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HomeMy WebLinkAboutVido Artukovich & Son Inc./Vidmar, Inc. A JV - 2024-01-29 (2) RECEIVED BY: CITY CLERK RECEIPT COPY Iv`A A Return DUPLICATE to t1 w t� i N" Cca f\ r' City Clerk's Office (Name) after signing/dating 11 �, o /z LI (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: 1 /I 1 /2 L+ SUBJECT: Bond Acceptance I have received the bonds for V IflU ArhztV-G\/1l. 1 4" C 1'k 11v. V1(I1W1( I L-G (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. R.Z r•Lai CSD LI Payment Bond (Labor and Materials) Bond No. PY JC5(Lft-- 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 ii / -j2C23 Re: Tract No. Approved c�- (Council Approval Date) CC No. Agenda Item No. .:3- c u 3 MSC No. City Clerk Vault No. (POO • JCI) Other No. SIRE System ID No. g:/forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Vido Artukovich & Son Inc/Vidmar Inc FOR HUMBOLT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 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 Vido Artukovich & Son Inc/Vidmar Inc , a Limited Joint Venture Partnership ,hereinafter referred to as "CONTRACTOR." WHEREAS, CITY has solicited bids for a public works project, hereinafter referred to as "PROJECT," more fully described as HUMBOLT SEWER LIFT STATION REPLACEMENT PROJECT, CC-1634 in the City of Huntington Beach; and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: 1. STATEMENT OF WORK; ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CONTRACTOR agrees to fully assume the risk of all loss or damage arising out of the nature of the PROJECT, during its progress or prior to acceptance by CITY, from the action of the elements, from any unforeseen difficulties which may arise or be encountered in the 1 16-5195/City Funded Construction Contract.docx—revised 04/2016 prosecution of work, and for all other risks of any description in connection with the work, including, but not limited to, all expenses incurred by or in consequence of the suspension or discontinuance of work, except such as are herein expressly stipulated to be borne by CITY, and for well and faithfully completing the work within the stipulated time and in the manner shown and described in this Agreement, and in accordance with the requirements of CITY for the compensation set forth in the accepted bid proposal. 2. ACCEPTANCE OF CONDITIONS OF WORK; PLANS AND SPECIFICATIONS CONTRACTOR acknowledges that it is fully familiar with all the terms,conditions and obligations of this Agreement and the Contract Documents (as defined below in this Section), has inspected the location of the job site, and the conditions under which the work is to be performed, and that it enters into this Agreement based upon its thorough investigation of all such matters and is relying in no way upon any opinions or representations of CITY. It is agreed that the Contract Documents are incorporated into this Agreement by this reference, with the same force and effect as if the same were set forth at length herein, and that CONTRACTOR and its subcontractors, if any, shall be bound by the Contract Documents insofar as they relate in part or in any way, directly or indirectly, to the work covered by this Agreement. "Contract Documents" as defined herein mean and include: A. This Agreement; B. Bonds covering the work herein agreed upon; C. The CITY's standard Plans and Specifications and special contractual provisions, including those on file in the office of the Department of Public Works of CITY, and any revisions, amendments or addenda thereto; 2 16-5195/City Funded Construction Contract.docx—revised 04/2016 D. The edition of Standard Specifications for Public Works Construction, published by Builders'News,Inc., 10801 National Boulevard,Los Angeles, CA 90064, and all amendments thereto, written and promulgated by the Southern California chapter of the American Public Works Association and the Southern California District Associated General Contractors of the California Joint Cooperative Committee as specified in the particular Plans, Specifications, Special Provisions and Addendum applicable to the Project; E. Bid documents including the Notice Inviting Bids, the Special Instructions to Bidders and the CONTRACTOR's proposal, (which is attached hereto as Exhibit "A" and incorporated herein by this reference); F. The particular Plans, Specifications, Special Provisions and Addenda applicable to the PROJECT. Anything mentioned in the Specifications and not indicated in the Plans or indicated in the Plans and not mentioned in the Specifications, shall be of like effect as if indicated and mentioned in both. In case of a discrepancy between any Plans, Specifications, Special provisions, or Addenda, the matter shall be immediately submitted by CONTRACTOR to the Director of Public Works of CITY or his or her written designee (hereinafter referred to as "DPW"), and CONTRACTOR shall not attempt to resolve or adjust the discrepancy without the decision of DPW, save only at its own risk and expense. Should there be any conflict between the terms of this Agreement and the bid or proposal of CONTRACTOR, then this Agreement shall control and nothing herein shall be considered as an acceptance of the terms of the bid or proposal which is in conflict herewith. 3 16-5195/City Funded Construction Contract.docx—revised 04/2016 3. COMPENSATION CITY agrees to pay and CONTRACTOR agrees to accept as full compensation for the faithful performance of this Agreement, subject to any additions or deductions made under the provisions of this Agreement or the Contract Documents, a sum not to exceed Four Million One Hundred Ninty-Three Thousand,Four Hundred &Fifty Dollars ($ 4,193,450 ), 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 Two Hundred and Sixty ( 260 ) consecutive Working days from the day the Notice to Proceed is issued by DPW, excluding delays provided for in this Agreement. 5. TIME OF THE ESSENCE The parties hereto recognize and agree that time is of the essence in the performance of this Agreement and each and every provision of the Contract Documents. CONTRACTOR shall prepare and obtain approval as required by the Contract Documents for all shop drawings, details and samples, and do all other things necessary and incidental to the prosecution of its work in conformance with the progress schedule set forth in the Contract Documents. CONTRACTOR shall coordinate its work with the work of all other contractors, subcontractors, and CITY forces working on the PROJECT in a manner that will facilitate the efficient completion of the PROJECT and in accordance with the terms and provisions of this Agreement. CITY shall have complete control of the premises on which the work is to be performed and shall have the right to decide the time and order in which the various portions of the work shall be performed and the priority of the work of other contractors, 4 16-5195/City Funded Construction Contract.docx—revised 04/2016 subcontractors and CITY forces and, in general, all matters concerning the timely and orderly conduct of the work of CONTRACTOR on the premises. 6. CHANGES CONTRACTOR shall adhere strictly to the plans and specifications set forth in the Contract Documents unless a change therefrom is authorized in writing by DPW. CONTRACTOR agrees to make any and all changes, furnish materials and perform all work necessary within the scope of the PROJECT as DPW may require in writing. Under no condition shall CONTRACTOR make any changes without the prior written order or acceptance of DPW, and CITY shall not pay any extra charges made by CONTRACTOR that have not been agreed upon in writing by DPW. When directed to change the work, CONTRACTOR shall submit immediately to DPW a written cost proposal reflecting the effect of the change. Should DPW not agree to such cost proposal, the work shall be performed according to the changes ordered in writing by DPW and the proper cost thereof shall be negotiated by the parties upon cost and pricing data submitted by CONTRACTOR; thereupon, CITY will promptly issue an adjusted change order to CONTRACTOR and the contract price will be adjusted upward or downward accordingly. 7. NOTICE TO PROCEED No work, services, material, or equipment shall be performed or furnished under this Agreement unless and until a Notice to Proceed has been given to CONTRACTOR by CITY. CITY does not warrant that the work will be available on the date the Notice to Proceed is issued. In the event of a delay in commencement of the work due to unavailability of the job site, for any reason,relief to CONTRACTOR shall be limited to a time extension equal to the delay due to such unavailability. 5 16-5195/City Funded Construction Contract.docx—revised 04/2016 8. BONDS Only bonds issued by California admitted sureties will be accepted. CONTRACTOR shall, prior to its performance of this Agreement, furnish the following two (2) bonds approved by the City Attorney: One in the amount of one hundred percent (100%) of the contract price to guarantee the CONTRACTOR's faithful performance of the work, and one in the amount of one hundred percent of the contract price to guarantee payment of all claims for labor and materials furnished. In addition, CONTRACTOR shall submit to CITY a bond in the amount of one hundred percent (100%) of the final contract price, including all change orders, to warrant such performance for a period of one (1) year after CITY's acceptance thereof within ten (10) days of filing of the Notice of Completion. 9. WARRANTIES CONTRACTOR unconditionally guarantees all work done under this Agreement including, but not limited to, any workmanship, installation, fabrication, material or structural facilities constructed. CONTRACTOR, within ten (10) days after notice by CITY of any defect in the work, shall have the option to make appropriate repairs or replace the defective item or items. Upon expiration of such ten (10) day period, CITY may then make appropriate repair or replacement at CONTRACTOR's risk and own cost and expense. 10. INDEPENDENT CONTRACTOR It is understood and agreed that CONTRACTOR is,and shall be, acting at all times hereunder as an independent contractor and not an employee of CITY. CONTRACTOR shall secure at its own cost and expense, and be responsible for any and all payment of all taxes, social security, state disability insurance compensation, unemployment compensation and other payroll 6 16-5195/City Funded Construction Contract.docx—revised 04/2016 deductions for CONTRACTOR and its officers, agents and employees and all business licenses, if any, in connection with the PROJECT and/or the services performed hereunder. 11. LIQUIDATED DAMAGES/DELAYS It is agreed by the parties hereto that in case the total work called for hereunder is not in all parts and requirements finished or completed within the number of calendar days as set forth herein, damage will be sustained by CITY; and that it is, and would be, impractical and extremely difficult to ascertain and determine the actual damage which CITY would sustain in the event of and by reason of such delay. It is, therefore, agreed that CONTRACTOR will pay to CITY, as liquidated damages and not as a penalty, the sum of One Thousand and Five Hundred Dollars ($ 1,500 ) per each calendar day's delay in completing the work in excess of the number of working/calendar days set forth herein, which represents a reasonable endeavor by the parties hereto to estimate a fair compensation for the foreseeable damages CITY would sustain in the event of and by reason of such delay; and CONTRACTOR agrees to pay these damages herein provided, and further agrees that CITY may deduct the amount thereof from any monies due or that may become due to CONTRACTOR hereunder. CONTRACTOR will be granted an extension of time and will not be assessed damages for any portion of the delay in the completion of the work due to unforeseeable causes beyond the control and without the fault or negligence of CONTRACTOR, including, but not limited to, acts of God or of the public enemy, fire, floods, epidemics, quarantine restrictions, strikes, unsuitable weather, or delays of subcontractors due to such causes. CONTRACTOR shall, within fifteen (15) days from the beginning of any such delay(unless DPW shall grant a further period of time), notify DPW in writing of the cause of the 7 16-5195/City Funded Construction Contract.docx—revised 04/2016 delay and CITY shall extend the time for completing the work if, in its judgment, the findings of fact thereon justify the delay; and the decision of DPW shall be conclusive on the parties hereto. Should CONTRACTOR be delayed in the prosecution or completion of the work by the act, neglect or default of CITY, or should CONTRACTOR be delayed by waiting for materials required by this Agreement to be furnished by CITY, or by damage caused by fire or other casualty at the job site for which CONTRACTOR is not responsible, or by the combined action of the workers, in no way caused by or resulting from default or collusion on the part of CONTRACTOR, or in the event of a lockout by CITY, then the time herein fixed for the completion of the work shall be extended by the number of days CONTRACTOR has thus been delayed,but no allowance or extension shall be made unless a claim therefor is presented in writing to CITY within fifteen(15) days of the commencement of such delay. No claims for additional compensation or damages for delays, irrespective of the cause thereof, and including without limitation the furnishing of materials by CITY or delays by other contractors or subcontractors will be allowed and an extension of time for completion shall be the sole remedy of CONTRACTOR. 12. DEMANDS FOR ADDITIONAL TIME OR MONEY. A. Definitions. (1) "Change Order"means a document signed by the CONTRACTOR and CITY which authorizes an addition, deletion or revision in the work, or an adjustment in the Compensation under Section 3, or the Completion Time specified at Section 4. (2) "Demand" means a written demand for a Change Order by the CONTRACTOR for any of the following: (a) A time extension; 8 16-5195/City Funded Construction Contract.docx—revised 04/2016 (b) Payment of money or damages arising from work done by, or on behalf of, the CONTRACTOR pursuant to this Agreement and payment of which is not expressly permitted pursuant to Section 3 of this Agreement; (c) Payment of an amount the CITY disputes; (d) Any disputes and other matters relating to the acceptability of the work performed or the interpretation of the Contract Documents; (e) A request for a time extension or additional payment based upon differing site conditions, such as subsurface or latent physical conditions at the job site differing materially from those indicated in this Agreement or the Contract Documents, or unknown physical conditions at the job site, of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent to work of the PROJECT; or (f) A request for a time extension or additional payment based upon acts of neglect by CITY or due to fires,floods, labor disputes,epidemics, abnormal weather conditions or acts of God. B. A Demand for a time extension or payment of money or damages may only be granted by a Change Order. C. No Change Order may be granted except where the Contractor has submitted a Demand to the DPW(or his or her written designee). All Demands shall be submitted promptly,but in no event later than thirty(30) days after the occurrence of the event giving rise to the Demand. The Demand shall be in writing and include all documents necessary to substantiate the Demand. The DPW shall act on the Demand within fifteen (15) days after receipt, including by requesting additional information from the CONTRACTOR to determine whether to approve the Change Order the Demand seeks. The DPW shall act on the Demand within fifteen(15) days 9 16-5195/City Funded Construction Contract.docx—revised 04/2016 after receipt of the additional information or within a period of time no greater than the time the CONTRACTOR took to produce the additional information requested,whichever is greater. D. Notwithstanding .the thirty (30) days to submit a Demand under Subparagraph C, in the case of differing or unknown site conditions, immediately upon encountering the conditions, CONTRACTOR shall notify the DPW in writing of the conditions, so that the CITY may promptly investigate the conditions. E. If the CONTRACTOR disputes the DPW's written response on the Demand, or the CITY fails to respond within the time prescribed, the CONTRACTOR may so notify the City Engineer, in writing,either within fifteen(15)days of receipt of the City Engineer's response or within fifteen (15) days of the DPW's failure to respond within the time prescribed, respectively,and request an informal conference to meet and confer for settlement of the Demand. Upon the CONTRACTOR's request,the DPW shall schedule a meet and confer conference within thirty(30) days to seek to resolve. F. CITY and CONTRACTOR shall execute appropriate Change Orders covering changes to the time or price by executing the Change Order by mutual agreement. If the CITY and CONTRACTOR are unable to reach a mutual agreement, then the City Engineer shall issue a written decision on the claim within a reasonable time. G. Following the meet and confer conference, if the Demand remains in dispute,the CONTRACTOR may file a claim with the City as provided in Chapter 1 (commencing with Section 900) and Chapter 2 (commencing with Section 910)of Part 3 of Division 3.6 of Title 1 of the Government Code. For purposes of those provisions, the running of the period of time within which a claim must be filed shall be tolled from the time the CONTRACTOR submits his 10 16-5195/City Funded Construction Contract.docx—revised 04/2016 or her Demand until the Demand is denied as a result of the meet and confer process, including any period of time utilized by the meet and confer process. 13. VARIATIONS IN ESTIMATED QUANTITIES The quantities listed in the bid schedule will not govern final payment. Payment to CONTRACTOR will be made only for the actual quantities of contract items used in construction of the PROJECT, in accordance with the plans and specifications. Upon completion of the PROJECT, if the actual quantities used are either more than or less than the quantities listed in the bid schedule,the bid price shall prevail subject to the provisions of this Section. DPW may, at its sole discretion, when warranted by the facts and circumstances, order an equitable adjustment, upwards or downwards, in payment to CONTRACTOR where the actual quantities used in construction of the PROJECT are in variation to the quantities listed in the bid schedule. No claim by CONTRACTOR for an equitable adjustment in price or time for completion shall be allowed if asserted after final payment under this Agreement. If the quantity variation is such as to cause an increase in the time necessary for completion,DPW shall ascertain the facts and circumstances and make such adjustment for extending the completion date as in its sole judgment the findings warrant. 14. PROGRESS PAYMENTS Each month DPW will make an estimate in writing of the work performed by CONTRACTOR and the value thereof. From each progress estimate, five percent (5%) will be deducted and retained by CITY and the remainder of the progress estimate, less the amount of all previous payments since commencement of the work,will be paid to CONTRACTOR. When CONTRACTOR has, in the judgment of DPW, faithfully executed fifty percent(50%) or more of the value of the work as determined from the bid schedule, and if DPW finds that satisfactory progress has been and is being made, CONTRACTOR may be paid such 11 16-5195/City Funded Construction Contract.docx—revised 04/2016 sum as will bring the payments of each month up to one hundred percent (100%) of the value of the work completed since the commencement of the PROJECT,as determined in its sole discretion by DPW,less all previous payments and less all previous retained amounts. CITY's final payment to CONTRACTOR,if unencumbered,or any part thereof unencumbered, shall be made thirty-five (35) days after the acceptance of the work and the filing of a Notice of Completion by CITY. Provided,however,that in the event of a dispute between CITY and CONTRACTOR, CITY may withhold from the final payment an amount not to exceed 150 percent of the value of any disputed amount of work. Payments shall be made on demands drawn in the manner required by law,each payment to be accompanied by a certificate signed by DPW, affirming that the work for which payment is demanded has been performed in accordance with the terms of the Agreement and that the amount stated in the certificate is due under the terms of the Agreement. Partial payments on the contract price shall not be considered as an acceptance of any part of the work. 15. WITHHELD CONTRACT FUNDS, SUBSTITUTION OF SECURITIES At the request and at the sole cost and expense of CONTRACTOR,who shall retain beneficial ownership and receive interest, if any thereon, CITY shall permit the substitution and deposit therewith of securities equivalent to the amount of any monies withheld by CITY to ensure performance under the terms of this Agreement. 16. AFFIDAVITS OF SATISFACTION OF CLAIMS After the completion of the work contemplated by this Agreement, CONTRACTOR shall file with DPW its affidavit stating that all workers and persons employed, all firms supplying materials and all subcontractors working upon the PROJECT have been paid in full and that there are no claims outstanding against the PROJECT for either labor or material, except certain items,if any,to be set forth in CONTRACTOR's affidavit covering disputed claims, 12 16-5195/City Funded Construction Contract.docx—revised 04/2016 or items in connection with Notices to Withhold, which have been filed under the provisions of the statutes of the State of California. 17. WAIVER OF CLAIMS The acceptance by CONTRACTOR of the payment of the final certificate shall constitute a waiver of all claims against CITY under or arising out of this Agreement. A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 18. CALIFORNIA PREVAILING WAGE LAW A. The CITY has ascertained from the Director of Industrial Relations of the State of California the general prevailing rate of per diem wages and the general prevailing rate for legal holiday and overtime work in the locality in which the work is to be performed for each craft or type of work needed to execute this Agreement, and the same has been set forth by 13 16-5195/City Funded Construction Contract.docx—revised 04/2016 resolution on file in the office of the City Clerk of CITY. CONTRACTOR and any subcontractor under it shall pay not less than said prevailing wage rates to all workers employed on this public works Agreement, as required by California Labor Code Sections 1771 and 1774. In accordance with the provisions of Section 3700 of the California Labor Code, CONTRACTOR agrees to secure payment of compensation to every employee. B. Pursuant to this Agreement and in accordance with Section 1774 and 1775 of the California Labor Code, CONTRACTOR shall, as penalty to CITY, forfeit twenty-five dollars ($25) for each calendar day or portion thereof for each worker paid (either by CONTRACTOR or any of its subcontractors) less than the prevailing wage rate established for that particular craft or type of work. 19. CALIFORNIA EIGHT-HOUR LAW A. California Labor Code, Sections 1810 et seq,shall apply to the performance of this Agreement; thereunder, not more than eight(8) hours shall constitute one day's work and CONTRACTOR and each subcontractor employed by its hereunder, shall not require more than eight(8)hours of labor per day or forty(40)hours per week from any one person employed by it hereunder, except as stipulated in California Labor Code Section 1815. CONTRACTOR and each subcontractor employed by it hereunder shall, in accordance with California Labor Code Section 1812, keep an accurate record, open to inspection at all reasonable hours, showing the name and actual hours worked each calendar day and each calendar week by each worker employed in connection with the PROJECT. B. Pursuant to this Agreement and in accordance with California Labor Code Section 1813, CONTRACTOR shall, as a penalty to CITY, forfeit twenty-five dollars ($25) for each worker employed hereunder by CONTRACTOR or any subcontractor for each calendar day during which such worker is required or permitted to work more than eight (8) hours in any one 14 16-5195/City Funded Construction Contract.docx—revised 04/2016 (1)calendar day or forty(40)hours in any one(1) calendar week in violation of California Labor Code Section 1815. 20. PAYMENT OF TRAVEL AND SUBSISTENCE ALLOWANCE Section 1773.8 of the California Labor Code, regarding the payment of travel and subsistence allowance is applicable to this PROJECT. 21. EMPLOYMENT OF APPRENTICES Section 1777.5 of the California Labor Code, regarding the employment of apprentices is applicable to this PROJECT. 22. PAYROLL RECORDS CONTRACTOR agrees to keep accurate payroll record showing the name, address, social security number, work classification, straight time and overtime hours worked each day and week, and the actual per diem wages paid to each journeyman, apprentice or worker employed by it in connection with the PROJECT and agrees to require each of its subcontractors to do the same. CONTRACTOR further agrees that its payroll records and those of its subcontractors, if any, shall be available at all reasonable times to the CITY, and the employee or his representative, and the Division of Labor Standards Enforcement and the Division of Apprenticeship Standards, and to comply with all of the provisions of California Labor Code Section 1776, in general. 23. INDEMNIFICATION,DEFENSE, HOLD HARMLESS CONTRACTOR hereby agrees to protect, defend, indemnify and hold harmless CITY, its officers, elected or appointed officials, employees, agents, and volunteers from and against any and all claims, damages, losses, expenses, judgments, demands, defense costs, and consequential damage or liability of any kind or nature, however caused, including those resulting from death or injury to CONTRACTOR's employees and damage to CONTRACTOR's property, 15 16-5195/City Funded Construction Contract.docx—revised 04/2016 arising directly or indirectly out of the obligations or operations herein undertaken by CONTRACTOR, caused in whole or in part by any negligent act or omission of the CONTRACTOR, any subcontractors, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, including but not limited to concurrent active or passive negligence, except where caused by the active negligence, sole negligence, or willful misconduct of the CITY, its officers, elected or appointed officials, employees, agents, and volunteers. CONTRACTOR will conduct all defense at its sole cost and expense and CITY shall approve selection of CONTRACTOR's counsel. This indemnity shall apply to all claims and liability regardless of whether any insurance policies are applicable. The policy limits do not act as a limitation upon the amount of indemnification to be provided by CONTRACTOR. 24. WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE Pursuant to California Labor Code Section 1861, CONTRACTOR acknowledges awareness of Section 3700 et seq. of this Code, which requires every employer to be insured against liability for workers' compensation; CONTRACTOR covenants that it will comply with such provisions prior to commencing performance of the work hereunder. CONTRACTOR shall obtain and furnish to City workers' compensation and employer's liability insurance in an amount of not less than the State statutory limits. CONTRACTOR shall require all subcontractors to provide such workers' compensation and employer's liability insurance for all of the subcontractors' employees. CONTRACTOR shall furnish to CITY a certificate of waiver of subrogation under the terms of the workers' compensation and employer's liability insurance and CONTRACTOR shall similarly require all subcontractors to waive subrogation. 16 16-5195/City Funded Construction Contract.docx—revised 04/2016 25. INSURANCE In addition to the workers' compensation and employer's liability insurance and CONTRACTOR's covenant to defend,hold harmless and indemnify CITY, CONTRACTOR shall obtain and furnish to CITY, a policy of general public liability insurance, including motor vehicle coverage covering the PROJECT. This policy shall indemnify CONTRACTOR, its officers, employees and agents while acting within the scope of their duties, against any and all claims arising out or in connection with the PROJECT, and shall provide coverage in not less than the following amount: combined single limit bodily injury and property damage, including products/completed operations liability and blanket contractual liability, of One Million Dollars ($1,000,000) per occurrence. If coverage is provided under a form which includes a designated general aggregate limit,the aggregate limit must be no less than One Million Dollars ($1,000,000) for this PROJECT. This policy shall name CITY, its officers, elected or appointed officials, employees,agents,and volunteers(the"Additionally Insured Parties")as Additional Insureds,and shall specifically provide that any other insurance coverage which may be applicable to the PROJECT shall be deemed excess coverage and that CONTRACTOR's insurance shall be primary and non-contributory with any other valid and collectible insurance or self-insurance available to the Additionally Insured Parties. Any available insurance proceeds in excess of the minimum coverage amount specified herein shall be available to the Additionally Insured Parties. All coverage available to CONTRACTOR shall also be available to the Additionally Insured Parties. Under no circumstances shall said above-mentioned insurance contain a self-insured retention without the express written consent of CITY; however an insurance policy "deductible" of Five Thousand Dollars ($5,000.00) is permitted. CONTRACTOR shall be responsible for causing all Subcontractors to maintain the same types and limits of insurance coverage as that required of CONTRACTOR by this Agreement. 17 16-5195/City Funded Construction Contract.docx—revised 04/2016 26. CERTIFICATES OF INSURANCE; ADDITIONAL INSURED ENDORSEMENTS Prior to commencing performance of the work hereunder, CONTRACTOR shall furnish to CITY certificates of insurance subject to approval of the City Attorney evidencing the foregoing insurance coverages as required by this Agreement;the certificates shall: 1. Provide the name and policy number of each carrier and policy; 2. State that the policy is currently in force; and 3. Promise to provide that such policies will not be canceled or modified without thirty (30) days' prior written notice of CITY. CONTRACTOR shall maintain the foregoing insurance coverages in force until the work under this Agreement is fully completed and accepted by CITY. The requirement for carrying the foregoing insurance coverages shall not derogate from the CONTRACTOR's defense, hold harmless and indemnification obligations as set forth under this Agreement. CITY or its representative shall at all times have the right to demand the original or a copy of all the policies of insurance. CONTRACTOR shall pay, in a prompt and timely manner, the premiums on all insurance hereinabove required. CONTRACTOR shall provide a separate copy of the additional insured endorsement to each of CONTRACTOR's insurance policies, naming CITY, its officers, elected and appointed officials, employees, agents and volunteers as Additional Insureds, to the City Attorney for approval prior to any payment hereunder. 27. NOTICE OF THIRD PARTY CLAIM Pursuant to Public Contracts Code §9202, CITY shall provide notice to CONTRACTOR of receipt of any claim filed with CITY or a court of competent jurisdiction which arises out of performance of this agreement within ten(10)days of receipt of such claim or claims. 18 16-5195/City Funded Construction Contract.docx—revised 04/2016 28. DEFAULT AND TERMINATION If CONTRACTOR fails or refuses to prosecute the work hereunder with diligence, or fails to complete the work within the time specified, or is adjudged bankrupt or makes an assignment for the benefit of creditors or becomes insolvent, or violates any provision of this Agreement or the Contract Documents, CITY may give CONTRACTOR notice in writing of its intention to terminate this Agreement. Unless the violation is cured within ten(10)days after such Notice of Intention has been served on CONTRACTOR, CITY may, without prejudice to any other remedy it may have,terminate this Agreement upon the expiration of that time. Upon such default by CONTRACTOR, CITY may elect not to terminate this Agreement; in such event CITY may make good the deficiency in which the default consists and deduct the resulting costs from the progress payments then or to become due to CONTRACTOR. If it is subsequently determined by a court of competent jurisdiction that CITY's termination of this Agreement under this Section was wrongful, such termination shall be converted to a termination for convenience under Section 29 and any damages shall be assessed as set forth in Section 29. 29. TERMINATION FOR CONVENIENCE CITY may terminate this Agreement for convenience at any time with or without cause,and whether or not PROJECT is fully complete upon seven(7)calendar days written notice to CONTRACTOR. In the event of termination, under this Section CITY shall pay CONTRACTOR for value of work in place on the PROJECT through the termination period less all such payments already made. In case of such termination for convenience,the CONTRACTOR shall be entitled to receive payment for work executed, and costs incurred by reason of such termination. In no event shall CONTRACTOR be entitled to recover overhead, profit or CONTRACTOR's fee on work not performed. Such payment by CITY shall be CONTRACTOR's 19 16-5195/City Funded Construction Contract.docx—revised 04/2016 sole and exclusive remedy for termination by CITY for its convenience and CITY shall have no further obligation to CONTRACTOR. 30. DISPOSITION OF PLANS,ESTIMATES AND OTHER DOCUMENTS CONTRACTOR agrees that upon completion of the work to be performed hereunder, or upon expiration or earlier termination of this Agreement, all original plans, specifications, drawings, reports, calculations, maps and other documents pertaining to this Agreement shall be delivered to CITY and become its sole property at no further cost. 31. NONASSIGNABILITY CONTRACTOR shall not sell, assign, transfer, convey or encumber this Agreement,or any part hereof,or any right or duty created herein,without the prior written consent of CITY and the surety. 32. CITY EMPLOYEES AND OFFICIALS CONTRACTOR shall employ no CITY official nor any regular CITY employee in the work performed pursuant to this Agreement. No officer or employee of CITY shall have any financial interest in this Agreement in violation of the California Government Code. 33. STOP NOTICES; RECOVERY OF ADMINISTRATIVE COSTS CITY shall be entitled to all reasonable administrative costs and necessary disbursements arising out of the processing of Stop Notices, Notices to Withhold, or any similar legal document. This obligation shall be provided for in the labor and materials payment bond required of CONTRACTOR. CITY may charge an administrative fee of One Hundred Dollars ($100)for every Stop Notice filed in excess of two(2),regardless of whether or not CITY is named in an action to enforce such stop notices. CITY may set off any unreimbursed cost or expense so incurred against any sum or sums owed by CITY to CONTRACTOR under this Agreement. 20 16-5195/City Funded Construction Contract.docx—revised 04/2016 34. NOTICES Any notices, certificates, or other communications hereunder shall be given either by personal delivery to CONTRACTOR's agent (as designated in Section 1 hereinabove) or to CITY as the situation shall warrant,or by enclosing the same in a sealed envelope,postage prepaid, and depositing the same in the United States Postal Service, to the addresses specified below; provided that CITY and CONTRACTOR may designate different addresses to which subsequent notices, certificates or other communications will be sent by notifying the other party via personal delivery, reputable overnight carrier or U. S. certified mail-return receipt requested: TO CITY: TO CONTRACTOR: City of Huntington Beach Vido Artukovich & Son Inc/Vidmar Inc a JV ATTN: John Dettle , Public Works ATTN: Vido Artukovich 2000 Main Street 11155 Rush Street Huntington Beach, CA 92648 South El Monte, CA 91733 35. SECTION HEADINGS The titles, captions, section, paragraph and subject headings, and descriptive phrases at the beginning of the various sections in this Agreement are merely descriptive and are included solely for convenience of reference only and are not representative of maters included or excluded from such provisions,and do not interpret,define, limit or describe,or construe the intent of the parties or affect the construction or interpretation of any provision of this Agreement. 21 16-5195/City Funded Construction Contract.docx—revised 04/2016 36. IMMIGRATION CONTRACTOR shall be responsible for full compliance with the immigration and naturalization laws of the United States and shall, in particular, comply with the provisions of United States Code Section 1324a regarding employment verification. 37. LEGAL SERVICES SUBCONTRACTING PROHIBITED CONTRACTOR and CITY agree that CITY is not liable for payment of any subcontractor work involving legal services, and that such legal services are expressly outside the scope of services contemplated hereunder. CONTRACTOR understands that pursuant to Huntington Beach City Charter Section 309, the City Attorney is the exclusive legal counsel for CITY; and CITY shall not be liable for payment of any legal services expenses incurred by CONTRACTOR. 38. ATTORNEY'S FEES In the event suit is brought by either party to construe, interpret and/or enforce the terms and/or provisions of this Agreement or to secure the performance hereof, each party shall bear its own attorney's fees, such that the prevailing party shall not be entitled to recover its attorney's fees from the non-prevailing party. 39. INTERPRETATION OF THIS AGREEMENT The language of all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against any of the parties. If any provision of this Agreement is held by an arbitrator or court of competent jurisdiction to be unenforceable, void, illegal or invalid, such holding shall not invalidate or affect the remaining covenants and provisions of this Agreement. No covenant or provision shall be deemed dependent upon any other unless so expressly provided here. As used in this Agreement, the masculine or neuter gender and singular or plural number shall be deemed to include the other whenever the 22 16-5195/City Funded Construction Contract.docx—revised 04/2016 context so indicates or requires. Nothing contained herein shall be construed so as to require the commission of any act contrary to law, and wherever there is any conflict between any provision contained herein and any present or future statute, law, ordinance or regulation contrary to which the parties have no right to contract, then the latter shall prevail, and the provision of this Agreement which is hereby affected shall be curtailed and limited only to the extent necessary to bring it within the requirements of the law. 40. GOVERNING LAW This Agreement shall be governed and construed in accordance with the laws of the State of California. 41. DUPLICATE ORIGINAL The original of this Agreement and one or more copies hereto have been prepared and signed in counterparts as duplicate originals, each of which so executed shall, irrespective of the date of its execution and delivery, be deemed an original. Each duplicate original shall be deemed an original instrument as against any party who has signed it. 42. CONSENT Where CITY's consent/approval is required under this Agreement, its consent/approval for one transaction or event shall not be deemed to be consent/approval to any subsequent occurrence of the same or any other transaction or event. 43. SURVIVAL Terms and conditions of this Agreement, which by their sense and context survive the expiration or termination of this Agreement shall so survive. 44. MODIFICATION No waiver or modification of any language in this Agreement shall be valid unless in writing and duly executed by both parties. 23 16-5195/City Funded Construction Contract.docx—revised 04/2016 45. SIGNATORIES Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify CITY fully for any injuries or damages to CITY in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. 46. ENTIRETY The parties acknowledge and agree that they are entering into this Agreement freely and voluntarily following extensive arm's length negotiation,and that each has had the opportunity to consult with legal counsel prior to executing this Agreement. The parties also acknowledge and agree that no representations, inducements,promises, agreements or warranties, oral or otherwise, have been made by that party or anyone acting on that party's behalf, which are not embodied in this Agreement, and that that party has not executed this Agreement in reliance on any representation, inducement, promise, agreement, warranty, fact or circumstance not expressly set forth in this Agreement. This Agreement, and the attached Exhibit "A", contain the entire agreement between the parties respecting the subject matter of this Agreement, and supersede all prior understandings and agreements whether oral or in writing between the parties respecting the subject matter hereof. 24 16-5195/City Funded Construction Contract.docx—revised 04/2016 IN WITNESS WHEREOF,the parties hereto have caused this Agreement to be executed by and through their authorized officers onjang,47 20 421/ CONTRACTOR: CITY OF`_ TINGTON BEACH,a municipal corporatirM a Sta 1 of California By: Aie ►v* Vido Artukovich Mayor, (print name) h`� q67 innidsfAd ITS: Chairman/President/Vice-President City Clerk (circle one) anaging Partne�i INITIATED ND PP OVE : AND By: Director of Public Works (print name) RE J D A D PPR ED: ITS: Secretary / Chief Financial Officer / Asst. Secretary/Treasurer C._'l/ -- (circle one) City Manager APPROVE 7&00; •RM: 4 i ttorney 25 16-5195/City Funded construction Contract.docx—revised 04/2016 EXHIBIT "A" SECTION C PROPOSAL for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1634 • in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described,and to furnish all labor,material,equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach.The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 1.62 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications,Instructions to Bidders and all other contract documents.If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty, accompanying this proposal. BIDDER understands that a bid is required for the entire work,.that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed.THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in. executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find Bidders Bond in the amount of 10 bid which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidd 's ign to 1 9/19/23 C-2 BIDDING SCHEDULE THE CITY OF HUNTINGTON BEACH HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 Bid Description Estimated Item Quantity Unit Unit Price Total Price Mobilization, Demobilization, Cleanup, Bonds, Insurance, and Permits: Per Plans and 1 Specifications, furnish all labor, material and 1 LS t oloCO Oa& equipment to mobilize,demobilize, and provide ' cleanup of construction site: provide all bonds, insurance, and obtain all permits. Preparation of Storm Water Pollution Prevention Plan: Per Plans and Specifications, O 2 furnish all labor,materials,and equipment as 1 LS 1�- �' required to develop a site-specific Storm Water Pollution Prevention Plan(SWPPP). Install and Implement Construction BMP's in Accordance with Storm Water Pollution Prevention Plan(SWPPP): Per Plans and Specifications, furnish all labor,materials, and equipment as required to install and maintain all �0 d�, 3 BMP's identified in the approved SWPPP 1 LS GJu,,00® t Q throughout the duration of construction. At the completion of construction, all BMP's shall be removed by the CONTRACTOR, and the site and all facilities restored to their original condition. Construction Survey and Staking: Per Plans 4 and Specifications, furnish all labor,material 1 LS ic 000 I Sr()a° and equipment to conduct construction survey and staking of the construction site. Traffic Control Implementation: Per Plans and Specifications, furnish all labor,materials, and equipment as required to implement Construction Traffic and Pedestrian Control Plans to provide public convenience, safety and Oa 5 traffic control, including warning signs,high 1 LS I go,d 00 / ' level warning devices, delineators,regulatory signs,barricades, and recessed trench plate bridging throughout the project. Traffic Control Plans were prepared by the Design Engineer and are provided in the Construction Drawings. C-2.1 Construction Potholing: Per Plans and Specifications, furnish all labor,materials and equipment to pothole and locate horizontal and 6 vertical positions of all existing utilities in the a Q vicinity of the work. Prepare a report and 1 LS SDI D CO SO, submit it to the City a minimum of four(4) weeks prior to start of construction to allow revisions to current design. Geotechnical Engineering Construction Support Services: Per Plans and Specifications,provide the services of a California Registered Geotechnical Engineer with experience in all ,''d.d FC' 7 cC 0 A elements of the project,to provide l LS recommendations necessary for the design of the contractors shoring system, dewatering system, and settlement monitoring program. Trench aid Excavation Safety Measures (Sheeting, Shoring,Bracing): Per Plans and Specifications, furnish all labor,materials, and equipment as required, develop, design, and implement trench and excavation safety measures, consisting of sheeting, shoring, and bracing, or equivalent method for the protection of life and limb in trenches,pump station 8 excavation, valve vault excavation, and other 1 LS 6-0��d p� 5 D 0` 0 miscellaneous open excavations,and protection of all adjacent structures in conformance with applicable safety orders. The work includes preparation of shoring plans and calculations by a California registered structural engineer incorporating the requirements of the dewatering plan, and recommendations contained in the geotechnical study performed by the Contractor. C-2.2 Dewatering Plan Development and Implementation: Per Plans and Specifications, develop a Dewatering Plan prepared by a California Registered Geotechnical Engineer, incorporating the requirements of the shoring plan and any additional geotechnical information developed by the Contractor. The work includes: obtaining NPDES permit from 9 the Regional Water Quality Control Board,well 1 LS 993 00e 1/00,C)e13 drilling and destruction permits from Orange County Health Department, field testing required for the design of the dewatering system, implementation of the dewatering program, treatment of dewatering discharge, and removal of the dewatering system, including monitoring wells,when no longer needed. Site Monitoring(Groundwater,Vibration, Settlement): Per Plans and Specifications, implement a site monitoring program to 10 evaluate groundwater, settlement, and vibration 1 LS OI a oo f Qa�• C��° in �� accordance with the recommendations contained in the Contractor's Geotechnical Investigation Report, for construction of the lift station sewers,wet well and valve vault. Sitework Demolition and Preparation: Per Plans and Specifications, furnish all labor materials and equipment necessary for sitework and demolition for the new lift station site and 11 legally dispose of all removed materials. The 1 LS 1,0,.d O° 5-°i o"° work includes,but is not limited to curb, gutter, sidewalk,tree and landscape removal along Humboldt Drive and Wayfarer Lane, and all other appurtenant work required. 4-Foot Diameter Sewer Manhole: Per Plans and Specifications, furnish all labor,materials and equipment necessary,to construct 4-foot diameter polymer concrete sewer manhole and composite frame and cover. The work includes Oia 12 but is not limited to: factory cast monolithic 1 LS O � base,precast manhole sections,exterior coating and joint wrap system, composite manhole frame and H-20 rated cover, temporary sewage bypass device, connections to new and existing sanitary sewers, and all appurtenant work required. C-2.3 Modification and Rehabilitation of Existing Manholes: Per Plans and Specifications, furnish all labor,materials and equipment necessary,to modify and rehabilitate existing sewer Manhole No. 2568 and Manhole No. 2567. The work includes,but is not limited to:plugging 13 1 LS OD 1 0�© abandoned sewer main inlet,re-channelizing, 5 installing drop inlet per Plan, installing Armorock Systems per Manufacturer's guidelines in the existing manhole(s), connections to new and existing sanitary sewers, and all appurtenant work required 8-Inch SDR-35 PVC Sewer: Per Plans and Specifications, furnish all labor,materials and equipment necessary,to construct 8-inch diameter SDR-35 PVC sewer lines. The work includes,but is not limited to: 8-inch diameter SDR-35 PVC sewer pipe, and one(1) 8-inch ,�' �(j c ` 15 14 diameter Poo Pit one way PVC with gasketed 110 LF e�U, riser cap at the end of the sewer main, excavation,trenching,backfill, compaction, core drilling and connections to new and existing sanitary sewer manhole and wet well, and all appurtenant work required. Sewer Lateral and Cleanout: Per Plans and Specifications, furnish all labor, materials and equipment necessary,to install sewer service laterals. The work includes but is not limited to: 15 disconnection and demolition of existing sewer 2 EA 347,OCR 70, ace) laterals,construction of two(2)4-inch diameter sewer laterals and two (2) sewer cleanouts on the property lines, and all appurtenant work required. 5-Foot Diameter Precast Concrete Wet Well : Per Plans and Specifications, furnish all labor, materials and equipment necessary,to construct a precast polymer concrete wet well with composite manhole frame and H-20 rated cover, dimensions per plans. The work includes 16 but is not limited to: saw cutting,pavement 1 LS Z 75-000 7 7 5 oc - removal and disposal, excavation, disposal of excavated soil, formwork,drop inlets, epoxy coated reinforcing steel, concrete, curing, stripping of forms, imported backfill, compaction,stainless steel pipe sleeves, waterproofing,hydrostatic testing, and all appurtenances complete,and in place. C-2.4 Reinforced Concrete Valve Vault and Misc Metals: Per Plans and Specifications, furnish all labor,materials and equipment necessary, to construct a reinforced concrete valve vault (dimensions per plans), including but not limited to: sawcutting,pavement removal and disposal, excavation,disposal of excavated soil, CO 17 formwork, epoxy coated reinforcing steel, 1 LS Z� Z Z d°)ei concrete, curing, stripping of forms, sacking of interior concrete surfaces, interior and exterior waterproofing, imported backfill, compaction, HL-93 rated, 316 stainless steel access hatch, 316 stainless steel ladders, sump, stainless steel sleeves, and all appurtenances complete,and in place. Submersible Pumps and Mechanical Equipment: Per Plans and Specifications, Furnish all labor,materials and equipment necessary and Install wet well mechanical equipment, including two 3 HP, 185 gpm recessed impeller slide-rail submersible pumps and motors(Wemco Model 3 x 11-CLCESR), . �6V Z30104967 18 spare pump and motor and parts,316 stainless 1 LS 7 / steel discharge elbows,316 stainless steel discharge piping, fittings and support brackets, 316 stainless steel slide-rail system, guide brackets, lifting chain and bails, 316 stainless steel cable racks, level transducer stilling well, duckbill check valve, and all other required appurtenances and spare parts. Valve Vault Mechanical Equipment: Per Plans and Specifications, furnish all labor,materials and equipment necessary to furnish and install valve vault mechanical equipment, including 19 but not limited to: pipes, fittings,couplings, 1 LS 700�C�00 ZOO/dO6 insulating flanges,valves, electromagnetic flow meter, float switch, 316 stainless steel pipe supports, and field coating of piping materials inside the vault,including all appurtenances complete and in place. C-2.5 4-Inch Diameter Force Mains and Connections: Per Plans and Specifications, furnish all labor, materials and equipment necessary,to construct PVC C900 DR14 force main in Humboldt Drive. The work includes but is not limited to: ductile iron restrained fittings with 8 mil green polyethylene wrap with thrust blocks, cathodic 20 protection,encasement, connection to new lift OCe station,connection to existing 4-inch force 105 LF ( 600' (65� main at the bridge abutments, and the existing downstream manhole,pavement removal and disposal,trenching, disposal of native soils, imported bedding, imported backfill,temporary connection and valves,temporary paving, compaction,pressure testing, and all required appurtenant work complete and in place. Miscellaneous Piping, Fittings,Cathodic Protection, and Appurtenances: Per Plans and Specifications, furnish all labor,materials and equipment necessary,to construct piping between the wet well and valve vault, including 21 but not limited to: couplings,4-inch 316 1 LS 60 0019 60 stainless steel pipe,4-inch ductile iron pipe with d 8 mil green polyethylene wrap,4-inch PVC SDR-35 drain line, cathodic protection, excavation, imported backfill, compaction, and all required appurtenances,complete and in place. Electrical Sitework: Per Plans and Specifications, furnish all labor,materials, and equipment necessary for furnishing and installing electrical and instrumentation systems and equipment for the project. The work includes,but is not limited to: excavation,Arc Flash Study,disposal of native soils, conduits and concrete encasement of conduits, imported 7 D( .O 3atQl d (26 22 backfill, compaction,core drilling of all wall 1 LS 2 penetrations,repair of lining systems,stainless steel supports,wire terminations,grounding system, conduits, wires, cables,pull boxes, hand holes,junction boxes,pads,receptacles, switches, lights, level transducers,third party testing of the electrical system, intrusion switches,float switches, all required spare parts, and appurtenances complete and in place. C-2.6 Meter Switchboard,Transfer Switch Enclosures, SCE Coordination: Per Plans and Specifications, furnish and install the NEMA 4X, 316 stainless steel transfer switch enclosure. The work includes,but is not limited to:NEMA 4X, 12 gage 316 stainless steel enclosure,wire, conduit and fittings, intrusion switches,automatic transfer switch with manual bypass,double throw manual transfer switch,reinforced concrete mounting base,modification/removal of existing wall footing conflicting with proposed panel concrete base, channel and anchors for mounting to base, light switch,thermostat controlled cabinet fan,LED lights, exhaust and intake louvers with filters, and all other required materials and equipment,complete and in place. The work also includes but not 23 limited to furnishing all labor,materials, and 1 LS 9° OO 9°1 equipment necessary, and doing all work to provide 100 amp, 240 volt, 3 phase electrical service to the pump station site, coordination with SCE, establishing a schedule for when electrical service is needed, contacting SCE to schedule installation, and providing all necessary accommodations to SCE for service installation,construction of a concrete transformer pad to house new SCE Transformer and meter pedestal,4-inch conduit with pull rope from existing SCE facilities to newly constructed SCE transformer on Humboldt Drive and to a new meter pedestal to be furnished and installed by the CONTRACTOR, 100 amp main switchboard, and all appurtenant work complete and in place in accordance with SCE's requirements. Control and PLC Panel: Per Plans and Specifications, furnish all labor,material and equipment necessary for installation of PLC and control panel, all required appurtenances complete and in place. Work also includes 24 providing all materials required for mounting 1 LS Z 76I CO ( those panels to a reinforced concrete base to be constructed by the CONTRACTOR.Also included is modification/removal of an existing wall footing that is in conflict with the electrical enclosures concrete base. C-2.7 Sewage Bypass: Per Plans and Specifications, furnish all labor, material and equipment necessary to provide temporary sewage bypass 25 as needed for construction, including but not l LS G -0' C9� limited to sewage pumping, storage and / transportation. Sewage bypass plans was provided in the Construction Drawings for reference purpose only. START-UP AND TESTING: Per Plans and Specifications, furnish all labor,material and equipment necessary to perform start-up testing of the lift station. The work includes, but is not limited to:pre-start-up testing of equipment, development of a start-up plan,attendance at a pre-start-up conference,providing authorized equipment manufacturer representatives, calibration of instruments,pre-commissioning �� activities,record keeping and all other required X..& ,C i 26 activities demonstrating to full satisfaction of 1 LS , the City of Huntington Brach that the lift station operates properly under all normal and emergency conditions with the use of commercial electric service, and service through a CITY furnished portable generator. This bid item includes CONTRACTOR operation,maintenance and repair of the lift station through the 7-day demonstration/performance period. Demolition of Existing Lift Station: Per Plans and Specifications,furnish all labor,materials and equipment necessary to demolish existing City of Huntington Beach Humboldt Sewer Lift Station, including removal,handling, and proper disposal of lead-based paint, removal and proper disposal of all equipment within the existing lift station,coordination and removal of SCE service meter,main disconnect, and �� 27 manual transfer switch,and delivery of /'�t �cO /00 salvaged equipment to City Yard,removal of 1% curb, gutter,and sidewalk,removal of the top slab and 4-feet of the dry well structure, backfilling of the wet well and remaining dry well with Class 100-E-100 slurry, filling of existing to be abandoned pipes with low strength slurry mix, backfilling of the excavation with approved materials,removal of existing force main,restoration of curb, gutter, sidewalk, and all appurtenant work. C-2.8 Abandonment of Existing Gravity Sewer and Force Main: Per Plans and Specifications, furnish all labor,materials and equipment 28 necessary to fill existing to-be-abandoned 1 LS 7I9 d10 1/0/06b gravity sewer pipes and force main pipes with low strength slurry mix,abandon pipes in place, and furnish all other appurtenant work required. Miscellaneous Site Work,Earthwork Concrete, and Landscape Restoration: Per Plans and Specifications, furnish all labor,materials, and equipment necessary to construct new curbs, gutters, local depressions, sidewalks, and ADA // Oa° 29 ramps,painting of the curb in front of the new 1 LS /C �7l 0 (2/- lift station in red,re-installation of street signs, pedestrian control, irrigation and landscape restoration to pre-construction condition or per Plans as required for the project along Humboldt Drive and Wayfarer Lane. Asphalt Paving Replacement: Per Plans and Specifications, furnish all labor,materials, and equipment necessary to remove and full-depth replace existing disturbed aggregate base (AB), sawcut remove and full depth replace existing 30 disturbed asphalt concrete(AC),within Humboldt Ave and Wayfarer Lane(6"AC over 730 SF (/ 10"AB). Work also includes removal and 77 replacement of all impacted pavement and curb markings, striping, and adjustment of existing boxes,manholes,valve cans to grade, in Humboldt Ave and Wayfarer Lane. Asphalt Overlay: Per Plans and Specifications, furnish all labor, materials, and equipment necessary for 2-inch pavement cap, removal and disposal of excess material, 31 adjustment of existing manhole covers,valve 4500 SF v �g cans, and utility boxes to grade, including construction of concrete collars,replacement of all pavement striping and markings, and all required appurtenances, complete and in place. Replacement of Survey Monuments: Per Plan and Specification, furnish all labor,materials, and equipment necessary to provide the services d�/y 32 of a California Registered Professional Land 1 LS 3 3, Surveyor,with experience in all elements of the project,for the replacement of survey monuments. C-2.9 Wet Well Shoring Concrete Plug: Furnish all labor,materials and equipment as required to 33 design and implement 5-foot thick concrete 0U pQJ plug to be installed under crushed rock base 1 LS ZOr d Zvi D with wet well shoring and bracing,required by Contractor's Geotechnical Engineer. TOTAL BID ITEMS 1 THRU 33 FOR HUMBOLDT SEWER LIFT STATION $ y /,3 REPLACEMENT PROJECT Total Amount of Base Bid in Writing: cove J4 we? ' (-I VJ -t Note : Bid Item No. 33 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 payment of this bid item is dependent on Contractor's Geotechnical recommendations for wet well construction. C-2.10 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 • ''Leed�:c `ectr`ic Tn „ :19,22 (' 11 7 0313� Ari is Circle 3�79096 C-10 1000004633 513,997 11.47 Sange Bprings;`CA Zefiro Corporation 8 1042 N. Mountain Ave 905699 C-61 1000007256 174,000 4% Suite B348 D-30 Upland, CA 905699 9 Rain for Rent P.O. Box 2248 904992 A 1000007030 149,576 3.5% Bakersfield, CA 93303 • • By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on10/5/2 at South El Monte , CA Date City State Vido, Artukovich , beingfirst duly sworn, deposes and says that he or she is Managing Partner of gmarrtynovic V& Son, Ince 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. Vido Artukovich & Son, Inc/Vidmar, Inc A JV Name of Bidder Aggi(,0416!->*' Signature of Bidder 11155 Rush Street, South El Monte, CA 91733 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT, (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. Vido Artukovich & Son, Inc/Vidmar, Inc A JV Contractor .01 By Vido Artukovich Managing Partner Title Date: 10/5/2023 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete, under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified,removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? CI Yes IJ No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Vido Artukovich & Son, Inc/Vidmar, Inc A JV Contractor I4(,(i° By Vido Artukovich Managing Partner Title Date: 10/5/2023 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Vido Artukovich & Son, Inc/Vidmar, Inc A JV Bidder Name 11155 Rush Street Business Address South El Monte, CA 91733 City, State Zip ( 626 ) 444-4286 info@artukovich.com Telephone Number Email Address 726231 A State Contractor's License No. and Class 8/14/1996 Original Date Issued 8/31/2024 Expiration Date The work site was inspected byAnthony Artukovicbf our office on 11/26/23 , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: Vido Artukovich — Managing Partner 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. Vido Artukovich & Son, Inc/Vidmar, Inc A JV Company Name Signature of Bidder Vido Artukovich, Managing Partner Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 544"day of Ocfia t' ,2023. 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 CO{73110 County of us piwyt k�. . .. ) On octolarx 5 ; 201'3 'before me, etuu kt1ont NI(AYrt Noma Not vtj PutO k Month,Day, and Year Insert Name and Title of Notary J personally appeared V NO Art1 OU1C/1 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 Ms/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. .,ate!. 'GUADALUPE MARIE NAVA WITNESS myhand and official seal. I, ;~ Notary Public•California ';?+• '-: Los Angeles County �. r?`/ Commission#2394032 y . My Comm.Expires Feb 15,2026--am — Signature 54gdiagitt ' 1G Signature of Notary Public` (PACE NOTARY SEAL ABOVE) C-9 Bidder's Project History • For the purposes of this project, the bidder shall provide project history of at least three similar work projects, specifically referencing the construction of a new submersible sewer lift station and forcemain,the construction of new gravity sewers,reconnection of sewer laterals,as well as curb, gutter, sidewalk,AC paving, and other appurtenant work an area containing high ground water and requiring dewatering. 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 City of Los Angeles, Department of Public Works 1149 S. Broadway, Suite 700, Los Angeles, CA 90015 Name and Telephone No. of Project Manager: Robert Garcia 626 272-3957 $21,652,450 NOS Unit 12 (AVenue 19 and Humboldt Street) SZC13696 9/30/20 • Contract Amount Type of Work . Date Completed Provide additional project description to show similar work: Repair and replace NOS beneath railroad tracks and LADWP high voltage power lines with 1U,UUOlt 24" HUPE force main, 1,4851f 34" semi-elliptical fiberglass pipe, /b5lt 48" CipP, construction of 65ft deep wet well w/sheet pile shoring system 410MGD and 23MGD ss s stem, restoration of curb, gutter, sidewalk and paving 2. Name an Address o yPt �1c Agency City of Malibu, 23825 Stuart Ranch Road, • Malibu, CA 90265 Name and Telephone No. of Project Manager: Rob DuBoux 310 456-2489 x339 $20,818,276 Civic Center Wastewater Treatment Facility-PH 1 9/30/18 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Furnish and install 21,2001f open cut 4" to 14" HDPE .sewer, 13,7601f 4" to 8" C900 reclaimed water line, 3,9071f 24"to 42" bore and jack steel casing in high around water with dewatering, construct 2 pump stations plu all appurtenanc . 3. `m e andiRdrdro s or 1'uD11c A enct ess o u plant y City of Hungington Beach 2000 Main Street, Huntington Beach, CA 92648 Name and Telephone No. of Project Manager: Andrew Ferrigno 714 536-529,1 $2,185,195 Trinidad Lift Station No 29 and Force Main Improvement 6/6/16 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Furnish and install 4001f 4" force main, 3001f 8" gravity sewer, demo and removal of existing structure and construction of new lift station in high ground with dewatering with all appurtenance including curb, gutter, sidewalk and paving C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project.Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. _Name of proposed Project Manager Vido Artukovich Telephone No. of proposed Project Manager: 626 945-0494 NOS Unit 12 (Avenue 19 and Humboldt Street) - City of Los Angeles - SZC13696 Repair and replace NOS 12 inc 65ft' deep wet well $21,652,450 9/20/20 Project Name&Contract Amount Type of Work Date Completed Civic Center Wastewater Treatment Facility Phase 1, Pipelines and Pump Stations New sewer installation, reclaimed water installation with 2 pump stations $20,185,195 9/30/18 Project Name&Contract Amount Type of Work Date Completed Trinidad Lift Station No. 29 and Force Main Improvement-City of Huntington Beach Force main, gravity sewer and new lift station $2,185,195 6/6/16 Project Name&Contract Amount Type of Work Date Completed 2. _Name of proposed Superintendent Mark Artukovich Telephone No. of proposed Superintendent: 626 260-6986 NOS Unit 12 (Avenue 19 and Hymboldt Street) - SZC13696 - City of Los: Angeles Repair and replace NOS 12 inc 65ft deep wet well $21,652,450 9/20/20 Project Name&Contract Amount Type of Work Date Completed Civic Center Wastewater Treatment Facility Phase 1, Pipelines and Pump Stations New sewer installation, reclaimed water installation with 2 pump stations ?O_3 a Zb Project Name&Contract Amount Type of Work Date Completed Trinidad Lift station No. 29 and Force Main Improvement - City of Huntington Beach Force main, gravity sewer and new lift station $2,185,195 6/6/16 Project Name&Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)),passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is$300.Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https://efiling.dir.ca.gov/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. Vido Artukovich & Son, Inc/Vidmar, Inc A JV Contractor BY Vido Artukovich Managing Partner Title Date: 10/5/2023 PWC Registration#: 1000004168 C-12 Vido Artukovich & Son, Inc.Nidmar, Inc. A JV Recent Completed Projects Irvine Ranch Water District 15600 Sand Canyon Avenue, Irvine, CA 92619 Alex Murphy, 949 453-5863 murphy@irwd.com Design Engineer— Nathan Chase-Woodard & Curran —949-420-5300 Sewer Siphon Improvements, Project 07886 Clean, CCTV, CIPP 3,633If of 15"—42" sewer and rehab four (4) structures with air jumpers, grit traps and chemical dosing facilities. $8,355,349-371 calendar days— NOC 3/28/22 Padre Dam Municipal Water District 9300 Fanita Parkway, Santee, CA 92071 Robin Bier, P.E. 619 258-4646 rbier(a�padre.orq Mountain View Connector Pipeline Furnish and install 11,5001f 16" DIP, rock excavation, pressure reducing station, flow control valve vault and all appurtenance $6,952,485 - 8/27/19 to 2/18/2021 City of Los Angeles, Department of Public Works 1149 S. Broadway, Suite 700, Los Angeles, CA 90015 Robert Garcia, 626 272-3957 robert.p:garcia ,lacity.orq NOS Unit 12 (Avenue 19 and Humboldt Street), SZC13696 Repair and. replace NOS beneath railroad tracks and LADWP high voltage power lines with 10,0001f 24" HDPE force mai, 1,4861f 54" semi elliptical fiberglass pipe,7561f 48" CIPP including construction of 65' deep well with sheet pile shoring system, 40MGD by-pass system, 23MGD by-pass system. $21,652,450 — 11/26/18 to 9/30/2020 City of Fresno 2101 G Street, Building A, Fresno, CA 93706 Martin Wendels 559-621-1627 (Martin.Wendels@fresno.gov) Phase 2 Regional Transmission Main-Segment B&C Furnish and install 10,000If 30", 4,863If 42", 1,536If 24" CML&C, 1,6901f 12"to 20" Ductile Iron water main with 309If 48" micro tunnel with all appurtenance. $11,490,484/Final $11,550,816—2/16/18 to 10/31/19 Vido Artukovich & Son, Inc/Vidmar, Inc A JV Page 2 City of Malibu 23825 Stuart Ranch Road, Malibu, CA 90265 Rob DuBoux, P.E. 310 456-2489 x339 (RDubouxAmalibucity.orq) Civic Center Wastewater Treatment Facility-Phase 1, Pipelines and Pump Stations Project Furnish and install 21,2001f open cut 4" to 14" HDPE sewer, 13,7601f 4" to 8" C900 reclaimed water line, 3,907If 24"to 42" bore and jack steel casing, 2 pump stations plus all appurtenance in high ground water and tie into treatment plant $20,818,276 Complete 9/30/18 City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA 92701 Mike Ortiz 714 547-5624 (mortiz@santa-ana.org) Bristol Street Water Main Furnish and Install 4,708If 16" PVC C905 DR14 water line with all appurtenances $2,504,490/Final $2,999,264— 160 work days —12/22/16 US Army Corps of Engineers - Los Angeles District 915 Wilshire Boulevard, Suite 1400, Los Angeles, CA 90017 ' Stan Fujimoto 626 401-4084 (stanley.s.fujimoto@usace.army.mil) Carson Mall Lateral Phase II Furnish and install 4,4161f 12" PVC and 2291f 12"ductile iron water line with 115lf 24" bore and jack casing and all appurtenances $2,477,44Q — 150 calendar days- 8/30/16 City of Huntington Beach 2000 Main Street, Huntington Beach, CA 92648 Andrew Ferrigno 714 536-5291 AFerrigno(c�surfcity-hb.orq Trinidad Lift Station No:29 and Force Main Improvement Furnish and install 4001f 4" Force Main, 300If 8" Gravity Sewer, demo and removal of existing structure and construction of new Lift Station with electrical and all:.appurtenances $2,185,195— 180 work days—6/6/16 Vido Artukovich & Son, Inc.Nidmar, Inc. A JV Page 3 Chino Basin Desalter Authority 1251 S. Haven Avenue, Suite 202, Ontario, CA 91761 Joe Blum, Butier Engineering 714 832-7222 (jblum(cbutier.com) Chino Desalter Phase 3 Expansion Product Water Pipeline Furnish and install 37,000If 30" CML&C, CL 150-250, 6151f 48" steel micro-tunnel casing and 2771f 42" steel bore and jack casing. Original $19,051,220/Final $20,066,645 Complete 9/6/16 480 calendar days City of Huntington Beach Andrew Ferrigno, P. E. 714 536-5291(AFerrignoAsurfcity-hb.org) - George Litzinger, Dudek Construction Mgmt. 619 980-7048 (glitzinger@dudek.com) Warner Avenue Gravity Sewer and Lift Station #C Furnish and install 3,500lf 16" gravity C905, 5001f 12" ductile force main with all appurtenances and lift station. Original $9,846,863/Final $10,556,640 Complete 5/7/15 306 work days City of Pasadena Water & Power 150 Los Robles Avenue, Suite 200, Pasadena, CA 91101 Natalie Ouwersloot, P.E. 626 744-7011 (nouwersloot(a citvofpasadena.net) Eastside Well Collector Pipeline Furnish and install 22,000 If 16" and 24" DIP water main, CL52 with all appurtenances Original $4,764,721/Final $5,716,721 Complete 5/23/15 -235 work days West Basin Municipal Water District 17140 S. Avalon Blvd., #210, Carson, CA 90746 Veronica Govea 310 660-6269 (veronicag@westbasin.org) NRG Recycled Water.Conveyance Pipeline Project Furnish and install 7,424If 10" C905 PVC and connect to existing 12" PVC with all appurtenance and flow control vault. Original $2,279,038/Final $2,365,515 Complete 2/23/13 —300 calendar days City of Huntington Beach Public Works Department 2000 Main Street Tel. (714) 536-5431, Fax(714) 374-1573 ADDENDUM NUMBER ONE For HUMBOLT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 September 19,2023 Notice to All Bidders: Please note the following clarifications to the Project Plans, Specifications,and Special Provisions. 1) The City of Huntington Beach has changed the valve vault size from 7' x 4' x 8' to be 8' x 6' x 8'. Sheets 7, 8, 10, 11, 12, 16, 17, 19, 28 and 29 of 34 have been revised to show this change. The revised sheets are attached. Note the Bid Schedule did not call out the size of the valve vault, therefore no change to the Bid Schedule is provided. This is to acknowledge receipt and review of Addendum Number One, dated September 19,2023. Vido Artukovich & Son, Inc/ Vidmar, Inc A JV Company Name By ido A tukovich, anaging Partner 9/19/2023 Date 1 of 1 of Addendum No. 1 VIDO ARTUKOVICH & SON, INC. / VIDMAR, INC. A J.V. 11155 RUSH STREET SO. EL MONTE, CA 91733 THE ARTUKOVICH COMPANIES SINCE 1919 Telephone 626.444.4286 Fax 626 444-3989 JOINT VENTURE DECLARATION Vido Artukovich & Son, Inc and Vidmar, Inc A Joint Venture and the partners of same hereby authorize Vido Artukovich to sign and execute documents on behalf of the Joint Venture. Vido Artukovich & Son, Inc Vidmar, Inc By: / I AVVA- By.. , "./ i�` Vido Artukovich Vido Artukovich 8/30/2023 8/30/2023 t1n1 , CITY OF HUNTINGTON BEACH O BUSINESS LICENSE P.O.Box 190 Huntington Beach,CA 92648-2702 (714)536-5267 Sunny Han Chief Financial Officer HNY1115A 4000000058 52/1 mum IIIIIIiIInnhiiIIIi1111.1iIIIII111111IuiIIIIIIIIIIIIIIuIIIIIIrIi, VIDO ARTUKOVICH&SON INCNIDMAR INC 11155 RUSH STREET SOUTH EL MONTE CA 91733-3548 Dear Business Owner: Thank you for your payment. Attached is your,City of Huntington Beach Business-License certificate.Please note that approximately one month prior to the license expiration date,you will be mailed a renewal notice for the upcoming year. If for any reason your renewal notice does not arrive,you are still responsible for renewing and paying your business license prior to the expiration date. Penalties will be incurred if the payment is not received by the expiration date. Please post the business license in public view. If you do not transact business from a fixed location within the City,you must carry this license with you at all times. If a vehicle license plate number is displayed on the Business License certificate below,you must carry a copy of the certificate in that vehicle. Please contact the Business License office if there are any changes to:ownership, address,business name, business vehicle,or type of business conducted.Additionally, please notify our office if you discontinue your business. The Gender Tax Repeal Act of 1995(Act)prohibits a business from discriminating based on a person's gender for prices of similar or like-kind goods and services. However,the Act does not prohibit price differences based on the amount of time,difficulty,or cost of providing the services. In addition to prohibiting discrimination based on a person's gender,the Act requires certain businesses to clearly and conspicuously disclose to customers in writing the pricing for each standard service provided.The posting requirement applies to barbers and hair salons,tailors or businesses providing aftermarket clothing alterations,dry cleaners,and laundries providing services to individuals.To access the Department of Consumer Affairs publication,please use the following webpage: https://www.barbercosmo.ca.gov/consumers/gender_policy.pdf. To access the publication in Korean,Spanish,Vietnamese, Traditional Chinese,Simplified Chinese,or Tagalog, please use the following webpage: https://www.dca.ca.gov/publications/index.shtml There are many resources available to our business owners. Listed below are a few that might be of interest and assistance to you. Office of Business Development -(714)536-5582 Service Corps of Retired Executives-(714)550-7369 Huntington Beach Chamber of Commerce-(714)536-8888 Fictitious Business Name Information-(714)834-2889 CA Department of Tax and Fee Administration-(949)440-3473 Community Development-(714)536-5271 If you have any questions, please call a Business License representative at(714) 536-5267. City of Huntington Beach Business License License Number Business Name/Service Address POST IN PUBLIC VIEW A311206 VIDO ARTUKOVICH &SON INC/VIDMAR �"�"'�-•� Effective Date e��TIN� 4,, 0- ;r�P14# Teti 12/1/2023 Owner/Corporation /�r `'•4:9,„ Expiration Date VIDO ARTUKOVICH &SON 4�"1; _ ;s 11/30/2024 INC/VIDMAR INC V._31). v, a Amount Paid License Type ........... $110.80 CONTRACTOR Aur r/�� 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. CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE AND OBLIGATIONS From: Vido Artukovich&Son Inc/Vidmar, Inc A JV Prbject: Humboldt Sewer Lift Station 11155 Rush'Street Replacement Project,C-1634 South El Monte,California 91733 To: City of Huntington Beach DECLARATION Attached hereto is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsements CG 2010 0413 and CG 2037 0413,which Certificate complies with the insurance requirements of the Contract by and between the City of Huntington Beach("City") and the above-named Contractor("Contractor")for the above described("Project") I declare under penalty of perjury under the laws of the State of California that the above statement is true and correct Signed on 12/19/2023 ,2023,at Los Angeles.CA Date City,State • I + + 11 , r Signatur of Indivi ual ak ft Dec aration WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations Insurance in compliance with the insurance requirements of the Contract for the Project.Said insurance shall contain Additional Insured Endorsement CG 2010 0413 and CG 2037 0413, naming'City as an additional insured. Contractor shall supply to City,on at least an annual basis,a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contract requirements. Signed on 12/29/2023 ,2023,at South El Monte, CA Date City,State CONTRACTOR:Vido Artukovich&Son,Inc/Vidmar,Inc A JV By: Name: Vido Artukovich Title: Managing Partner . Ac R CERTIFICATE OF LIABILITY INSURANCE DATE(MM!DDiYYYY) 11/27/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NpmE CONTACT Lenessa Weatherford Alliant Insurance Services,Inc. PHONE FAX 333 S Hope St Ste 3750 (Arc.No.Est):AIL ,Ara Nor: Los Angeles CA 90071 ADDRESS: Lenessa.Weatherford@alliant.com INSURER(S)AFFORDING COVERAGE NMI/ License#:0036881 INSURER A:Hartford Fire Insurance Compan 19682 INSURED VIDOARTOZ INSURER B:Hartford Casualty Insurance Co 29424 Vido Artukovich&Son, Inc.Nidmar,Inc.A JV 11155 Rush St. iNSURERC:Sentinel Insurance Company Ltd 11000 South El Monte,CA 91733 INSURERO:Trumbull Insurance Company 27120 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:1723048604 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. IL R TYPE OF INSURANCE ADDL SUER POLICY EFF POUCY EXP INSO WVD POLICY NUMBER IMMIDDIYVYY1 (MMIDOIYYYYi UNITS A X COMMERCIAL GENERAL LABILITY Y Y 72UEABAOLU4 12/31/2023 12/31/2024 EACH OCCURRENCE $1,000,0(10 TED CLAIMS-MADE n OCCUR PREMI E S0 a occur PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 7 POLICY X YER87 n LOC PRODUCTS-COMP/OP AGO $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY Y Y 72UEAHC8832 12/31/2023 t2/31/2024 (rEaMaegiciE«011SINGLELIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per acddent) $ AUTOS ONLY _ AUTOS HIRED NONAWNED PROPERTY DAMAGE _ AUTOS ONLY _ AUTOS ONLY (Per trodden° Comp./Coll.Dad. $1,000 B X UMBRELLA LAB X OCCUR Y Y 72HHABAOLWS 12/31/2023 12/31/2024 EACH OCCURRENCE $10,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000.000 DEO X RETENTIONS$1n11nn S C WORKERS COMPENSATION Y 72WEAZT4447 12/31/2023 12/31/2024 X PER OTH- AND EMPLOYERS'LABILITY Y 1 N STATUTE ER ANYPROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFiCER/MEMBEREXCLUDED? NiA - --- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yeSCs,desalbe under DERIPTION OF OPERATIONS below E.L.DISEASE-POUCY UMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re:Humboldt Sewer Lift Station Replacement City of Huntington Beach,Its officers,elected or appointed officials,employees,agents,and volunteers are nai sA 950:11911 0Rttl�pects to L bility arising out of work performed by the Named Insured.The insurance provided shall be primary and any other i me``iinntaained by the Addittto in= •' Is excess and non-contributory.Waiver of Subrogation applies as required by contract,Thirty(30)Days Notice of Cancellation/Non-Renewal—Te (i' p ‘s Notice For Non-Payment of Premium. ce.�• MICHAEI.E.GATES CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION CiTY OF HUNTiNtil uN BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street P.O.Box 190 UTHORiZEDREPRESENTATIVE Huntington Beach CA 92648 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 72 UEA BAOLU4 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations The City of Huntington Beach, Its officers,elected or Humbolt Sewer Lift Station Replacement- appointed officials,employees, agents and volunteers Humbolt Drive&Wayfarer Lane, Huntington Beach, CA Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only with exclusions apply: respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused, in whole or in part,by: 1. All work, including materials, parts or equipment 1. Your acts or omissions;or furnished in connection with such work, on the 2. The acts or omissions of those acting on your project (other than service, maintenance or behalf; repairs) to be performed by or on behalf of the in the performance of your ongoing operations for additional insured(s) at the location of the the additional insured(s) at the location(s) covered operations has been completed;or designated above. 2. That portion of"your work"out of which the injury However: or damage arises has been put to its intended 1. The Insurance afforded to such additional use by any person or organization other than by another contractor or subcontractor engaged In insured only applies to the extent permittedperforming operations for a principal as a part of law;and the same project. 2. If coverage provided to the additional insured Is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 2010 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the Insurance afforded to these 2. Available under the applicable Limits of additional Insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. if coverage provided to the additional Insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we Limits of Insurance shown In the Declarations. will pay on behalf of the additional insured is the • amount of Insurance: 1. Required by the contract or agreement;or • Page 2 of 2 ©Insurance Services Office, Inc., 2012 CG 2010 0413 POLICY NUMBER: 72 UEA BAOLU4 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations The City of Huntington Beach,its officers,elected or Humbolt Sewer Lift Station Replacement- appointed officials,employees,agents and volunteers Humbolt Drive&Wayfarer Lane, Huntington Beach,CA Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II —Who Is An insured Is amended to B. With respect to the Insurance afforded to these include as an additional Insured the person(s) or additional insureds, the following is added to Section III organization(s) shown in the Schedule, but only —Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused,in whole or in part.by required by a contract or agreement, the most we will "your work" at the location designated and pay on behalf of the additional insured Is the amount of described in the Schedule of this endorsement insurance: performed for that additional insured and 1included in the "products-completed operations Required by the contract or agreement;or hazard". 2. Available under the applicable Limits of Insurance However: shown in the Declarations; 1. The Insurance afforded to such additional whichever Is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law;and Limits of Insurance shown in the Declarations. 2. if coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 ©Insurance Services Office, Inc.,2012 Page 1 of 1 POLICY NUMBER: 72UEABAOLU4 • SECTION ll-WHO iS AN INSURED "volunteer worker as a consequence 1. If you are designated in the Declarations as: of Paragraph(1)(a)above; a. An Individual, you and your spouse are (c)For which there is any obligation to insureds, but only with respect to the conduct share damages with or repay someone of a business of which you are the sole else who must pay damages because owner. of the injury described in Paragraphs b. A partnership or joint venture, you are an (1)(a)or(1)(b)above;or insured. Your members, your partners, and (d)Arising out of his or her providing or their spouses are also insureds, but only with failing to provide professional health respect to the conduct of your business. care services. c. A limited liability company, you are an if you are not in the business of providing insured.Your members are also insureds, but professional health care services: only with respect to the conduct of your (a)Subparagraphs(1)(a), (1)(b)and (1)(c) business. Your managers are insureds, but above do not apply to any "employee" only with respect to their duties as your or"volunteer worker"providing first aid managers. services;and d. An organization other than a partnership,joint (b)Subparagraph (1)(d) above does not venture or limited liability company, you are apply to any nurse,emergency medical an Insured. Your "executive officers" and technician or paramedic employed by directors are insureds,but only with respect to you to provide such services. their duties as your officers or directors. Your (2) "Property damage"to property: stockholders are also Insureds, but only with (a)Owned,occupied or used by, respect to their liability as stockholders. e. A trust, you are an insured.Your trustees are (b)Rented to, In the care, custody or also Insureds, but only with respect to their control of, or over which physical duties as trustees. control is being exercised for any purpose by 2. Each of the following is also an insured: a. Employees And Volunteer Workers you, any of your "employees", "volunteer Y workers", any partner or member (if you Your "volunteer workers" only while are a partnership or joint venture), or any performing duties related to the conduct of member (if you are a limited liability your business, or your "employees", other company). than either your"executive officers"(if you are b. Real Estate Manager an organization other than a partnership, Joint Any person (other than your "employee" or venture or limited liability company) or your managers (if you are a limited liability "volunteer worker"), or any organization while company), but only for acts within the scope acting as your real estate manager. of their employment by you or while c. Temporary Custodians Of Your Property performing duties related to the conduct of Any person or organization having proper your business. temporary custody of your property If you die, However, none of these "employees" or but only: "volunteer workers"are insureds for: (1) With respect to liability arising out of the (1) "Bodily injury"or"personal and advertising maintenance or use of that property;and Injury": (2) Until your legal representative has been (a)To you,to your partners or members(if appointed. you are a partnership or joint venture), d. Legal Representative if You Die to your members (if you are a limited Your legal representative if you die, but only liability company), to a co-"employee" with respect to duties as such. That while in the course of his or her representative will have all your rights and employment or performing duties duties under this Coverage Part. related to the conduct of your business, or to your other "volunteer e. Unnamed Subsidiary workers" while performing duties Any subsidiary, and subsidiary thereof, of related to the conduct of your yours which is a legally incorporated entity of business; which you own a financial interest of more (b)To the spouse,child, parent, brother or than 50% of the voting stock on the effective sister of that co-"employee" or that date of the Coverage Part. HO 00 01 0916 Page 11 of 21 The insurance afforded herein for any A person or organization is an additional insured subsidiary not named in this Coverage Part under this provision only for that period of time as a named insured does not apply to injury required by the contract or agreement. or damage with respect to which such insured However, no such person or organization Is an is also a named insured under another policy insured under this provision if such person or or would be a named insured under such organization is Included as an insured by an policy but for Its termination or the exhaustion endorsement Issued by us and made a part of of its limits of Insurance, this Coverage Part. 3, Newly Acquired Or Formed Organization a. Vendors Any organization you newly acquire or form, Any person(s) or organization(s) (referred to other than a partnership, joint venture or limited below as vendor), but only with respect to liability company, and over which you maintain "bodily injury" or "property damage" arising financial Interest of more than 50% of the voting out of"your products"which are distributed or stock, will qualify as a Named insured if there Is sold in the regular course of the vendor's no other similar insurance available to that business and only if this Coverage Part organization. However, provides coverage for "bodily injury" or a. Coverage under this provision Is afforded only "property damage" Included within the until the 180th day after you acquire or form "products-completed operations hazard". the organization or the end of the policy (1) The insurance afforded the vendor is period,whichever is earlier; subject to the following additional b. Coverage A does not apply to "bodily injury" exclusions: or "property damage" that occurred before This insurance does not apply to: you acquired or formed the organization;and (a)"Bodily injury"or"property damage"for c. Coverage B does not apply to "personal and which the vendor is obligated to pay advertising injury" arising out of an offense damages by reason of the assumption committed before you acquired or formed the of liability in a contract or agreement. organization. This exclusion does not apply to 4. Nonowned Watercraft liability for damages that the vendor With respect to watercraft you do not own that is would have In the absence of the less than 51 feet long and is not being used to contract or agreement; carry persons for a charge, any person is an (b)Any express warranty unauthorized by Insured while operating such watercraft with your you; permission. Any other person or organization (c)Any physical or chemical change in the responsible for the conduct of such person is product made intentionally by the also an insured, but only with respect to liability vendor, arising out of the operation of the watercraft, and (d)Repackaging, except when unpacked only if no other insurance of any kind is available solely for the purpose of inspection, to that person or organization for this liability, demonstration, testing, or the However,no person or organization is an insured substitution of parts under instructions with respect to: from the manufacturer, and then a. "Bodily injury" to a co-"employee" of the repackaged In the original container; person operating the watercraft;or • (e) Any failure to make such inspections, b. "Property damage" to property owned by, adjustments, tests or servicing as the rented to,in the charge of or occupied by you vendor has agreed to make or normally or the employer of any person who is an undertakes to make in the usual insured under this provision. course of business, In connection with 6. Additional Insureds When Required By the distribution or sale of the products; Written Contract, Written Agreement Or (f) Demonstration, Installation, servicing Permit or repair operations, except such The following person(s) or organization(s) are an operations performed at the vendor's additional Insured when you have agreed, in a premises in connection with the sale of written contract,written agreement or because of the product; a permit issued by a state or political subdivision, (g) Products which, after distribution or that such person or organization be added as an sale by you, have been labeled or additional insured on your policy, provided the relabeled or used as a container, part injury or damage occurs subsequent to the or ingredient of any other thing or execution of the contract or agreement. substance by or for the vendor;or Page 12 of 21 HO 00 01 09 18 (h)"Bodily Injury" or "property damage" omissions of those acting on your behalf; arising out of the sole negligence of the (1) in connection with your premises;or vendor for its own acts or omissions or (2) in the performance of your ongoing those of its employees or anyone else operations performed by you or on your acting on its behalf. However, this behalf. exclusion does not apply to: With respect to the insurance afforded these (1)The exceptions contained in Sub- additional Insureds, the following additional paragraphs(d) or(f);or exclusion applies: (ii) Such inspections, adjustments, This Insurance does not apply to "bodily tests or servicing as the vendor has injury", "property damage" or "personal and agreed to make or normally advertising injury"arising out of the rendering undertakes to make in the usual of or the failure to render any professional course of business, In connection services by or for you, including: with the distribution or sale of the products. 1. The preparing, approving, or failing to (2) This insurance does not apply to any prepare or approve, maps,shop drawings, Insuredperson or organization, from opinions, reports, surveys, field orders, change orders or drawings and whom you have acquired such products, specifications;or or any ingredient, part or container, 2. Supervisory, inspection, architectural or entering Into, accompanying or containing such products. engineering activities. b. Lessors Of Equipment This exclusion applies even if the claims (1) Any person(s) or organization(s) from against any insured allege negligence or other wrongdoing in the supervision, hiring, whom you lease equipment; but only with employment, training or monitoring of others respect to their liability for "bodily injury", by that insured, if the "occurrence" which "property damage" or "personal and caused the "bodily Injury" or "property advertising injury" caused, in whole or in part, by your maintenance, operation or damage", or the offense which caused the use of equipment leased to you by such "personal and advertising injury", involved the person(s)or organizaiion(s). rendering of or the failure to render any professional services by or for you. (2) With respect to the Insurance afforded to e. Permits Issued By State Or Political these additional insureds this insurance Subdivisions does not apply to any "occurrence" which Any state or political subdivision,but only with takes place after the equipment lease expires. respect to operations performed by you or on c. Lessors Of Land Or Premises your behalf for which the state or political subdivision has issued a permit. Any person or organization from whom you With respect to the insurance afforded these lease land or premises, but only with respect additional insureds, this insurance does not to liability arising out of the ownership, apply to: maintenance or use of that part of the land or (1) "Bodily injury", "property damage" or premises leased to you. "personal and advertising injury" arising With respect to the Insurance afforded these out of operations performed for the state additional insureds the following additional or municipality;or exclusions apply; This insurance does not apply to: (2) "Bodily injury" or "products-completed "property damage" included within the 1. Any "occurrence" which takes place after operations hazard". you cease to lease that land;or f. Any Other Party 2. Structural alterations, new construction or Any other person or organization who is not demolition operations performed by or on an additional insured under Paragraphs a. behalf of such person or organization. through e. above, but only with respect to d. Architects,Engineers Or Surveyors liability for "bodily injury", "property damage" Any architect, engineer, or surveyor, but only or"personal and advertising injury"caused,in with respect to liability for "bodily injury", whole or in part, by your acts or omissions or "property damage" or "personal and the acts or omissions of those acting on your advertising Injury"caused, in whole or in part, behalf: by your acts or omissions or the acts or (1) in the performance of your ongoing operations; iIG 00 01 0916 Page 13 of 21 (2) In connection with your premises owned No person or organization Is an insured with respect by or rented to you;or to the conduct of any current or past partnership, (3) In connection with "your work" and joint venture or limited liability company that is not Included within the "products-completed shown as a Named Insured in the Declarations. operations hazard",but only if SECTION IiI-LIMITS OF INSURANCE (a)The written contract or agreement 1. The Most We Will Pay requires you to provide such coverage The Limits of Insurance shown in the to such additional insured;and Declarations and the rules below fix the most we (b)This Coverage Part provides coverage will pay regardless of the number of: for"bodily injury" or"property damage" a. Insureds; Included within the "products- completed operations hazard". b. Claims made or"suits"brought;or However. c. Persons"or organizations making claims or (1) The insurance afforded to such additional bringing suits insured only applies to the extent 2. General Aggregate Limit permitted by law;and The General Aggregate Limit Is the most we will (2) If coverage provided to the additional pay for the sum of: insured is required by a contract or a. Medical expenses under Coverage C; agreement,the insurance afforded to such b. Damages under Coverage A, except additional Insured will not be broader than damages because of "bodily injury" or that which you are required by the contract "property damage" included in the "products- or agreement to provide for such completed operations hazard";and additional Insured. c. Damages under Coverage B. With respect to the insurance afforded to 3. Products-Completed Operations Aggregate these additional insureds,this Insurance does Limit not apply to: "Bodily injury", "property damage" or The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A "personal and advertising Injury"arising out of the rendering of, or the failure to render, any for damages because of "bodily injury and professional architectural, engineering or "property damage" included in the products- surveying services,including: completed operations hazard". (1) The preparing, approving, or failing to 4. Personal And Advertising injury Limit prepare or approve, maps,shop drawings, Subject to 2. above, the Personal and opinions, reports, surveys, field orders, Advertising injury Limit is the most we will pay change orders or drawings and under Coverage B for the sum of all damages specifications; or because of ail "personal and advertising injury" (2) Supervisory, inspection, architectural or sustained by any one person or organization. engineering activities. 6. Each Occurrence Limit This exclusion applies even if the claims Subject to 2. or 3. above, whichever applies, the against any insured allege negligence or Each Occurrence Limit is the most we will pay for other wrongdoing In the supervision, hiring, the sum of: employment, training or monitoring of others a. Damages under Coverage A;and by that Insured, If the "occurrence" which b. Medical expenses under Coverage C caused the "bodily injury" or "property because of all "bodily Injury" and "property damage", or the offense which caused the"personal and advertising injury",involved the damage"arising out of any one"occurrence". rendering of or the failure to render any 6. Damage To Premises Rented To You Limit professional services by or for you. Subject to 6. above, the Damage To Premises The limits of insurance that apply to additional Rented To You Limit is the most we will pay insureds is described in Section III - Limits Of under Coverage A for damages because of Insurance. "property damage" to any one premises, while How this Insurance applies when other Insurance rented to you, or In the case of damage by fire, is available to the additional insured is described lightning or explosion, while rented to you or in the Other insurance Condition in Section Iv - temporarily occupied by you with permission of Commercial General Liability Conditions. the owner. Page 14 of 21 HO 00 01 0916 In the case of damage by fire, lightning or b. Notice Of Claim explosion, the Damage to Premises Rented To If a claim is made or"suit" is brought against You Limit applies to all damage proximately any insured, you or any additional insured caused by the same event, whether such must: damage results from fire, lightning or explosion (1) Immediately record the specifics of the or any combination of these. claim or"suit"and the date received; and 7. Medical Expense Limit (2) Notify us as soon as practicable. Subject to 5.above,the Medical Expense Limit is the most we will pay under Coverage C for all You or any additional insured must see to it medical expenses because of "bodily injury" that we receive written notice of the claim or sustained by any one person. "suit"as soon as practicable. 8. How Limits Apply To Additional Insureds c. Assistance And Cooperation Of The If you have agreed in a written contract or written Insured agreement that another person or organization You and any other involved insured must: be added as an additional insured on your policy, (1) Immediately send us copies of any the most we will pay on behalf of such additional demands, notices, summonses or legal . insured is the lesser of: papers received in connection with the a. The limits of insurance specified in the written claim or"suit"; contract or written agreement;or (2) Authorize us to obtain records and other b. The Limits of Insurance shown in the Information; Declarations. (3) Cooperate with us in the Investigation or Such amount shall be a part of and not in settlement of the claim or defense against addition to Limits of Insurance shown in the the"WV;and Declarations and described in this Section. (4) Assist us, upon our request, in the The Limits of insurance of this Coverage Part apply enforcement of any right against any person separately to each consecutive annual period and to or organization which may be liable to the any remaining period of less than 12 months, insured because of Injury or damage to starting with the beginning of the policy period which this Insurance may also apply. shown In the Declarations, unless the policy period d. Obligations At The Insureds Own Cost is extended after issuance for an additional period of No insured will, except at that insured's own less than 12 months. In that case, the additional cost, voluntarily make a payment, assume period will be deemed part of the last preceding any obligation, or incur any expense, other period for purposes of determining the Limits of than for first aid,without our consent. Insurance. e. Additional Insureds Other Insurance SECTION IV - COMMERCIAL GENERAL • if we cover a claim or "suit" under this LIABILITY CONDITIONS Coverage Part that may also be covered by 1. Bankruptcy other Insurance available to an additional Bankruptcy or insolvency of the Insured or of the insured, such additional insured must submit Insured's estate will not relieve us of our such claim or "suit" to the other insurer for obligations under this Coverage Part. defense and indemnity. 2. Duties In The Event Of Occurrence, Offense, However,this provision does not apply to the Claim Or Suit extent that you have agreed in a written a. Notice Of occurrence Or Offense contract or written agreement that this You or any additional insured must see to it Insurance is primary and non-contributory that we are notified as soon as practicable of with the additional insured's own Insurance, an "occurrence" or an offense which may f. Knowledge Of An Occurrence, Offense, result in a claim. To the extent possible, Claim Or Suit notice should include: Paragraphs a. and b. apply to you or to any (1) How,when and where the"occurrence"or additional insured only when such offense took place; "occurrence",offense, claim or"suit"Is known (2) The names and addresses of any injured to: persons and witnesses;and (1) You or any additional Insured that is an (3) The nature and location of any injury or individual; damage arising out of the"occurrence" or (2) Any partner, if you or the additional offense, insured is a partnership; HO 00 010916 Page 16 of 21 (3) Any manager, if you or the additional (3) Tenant Liability insured is a limited liability company; That Is Insurance purchased by you to (4) Any "executive officer" or Insurance cover your liability as a tenant for manager,if you or the additional insured is "property damage" to premises rented to a corporation; you or temporarily occupied by you with (5) Any trustee, if you or the additional permission of the owner; insured is a trust;or (4) Aircraft,Auto Or Watercraft (6) Any elected or appointed official, if you or If the loss arises out of the maintenance or the additional Insured is a political use of aircraft, "autos"or watercraft to the subdivision or public entity. extent not subject to Exclusion g. of This duty applies separately to you and any Section I-Coverage A- Bodily Injury And additional Insured. Property Damage Liability; 3. Legal Action Against Us (6) Property Damage To Borrowed Equipment Or Use Of Elevators No person or organization has a right under this if the loss arises out of"property damage" Coverage Part: to borrowed equipment or the use of a. To join us as a party or otherwise bring us elevators to the extent not subject to into a "suit" asking for damages from an Exclusion j. of Section I - Coverage A - insured;or Bodily Injury And Property Damage b. To sue us on this Coverage Part unless all of Liability; Its terms have been fully complied with. (6) When You Are Added As An Additional A person or organization may sue us to recover Insured To Other Insurance on an agreed settlement or on a final Judgment Any other insurance available to you against an insured; but we will not be liable for covering liability for damages arising out damages that are not payable under the terms of of the premises or operations, or products this Coverage Part or that are in excess of the and completed operations, for which you applicable limit of insurance. An agreed have been added as an additional Insured settlement means a settlement and release of by that insurance;or liability signed by us, the Insured and the (7) When You Add Others As An claimant or the claimant's legal representative. Additional Insured To This Insurance 4. Other Insurance If other valid and collectible Insurance is Any other insurance available to an additional insured. available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our However,the following provisions apply to obligations are limited as follows: other insurance available to any person or a. Primary Insurance organization who is an additional insured under this coverage part. This insurance is primary except when b. (a)Primary Insurance When Required below applies. if other insurance is also By Contract primary, we will share with all that other This insurance is primary if you have insurance by the method described in c. agreed in a written contract or written below. agreement that this insurance be b. Excess Insurance primary. If other insurance is also This Insurance is excess over any of the other primary, we will share with all that insurance, whether primary, excess, other insurance by the method contingent or on any other basis: described in c.below. (1) Your Work (b)Primary And Non-Contributory To That Is Flre,Extended Coverage,Builder's Other Insurance When Required By Risk, Installation Risk or similar coverage Contract for"your work"; If you have agreed in a written (2) Premises Rented To You contract, written agreement, or permit That is fire, lightning or explosion that this insurance is primary and non- contributory with the additional insurance for premises rented to you or temporarily occupied by you with insured's own insurance,this insurance is primary and we will not seek permission of the owner; contribution from that other Insurance. Page 16 of 21 HG 00 01 0916 Paragraphs (a) and (b) do not apply to computation, and send us copies at such other insurance to which the additional times as we may request • insured has been added as an additional 6. Representations Insured, a. When You Accept This Policy • When this Insurance is excess, we will have By accepting this policy,you agree: no duty under Coverages A or B to defend the Insured against any "suit" if any other (1) The statements in the Declarations are insurer has a duty to defend the insured accurate and complete; against that"suit". If no other Insurer defends, (2) Those statements are based upon we will undertake to do so, but we will be representations you made to us;and entitled to the Insured's rights against all (3) We have issued this policy in reliance those other insurers. upon your representations. When this insurance Is excess over other b. Unintentional Failure To Disclose Hazards insurance, we will pay only our share of the amount of the loss, if any, that exceeds the If unintentionally you should fail to disclose all sum of: hazards relating to the conduct of your (1) The total amount that all such other business that exist at the inception date of Insurance would pay for the loss in the this Coverage Part, we shall not deny absence of this Insurance;and coverage under this Coverage Part because (2) The total of all deductible and self-Insured of such falIure. amounts under all that other insurance. 7. Separation Of Insureds We will share the remaining loss, if any, with Except with respect to the Limits of Insurance, any other insurance that Is not described in and any rights•or duties specifically assigned in this Excess Insurance provision and was not this Coverage Part to the first Named Insured, bought specifically to apply In excess of the this insurance applies: •Limits of insurance shown In the Declarations a. As if each Named Insured were the only • of this Coverage Part. Named Insured;and c. Method Of Sharing b. Separately to each Insured against whom If all of the other insurance permits claim is made or"suit"is brought. • contribution by equal shares, we will follow 8. Transfer Of Rights Of Recovery Against this method also. Under this approach each Others To Us insurer contributes equal amounts until It has a. Transfer Of Rights Of Recovery paid Its applicable limit of insurance or none of the loss remains,whichever comes first. if the insured has rights to recover all or part If any'of the other Insurance does not permit of any payment, including Supplementary • contribution by equal shares, we will Payments, we have made under this contribute by limits. Under this method, each Coverage Part,those rights are transferred to Insurer's share is based on the ratio of its us. The insured must do nothing after loss to applicable limit of insurance to the total impair them. At our request, the insured will applicable limits of insurance of all insurers. bring "suit" or transfer those rights to us and S. Premium Audit help us enforce them. a, We will compute all premiums for this b. Waiver Of Rights Of Recovery (Waiver Of • Coverage Part in accordance with our rules Subrogation) and rates. If the insured has waived any rights of b. Premium shown in this Coverage Part as recovery against any person or organization advance premium Is a deposit premium only. for all or part of any payment, Including At the close of each audit period we will Supplementary Payments, we have made compute the earned premium for that period under this Coverage Part, we also waive that and send notice to the first Named Insured. right, provided the insured waived their rights The due date for audit and retrospective of recovery against such person or premiums Is the date shown as the due date organization in a contract, agreement or • on the bill. If the sum of the advance and permit that was executed prior to the injury or audit premiums paid for the policy period is damage. greater than the earned premium, we will 9. When We Do Not Renew return the excess to the first Named insured. If we decide not to renew this Coverage Part,we c. The first Named Insured must keep records of will mail or deliver to the first Named Insured the information we need for premium shown in the Declarations written notice of the HG00010916 Page 17of21 POLICY NUMBER: 72UEAHC8632 COMMERCIAL AUTOMOBILE HA 9916 0312 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "Insured" than other provisions of the Coverage Form,the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1. -WHO IS AN INSURED -of partnership or joint venture, formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto" while the the effective date of the Coverage Form. "auto" is leased to you under a written However, the Named Insured does not agreement if: include any subsidiary that is an (1) The agreement requires you to "Insured" under any other automobile provide direct primary Insurance for policy or would be an "Insured" under the lessor and such a policy but for its termination or the exhaustion of its Limit of Insurance. (2) The"auto"is leased without a driver. (2) Any organization that is acquired or Such a leased "auto" will be considered a formed by you and over which you R covered "auto" you own and not a covered maintain majority ownership. However, "auto"you hire. the Named Insured does not include any D. Additional Insured If Required by Contract newly formed or acquired organization: (1) Paragraph A.1. -WHO IS AN INSURED (a) That is a partnership or joint - of Section II - Liability Coverage is venture, amended to add: (b) That is an "insured" under any other f. When you have agreed, in a written policy, contract or written agreement,that a (c) That has exhausted Its Limit of person or organization be added as Insurance under any other policy,or an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an"insured",but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or"property damage" caused injury" or"property damage"that results by the conduct of an "insured"under from an "accident" that occurred before paragraphs a. or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a covered auto. Paragraph A.1. -WHO IS AN INSURED -of SECTION II - LIABILITY COVERAGE is amended to add: ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 1 of 5 The insurance afforded to any such E. Primary and Non-Contributory if additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.D. - Additional (1) During the policy period, and insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract, and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary if you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If .other insurance is also If you have agreed in a written contract primary, we will share with all that other oragreement that another insurance by the method described In written Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non-Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: if you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non-contributory with the agreement;or additional insured's own insurance, this The Limits of Insurance shown in insurance is primary and we will not (b) seek contribution from that other the Declarations. Insurance. Such amount shall be a part of and not Paragraphs(3) and (4)do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. Additional Insureds Other Insurance When this insurance is excess, we will have no (3) duty to defend the insured against any suit if If we cover a claim or "suit" under this any other Insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or"suit" those other insurers. to the other Insurer for defense and When this insurance is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance; and own insurance. Duties in The Event Of Accident, Claim, (2) The total of all deductible and self-insured (4) amounts under all that other insurance. Suit or Loss If you have agreed in a written contract We will share the remaining loss, if any, by the or written agreement that another method described in Other Insurance 5.d. • person or organization be added as an 2. AUTOS RENTED BY EINPLOYEES additional insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an"auto"you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. ©2011,The Hartford(includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 2 of 5 If an "employee's" personal insurance also 5. PHYSICAL DAMAGE - ADDITIONAL applies on an excess basis to a covered "auto" TEMPORARY TRANSPORTATION EXPENSE hired or rented by your "employee" on your COVERAGE behalf and at your direction, this insurance will Paragraph A.4.a. of SECTION III - PHYSICAL be primary to the "employee's" personal DAMAGE COVERAGE is amended to provide a insurance. limit of $50 per day and a maximum limit of 3. AMENDED FELLOW EMPLOYEE EXCLUSION $1,000. EXCLUSION 5. - FELLOW EMPLOYEE - of 6. LOAN/LEASE GAP COVERAGE SECTION II - LIABILITY COVERAGE does not Under SECTION III - PHYSICAL DAMAGE apply if you have workers' compensation COVERAGE, in the event of a total "loss" to a insurance in-force covering all of your covered "auto", we will pay your additional legal "employees". obligation for any difference between the actual Coverage is excess over any other collectible cash value of the "auto"at the time of the "loss" insurance, and the"outstanding balance"of the loan/lease. 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE "Outstanding balance" means the amount you If hired "autos" are covered "autos" for Liability owe on the loan/lease at the time of"loss" less Coverage and if Comprehensive, Specified any amounts representing taxes; overdue Causes of Loss, or Collision coverages are payments; penalties, interest or charges provided under this Coverage Form for any resulting from overdue payments; additional "auto" you own, then the Physical Damage mileage charges; excess wear and tear charges; Coverages provided are extended to"autos"you lease termination fees; security deposits not hire or borrow, subject to the following limit. returned by the lessor; costs for extended we will pay for "loss" to any hired warranties, credit life Insurance, health, accident The The mosto: or disability insurance purchased with the loan or °autlease; and carry-over balances from previous (1) $100,000; loans or leases. (2) The actual cash value of the damaged or 7. AIRBAG COVERAGE stolen property at the time of the"loss";or Under Paragraph B. EXCLUSIONS - of (3) The cost of repairing or replacing the SECTION III - PHYSICAL DAMAGE damaged or stolen property, COVERAGE, the following is added: whichever is smallest, minus a deductible. The The exclusion relating to mechanical breakdown deductible will be equal to the largest deductible does not apply to the accidental discharge of an applicable to any owned "auto" for that airbag. coverage. No deductible applies to"loss"caused 8. ELECTRONIC EQUIPMENT - BROADENED by fire or lightning. Hired Auto Physical Damage COVERAGE coverage is excess over any other collectible Insurance. Subject to the above limit, deductible a. The exceptions to Paragraphs B.4 - and excess provisions, we will provide coverage EXCLUSIONS -of SECTION III - PHYSICAL equal to the broadest coverage applicable to any DAMAGE COVERAGE are replaced by the covered"auto"you own. following: We will also cover loss of use of the hired "auto" Exclusions 4.c. and 4.d. do not apply to if it results from an "accident", you are legally equipment designed to be operated solely liable and the lessor incurs an actual financial by use of the power from the "auto's" loss, subject to a maximum of $1000 per electrical system that, at the time of"loss", "accident". is: This extension of coverage does not apply to (1) Permanently installed In or upon any "auto" you hire or borrow from any of your the covered"auto"; "employees", partners (if you are a partnership), (2) Removable from a housing unit members (if you are a limited liability company), which is permanently installed in or members of their households. or upon the covered"auto"; (3) An integral part of the same unit housing any electronic equipment described in Paragraphs(1)and(2)above;or ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 3 of 5 (4) Necessary for the normal If another Hartford Financial Services Group, operation of the covered "auto"or Inc. company policy or coverage form that is not the monitoring of the covered an automobile policy or coverage form applies to "auto's"operating system. the same"accident",the following applies: b.Section Ill — Version CA 00 01 03 10 of the (1) If the deductible under this Business Auto Business Auto Coverage Form, Physical Coverage Form is the smaller (or smallest) Damage Coverage, Limit of Insurance, deductible, it will be waived; Paragraph C.2 and Version CA 00 01 10 01 of (2) If the deductible under this Business Auto the Business Auto Coverage Form, Physical Coverage Form is not the smaller (or Damage Coverage, Limit of Insurance, smallest) deductible, it will be reduced by Paragraph C are each amended to add the the amount of the smaller (or smallest) following: deductible. $1,500 is the most we will pay for"loss" in 12. AMENDED DUTIES IN THE EVENT OF any one "accident" to all electronic ACCIDENT, CLAIM, SUIT OR LOSS equipment(other than equipment designed The requirement in LOSS CONDITIONS 2.a. - sole{y for the reproduction of sound, and DUTIES IN THE EVENT OF ACCIDENT,CLAIM, accessories used with such equipment) SUIT OR LOSS - of SECTION IV - BUSINESS that reproduces, receives or transmits AUTO CONDITIONS that you must notify us of audio, visual or data signals which, at the time of"loss", is: an"accident"applies only when the"accident"is known to: (1)Permanently installed in or upon the covered "auto" in a housing, (1) You,if you are an individual; opening or other location that Is not (2) A partner, if you are a partnership; normally used by the "auto" (3) A member, if you are a limited liability manufacturer for the installation of company;or such equipment; (4) An executive officer or insurance manager, if (2) Removable from a permanently • you are a corporation. installed housing unit as described 13. UNINTENTIONAL FAILURE TO DISCLOSE in Paragraph 2.a. above or is an HAZARDS integral part of that equipment;or (3)An integral part of such equipment. If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we c.For each covered "auto", should loss be limited will not deny coverage under this Coverage to electronic equipment only, our obligation to Form because of such failure. pay for, repair, return or replace damaged or 14. HIRED AUTO-COVERAGE TERRITORY stolen electronic equipment will be reduced by the applicable deductible shown in the Paragraph e. of GENERAL CONDITIONS 7. - Declarations, or $250, whichever deductible is POLICY PERIOD, COVERAGE TERRITORY - less. of SECTION IV - BUSINESS AUTO 9. EXTRA EXPENSE - BROADENED CONDITIONS is replaced by the following: COVERAGE e. For short-term hired "autos", the coverage Under Paragraph A.-COVERAGE-of SECTION territory with respect to Liability Coverage is anywhere in the world provided that if the Ill - PHYSICAL DAMAGE COVERAGE, we will "insured's" responsibility to pay damages for pay for the expense of returning a stolen covered "auto"to "bodily injury" or "property damage" Is determined in a"suit,"the"suit" is brought in 10. GLASS REPAIR-WAIVER OF DEDUCTIBLE the United States of America, the territories Under Paragraph D.-DEDUCTIBLE-of SECTION and possessions of the United States of III - PHYSICAL DAMAGE COVERAGE, the America, Puerto Rico or Canada or in a following is added: settlement we agree to. No deductible applies to glass damage if the 15. WAIVER OF SUBROGATION glass is repaired rather than replaced. TRANSFER OF RIGHTS OF RECOVERY 11. TWO OR MORE DEDUCTIBLES AGAINST OTHERS TO US - of SECTION IV - Under Paragraph D.-DEDUCTIBLE-of SECTION BUSINESS AUTO CONDITIONS is amended by III - PHYSICAL DAMAGE COVERAGE, the adding the following: following is added: ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 4 of 5 We waive any right of recovery we may have c.Regardless of the number of autos deemed a against any person or organization with whom total loss, the most we will pay under this you have a written contract that requires such Hybrid, Electric, or Natural Gas Vehicle waiver because of payments we make for Payment Coverage provision for any one damages under this Coverage Form. "loss"is$10,000. 16. RESULTANT MENTAL ANGUISH COVERAGE For the purposes of the coverage provision, The definition of "bodily injury" in SECTION V- a.A "non-hybrid" auto is defined as an auto that DEFINITIONS is replaced by the following: uses only an internal combustion engine to "Bodily Injury" means bodily Injury, sickness or move the auto but does not include autos disease sustained by any person, including powered solely by electricity or natural gas. mental anguish or death resulting from any of b.A "hybrid" auto is defined as an auto with an these. internal combustion engine and one or more 17. EXTENDED CANCELLATION CONDITION electric motors; and that uses the internal Paragraph 2. of the COMMON POLICY combustion engine and one or more electric - CANCELLATION - applies motors to move the auto, or the internal CONDITIONS except s follows: combustion engine to charge one or more electric motors,which move the auto. If we cancel for any reason other than 19. VEHICLE WRAP COVERAGE nonpayment of premium, we will mail or deliver to the first Named Insured written notice of In the event of a total loss to an"auto"for which cancellation at least 60 days before the effective Comprehensive, Specified Causes of Loss, or date of cancellation. Collision coverages are provided under this 18. HYBRID, ELECTRIC, OR NATURAL GAS Coverage Form, then such Physical Damage VEHICLE PAYMENT COVERAGE Coverages are amended to add the following: In the event of a total loss to a "non-hybrid"auto In addition to the actual cash value of the"auto", we will pay up to $1,000 for vinyl vehicle wraps for which Comprehensive, Specified Causes of Loss, which are displayed on the covered "auto" at the or Collision coverages are provided under this Coverage Form, then such Physicsl time of total loss. Regardless of the number of Damage Coverages are amended as follows: autos deemed a total loss, the most we will pay g under this Vehicle Wrap Coverage provision for a.lf the auto is replaced with a "hybrid" auto or any one "loss" is $5,000. For purposes of this an auto powered solely by electricity or natural coverage provision, signs or other graphics gas, we will pay an additional 10%, to a painted or magnetically affixed to the vehicle are maximum of$2,500, of the "non-hybrid"auto's not considered vehicle wraps. actual cash value or replacement cost, whichever is less, b.The auto must be replaced and a copy of a bill of sale or new!ease agreement received by us within 60 calendar days of the date of"loss," ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 5 of 5 • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WEA ZT4447 Endorsement Number: Effective Date: 12/31/23 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: VIDO ARTUKOVICH&SON INC 11155 RUSH ST SOUTH EL MONTE CA 91733 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described in the Schedule. The additional premium for this endorsement shall be 2%of the California workers'compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 12/21/22 Policy Expiration Date: 12/31/23 i • AcoR0® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDrYYYY) 11/20/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME CT Lenessa Weatherford Alliant Insurance Services,Inc. PHONE FAX 333 S Hope St Ste 3750 (AIC.No.Ext)• (A/C.No): Los Angeles CA 90071 ADOREss: Lenessa.Weatherford@alliant.com INSURER(S)AFFORDING COVERAGE NAIC LIcenseti:0C36861 INSURER A:Hartford Fire Insurance Compan 19682 INSURED V1DOART-02 INSURER B:Hartford Casualty Insurance Co 29424 Vido Artukovich&Son, Inc.Nidmar,Inc.A JV 11155 Rush St. INSURER C:Sentinel Insurance Company Ltd 11000 South El Monte,CA 91733 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1521277286 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 SUER POLICY EFpF POLICY EXPM/ LIMITS INSD WVD, POLICY NUMBER IMMIDDIYYYY) (MDD/YYYY1 A X COMMERCIAL GENERAL LIABILITY Y Y 72UEAHC8633 12/31/2022 12/31/2023 EACH OCCURRENCE $1,000,000 GE CLAIMS-MADE X OCCUR PREMISESO(EaENTED occur occurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X jEC X LOC PRODUCTS-COMPIOP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y 72UEAHC8632 12/31/2022 12/31/2023 re cciden0INGLELIMIT $1,000,000 (Ea X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per acddenl) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY - AUTOS ONLY (Per accident) Comp./Coll.Ded. $1,000 B X UMBRELLALIAB X OCCUR Y Y 72RHAHC8557 12/31/2022 12/31/2023 EACH OCCURRENCE $10,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$S1 r1arn _ .S C WORKERS COMPENSATION Y 72WEAZT4447 12/31/2022 12/31/2023 X AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYPROPRIETORIPARTNERIEXECUTIVE N/A E.L.EACH ACCIDENT $1,000,000 OFFIC ER/MEMBER EXCLU DE D7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re:Humboldt Sewer Lift Station Replacement City of Huntington Beach,its officers,elected or appointed officials,employees,agents,and volunteers are name �(�I �,tcts to bllity arising out of work performed by the Named Insured.The insurance provided shall be primary and any other instil d�II1t tflr��pe RS; anal U. is excess and non-contributory.Waiver of Subrogation applies as required by contract.Thirty(30)Days Notice of Cancellation/Non-Renewal—Te I)r:ys Notice For Non-Payment of Premium. By: MICHAEL E.GATES • CITY ATTORNEY CERTIFICATE HOLDER CANCELLATION CITY OF HUNTINGTON BEACH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Huntington Beach ACCORDANCE WITH THE POLICY PROVISIONS. 2000 Main Street P.O. Box 190 AUTHORIZED REPRESENTATIVE Huntington Beach CA 92648 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 72 UEA HC8633 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s)Of Covered Operations The City of Huntington Beach,its officers, elected or Humbolt Sewer Lift Station Replacement- appointed officials,employees,agents and volunteers Humbolt Drive&Wayfarer Lane, Huntington Beach, CA Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these • include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only with exclusions apply: respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage"occurring after: caused,in whole or in part,by: 1. All work, including materials, parts or equipment 1. Your acts or omissions;or furnished in connection with such work, on the 2. The acts or omissions of those acting on your project (other than service, maintenance or behalf; repairs) to be performed by or on behalf of the in the performance of your ongoing operations for additional insured(s) at the location of the the additional insured(s) at the location(s) covered operations has been completed;or designated above. 2. That portion of"your work"out of which the injury However: or damage arises has been put to its intended use by any person or organization other than 1. The insurance afforded to such additional another contractor or subcontractor engaged in insured only applies to the extent permitted by law;and performing operations for a principal as a part of the same project. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 2010 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 2 • C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to. Insurance shown in the.Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we Limits of Insurance shown in the Declarations. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or Page 2 of 2 c0 Insurance Services Office, Inc., 2012 CG 2010 0413 • POLICY NUMBER: 72 UEA HC8633 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations The City of Huntington Beach, its officers,elected or Humbolt Sewer Lift Station Replacement- appointed officials, employees,agents and volunteers Humbolt Drive&Wayfarer Lane, Huntington Beach,CA Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II —Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to Section III organization(s) shown in the Schedule, but only —Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we will "your work" at the location designated and pay on behalf of the additional insured is the amount of described in the Schedule of this endorsement insurance: performed for that additional insured and included in the "products-completed operations 1• Required by the contract or agreement;or hazard". 2. Available under the applicable Limits of Insurance However: shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 0413 ©Insurance Services Office, Inc.,2012 Page 1 of 1 POLICY NUMBER: 72UEAHC8633 SECTION II-WHO IS AN INSURED "volunteer worker" as a consequence 1. If you are designated in the Declarations as: of Paragraph (1)(a)above; a. An individual, you and your spouse are (c)For which there is any obligation to insureds, but only with respect to the conduct share damages with or repay someone of a business of which you are the sole else who must pay damages because owner. of the injury described in Paragraphs b. A partnership or joint venture, you are an (1)(a)or(1)(b)above;or insured. Your members, your partners, and (d)Arising out of his or her providing or their spouses are also insureds, but only with failing to provide professional health respect to the conduct of your business. care services. c. A limited liability company, you are an If you are not in the business of providing insured.Your members are also insureds, but professional health care services: only with respect to the conduct of your (a)Subparagraphs(1)(a), (1)(b) and (1)(c) business. Your managers are insureds, but above do not apply to any "employee" only with respect to their duties as your or"volunteer worker" providing first aid managers. services; and d. An organization other than a partnership,joint (b)Subparagraph (1)(d) above does not venture or limited liability company, you are apply to any nurse,emergency medical an insured. Your "executive officers" and technician or paramedic employed by directors are insureds, but only with respect to you to provide such services. their duties as your officers or directors. Your (2) "Property damage"to property: stockholders are also insureds, but only with respect to their liability as stockholders. (a)Owned, occupied or used by, e. A trust, you are an insured. Your trustees are (b)Rented to, in the care, custody or also insureds, but only with respect to their control of, or over which physical duties as trustees, control is being exercised for any 2. Each of the following is also an insured: purpose by a. Employees And Volunteer Workers you, any of your "employees", "volunteer workers", any partner or member (if you Your "volunteer workers" only while are a partnership or joint venture), or any performing duties related to the conduct of member (if you are a limited liability your business, or your "employees", other company), than either your"executive officers"(if you are b. Real Estate Manager an organization other than a partnership, Joint venture or limited liability company) or your Any person (other than your "employee" or managers (if you are a limited liability "volunteer worker"), or any organization while company), but only for acts within the scope acting as your real estate manager. of their employment by you or while c. Temporary Custodians Of Your Property performing duties related to the conduct of Any person or organization having proper your business. temporary custody of your property if you die, However, none of these "employees" or but only: "volunteer workers"are insureds for: (1) With respect to liability arising out of the (1) "Bodily injury"or"personal and advertising maintenance or use of that property;and injury": (2) Until your legal representative has been (a)To you,to your partners or members (if appointed. you are a partnership or joint venture), d. Legal Representative If You Die to your members (if you are a limited Your legal representative if you die, but only liability company), to a co-"employee" with respect to duties as such. That while in the course of his or her representative will have all your rights and employment or performing duties duties under this Coverage Part. related to the conduct of your business, or to your other "volunteer e. Unnamed Subsidiary workers" while performing duties Any subsidiary, and subsidiary thereof, of related to the conduct of your yours which is a legally incorporated entity of business; which you own a financial interest of more (b)To the spouse,child, parent, brother or than 50% of the voting stock on the effective sister of that co-"employee" or that date of the Coverage Part. HG 00 01 0916 Page 11 of 21 The insurance afforded herein for any A person or organization is an additional insured subsidiary not named in this Coverage Part under this provision only for that period of time as a named Insured does not apply to injury required by the contract or agreement. or damage with respect to which such insured However, no such person or organization is an is also a named insured under another policy insured under this provision if such person or or would be a named Insured under such organization is included as an insured by an policy but for its termination or the exhaustion endorsement Issued by us and made a part of of its limits of insurance. this Coverage Part. 3. Newly Acquired Or Formed Organization a. Vendors Any organization you newly acquire or form, Any person(s) or organization(s) (referred to other than a partnership, joint venture or limited below as vendor), but only with respect to liability company, and over which you maintain "bodily injury" or "property damage" arising financial interest of more than 50% of the voting out of"your products"which are distributed or stock,will qualify as a.Named Insured if there is sold in the regular course of the vendor's no other similar insurance available to that business and only if this Coverage Part organization. However: provides coverage for "bodily injury" or a. Coverage under this provision is afforded only "property damage" included within the until the 180th day after you acquire or form "products-completed operations hazard". the organization or the end of the policy (1) The insurance afforded the vendor is period,whichever is earlier; subject to the following additional b. Coverage A does not apply to "bodily injury" exclusions: or "property damage" that occurred before This insurance does not apply to: you acquired or formed the organization;and (a)"Bodily injury"or"property damage"for c. Coverage B does not apply to "personal and which the vendor is obligated to pay advertising injury" arising out of an offense damages by reason of the assumption committed before you acquired or formed the of liability in a contract or agreement. organization. This exclusion does not apply to 4. Nonowned Watercraft liability for.damages that the vendor With respect to watercraft you do not own that is would have in the absence of the less than 51 feet long and is not being used to contract or agreement; carry persons for a charge, any person is an (b)Any express warranty unauthorized by insured while operating such watercraft with your you; permission. Any other person or organization (c)Any physical or chemical change in the responsible for the conduct of such person is product made intentionally .by the also an insured, but only with respect to liability vendor; arising out of the operation of the watercraft; and (d)Repackaging, except when unpacked only if no other insurance of any kind is available solely for the purpose of inspection, to that person or organization for this liability. demonstration, testing, or the However,no person or organization is an insured substitution of parts under instructions with respect to: from the manufacturer, and then a. "Bodily injury" to a co-"employee" of the repackaged in the original container; person operating the watercraft;or - (e) Any failure to make such Inspections, b. "Property damage" to property owned by, adjustments, tests or servicing as the rented to, in the charge of or occupied by you vendor has agreed to make or normally or the employer of any person who is an undertakes to make in the usual insured under this provision, course of business, in connection with 5. Additional Insureds When Required By the distribution or sale of the products; Written Contract, Written Agreement Or (f) Demonstration, installation, servicing Permit or repair operations, except such The following person(s) or organization(s) are an operations performed at the vendor's additional Insured when you have agreed, in a premises in connection with the sale of written contract,written agreement or because of the product; a permit issued by a state or political subdivision, (g) Products which, after distribution or that such person or organization be added as an sale by you, have been labeled or additional insured on your policy, provided the relabeled or used as a container, part injury or damage occurs subsequent to the or ingredient of any other thing or execution of the contract or agreement. substance by or for the vendor;or Page 12 of 21 HG 00 01 0916 (h)"Bodily injury" or "property damage" omissions of those acting on your behalf: arising out of the sole negligence of the (1) In connection with your premises;or vendor for its own acts or omissions or (2) in the performance of your ongoing those of its employees or anyone else operations performed by you or on your acting on Its behalf. However, this behalf. exclusion does not apply to: (i)The exceptions in Sub- With respect to the insurance afforded these additional insureds, the following additional paragraphs(d)or(f);contained or exclusion applies: (ii) Such inspections, adjustments, This insurance does not apply to "bodily tests or servicing as the vendor has injury", "property damage" or "personal and agreed to make or normally advertising injury"arising out of the rendering undertakes to make in the usual of or the failure to render any professional course of business, in connection services by or for you, including: with the distribution or sale of the products. 1. The preparing, approving, or failing.to (2) This insurance does not apply to any prepare or approve,maps,shop drawings, opinions, reports, surveys, field orders, insured person or organization, from change orders or drawings and whom you have acquired such products, or any ingredient, part or container, specifications;or entering into, accompanying or containing 2. Supervisory, inspection, architectural or such products. engineering activities. b. Lessors Of Equipment This exclusion applies even if the claims (1) Any person(s) or organization(s) from against any insured allege negligence or whom equipment; but with other wrongdoing in the supervision, hiring, respect youtu leaseteair liabilityqup forn"bodily o only employment, training or monitoring of others "property damage" or "personal and by that insured, if the "occurrence° which advertising injury" caused, in whole or in caused "the "bodily injury" or "property part, by your maintenance, operation or damage , or the- offense which caused the use of equipment d you byr such_ "personal and advertising injury",involved the us of e)equior pment teased to. rendering of or the failure to render any professional services by or for you. (2) With respect to the insurance afforded to e. these additional insureds this Insurance PermitsIssued By State Or Political does not apply to.any"occurrence"which Subdivisions takes place after the equipment lease Any state or political subdivision,but only with expires. respect to operations performed by you or on c. Lessors Of Land Or Premises your behalf for which' the state or political subdivision has issued a permit. Any person or organization from whom you With respect to the insurance afforded these lease land or premises, but only with respect additional insureds, this Insurance does not to liability arising out of the ownership, apply to: maintenance or use of that part of the land or premises leased to you. (1) "Bodily injury", "property damage" or With respect to the Insurance afforded these "personal and advertising injury" arising additional insureds the following additional out operations performed for the state exclusions apply: or municipality;or This insurance does not apply to: (2) "Bodily injury" or "property damage" included within the "products-completed 1. Any "occurrence"which takes place after operations hazard". you cease to lease that land;or f. Any Other Party 2. Structural alterations, new construction or Any other person or organization who is not demolition operations performed by or on an additional insured under Paragraphs a. behalf of such person or organization. through e. above, but only with respect to d. Architects,Engineers Or Surveyors liability for "bodily injury", "property damage" Any architect, engineer, or surveyor, but only or"personal and advertising injury"caused, in. with respect to liability for "bodily injury", whole or in part,by your acts or omissions or "property damage" . or "personal. and 'the acts or omissions of those acting on your advertising injury"caused, in whole or in part, behalf: by your acts or omissions or the acts or (1) in the performance of your ongoing operations; HG00010916 Page13of21 • (2) In connection with your premises owned No person or organization is an insured with respect by or rented to you;or to the conduct of any current or past partnership, (3) In connection with "your work" and joint venture or limited liability company that is not included within the "products-completed shown as a Named Insured in the Declarations. operations hazard",but only if SECTION III-LIMITS OF INSURANCE (a)The written contract or agreement 1. The Most We Will Pay requires you to provide such coverage. The Limits of Insurance shown in the to such additional Insured;and Declarations and the rules below fix the most we (b)This Coverage Part provides coverage will pay regardless of the number of: for"bodily injury"or"property damage" a. insureds; included within the "products- b. Claims made or"suits"brought;or completed operations hazard". However. c. Persons"or organizations making claims or (1) The insurance afforded to such additional bringing suits . insured only applies to the extent 2. General Aggregate Limit permitted by law;and The General Aggregate Limit is the most we will (2) If coverage provided to the additional pay for the sum of: insured is required by a contract or a. Medical expenses under Coverage C; agreement,the insurance afforded to such b. Damages under Coverage A, except additional insured will not be broader than damages because of "bodily injury" or that which you are required by the contract "property damage" included in the "products- or agreement to provide for such completed operations hazard";and additional insured. c. Damages under Coverage B. With respect to the insurance afforded to 3. Products-Completed Operations Aggregate these additional insureds,this insurance does Limit not apply to: "Bodily injury", "property damage" or The Products-Completed Operations Aggregate "personal and advertising injury"arising out of Limit is the most we will pay under Coverage A for damages because of "bodily injury" and the rendering of, or the failure to render, any "property damage" included in the "products- professional architectural, engineering or completed operations hazard". surveying services,including: (1) The preparing, approving, or falling to 4. Personal And Advertising Injury Limit prepare or approve, maps,shop drawings, Subject to 2. above, the Personal and opinions, reports, surveys, field orders, Advertising Injury Limit is the most we will pay change orders or drawings and under Coverage B for the sum of all damages specifications;or because of all "personal and advertising injury" (2) Supervisory, inspection, architectural or sustained by any one person or organization. engineering activities. 6. Each Occurrence Limit t This exclusion applies even if the claims Subject to 2.or 3.above, whichever applies,the against any insured allege negligence or Each Occurrence Limit is the most we will pay for other wrongdoing in the supervision, hiring, the sum of: employment, training or monitoring of others a. Damages under Coverage A;and by that insured, if the "occurrence" which b. Medical expenses under Coverage C caused the "bodily injury" or "property damage", or the offense which caused the because of all "bodily injury" and "property "personal and advertising injury", involved the damage"arising out of any one"occurrence". rendering of or the failure to render any 6. Damage To Premises Rented To You Limit professional services by or for you. Subject to 6. above, the Damage To Premises The limits of insurance that apply to additional Rented To You Limit is the most we will pay insureds is described in Section IiI - Limits Of under Coverage A for damages because of insurance. "property damage" to any one premises, while How this insurance applies when other insurance rented to you, or in the case of damage by fire, is available to the additional insured is described lightning or, explosion, while rented to you or in the.Other insurance Condition in Section Iv - temporarily occupied by you with permission of Commercial General Liability Conditions. the owner. Page 14 of 21 HG 00 01 0916 1 In the case of damage by fire, lightning or b. Notice Of Claim explosion, the Damage to Premises Rented To If a claim is made or"suit" is brought against You Limit applies to al! damage proximately any Insured, you or any additional insured caused by the same event, whether such must: damage results from fire, lightning or explosion or any combination of these. (1) Immediately record the specifics of the 7. Medical Expense Limit claim or"suit"and the date received; and (2) Notify us as soon as practicable. Subject to 5.above,the Medical Expense Limit is You or any additional insured must see to it the most we will pay under Coverage C for all medical expenses because of "bodily injury" that we receive written notice of the claim or sustained by any one person. "suit"as soon as practicable. 8. How Limits Apply To Additional Insureds c. Assistance And Cooperation Of The If you have agreed In a written contract or written insured agreement that another person or organization You and any other involved insured must: be added as an additional Insured on your policy, (1) immediately send us copies of any the most we will pay on behalf of such additional demands, notices, summonses or legal insured is the lesser of: papers received in connection with the a. The limits of insurance specified in the written claim or"suit"; contract or written agreement;or (2) Authorize us to obtain records and other b. The Limits of Insurance shown in the information; Declarations. (3) Cooperate with us in the Investigation or Such amount shall be a part of and not in settlement of the claim or defense against addition to Limits of Insurance shown in the the"suit";and Declarations and described In this Section. (4) Assist us, upon our request, In the The Limits of Insurance of this Coverage Part apply enforcement of any right against any person separately to each consecutive annual period and to or organization which may be liable to the any remaining period of less than 12 months, insured because of Injury or damage to starting with the beginning of the policy period which this insurance may also apply. shown in the Declarations, unless the policy period d. Obligations At The Insureds Own Cost is extended after issuance for an additional period of No insured will, except at that insured's own less than 12 months. In that case, the additional cost, voluntarily make a payment, assume period will be deemed part of the last preceding any obligation, or Incur any expense, other period for purposes of determining the Limits of than for first aid,without our consent. Insurance. e. Additional Insureds Other Insurance SECTION IV - COMMERCIAL GENERAL if we cover a claim or "suit" under this LIABILITY CONDITIONS Coverage Part that may also be covered by 1. Bankruptcy , other insurance available to an additional Bankruptcy or insolvency of the insured or of the insured, such additional insured must submit insured's estate will not relieve us of our such claim or "suit" to the other insurer for obligations under this Coverage Part. defense and indemnity. 2. Duties In The Event Of Occurrence, Offense, However,'this provision does not apply to the Claim Or Suit extent that you have agreed in a written a. Notice Of Occurrence Or Offense contract or written agreement that this You or any additional insured must see to It insurance is primary and non-contributory that we are notified as soon as practicable of with the additional insured's own insurance. an,"occurrence" or an offense .which may f. Knowledge Of An Occurrence, Offense, result in .a claim. To the extent possible, Claim Or Suit notice should Include: Paragraphs a. and b. apply to you or to any (1) How,when and where the"occurrence"or additional insured only when such offense took place; "occurrence",offense,claim or"suit"is known (2) The names and addresses of any injured to: persons and witnesses;and (1) You or any additional Insured that Is an (3) The nature and location of any Injury or individual; damage arising out of the"occurrence" or (2) Any partner, if you or the additional offense. insured is a partnership; HG00010916 Page15of21 (3) Any manager, if you or the additional (3) Tenant Liability insured is a limited liability company; That is Insurance purchased by you to (4) Any "executive officer' or insurance cover your liability as a tenant for manager, if you or the additional insured is "property damage" to premises rented to a corporation; you or temporarily occupied by you with (5) Any trustee, if you or the additional permission of the owner; insured is a trust;or (4) Aircraft,Auto Or Watercraft (6) Any elected or appointed official, if you or If the loss arises out of the maintenance or the additional insured is a political use of aircraft, "autos" or watercraft to the subdivision or public entity. extent not subject to Exclusion g. of This duty applies separately to you and any Section I - Coverage A - Bodily Injury And additional insured. Property Damage Liability; 3. Legal Action Against Us (5) Property Damage To Borrowed No person or organization has a right under this Equipment Or Use Of Elevators Coverage Part: If the loss arises out of"property damage" a. To join us as a party or otherwise bring us to borrowed equipment or the use of elevators to the extent not subject to into a "suit" asking for damages from an Exclusion j. of Section I - Coverage A - insured; or Bodily Injury And Property Damage b. To sue us on this Coverage Part unless all of Liability; its terms have been fully complied with. (6) When You Are Added As An Additional A person or organization may sue us to recover Insured To Other Insurance on an agreed settlement or on a final judgment Any other insurance available to you against an insured; but we will not be liable for covering liability for damages arising out damages that are not payable under the terms of of the premises or operations, or products this Coverage Part or that are in excess of the and completed operations, for which you applicable limit of insurance. An agreed have been added as an additional insured settlement means a settlement and release of by that insurance;or liability signed by us, the insured and the (7) When You Add Others As An claimant or the claimant's legal representative. Additional Insured To This Insurance 4. Other Insurance If other valid and collectible insurance is Any other insurance available to an additional insured. available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our However, the following provisions apply to obligations are limited as follows: other insurance available to any person or a. Primary Insurance organization who is an additional insured under this coverage part. This insurance is primary except when b. (a)Primary Insurance When Required below applies. If other insurance is also By Contract primary, we will share with all that other insurance by the method described in c. This insurance is primary if you have below. agreed in a written contract or written b. Excess Insurance agreement that this insurance be primary. If other insurance is also This insurance is excess over any of the other primary, we will share with all that insurance, whether primary, excess, other insurance by the method contingent or on any other basis: described in c.below. (1) Your Work (b)Primary And Non-Contributory To That is Fire, Extended Coverage, guilder's Other Insurance When Required By Risk, Installation Risk or similar coverage Contract for"your work"; If you have agreed in a written (2) Premises Rented To You contract, written agreement, or permit That is fire, lightning or explosion that this insurance is primary and non- insurance for premises rented to you or non- contributory withthe additional temporarily occupied by you with insured's ory own insurance,this insurance permission of the owner; is primary and we will not seek pcontribution from that other insurance. Page 16 of 21 HG 00 01 0916 Paragraphs (a) and (b) do not apply to computation, and send us copies at such other insurance to which the additional times as we may request. insured has been added as an additional 6. Representations Insured. a. When You Accept This Policy When this insurance is excess, we will have By accepting this policy,you agree: no duty under Coverages A or B to defend the insured against any "suit" if any other (1) The statements in the Declarations are . • insurer has a duty to defend the insured accurate and complete; against that"suit". If no other Insurer defends, (2) Those statements are based upon we will undertake to do so, but we will be representations you made to us;and entitled to the insured's rights against all (3) We have Issued this policy in reliance those other insurers. upon your representations. When this insurance is excess over other b. Unintentional Failure To Disclose Hazards insurance, we will pay only our share of the amount of the loss, if any, that exceeds the If unintentionally you should fail to disclose all sum of: hazards relating to the conduct of your (1) The total. amount that all such other business that exist at the inception date of insurance would pay for the loss in the this Coverage Part, we shall not deny absence of this insurance;and coverage under this Coverage Part because (2)The total of all deductible and self-insured of such failure. amounts under ail that other insurance. 7. Separation Of insureds We will share the remaining loss, if any, with Except with respect to the Limits of insurance, any other insurance that is not described in and any rights.or duties specifically assigned in this Excess Insurance provision and was not this Coverage Part to the first Named Insured, bought specifically to apply in excess of the this insurance applies: 'Limits of Insurance shownin.the Declarations a. As if each Named Insured were the only of this Coverage Part. Named Insured;and c. Method Of Sharing b. Separately to each insured against whom If all of the other insurance permits claim Is made or"suit"is brought. • contribution by equal shares, we will follow 8. Transfer Of Rights Of Recovery Against this method also. Under this approach each Others To Us Insurer contributes equal amounts until it has a. Transfer Of Rights Of Recovery paid its applicable limit of insurance or none of the loss remains,whichever comes first. If the insured has rights to recover all or part If any of the other insurance does not permit of any payment, including Supplementary • contribution . by equal shares, we will Payments, we have made under this . contribute by limits. Under this method, each Coverage Part,those rights are transferred to insurer's share is based on the ratio of its us. The insured must do nothing after loss to applicable limit of Insurance to the total impair them. At our request, the insured will applicable limits of insurance of all insurers. bring "suit" or transfer those rights to us and 6. Premium Audit help us enforce them. a. We will compute all premiums for this b. Waiver Of Rights Of Recovery(Waiver Of • Coverage Part in accordance with our rules Subrogation) and rates. If the insured has waived any rights of b. Premium shown in this Coverage Part as recovery against any person or organization. advance premium is a deposit premium only. for all or part of any payment, including At the. close of each audit period we will Supplementary Payments, we have made compute the earned premium for that period under this Coverage Part, we also waive that and send notice to the first Named Insured. right, provided the insured waived their rights The due date for audit and retrospective of recovery against such person or premiums is the date shown as the due,date organization in a contract, agreement or on the bill. if the sum of the advance and permit that was executed prior to the injury or audit premiums paid for the policy period is damage. greater than the earned premium, we will 9. When We Do Not Renew return the excess to the first Named Insured. If we decide not to renew this Coverage Part, we c. The first Named insured must keep records of will mail or deliver to the first Named insured the information we need for premium shown in the Declarations written notice of the liG00010916 Page 17of21 POLICY NUMBER: 72UEAHC8632 COMMERCIAL AUTOMOBILE HA 99 16 03 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form,the provisions of this endorsement apply. 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your The Named Insured shown in the personal affairs. Declarations is amended to include: C. Lessors as Insureds (1) Any legal business entity other than a Paragraph A.1. -WHO IS AN INSURED -of partnership or joint venture,formed as a Section II - Liability Coverage is amended to subsidiary in which you have an add: ownership interest of more than 50% on e. The lessor of a covered "auto"while the the effective date of the Coverage Form. "auto" is leased to you under a written However, the Named Insured does not agreement if: include any subsidiary that is an "insured" under any other automobile (1) The agreement requires you to policy or would be an "Insured" under provide direct primary insurance for such a policy but for its termination or the lessor and the exhaustion of its Limit of Insurance. (2) The"auto"is leased without a driver. (2) Any organization that is acquired or Such a leased "auto" will be considered a formed by you and over which you covered "auto" you own and not a covered maintain majority ownership. However, "auto"you hire. the Named Insured does not include any D. Additional Insured if Required by Contract newly formed or acquired organization: (1) Paragraph A.1.-WHO IS AN INSURED (a) That is a partnership or joint - of Section II - Liability Coverage is venture, amended to add: (b) That is an"insured"under any other f. When you have agreed, in a written policy, contract or written agreement,that a (c) That has exhausted its Limit of person or organization be added as Insurance under any other policy,or an additional insured on your (d) 180 days or more after its business auto policy, such person or acquisition or formation by you, organization is an"insured", but only unless you have given us notice of to the extent such person or the acquisition or formation. organization is liable for "bodily Coverage does not apply to "bodily injury" or"property damage" caused injury" or"property damage"that results by the conduct of an "insured"under from an "accident" that occurred before paragraphs a. or b. of Who Is An you formed or acquired the organization. Insured with regard to the B. Employees as Insureds ownership, maintenance or use of a covered"auto." Paragraph A.1.-WHO IS AN INSURED -of SECTION II - LIABILITY COVERAGE is amended to.add: ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 1 of 5 The insurance afforded to any such E. Primary and Non-Contributory If additional insured applies only if the Required by Contract "bodily injury" or "property damage" Only with respect to insurance provided to occurs: an additional insured in 1.D. - Additional (1) During the policy period, and Insured If Required by Contract, the (2) Subsequent to the execution of such following provisions apply: written contract,and (3) Primary Insurance When Required By (3) Prior to the expiration of the period Contract of time that the written contract This insurance is primary If you have requires such insurance be provided agreed in a written contract or written to the additional insured. agreement that this insurance be (2) How Limits Apply primary. If other insurance is also If you have agreed in a written contract primary, we will share with all that other insurance by the method described in or written agreement that another Other Insurance 5.d. person or organization be added as an additional insured on your policy, the (4) Primary And Non-Contributory To Other most we will pay on behalf of such Insurance When Required By Contract additional insured is the lesser of: If you have agreed in a written contract (a) The limits of insurance specified in or written agreement that this insurance the written contract or written is primary and non-contributory with the agreement;or additional insured's own insurance, this (b) The Limits of Insurance shown in insurance is primary and we will not seek contribution from that other the Declarations. insurance. Such amount shall be a part of and not Paragraphs(3)and (4)do not apply to other in addition to Limits of Insurance shown insurance to which the additional insured in the Declarations and described in this has been added as an additional insured. Section. (3) Additional Insureds Other Insurance When this insurance is excess, we will have no duty to defend the insured against any "suit" if If we cover a claim or "suit" under this any other insurer has a duty to defend the Coverage Part that may also be covered insured against that "suit". If no other insurer by other insurance available to an defends, we will undertake to do so, but we will additional insured, such additional be entitled to the insured's rights against all insured must submit such claim or"suit" those other insurers. to the other insurer for defense and When this insurance Is excess over other indemnity. insurance, we will pay only our share of the However, this provision does not apply amount of the loss, if any, that exceeds the sum to the extent that you have agreed in a of: written contract or written agreement (1) The total amount that all such other that this insurance is primary and non- insurance would pay for the loss in the contributory with the additional insured's absence of this insurance;and own insurance. (2) The total of all deductible and self-insured (4) Duties in The Event Of Accident, Claim, amounts under all that other insurance. Suit or Loss We will share the remaining loss, if any, by the If you have agreed in a written contract method described in Other Insurance 5.d. or written agreement that another person or organization be added as an 2. AUTOS RENTED BY EMPLOYEES additional insured on your policy, the Any "auto" hired or rented by your "employee" additional insured shall be required to on your behalf and at your direction will be comply with the provisions in LOSS considered an"auto"you hire. CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition is amended EVENT OF ACCIDENT, CLAIM , SUIT by adding the following: OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 2 of 5 If an "employee's" personal insurance also 5. PHYSICAL DAMAGE - ADDITIONAL applies on an excess basis to a covered "auto" ,TEMPORARY TRANSPORTATION EXPENSE hired or rented by your "employee" on your COVERAGE behalf and at your direction, this insurance will Paragraph A.4.a. of SECTION III - PHYSICAL be primary to the "employee's" personal DAMAGE COVERAGE is amended to provide a Insurance. limit of $50 per day and a maximum limit of 3. AMENDED FELLOW EMPLOYEE EXCLUSION $1,000. EXCLUSION 5. - FELLOW EMPLOYEE - of 6. LOAN/LEASE GAP COVERAGE SECTION II - LIABILITY COVERAGE does not Under SECTION III - PHYSICAL DAMAGE apply if you have workers' compensation COVERAGE, in the event of a total "loss" to a insurance in-force covering all of your covered "auto", we will pay your additional legal "employees". obligation for any difference between the actual Coverage is excess over any other collectible cash value of the "auto"at the time of the "loss" insurance. and the"outstanding balance"of the loan/lease. 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE "Outstanding balance" means the amount you If hired "autos" are covered "autos" for Liability owe on the loan/lease at the time of "loss" less Coverage and if Comprehensive, Specified any amounts representing taxes; overdue Causes of Loss, or Collision coverages are payments; penalties, interest or charges provided under this Coverage Form for any resulting from overdue payments; additional "auto" you own, then the Physical Damage mileage charges; excess wear and tear charges; Coverages provided are extended to"autos"you lease termination fees; security deposits not hire or borrow,subject to the following limit. returned by the lessor; costs for extended The most we will pay for "loss" to any hired warranties, credit life Insurance, health, accident or disability insurance purchased with the loan or "auto"is: lease; and carry-over balances from previous (1) $100,000; loans or leases. (2) The actual cash value of the damaged or 7. AIRBAG COVERAGE stolen property at the time of the"loss";or Under Paragraph B. EXCLUSIONS - of (3) The .cost of repairing or replacing the SECTION III - PHYSICAL DAMAGE damaged or stolen property, COVERAGE,the following is added: whichever is smallest, minus a deductible. The The exclusion relating to mechanical breakdown deductible will be equal to the largest deductible does not apply to the accidental discharge of an applicable to any owned "auto" for that airbag. coverage. No deductible applies to"loss"caused 8. ELECTRONIC EQUIPMENT - BROADENED by fire or lightning. Hired Auto Physical Damage COVERAGE coverage is excess over any other collectible insurance. Subject to the above limit, deductible a. The exceptions to Paragraphs B.4 - and excess provisions,we will provide coverage EXCLUSIONS -of SECTION Ill- PHYSICAL equal to the broadest coverage applicable to any DAMAGE COVERAGE are replaced by the covered"auto"you own. following: We will also cover loss of use of the hired "auto" Exclusions 4.c. and 4.d. do not apply to If it results from an "accident", you are legally equipment designed to be operated solely liable and the lessor incurs an actual financial by use of the power from the "auto's" loss, subject to a maximum of $1000 per electrical system that, at the time of"loss", "accident". is: This extension of coverage does not apply to (1) Permanently installed in or upon any "auto" you hire or borrow from any of'your the covered"auto"; "employees", partners (if you are a partnership), (2) Removable from a housing unit members (if you are a limited liability company), which is permanently Installed in or members of their,households. or upon the covered"auto"; (3) An integral part of the same unit housing any electronic equipment described in Paragraphs(1)and(2)above;or ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties, Inc.,with its permission.) Page 3 of 5 (4) Necessary for the normal If another Hartford Financial Services Group, operation of the covered"auto"or Inc. company policy or coverage form that is not the monitoring of the covered an automobile policy or coverage form applies to "auto's"operating system. the same"accident",the following applies: b.Section Ill — Version CA 00 01 03 10 of the (1) If the deductible under this Business Auto Business Auto Coverage Form, Physical Coverage Form is the smaller (or smallest) Damage Coverage, Limit of Insurance, deductible,it will be waived; Paragraph C,2 and Version CA 00 01 10 01 of (2) If the deductible under this Business Auto the Business Auto Coverage Form, Physical Coverage Form is not the smaller (or Damage Coverage, Limit of Insurance, smallest) deductible, it will be reduced by Paragraph C are each amended to add the the amount of the smaller (or smallest) following: deductible. $1,500 is the most we will pay for"loss" in 12. AMENDED DUTIES IN THE EVENT OF any one "accident" to all electronic ACCIDENT, CLAIM, SUIT OR LOSS equipment(other than equipment designed solely for the reproduction of sound, and The requirement in LOSS CONDITIONS 2.a. - accessories used with such equipment) DUTIES IN THE EVENT OF ACCIDENT,CLAIM, that reproduces, receives or transmits SUIT OR LOSS - of SECTION IV- BUSINESS audio, visual or data signals which, at the AUTO CONDITIONS that you must notify us of time of"loss",is: an"accident"applies only when the"accident"is known to: (1) Permanently installed in or upon the covered "auto" in a housing, (1) You, if you are an individual; opening or other location that is not (2) A partner, if you are a partnership; normally used by the "auto" (3) A member, if you are a limited liability manufacturer for the installation of company;or such equipment; (4) An executive officer or insurance manager, if (2) Removable from a permanently you are a corporation. Installed housing unit as described 13. UNINTENTIONAL FAILURE TO DISCLOSE In Paragraph 2.a. above or is an HAZARDS integral part of that equipment;or (3)An integral part of such equipment. If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we c.For each covered "auto", should loss be limited will not deny coverage under this Coverage to electronic equipment only, our obligation to Form because of such failure. pay for, repair, return or replace damaged or 14. HIRED AUTO-COVERAGE TERRITORY stolen electronic equipment will be reduced by the applicable deductible shown in the Paragraph e. of GENERAL CONDITIONS 7. - Declarations, or $250, whichever deductible is POLICY PERIOD, COVERAGE TERRITORY - less. of SECTION IV - BUSINESS AUTO 9. EXTRA EXPENSE - BROADENED CONDITIONS is replaced by the following: COVERAGE e. For short-term hired "autos", the coverage Under Paragraph A. -COVERAGE-of SECTION territory with respect to Liability Coverage is III - PHYSICAL DAMAGE COVERAGE, we will anywhere in the world provided that if the pay for the expense of returning a stolen covered "insured's" responsibility to pay damages for "auto"to you. "bodily injury" or "property damage" is determined in a suit, the suit is brought in 10. GLASS REPAIR-WAIVER OF DEDUCTIBLE the United States of America, the territories Under Paragraph D.-DEDUCTIBLE-of SECTION and possessions of the United States of III - PHYSICAL DAMAGE COVERAGE, the America, Puerto Rico or Canada or in a following Is added: settlement we agree to. No deductible applies to glass damage if the 15. WAIVER OF SUBROGATION glass is repaired rather than replaced. TRANSFER OF RIGHTS OF RECOVERY 11. TWO OR MORE DEDUCTIBLES AGAINST OTHERS TO US - of SECTION IV - Under Paragraph D.-DEDUCTIBLE-of SECTION BUSINESS AUTO CONDITIONS is amended by III - PHYSICAL DAMAGE COVERAGE, the adding the following: following is added: ©2011,The Hartford(Includes copyrighted material Form HA 9916 0312 of ISO Properties,Inc.,with its permission.) Page 4 of 5 We waive any right of recovery we may have c.Regardless of the number of autos deemed a against any person or organization with whom total loss, the most we will pay under this you have a written contract that requires such Hybrid, Electric, or Natural Gas Vehicle waiver because of payments we make for Payment Coverage provision for any one damages under this Coverage Form. "loss"is$10,000. 16. RESULTANT MENTAL ANGUISH COVERAGE For the purposes of the coverage provision, The definition of "bodily injury" in SECTION V- a.A "non-hybrid" auto is defined as an auto that DEFINITIONS is replaced by the following: uses only an internal combustion engine to "Bodily injury" means bodily injury, sickness or move the auto but does not include autos disease sustained by any person, including powered solely by electricity or natural gas. mental anguish or death resulting from any of b.A "hybrid" auto is defined as an auto with an these. internal combustion engine and one or more 17. EXTENDED CANCELLATION CONDITION electric motors; and that uses the internal Paragraph 2. of the COMMON POLICY combustion engine and one or more electric motors to move the auto, or the internal CONDITIONS - CANCELLATION - applies N as follows: combustion engine to charge one or more excelectric motors,which move the auto. If we cancel for any reason other than 19. VEHICLE WRAP COVERAGE nonpayment of premium, we will mail or deliver to the first Named Insured written notice of In the event of a total loss to an"auto"for which cancellation at least 60 days before the effective Comprehensive, Specified Causes of Loss, or date of cancellation. Collision coverages are provided under this 18. HYBRID, ELECTRIC, OR NATURAL GAS Coverage Form, then such Physical Damage VEHICLE PAYMENT COVERAGE Coverages are amended to add the following: In addition to the actual cash value of the"auto", In the event of a total loss to a "non-hybrid"auto we will pay up to$1,000 for vinyl vehicle wraps for which Comprehensive, Specified Causes of which are displayed on the covered "auto" at the Loss, or Collision coverages are provided under time of total loss. Regardless of the number of this Coverage Form, then such Physical autos deemed a total loss, the most we will pay Damage Coverages are amended as follows: under this Vehicle Wrap Coverage provision for a.lf the auto is replaced with a "hybrid" auto or any one "loss" is $5,000. For purposes of this an auto powered solely by electricity or natural coverage provision, signs or other graphics gas, we will pay an additional 10%, to a painted or magnetically affixed to the vehicle are maximum of$2,500, of the"non-hybrid" auto's not considered vehicle wraps. actual cash value or replacement cost, whichever is less, b.The auto must be replaced and a copy of a bill of sale or new lease agreement received by us within 60 calendar days of the date of"loss," ©2011,The Hartford(Includes copyrighted.material Form HA 99 16 03 12 of ISO Properties, Inc.,with its permission.) Page 5 of 5 Stirg THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WEA ZT4447 Endorsement Number: Effective Date: 12/31/22 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: VIDO ARTUKOVICH&SON INC 11155 RUSH ST SOUTH EL MONTE CA 91733 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2%of the California workers'compensation premium otherwise due on such remuneration. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1)Printed in U.S.A. Process Date: 12/21/22 Policy Expiration Date: 12/31/23 • • CONTRACTOR'S SWORN STATEMENT AND WARRANTY REGARDING CONTINUING INSURANCE AND OBLIGATIONS From:-Vido Artukovich&Son Inc/Vidmar,Inc A JV Project:Humboldt Sewer Lift Station 11155 Rush Street Replacement Project,C-1634 • South El Monte,California 91733 To: City of Huntington Beach DECLARATION Attached hereto is a true and correct copy of the current Certificate of Insurance and Additional Insured Endorsements CG 2010 0413 and CG 2037 0413,which Certificate compiles with the insurance requirements of the Contract by and between the City of Huntington Beach("City") and the above-named Contractor("Contractor")for the above described("Project') I declare under penalty of perjury under the laws of the State of California that the above statement is true and correct Signed on 1 211 9120 23 ,2023,at Los Angeles.CA Date City,State 1 Signatur of Indiv ual Mat f:Dec p aration WARRANTY Contractor hereby warrants and agrees to maintain Products and Completed Operations insurance in compliance with the insurance requirements of the Contract for the Project.Said insurance shall contain Additional Insured Endorsement CG 2010 0413 and CG 2037 0413, naming City as an additional insured. Contractor shall supply to City,on at least an annual basis,a Certificate of Insurance and the aforementioned Endorsement evidencing continued coverage which meets the Contract requirements. Signed on 12/29/2023 2023,at South El Monte, CA Date City,State CONTRACTOR;Vido Artukovich&Son,IncAlidmar,Inc A JV By: Name: • Vido Artukovich Title: Managing Partner 72BCSJC5047 Premium Included in Charge for Performance Bond. PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS: WHEi2EAS,City of Hun BOO(hereafter referred to as'City".)has awarded to. \tido Artukovich &Sbn IncAndtnarnc a Jv 11155 Rush Street South El Monte,CA.91733 (name and address of Contractor) (hereinafter referred as'Princi al a contract("Contract')for the work des bed Gas follows: Humboldt Sewer Lift Station Replacement Project, (Project Title) WHEREAS, Principal is required..under the terms of the Contract and the California Civil Code to furnish.a bond to secure the payment of claims of laborers,mechanics,materialrnen,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 it certified and listed in the U.S. Department of the Treasury Circular 570,and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,such as from A.M.Best Moody's or Standard&Poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance. NOW THEREFORE,we,the undersigned Principal,and Hartford Fire Insurance Company One Hartford Plaza, Hartford, CT 06155-0001 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum of 1-our Million One hundred ninety Three Thousand Four Hundred I-my uonars and001100 dollars($4,193,450.00 ),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 attomey's fee in an amount fixed by the court. PAYMENT BOND Page 1 of 2 15-4584/1I7357 Surety stipulates and agrees,for value received,that no change,extension of time,alteration, addition or modification to the terms of the Contract,or any contract document or any work to be performed thereunder,whether made after notice or not,shall in any way affect, impair or release the obligations of Surety under this bond. Surety hereby waives notice of any such change, extension of time,alteration,addition,or modification to the terms of the Contract,the contract documents or the work thereunder. Surety also waives the provisions of California Civil Code§§ 2845 and 2849. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: November 13,2023 ATTEST Vido Artukovich &Son Inc/Vidmar Inc a JV ' (Corporate Seal) Principal Name) By: Name: Vido Artukovi Tile: Managing Partner ATTEST Hartford Fire Insurance Company • (Corporate Seal) (Surety By: Name. Noemi Qurioz Atto a -in-Fact (Signature of Attomey-in-Fa for Surety) (Attach Attorney-in-Fact Certificate) f714-6741307 • (Area Code&Telephone Number for Surety) APPROVE S TaSO1 M: By: • 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 attomey-in-fact must be attached. PAYMENT BOND Page 2 of 2 15-4584/117357 • 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 ) ss County of Los Angeles On I (" l 2 , before me, Patricia Arana, Notary Public, personally appeared Noemi Quiroz , who proved to me on the basis of satisfactory evidence to be the person$ whose names} is/afe subscribed to the within instrument and acknowledged to me that #e/she/they executed the same in #is/her/thcir authorized capacity(ics), and that by 1 her/thcir signature{&} on the instrument the person{s}, 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. Signature: (Seal) Patricia Arana, Notary Public •`'°r PATRICIA ARANA Notary Public-California - Los Angeles County Commission s 2401773 '&,•o•"‘" My Comm.Expires Apr 23,2026 I Direct Inqulries/Clalms to: POWER OF ATTORNEY THE HARTFORBOND,BO ,T-11 Atw Hartford Plana Hartford,Connecticut 06155 Dond.ClatmaluRgwhartford.com call:888-266-3488 or fax:860-7574035 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: SurePath nHartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut Hartford Casualty insurance Company,a corporation duly organized under the laws of the State of Indiana nHartford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut n Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut n Twin City Fire Insurance Company,a corporation duly organized wider the laws of the State of Indiana n Hartford insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois 71 Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana n Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford,Connecticut(hereinafter collectively referred to as the"Companies,do hereby make,constitute and appoint Noemi Quiroz of Los Angeles,CA their true and lawful Attorney-in-Fact,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge the following bond,undertaking,contract or written instrument Bond No.72BCSJC5047 on behalf of Vido Artukovich&Son IncNidmar Inc a JV naming City of Huntington Beach as Obligee in the amount of See Bond Form on behalf of the Companies in then business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof,and as authorized by a Resolution of the Board of Directors of the Companies on May 23,2018 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed,duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. !i' \ 7 ism r\I ry?---•ti>,„. - ON, "ION, -....a.....,--- ;01111141IN /', • ,',,r-r1.*f;,-'' ,V,OlotrAlf et"3...-'1 0.61.111b f• 1,101.14:i fyillenhol; NO e y, - 0 ,J .1-47-.ftj'ii :1,1t.t.):.t ',,0•46,-;1 t :eel*/ tss4s/ .We ;:. Shay • 14..)i , 94011.04Mile Shelby Wiggins,Assistant Secretary Joelle L LaPierre,Assistant Vice President STATE OF FLORIDA SS. Lake Mary COUNTY OF SEMINOLE On this 20th day of May,2021,before me personally came Joelle LaPierre,to me known,who being by me duly sworn,did depose and say:that (s)he resides in Seminole County,State of Florldtt that(s)he Is the Assistant Vice President of the Companies,the corporations described in and which executed the above instrument;that(s)he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that(s)he signed his/her name thereto by like authority. V =,'ky.w - Jessica Cieeane 'pw•'` My Commission HH 122280 �' �� Expires June 20,2025 I,the undersigned,Assistant Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full farce effective as of November 13,2023 Signed and sealed in Lake Mary,Florida. te r r • ' -' %in n°ra • �s �r.• ° I'`'�:1/48.7 16 t�i''�. r z 1 :520 W Keith D.Dom 's,Assistant Vice President SurePath POA 2021 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 Los !\• nr��► Jr On NavUN(oCV 1?j,WA-3 before me,eiVada I UVc Mario Natal N1)fOMI Date Here Insert Name and Title of the Officer personally appeared V jrk f'W t UK1 Vtci 1 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 • , GUADALUPE MARIE NAVA laws of the State of California that the foregoing • v. Notary Public.California paragraph is true and correct. f �;; Los Angeles County •:A' i rc Commission#2394032 � •o•• My Comm.Expires Feb 15,2026 WITNESS my hand and official seal. Sig nature9fada fyte���/�,(ia �i Place Notary Seal and/or Stamp Above • (/ Sign�.uree of Notary Public OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer—Title(s): 0 Corporate Officer—Title(s): ❑ Partner— ❑ Limited ❑ General 0 Partner— 0 Limited 0 General ❑ Individual 0 Attorney in Fact 0 Individual ❑ Attorney in Fact ❑ Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑ Other: 0 Other: Signer is Representing: Signer is Representing: ©2019 National Notary Association Bond Number: 72BCSJC5047 Premium : $31,619.00 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREAS,City of Huntington Beach(hereafter referred to as°City")has,by written agreement dated 20 entered into a contract with Vldo ArtukovicW8,Son IncNidmar Inc a JV 11155 Rush Street South El Monte.CA 91733 (name and address of Contractor) (hereinafter referred to as"Principal°),for performance of the work described as follows: Humboldt Sewer Lift Station Replacement Project,CC-1634 (Project Title) • WHEREAS, said contract, and all documents referenced therein (hereinafter collectively "Contract"), are incorporated herein by this reference made a part hereof as though set forth herein in full;and Said Principal is required under the terms of the Contract to furnish a bond guaranteeing the prompt,full and faithful performance of said Contract, by a duly admitted surety insurer under the laws of the State of California(hereinafter referred to as"Surety");and ' • Surety is certified and listed in the U.S. Department of the Treasury Circular 570,and has provided proof of sufficient bonding limitations as shown in said circular to provide bonds in the amount required by said Contract;and • Surety has provided financial strength ratings from reputable companies,such as from A.M.Best,Moody's,or Standard &Poor's,to validate that Surety has positive ratings of being secure or Stable;and Surety is registered and listed with the California Department of Insurance, NOW,THEREFORE,we,the undersigned,as Principal,and Hartford Fire Insurance Company One Marttora }'laza, Harttord, Gi ublbb-UUl)1 (name and address of Surety) as Surety are held and firmly bound unto City in the penal sum of • Four Million One Hundred Ninety Three Thousand Four Hundred Fifty Dollars and 00/100 Dollars($4.193.450.00 ),this amount being not less than one hundred percent of the price set forth in the Contract,in lawful money of the United States,for the payment of which sum,well and truly to be made, we bind ourselves,our heirs,executors,administrators and successors,jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH THAT if the Principal shall promptly,fully and faithfully perform each and all of the covenants,obligations and things to be done and performed by the Principal in strict accordance with the terms of the Contract as said contract may be altered,amended or modified from time to time;and if the Principal shall indemnify and save harmless City and all of City's officers,agents and employees(hereinafter collectively referred to as"Obligees")fromany and all losses, liability and damages, claims,judgments,stop notices;fees and costs of every description,whether imposed by law or in equity, which may be incurred by the Obligees by reason of the failure or default on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract,including all alterations,amendments. and modifications thereto,and any warranties or guarantees required thereunder,then this obligation shall be void;otherwise,it shall be and shall remain in full force and effect. Surety stipulates and agrees,for value received,that no adjustment of the time or price in the Contract or any alteration,change,deletion,addition or other modification to the Contract,or the work to be performed thereunder,shall in any way affect,limit, restrict,impair or release the obligations of the Surety under this Bond. Surety waives notice of any adjustment of contract or contract price,and any other alteration,change, deletion,addition or other modification to the Contract,or the work to be performed thereunder,and agrees • 15-4584/117174 • Bond No. 72BCSJC5047 • to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions,additions or other modifications.. Surety agrees to provide written confirmation of such • adjustments in the penal sum to City on not less than a quarterly basis: Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such parry'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: November 13,2023 ATTEST Vido Artukovich&Son Inc/Vidmar Inc a JV (Corporate Seal) Principal Name) BT % 7��� Name. ido Artukovic Titre: Managing Partner ATTEST Hartford Fire Insurance Company (Corporate Seal) Olt (Suretyyy.e) By: �/ Name: Noemi Quimz._Atto ey-in-Fact (Signature of Attorney-in-Fa, for Surety) (Attach Attorney-in-Fact Certificate) (7111 674-1307 (Area Code&Telephone Number for Surety) • APPROVE AS TO FAA` By: _ Note: This bond must be executed in duplicate and dated,all signatures must be notarized,and evidence of the authority of any person signing as attorney-in-fact must be attached. PERFORMANCE BOND • Page 2 of 2 15-4584/117174 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 ) ss County of Los Angeles On � ` ( �j "- � j , before me, Patricia Arana, Notary Public, personally appeared Noemi Quiroz , who proved to me on the basis of satisfactory evidence to be the persons} whose names} is/afe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in 144/her/their authorized capacity{ics}, and that by his/her/their signature(s} on the instrument the person(s}, or the entity upon behalf of which the persons}acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: (Seal) Pat ' ' Arana, Notary Public PATRICIA ARANA t - Notary Public-California z ,z; Los Angeles County CommissioExpn R 2401773 " ��,My Comm. ires Apr 213,2026 Direct inquiries/Claims to: THE HAFtTFR POWER OF ATTORNEY One lONO,T PazaD Hartford,Connecticut o6155 Bond.Clahnetethehartferd.com cell.'8883663488 or fax:860-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: SurePath r—i H• artford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut 71 H• artford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana r-I H• artford Accident and Indemnity Company,a corporation duly organized under the laws of the State of Connecticut r 1 H• artford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut r-1 Twin City Fire Insurance Company,a corporation duly organized under the laws of the State of Indiana I i H• artford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois n Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana El H• artford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford,Connecticut(hereinafter collectively referred to as the"Companies")do hereby make,constitute and appoint Noemi Quiroz of Los Angeles,CA their true and lawful Attorney-in-Fact,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge the following bond,undertaking,contract or written instrument Bond No.72BCSJC5047 on behalf of Vido Artukovich&Son IncNidmar Inc a JV naming City of Huntington Beach as Obligee in the amount of See Bond Form on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds,and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof,and as authorized by a Resolution of the Board of Directors of the Companies on May 23,2016 the Companies have caused these presents to be signed by its Assistant Vice President and its corporate seals to be hereto affixed,duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. gli 4, II -eft* 4-i ' . \I ..: • it? l' 4 111 ` "4 . 3� , . ,""..,.▪ ►aue� L te1e IpTs ,r �,r • 4. Vitay lt)/ .54/7/4' 901.11A-81014/. Shelby Wiggins,Assistant Secretary Joelle L LaPierre,Assistant Vice President STATE OF FLORIDA SS. Lake Mary COUNTY OF SEMINOLE On this 20th day of May,2021,before me personally came Joelle LaPierre,to me known,who being by me duly sworn,did depose and say:that (s)he resides In Seminole County,State of Florida; that(s)he Is the Assistant Vice President of the Companies,the corporations described in and which executed the above instrument;that(s)he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that(s)he signed his/her name thereto by like authority. . Gpst;c01/4 :. It, In :�.'+-y� Jessica Ciccone r'•,OiPw,,,•'• My Commission11n 122280 •r"�• Expires June 20,2025 I,the undersigned,Assistant Vice President of the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of November 13, 2023 Signed and sealed in Lake Mary,Florida. • ;�� ! .f'!r: z4.0'1"+al tart'. *ram e P'",'6 V-. " [ ' i ' ' S t ure s • t� �,` �r�t mil`=�m„i. A %ai✓ : 8.77 I kieTs • 's 7a���r�rzrt, O' / %' 4 Keith D.Dozen's,Assistant Vice President SurePath POA 2021 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 LOS tkV1iU tS On ('OViLIMIt(V 13, 2027) before me, CiIXJ talOpt. 0031e ^Il►4/ t w I ob , Date Here Insert Name and Title of the Officer y personally appeared V'tk() fi rtulmviGV1 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 >ti GUADALUPE MARIE NAVA laws of the State of California that the foregoing Notary Public•California paragraph is true and correct. `1 =- Los Angeles County 31 Commission N 2394032 WITNESS my hand and official seal. .0 My Comm.Expires Feb 15,2026 Signature l`', 1 '* �natu a of NotaryPublic frirtie..) Place Notary Seal and/or Stamp Above g OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer—Title(s): 0 Corporate Officer—Title(s): ❑ Partner— ❑ Limited 0 General 0 Partner— ❑ Limited 0 General ❑ Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact ❑ Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑ Other: 0 Other: Signer is Representing: Signer is Representing: ©2019 National Notary Association Document A310 TM — 2010 Conforms with The American Institute of Architects AIA Document 310 Bid Bond CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and principal place r f bnavinees) Hartford Fire insurance Company VidoArtukovich &Son InclVdmar Inc a JV One Hartford Plaza Hartford, CT 06155 0001 This document has important 11155 Rush Street legal consequences.Consultation South El Monte, CA 91733 Mailing Address for Notices with an attorney is encouraged Hartford Fire Insurance Company with respect to its completion or OWNER: One Hartford Plaza, Hartford CT modification. (Name,legal status and address) Any singular reference to City of Huntington Beach Contractor,Surety,Owner or other party shall be considered 2000 Main Street plural where applicable. Huntington Beach, CA 92648 BOND AMOUNT: 10% Ten Percent of Amount Bid PROJECT: (Name,location or address and Protect number.if am) Humbolt Sewer Lift Station Replacement Project CC1634, Huntington Beach, CA The Contractor and Surety arc 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 arc 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 rives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said hid,then this obligation shall he null and void,otherwise to remain in fall force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time tor acceptance of bids specified in the hid 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 tern Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conthrning to such statutory or other legal requirement shall he 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 scaled this 11th day of September. 2023. Vido Artukovich&Son IncNidmar Inc a JV � /*--Th (Principal) (Seal) (Witness) By: (fide) i o Art ov c , a ging Partner w.-0 (NSSU u Hartford Fire Insurance Company (2:1,, ;�• //�) (Surety) (Seal i o (IPiinesc) E. Ra adan 1 n !! CC: * ;f?, t+BY: � L��U ' Mile)NOe.mi Quiroz,Attorney-in- act 04, ` - RATEa 5-0054/AS 8/10 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 ss County of Los Angeles On I I - 22J , before me, Maria Pena, Notary Public, personally appeared Noemi Quiroz , who proved to me on the basis of satisfactory evidence to be the persons} whose names} is/afe subscribed to the within instrument and acknowledged to me that 4 e/she/thcy executed the same in his/her/the-if authorized capacity(ics), and that by #is/her{their signatures} on the instrument the person{s},, or the entity upon behalf of which the persons}acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. MARIA PENA y_�;®� Notary Public-Californ a yts eles County �- ;,; Los Ang i j Commission it 24i t Y'T � My Comm.Expires Oct 2,2026 Signature: _ QWL (Seal) Maria Pena, Notary Public Direct Inquiries/Claims to: POWER OF ATTORNEY THE HARTFORD BOND.T-11 One Hartford Plaza Hartford,Connecticut 08155 Bond.ClaimsOthehartford.com cal s 888-268-3488 or fax 880-757-5835 KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code: SurePath fl(l Hartford Fire Insurance Company,a corporation duly organized under the Laws ofibe State of Connecticut Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana r1 Hartford Accident and Indemnity Company,a corporation duly organized underthe laws"of the State of Connecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws of the State of Connecticut rl Twin City Fire insurance Company,a corporation duly organized under the laws of the State of Indiana n Hartford Insurance Company of Illinois,a Corporation duly organized under the laws of the State oflllinois n Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the State of Indiana n Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office'in Hartford,Connecticut(hereinafter collectively referred to as the'Companies,do hereby make,constitute and appoint Noemi Qulroz of Los Angeles,CA their true and lawful Attorney-in-Fact,to sign its name as surety(ies)only as delineated above by®,and to execute,seal and acknowledge the following bond,undertaking,contract or written instrument: Bond No. Bid Bond on behalf of Vido Artukovich&Son Inc/Vidmar Inc a JV naming City of Huntington Beach as Obligee in the amount of See Bond Form on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof,and as authorized by a Resolution of the Board of Directors.of the Companies on May 23,2016 the Companies have caused these presents to be signed by its"Assistant Vice President and its corporate seals to be hereto effaced,duly attested by its Assistant Secretary. Further,pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Attorney. Le/ C� ,.) k .,�....._.. �i Mu.ea.+�" r� SOTS it72/- +rj•. •+7 •.,tn.e� gyp• ��11/•` At* 10 151500 � Shelby Wiggins.Assistant Secretary Jodie L LaPierre,Assistant Vice President STATE OF FLORIDA. ss. Lake Mary COUNTY OF SEMINOLE On this 20th day of May,2021,before me personally came Joelle LaPierre,to me known,who being by me duly sworn,did depose and say:that (s)he resides in Seminole County,State of Florida; that(s)he is the Assistant Vice President of the Companies,the corporations described in and which executed the above Instrument;that(s)he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seals; that they were so affixed by authority of the Boards of Directors of said corporations and that(s)he signed hislher name thereto by like authority. 4 a QcGl yjP - y.`'��-4�C Jessica Ciccone '•�,e{r*" My Commission i111122280 • "• Expires June 20,2025 I,the undersigned,Assistant Vice Presidentof the Companies,DO HEREBY CERTIFY that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is still in full force effective as of September 11,2023 Signed and sealed in Lake Mary,Florida. 1'fN • . ,t• i\\ fE's;,, fi ' �nw�\. 0,90 `� _,� �g �T�ios.r�6 1.�_; r1 V >.oe4 . a A- ley �` , �' + yr �+.me,er1' 4Ntl1 y.S1)10 g t97O • PPP r / •., i...,_,•.+ '► • Keith D.Doznis,Assistant Vice President SurePath POA 2021 1 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of LO5 Amele5 On Septekittityie Ll 20Z3 before me, C1ya6Aall)o( Maine Nava/Kirtztvtj puto1ic , Date r r Here Insert Name and Title of the Officer personally appeared V ido Psrtv Icovi kn 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. randiahab.a.anahalhah.dh.ai GUADALUPE MARIE NAYA I certify under PENALTY OF PERJURY under the Notary Public California laws of the State of California that the foregoing ",*s ?� Los Angeles County Z. paragraph is true and correct. •���� Commission$2394032 Lmo•." My Comm.Expires Feb 15,2026 WITNESS my hand and official seal. Signature Place Notary Seal and/or Stamp Above Signature f Notary ublic OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Corporate Officer—Title(s): 0 Corporate Officer—Title(s): ❑ Partner— 0 Limited 0 General 0 Partner— ❑.Limited. 0 General ❑ Individual 0 Attorney in Fact 0 Individual 0 Attorney in Fact ❑ Trustee ❑ Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: ©2019 National Notary Association u City of Huntington Beach )4 - a 2000 Main Street ♦ Huntington Beach, CA 92648 -_ _ •s (714) 536-5227 • www.huntingtonbeachca.gov ����'•�: w � �.o���� Office of the City Clerk ®FCu u N-N "#- Robin Estanislau, City Clerk • January 29, 2024 • Vido Artukovich & Son Inc.Nidmar Inc Attn: Vido Artukovich • 11155 Rush Street South El Monte, CA 91733 Re: Humbolt Sewer Lift Station Project—CC No. 1634 • 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. • Since ely, 9•64/Z/4.14,t4) • Robin Estanislau, CMC City Clerk RE:ds • Enclosures: Copy of Contract including Proposal Copies of insurance/bonds Bid Bond (original) Sister City: Anjo, Japan RECEIVED BY: CITY CLERK RECEIPT COPY Return DUPLICATE to City Clerk's Office (Name) after signing/dating (Date) CITY OF HUNTINGTON BEACH INTERDEPARTMENTAL COMMUNICATION TO: City Treasurer FROM: City Clerk DATE: I I J n /21-1 SUBJECT: Bond Acceptance I have received the bonds for VW ,bn 1 t v- 4-CD r l Irv, Vi drMr (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. 1ai l.5D 1-1 Payment Bond (Labor and Materials) Bond No. ►3C9JC,561-41— 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 /4-12023 Re: Tract No. Approved •Vt90• v U— ��jj������� (Council Approval Date) CC No. I(23L Age m No. 023- q13 MSC No. City Clerk Vault No. 6900 • SO Other No. SIRE System ID No. (0 [O0I ei�' g:forms/bond transmittal to treasurer ��NTIN&rp 2000 Main Street, of ��F Huntington Beach,CA v 92648 _ City of Huntington Beach oQ APPROVED 7-0 ‘bfi;iv*A'C," File #: 23-913 MEETING DATE: 11/7/2023 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Al Zelinka, City Manager VIA: Chau Vu, Director of Public Works PREPARED BY: John Dettle, Associate Civil Engineer Subject: Award and authorize execution of a construction contract with Vido Artukovich & Son Inc.Nidmar, Inc. A JV, in the amount of$4,193,450 for the Humboldt Sewer Lift Station Replacement Project, CC-1634; and, authorize appropriation of funds Statement of Issue: On October 5, 2023, bids were received electronically for the Humboldt Sewer Lift Station Replacement Project, CC-1634. City Council action is requested to award the construction contract to Vido Artukovich & Son Inc.Nidmar Inc. A JV, the lowest responsive and responsible bidder. Financial Impact: Total project cost, including contingency and supplemental expenses, is estimated at $5,035,000. Funds in the amount of $4,101,918 are available in Sewer Service Fund account 51189017 ($3,401,918) and from Sewer Development Fee Fund account 21089019 ($700,000). Additional funding of $933,082 is required for the project. Staff is requesting the budget shortfall to be funded from the PCH Restroom Sewer Lift Station Project Fund account 51189021.82600. This request is made in order to maintain the required minimum reserve balance in the Sewer Service Fund (511). Funding to replenish the PCH Restroom Sewer Lift Station Project budget will be requested as part of the FY 2024/25 Capital Improvement Program budget process. Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Vido Artukovich & Son Inc.Nidmar, Inc. A JV, in the amount of$4,193,450; and, B) Approve a budget transfer of$933,082 from Account 51189021.82600 (PCH Restroom Sewer Lift Station Project) to Account 51189017.82600 (Humboldt Sewer Lift Station Project) to fully fund the Humboldt Sewer Lift Station Replacement Project; and, C) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City of Huntington Beach Page 1 of 3 Printed on 11/1/2023 poweret*LegistarTM File #: 23-913 MEETING DATE: 11/7/2023 City Attorney. Alternative Action(s): Reject all bids, and re-advertise for new construction bids. Analysis: Public Works Engineering and Utilities Divisions are proposing to remove and replace the existing Humboldt Sewer Lift Station due to its age and insufficient wet well capacity. It is located at the southeast corner of Humboldt Drive and Wayfarer Lane, approximately 10 feet west from Humboldt Bridge and was constructed in 1967. The sewer lift station has reached its useful life expectancy and the existing concrete box structure is experiencing structural failures due to immersion in high chloride groundwater environment. The new lift station will predominately be comprised of underground vaults that store and pump sanitary sewage to a higher elevation. The new station and pipeline will convey sewage into the City's gravity system along Humboldt Drive and ultimately into an Orange County Sanitation District trunk main. The only above ground features will be a transformer and the electrical control cabinets. When completed, the project will provide 50 years of useful life, prevent station failure that cause sewer overflows in Huntington Harbour, and help eliminate sewer odors. The bids were received electronically on October 5, 2023. The verified bid amounts are listed below: Bidding Contractor Bid Amount Submitted Vido Artukovich & Son Inc.Nidmar Inc. A JV $4,193,450 Mehta Mechanical Company, Inc. $4,494,005 RE Chaffee Construction $4,888,503 The apparent lowest bid was submitted by Vido Artukovich & Son Inc.Nidmar Inc. A JV. This firm has previously and successfully completed the Trinidad Lift Station project for the City, and staff has been satisfied with their work. Staff is recommending award of the Humboldt Sewer Lift Station construction contract to Vido Artukovich & Son, Inc.Nidmar Inc. A JV for the amount of$4,193,450. If approved, construction will begin January 2024 for a duration of 13 months. The total estimated construction cost is $5,035,000 which includes the construction contract amount, a 10 percent (10%) contingency, and supplemental expenses, including contracted construction inspection and soils/materials testing. A majority of the project funds are budgeted this fiscal year; however, a budget transfer of $933,082 from Account 51189021.82600 (PCH Restroom Sewer Lift Station Project) is required to fully fund the project. Environmental Status: This action is not subject to the California Environmental Quality Act (CEQA) pursuant to Sections 15060(c)(2) (the activity will not result in a direct or reasonably foreseeable indirect physical change in the environment) and 15060(c)(3) (the activity is not a project as defined in Section 15378) of the CEQA Guidelines, California Code of Regulations, Title 14, Chapter 3, because it has no potential for resulting in physical change to the environment, directly or indirectly. City of Huntington Beach Page 2 of 3 Printed on 11/1/2023 powered LegistarTM File #: 23-913 MEETING DATE: 11/7/2023 Strategic Plan Goal: Non Applicable - Administrative Item For details, visit www.huntingtonbeachca.gov/strategicplan <http://www.huntingtonbeachca.gov/strategicplan>. Attachment(s): 1. PowerPoint Presentation City of Huntington Beach Page 3 of 3 Printed on 11/1/2023 powere 2§,LegistarTM ,40.,,,,,..... ..... .11_ ft Afiri Gi . 1,1„, ,.. r 0 il P 0 .., \,. • \\\"1/4 ........„..- Humboldt Station O. opr Z /21 ., .0 C.°) Replacement • .. I 0 S __, .._ • % CC 1634 -� - 9. ./ : �*7,� ?lam/ ' ''``� November 7, 2023 • • O .c. •6$ 17 �� � p,S-. V P£OUNTN :prii 4I.,,,,rrAr. 427 BACKGROUND AND PROJECT SCOPE Humboldt Lift Station , located at the southeast corner of Humboldt Drive and Wayfarer Lane, was constructed in 1967. Recent inspections indicate the concrete structure is failing and the wet well capacity is insufficient. This project will replace the existing facility with a new lift station . The new lift station will be predominantly underground , with only control and electrical cabinets above ground . It will � /����NT�,NGTO/�i\ have increased wet well capacity and an airtight system to ,00� ..\��oaPoeArFQ•. � reduce sewer odors. igt ,, ;�'•:�_� 428 VICINITY MAP - HUMBOLDT ISLAND PROJECT LOCATION 0.9 4 I 00,. 11119911 a 7N 7 I • : -PRIIIIIII6L .-, 11111111111 r- pit _ iv ---EN. wil ...,......_. 1:111:111\ 4.,,4111,1 Nife 440 'MM. — mr7 rgININ ILI PACIFIC % ''''A1111.1111. ,.., ' VIIREMPrill:. iPM '1 WTINGt \I\ 0 OCEAN 911111111.7 oF cic.....**;,•olIPORA............ <9.:\iik *.. --'••'-41kaigatillik 1(--), C.).1 • \ \ 1 —1-— _---j-, ---=__- • k \.03 %. - - "•' L.:".,'.1."--=': 0 N44"7,% ..--:---- ---------:-------1 ck.. 0 VICINITY MAP N.T.S. '414114..?(;•,.).-":41...;.;.,-.1.9.0.i,.............. ..... •im-C'99UNT‘i Cil.‘,1P ""Pao.op4p5.,_ Ara,' 429 PROJECT LAYO UT ,,,,.,,,...„, , .., , :51,,,,4mi .. ..:,,..,.:,,,,.,4a-,:f„..,,,-,:,,,,,•,-,:z.,„*., .,- : , ,,.. ,..,_-:_,,..,., „„t,,,,...,,,..1;r1.,,,...,.1:13s5trt„.,,.., , il,,,,,I.,,,:,,„.,,,, r, ,,,,.,,,,.„..:! :' ' '''''' : '''''' ''''''':''' '''''''''', 1'''' ' '''''tv. ''' ' , t ,,. y. ..,, , 4 t1- . Ir._ , -74,, , i . 1 , _. wili „..,.. M.4, ,.f?4.1ei., ,1111111111L7- a - econsimoi yn 1 +�t, • curb gutter °�` �� t qi ` and sidewalk r R (blue line) $ i t ,1 a,Y. �`r � y • '� 1= New Manhole o' ,,, ',", u a ii fiftt;14?",, "1ir s, N 'Ve �e� fical u� �r - t,”;'',',,,..-,'''''..:34'!!'.1:,t.'":'..`•:_-;;Ii:%'...::',±5:1'...,'4i-;*7-'1-"!-4"-'1: --' ,,,, ,,,,,..,,_, _.! r .,_. ., , „,,,,,„„,,,,,.,..7:4.,,,,,, ,,,iiii ,:;:,4.0,0,,;:,14,,,, ..:ft.'",",;r4.. ...,-, - . t r - s e Vault abinets its ' '''''- ' 0,44.' Iti, . ,., x sting se tier anhole rt 1\1.1.07rNarPG.ii......7.0 40fir '""...P- �r� 0 ` '�. • -" treeunstructed Ne Gravity ,,-i` ,� ion Se Main Exist ng Ldt�Statio .(reconstructed. -r�' 'r,-* : ' ',1".4 ',.. r:.::: 0 r�. �, t i •��� �: _ •• $ r `r v ,r,� -N! .` ..,, ,. '� I rt s ; CJ _ ! ... O�NTY C�,�i�l 430 PROJECT BENEFITS • Increases lifespan of facility by 50 years • Prevents sewer lift station failures that may result in Sanitary Sewer Overflows (SSOs) into Huntington Harbour • Enlarged wet well affords increased response time to deploy generators during power outages , Nro�n - • Airtight system reduces sewer odors �� � s .6)• V 073 I � ' , 431 SCHEDULE AND FUNDING • Construction Bids Received October 5, 2023 • Current Budget: $4, 101 ,918 (Sewer Funds) • Request Award to Lowest Bidder — Vido Artukovich & Son Inc./Vidmar Inc. A JV • Total Low Bid = $4, 193,450 • Total Project Cost with Inspection = $5,035,000 • Recommended Action: Accept the lowest responsive bid and authorize execution of construction contract with Vido Artukovich and authorize a budget revision of $933,082 from the PCH Restroom Sewer Lift Station Projectos /���NT I NGTp • Construction Start: January 2024 ' - 9 l • Construction Duration: 13 monthsV6)<<,*•••:-.A.,:f-,7,-;;:tycoo• • Alternative Recommendation: Reject All Bids 432 P t _ �, `xf e a� u e s ions . ,. AiI � f *,41-,,,,P --'" "' ;---",;,•••--;—.1rio—,Athic‘.4-,,,,i-'. ,,,,,,,,,,,,,,, ,, ,, " .' _- Vi 7 - I $ 1.11,1fc.11,�� rR*- C..:.'trtlY�g0-,4 * r--'', "T" A' ` `,, f t +. ( �--� , -4-° t r " ' m "%�ie-'5", 'r.-.'.....eim.,,,,.....-te.i0d..?%IP't.„4„ '.;,V;;J :t..-,.. ... ' , '1;'14'' : . ' 4 4.-1.11 li,,, .3. _.:-.,„---" '3 1, ••-.1 ilkit,,,,..3?,3" - '- ",.0', •-01,-..;;;;7x,,,-;„7,.n- { s :. '" #"'.',off♦ a. �"" n• "§ '''"''.: , A` ,, ^T � ,: '�7 may'^ ,�i 'e i 433 Co)6rnnJ /5 Iz3 QtA/6 ri)►1423 '121 )23 SECTION A ,12 NOTICE INVITING ELECTRIC BIDS for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1634 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites electronic invites bids for the above stated projects and will receive such bids prior to 11:00 AM on Thursday, October 5, 2023, 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 on this project via the City's PlanetBids System Vendor Portal website at: https://www.planetbids.com/portal/portal.cfm?CompanylD=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.planetbids.com/portal/portal.cfm?CompanyID=15340. Bidders must first register as a vendor on the City of Huntington Beach PlanetBids system to view and download the Contract Documents,to be added to the prospective bidders list, and to receive addendum notifications, when issued. Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California, which are available online at www.dir.ca.gov/DLSR and also on file at the Office of the Director of Public Works,2000 Main Street, Huntington Beach, CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race,color,national origin,ancestry,sex,or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. For electronic submittal of bids, he 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: HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC #: 1634 Bid Opening Date: October 5, 2023 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: The project consists of the abandonment and demolition of an existing sewer lift station, and the installation of a new 185 gpm submersible sewer lift station and forcemain. The project includes the construction of new gravity sewers,reconnection of sewer laterals,as well as curb, gutter, sidewalk, AC paving, and other appurtenant work not mentioned above,but required as part of the Contract Documents. The Contractor shall be responsible for acquiring any additional lay down area, and all permits and permit fees. The existing Humbolt Sewer Lift Station shall remain in operation until the new lift station is operational. The old station shall be demolished once the City approves operation of the new lift station. The work is located at the Humboldt Drive and Wayfarer Lane Intersection, in the Humboldt Island Area of the City of Huntington Beach. The contract shall allow the Contractor 260 working days to complete the contract. The cost estimate for construction is $3,800,000 not including contingency. 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 7th day of June 2022, by Resolution No. 2022-28. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Switzer, Donna From: Dettle,John Sent: Wednesday, September 6, 2023 1:29 PM To: Switzer, Donna Cc: Hernandez, Lili Subject: Advertise CC 1634 Attachments: CC 1634 NIB.docx Dear Donna, The Humbolt Sewer Lift Station Replacement Project,CC 1634 is ready to bid. Please advertise in the newspaper for 9/7/23 and 9/13/23. John Dettle,Associate Civil Engineer (714) 536-5509 John.Dettle@surfcity-hb.org 1 W. Column INTERIM AD DRAFT This is the proof of your ad scheduled to run in The Orange County Register on the dates indicated below. If changes are needed, please contact us prior to deadline at (714) 796-7000. Notice ID: iYIWD6GDjy7o1QliCwhB I Proof Updated: Sep.08,2023 at 12:14pm PDT Notice Name: NIEB CC No. 1634 Humboldt Sewer Lift Station FILER FILING FOR See Proof on Next Page Donna Switzer The Orange County Register donna.switzer@surfcity-hb.org (714)374-1649 Columns Wide: 5 Ad Class: Legals 09/14/2023:City Notices 2891.78 09/21/2023:City Notices 2891.78 Subtotal $5783.56 Tax% 0 Total $5783.56 NIEB CC No. 1634 Humboldt Sewer Lift Station - Page 1 of 3 SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No.1634 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE 15 HEREBY GIVEN that the CITY OF HUNTINGTON BEACH,as AGENCY,invites electronic invites bids for the above stated prolects and will receive such bids prior to 11:00 AM on Thursday,October 5,2023,on the City's Planet Bids System Vendor Portal, at which time or thereafter bids will be opened and made available online Bids received after this time will be considered non-responsive. Prospective bidders must first register cis a vendor and then on this protect via the City's PlarietBids System Vendor Portal website at: httPs://www.PIanetblds.com/portal/ Portal.cfm?Companyl D=15340 Copies of the bid documents, including instructions to bidders,bidder proposal form, and specifications may be downloaded free at: https://www.planetblds.com/portal/ portal.cfm?CompanyID=15340. Bidders must first register as a vendor on the City of Huntington Beach PlanetBlds 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.Pursuantto the provisions of the Labor Codeof the State of California, the minimunm 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.clir. ca.gov/DLSR cinch 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.Tile Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code,Section 10263.The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied bY a certified check,cashier's check,or bidder's bonct 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 tine 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:HUMBOLDT SEWER LIFT STATION REPLACEMENT.PROJECT CC#: 1634 Bid Opening Date: October 5,2023 at 11:00 AM • The successful bidder shall be.licensed to 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 sublect to verification bY the AGENCY. In case of a variation between the unit price and the extension,the unit price will govern. Project Description: The prolectconsists of the abandonment and demolition of an existing sewer lift station, and tile installation of a new 185 gpm submersible sewer lift station and forcemain. The protect includes the-construction of new gravity sewers, reconnection of sewer laterals,as well as curb,gutter,sidewalk,AC paving,and other appurtenant work not mentioned above, but required as part of the Contract Documents. The Contractor shall be responsible for.acquiring any additional lay down area,and all permits and permit fees. The existing Humbolt Sewer Lift Station shall remain in operation until the new lift station is operational. The old station shall be demolished once the City approves operation of the new lift station. The work is located at the Humboldt Drive and Wayfarer Lane Intersection, in the Humboldt island Area of the City of Huntington Beach. The contract shall allow the Contractor 260 working days to complete the contract.The NIEB CC No. 1634 Humboldt Sewer Lift Station - Page 2 of 3 cost estimate for construction is S3,800,000 not including contingency. All questions related to this bid solicitation must be submitted through the City's PlanetBlds 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 PlanetBlds system. The AGENCY reserves the right to relect any or all bids,to waive any irregularity and to take all bids under advisement for a maximum period of 60 clays. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA,the 7th day of June 2022,by Resolution No.2022-28. Attest: /s/Robin.Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH The Orange County Register Published:9/14,9/21/23 NIEB CC No. 1634 Humboldt Sewer Lift Station - Page 3 of 3 THE ORANGE COUNTY REGISTER 1920 Main Street, Suite 209 Irvine, California 92614 (714) 796-7000 legals@inlandnewspapers.com City of Huntington Beach - City Clerk's Office 2000 Main Street Huntington Beach, California 92648 Account Number: 5190751 Ad Order Number: 0011623261 Customer's Reference/PO Number: Publication: The Orange County Register Publication Dates: 09/14/2023 and 09/21/2023 Total Amount: $5783.56 Payment Amount: $0.00 Amount Due: $5783.56 Notice ID: iYIWD6GDjy7o1Q1iCwhB Invoice Text: SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1634 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites electronic invites bids for the above stated projects and will receive such bids prior to 11:00 AM on Thursday, October 5, 2023,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 on this project via the City's PlanetBids System Vendor Portal website at: https://www.planetbids.com/portal/portal.cfm?CompanylD=15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.planetbids.com/portal/portal.cfm? CompanylD=15340. Bidders must first register as a vendor on the City of Huntington Beach PlanetBids system to view and download the Contract Documents,to be added to the prospective bidders list, and to receive addendum notifications,when issued.Any contract entered into pursuant to this notice will incorporate the provisions of the State Labor Code. Pursuant to the provisions of the Labor Code of the State of California,the minimum prevailing rate of per diem wages for each craft, classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California,which are available online at www.dir.ca.gov/DLSR and also on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach, CA 92648.The AGENCY will NIEBCCNo.1634HumboldtSewrLiftStation(5190751) - Page 1 of 3 See Proof on Next Page THE ORANGE COUNTY REGISTER The Orange County Register 1920 Main Street,Suite 209 Irvine,California 92614 (714)796-7000 0011623261 City of Huntington Beach-City Clerk's Office 2000 Main Street Huntington Beach, California 92648 PROOF OF PUBLICATION (2015.5 C.C.P.) STATE OF CALIFORNIA 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 party to or interested in the above-entitled matter. I am the principal clerk of the printer of The Orange County Register, a newspaper of general circulation, printed and published in the City of Irvine*, County of Orange, and which newspaper has been adjudged a newspaper of general circulation by the Superior Court of County of Orange, State of California, under the date of November 19, 1905, Case No.A-21046.The notice, of which the annexed is a printed copy (set in type not smaller than nonpareil), has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: 09114/2023,09/21/2023 I certify (or declare) under the penalty of perjury that the foregoing is true and correct. Dated at Irvine, California On this 21st day of September, 2023. CanLpia- Signature NIEBCCNo.1634HumboldtSewrLiftStation(5190751) - Page 1 of 3 SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No.1634 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTiNGTON BEACH,as AGENCY,invites electronic invites bids for the above stated protects and will receive such bids prior to 11:00 AM on Thursday,October 5,2023,on the City's PlanetBlds System Vendor Portal, at which time or thereafter bids will be opened and made available online Blds received after this time will be considered non-responsive. Prospective bidders must first register as a vendor and then on this protect via the City's PlanetBlds System Vendor Portal webslte at: https://www.planetbids.corn/portal/ portal.cfm?CompanyI D=15340 Copies of the bid documents, Including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.planetbids.com/portal/ portal.cfm?CompanyID=15340. Bidders must first register as a vendor on the City of Huntington Beach PlanetBids system to view and download the Contract Documents, to be added to the prospective bidders list, and to receive addendum notifications, when issued. Any contract entered Into pursuant to this notice will incorporate the provisions of the State Labor Code.Pursuant to the provisions of the Labor Code of the State of California, the minimum prevailing rate of per diem wages for each craft,classification or type of workman needed to execute the contract shall be those determined by the Director of Industrial Relations of the State of California,which are available online at www.dir. ca.gov/DLSR and also on file at the Office of the Director of Public Works, 2000 Main Street, Huntington Beach,CA 92648. The AGENCY will deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code,Section 10263.The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race, color, national origin, ancestry, sex, or religion In any consideration leading to the award of contract. No bid shall be considered unless it Is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY. The bid must be accompanied by a certified check,cashiers check,or bidders bond made payable to the AGENCY for an amount no less than 10%of the amount bid. For electronic submittal of bids, The bid security must be received at the City of Huntington Beach Public Works Office,2000 Main Street,no later than the bid opening date and time. The bid security must be submitted in a sealed envelope bearing the name and address of the bidder,and the outside of the envelope must read as follows: OFFICIAL BID SECURITY-DO NOT OPEN Project Name: HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC#: 1634 Bid Opening Date: October 5,2023 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 Contractors License C lass 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 sublect to verification by the AGENCY. In case of a variation between the unit price and the extension,the unit price will govern. Project Description: The protect consists of the abandonment and demolition of an existing sewer lift station, and the installation of a new 185 gprn submersible sewer lift station and forcemaln. The protect Includes the construction of new gravity sewers, reconnection of sewer laterals,as well as curb,gutter,sidewalk,AC paving,and other appurtenant work not mentioned above, but required as part of the Contract Documents. The Contractor shall be responsible for acquiring any additional lay down area, and all permits and permit fees. The existing Humbolt Sewer Lift Station shall remain in operation until the new lift station Is operational. The old station shall be demolished once the City approves operation of the new lift station. The work is located at the Humboldt Drive and Wayfarer Lane Intersection, in the Humboldt Island Area of the City of Huntington Beach. The contract shall allow the Contractor 260 working days to complete the contract.The NIEBCCNo.1634HumboldtSewrLiftStation(5190751) - Page 2 of 3 cost estimate for construction Is S3,800,000 not including contingency. 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 he referred back to the PlanetBids system. The AGENCY reserves the right to relect 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, CAL I FORN I A,the 7th day of June 2022,by Resolution No.2022-28. Attest: /s/Robin Estanisiau CITY CLERK OF THE CITY OF HUNTINGTON BEACH The Orange County Register Published:9/14,9/21/23 NIEBCCNo.1634HumboldtSewrLiftStation(5190751) - Page 3 of 3 UNSUCCESSFUL BIDS CC No. 1634 Humbolt Sewer Lift Station Project � � STo� City of Huntington Beach m��° . A\ � 2000 Main Street ♦ Huntington Beach, CA 92648 : - _ - _ (714) 536-5227 ♦ www.huntingtonbeachca.gov e o Office of the City Clerk u ,uNTY CP r�� Robin Estanislau,City Clerk Mehta Mechanical Company, Inc. dba MMC 5901 Fresca Drive La Palma, CA 90623 RE: Humbolt Sewer Lift Station Replacement Project— CC No. 1634 Enclosed please find your original bid bond for CC No. 1634. Sincerely, 9.6hugel,1444) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 ADDENDUM NUMBER ONE For HUMBOLT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 September 19,2023 Notice to Ali Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) The City of Huntington Beach has changed the valve vault size from 7'x 4'x 8'to be 8'x 6'x 8'. Sheets 7, 8, 10, 11, 12, 16, 17, 19,28 and 29 of 34 have been revised to show this change. The revised sheets are attached. Note the Bid Schedule did not call out the size of the valve vault, therefore no change to the Bid Schedule Is provided. This is to acknowledge receipt and review of Addendum Number One,dated September 19,2023. MMC Inc. _ Jagat S. Mehta Company Name By 1,' to(4 1 2.az3 Date • 1 of 1 of Addendum No.1.._.. SECTION C PROPOSAL for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1634 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids,the undersigned hereby proposes and agrees to perform all the work therein described,and to furnish all labor,material,equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach.The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within l¢Q 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. C1 • 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 13i°t in the amount of . ...._( which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed 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 ..m,DafeReceived„ Binder's:°Signature 1 Sep. .18,2023 ,; a 1/1 C-2 BIDDING SCHEDULE THE CITY OF HUNTINGTON BEACH HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 Bid Estimated Item Description Unit Unit Price Total Price Mobilization,Demobilization;Cleanup .Bonds, Insurance,.and Permits:Per Plans and 1 Specifications,furnish all labor,material and 1 LS 2gp,vo t' 2 50,000 equipment to mobilize, demobilize,and provide cleanup of construction site:provide all bonds, insurance, and obtain all permits. Preparation of Storm Water Pollution Prevention Plan:Per Plans and Specifications, 25,E pod 2-5,a o 0 2 furnish all labor,materials, and equipment as 1 LS required to develop a site-specific Storm Water Pollution Prevention Plan(SWPPP). ,Install._and Implement.Construction BMP's in Accordance with Storm Water Pollution Prevention Plan'(SWPPP) Per Plans and Specifications,furnish all labor,materials,and equipment as required to install and maintain all 3 BMP's identified in the approved SWPPP 1 LS 40/po o 40,0627 throughout the duration of construction.At the completion of construction,all BMP's shall be removed by the CONTRACTOR, and the site and all facilities restored to their original condition. Construction.Survey and Staking.Per Plans 4 and Specifications,furnish all labor,material 1 LS 20,0017 2.00,Da a and equipment to conduct construction survey and staking of the construction site ,Traffic Control Implementation., Per Plans and .i Specifications,furnish all labor,materials,and equipment as required to implement Construction Traffic and Pedestrian Control Plans to provide public convenience,safety and 5 traffic control,including warning signs,high 1 LS 2 a-S 000 ';2 25,dv0 level warning devices,delineators,regulatory signs,barricades,and recessed trench plate bridging throughout the project.Traffic Control Plans were prepared by the Design Engineer r and are provided in the Construction Drawings • C-2.1 Construction Potholing:.Per Plans and . , Specifications,furnish all labor,materials and equipment to pothole and locate horizontal and vertical positions of all existing utilities in the 6 1 LS 35,000 0 g 6 I °15 vicinity of the work.Prepare a report and 1, submit it to the City a minimum of four(4) weeks prior to start of construction to allow revisions to current design. Geotechnical Engineering Construction Support Services Per Plans and Specifications,provide , , the services of a California Registered Geotechnical Engineer with experience in all 7 1 LS %000 clot ex,i3. elements of the project,to provide recommendations necessary for the design of the contractors shoring system,dewatering system,and settlement monitoring program Trench aid Excavation Safety Measures, (Sheeting,Shoring.Bracing):Per Plans and Specifications,furnish all labor,materials,and equipment as required,develop,design,and implement trench and excavation safety measures,consisting of sheeting, shoring, and bracing,or equivalent method for the protection of life and limb in trenches,pump station , 0 op(00° 8 excavation,valve vault excavation,and other LS 6 vo/000 1 miscellaneous open excavations,and protection of all adjacent structures in conformance with applicable safety orders. The work includes preparation of shoring plans and calculations by a California registered structural engineer incorporating the requirements of the 1 dewatering plan,and recommendations contained in the geotechnical study performed by the Contractor. ,...._ C-2.2 Dewatering Plan Development and Implementation: Per Plans and Specifications, , ,, ... develop a Dewatering Plan prepared by a California Registered Geotechnical Engineer, incorporating the requirements of the shoring plan and any additional geotechnical information developed by the Contractor.The , 0 . : work includes: obtaining NPDES permit from 9 the Regional Water Quality Control Board,well ' 1 LS 0,0 drilling and destruction permits from Orange . 0 • County Health Department,field testing required for the design of the dewatering system,implementation of the dewatering program,treatment of dewatering discharge, and removal of the dewatering system, including monitoring wells,when no longer • needed. Site MonitoringtGroundwater,.Vibration.: , , ' Seftlenientl:Per Plans and Specifications, implement a site monitoring program to 10 evaluate groundwater,settlement,and vibration Ls 22 i pot? 22.1 07 1 in accordance with the recommendations f , contained in the Contractor's Geotechnical Investigation Report,for construction of the lift station sewers,wet well and valve vault. Sitework Demolition and Preparation: Per Plans. . . ., ,. and Specifications,furnish all labor materials and equipment necessary for sitework and demolition for the new lift station site and , ' 11 legally dispose of all removed materials.The 1 LS ' i 2:--6, (/a° ' (27t(WC) work includes,but is not limited to curb,gutter, sidewalk,tree and landscape removal along Humboldt Drive and Wayfarer Lane,and all , . other appurtenant work required. . .., , . 4-Foot Diameter Sewer Manhole Per Plans and ' Specifications,furnish all labor,materials and equipment necessary,to construct 4-foot diameter polymer concrete sewer manhole and composite frame and cover.The work includes • _ f_6 4.5 but is not limited to: factory cast monolithic i 12 s LS , w I poo OP° base,precast manhole sections,exterior coating and joint wrap system,composite manhole frame and H-20 rated cover,temporary sewage bypass device, connections to new and existing sanitary sewers,and all appurtenant work required. C-2.3 Modification and Rehabilitation of Existing Manholes:Per Plans and Specifications,furnish all labor,materials and equipment necessary,to modify and rehabilitate existing sewer Manhole No.2568 and Manhole No. 2567.The work includes,but is not limited to:plugging , 13 1 LS Lb pa C, , 40 0 or, abandoned sewer main inlet,re-channelizfirg, ms, t i installing drop inlet per Plan,installing Armorock Systems per Manufacturer's guidelines in the existing manhole(s), connections to new and existing sanitary . ; s sewers,and all appurtenant work required - . 8-Inch SDR-35 PVC Sewer Per Plans and Specifications,furnish all labor,materials and 1. equipment necessary,to construct 8-inch diameter SDR-35 PVC sewer lines.The work s ,s includes,but is not limited to: 8-inch diameter 14 SDR-35 PVC sewer pipe,and one(1)8-inch , s i ; , I ] diameter Poo Pit one way PVC with gasketed . 110 LF i 00'd roe; V, riser cap at the end of the sewer main, s , excavation,trenching,backfill,compaction,core drilling and connections to new and : . . s existing sanitary sewer manhole and wet well, and all appurtenant work required. . ,. Sewer Lateral and Cleanout:Per Plans and , Specifications,furnish all labor,materials and equipment necessary,to install sewer service laterals. The work includes but is not limited to 15 ,disconnection and demolition of existing sewer 2 EA 2 010°0 ' 40,c '' • , laterals,construction of two(2)4-inch diameter sewer laterals and two(2)sewer cleanouts on the property lines,and all appurtenant work „ .. required. 5-Foot Diameter Precast Concrete Wet Well Per Plans and Specifications,furnish all labor, • materials and equipment necessary,to construct a precast polymer concrete wet well with• . .4 composite manhole frame and H-20 rated cover,dimensions per plans.The work includes 16 but is not limited to: saw cutting,pavement 1 LS ' 2_5 0,000 .2S°' COO removal and disposal,excavation,disposal of , excavated soil,formwork,drop inlets,epoxy coated reinforcing steel, concrete,curing, stripping of forms,imported backfill, compaction,stainless steel pipe sleeves, waterproofing,hydrostatic testing, and all appurtenances complete,and in place. , . C-2.4 Reinforced Concrete Valve Vault and Misc.. Metals: Per Plans and Specifications,furnish all labor,materials and equipment necessary,to construct a reinforced concrete valve vault (dimensions per plans),including but not limited to: sawcutting,pavement removal and disposal,excavation, disposal of excavated soil, 17 formwork,epoxy coated reinforcing steel, 1 LS e,o oe'o 200,00 concrete,curing,stripping of forms, sacking of interior concrete surfaces,interior and exterior waterproofing,imported backfill,compaction, HL-93 rated, 316 stainless steel access hatch, 316 stainless steel ladders,sump, stainless steel sleeves,and all appurtenances complete,and in place. Submersible Pumps and Mechanical Equipment:Per Plans and Specifications, , Furnish all labor,materials and equipment necessary and Install wet well mechanical equipment,including two 3 HP, 185 gpm recessed impeller slide-rail submersible pumps and motors(Wemco Model 3 x 11-CLCESR), 18 spare pump and motor and parts,316 stainless 1 LS 2 70,0ol> 2-'71,eon 17 steel discharge elbows,316 stainless steel discharge piping,fittings and support brackets, 316 stainless steel slide-rail system,guide brackets,lifting chain and bails,316 stainless steel cable racks,level transducer stilling well, duckbill check valve,and all other required appurtenances and spare parts. F Valve Vault Mechanical Equipment Per Plans and Specifications,furnish all labor,materials and equipment necessary to furnish and install valve vault mechanical equipment,including 19 but not limited to:pipes,fittings,couplings, 1 LS (50.c'° (fOa oar? insulating flanges,valves,electromagnetic flow meter,float switch,316 stainless steel pipe supports,and field coating of piping materials inside the vault,including all appurtenances complete and in place. C-2.5 ,...4-Inch Diameter Force Mains and Connections Per Plans and Specifications,furnish all labor, materials and equipment necessary,to construct PVC C900 DR14 force main in Humboldt , - Drive.The work includes but is not limited to ductile iron restrained fittings with 8 mil green polyethylene wrap with thrust blocks,cathodic protection,encasement,connection to new lift 20 105 : LF ; (,5e3 . 6e ze;'5 station,connection to existing 4-inch force -.- . main at t.he bridge abutments,and the existing .- downstream manhole,pavement removal and , .. . disposal,trenching,disposal of native soils, imported bedding,imported backfill,temporary connection and valves,temporary paving, compaction,pressure testing,and all required and appurtenant work complete in place. Miscellaneous PipingeFittings„,Cathodic . . Protection,and Appurtenances:Per Plans and Specifications,furnish all labor,materials and equipment necessary,to construct piping , .. between the wet well and valve vault,including 5 . but not limited to: couplings,4-inch 316 21 1 LS o 6q, epo ? stainless steel pipe,4-inch ductile iron pipe with : i ; C,cf ove , , .., 8 mil green polyethylene wrap,4-inch PVC . ' SDR-35 drain line,cathodic protection, excavation,imported backfill,compaction, and all required appurtenances,complete and in place. _., ;Electrical Sitework:Per Plans and ; Specifications,furnish all labor,materials,and equipment necessary for furnishing and installing electrical and instrumentation systems and equipment for the project. The work includes,but is not limited to: excavation,Arc Flash Study,disposal of native soils,conduits and concrete encasement of conduits,imported 000 ; -2.10,OW . • 22 backfill,compaction,core drilling of all wall ; 1 LS penetrations,repair of lining systems,stainless steel supports,wire terminations,grounding system,conduits,wires,cables,pull boxes, hand holes,junction boxes,pads,receptacles, switches,lights,level transducers,third party .. testing of the electrical system,intrusion I switches,float switches, all required spare ; parts,and appurtenances complete and in place. , , , ;. . ....,. . . . , . C-2.6 Meter Switchboard;,Transfer Switch Enclosures..SCE Coordination Per Plans and Specifications,furnish and install the NEMA 4X,316 stainless steel transfer switch enclosure.The work includes,but is not limited to:NEMA 4X, 12 gage 316 stainless ,' steel enclosure,wire,conduit and fittings, intrusion switches,automatic transfer switch with manual bypass,double throw manual transfer switch,reinforced concrete mounting base,modification/removal of existing wall footing conflicting with proposed panel concrete base,channel and anchors for mounting to base,light switch,thermostat controlled cabinet fan,LED lights,exhaust and intake louvers with filters,and all other required materials and equipment,complete 000 and in place.The work also includes but not f 10rfl0a 1 Rt9i 23 limited to furnishing all labor,materials, and 1 LS equipment necessary,and doing all work to provide 100 amp,240 volt,3 phase electrical service to the pump station site,coordination with SCE,establishing a schedule for when electrical service is needed,contacting SCE to schedule installation,and providing all necessary accommodations to SCE for service installation, construction of a concrete transformer pad to house new SCE Transformer and meter pedestal,4-inch conduit with pull rope from existing SCE facilities to newly constructed SCE transformer on Humboldt Drive and to a new meter pedestal to be furnished and installed by the CONTRACTOR, 100 amp main switchboard,and all appurtenant work complete and in place in accordance with ' SCE's requirements. Control and.PLC Panel:Per Plans and Specifications,,furnish all labor,material and equipment necessary for installation of PLC and control panel, all required appurtenances complete and in place. Work also includes i 24 providing all materials required for mounting 1 LS q 5 s 190,545 those panels to a reinforced concrete base to be constructed by the CONTRACTOR.Also included is modification/removal of an existing wall footing that is in conflict with the electrical enclosures concrete base. C-2.7 , . Sewage Bypass:Per Plans and Specifications, furnish all labor,material and equipment necessary to provide temporary sewage bypass 1 , ,as needed for construction,including but not 25 1- • a imite to sewage pumping, . storage and 1 . LS 2.5,000 : ., A., transportation. Sewage bypass plans was provided in the Construction Drawings for . 1 reference purpose only. = . .. . START-UP AND TESTING:Per Plans and Specifications,furnish all labor,material and = = equipment necessary to perform start-up testing '! of the lift station. The work includes,but is not limited to:pre-start-up testing of equipment, development of a start-up plan,attendance at a pre-start-up conference,providing authorized equipment manufacturer representatives, calibration of instruments,pre-commissioning 26 activities,record keeping and all other required 1 LS 2 S o° ' 5 PPO : it 2- , activities demonstrating to full satisfaction of .: = the City of Huntington Brach that the lift station operates properly under all normal and . . emergency conditions with the use of . I ' . commercial electric service,and service ?. through a CITY furnished portable generator. This bid item includes CONTRACTOR operation,maintenance and repair of the lift . . station through the 7-day demonstration/performance period. Demolition of Existing Lift Station Per Plans . = and Specifications,furnish all labor,materials and equipment necessary to demolish existing . . City of Huntington Beach Humboldt Sewer Lift• Station,including removal,handling, and proper disposal of lead-based paint,removal and proper disposal of all equipment within the : existing lift station,coordination and removal of SCE service meter,main disconnect,and 27 manual transfer switch,and delivery of 1 LS lW(2 7 31 DOP /3 :: salvaged equipment to City Yard,removal of curb,gutter,and sidewalk,removal of the top slab and 4-feet of the dry well structure, ba.cicfilling of the wet well and remaining dry well with Class 100-E-100 slurry,filling of existing to be abandoned pipes with low strength slurry mix,bacicfilling of the excavation with approved materials,removal of . . existing force main,restoration of curb,gutter, sidewalk,and all appurtenant work. , . . , . , . C-2.8 , Abandonment,of Existing Gravity Sewer and Force Main:.Per Plans and Specifications, furnish alf labor,materials and equipment 28 necessary to fill existing to-be-abandoned 1 LS 23,Oa0 2.5',oo� gravity sewer pipes and force main pipes with low strength slurry mix,abandon pipes in place, and furnish all other appurtenant work required. Miscellaneous,Site Work.;Earthwork.Concrete} and Landscape Restoration: Per Plans and Specifications,furnish all labor,materials, and equipment necessary to construct new curbs, gutters,local depressions, sidewalks,and ADA 29 ramps,painting of the curb in front of the new 1 LS q5,000 9, 000 lift station in red,re-installation of street signs, pedestrian control,irrigation and landscape restoration to pre-construction condition or per Plans as required for the project along Humboldt Drive and Wayfarer Lane. Asphalt Paving Replacement Per Plans and Specifications,furnish all labor,materials,and equipment necessary to remove and full-depth replace existing disturbed aggregate base(AB), sawcut remove and full depth replace existing disturbed asphalt concrete(AC),within 730 SF q O 2 q, 2 e'O 30 Humboldt Ave and Wayfarer Lane(6"AC over 10"AB).Work also includes removal and j replacement of all impacted pavement and curb markings,striping,and adjustment of existing boxes,manholes,valve cans to grade, in Humboldt Ave and Wayfarer Lane. Asphalt Overlay: Per Plans and Specifications,furnish all labor,materials, and equipment necessary for 2-inch pavement cap, removal and disposal of excess material, 45 000 31 adjustment of existing manhole covers,valve 4500 SF ' 10 cans,and utility boxes to grade, including construction of concrete collars,replacement of all pavement striping and markings,and all required appurtenances,complete and in place. P _Replacement of Survey Monuments:,Per Plan and Specification,furnish all labor,materials, and equipment necessary to provide the services 0 vo 000 32 of a California Registered Professional Land 1 LS Surveyor,with experience in all elements of the project,for the replacement of survey monuments. C-2.9 Wet Well Shoring Concrete Plug Furnish all labor,materials and equipment as required to design and implement 5-foot thick concrete , 33 1 LS 2 8,00-0 ' zgiotzpv plug to be installed under crushed rock base with wet well shoring and bracing,required by Contractor's Geotechnical Engineer. TOTAL BID ITEMS 1 THRU 33 FOR HUMBOLDT SEWER LIFT STATION $ 4644 4.665',,oc) REPLACEMENT PROJECT Total Amount of Base Bid in Writing: /cook 140C1104616 141%/E dettelettf • Palle "'Watt' Pea& Hitiatc4 Nivtirti9" Note: Bid Item No.33 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 payment of this bid item is dependent on Contractor's Geotechnical recommendations for wet well construction. C-2.10 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 $10,000, whichever is greater,and the portion of the work to be done by such subcontractor. Bid Name and Address ofClass DIR PWC Dollar %of State Item(s) Subcontractor License Registration# Amount Contract Number 3 a Hnic 2y 4 kfxf-RPeit Tavc 31 32 Qpw Ho ciitcte 21 s°►Sz Pr ,pp p®000 10 tf'i,??° L.aJ E Fo&'irsa, ur9 12454" • - PR1tr� &bm,iced co • �'1 18,1't, 31 2. s•�irlow A-de 24 SS c,-sD race (4° 9,3 d zy Rcitfa,e4o 9;94.• P+1 '` Leasf tote C `1+/c. of c•-tr rm yrt3 i 4,27.• I3r3a Aitcrft c:Rrtt 3T� 6 (3,94"r S1•1 Jv 11. I V ga4,fek 4 sp4 906'tc' # '&Luc Lte'r aha 4 r ooea°,„ 5c0.00(7 A 31;0100 -1 (6 tithbf Cdaina who/GA `(-114W IPA12 k Note. eleet.f �9�$i' rot,OoO447y 0 rorw• v e„ra Pi act2 I2gb 2/d purru{tov--i u4 92-9532- tea Kyle Ra-ht GOWfZ A /c°°°"7°16 95,E •s / d q r3OI asSr Spy ¢ • Per , 4- 4900Q4 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed onq 443, at La Palma , CA 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. Jagat S. Mehta Name of Bidder m)t.,14 Si t- Bidder 5901 Fresca Dr., La Palma, CA 90623 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT, (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 Jagat S. Mehta • tip ' By President . ...... .... ... .. Title Date: q 2_� C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete,under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified,removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? Gil Yes El No If the answer is yes,explain the circumstances in the space provided. MMC Inc.was debarred by the Department of Industrial Relations in the year of 2002 for a period of three (3)years (2002 - 2005) due to non compliance of prevailing;wades Project: Final Sedimentation Basin Pipe Replacement 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-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contact 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. • I IP- °LI MMC Contractor .Jagat S. Mehta bUtidir," 'By' President ,s4 President Title Date: C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: MMC.Inc. Bidder Name 5901 Fresca Dr. Business Address La Palma CA 90623 City, State Zip (. 714) 521-2022 jay@aboutmmc.com Telephone Number Email Address 573635 & ,,A C61/D21 C11 B HAZ State Contractor's License No. and Class 7-24-1989 Original Date Issued Expiration Date 1A.Y it461-t714 The work site was inspected by of our office on '9(if The following are persons,firms, and corporations having a principal interest in this proposal: Jagat S. Mehta - President/Manager/Treasurer Mohan Mehta- Secretary The undersigned is prepared tb satisfy the.Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Company Name 1(11)/4‘. SignsSignaturf der tql0411-3 Jagat S. Mehta/ President Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 4 r`day of OCkbar' ,2023. 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 tag ;;..:. County of crap � ) Jog 2.02A before me, #I Q s)1 r0 ; U'f'A r 3 u bl,:G. Month,Day,and Year Insert Name and Title of personally appeared.M. ar l `'t.. .S. . me fR. 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. ALKA S.SHROFF Notary Public•California WITNESS my hand and official seal. 4,d Orange County 4 .; Commission#2383649 iNy Comm.Expires_Dec 13,2025; Signature.... g Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of at least three similar work projects, specifically referencing the construction of a new submersible sewer lift station and forcemain,ahe construction of new gravitysewers,reconnection of sewer laterals,as well as curb,autter,sidewalk,AC paving.and other appurtenant work an area containing-high ground water and requiring dewatering.: Bidders are encouraged to submit supplemental relevant project history m 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 City of Huntington Beach, 2000 Main St., Huntington Beach, CA 92648 Name and Telephone No. of Project Manager. Andrew Femgno, 714-536 5291 $3,684,400 Underground wet well,;Valve,,Vault, Electrical -Control Sept 2022, Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Shoring, Dewatering, Concrete Wet Well, Vault, Valve, Pumps,valves, electrical,. controls, generator, programming, Start-up,curve &gutter, paving &caping, Block wall 2. _Name and Address of Public Agency City of Huntington Beach, 2000 Main St., Huntington Beach, CA 92648 Name and Telephone No. of Project Manager: Andrew Ferrigno, 714-536-5291 $4,290,554 Contrucion of Slater Ave. Lift Station June 2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Wet well, Shonnq,::Dewatering, Valves, Vaults, Pumps, Pipings, Electrical Controls, Block Wall, Paving, Start-up,training 3. Name and Address of Public Agency Los Angeles Department of Public Works, 900 S. Fremont Ave., Alhambra, CA 91803 Name and Telephone No. of Project Manager: Victor Bermudez; 626 688 8275: $1,671,141 , Compton Creek Pump Station,Units land 2 Station upgrades Phase 2 Jan.2017 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Installation of 3 ea cascade vector pumps, Right angle gear box, Engine, Construction of LPG supply live, Vaporizer and natural gas, Murphy controller C-10 ..._.. Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager,and Superintendent.For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years.These projects do not have to be under the employment of the bidder of this project.Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. .Name of proposed Project Manager Telephone No. of proposed Project Manager.Jagat Mehta, 714 521 2022/714-931-4154 (cell) City of Huntington Beach Saybrook Lift Station $3,684,400, Underground valve, Pumps,Controls, Sept 2022 Project Name&Contract Amount Type of Work Date Completed City of Huntington Beach Slater Lift Station $4,290,554 Underground wet well, pumps, Electrical, June 2022 Project Name&Contract Amount' Type of Work Date Completed City of Huntington Beach Edge water Lift Station, $4,313,771 Underground wet well, pumps, Electrical, May 2022 Project Name&Contract"Amount Type of Work Date Completed 2. .Name of proposed Superintendent Telephone No. of proposed Superintendent: Manuel Vera, 714 363-1396 City of Huntington Beach Saybrook Lift Station $3,684,400, Underground valve, Pumps,Controls, Sept 2022 Project Name&Contract Amount Type of Work Date Completed City of Huntington Beach Slater Lift Station $4,290,554 Underground wet well, pumps, Electrical,June 2022 Project Name&Contract Amount Type of Work Date Completed City of Huntington Beach Edge water Lift Station, $4,313,771 Underground wet well, pumps, Electrical, May 2022 Project Name&Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)),passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is$300.Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call(844) 522-6734 https://efiling.dir.ca.gov/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. MMC Inc Contractor Jagat S Mehta 1 By President Title Date: 1 al Li 2. PWC Registration# 1000013675 C-12 Document A310TM — 2010 Bid Bond Bid Bond No:N/A „ ,. .. CONTRACTOR: SURETY: (Name,legal status and address) (Name, legal.status and principal place Mehta Mechanical Company, Inc.dba MMCpfbusiness)Old Republic Surety Company 5901 Fresca Dr. P.O. Box 1635 • La Palma, CA 90623 Milwaukee,WI 53201-1635 This document has important legal consequences.Consultation with OWNER:.. an attorney is encouraged with 1. Name.legalstatus and address) respect to its completion or City of Huntington Beach modification. • ,2000 Main St. Any singular reference to Huntington Beach, CA 92648 rOw ner actor,Surety,O net or : BOND AMOUNT:.Ten Percent of the Total Amount Bid (10%of Bid Amount) other party shall be considered plural where applicable. PROJECT;.. .. .. (Name,location or address, and Project number, if any) .:HUMBOLT SEWER LIFT STATION REPLACEMENT PROJECT Project Number,if any:CC 1634 • 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 die time specified in the bid documents,or within such time period as may be agreed to by the Owner and • . Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding,or Contract Documents,with a surety admitted in:.the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract • and for the prompt,payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this • obligation shafibe.null and void,'otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the:Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days hi the aggregate beyond the time for acceptance of bids specified in the hid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty'(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed:to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been:furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and . provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent'is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 20th day of September ' 2023 Mehta Mechanical Company,Inc.dba MMC,Inc. (Principal) , 5_ 00,,//)� . (Seal) ....(Witness) 'r'UW�•`. (Title) Pres;denf - IO/oy/t3 Old RequbNp Surety omp ny (Sur (g oo (Witness) (Title) " . Emilie George, tto ey-in-Fact Init. AIA Document A310TM—2010.Copyright©1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNING:This Ai A' Document is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AIA°`Document,or any portion of it,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was created on 01/27/2012 07:23:12 under the terms of AlA Documents-on-DemendTM order no. 2008397483,and is not for resale.This document is licensed by The American Institute of Architects for one-lime use only,and may not be reproduced orinr to its completion.ns„tn ARIZONA NOTARY ACKNOWLEDGMENT State of Arizona County of Maricopa On this SEP 2 0 2023 , before me Danielle Hanson [Name of Notary Public] personally appeared Emilie George ,whose identity was proven [Name of Signer] to me on the basis of satisfactory evidence to be the person who he or she claims to be, and acknowledged that he or she signed the above/attached document. Witness my hand and official seal. �4373rf DANIELLE IRIS HANSON �I Notary Public-Arizona MarkoCounty M d: •. Commission#65 538 i.tarFSii • My Commission Expires August 11,2027 (Seal) • [Affix Seal Here] ciL Ci( • Signature of Notary Public **** * * * OLD REPUBLIC SURETY COMPANY ***** POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock insurance corporation,does make,constitute and appoint: James W.Moilanen,Yung T.Mullick,Irene Luong,Emilie George,P.Austin Neff,Christine Woolford,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 bail bonds, bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds, guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds),as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby, and all of the acts of said Attorneys-in-Fact,pursuant to these presents, are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18,1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds, undertakings, recognizances,and suretyship obligations of all kinds;and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attomey previously granted to such person. RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (ii) when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (iii) when duly executed and sealed (if a seal be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by its proper officer,and its corporate seal to be affixed this 24th day of February 2023 . `0,,c„1106Uq'1,,„., OLD REPUBLIC SURETY COMPANY Ss: o+ SEAL >€ /f/i /4 '1K ax-1.4 As..,I,_nt Secreta y President STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS On this 24th day of February 2023 ,personally came before me, Alan Pavlic and Karen J Haffner ,to me known to be the individuals and officers of the OLD REPUBLIC SURETY COMPANY who executed the above instrument,and they each acknowledged the execution of the same, and being by me duly sworn, did severally depose and say:that they are the said officers of the corporation aforesaid,and that the seal affixed to the above instrument is the seal of the corporation,and that said corporate seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority of the board of directors of said corporation. K.• Pz,,,,,s044... .'i0... .r,° ��Notary Public My Commission Expires: September 28,2026 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 land 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., : GUq V. "'o °r,a s 20th September 2023 74 9092 0, SEAL i`' Signed and sealed at the City of Brookfield,WI this day of -o'`. i..,.\ j.Y . ORSC 22262(3-06) n"n„ul„\o 1 /�'1�n'►J`L,, Assistl! t Secreta Bond Exchange CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 C:�:/::!cC.!cCNLC:!:::sC:�n.4:e�:�.A::�a::a:C:::�a•.:a..::L:::�::•:::!:C:q..:!•.::i..::r::n.:rn�:!.:r�:ei,.:a:C:{..�<!::i:.:.!:e{:�t!i::!iC:{ .!a.!:�r{.�./:�.sC:!:�t C:< 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 OTAnge On 10/04)20Z3 before me, A I KQ Sb ro f t_ n lriu r pu blz Date Here Insert Name and Title of the Officer personally appeared S. Me b/ic U 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 . al icn s.sHaol-F ~ ; WITNESS my hand and official seal. Notary Public-California Orange County ma' , ,. Commission N 2383649 Signature 'I"tvJwp� My Comm.Expires Dec 13,2025 Signature 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: ❑ 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: L«'!<4•!«✓<C'!c���:�-ie��i..�.!<�e;<.�.<rq.!c�•qcv..<..i.,r.:,*i<-..c.ri<.•;:..!.,�.;.i<..i<..•{<•.!c�-!c.^!<.✓<�'Sa✓<v:<�ei<C••!<�•!'.�+:<C':c�'!c�Gc�i!eCii•�'!.vY<��<��<`5<� ©2016 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 Vikknoic. Ce-) SECTION C PROPOSAL for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1634 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described,and to furnish all labor,material,equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 2.jQ 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. If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid, find BID BOND in the amount of ssso,000 which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for % ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature 1 June 27, 2023 C-2 BIDDING SCHEDULE THE CITY OF HUNTINGTON BEACH HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 Bid Estimated Item Description Quantity Unit Unit Price Total Price Mobilization, Demobilization, Cleanup,Bonds, Insurance, and Permits: Per Plans and 1 Specifications, furnish all labor, material and 1 LS $2 0 0,0 0 0.0 0 $2 0 0, 0 0 0.0 0 equipment to mobilize, demobilize, and provide cleanup of construction site: provide all bonds, insurance, and obtain all permits. Preparation of Storm Water Pollution Prevention Plan: Per Plans and Specifications, $20,000.00 $20,000.00 2 furnish all labor,materials, and equipment as 1 LS required to develop a site-specific Storm Water Pollution Prevention Plan(SWPPP). Install and Implement Construction BMP's in Accordance with Storm Water Pollution Prevention Plan(SWPPP): Per Plans and Specifications, furnish all labor, materials, and equipment as required to install and maintain all 3 BMP's identified in the approved SWPPP 1 LS $7 0,0 0 0.0 0 $7 0, 0 0 0.0 0 throughout the duration of construction. At the completion of construction, all BMP's shall be removed by the CONTRACTOR, and the site and all facilities restored to their original condition. Construction Survey and Staking: Per Plans 4 and Specifications, furnish all labor,material 1 LS $3 0,o 0 0.o o $3 0,o 0 0.o 0 and equipment to conduct construction survey and staking of the construction site. Traffic Control Implementation: Per Plans and Specifications, furnish all labor, materials, and equipment as required to implement Construction Traffic and Pedestrian Control Plans to provide public convenience, safety and 5 traffic control, including warning signs, high 1 LS $120,000.00 $120,000.00 level warning devices, delineators,regulatory signs, barricades, and recessed trench plate bridging throughout the project. Traffic Control Plans were prepared by the Design Engineer and are provided in the Construction Drawings. C-2.1 Construction Potholing: Per Plans and Specifications, furnish all labor,materials and equipment to pothole and locate horizontal and vertical positions of all existing utilities in the 6 vicinity of the work. Prepare a report and 1 LS $4 5, o 0 0.o o S45, 000.00 submit it to the City a minimum of four(4) weeks prior to start of construction to allow revisions to current design. Geotechnical Engineering Construction Support Services: Per Plans and Specifications,provide the services of a California Registered Geotechnical Engineer with experience in all $6 0,0 0 0.0 0 S60,000.00 7 elements of the project,to provide 1 LS recommendations necessary for the design of the contractors shoring system, dewatering system, and settlement monitoring program. Trench and Excavation Safety Measures (Sheeting, Shoring, Bracing): Per Plans and Specifications, furnish all labor,materials, and equipment as required, develop, design, and implement trench and excavation safety measures, consisting of sheeting, shoring, and bracing, or equivalent method for the protection of life and limb in trenches,pump station 8 excavation,valve vault excavation, and other 1 LS miscellaneous open excavations, and protection $180,000.00 $180,000.00 of all adjacent structures in conformance with applicable safety orders. The work includes preparation of shoring plans and calculations by a California registered structural engineer incorporating the requirements of the dewatering plan, and recommendations contained in the geotechnical study performed by the Contractor. C-2.2 Dewatering Plan Development and Implementation: Per Plans and Specifications, develop a Dewatering Plan prepared by a California Registered Geotechnical Engineer, incorporating the requirements of the shoring plan and any additional geotechnical information developed by the Contractor. The work includes: obtaining NPDES permit from 9 the Regional Water Quality Control Board,well 1 LS $16 8,0 0 0.0 0 8168,000.00 drilling and destruction permits from Orange County Health Department, field testing required for the design of the dewatering system, implementation of the dewatering program,treatment of dewatering discharge, and removal of the dewatering system, including monitoring wells,when no longer needed. Site Monitoring(Groundwater,Vibration, Settlement): Per Plans and Specifications, implement a site monitoring program to 10 evaluate groundwater, settlement, and vibration 1 LS in accordance with the recommendations $8 0,o 0 0.o o $8 0,o 0 0.o 0 contained in the Contractor's Geotechnical Investigation Report, for construction of the lift station sewers,wet well and valve vault. Sitework Demolition and Preparation: Per Plans and Specifications, furnish all labor materials and equipment necessary for sitework and demolition for the new lift station site and 11 legally dispose of all removed materials. The 1 LS $2 3 5, 0 0 0.0 0 $2 3 5,0 0 0 0 0 work includes, but is not limited to curb, gutter, sidewalk,tree and landscape removal along Humboldt Drive and Wayfarer Lane, and all other appurtenant work required. 4-Foot Diameter Sewer Manhole: Per Plans and Specifications, furnish all labor,materials and equipment necessary,to construct 4-foot diameter polymer concrete sewer manhole and composite frame and cover. The work includes 12 but is not limited to: factory cast monolithic 1 LS $2 5,o 0 0.o o $2 5,o 0 0.o 0 base,precast manhole sections, exterior coating and joint wrap system, composite manhole frame and H-20 rated cover,temporary sewage bypass device, connections to new and existing sanitary sewers, and all appurtenant work required. C-2.3 Modification and Rehabilitation of Existing Manholes: Per Plans and Specifications, furnish all labor, materials and equipment necessary,to modify and rehabilitate existing sewer Manhole No. 2568 and Manhole No. 2567. The work 13 includes,but is not limited to: plugging 1 LS abandoned sewer main inlet,re-channelizing, $25,000.00 $25,000.00 installing drop inlet per Plan, installing Armorock Systems per Manufacturer's guidelines in the existing manhole(s), connections to new and existing sanitary sewers, and all appurtenant work required 8-Inch SDR-35 PVC Sewer: Per Plans and Specifications, furnish all labor,materials and equipment necessary,to construct 8-inch diameter SDR-35 PVC sewer lines. The work includes, but is not limited to: 8-inch diameter 14 SDR-35 PVC sewer pipe, and one(1) 8-inch 110 LF $565.oo $62,iso.o0 diameter Poo Pit one way PVC with gasketed riser cap at the end of the sewer main, excavation,trenching,backfill, compaction, core drilling and connections to new and existing sanitary sewer manhole and wet well, and all appurtenant work required. Sewer Lateral and Cleanout: Per Plans and Specifications, furnish all labor,materials and equipment necessary,to install sewer service laterals. The work includes but is not limited to: 15 disconnection and demolition of existing sewer 2 EA $4 0,0 0 0.0 0 $8 0,0 0 0.0 0 laterals, construction of two (2)4-inch diameter sewer laterals and two (2) sewer cleanouts on the property lines, and all appurtenant work required. 5-Foot Diameter Precast Concrete Wet Well : Per Plans and Specifications, furnish all labor, materials and equipment necessary,to construct a precast polymer concrete wet well with composite manhole frame and H-20 rated cover, dimensions per plans. The work includes 16 but is not limited to: saw cutting,pavement 1 LS removal and disposal, excavation, disposal of $120,000.00 $120,000.00 excavated soil, formwork, drop inlets, epoxy coated reinforcing steel, concrete, curing, stripping of forms, imported backfill, compaction, stainless steel pipe sleeves, waterproofing,hydrostatic testing, and all appurtenances complete, and in place. C-2.4 Reinforced Concrete Valve Vault and Misc Metals: Per Plans and Specifications, furnish all labor, materials and equipment necessary,to construct a reinforced concrete valve vault (dimensions per plans), including but not limited to: sawcutting,pavement removal and disposal, excavation, disposal of excavated soil, 17 formwork, epoxy coated reinforcing steel, 1 LS $30,000.00 $30,000.00 concrete, curing, stripping of forms, sacking of interior concrete surfaces, interior and exterior waterproofing, imported backfill, compaction, HL-93 rated, 316 stainless steel access hatch, 316 stainless steel ladders, sump, stainless steel sleeves, and all appurtenances complete, and in place. Submersible Pumps and Mechanical Equipment: Per Plans and Specifications, Furnish all labor,materials and equipment necessary and Install wet well mechanical equipment, including two 3 HP, 185 gpm recessed impeller slide-rail submersible pumps and motors (Wemco Model 3 x 11-CLCESR), 18 spare pump and motor and parts, 316 stainless 1 LS $780,000.00 $780,000.00 steel discharge elbows, 316 stainless steel discharge piping,fittings and support brackets, 316 stainless steel slide-rail system, guide brackets, lifting chain and bails, 316 stainless steel cable racks, level transducer stilling well, duckbill check valve, and all other required appurtenances and spare parts. Valve Vault Mechanical Equipment: Per Plans and Specifications, furnish all labor,materials and equipment necessary to furnish and install valve vault mechanical equipment, including 19 but not limited to:pipes, fittings, couplings, 1 LS insulating flanges,valves, electromagnetic flow $6 5,0 0 0.0 0 $6 5,0 0 0.0 0 meter, float switch, 316 stainless steel pipe supports, and field coating of piping materials inside the vault, including all appurtenances complete and in place. C-2.5 4-Inch Diameter Force Mains and Connections: Per Plans and Specifications,furnish all labor, materials and equipment necessary,to construct PVC C900 DR14 force main in Humboldt Drive. The work includes but is not limited to: ductile iron restrained fittings with 8 mil green polyethylene wrap with thrust blocks, cathodic 20 protection, encasement, connection to new lift 105 LF $ 6 0.o o $ 9,e o o.o 0 station, connection to existing 4-inch force main at the bridge abutments, and the existing downstream manhole,pavement removal and disposal,trenching, disposal of native soils, imported bedding, imported backfill,temporary connection and valves,temporary paving, compaction,pressure testing, and all required appurtenant work complete and in place. Miscellaneous Piping, Fittings, Cathodic Protection, and Appurtenances: Per Plans and Specifications, furnish all labor,materials and equipment necessary, to construct piping between the wet well and valve vault, including 21 but not limited to: couplings,4-inch 316 1 LS stainless steel pipe, 4-inch ductile iron pipe with $380, 000.00 $380,000.00 8 mil green polyethylene wrap,4-inch PVC SDR-35 drain line, cathodic protection, excavation, imported backfill, compaction, and all required appurtenances, complete and in place. Electrical Sitework: Per Plans and Specifications, furnish all labor,materials, and equipment necessary for furnishing and installing electrical and instrumentation systems and equipment for the project. The work includes,but is not limited to: excavation, Arc Flash Study, disposal of native soils, conduits and concrete encasement of conduits, imported 22 backfill, compaction, core drilling of all wall 1 LS $320,000.00 $320,000.00 penetrations,repair of lining systems, stainless steel supports, wire terminations, grounding system, conduits, wires, cables,pull boxes, hand holes,junction boxes,pads,receptacles, switches, lights, level transducers,third party testing of the electrical system, intrusion switches, float switches, all required spare parts, and appurtenances complete and in place. C-2.6 Meter Switchboard,Transfer Switch Enclosures, SCE Coordination: Per Plans and Specifications, furnish and install the NEMA 4X, 316 stainless steel transfer switch enclosure. The work includes,but is not limited to:NEMA 4X, 12 gage 316 stainless steel enclosure, wire, conduit and fittings, intrusion switches, automatic transfer switch with manual bypass, double throw manual transfer switch, ,reinforced concrete mounting base,modification/removal of existing wall footing conflicting with proposed panel concrete base, channel and anchors for mounting to base, light switch, thermostat controlled cabinet fan, LED lights, exhaust and intake louvers with filters, and all other required materials and equipment, complete and in place. The work also includes but not 23 limited to furnishing all labor,materials, and 1 LS equipment necessary, and doing all work to $16 0,o 0 0.o o $16 0,o 0 0.o 0 provide 100 amp, 240 volt, 3 phase electrical service to the pump station site, coordination with SCE, establishing a schedule for when electrical service is needed, contacting SCE to schedule installation, and providing all necessary accommodations to SCE for service installation, construction of a concrete transformer pad to house new SCE Transformer and meter pedestal, 4-inch conduit with pull rope from existing SCE facilities to newly constructed SCE transformer on Humboldt Drive and to a new meter pedestal to be furnished and installed by the CONTRACTOR, 100 amp main switchboard, and all appurtenant work complete and in place in accordance with SCE's requirements. Control and PLC Panel: Per Plans and Specifications, furnish all labor,material and equipment necessary for installation of PLC and control panel, all required appurtenances complete and in place. Work also includes 24 providing all materials required for mounting 1 LS $2 0 6,2 5 0.0 0 $2 0 6,2 5 0.0 0 those panels to a reinforced concrete base to be constructed by the CONTRACTOR. Also included is modification/removal of an existing wall footing that is in conflict with the electrical enclosures concrete base. C-2.7 Sewage Bypass: Per Plans and Specifications, furnish all labor, material and equipment necessary to provide temporary sewage bypass 25 as needed for construction, including but not 1 LS limited to sewage pumping, storage and $6 0,o o o.o o $6 0,o 0 0.o 0 transportation. Sewage bypass plans was provided in the Construction Drawings for reference purpose only. START-UP AND TESTING: Per Plans and Specifications, furnish all labor, material and equipment necessary to perform start-up testing of the lift station. The work includes,but is not limited to: pre-start-up testing of equipment, development of a start-up plan, attendance at a pre-start-up conference,providing authorized equipment manufacturer representatives, calibration of instruments,pre-commissioning 26 activities,record keeping and all other required 1 LS activities demonstrating to full satisfaction of $4 0,0 0 0.0 0 $4 0,0 0 0.0 0 the City of Huntington Brach that the lift station operates properly under all normal and emergency conditions with the use of commercial electric service, and service through a CITY furnished portable generator. This bid item includes CONTRACTOR operation,maintenance and repair of the lift station through the 7-day demonstration/performance period. Demolition of Existing Lift Station: Per Plans and Specifications, furnish all labor,materials and equipment necessary to demolish existing City of Huntington Beach Humboldt Sewer Lift Station, including removal, handling, and proper disposal of lead-based paint, removal and proper disposal of all equipment within the existing lift station, coordination and removal of SCE service meter,main disconnect, and 27 manual transfer switch, and delivery of 1 LS $3 2 0,0 0 0.0 0 $3 2 0,0 0 0.0 0 salvaged equipment to City Yard,removal of curb, gutter, and sidewalk, removal of the top slab and 4-feet of the dry well structure, backfilling of the wet well and remaining dry well with Class 100-E-100 slurry, filling of existing to be abandoned pipes with low strength slurry mix, backfilling of the excavation with approved materials, removal of existing force main, restoration of curb, gutter, sidewalk, and all appurtenant work. C-2.8 Abandonment of Existing Gravity Sewer and Force Main: Per Plans and.Specifications, furnish all labor,materials and equipment 28 necessary to fill existing to-be-abandoned 1 LS $50,000.00 $50,000.00 gravity sewer pipes and force main pipes with low strength slurry mix, abandon pipes in place, and furnish all other appurtenant work required. Miscellaneous Site Work,Earthwork Concrete, and Landscape Restoration: Per Plans and Specifications,furnish all labor,materials, and equipment necessary to construct new curbs, gutters, local depressions, sidewalks, and ADA 29 ramps,painting of the curb in front of the new 1 LS $580,000.00 $580,000.00 lift station in red,re-installation of street signs, pedestrian control, irrigation and landscape restoration to pre-construction condition or per Plans as required for the project along Humboldt Drive and Wayfarer Lane. Asphalt Paving Replacement: Per Plans and Specifications,furnish all labor,materials, and equipment necessary to remove and full-depth replace existing disturbed aggregate base (AB), sawcut remove and full depth replace existing 30 disturbed asphalt concrete (AC), within 730 SF $4 0.o o $2 9,2 o 0.o 0 Humboldt Ave and Wayfarer Lane (6"AC over 10"AB). Work also includes removal and replacement of all impacted pavement and curb markings, striping, and adjustment of existing boxes,manholes,valve cans to grade, in Humboldt Ave and Wayfarer Lane. Asphalt Overlay: Per Plans and Specifications, furnish all labor,materials, and equipment necessary for 2-inch pavement cap, removal and disposal of excess material, 31 adjustment of existing manhole covers,valve 4500 SF $12.00 $54,0 0 0.0 0 cans, and utility boxes to grade, including construction of concrete collars,replacement of all pavement striping and markings, and all required appurtenances, complete and in place. Replacement of Survey Monuments: Per Plan and Specification, furnish all labor,materials, and equipment necessary to provide the services 32 of a California Registered Professional Land 1 LS $3 0,0 0 0.0 0 $3 0,0 0 0.0 0 Surveyor,with experience in all elements of the project, for the replacement of survey monuments. C-2.9 Wet Well Shoring Concrete Plug: Furnish all labor, materials and equipment as required, 33 develop, design and implement 5-foot thick 1 LS $160, 000.00 $160,000.00 concrete plug to be installed with wet well sheeting, shoring and bracing, required by Contractor's Geotechnical Engineer. TOTAL BID ITEMS 1 THRU 33 FOR HUMBOLDT SEWER LIFT STATION4,864,400.00 REPLACEMENT PROJECT Total Amount of Base Bid in Writing: Four Million Eight Hundred Sixty-Four Thousand Four Hundred Dollars and Zero Cents Note : Bid Item No.33 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 payment of this bid item is dependent on Contractor's Geotechnical recommendations for wet well construction. C-2.10 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(sl� Subcontractor License Rags raha amo•unt Contract r �lVumbe K , 3 Arnaz Engineering Contractors 1035 N ARMANDO ST. SUITE"X", A 1000005485 24 ANAHEIM, CA 92805 755332 $241,000 5% Rain For Rent 1301 East Spring Street 9 Long Beach, CA, 90806 904992 A, C34, 1000007030 $150,000 3% C61/D21 UC Electric 19, 22,23, 24849 LORNA DRIVE 24 MORENO VALLEY, CA 92553 814643 C-10 1000032144 $400,000 8% 30, 31 Hardy and Harper 32 Rancho circle, 215952 A 1000000076 $48,000 1% Lake forest, Ca 92630 Urban Habitat 1.2% 29 47250 Washington St., Ste. B, 963744 C-27 1000003890 $60,000 La Quinta, CA 92253 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 7-5-2023 , at Huntington Beach ,CA Date City State Luicci Nader , beingnfirst duly sworn, deposes and says that he or she is Na oNatio wide Generalg Cons r,In the party making the Vice President Of DBA Nationwide Construction Services 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. Nationwide Contracting Services,Inc. DBA Nationwide General Construction Services Name of Bidder Signature of Bidder 7660 Liberty dr,Huntington Beach,Ca 92647 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT, (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. Nationwide Contracting Services,Inc. DBA Nationwide General Construction Services Contractor By 7660 Liberty dr,Huntington Beach,Ca 92647 Title 7-5-2023 Date: C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162, the Bidder shall complete,under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified, removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes ® No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. Nationwide Contracting Services,Inc. DBA Nationwide General Construction Services Contractor By 7660 Liberty dr,Huntington Beach,Ca 92647 Title Date: 7-5-2023 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Nationwide Contracting Services, Inc. DBA Nationwide General Construction Services Bidder Name 7660 Liberty dr, Business Address Huntington Beach, Ca 92647 City, State Zip ( 949)500-0894 Luicci@nationwidecontractors.net Telephone Number Email Address 1031246 A,B,C8,C12,C20,C21,C36 State Contractor's License No. and Class 09/22/2017 Original Date Issued exo 09/30/2023 Expiration Date June 20th 2023 The work site was inspected by Luicci Nader of our office on , 201_ The following are persons, firms, and corporations having a principal interest in this proposal: Elie Nader--President Luicci Nader--Vice President General Contractor Nationwide Contracting Services, Inc. DBA Nationwide General Construction Services 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. Nationwide Contracting Services,Inc. DBA Nationwide General Construction Services Company Name Signature of Bidder Luicci Nader Printed or Typed Signature C-8 NOTARY CERTIFICATE: Subscribed and sworn to before me this 5thday of July, .,2023. 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 onJ.clu 5, 2023 before me Kiwi Iran, Nota:�`Public Month,Day,and Year Insert Name and Title-oif.Notary Pers onalY aPpeared Luicci Nader Natne(s)sof Signer(s) who proved to me on the basis of satisfactory evidence to be the persons.whose name(().is/ar subscribed to the within instrument and acknowledged to me that hetsF'he executed the same in l is/ theirauthor zed capacity( r),and that by h s/her/tl; .ir signature -on the instrument the erson .p ( �,or the entity upon behalf of winch 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:. . . 92a:11 wriavESSniy.hand and.offiial seal: , . coreiimia Notary Pubix=Cgamfe:, Orange County 1 k MyNComm F. res:MAY 19 2025 j Signature Signature of-Notary Public (PLACE NOTARY SEAL ABOVE) G-4 Bidder's Project History For the purposes of this project, the bidder shall provide project history of at least three similar work projects, specifically referencing the construction of a new submersible sewer lift station and forcemain,the construction of new gravity sewers,reconnection of sewer laterals,as well as curb, gutter, sidewalk, AC paving, and other appurtenant work an area containing high ground water and requiring dewatering. 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 City of Lancaster - 44933 Fern Avenue, Lancaster, California Name and Telephone No. of Project Manager: Kenji Stiles - 661-802-8021 $5,150,000 Utilities (Storm Drain and Sewer) 04/ 13/2023 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Utility Adjustments-Clearing,Grubbing,and Removals-Soil Excavation-Drainage Swale and Shoulder Grading-Asphalt Concrete(AC)AC& ARHM-Cold Planing-Aggregate Base-Sewer Construction-Storm Drain and Catch Basin Construction-PCC Curb Ramps,Curb and Gutter, Sidewalk Cross and I onpitudinal Gutters and Parkway Drain-Rlnck Wall-Street I ighting Conduit and Pullhoxes-Rnnt Pnining and Tree Removal-Irrigation Modifications-Traffic Signing,Striping,and Markings. 2. _Name and Address of Public Agency Central Library Renovation Project-City of Santa Barbara-40 E Anapamu St, Santa Barbara, CA 93101 Name and Telephone No. of Project Manager: Jesse Wheeler-(805) 564-5348 $3,500,000 Renovation and Utilities 05/30/2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: ADA Elevator(BLD2020-02554): Construct hoistway and new ADA compliantStop elevator for path of travel continuity from main entry level to upper and lower levels of the existing exterior Library Plaza including new ADA accessible pathways,new landscape and hardscape,irrigation,handrails,sitewalls,and GyLti.,g-Lowe. (DLD2021-01007).R.,,o .t tO.0 Iowa.ICYOI alaffiny mCa pn,k,J.,,y..Cw Gam.dow,ew wu,u5-,a,SCJ kitchen area,flooring,and lighting. 3. Name and Address of Public Agency Costa Mesa Citywide Parkway Maintenance and New Sidewalk Construction-Citywide Costa Mesa Name and Telephone No. of Project Manager: Cristina Oquendo-714-754-5000 $4,105,000 Demolition, Grading, Concrete, Asphalt 2-20-2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Made the entire City of Costa Mesa ADA compliant. Performed demo, grading, concrete, asphalt,... C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager, and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. _Name of proposed Project Manager Telephone No. of proposed Project Manager: Elie Ndaer LANCASTER HEALTH DISTRICT PHASE 1 LACMTA (Storm ) 04/ 13/2023 PROJECT ID#F9131 $5,150,000 Utilities Drain , Sewer, and Road Project Name&Contract Amount Type of Work Date Completed Phase 1 SAUSD Washington Elementary -$3,500,000 Renovation and Utilities 05/30/2022 Project Name &Contract Amount Type of Work Date Completed Santa Ana Santiago Park-$3,225,00 Renovation and Utilities 6-1-2022 Project Name &Contract Amount Type of Work Date Completed 2. _Name of proposed Superintendent Telephone No. of proposed Superintendent: Charbel Nader LANCASTER HEALTH DISTRICT PHASE 1 LACMTA _$5,150,000 Utilities(Storm Drain , Sewer, and Road) 04/ 13/2023 PROJECT ma F9131 Project Name&Contract Amount Type of Work Date Completed Thase 1 SAUSD Washington Elementary-$3,500,000 Renovation and Utilities 05/30/2022 Project Name &Contract Amount Type of Work Date Completed Santa Ana Santiago Park-$3,225,00 Renovation and Utilities 6-1-2022 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is$300.Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P WCR/ActionS ervlet?action=displayP WCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Nationwide Contracting Services, Inc. DBA Nationwide General Construction Services Contractor Luicci Nader, By Vice President Date: 7-5-2023 Title PWC Registration#: 1000057872 C-12 GREAT AMERICAN INSURANCE. COMPANY GARATAggirots . . INSURANCE gjtoti; OHIO . . . .BID 'BOND Any"eihgulat i•eferetice:tO Contractor,Surety Owneroriother party-shall be considersdoloratwitere applitable; CONTRACTOR: •SURETY: legal status anti address) Kan*,10g0Ist4ttia.ohdprOdipol.piaco of business) Nationwide :Conttacting' .Services r Great .Ametizati Ihattatica Company :dha Natioh wide Genial SerVics Eatt .F!'hutth Street* 24th •:Floot 10725. Ellis Ave'pat I. C#iaihhat.A.:, .04 ..45202 FOthitalh gpl 92708 OVAIN ER: (Name;legatstatat:and additss). City of auntington .aeach "FulP14,c, 144rics Strget, Huntington ',1304011, iet..ONP:AMOW.T.;'$too pecent .4;?f the tOte.:.1 arRoaht or. the .hic:I• i10% otha )441 PROJECT: et 14 (Name location or address,.ancIPtqlect number,if*AM 101. or:a 'SEWER LI.T STATION RPLAcENit..NT. PROJte..7,. CC The Contractor and Surety are bound to the Owner in the amount Set forth above,for the payment of WiliPktha Contractor and Surety bind themselves their heirs, executors, administrators, successors 004 assigns, Jointly and oevereily, as provided berein,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:•pettod as may be agreed to by the Owner and ContractOr,and the 'Contractor either(1)entersInta',a contract with the Owner in accordance with ihe termsof such bid,and gives such bond or bands as may be specified:in the bidding or Contract bacuments,with a Surety admitted in the Jurisdiction of the Project and otherwise acceptable to Owner,for the;faithful performance of such Contract and for the onornpt.payment of labor and material furnished in the.00toctitio4 thereof or(Z pays lathe Owner the difference,not exceed the amountof this Bond,.between.The amount specified in said bid and larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,the0 this obligation shall be null and void otherwise to remain;in ftill throe and effect 'The Surety hereby waives..ony..noti,o6 of an'.agreement between the Owner and;Contractor to extend the time in which the Owner may accept thebiti,Waiverof notice.09,tho' orety shall not apply to any extension sixty (60) 0Ays in the aggregate beyond the tithe for acceptance of bids specified in the bid documents and the'Owner and Contractor shalt Obtain the Surety's consent for an extension heyond sixty(00),days. If this Bond is rasped in connection with a subcontractor's bid titta Contractor the term Contractor in this Bond shall be deotood tobe st.ocoarctotionti the term Owner-shall be.deernect to beContractor. 'When this Bond has been:furnished to comply with a statutory or other legal requirement in the location of the Project any provision in this Bond,onnitiOtittg with said statutory or legal requirement shall be deemed deleted herefrom and prOksiOns. conforming to such statutory Or'other legal requirements shall'be deemed incorporated herein, When so furnished i the: intent is that this Bond:shall be construed as a:statutory bond and not as,a commonlaw bond,. Signed and sealed this 5th 'day ofCtz.3CY Nationwide COOttoOtih4HSanticas, Iri • dba.. .„ Nationwide General :Construction .Sarv4.oas. >, (CIL; • y.„ . , . ,. nnapall. • -• (Seal) - . . (WitnessrTh .Nader, Vice-president . • .‘ ' . 1, GREAT AMERICAN INSURANCE;_COMPANY . . (Seal). Man sshi :Le , • • (Attorney-in-Fact)•Triatl.h•Xtiall Thi Nguyen . - . The'COMpank:executing this bond.vhijOhes'ttlatttie document conforms to American instituteofArchiteots PooOrrientAmtaortp.;goition , Ni 3.597 STATE or CALIFORNIA. DEPART ENT OF INSURANCE • SAN MA11C1sc0 -Certificate Of Authority Tixojs, That,*trattatzt tertft0:ThattrattOo.Code of'the State of Catiforaitt, bOtAt Oltraak 440.00E dOMOOX. of .eigatm.47.1„, OHIO orgenfeed under tlta kite cif mita ,,enhfeot fte-/00elee Zneoworeg .o.r. other fundamental otomgeitiddel: dOummits ishereby Othefiged Itamoort*4* this serf to all providersofeel Ceriocao,the:following etaseee iimmnee,: , .10,Earit sy4gTx, DISABILITY 2TATE. GLASS, LILIT , onskv cbmbtkAtioa,„ Comm CARRIER LABILITY, BOILER Azgl.mAcHTORT, SURGIARY CREflI , p1120xiga, TEAM: AND ngtCligi 44=.404=4 URORAM' .and MT=ELLatzdus •em such eloseorenoteor,ntotflemaftei he defined t4theloarenee„Eatee oftbe Strite Trpt$.CawAm.0,474 L expresety-pond:Wilma won.the holder'hereof now and hereafter being in full 604iiklizee 1.004411,.tatttnain violation of ang;-of the amilicobtelawe and lawful requirenzents *indent der atg.horifkottlio440101 th;O$tata Caftlara400logrotittok400,:or rook ortiowort n effect end etiplieable;„and ateoehlataa and itquiretnentenotio ere,or*nog ltarotzftor 1ta..01,*g.04 Or 410044 -1$1(WiitirksO WilEtz. ok.,„,effective.as of the—Atia,..„,...„—day i„,1,9.44„Z have hereunto set ing hand and caueedsay offieloi:ler$to be 444 kv.of Dentber „„„,A.y -3-3464011*V4ala. ,Wg:4L4Y. .p7 :,,,#00.0*Akift*Nlettgai )40011t0T044; 'Writs? lttu, AteiltU.f410' • .130, Portays ., • Qpnlifinnifon with.:the Seeretaxy of jSinte.must be oacotoplithe4..at tequira by the California.Corporations Cede pkromptly after issuance of thi4Cettifieete.of Anthoiity..Fnikze to dO.io will be a yioletion,ofins.Code Soo;.701, 'end*ill ha grounds nor this Certificate of Authority pursuant to,the covenants made in 6.4. pplicatiou thereforan&thetotitlitiOns contained herein. Fofl C .S. .117i..10i . .. GREAT AMERICAN INSURANCE COMPANY® Administrative Office: 201 E 4TH STREET • CINCINNATI,OHIO 45202 40. '511.469,5000• FAX The number or persons authorized by this power of attorney is more than ONE WiN 4. -.Z0.17. POWER OVATTORNEY KNOWALLMgNAYTIIESX.PREStNTS:ThattitoQAEATAMMCANINSVRANCE COMPANY i neorporatiOnorganiiettandnxistingnndet andily;virtuO of the laws of the ttate of Ohio,deep hereby nominate,constitute and appoint the person or-personsmetnedbeiow,.,each individually if more titan oneis;nained,;its,true and lawful attorney-in-fact,for it 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 in the natutoithereot.provided that the liability of the said Companijon any such bond, undertaking or contract of suretyship etectited under this authority shall not exceed the limit stated below. Name Address Limit of Power THANK XUAN THt NOtNEN WESIMINSTEKCALik*NIA: $100,000,000 This Power atikttomeysevekeseit previous powers issued on behalf of the etttatteKtktMthettained,abMie„ IN WITNESS WHEREOF the GREAT AmarcANTospgAmEcOMPANY has caused these Presen4.10.t**Ped'aiNt attested by its'4PPT9Piiate- Offiter.Sanii its wmPotetetenlJterennta affixed this 25TH day of MARCH , 2021 4 Attest . .GREAT AMERIcittkr- ' NCE COMPANY iv, •c ' ' ' z1V1 i „ .-,...._:". . ., . 10,11...i.• ims,,„.. ,. : z .. . Assistant Searetar)f' bittisionai Senior ViCe PresidEnt STATE OF OHIO,COUNTY OF -ss: mARKvicAsba(877-377-245) On this 2.511',1 day of MARCH 2021 sibeforenie'personallY aPPented*NRKVICMO*InelineWn being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that'he.ise,Divisionat Senior Vice President of the Bond Division of Great American Insurance Company, Company-deseribett in and which executed the above instrument;that he knows.thesgaiLof MessitEctimpany;that the seal the: said instrument is such corporate seal;that it was so affixed by authotitynt*oflice.:under the By-Laws of siiitConpany,:and that he signed his name thereto by'hkeatithority, .. ItiSANAKONORST i'.. ..t Notary Public a. State"State of Ohio 1, 04.?----.:;.1.1-e- hiy"touto.'Expites , . • %--. ' ,-,at Thi*Powerof Agorney is granted authorityof.tbe fellaWinXrcs,tgutionS adopted by thei5oard or Directors of Great American Insurance Company by nnanintout Written consent dated Aloe 9,..2008, RESOLVED: That the Divisional President the several ails-land Senior''Nee Presidents Divisional like Presidents anorbivisinial'Assisteint Pict Presidents,,or anyt one of them,beandhereby.is authorized;firm time tallow,to nppoint'one''Or more Attonwvs-in-Fact to execute on behalf assurer and all bonds,undertakings and;;Noracts ofproyshijA or oilier lit,the-noture thereof to prescribe their respective duties and the respective'limits of their authority;Ondtirreirokemo!such appointment at air rune. RESOLVED FURTHER: That the Companyseal oficithe signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the C9mFaiWint7Y4)0 Offi:Tekfc0104•kan7P0Vqr cialiorneYPrterii*OlevfaiihgritilWibrifreXecttitaff I it PtlY*114.undertaking,contract ohlttgOittpi or other written ohligation in the nature thereof such signature.and seal wheii,sotosedbeilikkeirby adopted by the Company as the original signOttiretifsuch officer and die original seal aft&company,folic'valid and binding upon the Company the same force and effect:as-0fmk!outwit)!affixed. CERTIFICATION I,STEP HEN C.KRAHAJA:sststant Secretary Of Great Amerleaninsuraneccotronz dniverebyo4nry iliatibcftuegaing Power of Attorney and the Resolutions of the Boord of Directors talinne:9:,2008 have not been,reekectand•are now in full'Anne and effect: signed amistaled this , day •.c.—.., .: of s)V t :Z23 e. .. • A*, .4,1',?-4.- lA: ' . e 4,, e.4.. *.i.?'.,, .. 1 41.vimant Sialwary S169;0(03)26' ' , CALOIFO;-;.'041:Ani-INIRPOSE ACKNOWLEDGMENT CIVIL CODE§1189 A.notary public or other officer cormieting this certificate verifies only the identity Of the individual who signed the document ta which.this certificate is attached,and not the truthfulness,accuracy,or validity of that document State of California County of Orange. ) On 071.)1 y 5 A023 -before me, Khoi Trart, Notary Public 1 . • ., Date Here Insert Name and Title of the Officer personally appeared Thanh Xuartilli Nguyen Narne(s)of Signer(s) who proved I to me on the basis of satiefedtdlY,eerice to be the Person* whose hem*) Were- Subsdribed to the within instrument and acknowledged to Me that-he/she/they executed the same in -his/her/their authorized capacity(fes);and that by-he/her/their signature*on the instrument the person(e), or the entity upon behalf of which the persoi*atted, 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, WITINIESS my hand and official seal. tos....0460. .. „ . : - 4,-, KHOITRAN ,, NoPub oPonMssion4P58181 ...! s :t:; tary ric,Ostifrpiq § , , °ant,Countt Signature I1,-‘5411111 nt ItAVIITI 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 tem to an unintended document. Description of Attached Document Title Or Typed Docurnent Document.Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed.by Signer(s) Signers Name Signer's Name: 0 Corporate Officer --Titie(S):, 0.Corporate Officer-- Titie(s); 0 Partner — CI Limited 0 General 0 Partner — 0 Limited 0 Genera( 0 Individual 0 Attorney in Fact 0.Individual 0 Attorney in Pact 0 Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator D.'Other: 0 Other: Signer IS Representing: Signer Is Representing: ©2016 National Notary Association•www.NatiOnalNotary.org -1-800-US NOTARY(1,800-876-6827) Item 45907 ,tf —1.INGT� <‹ `�cnFnsa;` �.�`��@� City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 • www.huntingtonbeachca.gov �►- "- ---; ''a �6F`` a < • ��°�s Office of the City Clerk CGUNTY.CP,##' Robin Estanislau,City Clerk January 29, 2024 R.E. Chaffe Construction, Inc. 6001 Park Drive Wrightwood, CA 92397 RE: Humbolt Sewer Lift Station Replacement Project—CC No. 1634 Enclosed please find your original bid bond for CC No. 1634. Sincerely, st7"4 et4dizZattu) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan ia-- mA74,2 ad: SECTION C PROPOSAL for the construction of HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC No. 1634 in the CITY OF HUNTINGTON BEACH TO THE. HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting Sealed Bids, the undersigned hereby proposes and agrees to perform all the work therein described,and to furnish all labor,material,equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach.The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within Aft working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal_is based upon careful examination of the work site, plans, specifications,Instructions to Bidders and all other contract documents.If this proposal is accepted for award, BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. _ BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed.THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accomp ying this proposal of bid,find ad( 4 in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting Sealed 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. • Jute Received . . Bid . Si n re I . °, r II,zoa3 C-2 City of Huntington Beach Public Works Department 2000 Main Street Tel. (714)536-5431, Fax(714)374-1573 ADDENDUM NUMBER ONE For HUMBOLT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 September 19,2023 Notice to All Bidders: Please note the following clarifications to the Project Plans,Specifications,and Special Provisions. 1) The City of Huntington Beach has changed the valve vault size from 7'x 4'x 8'to be 8'x 6'x 8'. Sheets 7, 8, 10, 11, 12, 16, 17, 19,28 and 29 of 34 have been revised to show this change. The. revised sheets are attached. Note the Bid Schedule did not call out the size of the valve vault, -• • • therefore no change to the Bid Schedule is provided. • • . - . - -This is to acknowledge receipt and review of Addendum Number One,dated September 19,2023. • RLNA& Chc!,. of 40, Company Name By • 10Iv* j on Date • • 1 of 1 of Addendum No.1 BIDDING SCHEDULE THE CITY OF HUNTINGTON BEACH HUMBOLDT SEWER LIFT STATION REPLACEMENT PROJECT CC-1634 Btu ed Description Quti Unit Unit Price Total Price Mobilization,Demobilization,Cleanup.Bonds. Insurance,and Permits: Per Plans and 1 Specifications,furnish all labor,material and 1 LS 17Z® I ,Uo equipment to mobilize,demobilize,and provide cleanup of construction site:provide all bonds, insurance, and obtain all permits. Preparation of Storm Water Pollution Prevention Plan: Per Plans and Specifications, 2 furnish all labor,materials,and equipment as 1 LS 611976, Cl iiZ6�°-- required to develop a site-specific Storm Water Pollution Prevention Plan(SWPPP). Install and Implement Construction BMP's in Accordance with Storm Water Pollution Prevention Plan(SWPPP): Per Plans and Specifications,furnish all labor,materials,and equipment as required to install and maintain all co 3 BMP's identified in the approved SWPPP 1 LS 61 i WO' c2) throughout the duration of construction. At the completion of construction,all BMP's shall be removed by the CONTRACTOR, and the site and all facilities restored to their original • condition. Construction Survey and Staking: Per Plans and Specifications, furnish all labor,material 4 and equipment to conduct construction survey 1 LS f �� �ao �-��� and staking of the construction site. Traffic Control Implementation: Per Plans and Specifications, furnish all labor,materials,and equipment as required to implement Construction Traffic and Pedestrian Control Plans to provide public convenience,safety and 5 traffic control,including warning signs,high 1 LS )I l -5. f211' i° level warning devices, delineators,regulatory signs,barricades,and recessed trench plate bridging throughout the project.Traffic Control Plans were prepared by the Design Engineer and are provided in the Construction Drawings. C-2.1 Construction Potholing: Per Plans and Specifications,furnish all labor,materials and equipment to pothole and locate horizontal and vertical positions of all existing utilities in the 6 vicinity of the work.Prepare a report and 1 LSig �D�gt submit it to the City a minimum of four(4) weeks prior to start of construction to allow revisions to current design. Geotechnical Engineering Construction Support Services: Per Plans and Specifications,provide the services of a California Registered Geotechnical Engineer with experience in all7 1 LS '' elements of the project,to provide ��' �� recommendations necessary for the design of the contractors shoring system,dewatering system,and settlement monitoring program. Trench and Excavation Safety Measures (Sheeting, Shoring,Bracing):Per Plans and Specifications,furnish all labor,materials, and equipment as required,develop,design, and implement trench and excavation safety measures, consisting of sheeting, shoring,and - bracing,or equivalent method for the protection of life and limb in trenches,pump station 6i 6! ,dp excavation,valve vault excavation,and other 8 miscellaneous open excavations,and protection 1 LS of all adjacent structures in conformance with applicable safety orders.The work includes preparation of shoring plans and calculations by a California registered structural engineer incorporating the requirements of the dewatering plan,and recommendations contained in the geotechnical study performed by the Contractor. C-2.2 Dewatering Plan Development and Implementation: Per Plans and Specifications, develop a Dewatering Plan prepared by a California Registered Geotechnical Engineer, incorporating the requirements of the shoring plan and any additional geotechnical information developed by the Contractor.The work includes: obtaining NPDES permit from 9 the Regional Water Quality Control Board,well 1 LS Ciyo f7 ,(1' G( 4),-G 1°' drilling and destruction permits from Orange County Health Department,field testing required for the design of the dewatering system,implementation of the dewatering program,treatment of dewatering discharge, and removal of the dewatering system, including monitoring wells,when no longer needed. Site Monitoring(Groundwater,Vibration, • Settlement): Per Plans and Specifications, implement a site monitoring program to 10 evaluate groundwater,settlement,and vibration 1 LS SIP I up Sipl�lb • in accordance with the recommendations contained in the Contractor's Geotechnical . Investigation Report,for construction of the lift station sewers,wet well and valve vault. Sitework Demolition and Preparation: Per Plans and Specifications,furnish all labor materials and equipment necessary for sitework and • demolition for the new lift station site and 11 legally dispose of all removed materials.The 1 LS logo 1,,o,,+-7, iog,n ),00 work includes,but is not limited to curb,gutter, sidewalk,tree and landscape removal along Humboldt Drive and Wayfarer Lane,and all other appurtenant work required. 4-Foot Diameter Sewer Manhole: Per Plans and Specifications,furnish all labor,materials and equipment necessary,to construct 4-foot diameter polymer concrete sewer manhole and composite frame and cover. The work includes o /,� 12 but is not limited to: factory cast monolithic 1 ( 1 a•`" tU t i 1611 LS base,precast manhole sections,exterior coating and joint wrap system,composite manhole frame and H-20 rated cover,temporary sewage bypass device,connections to new and existing sanitary sewers, and all appurtenant work required. C-2.3 Modification and Rehabilitation of Existing Manholes:Per Plans and Specifications, furnish all labor,materials and equipment necessary,to modify and rehabilitate existing sewer Manhole No, 2568 and Manhole No, 2567.The work includes,but is not limited to:plugging 13 abandoned sewer main inlet,re-channelizing, 1 LS ��I'. installing drop inlet per Plan,installing Armorock Systems per Manufacturer's guidelines in the existing manhole(s), connections to new and existing sanitary sewers, and all appurtenant work required 8-Inch SDR-35 PVC Sewer: Per Plans and Specifications,furnish all labor,materials and equipment necessary,to construct 8-inch diameter SDR-35 PVC sewer lines.The work includes,but is not limited to: 8-inch diameter SDR-35 PVC sewer pipe, and one(1)8-inch diameter Poo Pit one way PVC with gasketed 110 LF •51S,dc' l p4' , riser cap at the end of the sewer main, excavation,trenching,backfill, compaction, core drilling and connections to new and • existing sanitary sewer manhole and wet well, and all appurtenant work required. Sewer Lateral and Cleanout: Per Plans and Specifications,furnish all labor,materials and equipment necessary,to install sewer service laterals.The work includes but is not limited to: 15 disconnection and demolition of existing sewer 2 EA 4jcco.l9' g)C} laterals, construction of two(2)4-inch diameter sewer laterals and two(2) sewer cleanouts on the property lines,and all appurtenant work required. 5-Foot Diameter Precast Concrete Wet Well: Per Plans and Specifications, furnish all labor, materials and equipment necessary,to construct a precast polymer concrete wet well with composite manhole frame and H-20 rated cover,dimensions per plans. The work includes but is not limited to: saw cutting,pavement 11315M. � j1 �. 16 removal and disposal,excavation,disposal of 1 LS excavated soil,formwork,drop inlets,epoxy coated reinforcing steel,concrete,curing, stripping of forms,imported backfill, compaction,stainless steel pipe sleeves, waterproofing,hydrostatic testing,and all appurtenances complete, and in place. C-2.4 Reinforced Concrete Valve Vault and Misc Metals:Per Plans and Specifications,furnish all labor,materials and equipment necessary,to construct a reinforced concrete valve vault (dimensions per plans), including but not • limited to: sawcutting,pavement removal and disposal, excavation,disposal of excavated soil, 17 formwork,epoxy coated reinforcing steel, 1 LS )(4,+'a,s° j j 419),v' concrete, curing, stripping of forms,sacking of interior concrete surfaces,interior and exterior waterproofing,imported backfill,compaction, HL-93 rated, 316 stainless steel access hat',h, 316 stainless steel ladders,sump, stainless steel sleeves,and all appurtenances complete, and in place. Submersible Pumps and Mechanical Equipment Per Plans and Specifications, . _ Furnish all labor,materials and equipment . necessary and Install wet well mechanical equipment,including two 3 HP, 185 gpm - - recessed impeller slide-rail submersible pumps and motors(Wemco Model 3 x 11-CLCESR), _ i�� .� I 18 spare pump and motor and parts, 316 stainless 1 LS 1 d ' rime- steel discharge elbows, 316 stainless steel discharge piping,fittings and support brackets, 316 stainless steel slide-rail system,guide brackets,lifting chain and bails,316 stainless . steel cable racks,level transducer stilling well, . duckbill check valve, and all other required appurtenances and spare parts. Valve Vault Mechanical Equipment: Per Plans and Specifications,furnish all labor,materials and equipment necessary to furnish and install valve vault mechanical equipment,including 19 but not limited to:pipes,fittings,couplings, 1 LS I"NI 1 b•a i .� insulating flanges,valves,electromagnetic flow meter,float switch,316 stainless steel pipe supports, and field coating of piping materials inside the vault,including all appurtenances complete and in place. C-2.5 4-Inch Diameter Force Mains and Connections: Per Plans and Specifications,furnish all labor, materials and equipment necessary,to construct PVC C900 DR14 force main in Humboldt Drive.The work includes but is not limited to: ductile iron restrained fittings with 8 mil green polyethylene wrap with thrust blocks,cathodic 20 protection, encasement, connection to new lift 105 I.F P station,connection to existing 4-inch force I aCO. I 1 0c0.(50 main at the bridge abutments,and the existing downstream manhole,pavement removal and disposal,trenching,disposal of native soils, imported bedding,imported backfill,temporary connection and valves,temporary paving, compaction,pressure testing,and all required appurtenant work complete and in place. Miscellaneous Piping,Fittings,Cathodic Protection, and Appurtenances: Per Plans and Specifications,furnish all labor,materials and equipment necessary,to construct piping between the wet well and valve vault,including 21 but not limited to: couplings,4-inch 3.16 1 LSype ttalt thertento VI j coysiv stainless steel pipe,4-inch ductile iron pipe with 1 r 8 mil green polyethylene wrap,4-inch PVC SDR-35 drain line,cathodic protection, excavation,imported backfill,compaction, and all required appurtenances,complete and in place. . Electrical Sitework: Per Plans and Specifications,furnish all labor,materials,and equipment necessary for furnishing and installing electrical and instrumentation systems and equipment for the project.The work includes,but is not limited to: excavation,Arc Flash Study,disposal of native soils,conduits and concrete encasement of conduits,imported q` t a, 22 backfill,compaction, core drilling of all wall 1 LS l b penetrations,repair of lining systems,stainless steel supports,wire terminations,grounding system,conduits,wires,cables,pull boxes, hand holes,junction boxes,pads,receptacles, switches, lights, level transducers,third party testing of the electrical system,intrusion switches, float switches, all required spare parts, and appurtenances complete and in place. C-2.6 Meter Switchboard,Transfer Switch Enclosures, SCE Coordination: Per Plans and Specifications, furnish and install the NEMA 4X,316 stainless steel transfer switch enclosure.The work includes,but is not limited to:NEMA 4X, 12 gage 316 stainless steel enclosure,wire,conduit and fittings, intrusion switches,automatic transfer switch with manual bypass,double throw manual transfer switch,reinforced concrete mounting base,modification/removal of existing wall footing conflicting with proposed panel concrete base, channel and anchors for mounting to base,light switch,thermostat controlled cabinet fan,LED lights, exhaust and intake louvers with filters,and all other required materials and equipment,complete and in place.The work also includes but not . 23 limited to furnishing all labor,materials, and 1 LS LP equipment necessary, and doing all work to /. ,: 2i1 provide 100 amp,240 volt,3 phase electrical service to the pump station site,coordination with SCE,establishing a schedule for when electrical service is needed,contacting SCE to schedule installation,and providing all necessary accommodations to SCE for service installation,construction of a concrete transformer pad to house new SCE Transformer and meter pedestal,4-inch conduit with pull rope from existing SCE facilities to newly constructed SCE transformer on Humboldt Drive and to a new meter pedestal to be furnished and installed by the CONTRACTOR, 100 amp main switchboard,and all appurtenant work complete and in place in accordance with SCE's requirements. Control and PLC Panel: Per Plans and Specifications,furnish all labor,material and equipment necessary for installation of PLC and control panel, all required appurtenances 4 complete and in place.Work also includes j S-�a' 1�. providing all materials required for mounting 2'� I ` ���' + 24 those panels to a reinforced concrete base to be 1 LS constructed by the CONTRACTOR.Also included is modification/removal of an existing wall footing that is in conflict with the electrical enclosures concrete base. C-2.7 Sewage Bypass: Per Plans and Specifications, furnish all labor,material and equipment necessary to provide temporary sewage bypass as needed for construction,including but not 25 limited to sewage pumping, storage and 1 LS t}, f�'61 : 1 .14 .�.' transportation. Sewage bypass plans was [� provided in the Construction Drawings for reference purpose only. START-UP AND TESTING: Per Plans and Specifications,furnish all labor,material and equipment necessary to perform start-up testing of the lift station. The work includes,but is not limited to:pre-start-up testing of equipment, development of a start-up plan, attendance at a pre-start-up conference,providing authorized equipment manufacturer representatives, calibration of instruments,pre-commissioning • activities,record keeping and all other required 123 26 activities demonstrating to full satisfaction of 1 LS the City of Huntington Brach that the lift station operates properly under all normal and emergency conditions with the use of • commercial electric service, and service through a CITY furnished portable generator. This bid item includes CONTRACTOR operation,maintenance and repair of the lift station through the 7-day • demonstration/performance period. Demolition of Existing Lift Station: Per Plans and Specifications,furnish all labor,materials and equipment necessary to demolish existing City of Huntington Beach Humboldt Sewer Lift Station,including removal,handling, and proper disposal of lead-based paint,removal • and proper disposal of all equipment within the existing lift station,coordination and removal of SCE service meter,main disconnect,and s,CCO •' 6 i 1- Unw,��ry manual transfer switch,and delivery of 27 I LS salvaged equipment to City Yard,removal of curb,gutter,and sidewalk,removal of the top slab and 4-feet of the dry well structure, backfilling of the wet well and remaining dry well with Class 100-E-100 slurry, filling of existing to be abandoned pipes with low strength slurry mix,backfilling of the excavation with approved materials,removal of existing force main,restoration of curb, gutter, sidewalk, and all appurtenant work. C-2.8 Abandonment of Existing Gravity Sewer and Force Main: Per Plans and Specifications, f naish all labor,materials and equipment 28 necessary to fill existing to-be-abandoned 1 LS gravity sewer pipes and force main pipes with 1D r '�, 44g, bv low strength slurry mix, abandon pipes in place, and furnish all other appurtenant work required. Miscellaneous Site Work,Earthwork Concrete, and Landscape Restoration: Per Plans and Specifications, furnish all labor,materials,and _ equipment necessary to construct new curbs, gutters,local depressions,sidewalks,and ADA 29 ramps,painting of the curb in front of the new 1 LS GtCO:). 2 .°I3 lift station in red,re-installation of street signs, pedestrian control,irrigation and landscape restoration to pre-construction condition or per Plans as required for the project along Humboldt Drive and Wayfarer Lane. • Asphalt Paving Replacement:Per Plans and Specifications,furnish all labor,materials,and equipment necessary to remove and full-depth replace existing disturbed aggregate base(AB), sawcut remove and full depth replace existing disturbed asphalt concrete(AC),within 30 Humboldt Ave and Wayfarer Lane (6"AC.over 730 SF (j��qp 1 10"AB). Work also includes removal and l V2t0' replacement of all impacted pavement and curb markings,striping, and adjustment of existing boxes,manholes,valve cans to grade,in Humboldt Ave and Wayfarer Lane. Asphalt Overlay: Per Plans and Specifications, furnish all labor,materials,and equipment necessary for 2-inch pavement cap, removal and disposal of excess material, 31 adjustment of existing manhole covers,valve 4500 SF 10.60. 147, 7 cans,and utility boxes to grade,including construction of concrete collars,replacement of all pavement striping and markings, and all required appurtenances, complete and in place. Replacement of Survey Monuments: Per Plan and Specification, furnish all labor,materials, and equipment necessary to provide the services 32 of a California Registered Professional Land 1 LS ato -f � Surveyor,with experience in all elements of the project, for the replacement of survey monuments. C-2.9 Wet Well Shoring Concrete Plug: Furnish all labor,materials and equipment as required to design and implement 5-foot thick concrete i 33 1 plug to be installed under crushed rock base LS l?l I r' 0,1 CD 52, with wet well shoring and bracing,required by l Contractor's Geotechnical Engineer. TOTAL BID ITEMS 1 THRU 33 FOR HUMBOLDT SEWER LIFT STATION ! � REPLACEMENT PROJECT sq,g141653, fp Total Amount of Base Bid in Writing: •e"i5vvy Mciithttu Vioit1+614141, atlxV ,610' '.-14Luomt `kie4)1)414 4kitrit& O D Gtiut Note: Bid Item No.33 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 payment of this bid item is dependent on Contractor's Geotechnical • recommendations for wet well construction. • C-2.10 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder sh011 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 . Ayepott.a, l &-'--t. air ` 37707 6ftd.n k,c,lla red 17783 C-1O 1000t 0(Q(do 1S07,top t A k4E3k- C4 '4aS-/b oal 7$5 £ '4 L 14517 C-33 (Sao 515 0. s 110 ake:rn ..,qg7 Qs 6r4 ,10 -7000 'co87a8 10000 33 U0 }.�7�a 12Arv& C g930'1 A oa3 r • By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on+a 412°23 , at Wrightwood , CA Date City State Ronald E Chaffee Jr. , being first duly sworn, deposes and says that he or she is President of RE Chaffee Construction Inc. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder • -to put in a-false or-sham bid;and has not directly or indirectly colluded, conspired, connived,or - • agreed with any bidder or anyone-else to put in a sham bid, or that anyone shall refrain from - -• biddin , that the-:bidder.has•not-in.anymanner, directlyor indirectly, sought byagreement, g"- Y � 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. • RE Chaffee Construction Inc. Name of Bidder 0,14 / • Signature of M.'I - ; 6001 Park Drive Wrightwood,CA 92397 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the HUMBOLDT SEWER LIT STATION REPLACEMENT PROJECT, (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. RE Chaffee Construction Inc. Contractor By President Title Date: 10104/2023 C-5 DISQUALIFICATION QUESTIONNAIRE In accordance with Government Code Section 10162,the Bidder shall complete,under penalty of perjury,the following questionnaire. QUESTIONNAIRE Has the Bidder, any officer of the Bidder or any employee of the Bidder who has a proprietary interest in the Bidder ever been disqualified,removed or otherwise prevented from bidding on or completing a Federal, State or local government project because of a violation of law or a safety regulation? ❑ Yes Cd No If the answer is yes,explain the circumstances in the space provided. N/A • Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-6 COMPENSATION INSURANCE CERTIFICATE Pursuant to Section 1861 of the State Labor Code, each contractor to whom a public works contract has been awarded shall sign the following certificate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract. RE Chaffee Construction Inc. Contractor obe,By President Title • Date; 10/04/2023 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: RE Chaffee Construction Inc. Bidder Name 6001 Park Drive Business Address Wrightood CA 92397 • City, State Zip (760 )249-8068 ronnie@rechaffee.com Telephone Number Email Address 897948 A,B,C57 State Contractor's License No. and Class 06/07/2007 Original Date Issued 12/31/2024 Expiration Date • The work site was inspected by Brett Sakamoto of our office on id(22w ,20123 The following are persons, firms,and corporations having a principal interest in this proposal: Ronald E Chaffee Jr. President Jessica Chaffee 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. RE Chaffee Construction Inc. Company Name . . økôlZer Signature of Bi Ronald E. Chaffee Jr Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this ay of OVUM.. ,2023. 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 CWrU E C -P U14 ) County of 423Pci..l s.Nht?-r)l G On I d I C / 90a 5 before me, C.Vinickinik PY j1 i•1G` v P u1 .�,�Month,Day, and Year Insert Name and Title of Notary personally appeared (LCG`.IP4-0 . 0 F Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person( whose name(?) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ieS),and that by his/her/their signature()'on the instrument the - .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. � � C.MARATITA BONDS 1Y Notary Public-California WITNESS my hand and official seal. ;; ?=; San Bernardino County Commission#2398584 nis My Comm.Expires Mar 25.2026 Signature ( J '( Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of at least three similar work projects, specifically referencing the construction of a new submersible sewer lift station and forcemain,the construction of new gravity sewers,reconnection of sewer laterals,as well as curb, gutter,sidewalk,AC paving, and other appurtenant work an area containing high ground water and requiring dewatering. 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 -4 R/ /Cdiriqfbeer 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.-.r-.-. -T. ---- - Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager,and Superintendent.For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years.These projects do not have to be under the employment of the bidder of this project.Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. 1. .Name of proposed Project Manager Telephone No. of proposed Project Manager Ronnie Chaffee 760-403-5456 See Attached Project References Sheet Project Name&Contract Amount Type of Work Date Completed -- Project Name&Contract-Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed 2. .Name of proposed Superintendent Telephone No: of proposed Superintendent: Greg Borbon 760-953-1887 See Attached Project References Sheet Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed Project Name&Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854(citing Labor Code Section 1771.1(a)),passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is$300.Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorlcs/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. RE Chaffee Construction Inc. Contractor • By President Title Date: 10/04/2023 PWC Registration#: 1000707243 C-12 MIN t<11:1 CHAFFEE R.E Chaffee Construction Protect References Project Name:Water Service Line Relocation Client/Agency:City of Hesperia Contact: Dani Fox Phone:760-947-1434 Start Date: May 2023 Finish Date:July 2023 Contract Amount:$340,000.00 Project Description: Installation of New Water Services Including trenching, Hot Tap, Pipe Installation, and connection to existing house. Project Name:Wastewater Treatment Plant Pond Pumping System Client/Agency:City of Barstow Contact: Kody Tompkins Phone:760-252-2538 Start Date:.ApriL2023 Finish Date:May 2023 Contract Amount:$407,410.00 Project Description: Pond Pump Line from Pond to Pump Station Project Name:On Call Wells, Mid Pond&Recirculation Pumps Mojave River Fish Hatchery Client/Agency: Department of Fish and Game Contact: Paco Cabral Phone:760-780-7448 Start Date:January 2022 Finish Date:Current Contract Amount:$120,000.00 Project Description:On Call Repairs for Fish Hatchery Project Name:On Call Wells, Mid Pond &Recirculation Pumps Fillmore Fish Hatchery client/Agency: Department of Fish and Game Contact: Patrick Luster Phone:916-224-0463 Start.Date:May.2022 Finish Date:Current Contract Amount:$114,000.00 Project Description:On Call Repairs Fish Hatchery Project Name:SBC Calico Phase 2 Wastewater Treatment Plant Client/Agency:San Bernardino County Contact: Lupe Camacho Phone:909-386-8801 Start Date:February 2022 Finish Date:Current Contract Amount:$2,069,910.00 Project Description:Install new Sewer Lines and Manholes for New Waste Water Treatment Facility Re CHAFFEd Project Name: Desert Highland &Demuth Park Restrooms Client/Agency:City of Palm Springs Contact: Mike Lytar Phone:760-902-4861 Start Date:December 2021 Finish Date:August 2022 Contract Amount:$887,476.18 Project Description:Construction of Two Restroom Structures Project Name:Well 10 Repair Client/Agency:Department of Fish and Game Contact: Patrick Luster Phone:916-224-0463 Start Date:January 2022 Finish Date:March 2020 Contract Amount:$30,987.63 Project Description: Repair Well 10 Gear drive,Wellhead,and Motor Project Name:Well 28 Client/Agency:City of Lakewood Contact: Derwin Dy Phone:562-866-9771 Start Date:March 2021 Finish Date:August 2022 Contract Amount: $1.9 Million Project Description: Equipment of Well, Electrical, Pipeline,Chlorination Building Project Name:WRP 7 PLC Upgrade Project Client/Agency:CSI Electrical Contractors Contact: Faye dHamecourt Phone:562-946-0700 Start Date:August 2019 Finish Date:April 2020 Contract Amount: $114,011.67 Project Description: Electric Trenching, Piping Installation Project Name:American Organics Victor Valley Regional Composting Facility Client/Agency:Athens Services Contact Russ Lemley Phone:702-218-5383 Start Date:July 2019 Finish Date:January 2020 Contract Amount: $600,000.00 Project Description: HDPE Fusion Pipe, Blower Duct Piping Project Name:American Organics Victor Valley Regional Composting Facility Client/Agency:Cash Grading Contractors Contact:Tim Cash Phone:909-969-1010 Start Date:July 2019 Finish Date:January 2020 Contract Amount: $ 163,742.08 Project Description:Water Main Installation CHAFFEE Project Name:Minor B Contract 01A1945 State Hwy Mendocino Various Locations Client/Agency:Cal Trans State of California Department of Transportation Contact:Carla Briseno, Contract Officer Phone: Start Date:July 2019 Finish Date:August 2019 Contract Amount: $ 219,134.60 Project Description: Replace Pavement Markers Project Name:Water Sampling Station Installation Project Client/Agency:City of Adelanto Contact: Brian Wolfe,Contract City Engineer Phone:760-246-2300x11188 Start Date: March 2019 Finish Date:June 2019 Contract Amount: $295,850.00 • - Project Description:Installation of Water Sampling Stations throughout the City. Project Name: Relocating Chlor Shed and Antenna Install Client/Agency:County of San Bernardino,Special District Department,Water&Sanitation Division .. Contact:Chris Bishop Phone:760-962-1510 Start Date: March 2019 Finish Date:March 2019 Contract Amount:24,975.00 • Project Description: Relocating Chlor Shed, Remove Existing.Equipment and Piping, Install Temporary Power to Temporary Chlor Shed, Furnish,and Install new Antenna. Project Name:Valve Replacement, Fire Hydrant&Sewer Line Trench Repair Project Client/Agency:City of Solvang Contact: Matt van der Linden, PE Phone:805-688-5575 Start Date:August 2018 Finish Date: February 2019 Contract Amount:$301,260.00 Project Description: Valve Replacement, Fire Hydrant&Sewer Line Trench Repair throughout the City Project Name:Shasta Valley WA&Butte Valley WA Shop Door Replacement Client/Agency:CA Dept of Fish and Wildlife Contact: Katherine Miyai Phone:916-327-8426 Start Date:August 2018 Finish Date:September 2018 Contract Amount:$76,965.00 Project Description: Replacement of Shop Doors, Metal Building Additions and Wood Framing RE Chaffee Construction Inc PO Box 3087 Wrightwood, CA 92397 CHAFFS (760)-249-8068 www.rechaffee.com Company Call/Emergency List Ronnie Chaffee (760)403-5456 President Jessica Chaffee (760)277-9177 Administrative Greg Borbon (760)953-1887 Superintendent Brett Sakamoto (760)249-8068 Office/Submittals (714)889-9896 Cell -- Alex Levai (760)954-7484 Site Foreman 10/4/23,11:29 AM cadir.my.salesforce-sites.com/ContractorSearchlPrintRegDetalls Contractor Information Registration History Legal Entity Name Effective Date Expiratio ' Date R.E CHAFFEE CONSTRUCTION INC. Legal Entity Type 1/11/2021 6/30/20'1 Corporation _._.._-.._---------•---•— Status 7/1/2021 6/30/20'4 Expired _ -- -- ----_..._...-. - Registration Number PW-LR 1000707243 Registration effective date 1/11/2021 Registration expiration date 6/30/2021 Mailing Address PO BOX 3087 WRIGHTWOOD 92397 CA United... Physical Address 1253 EVERGREEN RD WRIGHTWOOD 92397 CA... Email Address Trade Name/DBA License Number(s) CSLB:897948 Legal Entity Information Corporation Number: Federal Employment Identification Number: President Name: RONALD E CHAFFEE JR Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: RONALD E CHAFFEE JR Agent of Service Mailing Address: 7987 SAGE STREET PHELAN 92371 CA United States of America Workers Compensation Do you lease employees No through Professional Employer Organization (PEW?: • hftnc•f/rarilr my aalacfnrria.ltac rnm/f`nnfraeirwRwamh/PrinfRannatailc I ra 10/4/23,11:29 AM cadirmy.salesforce-sites.com/ContractorSearch/PiintRegDetalls Please provide your current workers compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:RE CHAFFEE CONSTRUCTION INC.Insurance Carrier: STATE FUND COMPENSATION INSURANCEPolicy Number:9236810Inception date: 8/4/2020Expiration Date:8/4/2021 Contractor Information Registration History Legal Entity Name Effective Date Expiratio Date RE CHAFFEE CONSTRUCTION INC. — —----- —--—------- —-- —___�_.._ Legal Entity Type .- 1/11/2021 6/30/20'1 Corporation Status • 7/1/2021 6/30/20'4 Active ___-- Registration Number PW LR-1000707243 Registration effective date 7/1/2021 Registration expiration date 6/30/2024 Mailing Address PO BOX 3087 WRIGHTWOOD 92397 CA United... Physical Address 1253 EVERGREEN RD WRIGHTWOOD 92397 CA... Email Address Trade Name/DBA License Number(s) CSLB:897948 hfne•l/rmrlirmyraiacrnrrss titan rnmlr`nnfrarttnrnaanth/PrintRannafaile .102 10/4/23,11:29 AM cadIrmy.salesforce-sites.com/ContractorSearch/PrintRegdetails Legal Entity Information Corporation Number: Federal Employment Identification Number: President Name: RONALD E CHAFFEE JR Vice President Name: Treasurer Name: Secretary Name: CEO Name: Agent of Service Name: JESSICA CHAFFEE Agent of Service Mailing Address: 7987 SAGE STREET PHELAN 92371 CA United States of America Workers Compensation Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers • compensation insurance information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:RE CHAFFEE CONSTRUCTION INC.Insurance Carrier: ..STATE FUND.COMPENSATION INSURANCEPolicy Number:9236810Inception date: 8/4/2020Expiration Date:8/4/2021 hftna.11rarnr mu calacfnm cMaa rnminnnfrartfnr.SaamhlPrintRranrlafallrx �M JT siqw- Z'VE R E.Si. BID BOND ❑ Everest Reinsurance Company Everest National Insurance Company ® Everest National Insurance Company 461 s"Avenue—a"Floor New York,N.Y.10017 KNOW ALL MEN BY THESE PRESENTS: That we R.E. Chaffee Construction, Inc. (hereinafter called the Principal), and Everest National Insurance Company, a corporation duly organized and existing under the laws of the State of Delaware , (hereinafter called the Surety), are held and firmly bound unto City of Huntington Beach (hereinafter called the Obligee) in the sum of ten percent of total bid amount Dollars ($ 10%) , lawful money of the United States of America, for the payment of which, well and truly be made, we, the said Principal and the said Surety, bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. Whereas,the Principal has submitted a bid for Humboldt Sewer Lift Station Replacement Project. Now, Therefore, If the Obligee shall accept the bid of the Principal within the period specified therein, or if no period be specified, within sixty (60) days after opening, and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, then this obligation is to be void; otherwise the Principal and Surety will pay unto the Obligee the difference in money between the amount of the bid of said Principal and the amount for which the Obligee legally contracts with another party to perform the work if the latter amount be in excess of the former, but in event shall liability hereunder exceed the penal sum hereof. • Signed, sealed and delivered this 3rd day of October, 2023. R.E.Chaffee Construction,Inc. (Principa) / (Seal) (Witness) By �. t', tGl 1)17.5t(,fcni' Everest National Insurance Company . (Surety) . . (Seal) (Witness) By , 'J.Mesenbrink , Attorney-in-Fact 1 ACKNOWLEDGMENT OF SURETY STATE OF ARIZONA ) COUNTY OF MARICOPA ) On this 2nd day of October 2023,before me personally came Michael J. Mesenbrink,to me known to be the person described in and, who,being by me, did depose and say that he resides in Scottsdale, Arizona; that he is the Attorney-in-Fact of Everest Reinsurance Company the corporation described in and which executed the attached instrument; that he knows corporate seal of the said corporation; that the seal affixed to the said instrument is such corporate seal; and that it was so affixed by order of the Board of Directors of the said corporation; and that he signed his name there by like order. (1;;;.._2 Katherine Love,Notary Public My commission expires: March 8, 2025 i�Xe Sr�T KATHERINE LOVE ��; NOTARY PUBLIC-ARIZONA „W`A' MARICOPA COUNTY 12 COMMISSION#597455 �dJ i=N MY COMMISSION EXPIRES " 91 MARCH 08,2025 (Notary Seal) • " everest POWER OF ATTORNEY EVEREST NATIONAL INSURANCE COMPANY KNOW ALL PERSONS BY THESE PRESENTS: That Everest National Insurance Company,a corporation of the State of Delaware("Company")having its principal office located at Warren Corporate Center,100 Everest Way,Warren,New Jersey,07059,do hereby nominate,constitute,and appoint: Margie Wager,Michael J.Mesenbrink,Heather J.Perrin,Jeri Lynn Thompson,Maria R.Lucero,Katie Love its true and lawful Attorney(s)-in-fact to make,execute,attest,seal and deliver for and on its behalf,as surety,and as its act and deed,where required,any and all bonds and undertakings in the nature thereof,for the penal sum of no one of which is in any event to exceed UNLIMITED,reserving for itself the full power of substitution and revocation. Such bonds and undertakings,when duly executed by the aforesaid Attomey(s)-in-fact shall be binding upon the Company as fully and to the same extent as if such bonds and undertakings were signed by the President and Secretary of the Company and sealed with its corporate seal. This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Board of Directors of Company("Board")on April 21,2016: RESOLVED,that the President,any Executive Vice President,and any Senior Vice President are hereby appointed by the Board as authorized to make,execute,seal and deliver for and on behalf of the Company,any and all bonds,undertakings,contracts or obligations in surety or co-surety with others and that the Secretary or any Assistant Secretary of the Company be and that each of them hereby is authorized to attest to the execution of any such bonds, undertakings,contracts or obligations in surety or co-surety and attach thereto the corporate seal of the Company. RESOLVED,FURTHER,that the President,any Executive Vice President,and any Senior Vice President are hereby authorized to execute powers of attomey qualifying the attorney named in the given power of attorney to execute,on behalf of the Company,bonds and undertakings in surety or co-surety with others,and that the Secretary or any Assistant Secretary of the Company be,and that each of them is hereby authorized to attest the execution of any such power of attorney,and to attach thereto the corporate seal of the Company. RESOLVED,FURTHER,that the signature of such officers named in the preceding resolutions and the corporate seal of the Company may be affixed to such powers of attorney or to any certificate relating thereto by facsimile,and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be thereafter valid and binding upon the Company with respect to any bond,undertaking,contract or obligation in surety or co-surety with others to which it is attached. IN WITNESS WHEREOF,Everest National Insurance Company has caused their corporate seals to be affixed hereto,and these presents to be signed by their duly authorized officers this 151h day of February 2023. Everest Reinsurance Company 4; SEAL "I + Ito • 7 By:Anthony Romano,Senior Vice President On this 15th day of February 2023,before me personally came Anthony Romano,known to me,who,being duly sworn,did execute the above instrument; that he knows the seal of said Company;that the seal affixed to the aforesaid instrument is such corporate seal and was affixed thereto;and that he executed said instrument by like order. LINDA ROBINS Notary Public,State of New York A-4"----) No 01R06239736 Qualified in Queens County Term Expires April 25,2027 Linda Robins,Notary Public I,Sylvia Semerdjian,Secretary of Everest National Insurance Company do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Section of the bylaws and resolutions of said Corporation as set forth in said Power of Attorney,with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATION,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Company,this 2nd day of October 2023 . .seas ;fi t{ fi . „e By:Sylvia Semerdjian,Secretary • • ES 00 01 04 16