rehab 1152 E Fruit St. Santa me Robert Valle (714)2454525 rcbertvaVa@ocpw.ocgov.com I F 12107/19 $ 2,795,308 .................. --------- 5604 1 Great Street Impvts Son Gabriel 917 E Grand Ave Son Gabriel SzeW"Anj* 626.308.M5 !0jVQW0.orV 03"19, 08=1-9''-$'-1,445,-902 5W7 La Palms I State College VAdening Anaheim 200 S.Anaheim Blvd Anaheim Rowena Jarcle (714)7664913 *da@mdWm.net 11 91 011OV20 $ 4,11111,793 5609 Anaheim Blvd I Bell Road Intersection Anaheim 200 S.Anaheim Blvd I Anaheim Rowena Jarcia (714)7654913 jarcla@anabsim.not 67-"1 14,197,281 15614 Frazier St Improvements Bekknin Vfflk---,1-40 E.Padfic—Ave -Beld-A-Park "--ChmeFldle-r (626)960640111 c11dlar@beldwlnpadLooffl1 0111071118 00111119 $ 1,027,574 '5618-M*dink PafkkV Lot hidiD - --------- ---------- Raiko....... "-82 03/01119 A 852 5621 Walnut Drive laiwovemants 255 N Hadandis Blvd,Sulte M m Industry G_avj.� M-_333-03M Sperez@cnc-eng.com OSMII19 i6fil-120 4,739 .... ........ 27 Street and Drainage Improvement Santa Monica 1437 4th Street,Sub 300 Santa Monica Brian Ochoa 310-458-8721 biian.ochoa@smgo%,.nk 001119 0011/20 $ 784,784 MUM--Pavement Rehab Bel 6330 Pk*Avenue Bel Gregory Lindsay 323.M2626 gHnwy@dtyoUl.org -03AW1 9 001/19 S 1,364,548 1�ahono Osi YI-0--973-3M-ko4lawri .09 -Y—-f- 5638 Inglewood Ave Impovement Ph 3 1147117 Burin Ave LWAR1819 65MV10 2/2=0 1,598,315 I Paving,SW Lot Santa Street- --601-/211 S.WW^ ..........- I I........... ..............- Street Rehab ---OW"l --fi-1140/10-t-2 ,257.788 5661 Inglewood Ave.and Flqler Lane Redondo Beach 415 Diamond S Redondo Beach Daniel Gruezo Y1-0-31M6M- aniel.Guezo@Redondo.ciq 091031119-0-17/20 1 1,18-7,801 1 — .................. J�,fi- 5674 EdingerAvenue Improvements Beach 2000 M&M Street Huntington Beach Joe Fuentes 714-636-6259 Pwft@mrMob.org OV011/119 0=20 16,192 5617-5 Whitter Blvd I Hadena Rd Intersection La Habra 110 E.La Habra B1W. La Habra Cesar Rangel (562)9 4t6l cranpalahabraca.gov 06115/20 02101121 $ 1.893,265 I OC JOC-PM-Allso&Wood Canyons Park OCPW 1152 E.Fruit St. Santa Ana Robed Valle (714)2454525 mberLvvAlo@ocpw.oqov.com lWi-9--ff/2—WIS $ 540,359 867-6.62-bt�JOC-PM--Nmq)mt Blvd.--_`_. -O-C'—PW '-'--"--115-2 EFrukSt Santa A—no M Robert Valle W (7-1-4—)245-4525 mberLvWle@ocpw.ocgow.com OU1130 06K2120 $ 1,961,764 ............................................-..........-- - WN lZone I Street Slurry Seal and Rehab Laguna Beach 505 Forest Ave Laguna Beach Ton Sandefur 949-497-3311 haosdefur@lWabeacity.net 07118t22 11OW19 $ 1,216,729 -]-hninual Sheet ReauFaciig -San-F-emaind oS----------------------..............San- enin-o Miai-n--69-1,Fable n.......... '(8--16f-898-42-43-mbbian@d*.org 09=19 08=20 $ 2.094,776 5690 WS Hot Spot Pico Rivera 6615 Passons Blvd 6616 Passons Blvd Chris Sam (310)502-6335 cimca@wilderLoom 04AWI 10121121 $ 5,257,894 5892'-Ae�sdeii-SheetRehab- Redondo Besch 415 Diamond Street Redondo Beach Lauren Sablan 310-3118-0661 Lauren.Sablan@Radoriftorg 112102/19 03101121-t-4,688, 5696 a YAW R@09po Park OCPW 1152 E Fruit St Sainte Ana Robert Vale (714)2454525 robed valle0ociow.occov.can 11/12119 0110120 S 1,894,609 5715 Nort1wrest Nutructure lm!p. Monrovia 600 S Mountain Ave Monrovia, seen Sullivan - us c*-us 05 00 001121.$ 6,999,875 Aq P� §4-M�� I............- 5T24 Transit Impovements Turnout Stations Ronda Palos Verdes 30940 Hawdame Bhre Rancho Palos Verdes Ron Dragon 311061"282 rondiftyca.gov 0410120 11110UM $ 947,140 5730 FY 2DM SIP&FY 62-6-MiiFy Sol Program San Clemente 9110 Cgs Negook%Sub 100 Son Clemente Dana KoW 949-W-61311 kogwd@un-dw".org 06M60 091160 1 1,174,497 5733 Arterial Street Pavement Maint.FY 2020 San Clements 910 Cab Negockk Suits 100 San Clemente Darn Koger 949361-6136 dements. rq 0�4r" 0WOMM S 11,158,306 F43 Bush Street Bicycle Blvd Santa Ana 20 Civic carrier Plaza Santa Arm Mk* 714-647-W65 0 Wawa 001120 011101011 S_11, 5749.03 ....... -11"5-5,E.—FnitSL -S—mtmAm Vachad Hatch 14 4484532 michW,4kMKT!,Mov.com 0512 I 08MI $ 629,319 5750b-1 -k�mNortkGiW& OCPW 1153 E.Fruit SL Santa Ana Michael Batch T14484530_T"o.hawdoWN-Molf-corn 07=1 09114t21 $ 1,332,596 57-56-02-Avendale&NarrowW M C Grind&Overlay OCPW 1154 E.Fruit St. Santa Ana Michael Hatch U14)448-9631 michaelA g0#2T!.qqIWcom W114211 i 0-1-12d-1-V-Bfl'u. 5i5ii........ki w"W-St-Rew-ft-ft"VY—2020 —,-P-811—motrd 115300 Dowm Ave Pramount Rated Casilles 562-3W-M meWlIe* ereTNq1 pr MUM 06W1 $ 151Z338 ........... -- p_ li� .................... gfif- StrestEnharicament Huntington Park 6550 Was Ave Huntington Park Cow Roldan 323-5"20 =Ww@hpcLWw dlj�i� IP4 .......... ..................... -.......................... ........... ........... 1577 Camino Do Los Mares and Camino De Estrella San cwrwb 910 Cabe%ocio,Suite 100 Son Clemente Zed Mazloquill 949-3614127 org diviglif Widall 5 3,378,975 5804 170p of the World Ne'1h q _borhood 1 Laguna Beach 505 Forest Ave une Beach Josh McDonald 949-497-072"mcdor"4Vq0"knet 0701211 NNW $ 1,588,420 5809 11-lawthornatAirW lHawthome 4455 W.1261h St Hawthorne Salem Acin 310349-2982 1 Isamne8cholhayllhorineorp 0=1 09/24121 $ 1265 872 Baal No. Bid Hoed BUD BOND The Amaricaa Institute of AUchitods, AU Doannenit No.A310(Febrow,1970 Edition) KNOW ALL h(EN BY jMW PRESS,dW ywe PALP Inc.dU Excel Paving Cornpanv as=finc4 a`hemina$er celled the Principal,and Federei Insurence company a corporation dnly o>r�nized undertho laws of the stage Of Indiana as Surety,herewaftr called the Surety, we held ad fimily bound unto City of Huntinaton Beach as Obligee,hcreinaAw called the Obligee,in the sum of Ten nt of the total amount of the bid Dollar's (S 10% ), For the payment of which sum well and tmly to be made,the said Principal and the said Surety,bind on>tselves,our heirs,cumbers,airs,successors and assigns,]may and may,fimdy by these Preeemts. WHEREAS,tha Pdacipal has submitted a bW for Alley West of Florida Street and Georgia Street Water Main Replacement Projects CC No.1663 and Klner-Gieada Water Main Im 2vement Pra t CC No.1664 NOW,n*RMRE,if do Obligee shall acogA the bid ofdne Principal and t6a Princi*shall enter iIIo,a Conbad with the Obliges is avaordaooe with the terns of snch bid, and give such band or bonds as may be specified in the bid"st or Codnad Documcub widlt good sad surety for the fidd&l performanoe of such Coubfad and for the prompt payment of labour and material famished in the pmosecution thereof or in the event of the failure of the Principal to cuter sue&Coutmd and give such bond or bands,if tha Prmc p*shall pay to the Obligee due driTerem not tic exceed the penalty hoof botrv= the amount apcmfwd in said bid and such larger amount for which the Obligee may in goad£with contrail with another party to pe&m the work covered by said bid,then this obligates shall be mull and void,o&"Wisa to remain in fall fomea and effect. Signed and srakd this 1 zth day of May 2022 PALP Inc.dba Excel Paving Company Crissa A. lit ips,ASst. Secretary By. urtis P.Brow III,President Nr Federal Insurance Company sufty wittrss By: OAM Douglas A app AttomeyAwFad ORSC 21328(1" ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness, accuracy, or validity of that document. State of California County of Qrange ) On May 12, 2022 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(s)whose name(&)ismm subscribed to the within instrument and acknowledged to me that heAiey executed the same in his*wpOft*authorized capacity#vo,and that by his/koa*l +rip signature(lb)on the instrument the persons*, or the entity upon behalf of which the person(*)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal ASw�°FT�F DEBRASWANSON N i COMM.#2335630 N —ae g NOTARY PUBLICGCAUFORNIA N ORANGE COUNTY N MY COMM,EXR NOV 10,20 Signature '_ , - (Seal) HUBB, Power of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvanin, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affht their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertaltings and other writings obligatory in the nature thereof(other than bait bonds)given or executed in the course of business,and any instruments amending or altering the same,and mnsents to the modification or alteration of any instrument referred to in said bonds orobligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY , e /� have each executed and attested these presents and affixed their corporate seals on this Ste day ofApril,2021. p Dawn M.Chfurtr,AS4 swnI S,xmjary Stephen M.Haney,Vice lrrt-Aden[ *004po *00190 STATE OF NEW JERSEY CountvofHtmterdon SS On this 5rh day of April,2021 before me,a Notary Public of New Jersey,personally came:Dawn M.Chloms and Stephen M.Haney,to ire known to be Assistant Secretary and Vice President respectively,ofFEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNIFY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESrCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and]mow the corporate.seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affbted by authority of saki Companies;and that their signatures as such officers were duly affhced and subscribed by like authority. r NotarisiSeal KAiHEFUNEJ.ALM AA1R 1 Va•' TAR WCSTARY PUSUO OF NEW JERSEY No.2318e88 1� PLIBLt(S C4fornisaxin Expires July 16,2024 Nmaty Ptbl� CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTC FESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: "RESOLVED,that the following authorizations relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizar,ces,contrails and other written commitments of the Company entered Into in the ordinary course ofbusiness(each a"Wrlttan Ccmmitment�: L1) Each of the Chairman,the President and the Vice Presidents of the Company Is hereby authorized toexeaue any Written Commitment for and o n behalfofthe Company,under the seal of the Company or otherwise. (2) Each duly appointed attorney-in-factofrhe.Company is hereby authorized to execute any Written Commitment for and on behalfof the Company,ii rider the seal ofthe Company or otherwise, to the extent that such action is authorized by the grant of powers provided for in such person's written appointment as such attorney-In4ct. (3) Earh of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and an behalfof the Company,to appoint In writing any person the attorney-m- fact of the Company with full power and authority to execute,for and on behalfofthe Ca rnpany,under the seal of the Companyorothervrlse,such Written Commitments efthe Company as may be specified in such written appointment,which specification may be by general type or Bess of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of die Chairman,the President and the Vice Presidents of the Company is hereby authorized,tar and on behalf of tare Company,to delegate in writing to any other officer of the Company the authorityto execute,for and on behalf of the Company.under the Company's seal or otherwise,such Written Commitments ofthe Company as are specified in such written delegation,which specification may be by general type or lass of Written Commitments or Sy specifla uton ofone or more particular Written Commitments. i5) the signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal of the Company,may be affixed by facsimile or.such Written Commitment orwrirten appointment or delegation, FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be artexd-ive statement of the powers and authority ofofRcers,employees and other persons Coact for and on beheofthe Company,and such Resolution shall not limitorotherwise atren the exercise of anysuch power or authority otherwisevalidlygmnted orvested." I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect, (U) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Whitehouse Station,NJ,this May 12,2022 fkrvm bf.Chlartx,;lr�iscantSt>crcti:try iN THE EVENT YOU W 1SH TO VERIFY THE AUTH ENTICITY OF THIS EOHD 0R NOTIFY US OF ANY OTHER MATTER PLEASE f.0 NTACT US AT: Telephone 9 903-3493 Fax(906)903-3636 a-mall:suvety4chabhoorn Combined:FEO-VlG-PI-WFIC-AA{C(rev.11-19) CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT LED+GMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Los Angeles } On MY 17 2G22 before me, R. Covington, Notary Public , era Insen rune arm nueW a w1cerl personally appeared Curtis P. Brown III and Crissa A. Phillips who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)Ware subscribed to the within instrument and acknowledged to me that heft ks/they executed the same in hb /their authorized capacity(ies), and that by hWtmrJtheir 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 CP PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. f I R.COV NGTON it WITNESS my hand and official seal. �. a. ^ r. CQUikTY Cec d,2i334 i Notary Public Signature (Notary Public Sea[) I ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM 7 tits form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should he completed and attached to the document Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate Callornia notary law. (ritle or description of attached document) • State and County information must be die State and County where the document signer(s)personally appeared before the notary public for acknowledgment. i die or description of attached document continued) • bate of notarization must be the date that the sigaer(s)personally appeared which I must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). a Print the name(s) of document signer(s)who personally appear at the time of notarization. CAPACITY CLAIMED}BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. El Individual (S} ash ;•is left)or circling the correct forms.Failure to correctly indicate this i information may lead to rejection of document recording. !I ❑ Corporate Officer a The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines.If seal impression smudges,re-seal if a (Titre) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signatm of the notary public must match the signature on file with the office of the county clerk. ; ❑ Attorney-in-Fact — Additional information is not required but could help to ensure this , (� Trustee(s) acknowledgment is not misused or attached to a different document. Other ° indicate title or type of attached document,number of pages and date. ❑ f Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClesses.com 800-873-9865 • Securely attach this document to the signed document with a staple. I ................. ..... _ ................... . City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 r s= IK.,"' . B r For FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT (CC 1663) And KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC 1664) May 11,2022 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) Bid Electronically Due Date changed from May 18,2022 at 11:00 AM to May 26,2022 at 11:00 AM. 2) Delete Bid Item No. 17—Survey Monument Preservation, Bid Schedule B,Kiner-Gleada CC 1664, and Section 7-6, Bid Item Description, Item 17, Page E-24. Attached is revised Bid Schedule B dated 05/11/22. This is to acknowledge receipt and review of Addendum Number One,dated May 11,2022. PALP, INC JEA .44 ZI-11 EXCEL MkIlNr, ti--- Company Name By GUrffe P. Brown III President MAY 2 6 7077 Date 1 of 1 of Addendum No.1 SECTION C PROPOSAL for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS(CC NO.1663) AND IGNER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) 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 180 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 16-5195/City Funded Construction Contract.docx—revised 04/2016 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. ,TEN PSH"UT OF AMUNT 09, Accompanying this proposal of bid, find &haw r $ate in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids,payable to the AGENCY. (Please insert the words"Cash","Certified Check",or"Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here,if any; .........................._........._ ..... ........ .... Addenda No. Date Received A Bidder's Signature is P. Brown Ilf 5 �.fl tip• -- P ident C-2 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 BID ITEMS "�� � x, , u �tClll Na y p tnsntt`ty �) Va�t�G� y/ 1 Mobilization and Setup 1 LS $t4ttD: $ ii4p o 2 Preconstruction Survey Documentation 1 LS $ ( WO $ 1 6 •' Furnish and Install Temporary Bypass to 3 Maintain Service in Alley 1 LS $ $ Furnish and Install 6-inch C-900 PVC Water 4 Main within Alley west of Florida 960 LF $21'1_'"`� Furnish and Install 8-inch C-900 PVC 5 Water Main within Georgia Street 285 LF 6 Connection to Existing 8-inch at Alley west of Florida and Indianapolis Avenue 1 LS $ $ t5tm- 7 Connection to Existing 6-inch at Alley west of Florida and Knoxville Avenue 1 LS $190bo." $ �AO&Q.= Connection to Existing 6-inch at Alley and 8 Lincoln Avenue 1 LS Connection to Existing 8-inch PVC on 9 Georgia Street 1 LS $ $ (off Connection to Existing 12-inch PVC on 10 Georgia Street and Knoxville Avenue 1 LS $�� $ 171]p�� ^— Furnish and Install 6-inch Gate Valve and -` 11 Valve Box(Sta 13+00.00) 2 EA $_2 � $ 400 Remove,Dispose and Replace Existing Fire 12 Hydrant Assembly 2 EA $lq(X' "1,: $3 'G�C£�. ' Construct New 1-inch Service and New 3/4- $� $t?z 13 inch or 1-inch Meter 45 EA Construct New 2-inch Service and New 1.5- $ $ 14 inch or 2-inch Meter 5 EA C-3 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 '�..,. - - .,r 6�.;airsr'3r"r'.�R' �'.,,... ,..._ air,,,.,,,l✓,.,i ,., at�.... " Remove and Dispose Existing AC Pavement 15 46560. and Base Within Alley 750 CY $� -' $ 1 Remove and Dispose Existing Concrete Gutter 16 within Alley 325 SF $ l $ �kJJp- 17 Reconstruct 3-inch AC Base Coarse $ t .- $ �p 2 0, Pavement Within Alley 290 TONS Construct 11-inch Aggregate Base within $ $ ��p�j, 18 Alley 520 CY 19 install 4-foot Wide Cross-Gutter within SF $Alley 3,400 - --- �_� 20 install 2-Inch Surface Course(Alley and TONS $ $ Georgia) 350 Sta 100+20-Remove and Replace 21 WD Indianapolis Alley Approach 1 LS $1 1 t $ 1� 22 Sta 103+50-Remove and Replace LS $ $ Joliet(North)Alley Approach 1 23 Sta 103+10-Remove and Replace Joliet $ 1 ,� $ 11 cob_ (South)Alley Approach 1 LS Y- 24 Sta 106+40-Remove and Replace LS $ 1 l& $ 11 WD Knoxville(South)Alley Approach 1 Sta 106+80-Remove and Replace $ $ 25 Knoxville(North)Alley Approach 1 LS - - '-- Sta 109+70-Remove and Replace $ $ 26 Lincoln Alley Approach 27 170 1 LS '- Construct Concrete Sidewalk SF $ ZQ-= $ 30 ,- 28 Construct Concrete Curb and Gutter 60 LF $ $Lam+-'— t39. C-4 16-5195/City Funded Construction Contract.docx-revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 40 Pressure Test,Disinfect and Flush New Mains 29 1 LS $ Removal,Handling and Legal Disposal of 30 Interfering Existing ACP 670 LF $ i 7.b.•' $ _" 31 Abandon Existing 4-inch or 6-inch Pipeline 330 LF $ 35• $� and Fill with Slurry 32 Adjust Existing Utility Box to Grade 21 EA $ �.- $-�i - �• 33 Traffic Control I LS $1 $ 34 Georgia Street 3-Inch Grind 12,800 SF J$-0. $ -7(AD. - 35 Install I-Inch Leveling Course and Pavement TONS $ 30Q•_ $ 740:20 Fabric(Georgia Street) 80 36 Replace Striping LS $ $ 3�--- 1 37 Prepare SWPPP and BMPs Implementation I LS $ A ' $ 38 Demobilization and Cleanup 1 LS $ =• $ 106D — 39 Pavement Subgrade Over Excavation 760 CY $�-� $ 40 Pipe Trench Over Excavation $ $ 1,245 LF — 41 Sewer Lateral Reconstruction 10 MC).4L,5 I= $�� " 42 Construct Pavement Fabric(Georgia Street) $ 310 12840 43 Replace Survey Monument EA $ $ C-5 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 on � �.,� SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE A $ t . SUB-TOTAL BID AMOUNT IN WORDS-SCHEDt�LE A: e.. wi AL5tA, nm �eJ � XxfG Notes: 1) Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule A. 2) Bid Item Nos. 39, 40 and 41 -The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the 25% limit as stated in Section 2-7.1 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the City reserves the right to increase or decrease the quantity of this item. C-6 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN EUPROVEMENT PROJECT,CC 1664 Itelcr. . s\ Des�cnpaTotal C Omen` Mobilization and setup including permits, 1 bonds,insurance, SWPPP preparation and l LS $ $43.Xb. BMPs implementation 2 Demobilization and Cleanup 1 LS $ (M' $ ( Furnish traffic control in accordance with City 3 of Huntington Beach requirements,complete and in place 1 LS $I $ Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all required reports,videos,and photogjaphs 1 LS $(OCM, $(, - " Furnish and install 8-inch diameter PVC C900 DR14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and com action 1 270 LF Furnish and install 1-inch plastic coated copper water service,and connect to existing 3/.-inch water meter including 6 potholing,saw-cutting,removal and disposal of existing pavement,trench excavation, shoring,backfill and compaction 33 EA I $57t�0f- $ 17{ &C;O- Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City Std Plan 612 3 EA $ $ - 8 Remove and salvage existing fire hydrant, bury valve and appurtenances 2 EA $(00d ~ $17000, Construct 6-inch fire hydrant assembly, 9 pipe,valve box assembly,concrete pad, complete and in place per City Std Plan 607 2 EA $ 76 r $ 10 Connect to existing water mains with transition couplings per details on Dwg C4 1 LS $12.(aC",D,-- $1 ZZt;0. C-7 1" 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) IINER-GLEADA WATER MAIN IMPROVEMENT PROJECT, CC 1664 .: y,� y'► U NO \� - Dew21I1hE'�l .kr r F r( umlhty UZfI - 1tCSt (E�ten i 11 Abandon non-interfering existing pipe in place by snap cutting,filling with cement-sand slurry and capping er City Std Plan 613 1,240 LF $) $ 400. - 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and removing 30 LF $ 1'30.r $ CO — 13 Remodel existing sewer house connection laterals conflicting with proposed waterline 5 EA $ ._ $'+q . 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of test water per regulations 1 LS - 15 Construct slurry seal type I including full street width(curb-to-curb)where shown on drawings 43,000 SIFT $ 0,t03 $Z-7 Qq(� 16 Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ d $ I 12-2-2- SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE B $ 60950-T1 , �-- SUB-TOTAL BID AMOUNT LN WORDS-SCHEDULE B: Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8 16-5195/City Funded o��Ctionontract.docx-revised 04/2016 SECTION C PROJECT BID SCHEDULE TOTALS ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 AND JaNER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 SUB-TOTAL BID SCHEDULE A $ 1 98) 8 7�, -- SUB-TOTAL BID SCHEDULE B $ (o q 0-7b- -- TOTAL BID AMOUNT,BASIS OF AWARD (SCHEDULES A&B)_ Z 7 LP a t . TOTAL BID AMOUNT,BASIS OF AWARD IN WORDS: u Sey '�rx 80116L Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension,the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-9 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 S 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 ti 3,, l 4 Cc� ate " GS 1 84)raa6 Ave. 34 f�,j) 100o)COZY-z' Z(SCEsPAAITAA- 54rxtf Y �t-�1n gam•� �Sn�Ce rtr:�,ti C,l� ��`�� t txz�b�y '2,3®l0�',�' �,D ttlrt�'uttl�tt 1 7�. 02-;171 �' 1q41% 51- $1��t5 c.�t tt7c��rorr.� �•� a By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-10 16-5195/City Funded Construetion Contract.docx—revised 04/2016 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBNHTTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on , at yam _ LONG BEACH CAJI F08KA Date City State s:iuclis P. Brown III be PfW �y sworn, deposes and says that be or she is President of the party making the foregoing bid that the bid is not made in the interest of, or on e e a , an disclosed 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, fiuther, 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. F LP, 1")C OSA EXCEL PAVING COMPANY Name of Bidder Curtis P. Brown III s+L President Sijhature of Bidder 2230 LEMON AVE LONG BEACH, CA 90806 Address of Bidder C-11 16-5195/City Funded Construction Contract.docx—revised 04/2016 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT LEDGI ENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document'to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On Y M 7, before me, _ R. Covington, Notary Public , ere name .T.&Ti�A+cari- personally appeared Curtis P. Brown III , who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/ "executed the same in his/WMWr authorized capacity(ies), and that by his/hexdbeir 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. CC;,Mel Nctnry y05 , Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT If'needed,should be completed and attached to the docwnent Acknowledgments from other states may he completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (idle or description of attached document) + State and County information must be the State and County where the document siguer(s)personally appeared before the notary public for acknowledgment • Date of notarization most be the date that the signer(s)personally appeared vrhich {l i8e or description of attached document cdntlnued) must also be the same date the acknowledgment is completed. • The notary public must print iris on her[tame as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). t a Print the name(s) of document signer(s) who personally appear at the time of 1 r notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(Le, ❑ Individual{S) Wsb is late)or circling the correct forms.Failure to correctly indicate this } information may lead to n j eetion of document recording. ;Ep( Corporate Officer . The notary seal impression must be clear and photographically reproducible. President Impression most not cover text or lines. if seal impression smudges,re-seat if a e sufficient area permits,otherwise complete a different aclmowledgment form. Signatwt-ofthe-notary public must match the-signature on S'ile.with.the_office_of.__. ❑.__�ar#rier(S�—--- the county cleric. ❑ Attonney-in-Fact cat Additional information is not required but could help to ensure this Trustee(s) acknowledgment is not misused or attached to a different document. } Indicate title or type of attached document,number of pages and date. Other ❑ -- 0 _Indicate the capacity claimed by the signer. If_the claimed capacity is a corporate officer,indicate the title(Le.CEO,CFO,Secretary). 205 Version wrwv.NotaryClasses.mm 800-873-8865 • Securely attach this document to the signed document with a staple. UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC NO.1664),(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. PA?t4r. 1,110"DBA EXCEL PAVING COW ANY Contractor A/41!41� S I L Curtis P. Brown III President Title Date: C-12 16-5195/City Funded Construction Contract.docx—revised 04/2016 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete, under penalty of perjury, the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified,removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ElYes Q'Nafro If the answer is yes, explain the circumstances in the space provided. 1~ Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-13 16-5195/City Funded Construction Contract.docx—revised 04/2016 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of that code,and I will comply with such provisions before commencing the performance of the work of this contract. PALP. 114C WA EX,�E=L PAVING CCNIPANY Contractor By Curtis P. Brown ill President Title Y_ky Date: C-14 16-5195/City Funded Construction Contract.docx—revised 04/2016 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder Name PALP, INC DBA EXCEL PAVING Business Address w LONG BEACH,CA 90805 City, State Zip ( 2)599-5849 t Telephone Number Email Address State Contractor's License No. and Class STATE LIC#689659 51iItItAq A, C12, C31 Original Date Issued I 3A24 Expiration bate The work site was inspected by U 1C E 10A S of our office on 5 1 I t '1;L- 202_. The following are persons,firms,and corporations having a principal interest in this proposal: Clirtis P Arnwn lll Ps.:de"t and Ghief Officar David A.Drukker Vice President and Chief Financial Officer Marcia S Millgr SesreiarY Crissa A.Phillips Asst.Secretary The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. P.P, FI. r, ,�M EXCEL PAVING CCMPANY Company Name Signy&e of Bidder Curtis P. Brown III President Printed or Typed Signature C-15 16-5195/City Funded Construction Contract.docx—revised 04/2016 NOTARY CERTIFICATE Subscribed and sworn to before me this_day of MAY M771, 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 M' OINA ) County of Los Angeles ) On before me, UVI"a mij Month,Day, and Year Insert NarWe and Title of Notary personally appeared CU[US P. Brown III Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/aesubscribed to the within instrument and acknowledged to me that he/ski/tw executed the same in his/horAheif authorized capacity(ies), and that by his/hef/thefr 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. hand and official seal. ct�vsrp�. WITNESS m y a� Cfl,w—#233969 2024 Signature Signature of ftary Public (PLACE NOTARY SEAL ABOVE) C-16 16-5195/City Funded Construction Contract.docx—revised 04/2016 SEE ATTACHED Bidder's Project History For the purposes of this project,the bidder shall provide project history of similar work,specifically referencing the construction of potable water pipelines within public right-of-way in alley and/or street, alley and street paving projects within public right-of-way, and working within major arterials, alleys and streets and in close proximity to other underground utilities.Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-17 16-5195/City Funded Construction Contract.docx—revised 04/2016 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. W—tU fetwo-5 Name of proposed Project Manager SEE ATTACHED 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. L . P a-00+ oiat Name of proposed Superintendent SEE ATTACHED 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-18 16-5195/City Funded Construction Contract.docx—revised 04/2016 lY Roc Schoonover 209 39*Street Newport Beach,CA 92663 Cell:(562)7554719 Email:RocAlan@sbcglobal.net QUALIFICATIONS: • OSHA c atified • First Aid/CPR certified • Confuted Space certified EXPERIENCE: 06/06-present Ewel Paving Long Beach,CA Construction Superintendent • Job Scheduling • Personnel Scheduling • Dealing with various ageaeies,e.g.State,Public and Private • Responsible for all aspects of job construction and quantities 08/77-06/06 Sally-M llpr Contracting Anaheun,CA Construction S*erintendent(01198-0"6) • Job Scheduling • Personnel Scheduling • Dealing with various agencies,e.g.State,Public and Private • Responsible for all aspects of job construction and quantities Construction Foreman(1993-01198) • Ran individual jobs including grading,paving,concrete and quantities Asphalt Plant Superintentdent(1990.1995) • Building,operating and maintenance of portable and stationary Plants • Personnel supervision Asphirlt Plant Foreman(19834990) • Responsible.for ordering materials for production of asphalt • Maintenance of Plant Asphalt Plant Operator(1982-1983) • Mixed asphalt Plamt and Loader Operator for portable crushers(1979-1982) • Manufacturing of recycled base material Operating Engineer(1978-1979) . • Ran various equipment m the grading operation Construction Labor(1977-1978) • General labor work • Grade checking EDUCATION: June I975 Downey HS High School Diploma Downey,CA s Excel Paving Company Roc Schoonover Project Manager Project Experience: 07/06 — 12/10 Owner: CaiTrans Project: Lincoln Boulevard Improvements Project Value:$10,000,000.00 + Contractor: Palp Inc. dba Excel Paving Company Position: Project Manager Description: Construct 25'Wide by 400' long double barrel concrete drainage box with various drains. Widen & raise entire road between V to 6, also installed all new curb-& gutter, new sidewalks, grade& pave entire site. 01/05—5/06 Owner: Irvine Company Project: Sand Canyon Widening Project Value: $25,000,000.00 Contractor: Sully-Miller Contractor Position: Project Superintendent Description: Widen the East side of Sand Canyon, and add three additional lanes West of existing road. Install all underground utilities, drains, new medians, sub- grade, place rock, grade & Pave. 02/05-12/05 Owner: Irvine Company& City of Irvine Project: Crystal Cove Project Value: $8,500,000.00 Contractor: Sully-Miller Contractor Position: Project Superintendent Description: Construct all new roads in upper Crystal Cove, including all underground utilities, rough grade, layout, concrete, base & pave. 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== isplayPWCRegistrationForm 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 L I(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code,or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." 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. EXCEL PAVING COh1PP-NY Contractor Curtis P. Brown III President B Email Title Date: y 02- PWC Registration#: DIR#100000MI C-19 16-5195/City Funded Construction Contract.docx—revised 04/2016 PALP INC.DBA EXCEL PAVING COMPANY-PROJECT REFERENCES Job I JobWeme _-gay Address city Contact Phan Emab eta orttract 5443 Laing Beady Blvd.Ph.2 Lynwood 11330 BuIGs Rd l ynwood � Antonio Perez (3i0}603-0220 Ieperezolynwoodlxe.us 03127117 1_W* S 3126 879 !i 1l Del T 5an Juan C S6arro 32400 Passo Adelanto San Juan o Paul Meshkin 9 49�3-1171 Pnwshkin san uanco ,ttrano.o 0 F15118 10115118 S 1,499.901W 5548 Uptfovm Paddng Lot Whittler 13230 Penn Sheet Whittier Alfredo Hernandez 562.567.9512 ahmnandea�dtyo ARder.oig 04/01/4 10/01/18 i 929,734 5553 Various St Pavement Rehab Comptori 205 S VVrlbMxoctn Ave Compton Peter Salado 949.232.6281 PatmSdgedo@nv6.com W03AW19 07101/19 S 1,614,000 5564 Silveredo t:anyon � OCPW 1152E Fruit-St Santa Ana Robert Valle (714)2454525 mberLv&%@ocpw.ocgov.com 11121/19 S 1,175,877 b572 OSMC Lot Ontario 1425 S Bon View Ave Ontario Steve Gretwick ( 395 2fi80 SGralwidr@abdocmgaw 09/10/16 02127/19 4 649,321 5593 Commeraal Streets Rehati---- Redondo Beach 415 Diamond Street Redondo Beach Javier Wets 310318-0661 javier.wide@mdordmo g i l/20118 012Di9 i 1,042,648 _ _ .__..__._. .._._...._ _._.... ........................ 5596 Street Ion is San Clemente 910 Calla provemen .. LL _ Negocio,Suite 100 San Clemente Gary Vobasky 949-361-0132 vobaskyg�sandarnarite.ag 12/14/18 03/29/19 b 1642,925 5599 EI Modena-Irvine Channel Rehab OCPW 1152 E.Fndt St Santa Ana Robert Valle (714)245.4525 ;obertvs8o@ocpw.ocgov.com 10101/18 12/07/19 S_2,795,308 5604 Greet Street 1 vts � San Gabriel 917 E Grand Ave San Gabriel Sreka"Angela'_ h_nii 63.308.2825 03104119[._.W20112 b 1,445,902 5607 La Palma!State Collage Wdening Anaheim 200 S.Anaheim Blvd Anaheim Rowena Janie 765-4913 14 Oda@ffmhakn.net 01/14/19 0110V20 $ 4,111,793 (7 ) gartaa®anelrerm. ti{iKJ Anaheim Blvd I Bell Road Intersection Anaheim ®� Z00 S.Anaheim Blvd Anaheim Rowena Jamia (714)765-4913 rjarda@anahelm.net 05I20119 07101721_T,4,197.281 6614 Fraser St Improvements Baldwin Park 14403 E.Pacific Ave Baldwin Park Chose Fidler (626)960.4011 clidler@bddwinparkcom 01107118 08131119 $ 1,027,574 5618 Metrohk Parking Lot Ph 2 160 S Pekn Ave �Railto � � Jeff Sdiater _ 909�20 2531 jet@delloce.gov 0=1119 01rMN $ 1.078,852 5621Walnut Drive Im ents Ind���� _ 255 N Hacienda Blvd Saito 222 I Perez 626333-0336 G rez@rnc-en _com 05101/19 IOM1120 $ 1,774.739 6697 Street and Drainage Improvement Santa Monica 1437 41h Strad Suite 300 Santa Monica Brian Ochoa 310-458.8721 bdan.ochca@smgov.nat 08101/19 0510V20 b 794,784 5628 Pavement Rehab _ Bel 6330 Poe Avenue Bel Gregory Lindsay 323.923-2626 glinsayr@cityolbd.org 03104119 05-0 119 S 1,364,648 6638 Inglewood Ave Improvement Ph 3 Lawndale 14717 Burin Ave Lewndele Kahono Oei 310-973-3260 k ` daledty.ag 05Ni/19 62t28t20 S 1,598,315 Aaara1 Paving,SNAP Lot Santa Master 1437 4th Street Suite 300 Santa Monica_....._ 3 .. 310 58 2261_.. J _ __. __ ..._.._. ......__ Hoang Hoang@SMGOV.NEr 03/13119 06/31/21 $ 3.987,565� 6664 _ 961 Street Rehab Alhambra 111 South First Street A@rambra Stepherie Cemai6nga 69:� b062 scarnoror> cliv owiiiii 06125/19 11/14119 S 2,257,78E 5661 Inglewood Ave.and Flagler Lane Redondo Beach 415 Diamond Street___.__... _.. Redondo Beach Daniel Gruezo 310318-0661 Dardd.Guszo@Redondo erg 09103/19 01117t26 1,187,801 _....__ _._ _. ._.-------__ . 504 EdingerAvenue Improvements Huntington Beach 2000 Main Street Huntington Beach Joe Fuentes 714-636-5259 suddty-hb.org 07101/19 01129120 b 2,916,192 975 Whilter Blvd/Hadena Rd Intersection La Habra 110 E.La Habra Blvd. La Habra Cesar Rangel (562)3M4151 crangelolat atuace.gov 06M6120 02/01/21 $ 1,693,265 5678 01 OC JOC-PM-Aho&Wood Canyons Park OCPW 1152 E Fruit St Santa Ana Robert Valle (714)245.4525 mberLwalle@ocpw.ocgov.com 11 19 11127/19 $ 540,359 561— OC JOC-PAt-Newport Blvd. OCPIN ..._ __._. 1152 E.Fruit St m._. Sarda Me Rabeit Ville _ m m(714)245.4525 mbertvdle@ocpw.ocgov oom 04113120 06112120 b 1,961,764 5680 Zone 1 Street Slurry Seat and Rehab ,•_,. Laguna Beach '505 forest—Ave --, Laguna Beach Tom Sandefur 949� .3311 banddur@10mabeatil"y.net 07118132 10)W.19 $ I.216,729 6886 Annual Street Resurfacing San Fernando__._............... 117 Mac St — _..............._..._........_..San Fernando .___._........Mamiel Fadan _...._.. 18)89812A3 m bianE�ak l.org 09 919 08/31120 $ 2,094,776 %90 W05 Hot Spot Pico Rivera 6615 Passona Blvd 6616 Passons Blvd Chris Baca (310)502-OM cbaco@wftrtmn NMI 10 21/21 $ 5,257,894 6692 Reaide sl Street Rehab Redondo 415 Diamond Street Redondo Beach Lauren Sabian 310318-0661 La nen.Sablan@Redondo.ag 12102119 03101/21 $ 4,688,777 5696__....._ Regional Park OCPW 1152E Fruft St w_ Santa Ana onµ_ Robert Vile 14 245�4525 rabartvai .ocgov.com 1 V12119 __02/10/20 S 1,894,609 5715 NMiwrest Infrastructure Im Monrovia 600 S Mountain Ave Momovia Sean Sullivan 626 932 b522 asubhran rgTn*gkus 05/28120 01101121 i 6 999 875 5724 Trar>sit ImWovements Turnout Stations Radio Palos Verdes 30M Hawtlame Bhre Rancho Palos Verdes Ron Draw 310-544.6282 mnd@qmpv 04101/20 11101 0 S 947,140 5730 FY 2020 SIP&FY 2020 Murry Seal Program San Clemente 910 CaOe Suite 100 Son Clemente Dam KoW 949361.6138 en e. 06RSM 09/16/20 S 1.174,497 5733 Arterial Street Pavement Maim FY 2020 San Claimants 910 Cabe onto,Suite 100 San Clemente Dam Koger 949 161-0138 dements. 04l20/2O 06108t20 $_1,159,306 5743 Bush Steel Bic-Ante Blvd_._ .._ . __. _ ... _Santa Ana _� 20 Civic center Plaza _._....__._ Santa Ana _... �Y _.. ... 7148473665.E mh ►ta-ane.or 0810112D 01101121 S 192T 280 5749.03 Beady-Phase I OCPW 1155E Fnat St Saida Me Michael Hakh 14 448-9532 midrael. can 05MIl 08105121 $ 629,319 5750.01 Anaheim North Grind& _verW OCPW 1153 E.Fruit St Santa Ana Mu idwei Hatch 14 4484M michael habdr o ac ov.com 07126/21 09114/21 $_1332 596 5750 02 Av e&Narrow Ca�adE Grind&overlay_m OCPW 1154 E.FnrB St Santa Ana Michael Hatch 14 448 9531 mkhael hatdl u w.a ay.cam 0611OAl 07/12121 $ 871,040 5754 Arieiiel; �Resitxfaa�sq FY 2020 _ Paramount 15300�ourneX A±'e _Pramount Rafael Casillas 562�30 06 rcasillas nountdty.cari 09J08r10 0&MI E. 1.51Z338 5773 Street Enhancement P FY 2020/2021 Hu Perk,„ 6550 Miles Ave Hunbnolon Pork Cesar Rolden 323-58"32U crokler hp qp ,_ 01i26121 05121121 S 834 824 ..... ... - .......I... 5779 Camino De Los Mares and Camino De Estrella San Clemente 910 Cabe Negodo,Suite 100 San Clemente Zed Mazboud 949361.6127 m sari dernente OU19121 MI MI $ 3,378 975 5804 T of Ire Wow bahood a Beath 605 Forest Ave Lana Beach Josh McDonald_ 949�497-0728 .net O7I08121 y 09124n1 $ 1,588 42d 5809 tlmrtlrarrra Hawtlnorrte 4455 VV.1261h St Hawthorne Selena Aarne 310349 2982 sae 0 bA9121 09/14/21 1265 872 Bond No. Bid Hand BID BOND The Amailcan 1astitillito of Architects, ALA Dommett No.A310(Febraary,1970 Edi im) KNOW ALL MEN BY THME PRESENTS,that we PALP Inc.,dU Excel Paving Company aS MUClpal hereinalfier �.C.9.1,1Wed dIC PfinCiP4 Had Federal Insurance Corny ny cor a poration duly OrPni2 Imd"*0 laws OHM state Of Indiana as Surety,hominafter called the Surety, M held and fimrly bound Hato City of Huntington Beach -- --- — =Obligee,bcreinaRor called the Obligee,in the sail of Ten percent of the total amount of the bid Dollars (S 10% ), for the payrtlient of which sum well and Wy to be made,the said Principal and the said Surety,bind ourselves,our heirs;eaeoutors,agar) ors,saocesom and assigns,icy and may,fimdy by>hesie presents. WBERE►%this PdOOPel la$Ad)10itbCd a bid for Allej West of Florida Street and Georgia Street Water Main Replacement Projects CC No.1 and Kiner-Gleada Water Main Im ovement Pro' i CC No.1664 NOW,THERMRE,if the Obligee Blinn aCCRA the Wd ofdw Pfincip and the Priacipsd shall caber)Into a Coubad with the Obligee in accoubince with the teams of such bid, and give such bond or bonds as may be specified in the bidding or C mired Docannwoft with good and sotffeitart suray ix the faith8ri perfixnu oe of such Combaat and for the prompt paytnm t of labour and material famished in the pwoeftca their eof, or in the event of the failure of the Principal to edw such Controid and give such bwd or bonds,if the Principal shall pay to the Obligee the die not tlo exceed the penalty htrcof betty= the amount voctfied m sad bid and such larger amount for which the Obligee may in good faA contract with another party to perform the Wofh oovored by said bid,they this obligation Shur!be mill and VOK otherwise to remain in full fww and effect. Signed and Boded this 12th day of WY , 2022 PALP Inc.dba Excel Paving Company t�) Crissa A.'"I ips,Asst. Secretary By. - urtis P.Brown III, r rn Nameteide Federal Insurance Company sugety (Seel) By: - r Douglas A app At omy-in-Fad ORSC 21328(5197) 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 Qrange ) On May 12,2022 before me, Debra Swanson N, otary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(*)whose name(e)is)sm subscribed to the within instrument and acknowledged to me that hehey executed the same in his#+ewrr+E*-*authorized capacity, and that by his/ signature(4)on the instrument the person{*, or the entity upon behalf of which the personh)acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. ,`�k°FTNF� DEORASWANSON N a COMM,#2335630 NOTARY PUBLICGCAUFORNIA N ORANGE COUNTY N W COMM.EXR NOV 10,2024 Signature (Seal) B R Powl r of Attorney Federal Insurance Company I Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,W ESTCHISrER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations of the Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy 0.Rapp of Ladera Ranch,California each as their-true and lawful Attorney-In-Fact to execute under such designation in their names and to aSht their corporate seals to and deliver fur and on their behalf as surety thereon or otherwise,bowls and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any histrtunent referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affnued their corporate seals d-t� oonthhhiss5U,day ofApril,2021. A" Davrli,L1.Chk rtrs,,1sslswn I S(A!rigary Stq)hen W1.IlanLj%FvkY President *004DO 004)49c) STATE OF NEW JERSEY CountvofHtwterdou SS. On this 5m day of April,2021 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President respectively,ofFEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESPCHES'rER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for berself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER ETRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were dully affixed and subscribed by like authority. Notarial.Seal 1KATHERINEJ ADEIAAR Yat NOTARY PUBLIC OF NEW dERSIEY Fvw No.231ed85 PfIBL C'arnenlaalan Expires.luly 16.2=4 Notary Pabac oll CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 3D,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE.AMERICAN INSURANCE COMPANY on March 20,2009: "RESOLVED,that the following suthoriaatfons relate to the execution,for and on behalf of the Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered into In the ordinary course ofhusiness(each e'Written Ccmmitment�: (I) Each of the Chairman,the President and the Vice presidents of the Company is hereby authorized toemmiteanyWrltter,Commitment for and anbehalfoftae Company,under the sea] of the Company or otherwise. (2) Each dulyappointed atzorne.5,in-fact of rhe Company ishereby authorized to execute any Written Commitment for and on behalfof the Company,u rider the seal ofthe Company or otherwise, to the extent that such action Is authorized bythegrant afpowers provided for in such persons written appointment as such attorney-Iu4ct. (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behelrof the company,to appoint In writing any person the attorney-in- fact of the Company with hull power and authority to execute,for and on behaifofthe Co mpany,under the seal of the Companyor otherwise,such Written Commitments afthe Company as may be specified in such written appointment,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (41 Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized.for and on behaif of the Company,to delegate in writing to any other officer of the Company the authorkymexecite„for and on behalf of the Company.under the Company's seal or otherwise,such Wrkten Commitments oftheCompanyasarespecifled in such written delegation,which specification may be by general type or dassof Written Commitments or by specification ofone or more particular Written Commitments. (53 The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution.and the seal of the Company,may be affixed by facsim0e on such Written Commitmentorwritten appoimmentordelegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed tobeaneni statement ofthe powers and authority ofofficers,employees and other persons toacr for and on behalfof the Company,and such Resolution shall not limit or otherwhte affect the exercise of any such power or authority otherwise validlygramed or vested.' I,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies")do hereby certify that (I) the foregoing Resolutions adopted by the Board of Directors of the Companies are true,correct and in full force and effect (31) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Whitehouse Station,NJ,this May 12,2022 flomm%I.Chlony Assistant ticrrmarg 1N THE EVE::"fT YOU W15F:TO`JERIFY THE AUTHENTICITY OF THIS BOND OR:NOTIFY US OF ANY OTHER MATTER PL&1SP.CONTACT US AT: € Tel hone 908)903.3493 Fax-9001903-3656 a-men:surety0chubbcom Combined:FED-VIG-Pi-WFIC-AAIC(rev.11-19) CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. i State of California } County of Los Angeles } On 70 before me, R. Covington, Notary Public , ir+ yea + " personally appeared Curtis P. Brown III and Crissa A. Phillips , who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)lure subscribed to the within instrument and acknowledged to me that he�shvlthey executed the same in t bRw/their authorized capacity(ies), and that by hWbxWtheir 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. i R CO°d,NTCN WITNESS my hand and official seal. n ti C Ls COU;JY E& s Dec E,2024 �„- Notary Public Signature (Notary Public Seal) 1NSTRUCnONS FOR CON&LETING THIS FORM ' ADDITIONAL OPTIONAL INFORMATION Tkis.torm complies with current Californiastatutesregarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should he completed and attached to the document.,lcknowledgments from other states may be completed for documenu being sent to that state so long as the wording does not require the California notary to violate Cal farnia notary law. (Title or description of attached document) a State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. + Date of notarization must be the date that the signer(s)personally appeared which i (Title or descrajiKon of attached document continued) must also be the same date the acknowledgment is completed. + The notary public must print his or her name as it appears within his or her I Number of Pages Document pate commission followed by a comma and then your title(notary public). + Print the names) of document signer(s)who personally appear at the time of j notarization, CAPACITY CLAIMED BY THE SIGNER + Indicate the correct singular or plural forms by crossing off incoarcet forms(i.e, ❑ Individual (s) he/sh > is Jere)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. l ❑ Corporate Officer + The notary seal impression must be clear and photographically reproducible, 1 Impression most not cover test or lines.If seal impression smudges,re-seal if a (Tite sufficient area permits,otherwise complete a differart aelmowledgtncnt form. ❑ Partner(s) + Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attomey-irk-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) aaimowkedgnent is not misused or attached to a diffmart document. Other e Indicate title or type of attached document,mmnber of pages and date. ❑ � Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NctaryClasses.com 800-873-9865 + Securely attach this document to the signed document with a staple. .. ..... Bond No. Bid Bond BID BOND The American Institute of Arditteats, AIA Document No.A310(February, 1970 Edition) KNOW ALL 11EN BY THESE PRESENTS,that we PALP Inc.dba Excel Paving Company as Principal herelnaftr called the Principal,and Federal Insurance Comoanv a corporation duly organized underthe laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and firmly bound unto City of Huntinaton Beach as Obligm,hereinafter called the Obligee,in the SUM Of Ten percent of the total amount of the bid Dollars (S 10% ), for the payment of which sum well and truly to be made,the said Principal and the said Surety,bind ourselves,our heirs,executors,administrators,successors and assigns,Jointly and severally, firmly by these presents. WHEREAS,the Principal has submitted a bid for Alley West of Florida Street and Georgia Street Water Main Replacement Projects(CC No.1663)and Kiner-Gleada Water Main Improvement Project(CC No.1664) NOW,THEREFORE,if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithfiil performance of such Contract and for the prompt payment of labor and material fiunished in the prosecution thereog or in the event of the failure of the Principal to enter such Contract and give such bond or bonds,if the Principal shall pay to the Obligee the dill mace not to exceed the penalty hereof betwoen the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effied. Signed and sealed this 12th day of May 2022 PALP Inc.dba Excel Paving Company princw Crissa MR TO,Asst. Secretary B/,rti, P.Brown III,President Name/Title Federal Insurance Company Surety (sew) Wi1nCSS By: q- Douglas A app Altomey-in-Fact ORSC 21329 OM) ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On May 12, 2022 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(*)whose name(*) is/mle subscribed to the within instrument and acknowledged to me that heAsImp"executed the same in hisAMm**authorized capacity#po, and that by his/kem6imilosignature(-&) on the instrument the person(, or the entity upon behalf of which the person(*)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. sF�t�F ryF DEBRA SWANSON N P sT COMM.#2335630 o NOTARY PUBLIGCALIFORNIA ORANGE COUNTY N �4U,oa*hP MY COMM.EXR NOV 10,2024 Signature k-L-) (Seal) CHUBB` Power of Attorney Federal Insurance Company(Vigilant Insurance Company I Pacific Indemnity Company Westchester Fire Insurance Company I ACE American Insurance Company Know All by These Presents,that FEDERAL INSURANCE COMPANY,an Indiana corporation,VIGILANT INSURANCE COMPANY,a New York corporation,PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY corporations ofthe Commonwealth of Pennsylvania, do each hereby constitute and appoint Douglas A.Rapp and Timothy D.Rapp of Ladera Ranch,California-----_--__--------------_-----------_--_----__-------- each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on theirbehalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY have each executed and attested these presents and affixed their corporate seals on this Sth day of April,2021. 1. l Jt �Ll.�S A/ ,e—vot C Dawn M.Chloros.Assi&fanI Secretary Stephen X1.Haney.Vice President W. STATE OF NEW JERSEY County of Hunterdon SS On this Stb day of April,2021 before me,a Notary Public of New Jersey,personally came Dawn M.Chloros and Stephen M.Haney,to me known to be Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY,the companies which executed the foregoing Power of Attorney,and the said Dawn M.Chloros and Stephen M.Haney,being by me duly sworn, severally and each for herself and himself did depose and say that they are Assistant Secretary and Vice President,respectively,of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY and know the corporate seals thereof,that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of said Companies;and that their signatures as such officers were duly affixed and subscribed by like authority. Notarial Seal KATHERINE J.ADELAAR TARYF NOTARY PUBLIC OF NEW JERSEY No.2316085 PUBLI Commlasion F pima July 16,2024 Notary Public J CERTIFICATION Resolutions adopted by the Boards of Directors of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY on August 30,2016; WESTCHESTER FIRE INSURANCE COMPANY on December 11,2006;and ACE AMERICAN INSURANCE COMPANY on March 20,2009: "RESOLVED,that the following authorizations relate to the execution,for and on behalf ofthe Company,of bonds,undertakings,recognizances,contracts and other written commitments of the Company entered into in the ordinary course ofbusiness(each a"Written Commitment'): (1) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized to execute any Written Commitment for and onbehalfofthe Company,under the seal ofthe Company or otherwise. (Z) Each duly appointed attorney-io-factoftheCompanyisherebyauthorizedtoexecuteanyWrittenCommitmentforandonbehalfoftheCompany,underthesealoftheCompanyorotherwise, to the extent that such action is authorized bythe grant of powers provided for in such person's written appointment as such attorney-In-fact (3) Each of the Chairman,the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to appoint in writing any person the attorney-in- fact of the Company with full power and authority to execute,for and on behalfoftbe Company,under the seal ofthe Companyor otherwise,such Written Commitments ofthe Company as may be specified in such written appointment,which specification maybe by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (4) Each of the Chairman, the President and the Vice Presidents of the Company is hereby authorized,for and on behalf of the Company,to delegate in writing to any other officer of the Company the authority to execute,for and on behalf of the Company,under the Company's seal or otherwise,such Written Commitments ofthe Company as are specified in such written delegation,which specification may be by general type or class of Written Commitments or by specification of one or more particular Written Commitments. (S) The signature of any officer or other person executing any Written Commitment or appointment or delegation pursuant to this Resolution,and the seal ofthe Company,may be affixed by facsimile on such Written Commitment orwritten appointment or delegation. FURTHER RESOLVED,that the foregoing Resolution shall not be deemed to be an exclusive statement ofthe powers and authority of officers,employees and other persons to act for and on behalf of the Company,and such Resolution shall not limitor otherwise affect the exercise of any such power or authority otherwise validly granted or vested." 1,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,PACIFIC INDEMNITY COMPANY,WESTCHESTER FIRE INSURANCE COMPANY and ACE AMERICAN INSURANCE COMPANY(the"Companies')do hereby certify that (i) the foregoing Resolutions adopted by the Board of Directors ofthe Companies are true,correct and in full force and effect, (ii) the foregoing Power of Attorney is true,correct and in full force and effect. Given under my hand and seals of said Companies at Whitehouse Station,NJ,this May 12,2022 �'•..�+�' a+a ftiwn M.Chlorct;.As istanI Secretary IN THE EVENT YOU WISH TO VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT: Telephone 906 903-3493 Fax 908 903-3656 e-mail:surety@chubb.com Combined:FED-VIG-PI-VVFIC-AAIC(rev.11-19) CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } On 4 A'y 17 -':'12" before me, R. Covington, Notary Public , (tiere insen name and e of the O ficer personally appeared Curtis P. Brown III and Crissa A. Phillips , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that Wakie/they executed the same in hial /their authorized capacity(ies), and that by hx hier their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. NGTON WITNESS my hand and official seal. «; R.� eon�Mlw.4�232339692 v � c�ary ru"i�Cv �•n7ia t>: �'' '•� Ai,(aGLCS Lv 1 I Y }� e ire f, °,2024 Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT (fneeded,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate Calffornia notary law, (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). e Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. 13elshe/t)tey,-is late)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. s • Signature of the notary public must match the signature on file with the office of El Partner ( ) the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple. 0 1[ F j � m 1 � Y b � m o � Q m � O f a Ot Z G OLL 3; T 77 Cy- CW e a a a f v m�e.. Z O m m c C d m •� m g a m C W O O m O wWv J Oa`�cOim m Q 2 p00 • Q z W m m J 2 EC O aNO `A_ V City of Huntington Beach . .. 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov Ee. : Office of the City Clerk 17,1l09 / ► Robin Estanislau, City Clerk August 29, 2022 Mehta Mechanical Company, Inc. dba MMC, Inc. 5901 Fresca Dr. La Palma, CA 90623 RE: Alley West of Florida St and Georgia St Water Main Replacement Projects — CC No. 1663 and Kiner-Gleada Water Main Improvement Project—CC No. 1664 Enclosed please find your original bid bond for CC Nos. 1663 and 1664. Sincerely, IL Robin Estanislau, CIVIC City Clerk RE:ds Enclosure Sister City: Anjo, Japan City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 ADDENDUM NUMBER ONE For FLORIDA-GEORGIA WATER MAIN REPLACEMENT PROJECT(CC 1663) And KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC 1664) May 11,2022 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) Bid Electronically Due Date changed from May 18,2022 at 11:00 AM to May 26,2022 at 11:00 AM. 2) Delete Bid Item No.17—Survey Monument Preservation,Bid Schedule B,Kiner-Gieada CC 1664, and Section 7-6, Bid Item Description, Item 17, Page E-24. Attached is revised Bid Schedule B dated 05/11122. This is to acknowledge receipt and review of Addendum Number One,dated May 11,2022. Pf MC 1136 • Company Name B _ 5IybIZZ Date 1 of 1 of Addendum No.1 SECTION C PROPOSAL for the construction of ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECTS(CC NO.1663) AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT(CC-1664) 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 1.80 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 16-5195/City Funded Construction Contract.docx—revised 04/2016 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bidder' s Bond in the amount of 10 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids,payable to the AGENCY. (Please insert the words "Cash", "Certified Check",or"Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond fonn is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature r 1 May 11 C-2 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT, CC 1663 BID ITEMS X -4- ............ Mobilization and Setup LS $ $ 1_'Z5'C'00 2 Preconstruction Survey Documentation LS $ 6,00c, Furnish and Install Temporary Bypass to 3 LS $ 50jwo I $ Maintain Service in Alley Furnish and Install 6-inch C-900 PVC Water LF $ 14go $ 4WA6410 4 Main within Alley west of Florida 960 Furnish and Install 8-inch C-900 PVC 1'71, 00 0 5 Water Main within Georgia Street 285 LF $ 601 Connection to Existing 8-inch at Alley west 6 1 LS $ of Florida and Indianapolis Avenue i Connection to Existing 6-inch at Alley west 7 of Florida and Knoxville Avenue I LS $ 2-FtTo $ Connection to Existing 6-inch at Alley and $ 11 0 0 8 LS $ 2-1 OT Lincoln Avenue Connection to Existing 8-inch PVC on i LS $ 1-2-00c' $ 7-1000 9 Georgia Street Connection to Existing 12-inch PVC on LS $ $ 10 Georgia Street and Knoxville Avenue Furnish and Install 6-inch Gate Valve and 11 1 EA $+000 $_ I Valve Box(Sta 13+00.00) 2 — Remove.Dispose and Replace Existing Fire I 00 i $ 12 2 EA $ Stogy 1 Hydrant Assembly Construct New 1-inch Service and New 3/4- $ $ 13 45 EA inch or 1-inch Meter "00 $ Construct ew.1-inch Service and New 1.5- $ 14 inch or 2-inch Meter 5 EA C-3 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 Remove and Dispose Existing AC Pavement CY $ �a $ (T,DDO 15 and Base Within Alley 750 Remove and Dispose Existing Concrete Gutter SF $ TS" 16 within Alley 325 17 Reconstruct 3-inch AC Base Coarse $ pp $ 5$l DOp Pavement Within Alley 290 TONS Construct 11-inch Aggregate Base within $ 18 Alley 520 CY 3 19 Install 4-foot Wide Cross-Gutter within SF $ 2-0 $ �t/�� Alley 3,400 °Install 2-Inch Surface Course(Alley and TONS $ 2 0 6 $ '70,Odp 20 �eorgia) 350 a 1 - 21 Sta 100+20—Remove and Replace �p ! j p�vt7o Indianapolis Alley Approach 1 LS $ _t $ 22 Sta 103+50—Remove and Replace LS $ 2or pOv $ 2D�poc� Joliet(North)Alley Approach 1 Sta 103+10—Remove and Replace Joliet l $2p�t) $�a��o a 23 (South)Alley Approach 1 LS Sta 106+40—Remove and Replace o!v ?Q� 00 a 24 Knoxville(South)Alley Approach I LS $ $ Sta 106+80—Remove and Replace $ -solo 0 $ 2A�CaDt7 C 25 Knoxville(North)Alley Approach l LS Sta 109+70—Remove and Replace $ «,tNid $ l,S,apt? 26 Lincoln Alley Approach 1 LS i Construct Concrete Sidewalk SF $ 25 $ 27 170 28 Construct Concrete Curb and Gutter 60 LF $ $ 5r0 C-4 16-51951City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 Pressure Test,Disinfect and Flush New Mains 29 1 i Removal, Handling and Legal Disposal of LF $ 3c $ 13 V 30 Interfering Existing ACP 670 31 Abandon Existing 4-inch or 6-inch Pipeline 330 LF $ 5S 1 $ 21 µ and Fill with Slurry 32 Adjust Existing Utility Box to Grade 21 EA 500 $ 33 Traffic Control 1 LS $ pOKI $ "�' P 34 Georgia Street 3-Inch Grind 12,800 SF .as$ Z $ 2-5�bb � Install 1-Inch Leveling Course and Pavement TONS $ 15 ' $ i 2r-0Da 35 Fabric(Georgia Street) 80 3 36 Replace Striping 1 LS $ 25 $ 2- (oao 37 ( Prepare SWPPP and BMPs Implementation 1 LS $ 39i� $ 35tCV0 38 Demobilization and Cleanup LS $ 140,000 i $ 1 E Pavement Subgrade Over Excavation $ 50 $ 14 ,,vv 39 760 CY 40 Pipe Trench Over Excavation $ 3© $ 3 7,3 5V 1,245 LF Sewer Lateral Reconstruction EA $ � $ 41 10 Construct Pavement Fabric(Georgia Street) SF $ 2 $ 21 { �' 42 E 12840 E F Replace Survey Monument 2 EA $ Z� $ S dtTb i 43 i C-5 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE A ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 r 0 SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE A S SUB-TOTAL BID AMOUNT IN WORDS-SCHEDULE A: /t ,,111.rlu ref-sty +1,,j .a 4,ouSati4r `wf^! 741/e. c oll�tM Notes: 1) Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule A. 2) Bid Item Nos. 39, 40 and 41 -The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the 25% limit as stated in Section 2-7.1 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the City reserves the right to increase or decrease the quantity of this item. C-6 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 ^, /r/� 3 'cif r�� fi,z� :::: ✓ �� Y f „ . 11 Abandon non-interfering existing pipe in place by snap cutting, filling with cement-sand slurry and ca s*in per CityStd Plan 613 ],240 LF $ $ � t �6 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and 1 $ `v. D removint, 30 LF $ 13 Remodel existing sewer house connection laterals conflicting with proposed waterline 5 EA $040 $ oZ6000 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and treatment and disposal of-test water per Q�1 $�0 �a regulations 1 LS $� 15 Construct slurry seal type I including full street width(curb-to-curb) where shown on drawin s 43,000 SFT $ 1. ©O $ -�(3 16 i Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ $ 17 1 Survey Monument Preservation 2 EA $ -7150(7 $ 1 0""D t OTAL BID AMOUNT(IN FIGURES)-SCHEDULE B $ 1, I o 1 f 2 ao , 90 SUB-TOTAL BID AMOUNT IN WORDS—SCHEDULE B: d N 1V7 it I r`an a,re )4 andAw.( rnte 'Avusandr a`wG- Akndt�t /es.� Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 ^gin � Mobilization and setup including permits, 1 bonds,insurance. SWPPP preparation and 1 LS $75,7 000 $ 7,5'046 BMPs implementation 2 Demobilization and Cleanup 1 LS 100 $ 34 000 Furnish traffic control in accordance with City 3 of Huntington Beach requirements,complete �O and in Elace 1 LS $06 01 $ Conduct preconstruction survey of existing 4 street as required by the contract documents, 1 including preparation and submission of all required reports,videos,and photoga hs 1 LS $Jc-00 $ b--00d Furnish and install 8-inch diameter PVC I C900 DR14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and compaction 1,270 LF $ _7 ' $ g Furnish and install 1-inch plastic coated copper water service,and connect to existing%-inch water meter including 6 potholing, saw-cutting,removal and disposal of existing pavement,trench 1 excavation,shoring, backfill and compaction 33 EA $ ? $ � Furnish and install 8-inch resilient wedge 7 gate valve with valve box assembly per City 1 Std Plan 612 3 EA $g:om $ 1g:000 8 Remove and salvage existing fire hydrant, bury valve and appurtenances 2 EA $6 $ ZO,000 Construct 6-inch fire hydrant assembly, 9 pipe,valve box assembly,concrete pad, complete and in lace per City Std Plan 607 2 EA $��✓ $ �� ��� Connect to existing water mains with 10 transition couplings per details on Dwg C-4 1 LS $ $ �00d C-7 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 a Mobilization and setup including permits, 1 bonds,insurance, SATPP preparation and 1 LS $ 75t i BMPs im lementation Demobilization and Cleanup 2 4 1 LS $ 3o,� $ of00 Furnish traffic control in accordance with City 3 of Huntington Beach requirements,complete r� - 3 of upc, and in place 1 LS $ $ Conduct preconstruction survey of existing 4 street as required by the contract documents, including preparation and submission of all S0© $ 't 00 o required reports,videos,and photographs 1 LS $ t Furnish and install 8-inch diameter PVC C900 DR14 pipeline,ductile iron fittings, 5 including potholing,saw-cutting,removal and disposal of existing pavement,trench excavation,shoring,backfill and 2-$�650 compaction 1,270 LF $ $ Furnish and install 1-inch plastic coated copper water service,and connect to existing 3/4-inch water meter including 6 potholing,saw-cutting,removal and r disposal of existing pavement,trench excavation,shoring,backfill and g 2 �o com action 33 EA $ � $ Furnish and install 8-inch resilient wedge 7 } gate valve with valve box assembly per City 1 07 3 Std Plan 612 3 EA $ Remove and salvage existing fire hydrant, o $ bury valve and appurtenances 2 EA $ �Pt7� $ l of Oo Construct 6-inch fire hydrant assembly, 9 pipe,valve box assembly,concrete pad, oOII 3 ' pr tx�b complete and in .dace per City Std Plan 607 2 EA $ S� $ Connect to existing water mains with 10 transition couplings per details on Dwg C-4 1 LS $ 5i $ �i to C-7—Addendum No. 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE B(REVISED 05/11/22 Addendum No. 1) KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 i 11 Abandon non-interfering existing pipe in place by snap cutting,filling with cement-sand slurry 3 VOp and capping per CityStd Plan 613 1,240 LF $ $ �_ 12 Legally handle and dispose of interfering asbestos cement pipe after snap cutting and removing30 LF $ �o t? $ f ,o 13 Remodel existing sewer house connection laterals conflicting with proposed waterline 5 EA $ �t coo $ 7"5-� 14 Chlorination and testing of all new water mains and appurtenances,end caps, temporary blowoffs,appurtenances and j treatment and disposal of test water per 1 LS $ 1�rptlb $ rp�bpCa regulations 15 Construct slurry seal type I including full street width (curb-to-curb)where shown on 43 000 SFT $ 1,60 $ 4 3r t700 drawings , 16 Remove and reconstruct any damaged cross gutter in kind from nearest joint per City Std Plan 205 33 LF $ 3�0 $ SUB-TOTAL BID AMOUNT(IN FIGURES)-SCHEDULE B $ SUB-TOTAL BID AMOUNT IN WORDS—SCHEDULE B: dirt- M (f i uh f N if Alf-y 51'x -'%ousa it A f w8 14Vkr Ae.( stetl" Note: Refer to Section 7, Measure and Payment for description of each Item on Bid Schedule B. C-8 -Addendum No. 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 SECTION C PROJECT BID SCHEDULE TOTALS ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT,CC 1663 AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT,CC 1664 SUB-TOTAL BID SCHEDULE A $ 2/0 573,1 bSS. e►a SUB-TOTAL BID SCHEDULE B $ ��«�. �"� a I,0gb(Zuo �t1 TOTAL BID AMOUNT,BASIS OF AWARD (SCHEDULES A& B) 3� 14,ZS5 TOTAL BID AMOUNT,BASIS OF AWARD IN WORDS: -th.t t.e, 1011 t,'Q h s 6n a #urvt to ri c ty Fo ua. css�Kaiy o r�,d. r t°try .1 vt . Notes: All extensions of unit prices will be subject to verification by Owner. In case of a verification between the unit price and the extension,the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. C-9 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 2-15 rTl_ A 1000000d'76 15?,2Ws 2�35,ft t_0..tc4 VV,4 Est, GA 92_63 t b,1q,2.7 -TA Cvnrn.Vf 4 P4 rrraa q3(Arl So,voa s 2 c f lS Tu rnbccll Cat+-Y" at 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-10 16-5195/City Funded Construction Contract.docx—revised 04/2016 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 o42J6 m., at IQ. rvvA� , Date City State Jagat S . Mehta being first duly sworn, deposes and says that he or she is President of MMC 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. MMC Inc. - Jagat S.Mehta Name of Bidder Signatu B der 5901 Fresca Dr. La Palma, CA 90623 Address of Bidder C-11 16-5195/City Funded Construction Contract.docx—revised 04/2016 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract,known as the ALLEY WEST OF FLORIDA STREET AND GEORGIA STREET WATER MAIN REPLACEMENT PROJECT(CC NO.1663)AND KINER-GLEADA WATER MAIN IMPROVEMENT PROJECT (CC NO. 1664),(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. MMC Inc. Contractor -��W By President Title Date: %+?.Z. C-12 16-5195/City Funded Construction Contract.docx—revised 04/2016 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? 6 Yes ❑No If the answer is yes, explain the circumstances in the space provided. MMC Inc. was debarred by the Department of Industrial Relations, Division of Labor Standards Enforcement in the year 2002, for a period of three (3) years (2002-2005) due to non-compliance of prevailing wages Project: Final Sedimentation Basin Pipe Replacment Owner: City of Los Angeles Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-13 16-5195/City Funded Construction Contract.docx—revised 04/2016 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. MMC Inc. Contractor By President Title Date: t�)2.b) C-14 16-5195/City Funded Construction Contract.docx—revised 04/2016 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: M_ehta Mechanical Company Inc. dba MMC Inc. Bidder Name 5901 Fresca Dr. Business Address La Palma, CA 90623 City, State Zip ( 714 ) 521-2022 j ay@aboutmmc.com Telephone Number Email Address 573635-A,B, C-11,C-61/D-21 State Contractor's License No. and Class 07/23/1989 Original Date Issued 07/30/2022 Expiration Date The work site was inspected by TA &41 ja M64 our office on )G - 202 2-2- The following are persons, firms, and corporations having a principal interest in this proposal: Jagat S.Mehta-President/Treasurer/Manager Mohan S . Mehta-Secretary The undersigned is prepared to satisfy the Council of the City of Huntin1.1 gton 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. MMC Inc. Company Name Signature of Bidder 1` Jagat S.Mehta Printed or Typed Signature C-15 16-5195/City Funded Construction Contract.docx-revised 04/2016 NOTARY CERTIFICATE Subscribed and sworn to before me this 26 ilk day of 1�'iG , 202 2-. 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 oft: ---) County of n M.Y141+P—. —) On 05 lz 12j2- before me. wa 5b1ro nOt i Month,Day,and Year Insert Name!nlTitle tart' personally appeared Name(s f 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. � ALKAS.SHMOF Notary Public•California WITNESS my hand and official seal - orangecountY Y Commission!2383649 .�,. My Comm.Expires Dec t 3,2025 war Signature " St'd Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-16 16-5195/City Funded Construction Contract.docx—revised 04/2016 Bidder's Project History For the purposes of this project,the bidder shall provide project history of similar work, specifically referencing the construction of potable water pipelines within public right-of-way in alley and/or street, alley and street paving projects within public right-of-way, and working within major arterials, alleys and streets and in close proximity to other underground utilities.Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. LAGDPW Las• a�sn C�ur� �,,«k d 14�'c. t,)P14C4) Name and Address of Public Agency Name and Telephone No. of Project Manager: !'ta-e'ki wi t f� t-N RN T�E q S S. .3107 v io3e �,,y,l-e �rtfts Gs' M 2vz o ac,�bf4ti4'm a Iz Urct"nlurn pd Contract Amount Type of Work Date Completed Provide additional project description to show similar work: M T�w5 4, 132, 3rs" e(AL. . eftg fnt ►1t Lc9a,t" C•i�t � n.01rY� 5,1 1 C�vViL.'s.- 4 '1` Ave `��y�►� ]��OG�t ��.w.Ffi'GCIkF`+I 2. L A G D P W 1* Los - cA h Couvif.j Name and Address of Public Agency ALiOuKt- Dian t - b26--3�°-3Z�3t - Name and Telephone No. of Project Manager: lq"-3«7 -5OVOLf $" -IOV pvc Ota4do c- t, Contract Amount Type of Work Date Completed Provide additional project description to show similar work: f,K c t ti t ct,�-f-tuc + 5 ' �-'F S z-�to� PYc '` _. ai%ti ne W 's1, i,iwt EXrua �,. 3 � •'1) pow I tT Ar 3. Git 970 VeWfu2A 5f. 5aw+*t pa'.apti Name and Address of Public Agency 64,0005" P W IF Name and Telephone No. of Project Manager: T off n1 Z C!e4 51 J) Goss q 33 - 42-12- x 307 S,147,000 CO lf,tw,Gf'1_^ fBVOd*v punlp,4 *Vn%' i w/7 Contract Amount Type of Work Date Completed Provide additional project description to show similar wor lwSftal'(t.kw / t, G!y)L L Un.__ Zth+L �+w7�"dif'�Z I� ;rI�'t Jy 'Ls s. fit_ ilkkct f, f2w" u,i IR404�e«L ,P , St"', lam' ` C-17 16-5195/City Funded Construction Contract.docx—revised 04/2016 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions. please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. JYi c.p3rFpM .1 Ay tvi E H 7X Name of proposed Project Manager Telephone No. of proposed Project Manager: /� ►� -use` j�rls. G'�t Af"-I .e-sabzv r,�n•� , mac Project Name&Contract Amount Type of Work Date Completed Ye Ai '! k"$BSI- 446404.. 2sr-+� a�pvLt¢"(�`� t "4,te Project Name&Contract Amount Type of Work Date Completed L O c D P#%) ar S(7, 04 Gox��c�tlwr*, c r,o (,ate -o z 6 Project Name& Contract Amount Type of Work Date Completed 2. Moirttat Vt~ R-H Name of proposed Superintendent Telephone No. of proposed Superintendent: _ '7 t 4 - 3 G 3 1314 LAt,Ap14/- hvvAl 4S4(-6+ `° t,t Stu. �an►e��+'� ' ' Project Name&Contract Amount Type of Work Date Completed Op v Project Name&Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed C-1 8 16-5195/City Funded Construction Contract.docx—revised 04/2016 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20, 2014, established a new public works Contractor Registration Program, which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year)with the California Department of Industrial Relations (DIR). Currently the annual non-refundable registration fee for Contractors is$300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https:Hefiling.dir.ca.gov/P W CR/ActionSery let?action=displayP WCRegistrationFortn D[R'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. MMC Inc. Contractor ., A� By t`'� jay@aboutmmc.com Email President Title Date: ,fl61?4) _— PWC Registration#: 1000013675 C-19 16-5195/City Funded Construction Contract.docx—revised 04/2016 PROJECTS COMPLETED MMC, Inc. Owner Architect/ Project Manager Project Name Project Contract Date of Description of work Engineer Location Amount Completion Metropolitan Water District of John P.Vrsalovich F.E.Weymouth La Verne,CA $2,994,000 Jan'22 Const.of concrete So.Ca. 213-217-6000 Water Treatment bldg.and 700 N.Alameda St. Plant instrumentation on Los Angeles,CA 90012 tie-ins and utility tie- 213-217-6000 inns OCSD Vince Oseguera Trickling Filter Huntington $184,000 Dec'21 Demo exhaust fans, 10844 Ellis Ave. v0se erasa oc&tn. env Sludge Pump Beach,CA air ducts,cont.install Fountain Valley,CA 92708 714-861-2627 Room Exhaust Fan new exhaust fans. 714-962-2411 Relocation at Plant No.2 OCSD Robbie A.Coronel Safety Fountain $469,000 Sept.'21 Installation of 10844 Ellis Ave. reomnel rxocsd,ca Improvements Valley,CA exhaust&supply Fountain Valley,CA 92708 714-593-7083 program fan,installation& 714-962-2411 purging system LACDPW Hector Hernandez Ave.M&5t°St. Palmdale,CA $1,104,373 May'20 Installation of 900 S.Fremont Ave. 626-458-3144 East Wellhead underground pipes, Alhambra,CA 1}heman°d.nw,lu.qua. y Arsenic Treatment valves,install lining � 626-458-2180 System of retention basin -„ ......... OCSD Darius Gahzi Rehabilitation of Fountain $1,998,000 May'20 24 Clarifies Sludge 10844 Ellis Ave. 714-593-7586 twenty four(24) Valley,CA Collection,equipment Fountain Valley,CA 92708 dghazi@ocsd.com Rectangular replacers,chain gears Clarifiers etc. Metropolitan Water District of Robert Myers Installation of Yorba Linda, $475,000 May'20 Installation of Southern CA 909-322-8516 Yorba Linda CA generator enclosure 700 N.Alameda St. Myer-Sa m%y`h2q.ggm Generator Los Angeles,CA 90012 Enclosure 213-217-6000 City of Huntington Beach Jim Escutia Edgewater Sewer Huntington $4,315,771 May'20 Const.of sewer lift 2000 Main St. 714-536-5525 Lift Station Beach,CA station,de-watering, Huntington Beach,CA 92648 jescutia@surfcity-hb.org underground pump 714-536-5431 structure City of Los Angeles(Owner) Arash Daghighian LAFD Van Nuys, Van Nuys, $348,452 May'20 Underground Ford E.C.(Prime) 310-864-9112 Fire Station No.39 CA utilities,storm drain 10850 Wilshire blvd.#380 , !,!Jh fardecinc.coni retention tank Page I of 10 PROJECTS COMPLETED MMC Inc. Los Angeles,CA 90024 310474-7999 Orange County Sanitation District Matthew Pens Fuel Cell and Fountain $474,000 June 2'20 Demolition of plant 10844 Ellis Ave. 714-593-7184 Boiler Facilities Valley,CA Fountain Valley,CA 92708 men a" sd.cam Demolition 714-962-2411 City of Redondo Beach Saila Potukuchi Rindge Sanitary Redondo $2,194,256 June 2020 Const.of sewer lift 415 Diamond St. 310-318-0661 Sewer Pump Beach,CA station,de-watering, Redondo Beach,CA 90277 Sailaaotukucbi ri redon&.jn.� Station Project Underground pump 310-318-0661 structure LACDPW Vittorio Monteil Pitchess Laundry Castaic,CA $2,002,767 July 8,2020 Upgrade laundry bldg., 900 S.Fremont Ave. 626-300-3267 Water Tanks electrical,plumbing, Alhambra,CA 91803 v_mantc,il,ir,:dpw.lacoun�.,g v Replacement install water softening 626-458-2180 system LACDPW Alioune Dioum Fire Camp 13 Life Malibu,CA $2,817,061 01/30/2020 Const.500 linear feet 900 S.Fremont Ave. 626-300-3273 Safety Improvements 8"domestic water line, Alhambra,CA 91803 adiour (a dpw.lac�v modification of waste 626-458-2180 water treatment LACSD Rommel Garcia Joint Water Pollution Carson,CA $494,450 01/23/2019 Replace diesel fuel line, 1955 Workman Mill Rd. 562-447-3567 Control Plant Energy install fire sprinkler Whittier,CA 90607 Facility system 562-699-7411 State of CA Rodd Borgogno Boiler Nox Retrofit Costa Mesa, $1,100,555 Aug'18 Retrofit of boiler nox Dept.of General Services 916-375-4275 CA system 707 Third St. ltodd.borg gggc%sjq . Sacramento CA City of Santa Paula John L.Ilasin,P.E. 600 Zone Booster Santa Paula, $3,162,000 - 12/04/2017 Const.pump station for 970 Ventura St. 805-933-4212 ext.307 Pump Station CA domestic water,bldg.., Santa Paula,CA 93061 iihu;in a?s p C ity,orQ pipeline,valves 805-525-4478 City of Los Angeles Arash Daghighian(Ford E.C) HT?Truck loading Playa Del Rey $606,500 12/2017 Installation of 12000 Vista Del Mar,#200 (Prime Contractor) facility Odor Control blowers,60"FRP pipe, Playa Del Rey,CA 90293 310-864-9112 Modernization tanks,diffusers,pipe 310-648-6155 arash,a fordecinc.e su ort City of Los Angeles Arash Daghighian(Ford E.C) CLARTS Los Angeles, $1,360,000 Feb 2017 (MMC Subcontractor) 1149 S.Broadway,51 fl (Prime Contractor) Storm water and CA All wet Utilities Los Angeles,CA 90015 310-864-9112 Safety Improvements 213-485-1411 Page II of 10 PROJECTS COMPLETED MMC Inc. City of Downey Safa Kamangar Blandwood Rd.and City of $1,431,297 07/28/2017 Sewer pump station, 1 I I 1 I Brookshire Ave. True Ave.Sewer Lift Downey,CA forcemain,gravity Downey,CA 90241 949-585-0477 Station Replacement 562-869-7331 Metropolitan Water District Rick Wulf Venice Power Plant Venice Beach, $74,111.00 Nov 2016 Installation of pumps, 700 N.Alameda St. 213-217-7356 Sump and Sewer CA pipes and valves Los Angeles,CA 90012 Modifications South Orange County Community James Rogers PE Sewer Ejector Saddleback $274,000 09/23/2016 Installation of wet well, College District Senior Administrator preiect College,CA electrical,pumps,pipes 28000 Marguerite Parkway 949-677-3648 and valves Mission Viejo,CA 92692 Jrogers39@saddleback.edu 949-5824500 County Sanitation District of LA Jubilant Ako Landfill Gas Wells at Various $1,823,100 07/13/2016 Develop Gas Wells, County 626-962-8605 ext.6214 Various District Locations pipes,valves 1955 Workman Mill Rd. iaiecvee lac d.or% Landfills-2014 Whittier,CA 90607 — 562-6997411 Foot Hill Municipal Water District Mike Sovich,P.E. Main Pump Station Pasadena,CA $43,288 March 2016 Construction of pump 4536 Hampton Rd. 818-790-4036 Portable Pumping discharge piping La Canada Flintridge,CA 91012 msovichFr:fniwd.com Unit/Connection 818-790-4036 Pi ing R lacement NOCCCD 714-998-2300 Storm Drain Pump Anaheim,CA $404,111.00 01/2016 Replace storm drain, 1830 W.Romneya Dr. Christine Fighera Replacement Project pumps,electrical Anaheim,CA 92801 714-808-4896 at Anaheim Campus controls,piping. 714-808-4776 cfi he C&,nocccd.edu LACDPW Victor Bermudez(Const. Compton Creek Rancho $1,671,142 01/28/2016 Pump station upgrade: PO Box 1460 supervisor) Pump Station Units Dominguez, replace pumps,gas Alhambra,CA 91802 626-688-8275 land 2 station CA system,upgrade 626-458-5100 vbermud 'i dow.tacr�unt+>:gczy upgrades Phase 2 electrical,pump Farhad Shojai controls 626-614-6731 City of Long Beach Ford E.C.(Prime Contractor) Naples Island Long Beach, $429,579.00 10/31/15 Construction of storm 333 W.Ocean bled. Arash Daghighian Permanent Seawall CA drain Long Beach,CA 90802 310-864-9112 Repairs-Phase I (MMC-Subcontractor) Ford E.C. Prime arash ettfordecine.com City of Los Angeles Ford E.C.(Prime Contractor) Santa Monica Bay Santa Monica, $796,287 06/26/15 Install new sewer line 1149 S.Broadway St. Arash Daghighian Low Flow Diversion CA (MMC— Los Angeles,CA 90015 310-864-9112 U tade Subcontractor HM Holloway Inc. Chad Wright Landfill Gas Passive Lost Hill,CA $198,250 05/2015 Drilling holes 2019 Westwind Dr.Suite B 661-797-2320 Gas Vent Collection approximately 40' Bakersfield,CA 93301 c�!rr ht:r- -hmh psum.com System deep,install 6"HDP 661-797-2320 erforated fill with rock Page III of 10 PROJECTS COMPLETED MMC,Inc. County Sanitation Districts of LA District Russ Vakharia Palos Verdes Landfill Rolling Hills $1,964,147 OS/27/15 Power plant demolition, 1955 Workman Mill Rd. 310-710-4458 Plant Demolition Estate,CA const.of storm drain, Whittier,CA 90607 rvakhada@lacsd.org installation of standby 562-699-7411 generator Orange County Sanitation District Don Van Voorst Re-build Heat MMC Inc. $48,895 02/2015 Re-build&overhaul 2 10844 Ellis Ave. 714-593-7624 Exchangers workshop hot water heat Fountain Valley,CA 92708 dvanvoorst@ocsd.com exchanger and Ichilled 714-593-7784 water heat exch�er. Department of Water Resources District Arthur Valencia Replace Septic Four(4)plants $1,685,906 02/04/15 Replacement of septic 1416 Ninth St. 661-233-2253 Tanks,Sewage in CA tanks,pumps,piping, P.O.Box 942836 Arthur.valencia@water.ca.gov Piping and Pumps valves,controls& Sacramento,CA 94236 Angela Hall supports 916-653-5791 661-233-2253 SAWPA City Carlos Quintero Brine Line Reach 4B Riverside,CA $305,947 03/21/14 Installation of ME, 11615 Sterling Ave. 951-3544234 Upper Corona,CA pipeline and valves Riverside,CA 92503 cuintero@sawpa.org Improvements- 951-354-4220 Phase3 City of Los Angeles City Ford E.C.(General Contractor) Echo Park Echo Park,Los $3,139,823 06/2013 Underground Utilities 1149 S_Broadway St. Arash Daghighian Rehabilitation Project Angeles (pump station pipeline, Los Angeles,CA 90015 310-864-9112 storm drain City of Redlands City Greg Brooks Country Club Redlands,CA $956,137 05/2013 Const.of Booster pump Engineering Division 909-798-7585 Reservoir Booster station and site 35 Cajon St. gbrooks@cityofredlands.org Station&Site improvements,suction Redlands,CA 92373 Improvements &discharge pipes& valves Inland Empire Utilities Agency Agency John Scherck RP-4 Odor Control Rancho $102,654 04/2012 Install blower and FRP 6075 Kimball Ave. 909-993-1547 Back-up Blower Cucamonga pipe. Chino,CA 91708 jscherck@ieua.org 909-993-1600 _ County Sanitation Districts of LA County Mark Pettit Installation of Pumps at Cerritos,CA& $109,501 61/09/13 Remove old pumps; P.O.Box 4998 310-638-1161 ext 6804 Bloomfield and Long Long Beach, Install new pumps, Whittier,CA 906074998 Beach Water CA pipeline and valves. 562-699-741 I Reclamation Plant Interceptor Purnpi SAWPA 11615 Sterling Ave. RBF consultants Brine Line County of $1,155,284 05/15/2012 Riverside,CA 92503 Douglas Cook Enhancement Riverside Install.8 underground 951-354-4220 SAWPA 858-518-3072 Project-Reach IV-D vaults&valves for const.of 4EA&8" diversion structure, install 48"valves Metropolitan Water District District Toby Roots Julian Hinds Pump Julian Hinds $428,551 04/2012 Repair expansion joints 700 N.Alameda St. 951-926-7228 Plant Delivery Pipe Mountain 6 feet diameter delivery Los Angeles,CA 90012 'root mwdh2o.com Expansion Joint ... ............_,__„� pipe i, Page IV of 10 PROJECTS COMPLETED MMC Inc. _ 213-217-6000 air Phase 1 Foothill Municipal Water District District Krieger&Stewart Berkshire Pump Pasadena,CA $143,000 03/20/12 Installation of pump& 4536 Hampton Rd. Josh MacPeek Station Booster No. modify discharge La Canada Flintridge,CA 91012 951-684-6900 4B,3E&4W connection 818-790-4036 Renlacement City of Redondo Beach City Mike Shay Alta Vista Park Redondo $1,451,751 12/20/11 Installation of pump 415 Diamond St. 310-318-0661 Diversion&Reuse Beach,CA filter system and Redondo Beach,CA 90277 ext.2455 Project holding tank, (310)318-0662 mike.shay@redondo.org underground pump buildin. City of Thousand Oaks City of Diana Lockyer Const.of Interceptor Thousand $505,000 07/05/11 Construction of new lift 2100 Thousand Oaks blvd. Thousand 805-449-2445 Improvements,Phase Oaks,CA station building; Thousand Oaks,CA 91362 Oaks 805-449-2475-Fax 3,Rehabilitation of renovate existing wet 805-449-2400 Industrial Lift Station well;epoxy coat,install piping&valves Foot Hill Municipal Water District District Krieger&Stewart Main Pump Station Pasadena,CA $49,000 09/2011 Repair damaged pump 4536 Hampton Rd. Josh MacPeek Booster No.1 West works and flanges; La Canada Flintridge,CA 91012 951-684-6900 Replacement epoxy coated piping 818-790-4036 Metropolitan Water District of MWD Brian May Air Release& Various Cities $1,095,101 Replacing old Air Vac So.Cal. 909-392-5140 Vacuum Valve in LA County 07/19/il at various locations 700 N.Alameda St. bmay@mwdh2o.com Relocation for (total of 22 locations) Los Angeles,CA 90012 Treated Pipelines 213-217-6000 Const.Package No. 10 LA Dept.of Water&Power Dept.of Jessica Lewis Furnish&Install Los Angeles $2,481,501 04/15l11 Install SCR Catalysts in 111 N.Hope St. Water& 213-367-2754 SCR Catalysts at five gas fueled power Los Angeles,CA 90012 Power Jessica.lewis@ladwp.com Harbor and Valley plants 213-367-2754 Generating Stations County of LA/Flood Control District County of Emil Kurlyand Rio-Hondo Channel Montebello, $674,000 05/04/11 Replace Pump and 900 S.Fremont Ave. LA 626-458-3166 Ivy St.Pump Station CA Motor Control, Alhambra,CA 91803 Upgrade&Pop Link construct steel pump 626-458-5100 Pump Station station building& platform City of Los Angeles City of Los Leslie Wall LAG/DCT Water Glendale Water 441 000 2/3/2011 Eglacement of old Page Vof10 PROJECTS COMPLETED MMG Inc. Dept.of Public Works Angeles 310-648-6168 Reclamation Plant Plant and DC exhaust fans(total of 200 N.Spring ST.Rm355 310-648-6155 Tillman Water 20EA) Los Angeles,CA 90012 Leslie.Wall@lacity.org Plant 213-978-0261 County Sanitation District of LA District Polly C.Wong Construction of Joint Dominguez& 362,000 03/2010 Structural Repair of 1955 Workman Mill Rd. 562-699-7411 ext.1609 Out Fall Lamberton in Out Fall Whittier,CA 90670 562-908-0531-fax City of Carson, 562-699-7411 CA Los Angeles Unified School District WLC Frank Sarraf Valley Region Sylmar,CA 60,000 03/210 Underground Utilities 818-767-1123 Architects 310-420-0425 Elementary School (MMC sub for this 310-395-6777-Fax No.8 project) __ ........ Long Beach Unified School District McCarthy Susan Ahn(Facilities Manager) Reid High School Various 2,751,151.00 09/05/2009 Re locating Schools 2425 Webster Ave. 562-997-7558-PH Re-locatable Project Schools in portable bldgs.Const. Long Beach,CA 90810 562-595-8644-Fax Long Beach, of new school site, 562-663-3031 sahnAlbschools.net CA grading,landscape, 562-634-5013-Fax Vince Marchedies demo 562-997-7550-Ph Helix Water District Luis Valdez,P.E.Civil Engineer 36 inch Lake Valve La Mesa,CA 610,101.00 36"bull valve 7811 University Ave. District 619-667-6249-Ph Replacement replacement,const.of La Mesa,CA 91941 619-667-6235-Fax valve vault,piping& 619466-0585-ph 08/2009 construction 619466-1823-fax County Sanitation District of LA County Ted Brodeur Arcadia-Sierra Madre Arcadia,CA 1,491,500.00 02/2009 Construction of Trunk County Sanitation 626-962-8605 ext.6714 Sewer Trunk Sewer line, 1955 Workman Mill Rd. 626-814-9221-Fax approximately 3,000 Whittier,CA 90607 tlmro4leur-'aJ51ced org L.F. 562-699-7411 West Basin Municipal Water District Water Veronica Govea(Water Microfiltration United Water, 542,890.00 042009 Tank Replacement, 17140 S.Avalon Blvd.suite 210 Resources Resources Enginner) Equalization Tank El Segundo, piping,valves, Carson,CA 90746 Engineer 310-660-6269 CA electrical control 310-217-2411 310-217-2414-Fax 310-217-2414-Fax yeronic rr westbasin.org Page VI of 10 PROJECTS COMPLETED MMC Inc. City of Pomona Metcalf& Raul Garibay(Utility Engineer) Construction of City of $2,036,331.00 0112009 Plant Expansion, 505 S.Garey Ave. Eddy Ph:909-620-2239 Anion Exchange Pomona,CA installation of tanks, Pomona,CA 91769 Ph:714-567- Fax:909-620-2222 Plant Expansion pumps,valves,filters, 909-620-2261 2447 raul_garibay@ci.pomonaca.us concrete pad, Fax:714- demolition of old plant 567-2594 Goldrich&Kest Ken Loesch Phase I&II La Palma,CA $326,025 05/2008 Concrete slab work, 5150 Overland Ave. 310-280-5087 Fresca Parking construction of parking Culver City,CA 90230 Structure lot 310-280-5087 City of South Gate Willdan Gladis Deras Well 25 Booster South Gate $315,784.00 03/2008 Pump Replacement, 8650 California Ave. 323-357-9661 pump Replacements replace pumps,valves South Gate,CA 90280-3075 &VFD 323-563-9572 Page VII of 10 PROJECTS COMPLETED MMC Inc. City of Escondido Neil Greenwood Improvements to City of $329,580.00 09/07 Installing Blower and 201 N.Broadway Ph:(760)9394078 HARF&lift Station Escondido pipe Escondido,CA 92025 Fax:760-740-0948 No.3 760-839-4617 City of Buena Park Nabil Henein Bridge Barrier City of Buena $400,000.00 08/07 Construction of Bridge 6650 Beach Blvd. 714-562-3692 Replacement Park wall and installation of Buena Park,CA 90622 rails 714-562-3500 East LA Community College Beth(LA College) Underground Utilities East LA $1,425,000.00 01/07 Underground utilities: 770 Wilshire blvd.V floor Aarsh Daghighian College water,irrigation,gas, Los Angeles,CA 90017-3856 (Ford E.C.)-General Contractor sewer pipeline 323-265-8650 Ph:310-264-2145 (MMC worked as Fax:310-264-2146 Subcontractor) Bureau of Reclamation Matt Sheskier Flatiron Power and Denver, $230,000.00 08/2004 Manufacture and Denver,Colorado Ph:(970)962-4510 Pumping Plant Colorado installation of Hatch P.O.Box 36900 Fax:970-962-4520 Replacement Hatch Covers Billings,MT 59107-6900 Covers-Big 970-962-4510 Thompson,Colorado Bureau of Reclamation-Tracy Bureau of Larry Watterudd Rebuild velocity Byron,CA $97,101.00 5/9/03 REBUILD VELOCITY 6525 Lindemann Road Reclamation Ph:559-487-5089 control pumps 94514 CONTROL PUMPS P.O.Box 25508 Fax:559-587-5397 located at Bureau of LOCATED @ Byron,CA 94514 Reclamation BUREAU OF 559-487-5089 RECLAMATION, _ TRACY FISH Orange County Sheriff m Art Rebuild Orange, $87,101.00 05/03 Remove,Rebuild and 431 City Drive South McClure Cooling Tower at CA Re-Install Cooling Orange,CA 92868 (714)935- Theo Lacy Jail Tower 714-935-8479 8479 Department of Corrections Lisa Marquez Repair(7)Davis Iron Wood $51,050.00 03/03 Repair(7)Davis EMU 19005 Wiley's Well Rd. (916)322-3101 EMU Pumps State Prison Pumps Blythe,CA 82225 Weldon 760-921-3000 Sewell (760)921-3000 Fax:760-921-4320 Kaiser Permanente Kaiser Mike Leogrande Re-Build Chiller Fontana,CA $45,918.00 01/03 Rebuild Chiller Pumps 14520 Hawthorne Permanente 909-4274119 Pumps Fontana,CA 92335 909-427-5164 Page VIII of 10 PROJECTS COMPLETED MMC Inc. LA County Public Works LA County Jack Payette Ulmus Drive Sewage Calabasas,CA 791,535.00 01/03 Construction of Sewage Construction Division 81 fl. Public 818-592-0756 Pump Station Pump Station 900 S.Fremont Ave. Works Renovation Alhambra,CA 92728 626-458-3104 City of Pomona City of Hong Wang Replacement of Pomona,CA 2,141,000.00 09/2002 Construction of sewage 505 S.Garey Ave. Pomona sewage pump station lift station and pipe line Pomona,CA 91769 #3 UC Riverside Pro West Jeff Rising Underground Student Riverside,CA 448,000.00 09/2002 Installation of Elevators Expansion City of Big Bear Lake _ SO& Phil Taylor Sewage Lift Station# Big Bear,CA 124,101.00 08/2002 Modification of Sewage P.O.Box 1000 Associates 2 Lift Station and pipe Big Bear,CA 92315 760-242- line 2365 City of Upland Pat Nance Library Elevator Upland,CA 49,000.00 07/2002 Upgrade passenger 460 N.Euclid Ave. 909-931-4268 Upgrade elevator Upland,CA 91786 O.C.Sanitation District Sid Kirk Ventilation Irvine,CA 214,121.00 05/2002 Ventilation 10844 Ellis Ave. 714-593-7342 Improvements at Improvements Fountain Valley,CA 92728 Main St.pump Station City of Industry CNC Richard Walker Irrigation Pumps and Industry,CA 317,000.00 04/2002 Replacement of 255 N.Hacienda blvd.#222 Engineering Controls Irrigation pumps and Industry,CA 91744 626-821- controls 3456 UC Riverside Spieth Hall George George McMullin Speitb Hall Elevator U C Riverside 139,000.00 02/2002 Elevator Removal 680 W.Linden St. McMullin Removal Campus Riverside,CA 92507 Town of Apple Valley SO& Roger Lopez Pump&Piping Town of Apple 50,000.00 07/2001 Installation of new 20440 Highway 18 Associates 760-240-7542 Replacement Valley,CA pumps and Piping Apple Valley,CA 92307 760-242- 760-240-7500 2365 Page IX of 10 PROJECTS COMPLETED MMC Inc. City of Inglewood ASL Ray Morning side Inglewood,CA 2,257,000.00 07/2001 Reservoir Retrofit One Manchester blvd. Consultant 310412-5333 Reservoir and Pump Inglewood,CA 90301 Engineers Station Structural I 310-412-5333 626-683- Rehabilitation I 0066 Eastern Municipal Water District Arlen Nielson Pump station and Sun City $1,750,000.00 9/00 Installation and 2270 Trumble Rd. 909-928-3777 ext.4491 pipe lining construction of pump P.O.Box 8300 station.Installation of Perris,CA 92572 14,000 L.F.of 18"pipe 909-928-3777 Page X of 10 PROJECTS IN PROGRESS MMC INC. Owner Architect Project Engineer/Contact Project Name Project Contract Start Date Date of Description / Location Amt. Completi Engineer on Exxon Mobil Refinery Butch Hilliard Varies Pump,fin- 12000 Time and On call On going Repair of 12000 Calle Road 805-9614274 fan,compressor, Calle Road Materials Varies Goleta,CA 93117 Coleman.m.hilliard c'exxonm gear box.etc.repair Goleta basis Pump,fin- fan, compressor, gear box. etc. United Water Services Miguel Marin Varies Pump,fin- 1935 S. Time and On Call On going Varies West Basin Facility 310-426-6150 fan,compressor, Hughes Materials Pump,fm- 1935 S.Hughes Way mi luel_marin(itunitedwater.c gear box.etc.repair Way Basis fan, El Segundo,CA.90245 om compressor, gear box. etc.repair Torrance Refinery Juan Ramirez Varies Pump,fin- 3700 Time and On call On going Repair of Company 310-863-0313 fan,compressor, W.190t6 St. Materials Varies 3700 W 190th St. Juan.ramirez it tbfener*ies.co gearbox.Etc.repair Torrance basis Torrance,CA 90504 m Pump,fin- fan, compressor, gear box. Etc. State of California Rodd Borgogno Boiler Nox Retrofit Costa Mesa, $984,111.00 July 15 April Retrofit of Dept.of General Services 916-375-4275 CA 2017 boiler nox 707 Third St. Rpdd.bor o niraz'ca. c t system West Sacramento,CA 95605 Page 1 City of Santa Monica Gary Richinick Arcadia Water Plant& 1228 S Bundy 175,000.00 July'16 On-Call Arcadia Water Treatment Plant 213-709-1888 Charnock Well Field Dr. Water Plant 1228 S Bundy Dive Gary.richinick@smgov.net Los Angeles &Charnock Los Angeles,CA 90025 Gloria Montoya Well Field Glaria.nicsrngay.neT service agreement Los Angeles County Rommel Garcia Puente Hills Materials Whittier,CA $4,351,656.00 March'18 Oct'21 Underground Sanitation District 562-447-3567 Recovery Facility utilities,4EA 1955 Workman Mill Rd. rommelgarcia@lacsd.org Storm Water Capture pump Whittier,CA 90601 stations,7 tanks installation City of Paramount Adriana Figueroa Equipping Well No. City of $6,384,451.00 _ March'20 On-going Install water 16400 Colorado Ave. 562-220-2100 16 and Treatment Paramount filters, Paramount,CA 90723 afrgueroa@paramountcity.com Plant backwash tank,above ground pipe, underground utilities Los Angles County Dept.of Fred Ganjian Former Cogen Landfill Los Angeles, $1,839,000 June'20 Dec'21 Const.of gas Public Works 626-300-2354 Gas Extraction System CA wells and 900 S.Fremont Ave. fganjian@dpw.lacounty.gov treatment Alhambra,CA plant 626-458-2180 City of Huntington Beach Jim Escutia Slater Sewer Lift Huntington $3,958,750 May'20 Feb'22 Sewer lift 2000 Main St. 714-536-5525 Station Beach,Ca station, Huntington Beach,CA jescutia@surfcity-hb.org piping 92648 manholes, 714-536-5431 valves,vaults City of Huntington Beach John Martin Saybrook Sewer Lift Huntington $3,684,400 June'20 On going Sewer lift 2000 Main St. 714-375-5011 Station Beach,CA station, Huntington Beach,CA John.martin@surfcity-hb.org piping, 714-536-5431 manholes, valves,vaults Page 2 Calleguas Municipal Water Perliter Robert Beamer-Calleguas Water Lake Sherwood Pump Thousand $2,844,000 Oct'20 June'22 Replacement District Thousand Oaks & District:805-432-6219 Station Rehabilitation Oaks,CA of booster 2100 Olsen Rd. Ingalsbe rbewnen`r oalleauas.com pump& Thousand Oaks,CA 91360 Amar Shar(Perliter&Ingalsbe) pump cans, 805-526-9323 818-500-8921 installation of ashah rand-i.com tanks& reconnection of existing pipes Orange County Sanitation Jay Kaura Plant Water Pipeline Huntington $1,134,000 Feb'21 Dec'21 Remove& District I ikauraii ocsdcom Replacement at Beach,CA replace 8" 10844 Ellis Ave. 714-593-7559 Kinnison,Lindstrom and 10"plant Fountain Valley,CA 92708 and Scott Tunnels at water line 714-962-2411 Plant No.2 Orange County Sanitation Plant Boiler System Huntington $230,000 June'21 Dec'21 Install pipe, District Relied at Plant No.2 Beach,CA valves,pipe 10844 Ellis Ave. Insulation Fountain Valley,CA 92708 supports City of Beverly Hills Tristan D.Malabanan P.E. Equipping of La Beverly Hills, $2,634,250 June'21 On going Install 345 Foothill Rd. 310-285-2512 Cienega Well No.1 CA pumps, Beverly Hills,CA 90210 tmalabanan@beverlyhills.org valves, 310-285-2452 hydrostatic tanks,block bldg..HVAC for building Orange County Sanitation Truck Loading Fountain $162,500 Nov'21 District Basement Drain Valley,CA 10844 Ellis Ave. Modifications at Plant Fountain Valley,CA 92708 No. 1 714-962-2411 Page 3 Page 4 A3'IOT"' SAIADocument . 2010 Bid Bond Bid Bond No:NlA CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal slants and principal place Mehta Mechanical Company,Inc. of hltsiness)Old Republic Surety Company dba MMC, Inc. P.O.Box 1635 5901 Fresca Dr. Milwaukee,lM 53201-1635 This document has important legal La Palma, CA 90623 consequences.Consultation with OWNER: an attorney is encouraged with respect to its completion or (>\ame,.legalstatus and address) modification. City of Huntington Beach Any singular reference to 2000 Main Street Contractor,Surety,Owner or Huntington Beach,CA 92648 other party shall be considered BOND AMOUNT: Ten Percent of the Total Amount Bid(10%of Bid Amount) plural where applicable. PROJECT: (Name,location or address,aril Project number,if any) Florida-Georgia Water Main Replacement Project(CC 1663) Project Number,if any:1663 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 acid 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 Contructor 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 it)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 seated this 16th day of May , 2022 Mehta Mechanical Company,Inc.dba MMC, Inc. ZRepublire (Seal)(TitOld ompany"ome (Su (Seal r. ------ ----- (Title) Emilie George, n-Fact AIA Document A310^'—2010.Copyright 4 1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNING:Tbts A,'A` Init. Document is protected by U.S.Copyright Law and International Traatics.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 passible under the law.This t document was created on 01/27/2012 07:23:12 under the terms of AIA Documents-on-Dsmand-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 nnor to its completion.M,,+c CALIFORNIA ACKNOWLEDGMENT CIVIL CODE§1189 �A notary public or other officer completing this certificate verifies only the identity of the individual wno signed the document j to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. _1 State of California J County of,__0-range J. Smith, Notary Public On MAY 16 M2 _._before me,_ ^ Date Emilie George Here Insert Name and'hive of the Officer personally appeared Nlame(s;of.Signerlsj 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 heisheithey 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 personfs)acted,executed the instrument. °�`+ rr.A■+ 1 swr 1 certify under PENALTY OF PERJURY under the Notary KWIC- 11fornia � laws of the State of California that the foregoing f oran4e County Commission ii 2958195 paragraph is true and Correct. MY comm.upies Mal 19,2025 WITNESS my hano and official seal. Signature - __. _ ndlor Stain Above Sig to ure of Nota y Pu�_ Place Notary seal o � OPTIONAL Compiczting this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. j F Description of Attached Document ; Title or Type of Document: ................._ ____........................._...._.,,,,_. ._ Document Date:— __. _. _.__ _Number ofPages: : Signer(s) Other Than (darned Above: 1 Capacity(les)Claimed by Signer(s) i Signer's Name: Signer's Name: ❑Corporate Officer—Title(s): �__.__.._._ ❑ Corporate Officer—Title(s): �. ._._.. ❑ Partner— ❑ Limited ❑ General U Partner — ❑ Limited Li General El Individual u Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator u, Trustee n Guardian or Conservator I o Other: _ [7 Other: Signer is Representing: .� —. . — -- Signet is Representing: - .i3ct9{d'_.,=}iE5 f. vwLe'x:",aa't`-'�'. .:'wrier.+.-F w.....xu:,3�i. ,o �'z:�S.Y:r` ...„.-sir'ki':s,=its,_:S,s"'M...::ti�a's„•:,'w^t^33; �i"-4..:.s-:; 5vra f_'2019 National Notary Association OLD REPUBLIC SURIEETY 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: James W..Moilanen,Yung T.Mullick,Christine Hoang,Irene Luong,Emilie George,P.Austin Neff,Danielle Hanson of Mission Viejo,CA its true and lawful Attorney(s)-in-Fact, with full power and authority for and on behalf of the company as surety,to execute and deliver and affix the seal of the company thereto(if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bait 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 seated 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 sea]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 16th day of April 2021 ,suRe REPUBLIC SURETY OLD REP COMPANY r•; ` SEAT. �`► o :>s As. ni Secret. * President STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS On this 16th day of April 2021 personally came before me, Alan Payiic 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 of said corporation. n. ;�oTMy+� �j � IV -.— �'�+ '•,�4fi,�,iV Notary Public My Commission Expires: Seote7lber 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. Signed and sealed at the City of Brookfield,WI this__16th day of May 2022 749092 S..AL ,2_ g ORSC M62(�-06) w* 1 Assist t Secre6� Bond Exchange CAUFORNIA 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 p document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. I( State of California ) County of I A Vie. ) 1 On � 'A-222- before me, ��� shyo Hr Date _ Here Insert Name and Title of the Officer personally appeared - tLt s•_ M eh 1 R• 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. ` AMS.SH FF WITNESS my hand and official seal. *my Notary Publk-CGNmiulorem County 4t&Jutommtston t 2383649 Si nature Comm.Expire Dec 13,2025 g Signature of Notary Public Place Notary Seat Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies)Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): . ❑Partner — ❑limited ❑General ❑Partner — ❑Limited ❑General ❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02016 National Notary Association-www.NationaiNotary.org• 1-800-US NOTARY(1-800-876-6827) Item#5907 _� � � C1� � �' F 5 Z � p � � �T' � �A � � � , a � o� o � � a � � � -� �, 0 � C 9 .o o � � � o—� u �� Kl ;. �c — � �� � � � � � � � `� � v U � � � v o � � �