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Nobest, Inc. - 2024-02-20
5/14/24,5:22 PM Document-27402583-Page-1 _ . .. .. . . . . Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder II I I II II I II !III I III II 11011111 1111 NO FEE * S R D D 1 4 9 4 3 3 6 6 $ * 2024000119927 4:17 pm 05114124 PLEASE COMPLETE THIS INFORMATION 227 403A N12 1 RECORDING REQUESTED BY! 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 WHEN RECORDED MAIL TO: ' cm"OF HUNTINGTON BEACH • PUBLIC WORKS DEPARTMENT Attn:Max Olin Box'190-2000.Main Street Huntington Beach,CA 92848 • THIS SPACE FOR REC ORDER'S USE ONLY TITLE OF DOCUMENT • • NOTICE OF COMPLETION NOTICE IS.HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street,Huntington Beach,CA 92948,that the contract heretofore awarded to Nobest.Inc.,who was the company thereon for doing the following work to-wit Zone 1 ADA Curb Ramps,Project#CC-1742 • That said work was completed 05/09/2024'by said company according to plane and specifications and to the Satisfaction Of the City Engineer of the City of Huntington Beach and that said work was.accepted by the Director of Public Works.on 05/09/2024,per City Council Resolution No,2003-70 adopted October 6,2003. That upon said contract Metohants Bonding Company,was surety for the bond given by-the said company ae required by law. • • This document is,solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of.Charge. r s 7 Z I or of, ,o• s or City Engineer bate Cityof Huntingtor%Beach,California STATE OF CALIFORNIA) • 'County of:Orange- )ss: • City of Huntington Beach I,the undersigned,say:I am an Agerit of the City of Huntington Beach,owner in fee,in the foregoing NOTICE OF COMPLETION. I 'have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge: • I declare under penalty of perjury that the foregoing is true and correct,and that Said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder Of Orange county. This document is solely the official business of the City of Huntington Beach,as contemplated //Q • f D/ under Government code section 27382 and Direc or o IttWdrtffs or City Engineer ate should be recorded free of charge. City of Huntington Beach,California • • THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDINGINFORMATION (Additional recording fee applies) • • about:blank 1/1 PLEASE COMPLETE THIS INFORMATION RECORDING REQUESTED BY: WHEN RECORDED MAIL TO: CITY OF HUNTINGTON BEACH PUBLIC WORKS DEPARTMENT Attn: Max Olin P.O. Box 190—2000 Main Street Huntington Beach,CA 92648 THIS SPACE FOR RECORDER'S USE ONLY TITLE OF DOCUMENT NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN by the City of Huntington Beach,owner in fee,2000 Main Street, Huntington Beach,CA 92648,that the contract heretofore awarded to Nobest Inc.,who was the company thereon for doing the following work to-wit: Zone 1 ADA Curb Ramps,Project#CC-1742 That said work was completed 05/06/2024 by said company according to plans and specifications and to the satisfaction of the City Engineer of the City of Huntington Beach and that said work was accepted by the Director of Public Works on 05/06/2024,per City Council Resolution No. 2003-70 adopted October 6,2003. That upon said contract Merchants Bonding Company,was surety for the bond given by the said company as required by law_ This document is solely for the official business of the City of Huntington Beach,as contemplated under Government Code Section 27383 and should be recorded free of charge. / 5 7L iretor of orks or City Engineer ate City of Huntington Beach,California STATE OF CALIFORNIA) County of Orange )ss: City of Huntington Beach I,the undersigned,say: I am an Agent of the City of Huntington Beach,owner in fee, in the foregoing NOTICE OF COMPLETION. I have read said NOTICE OF COMPLETION and know the contents thereof;the same is true of my knowledge. I declare under penalty of perjury that the foregoing is true and correct,and that said NOTICE OF COMPLETION was duly and regularly ordered to be recorded in the Office of the County Recorder of Orange County. /� This document is solely the official business of �/ J- l7 2 / the City of Huntington Beach,as contemplated —'"" / under Government code section 27383 and Director o�PebtteVVdrRs or City Engineer ate should be recorded free of charge. City of Huntington Beach,California THIS PAGE IS ADDED TO PROVIDE ADEQUATE SPACE FOR RECORDING INFORMATION (Additional recording fee applies) RECEIVED J3Y: CITY CLERK RECEIPT COPY ky AA CCr; 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: 3/I L'I/2LI SUBJECT: Bond Acceptance I have received the bonds for Ntbe ,-i- I 1C (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. 10031-) J' (CrI 1p Payment Bond (Labor and Materials) Bond No. 10O3t-15VCA Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 2 [ 201 Li (Council Approval Date) CC No. I LI'Z Agenda Item No. „t.1- 17�1 MSC No. City Clerk Vault No. I00 0. 5C Other No. SIRE System ID No. (5$I S 5 1- g:/forms/bond transmittal to treasurer CITY FUNDED CONSTRUCTION CONTRACT BETWEEN THE CITY OF HUNTINGTON BEACH AND Nobest Inc. FOR Residential Maintenance Zone 1 ADA Curb Ramp Project,CC-1742 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 Nobest Inc. ,a California corporation,hereinafter referred to as "CONTRACTOR." WHEREAS,CITY has solicited bids for a public works project,hereinafter referred to as "PROJECT,"more fully described as Residential Maintenance Zone I ADA Curb Ramp Project in the City of Huntington Beach;and CONTRACTOR has been selected to perform said services, NOW, THEREFORE, in consideration of the promises and agreements hereinafter made and exchanged the parties covenant and agree as follows: 1. STATEMENT OF WORK;ACCEPTANCE OF RISK CONTRACTOR shall complete and construct the PROJECT pursuant to this Agreement and the Contract Documents (as hereinafter defined) and furnish, at its own cost and expense, all labor, plans, tools, equipment, supplies, transportation, utilities and all other items, services and facilities necessary to complete and construct the PROJECT in a good and workmanlike manner. CON 1RACTOR 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 I6-5195/City Funded Construction Contract.docx—revised 04/20I6 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 foith 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 Three Hundred Fifteen Thousand Dollars ($ 315,000 ), as set forth in the Contract Documents,to be paid as provided in this Agreement. 4. COMMENCEMENT OF PROJECT CONTRACTOR agrees to commence the PROJECT within ten (10)working days after the Notice To Proceed is issued and diligently prosecute the PROJECT to completion within Thirty ( 30 ) 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 (I) 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 ($ 1000 ) 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 16-5I95/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 I of the Government Code. For purposes of those provisions,the running of the period of time within which a claim must be filed shall be tolled from the time the 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 I6-5195/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 e1 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 18I5. 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.04/20I6 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 Nobest Inc. ATTN:Max Olin ,Public Works ATTN: Mickey Lewis 2000 Main Street P.O Box 874 Huntington Beach, CA 92648 Westminster,California 92684-5583 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 taws 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 04/20I6 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 onP2RU/'B21/41 2.0,,20.'21-I . CONTRACTOR: 14'De L Jr-c- CITY OFig1TINGTON BEACH,a municipal corporati.T y0e tat: •f California By: ►'`a. L.6.0.71- ayo / etizzattu) (print name) ITS:Chain= President/ ice-President City Clerk 3/4/ f; (circle one) INITIATED AN APR VED: f fAND By: t/ ���� Director of Public Works �-o NidDt (print name) REVI• ,TAD A % AP'ROV : IT . Secretar / Chief Financial Officer / Asst. Secretary/Treasurer (circle one) City Manager APPROVED A 0 O RM: / C(I( City Attorney 25 16-5195/City Funded Construction Contract.docx—revised 04/2016 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California ) County of Orange ) On Marc(A I / 1-0 2-y before me, Vivi Goenawan, Notary Public Date Here Insert Name and Title of the Officer personally appeared (V y food t a'4 d a L d (2--b jetr F OJ cif 1 c -) 3. 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 fore oing paragraph is true and correct. WITNESS my hand and official seal iiu VIVI GOENAWAN Commasan�24p8442 , ;'�,.:1 Notary Public•California t �'t ORANGE County Signature My Comm.Expires JULY 15,2C26 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: r tj d CDastYuoh'cti• Co,Atcawt bent c.2 cite. c- ►-y dv- if gg,A)cltesF Inc • Document Date: J id Zv2- `/ Number of Pages: 2-5- Sig ner(s) Other Than Named Above: ex,i-1151T 'A' • SECTION C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO l'HE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor,material,equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach,and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses, taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid,unit prices shall govern over extended amounts, and words shall govern over figures. C-1 SECTION C PROJECT BID CURB RAMP PROJECT, CC 1742 BID ITEMS Item Description Quantity Unit Unit Cost Total Cost No. (Extension) 1 Mobilization 1 LS $I.?, lit,'1'` 1,2 Ooo• p 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) $ 1 LS $ 7c 7� 000. 3 Install&Maintain Construction BMPs 1 LS $t�/+.V tV oj/Q) Construct Curb Access Ramp per Caltrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix 4 H of Specifications (Item includes all appurtenances,curb &gutter,depressed curb,sawcut,sidewalk,domes, 5 !X $ p! retaining curb,slot pave,etc.) EA $ 12 �� Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A/A88B using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 In Appendix H of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes,retaining curb,etc.) 23 EA $ CGb 1 S/�0l' r / Construct Curb Access Ramp per Caltrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 3 in Appendix 6 H of Specifications (Item includes all appurtenances,curb $ &gutter,depressed curb,sawcut,sidewalk,domes, ( A • retaining curb,slot pave,etc.) 6 EA $ 51 t 30 ea Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of $ Specifications (Item includes all appurtenances,curb& et, 4ti gutter,cross gutter,sawcut,slot patch,etc.) 1,300 SF $ 34• 3 1 . E 8 Install 4"PVC Sleeve for Street Assembly Sign per City of . $ HB Std.Plan 401 3 EA $ 6 440. Remove and replace existing sidewalk per City of HB Std. 9 Plan 207 at locations adjacent to ramp.(Item includes all 1500 . C $ PC— appurtenances,sawcut) SF $ f4', /5'Cod• Remove and replaces existing 8"-12'Curb and Gutter per $ 10 HB Std.Plan 205(Item includes all appurtenances, 412- sawcut,slot pave,etc.). 300 LF $ r✓ev• /40 $ '3/J Me- C-2.1 SECTION C PROJECT BID CURB RAMP PROJECT,CC 1742 SUB-TOTAL BID AMOUNT IN WORDS: 1h1 ww f/wo lfeod r, hats Qid i2o/laf'r Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension,the unit price will govern.The Owner reserves the right to reject any or all proposals and bid items. In addition,the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and. this bid and the acceptance hereof may,at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid,find 'dole/IS gad in the amount of (°,0 which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here,if any: Addenda No. Date Received Bidder's Signature C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater,and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar %of Item(s) Subcontractor License Registration# Amount Contract Number 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/l-- .23,at q,3,RT3 4 Date City State L_4 ff y Il/Od l e na , being first duly sworn, deposes and says that he or she is PIe'5;d e,i t of IllDbec-,' TI'a e, 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. /Udbes i Name of Bidder Signa a of _ ei i22 11C C14 v•e. Address of Bidder 6-414en �r/'ave1 CQ `o2 tiff f C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person"is defined in Title 8, California Administrative Code,Section 2700,as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Il/obec1 ;-n c. Contractor By1 . Pi ecaen-/- Title Date: 11 _21, 23 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 1No If the answer is yes,explain the circumstances in the space provided. Ali 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. /llabes," Contractor By r re c1 defi t- Title Date: 11 Z-1 Z-5 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: f'obeyf nc. Bidder Name 7600 ,4ct t, iT de . Business Address l �y41 6a/deti Gto✓P, Cs 7i City, State Zip (?1W ) g a-YS 8 3 Kay (a /Uab&s, Telephone Number Email Address State Contractor's License No. and Class Original Date Issued /". / g Li Expiration Date The work site was inspected by fi f Ke L°Gd t S of our office on &Yens r /7 , 2011.. The following are persons,firms, and corporations having a principal interest in this proposal: L��ry Illod a4j Pie 51de re 'rteq a/P/' Roby/4- ladd - S'ecrr, , 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. Nobe sf 7n c Company Name Sign i der Laity o011 Ian� Punted or Typed Signature C-s NOTARY CERTIFICATE Subscribed and sworn to before me this P'�7 ay of AloQe40(x" ,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 C' N fo/'et of ) County of Orati ) ,�} On A ve4v4 Vr y7, p023 before me, Vr/fi 60eGw2r t� " _, o l Month,Day,and Year _l Insert Name and Title of Notary personally appeared ftry Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official sea - VNI GOENAWAN a Commission#2408442 ., e'• Win: NolaryPublic-Califomia C ., •;���,i ORANGE County 1t� 1 My Coma.Expires JUEY 15,2022 Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) G9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with french depths of 8-feet to the invert."i. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. A-in--A -3a-L‹ Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. Name and Address of Public Agency Name and Telephone No.of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: C-10 • NOBEST INCORPORATED REFERENCE LIST Page 1 No. 1 Project Name/Number: Concrete Replacement Program Project Description: Remove&Replace Curb&Gutter,Sidewalk,Driveway, and Ramp Approximate Construction Dates: From: 3/2018 To: 8/2018 Agency Name: City of Newport Beach Contact Person: Mike Sinacori Telephone: (949) 644-3342 Original Contract Amount: $784,000 Final Contract Amount: $ 855,000 No.2 Project Name/Number: Heil Avenue& Indianapolis Street rehabilitation Project Description: Remove&Replace Curb&Gutter.Sidewalks,Driveways,and Cross Gutter Approximate Construction Dates: From: 7/2018 To: 1/2019 Agency Name: City of Huntington Beach Contact Person: John P. Telephone: (714) 536-5431. Original Contract Amount: $476,832 Final Contract Amount: $ 539,000 NOBEST REFERENCE LIST Page 2 No. 3 Project Name/Number: Annual Concrete Maintenance Program Project Description: R&R Concrete Sidewalks,Curb&Gutter,Drive Approaches,and Curb Ramps Approximate Construction Dates: From: 2/2013 To: Present Agency Name: City of Huntington Beach Contact Person: Dereck Livermore Telephone: (714) 960-8861 Original Contract Amount: $500,000 Final Contract Amount: $ In Progress No. 4 Project Name/Number: Replacement of Alley,ADA Ramps&Sidewalk Project Description: Remove&Replace Sidewalks,Alley Pavement,Curb Ramps,and Curb&Gutter Approximate Construction Dates: From: 8/2019 To: 9/2019 Agency Name: City of Los Alamitos Contact Person: Dave Hunt Telephone: (714) 296-5836 Original Contract Amount: $121,050 Final Contract Amount: $ 123,000 NOBEST REFERENCE LIST Page 3 No. 5 Project Name/Number: CIP Project Phase 5 Residential Street Rehabilitation Project Description: Remove&Replace Sidewalk,Curb Ramps,Curb&Gutter,and Cross Gutter Approximate Construction Dates: From: 7/2019 To: Present Agency Name: City of La Mirada Contact Person: Eric Villagarcia Telephone: (562) 902-2373 Original Contract Amount: $1,734,839 Final Contract Amount:. $ In Progress No.6 Project Name/Number: Street Preservations Local Citywide Project Description: Remove and Replace Sidewalk,Curb&Gutter,Driveways.Curb Ramps,and Alleys Approximate Construction Dates: From: 10/2018 To: 1/2019 Agency Name: City of Pomona Contact Person: Matt Pilarz Telephone: (909) 620-3652 Original Contract Amount: $603,406 Final Contract Amount: $ 486,000 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. c;c. "7r' Name of proposed Project Manager Telephone No. of proposed Project Manager: 7 I L — 6 7 5 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. RcacFrr. tJ c:AD D Name of proposed Superintendent Telephone No. of proposed Superintendent: 7! — Z" 5 5 g: 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 041 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (D I R)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$300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSVPublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call(844)522-6734 httpsJ/efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: hops://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code,or engage in the performance of any contract for public work, as defined in this chapter,unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. /llobey i jnc Contractor C)-1-14 By f ay a I obesfi .ne Email /� /{(q�//{(q y,/p/,Q Oi fce f' 44e f Title Date: t1-2$-23 PWC Registration#: ]D©00 I f$o'4 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24,Code of Federal Regulations,Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder,under penalty of perjury,certifies that except as noted below,any person associated therewith in the capacity of owner,partner,director,officer,or manager(initial the applicable selections): Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968;or Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: �l0be 1 n[ Contact Person: Vol isincl erScr. Contact Phone: ?I k 3 Signed: Kt4.1-PA�• Date: 1l 243' 23 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act,as amended in 1992(HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321,Title 2, Code of Federal Regulations entitled"Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C44 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Fede -aid Project No. C - 1?'k2 ZarwI.Cwb p.Bld Opening Date The City of tington Beachestablished a Disadvantaged Business Enterprise(DBE)goal of 0% for this Projedt.The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts.Bidders should submit the following information even if the `Local Agency Bid.-. DBE Commitment"form indicates that the bidder has met the DBE goal.This will protect the bi.det's eligibility for award of the contract if the administering agency determines that the bidder fai ed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening,or bidder made a mathematical error. Submittal of y the"Local Agency Bidder DBE Commitment"form may not provide sufficient documentati'n to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled"Submission of DBE Commitment"of the Special A. The tut.,w and dates of each publication in which a request for DBE participation for this proj M was placed by the bidder (please attach copies of advertisements or proofs of publi--tion): Pub:cations Dates of Advertisement k. A. B. The n 4,1 and dates ofwriitennotices sent to certified DBEs soliciting bids for this Project and th dates and methods used for following up initial solicitations to determine with c .' whether the DBEs were interested(please attach copies of solicitations,telephone rec$ ' fax confirmations,etc.): N: ..es of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates Akix.uks 'T,r�.+�L: it -IS-23 'Phones 11-21-23 C-15 C. The i ems of work which the bidder made available to DBE firms including, where appro riate,any breaking down of the contract work items(including those items normally perfo ed by the bidder with its own forces)into economically feasible units to facilitate DBE articipation It is the bidder's responsibility to demonstrate that sufficient work to fac ' DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of MN) Contract TruC.V.-; t Yes 1, 3 10 t Stoop 5 -% D. The names, addresses and phone numbers of rejected DBE finns, the reasons for the bidder's rejection of the DBEs, the flans selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Wis, Nam" ,addresses and phone numbers of firms selected for the work above: g 1 tank: -- �"av ra►,n ea E. Effortmade to assist interested DBEs in obtaining.bonding, lines of credit or insurance, and y technical assistance or information related to the plans, specifications and regwrementsfor the work which was provided to DBEs: i KVA, C-16 F. Effo . made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: NVA G. The names of agencies, organizations or groups contacted to provide assistance in contacting,recruiting and using DBE firms(please attach copies of requests to agencies and any responses received,i.e.,lists,Internet page download,etc.): Name of Agency/Organization Method/Date of Contact Results N/14\ H. Any additional data to support a demonstration of good faith efforts(use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. 3 4 C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature(given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: j (1) Name under which business is conducted NOB€J 1- -/ZC a floor -e (2) S n (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of e h orh (4) Place of Business ?goo f I te C.fG e- / (Street and Number) City and State 6-4(&(e l, &tov , C q fX'i (5) Zip Code '72 Telephone No. 7 fit - egg s3 (6) E-Mail Kay & I/4be5t.n-et NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 • • NOTARY CERTIFICATE Subscribed and sworn to before me this 7r day of Akb&W+1xr ,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 Ca-Zito-reek ) County of &a. )On A/bi/ r tit ?.a ua,� t-4. before me, iLII Goelari, A/0ft+ry Arta/4. Month,Day,and Year Insert Name and Title of Notary personally appeared / rr�y /to /�tati.) J 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. •• Vlitl GOENAWAN WITNESS my hand and official seal. Commission#zaasaa2 - Notary Public-California 0 ORANGE County ‘11 1 _My C`mm-Expirees JULY 15,2t126 Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 List below names of president,vice president, secretary and assistant secretary,if a corporation;if a partnership, list names of all general partners and managing partners: L z(t y /agJI auol- Pfr it,t Ire cc ,e f GAel And k#71 _S'ecre ie y C-20 i EXHIBIT C LOCAL A ENCY BIDDER DBE COMMITMENT(CONSTRUCTION CONTRACTS) NO : PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM mom,Ac•n :6i4+1 off' A+auvt%AgSkDA B.evil LoCAnoia: \M ioee5 1-1,cochons fOJEcrD... : , . Zone 1 tweb 'Rawl) XnstallwVion Ce-. V+I42 TONAL . • • AMOUNT:S 'i5, 000 0- NDDATE: I I.1S-23 BIDDERS NAME: bl fACH *1}, AC • CONTRACT DBE GOAL: 0 Y CONmACT ITEM OP WORK AND DESCRIFIIONDBE CERTNO. OF EACH DBEDOLLAR AMOUNT TEEM NO. OR SERVICES TO BEANO EXPIRATION West bo=dicd en the date bidsDBE SUBCONTRACTED OR MATERIALS DATE opened-inched*DBE address TO BB PROVIDED(or contracted if the phone ante* bidder is a DEE) ___ tx.ce� 6- t� 1 SD--2-4 PO '.t ._._� ..__ . __ _ _.__._,..�_ _... _._. I pints,Cam_ _ - --___,.- 41 _�._ . ___ I Vt Jr3$- q�91 _ For Local •gamey to Complete: Toad Claimed DBE 5 Q Local Agony IentraetNumber: Participation $ ` D jOOD°� Federal-aid ,._.Number %51,4 Parietal Share: Contract:., Date: Local Agency ;1,cstbat all DBE vt ficationshavebeanverifiedand information - , -,=and act u nte. �.- :2$-2 (4 -, 1 $3 ( - Code)Tel-No. ,, PriaRNmne Signature Data 1�1fbA- OV local Agency. ,.,,,K Peaso(to Contact eType or Riot) (Area Code)7e i ltoneNumbes Local Agerecy Dian'DBE Commitment eConstzsxBonconnaeta) L C-2I I _ PLEASE NOTE: This information may be submitted with your bid.If it is not, and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions.Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE,work performed by its own forces,if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work(who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a cobnnn for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE),"of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award,Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 - Certified Profile CLOSE WINDOW d Pnr.t Business & Contact Information BUSINESS NAME RAY'S TRUCKING, DBA PEFFRIN, INC OWNER Ms.SHARON ALEXANDER ADDRESS 2610 West 178th Street TORRANCE,CA 90504 imapJ PHONE 310-538-9891 FAX 310-327-6922 EMAIL Raystrucking5555QgmaiLcom ETHNICITY Caucasian GENDER Female Certification Information CERTIFYING AGENCY California Department of Transportation CERTIFICATION TYPE DBE-Disadvantaged Business Enterprise CERTIFIED BUSINESS DESCRIPTION Commodity Codes Code Description CA WCC C9771 TRUCKER BROKER I CA WCC C9999 BROKER(FOR FEE ONLY) NAICS 425120 Wholesale Trade Agents and Brokers NAICS 488510 Freight Transportation Arrangement Additional Information WORK DISTRICTS/REGIONS Los Angeles,Orange,Riverside,San Bernardino,Ventura CUCP PUBLIC DIRECTO Y 2037 ' CERTIFICATION NUMBER I 1 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION ICATION The bidder N v1A[sk', •ne..___ ___._ __ _ . __ [proposed subcontractor ___ ,]hereby certifies that(be�!shelit has ✓,has note,participated in a previous contract ur subcontract subject to th qual Opportunity clauses,as required by Executive Orders 10925, 11114,or 11246,and that,where required,he/she/it has filed with the Joint Reporting Committee,the Director of tite Office of Federal Contract Compliance,a Federal Government contracting or administerin agency,or the former President's Committee on Equal Employment Opportunity, all reports dt a under the applicable filling requirements. Note: The tbove certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor(41 CFR 60-1.7(b) (1)),and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers.'eco 1 survey/indcx.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department cif Labor. s Signature: I 1.- at . k\• 9--$ -23 Print Name: Lett Od 1 aw► Title: '.9r e sl d e.ri4-- Cm EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead,profit,or cost element of the bid price,or of that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: te: 1 Print Name: L4 j p,{ I e n d Title: PAC ffp en- C-24 • EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49,CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director,officer,manager: • is not currently under suspension, debarment,voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted,or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above,indicate below to whom it applies,initiating agency,and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: vdP 011.te: Print Name: Leta Title: ft e C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies,by signing and submitting this bid or proposal, to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$100,000 and that all such subrecipients shall • - • and disclose accordingly. Signature: �Jt Date: I1-28` z, it 11 Print Name: 014 // Title: fie C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: [TIll a.contract [ 11 a.bid/offer/application n a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: Prime Subawardee Tier ,if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable S. Federal Action Number,if known: 9. Award Amount,if known: o Le> > >1 t U ? c a 10. Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,fast name,MI) address if different from No.l0a) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) S Actual El planned a.retainer b.one-time fee 12. Form of Payment(check all that apply): c.commission Ra.cashd.contingent fee b.in-kind; specify: nature e deferred value f.other,specify 14. Brief Description of Services Performed or to he performed and Date(s)of Service,Including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheets)if necessary) 15. Condonation Sheet(s)attached: Yes ❑ No l6. Information requested through this form is authorized by Title _ 31 U.S.C.Section 1352.This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: - r_ C (♦ 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject � T to a civil penalty of not less than$10,000 and not more than Telephone No.: 1" '43 R2;S j Date: ) *--0-1 t $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last,previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation,United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name,address,city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial(Ml). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(item 4)to the lobbying entity(item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es).Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other,specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s)is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response,including time for reviewing instruction,searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,D.C.20503. By my signature on this proposal I certify,under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan, or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and,if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications,shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor,subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s)influencing or attempting to influence a covered Federal action;or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 Bid Bond Bid Bond Number:CSBA-25463 CONTRACTOR SURETY: (Name,legal status and address) (Name,legal status and principal place of business) Nobest Incorporated Merchants Bonding Company(Mutual) '600 Acacia Ave. 6700 Westown Parkway Garden Grove,CA 92841 West Des Moines,IA 50266 OWNER This document has important legal (Name,l a/status and address) consequences.Consultation with City of Huntington Beach An attorney is encouraged with respect i 2000 Main Street its completion or modification. Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where a licable. BOND AMOUNT: Ten Percent(10%)of Amount Bid PROJECT:Zone 1 Curb Ramp Installation,CC No.1742 Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 14th day of November.2023 Nobest Incorporated (Puincipol) (Sep 4<ati, (il1rers) (Title) • MC)--;:A/Z)CC-4).)- lti (S (Seal) Fitness)Melissa Ann Vaccaro (Fide) elle Ostrom, ttorney-in-Fact By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP)(www.nasbp.org)makes this form document available to its members,affiliates,and associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that NASBP the original text of this document conforms exactly to the text in ALA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. NOTARY CERTIFICATE Subscribed and sworn to before me this 2.day of Doti$tv bet ,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 Ca;fOrni d ) County of oral ) On Abwcn.(rct 27, PP before me, Udi 6e e t iIJcty {any pzck(ic Month,Day,and Year Insert Name and Title of Notary personally appeared iraftyN*(ta N-at 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. J�YI GOENAWAN WITNESS my hand and official se '�1 {. Cori :2408442 1 �I_ %-'_ Notary Pubic-Caktorma C \\\\ ~A Iasi; ORANGE County { My Comm Expues.;UIY 15,2026 Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy. or validity of that document. State of California County of Orange On 11/14/2023 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. .nr> MEu55AANN VACCARO COMM.#2401942 F fir,..:".: 1 ,S•y Notary Public�allfornia j; ORANGE COUNTY LL %My Comm.Expires May 12,2a2s Signature 1 t 'x� • nr+� .J �C_(` (Seal) Melissa Ann Vaccaro Bond No.CSBA-25463 ME RCMERCHANTS BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING. INC.. both being corporations of the State of Iowa,d/b/a Merchants National Indemnity Company(in California only)(herein collectively called the "Companies")do hereby make,constitute and appoint,individually, Adrian Langrell:Arturo Ayala;Ben Stang:.Benjamin Wolfe;Chelsea Liberatore; Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stang; R Nappi;Shaunna Rozelle Ostrom their true and lawful Attomey(s)-in-Fact. to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings. contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President. Secretary, Treasurer or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof.' "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been giver.to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of December , 2022 ...............0 , • + MERCHANTS BONDING COMPANY(MUTUAL) ,. P(1 N �e • �•�Q\NG Co/10, MERCHANTS NATIONAL BONDING, INC. : :•QEkPOg4•, p ;�O•-pi;POq .q . d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY (7'(4 �'` 2003 1,.0 :Q`s_ 1933 �; By . • "'1.• ,•vl ., .� •; • •44t..-..•.\d ?resident STATE OF IOWA $.,, 'L� .••• �� .• COUNTY OF DALLAS as. On this fith day of December 2022 . before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. � - Kan Lee Comnn Nunicr 702737 ktV Ccxnhtisssm Fxri.es April 14,2024 Notary Public (Expiration of notary's commission does not invalidate this instrument) I.William Warner.Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is stiff in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 14th day df November ,2023 . •-•0i°Ng4••,. •• \t1G.CO • •'0 . P Z r • 2003 :a �a 1933 • Secretary • POA 0018 (10/22) •,••• ' `••••••" ' THE FINAL PREMIUM IS This Bond was Issued in Two (2) PREDICATED ON THE Original Counterparts FINAL CONTRACT AMOUNT Bond No. 100345696 Premium: $5,725.00 PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: WHEREJASSCity of Huntington Beach(hereafter referred;to as"City") has,by written agreement dated F 2 11 2024 entered into a contract with : Nobest Incorporated 7600 Acacia Ave., Garden Grove; CA 92841 (name andaddress of Contractor) (hereinafter referred.to as"Principal"),for performance of the work described as follows: Zone 1 Curb Ramp Installation, CC No. 1742 (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, Merchants Bonding Company(Mutual) 6700 Westown Parkway,West Des Moines, IA 50266 • (name and,address of Surety); as Surety,are'held:and firmly bound unto City in the penal sum of Three Hundred Fifteen Thousand and 00/100 _ Dollars($315,000.00 ),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,welt 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'sofficers„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 ordefault on the part of the Principal in the performance of any or all of the terms or the obligations of the Contract,including ail 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 • 1545:84/1 1 71 74 Bond No. 100345696 to automatically adjust the penal sum of this Bond to reflect such adjustments,alterations,changes, deletions,additions or other modifications. Surety agrees to provide written confirmation of such adjustments in the penal sum to City on not less than a quarterly basis. Surety also waives the provisions of Civil Code§§2845 and 2849. The obligations of this Bond shall survive the completion of the work described in the Contract as to all obligations and liabilities of the Principal which survive completion of the work. IN WITNESS WHEREOF,each party represents and warrants that this instrument has been duly executed by Principal and Surety,on the date set forth below,that the name of each corporate party being affixed hereto is such party's proper legal name and that the individuals signing this instrument have been duly authorized pursuant to the authority of its governing body. Surety,by execution of this bond,waives any defense which Surety has or may have by reason of any failure of the Principal to execute or properly execute this bond. Dated: February 7,2024 ATTEST Nobest Incorporated (Corporate Seal) (Principal Na By: ��rr ► ���� Name: `>1 .�f� Lr. Title: r1 ATTEST Merchants Bonding C•mpany(Mutual) iti\. (Corporate Seal) (Surety me By: Name:S nna zelle Ostrom,Att y-in-Fact (Signature of Attorney-in-Fact for Surety) (Attach Attorney-in-Fact Certificate) (800)678-8171 (Area Code&Telephone Number for Surety) APPROVED AS TO F By: ichael E.Gates,City Attorney { vim 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 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Orange On 14P-eot r 701-N before me, Vivi Goenawan, Notary Public Date Here Insert Name and Title of the Officer personally appeared kf r j No 4(cz.w4,1 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 unde the laws of the State of California that the foregoin paragraph is true and correct. WITNESS my hand and official se . VIVI GOENAWAN ; Commisswn#2408442 " ' Signature � FPO* Notary Public-California � 1�i1'' r ORANGE County My Comm.Expires JULY 15,2026 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Dockment Title or Type of Document: Ve-etvov1/4~.ce, *1.0° Z1+c Document Date: 1 111 942 Lei Number of Pages: 2- Signer(s) Other Than Named Above: ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On February 7 , 2024 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. N . ` MELISSA ANN VACCARO WITNESS my hand and official seal. n • Comm.#2401942 N N ,� `' - Notary Public-California � a ORANGE COUNTY a ' -My Comm.Expires May 12,2026 _ _ - s� Signature Cer-C. (Seal) Melissa Ann Vaccaro • • '-i Bond No. 100345696` E1 c I-I • BONDTNG COMPANlIY,, POWER OF ATTORNEY • Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa,d/b/a Merchants National Indemnity Company(in California only)(herein collectively called the "Companies")do hereby make,constitute and appoint,individually, - Adrian Langrell;Arturo Ayala;Ben Stong;Benjamin Wolfe;Chelsea Liberatore;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong; R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions • or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23,'2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of December , 2022 • ••`""""". •.' .• MERCHANTS BONDING COMPANY(MUTUAL) '•`�Q��ONq(�•�•.� ' G C04/. MERCHANTS NATIONAL BONDING,INC. may.G40. ..........-.:y. :•,4G04PO4 .q• y. d/b/a MERCHANTS NATIONAL INDEMNITY COMPANY j: 2003. :A ;y'•4 1933 By 7 /1011:,�•��•....... ,‘,„ �ls• ' •,� Yl 1�.• Presidenf STATE OF IOWA •.. �7 ..• •.., .. .COUNTY OF DALLAS ss. On.this 6th day of December 2022 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the • seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. �t�.. 4m Kim Lee © Commis on Number 702737 • . My Commission Expires �,�� Apni 14,2024 • Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 7th day of February ,2024 • • • y ORPORq � '4•`4t� 99•-A . • j': 2003 �,: ,6' 1933 'c' Secretary co \BIC: -0- d.rd0e0e2A. y� ate,: •'..•. , `zap 0. THE FINAL PREMIUM IS This Bond was Issued In Two (2) • PREDICATED ON THE Original Counterparts • FINAL CONTRACT AMOUNT Bond No. 100345696 PAYMENT BOND (LABOR AND MATERIALS) KNOW ALL PERSONS BY THESE PRESENTS; WHEREAS,City of Huntington Beach(hereafter referred to as"City")has awarded to Nobest Incorporated 7600 Acacia Ave.. Garden Grove, CA 92841 (name and address of Contractor) (hereinafter referred to as"Principal"),a contract('Contract")for the work described as follows: Zone 1 Curb Ramp Installation,CC No. 1742 (Project.Title) WHEREAS; Principal is required under the terms.of the Contract and the California Civil Code to furnish a bond to secure the payment of claims of laborers mechanics,materialmen,and other persons as provided by law, by a duly admitted surety insurer under the laws of the State of California (hereinafter referred to as "Surety");and Surety'is certified and listed in the'U.S,:Department of the Treasury Circular 570, and has provided proof of sufficient bonding limitation, as shown in said circular to provide bonds in the amount required by said Contract;and Surety has provided financial strength ratings from reputable companies,'such as from A.M. Best,Moody's or Standard&poor's,to validate that Surety has positive ratings of being secure or stable;and Surety is registered and listed with the California Department of Insurance._ NOW THEREFORE,we the undersigned Principal,and Merchants Bonding Company(Mutual) 6700 Westown Parkway, West Des Moines, IA 50266 (name and address of Surety) as Surety,are held and firmly bound unto City in the penal sum.of Three Hundred Fifteen Thousand and 00/100 dollars($315,000.00 ),'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 31.8.1 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 ' 154584/I17357 • • 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 duty 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: February 7, 2024 ATTEST Nobest Incorporated (Corporate Seal) (Principal me) By: Name: Title:. ATTEST Merchants Bondi Com an Mutual (Corporate Seal) rely me) By. I Name:Shaunna Rozelle Ostrom,Attorney-in-Fact (Signature of Attorney-in-Fact for Surety) (Attach Attorney-in-Fact Certificate) (800)678-8171 (Area Code&Telephone Number for Surety) APPROVED AS T RM: Mithael E.Gates, ity tttorney • 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. r PAYMENT BOND Page 2 of 2 15-4584/117357 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Orange On 202,E before me, Vivi Goenawan, Notary Public Date Here Insert Name and Title of the Officer personally appeared (II`-af�� /\o�la. 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 for:•oing 'aaragraph is true and correct. WITNESS my hand and official se:I. `4 VIVI GOENAWAN // Commission#2408442 l NolaryPubiic-California A Signature y ORANGE County Signature of Notary Public "9�F My Comm.Expires JULY 15,2026 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 Docum t Title or Type of Document: G1 i °225 1 C .c.Ftria( 9`V\ka.t2 s) Document Date: 3 ill 2Q 2-1 Number of Pages: 2- Signer(s) Other Than Named Above: ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On February 7 , 2024 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. MELISSA ANN VACCARO WITNESS my hand and official seal. COMM.#2401942 x_ � 0� _s�';;'r � Notary Public-California a 4,4°'r ORANGE COUNTY a y My Comm.Expires May 12,2021 Signature Qe-C-O'ND (Seal) Melissa Ann Vaccaro 1 , • MERCHANT Bond No. 100345696 BONDING COMPANY. POWER OF ATTORNEY • Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., both being corporations of the State of Iowa,d/b/a Merchants National Indemnity Company(in California only)(herein collectively called the "Companies")do hereby make,constitute and appoint,individually, Adrian Langrell;Arturo Ayala;Ben Stong;Benjamin Wolfe;Chelsea Liberatore;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong; R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, tb sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in.their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. _ This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." , "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department _ of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of December , 2022 .............. •+•'''••• MERCHANTS BONDING COMPANY(MUTUAL) '.•'�pt�ONp�•e,.•. •, Mr GO,. •• MERCHANTS NATIONAL BONDING,INC. 63/03.FtPO/pq�••I 04' •VlPO4? •S'• d/bla MERCHANTS NATIONAL INDEMNITY COMPANY t�' • " • •z• .) 2003 :•. ;y- 1933 •,• By J , • STATE OF IOWA ••••*7/ ••' •"0,• ••.• A.�r'.. President COUNTY OF DALLAS ss. On this 6th day of December 2022 , before me appeared Larry Taylor,to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC,; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. � '� ry Kim Lee 0 �. Commission Number 702737 • `1 My Commission Expires IY*M &D-.1) 1eir .pr i 14,2024 Notary Public• (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. - ' • In Witness Whereof,I have hereunto set,my hand and affixed the seal of the Companies on this 7th day of February ,2024 , ••00j0Nq •• • • • v`: 2003 ,441 .y 1933. ;C, Secretary • :,dui•. ::•: •.�b�; hoc. _ -.. ,•-.•• ••w POA 0018 (10/22) ••'•'••' ....•••• • AR® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) �3/002024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Catherine Montoya NAME: Milestone Risk Management&Insurance Services iAlc No.sxs: (949)852-0909 FAX No): (949)852-1131 License No.OB72766 EMAIL cmontoya@mllestonepromIse,com ADDRESS: 8 Corporate Park,Suite 130 INSURER(S)AFFORDING COVERAGE NAIL k Irvine CA 92606 INSURER A: Hartford Fire Ins Co 19682 INSURED INSURER B; Trumbull insurance Company 27120 Nobest,Inc. INSURER C: Hartford Casually Insurance Co 29424 P.O.Box 874 INSURER 0: Sentinel Insurance Co.,Ltd. 11000 INSURER S: Westminster CA 92684 INSURER F: COVERAGES CERTIFICATE NUMBER: 23-24 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE 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. TR TYPE OF INSURANCE ADDL"SUBR" POLICY EFF POLICY EXP INSO WVD POLICY NUMBER (MMIDDIYYYY),(MMIDDIYYYYI LIMITS X COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS•MADE X OCCUR PREMISES Ea eccu once) $ 300,DAMAGE TO D00 MED EXP(Any one person) S Excluded A Y 72UEACI3428 10/01/2023 10/01/2024 PERSONAL&ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000, X JECT ^ 000 POLICY j I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANYAUTO BODILY INJURY(Per person) $ B OWNED — SCHEDULED Y 72UEAACI3429 10/01/2023 10/01/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY — AUTOS ONLY (Per accident) • $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 4,000,000 C x EXCESS LIAB CLAM-MADE 72HHAC13459 10/01/2023 10/01/2024 AGGREGATE $ 4,000,000 DED I RETENTION$ $ WORKERS COMPENSATION �/ • AND EMPLOYERS'LIABILITY /� MUTE ER" D ANY PROPRIETOR/PARTNERIEXECUTIVE YYN N/A Y 72WEAATSWEH 10/01/2023 10/01/2024 E.LEACHACCIDENT $ 1,000,000 (MandatoryFFICER In EXCLUDED? 1,000,000 in NH) E.L DISEASE•EA EMPLOYEE $ !ryes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , Rented/Leased Equipment A 72MSZN3454 10101/2023 10/01/2024 Limit $100,000 Deductible $1,000 DESCRIPTION OP OPERATIONS/LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re:Nobest Job No.3-2322 City of Huntington Beach,Its officers,elected or appointed officials,employees,agent,and volunteers are Included as anApilangl\faiiiTe.61BaTEkretaRM, contract with respects to General Liability and Aulo Liability.Primary and Non-Contributory coverage applies when required by contract with respects to General Liability&Auto Liability.Waiver of Subrogation applies when required by contract with respects to Workers Compensation. 30 Days Notice of Cancellation except 10 days 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 (.2e t:1_e.,Y•r-2r.Y2-. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • POLICY NUMBER:72UEACI3428 , ,Y THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - OPTION I This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) Designated Project(s)Or Location(s) Or Organization(s): Of Covered Operations: City of Huntington Beach, its officers, elected or Nobest Job No.3-2322 appointed officials,employees,agents and volunteers Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. With respect to those person(s)or organization(s) (3) In connection with "your work" for the shown in the Schedule above when you have additional insured at the project(s) or agreed in a written contract or written agreement location(s) designated in the Schedule to provide insurance such as is afforded under this and included within the "products- policy to them, Subparagraph f., Any Other completed operations hazard",but only if: Party, under the Additional Insureds When (a) The written contract or written Required By Written Contract, Written agreement requires you to provide Agreement Or Permit Paragraph of Section II'-- such coverage to such additional Who Is An Insured is replaced with the following: insured at the project(s) or location(s) f. Any Other Party designated in the Schedule;and Any other person or organization who is not (b) This Coverage Part provides an insured under Paragraphs a. through e. coverage for "bodily Injury" or above, but only with respect to liability for "property damage"included within the "bodily injury", "property damage"or"personal "products-completed operations and advertising injury" caused, in whole or in hazard". part, by your acts or omissions or the acts or The Insurance afforded to the additional omissions of those acting on your behalf: insured shown in the Schedule applies: (1) In the performance of your ongoing (1) Only if the "bodily injury" or "property operations for such additional Insured at damage" occurs, or the "personal and the project(s) or location(s) designated in advertising injury"offense is committed: the Schedule; (a) During the policy period;and (2) In connection with your premises owned (b) Subsequent to the execution of such by or rented to you and shown in the written contract or written agreement; Schedule;or and FormHS24800713 Page oft © 2013,The Hartford (Includes copyrighted material of Insurance Services Office, Inc.,with its permission.) (c) Prior to the expiration of the period of When You Add Others As An Additional time that the written contract or written Insured To This Insurance agreement requires such insurance (a) Primary Insurance When Required By be provided to the additional insured. Contract (2) Only to the extent permitted by law;and This insurance is primary if you have agreed (3) Will not be broader than that which you in a written contract or written agreement that are required by the written contract or this insurance be primary. If other insurance written agreement to provide for such is also primary, we will share with all that additional insured, other insurance by the method described in With respect to the insurance afforded to the Paragraph(c)below. This insurance does not person(s)or organization(s)that are additional apply to other insurance to which the insureds under this endorsement, the additional insured in the Schedule has been following additional exclusion applies: added as an additional insured. This Insurance does not apply to "bodily (b) Primary And ::Non-Contributory. To Other injury", "property damage" or "personal and Insurance When Required By Contract advertising injury" arising out of the rendering This insurance is primary to and will not seek of, or the failure to render, any professional contribution from any other insurance architectural, engineering or surveying available to an additional insured under your services,including: policy provided that: (1) The preparing, approving, or falling to (i) The additional insured in the Schedule is prepare or approve maps, shop drawings, a Named Insured under such other opinions, reports, surveys, field orders, insurance;and change orders, designs or specifications; (Ii) You have agreed in a written contract or or written agreement that this insurance (2) Supervisory, inspection, architectural or would be primary and would not seek engineering activities. contribution from any other insurance The limits of insurance that apply to the additional available to the additional insured in the Insured shown in the Schedule are described in the Schedule. Limits Of Insurance section. (c) 'Method Of Sharing How this insurance applies when other insurance is If all of the other insurance permits available to the additional insured is described in the contribution by equal shares, we will follow Other Insurance Condition in Section IV — this method also. Under this approach, each Commercial General Liability Conditions,except as insurer contributes equal amounts until it has otherwise amended below. paid its applicable limit of Insurance or none of B. With respect to insurance provided to the the loss remains,whichever comes first. person(s) or organization(s) that are additional If any of the other insurance does not permit insureds under this endorsement, the When You contribution by equal shares, we will Add Others As An Additional Insured To This contribute by limits. Under this method, each Insurance subparagraph, under the Other insurer's share is based on the ratio of its Insurance Condition of Section IV—Commercial applicable limit of insurance to the total General Liability Conditions is replaced with the applicable limits of Insurance of all insurers. following: All other terms and conditions in the policy remain unchanged. Page 2 of 2 Form HS 24 80 07 13 1 , 72UEAC13429 COMMERCIAL AUTOMOBILE HA 99 16 12 21 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 e. Employees as Insureds Paragraph .1. - WHO IS AN INSURED - of (1). Any "employee" of yours while using a Section II - Liability Coverage is amended to covered "auto" you don't own, hire or add the following: borrow in your business or your d. Subsidiaries and Newly Acquired or personal affairs. Formed Organizations f. Lessors as Insureds The Named Insured shown in the (1).The lessor of a covered "auto"while the Declarations is amended to include: "auto" is leased to you under a written (1) Any legal business entity other than a agreement if: partnership or joint venture, formed as a (a) The agreement requires you to subsidiary in which you have an provide direct primary insurance for ownership interest of more than 50% on the lessor and the effective date of the Coverage Form. (b) The "auto" is leased without a However, the Named Insured does not driver. include any subsidiary that is an "insured" under any other automobile Such a leased "auto" will be considered a policy or would be an "Insured" under covered "auto" you own and not a covered such a policy but for its termination or "auto"you hire. the exhaustion of its Limit of Insurance. g. Additional Insured If Required by Contract (2) Any organization that is acquired or (1) When you have agreed, in a written formed by you and over which you contract or written agreement, that a maintain majority ownership. However, person or organization be added as an the Named Insured does not include any additional insured on your business auto newly formed or acquired organization: policy, such person or organization is an (a) That is a partnership or joint "Insured", but only to the extent such person or organization is liable for venture, "bodily injury" or "property damage" (b) That is an "insured"under any other caused by the conduct of an "insured" policy, under paragraphs a. or b. of Who Is An (c) That has exhausted Its Limit of insured with regard to the ownership, Insurance under any other policy,or maintenance or use of a covered"auto." (d) 180 days or more after its The insurance afforded to any such acquisition or formation by you, additional Insured applies only If the unless you have given us notice of "bodily injury" or "property damage" the acquisition or formation. occurs: • Coverage does not apply to "bodily (a) During the policy period,and injury" or"property damage" that results (b) Subsequent to the execution of such from an "accident" that occurred before written contract, and you formed or acquired the organization. Form HA 99 1612 21 Page 1 of 5 ©2021,The Hartford (Includes copyrighted material of Insurance Services Office, Inc.with its permission.) (c) Prior to the expiration of the period This insurance is primary if you have of time that the written contract agreed in a written contract or written requires such insurance be provided agreement that this insurance be to the additional insured. primary. If other Insurance is also (2) How Limits Apply primary, we will share with all that other If you have agreed In a written contract insurance by the method described in Other Insurance 5.d. or written agreement that another person or organization be added as an (2) Primary And Non-Contributory.To Other additional insured on your policy, the Insurance When Required By Contract most we will pay on behalf of such If you have agreed In a written contract additional insured is the lesser of: or written agreement that this insurance (a) The limits of Insurance specified in is primary and non-contributory with the the written contract or written additional insured's own insurance, this • agreement;or insurance Is primary and we will not (b) The Limits of Insurance shown in seek contribution from that other insurance. the Declarations. Such amount shall be a part of and not Paragraphs (1) and (2) do not apply to other Ininsurance to which the additional insured addition to Limits of Insurance shown has been added as an additional insured. in the Declarations and described in this Section. When this insurance is excess, we will have no duty to defend the insured against any (3) Additional Insureds Other Insurance "suit" if any other insurer has a duty to If we cover a claim or "suit" under this defend the insured against that "suit". If no Coverage Part that may also be covered other insurer defends, we will undertake to by other Insurance available to an do so, but we will be entitled to the insured's additional insured, such additional rights against all those other Insurers. insured must submit such claim or"suit" When this insurance is excess over other to the other insurer for defense and insurance, we will pay only our share of the indemnity. amount of the loss, if any, that exceeds the However, this provision does not apply sum of: to the extent that you have agreed in a (1) The total amount that all such other written contract or written agreement insurance would pay for the loss in the that this insurance is primary and non- absence of this insurance;and contributory with the additional insured's own insurance. (2) The total of all deductible and self- (4) Duties in The Event Of Accident, Claim, insured 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 • or written agreement that another the method described in SECTION IV- person or organization be added as an Business Auto Conditions, B. General Conditions, Other Insurance 5.d. additional Insured on your policy, the additional Insured shall be required to 3. AUTOS RENTED BY EMPLOYEES comply with the provisions in LOSS Any "auto" hired or rented by your "employee" CONDITIONS 2. - DUTIES IN THE on your behalf and at your direction will be EVENT OF ACCIDENT, CLAIM , SUIT considered an"auto"you hire. OR LOSS — OF SECTION IV — The SECTION IV- Business Auto Conditions, B. BUSINESS AUTO CONDITIONS, in the General Conditions, 5. OTHER INSURANCE same manner as the Named insured. Condition is amended by adding the following: 2. Primary and Non-Contributory If e. If an "employee's" personal insurance also Required by Contract applies on an excess basis to a covered Only with respect to insurance provided to "auto"hired or rented by your"employee"on an additional insured in A.1.g. - Additional your behalf and at your direction, this Insured If Required by Contract, the insurance will be primary to the following provisions apply: "employee's"personal insurance. (1) Primary Insurance When Required By Contract Page 2 of 5 Form HA 99 16 12 21 4. AMENDED FELLOW EMPLOYEE EXCLUSION obligation for any difference between the actual EXCLUSION 5. - FELLOW EMPLOYEE - of cash value of the"auto" at the time of the "loss" SECTION II - LIABILITY COVERAGE does not and the"outstanding balance"of the loan/lease. apply if you have workers' compensation "Outstanding balance" means the amount you insurance in-force covering all of your owe on the loan/lease at the time of"loss" less "employees". any amounts representing taxes; overdue Coverage Is excess over any other collectible payments; penalties, interest or charges insurance, resulting from overdue payments; additional 5. HIRED AUTO PHYSICAL DAMAGE COVERAGE mileage charges; excess wear and tear charges; lease termination fees; security deposits not If hired "autos" are covered "autos" for Liability returned by the lessor; costs for extended Coverage and if Comprehensive, Specified warranties, credit life Insurance, health,accident Causes of Loss, or Collision coverages are or disability insurance purchased with the loan provided under this Coverage Form for any or lease;and carry-over balances from previous "auto" you own, then the Physical Damage loans or leases. Coverages provided are extended to"autos"you 8. AIRBAG COVERAGE hire or borrow,subject to the following limit. Under Paragraph- B. EXCLUSIONS - of The most we will pay for "loss" to any hired SECTION III PHYSICAL DAMAGE "auto"is: COVERAGE,the following is added: (1) $100,000; The exclusion relating to mechanical breakdown (2) The actual cash value of the damaged or does not apply to the accidental discharge of an stolen property at the time of the"loss";or airbag. (3) The cost of repairing or replacing the 9. ELECTRONIC EQUIPMENT - BROADENED damaged or stolen property, COVERAGE whichever is smallest, minus a deductible. The a. The exceptions to Paragraphs B.4 - deductible will be equal to the largest deductible EXCLUSIONS - of SECTION III - PHYSICAL applicable to any owned "auto" for that DAMAGE COVERAGE are replaced by the coverage. No deductible applies to "loss" following: caused by fire or lightning. Hired Auto Physical Exclusions 4.c. and 4.d. do not apply to Damage coverage is excess over any other equipment designed to be operated solely by collectible insurance. Subject to the above limit, use of the power from the "auto's" electrical deductible and excess provisions, we will system that,at the time of"loss",is: provide coverage equal to the broadest coverage applicable to any covered "auto" you (1) Permanently installed in or upon the own covered"auto"; We will also cover loss of use of the hired "auto" (2) Removable from a housing unit which is if it results from an "accident", you are legally permanently Installed In or upon the liable and the lessor incurs an actual financial covered"auto"; loss, subject to a maximum of $1000 per (3) An integral part of the same unit housing "accident", any electronic equipment described in This extension of coverage does not apply to Paragraphs(1)and (2)above;or any "auto" you hire or borrow from any of your (4) Necessary for the normal operation of the "employees", partners (if you are a partnership), covered "auto" or the monitoring of the members (if you are a limited liability company), covered"auto's"operating system. or members of their households. b. Section III, Physical Damage Coverage, 6, PHYSICAL DAMAGE - ADDITIONAL Limit of Insurance, Paragraph C.2. is TEMPORARY TRANSPORTATION EXPENSE amended to add the following: COVERAGE $1,500 is the most we will pay for"loss" in Paragraph A.4.a. of SECTION III - PHYSICAL any one "accident" to all electronic DAMAGE COVERAGE is amended to provide a equipment (other than equipment designed limit of $50 per day and a maximum limit of solely for the reproduction of sound, and $1,000. accessories used with such equipment) that 7. LOAN/LEASE GAP COVERAGE reproduces, receives or transmits audio, Under SECTION III - PHYSICAL DAMAGE visual or data signals which, at the time of "loss",is: COVERAGE, in the event of a total "loss" to a covered "auto", we will pay your additional legal FormHA99161221 Page3of5 (1) Permanently installed in or upon the (2) A partner, if you are a partnership; covered "auto" in a housing, opening or (3) A member, if you are a limited liability other location that Is not normally used company; or by the "auto" manufacturer for the installation of such equipment; (4) An executive officer or insurance manager, If you are a corporation. (2) Removable from a permanently installed 14. UNINTENTIONAL FAILURE TO DISCLOSE housing unit as described in Paragraph HAZARDS 2.a. above or is an integral part of that equipment; or If you unintentionally fail to disclose any hazards (3)An Integral part of such equipment. existing at the inception date of your policy, we will not deny coverage under this Coverage c. For each covered "auto", should loss be Form because of such failure. limited to electronic equipment only, our 15. HIRED AUTO-COVERAGE TERRITORY obligation to pay for, repair, return or replace damaged or stolen electronic equipment will SECTION IV, BUSINESS AUTO CONDITIONS, be reduced by the applicable deductible PARAGRAPH B. GENERAL CONDITIONS, 7. - shown in the Declarations, or $250, POLICY PERIOD, COVERAGE TERRITORY - whichever deductible is less. is added to include the following: 10. EXTRA EXPENSE - BROADENED (6) For short-term hired "autos", the coverage COVERAGE territory with respect to Liability Coverage Is Under Paragraph A.-COVERAGE-of SECTION anywhere in the world provided that if the III - PHYSICAL DAMAGE COVERAGE, we will "insured's"responsibility to pay damages for pay for the expense of returning a stolen covered "bodily injury" or "property damage" is "auto"to you. determined in a "suit,"the"suit" is brought in 11. GLASS REPAIR-WAIVER OF DEDUCTIBLE the United States of America, the territories and possessions of the United States of Under Paragraph D. - DEDUCTIBLE - of America, Puerto Rico or Canada or in a SECTION III-PHYSICAL DAMAGE COVERAGE, settlement we agree to. the following is added: 16. WAIVER OF SUBROGATION No deductible applies to glass damage If the Paragraph 5. TRANSFER OF RIGHTS OF glass is repaired rather than replaced. RECOVERY AGAINST OTHERS TO US - of 12. TWO OR MORE DEDUCTIBLES SECTION IV- BUSINESS AUTO CONDITIONS Under Paragraph D. - DEDUCTIBLE - of A. Loss Conditions is amended by adding the SECTION III-PHYSICAL DAMAGE COVERAGE, following: the following is added: We waive any right of recovery we may have If another Hartford Financial Services Group, against any person or organization with whom Inc. company policy or coverage form that is not you have a written contract that requires such an automobile policy or coverage form applies to waiver because of payments we make for the same"accident",the following applies: damages under this Coverage Form. (1) If the deductible under this Business Auto 17. RESULTANT MENTAL ANGUISH COVERAGE Coverage Form is the smaller (or smallest) The definition of"bodily injury" in SECTION V- deductible, it will be waived; DEFINITIONS, C.is replaced by the following: (2) If the deductible under this Business Auto "Bodily injury" means bodily injury, sickness or Coverage Form Is not the smaller (or disease sustained by any person, including smallest) deductible, it will be reduced by mental anguish or death resulting from any of the amount of the smaller (or smallest) these. deductible. 18. EXTENDED CANCELLATION CONDITION 13. AMENDED DUTIES IN THE EVENT OF Paragraph 2, of the COMMON POLICY ACCIDENT,CLAIM,SUIT OR LOSS CONDITIONS - CANCELLATION - applies The requirement In LOSS CONDITIONS 2.a. - except as follows: DUTIES IN THE EVENT OF ACCIDENT, If we cancel for any reason other than CLAIM, SUIT OR LOSS - of SECTION IV - nonpayment of premium, we will mail or deliver BUSINESS AUTO CONDITIONS that you must to the first Named Insured written notice of notify us of an "accident" applies only when the cancellation at least 60 days before the effective "accident"is known to: date of cancellation. (1) You, if you are an Individual; Page 4 of 5 Form HA 99 16 12 21 19. HYBRID, ELECTRIC, OR NATURAL GAS b. A"hybrid"auto Is defined as an auto with an VEHICLE PAYMENT COVERAGE internal combustion engine and one or more In the event of a total loss to a "non-hybrid"auto electric motors; and that uses the internal for which Comprehensive, Specified Causes of combustion engine and one or more electric Loss, or Collision coverages are provided under motors to move the auto, or the Internal this Coverage Form, then such Physical combustion engine to charge one or more Damage Coverages are amended as follows: electric motors,which move the auto. a. If the auto is replaced with a"hybrid"auto or 20. VEHICLE WRAP COVERAGE an auto powered solely by electricity or In the event of a total loss to an"auto"for which natural gas, we will pay an additional 10%, Comprehensive, Specified Causes of Loss, or to a maximum of$2,500, of the"non-hybrid" Collision coverages are provided under this auto's actual cash value or replacement Coverage Form, then such Physical Damage cost,whichever is less, Coverages are amended to add the following: b. The auto must be replaced and a copy of a In addition to the actual cash value of the"auto", bill of sale or new lease agreement received we will pay up to $1,000 for vinyl vehicle wraps by us within 60 calendar days of the date of which are displayed on the covered "auto"at the "loss," time of total loss. Regardless of the number of c. Regardless of the number of autos deemed autos deemed a total loss, the most we will pay a total loss, the most we will pay under this under this Vehicle Wrap Coverage provision for Hybrid, Electric, or Natural Gas Vehicle any one "loss" is $5,000. For purposes of this Payment Coverage provision for any one coverage provision, signs or other graphics "loss"is$10,000. painted or magnetically affixed to the vehicle are For the purposes of the coverage provision, not considered vehicle wraps. a. A "non-hybrid" auto is defined as an auto that uses only an internal combustion engine to move the auto but does not include autos powered solely by electricity or natural gas. Form HA 99 16 12 21 Page 5 of 5 ' Policy Number:72WEAAT6WEH WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER. INSURED COPY ;, CITY OF HUNTINGTON BEACH L ,J 4 BUSINESS LICENSE P.O.Box 190 Huntington Beach,CA 92648-2702 f,f (714)536-5267 Sunny Han Chief Financial Officer ENE HNY1016A 4000000328 321/1 imm 1111r11l11d11lilh111111i1l1l11lll1111lumld11111111ild11i1l {, NOBEST INC P 0 BOX 874 7z:kf WESTMINISTER CA 92684-0874 Dear Business Owner: Thank you for your payment. Attached is your City of Huntington Beach Business License certificate. Please note that approximately one month prior to the license expiration date,you will be mailed a renewal notice for the upcoming year. If for any reason your renewal notice does not arrive,you are still responsible for renewing and paying your business license prior to the expiration date. Penalties will be incurred if the payment is not received by the expiration date. Please post the business license in public view. If you do not transact business from a fixed location within the City,you must carry this license with you at all times. If a vehicle license plate number is displayed on the Business License certificate below,you must carry a copy of the certificate in that vehicle. Please contact the Business License office if there are any changes to:ownership, address, business name,business vehicle,or type of business conducted.Additionally,please notify our office if you discontinue your business. The Gender Tax Repeal Act of 1995(Act)prohibits a business from discriminating based on a person's gender for prices of similar or like-kind goods and services. However,the Act does not prohibit price differences based on the amount of time,difficulty,or cost of providing the services. In addition to prohibiting discrimination based on a person's gender,the Act requires certain businesses to clearly and conspicuously disclose to customers in writing the pricing for each standard service provided.The posting requirement applies to barbers and hair salons,tailors or businesses providing aftermarket clothing alterations,dry cleaners,and laundries providing services to individuals.To access the Department of Consumer Affairs publication,please use the following webpage: https://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 A186848 NOBEST INC ©� ll�11 NGTo Effe1ctive 1 2023 Date Owner/Corporation 7f `�;�y Expiration Date L NODLAND/R NODLAND �" --- „= 2 10/31/2024 License Type .FB t)73A9 �\`O�0 Amount Paid CONTRACTOR ©UNTY Cir $110.80 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. • - Bid Bond Bid Bond Number:CSBA-25463 CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status andprincpalplace of business) Nobest Incorporated Merchants Bonding Company(Mutual) 7600 Acacia Ave. 6700 Westown Parkway Garden Grove,CA 92841 West Des Moines,IA 50266 • OWNER This document has important legal • (Name,legal status and address) consequences.Consultation with City of Huntington Beach An attorney is encouraged with respect i 2000 Main Street its completion or modification. Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. • BOND AMOUNT: Ten Percent(10%)of Amount Bid PROJECT:Zone 1 Curb Ramp Installation,CC No.1742 Project Number,if any: • The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waives of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. • If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 14th day of November,2023 Nobest Incorporated • GY (Principal) (Sea Fit ess) �` (Title) enchant Bon o an utu (Su • (Seal) • NODC—C-CrO ([Fitness)Melissa Ann Vaccaro (Title) zelle Ostrom, ttorney-in-Fact • • By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP)(www.nasbp.Org) makes this form document available to its members,affiliates,and • NASBP associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that • the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of • • its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. NOTARY CERTIFICATE Subscribed and sworn to before me this¢day of 4vU e be( ,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 Cali fOPni a ) County of ©rtt,•Age ) On/V9✓t.u6er .11JJ7, Xv1-3 before me, V;✓;; 60e ',Jam / N8ni kip Month,Day, and Year Insert Name and Title of Notary personally appeared J%LLrr'J /Vames) 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. VIVI GOENAWAN WITNESS my hand and official sea Commission#2408442 m qdtto; NotaryPublic-California 1,, ► ORANGE County 1 My Co=m.Expires JULY 15,20261 Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 I. r , • • ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) • On 11/14/2023 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Shaunna Rozelle Ostrom who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. . MELISSAANNVACCARO coMM.'#2401942 to w ate,. Notary Publlc-Callfornla C ' �My Comm,Expires May v 2026 Yin.ar t Signature QCCOND (Seal) Melissa Ann Vaccaro ME RCF T� `, Bond No.CSBA-25463 BONDING COMPANY., POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.; both being corporations of the State of Iowa,d/b/a Merchants National Indemnity Company(in Califomia.only)(herein collectively called the "Companies")do hereby make,constitute and appoint,individually, Adrian Langrell;Arturo Ayala;Ben Stong;Benjamin Wolfe;Chelsea Liberatore;Daniel Huckabay;Dwight Reilly;Frank Morones;Michael D Stong; R Nappi;Shaunna Rozelle Ostrom their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, . contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." • 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. . In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of December , 2022 • .t••""'",. .••-••. MERCHANTS BONDING COMPANY(MUTUAL) ..163%0NA<•••., ' •;•'09 CO4••° MERCHANTS NATIONAL BONDING,INC. ��. . KPOR '0% ,o* RPO Z: .i•• dib/a MERCHANTS NATIONAL INDEMNITYref 7,::,_.COMPANY .7,4...„ =i :z' ••a=` 1933 �' By ••...it.........•.ot,,.. ••..4f/.A. •••%.1\ President STATE OF IOWA 4...,;.■.*.n•.... ••• COUNTY OF DALLAS ss. On this 6th day of December 2022 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed•to the foregoing instrument are the Corporate Seals of the Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. Ea Km. o Commissionrier702737 i w. Nur My C©mm•sxxi Expires • itipoa. Apn114,2024 . Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 14th day of November ,2023 ...le...•... .•._••.' °y :C. o: • 2� RP09 '� `%ems • Z:2 4S-107 .:y.:= yam; `• 2003 -• ,'fri.r_ e// -a- 11"•-...: a0/010"1,-":0,ar. ,Q` 1933 .C` Secretary • 0• •_ • POA 0018 (10/22) - • . OBEST IIN . RPORATED .w �h. r,, n;P "BOX 874 ` R W'8TMINSTER CA 92684-0874 . r . r' �'-a's `y" r rF' K, �„ A d►1 ,• aaw'4 vs .. ,: c -.- -nxar+w><r rr's-e -.' ,e,a:: -s,.�"e'.„- -Nw4en -er -Y:�r'Th a'oy ., y '+v :t1 -v NC ty *._s --1- s-3 _.. • '„t-, a r _ , �� A a • w F Y M d Ttw 1 x y .-' *i5 • * �� ; r.s aA � •- _' � e � Jro -•,.. µ a'k3 ° z12 ' _�e'; % . .s•h + - ,A • � . ' fi A',�4c3i...'` t'^' ,. . 's'4 •-• qyG a .* : F - ,t ..'' - • ' ..e 'PBf' r` y af.'x+' '"-1> 1°" r_ ' ,< ,dam`v .,,,>*c^ 4' • • Irifr r•zs �•., [/.. 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' > .- :1h s,,:,:: ,le s. ..�.. : - , .: ,.+. .. ._�<..'a.,;;-Y' � � f.yam! a ;;: -»w::'ar ���`?� ,:.t. ..Y;, it t.;: 11e..'-i.-.,t .,: 'ire r " a- '."f < - i '" P.i'"_ an • .' > j�_' �yi "� 1• 1�- «aM1r..� ti -* 'a` 'car," ," « _ : y Mt :: «�.S' �• /I� it' -, -'R'-:r-'i+.,ir '�js.4V..r 4i.,.. -. ,.�K'-K vv $ F r ",.4.-- .- b Y :� • 'yw :. .a.., 'a ,d.. t '!,e-,.__:.cr2 +4 4t; °� `c. ++.;+..,. }�� „.; AR",}h _..-. ffib1„±TJr, — -_ µa. T /'flat`- / _ '} x �,. 632'Au-.. le.,,, 5 .may 14rrre:Avgb.--,£ �' 'A ;, <'>+r} '.- +'�'fi^3 aw '�°r `s F '"r $,- f ->r; - _ - •. iw - 1.1 tea„.. > - ,s -t yr • .. ., . 4 t _ uT b r.H ea � s. e te w 3'- , •, .. w7. cc- -' tt wa<+t. W ar r�o ar r a b . r _ -_: `` vm'' r.� •Y'E' �'�-,.%+ � "- -<+ ,4--'w • .• Y v< b"a l.� 'l�A�tWt cA• .D.'F 'g�f`-'Ma '1 .I FSYiT h�1(d11L�i _ 1 `. �� ( 7-aW�� L , . t I .. . /{ �s� _. >/ 20 ,3 a I//`Jl� JVJ/VY j� A a -•,.-: -._-..---...- -- .., , . .. _ , _ {✓ i I - 1 I • I i - I - iNG City of :' untington Beach TO fl9f °ca=osa` �✓ �)�,� =„ �9 1 2000 Main Street ♦ Huntington Beach, CA 92648 y ' _ - -_- .y (714) 536-5227 • www.huntingtonbeachca.gov "F• -= �o���� Office of the City Clerk coUNTY O\"." Robin Estanislau, City Clerk March 14, 2024 Nobest, Inc. Attn: Mickey Lewis P.O. Box 874 Westminster, CA 92684-5583 Re: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 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. Sincek 9,64741.4.0 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: 3/11-1/2-11 SUBJECT: Bond Acceptance I have received the bonds for N D -V" (Company Name) CAPITAL PROJECTS (Includes CC's and MSC's) Performance Bond No. 1 OD 3 U 5-(poI l.O Payment Bond(Labor and Materials) Bond No. 1 PD3L5(M1, Warranty or Maintenance Bond No. TRACT AND DEVELOPMENT Faithful Performance Bond No. Labor and Material Bond No. Guarantee and Warranty Bond No. • Monument Bond No. Franchise Bond No. Letter of Credit Bond No. Other Re: Tract No. Approved 24 2o1 zi) (Council Approval Date) CC No. I Pi Agenda tttern No. .2N- f L) MSC No. City Clerk Vault No. D n- 50 Other No. SIRE System ID No. 105%I S59-- g:/forms/bond transmittal to treasurer f,Y...�.yK. AATINGrpy± 2000 Main Street, Huntington Beach,CA 92648 �-- City of Huntington Beach APPROVED 6-0-1 F�oUNry cP����' (MCKEON—ABSENT) File #: 24-094 MEETING DATE: 2/20/2024 REQUEST FOR CITY COUNCIL ACTION SUBMITTED TO: Honorable Mayor and City Council Members SUBMITTED BY: Eric G. Parra, Interim City Manager VIA: Chau Vu, Director of Public Works PREPARED BY: Max Olin, Capital Projects Administrator Subject: Accept the lowest responsive and responsible bid and authorize execution of a construction contract with Nobest, Inc. in the amount of $315,000 for the Residential Zone 1 Curb Ramp Project, CC-1742 Statement of Issue: On November 28, 2023, bids were publicly opened for the Residential Zone 1 Curb Ramp Project. City Council action is requested to award the construction contract to Nobest Inc., the lowest responsive and responsible bidder. Financial Impact: The total cost of the project, including contingency and supplemental expenses, is $388,900. Funds for this project are available in the current fiscal year budget in the Measure "M" Account 21390035.82300 ($261,402) and CDBG Account 23980358.82300 ($127,498). Recommended Action: A) Accept the lowest responsive and responsible bid submitted by Nobest Inc. in the amount of $315,000; and, B) Authorize the Mayor and City Clerk to execute a construction contract in a form approved by the City Attorney. Alternative Action(s): Reject all bids, and direct staff accordingly. Analysis: The Residential Zone 1 Curb Ramp project consists of installing curb ramps predominately in Maintenance Zone 1 (Attachment 1) to facilitate ongoing compliance with the Americans with Disabilities Act (ADA). This project will occur in coordination with the City's annual pavement City of Huntington Beach Page 1 of 2 Printed on 2/14/2024 power LegistarTM File #: 24-094 MEETING DATE: 2/20/2024 maintenance project in Zone 1 where 60 street segments that require rehabilitation will be overlaid with new asphalt. Bids were publicly opened on November 28, 2023, with the following results: BIDDER'S NAME BID AMOUNT Nobest Inc. $315,000.00 Garcon Construction $357,973.00 Addison-Miller Inc. . $368,900.00 Aster Construction Services $376,900.00 Onyx Paving Company $396,000.00 Leonida Builders Inc $408,600.00 CT&T Concrete Paving Inc. $426,000.00 We R Builders, Inc. $440,250.00 ANEEN CONSTRUCTION, INC. $450,700.00 Gentry General Engineering, Inc. $756,130.00 TVR Construction Engineering LLC Non-Responsive Nobest Inc. has provided acceptable experience on similar projects in the past. Therefore, staff recommends awarding a contract to Nobest Inc. in the amount of $315,000. The total cost of the project is $388,900 and includes the construction contract of $315,000 plus ten percent (10%) construction contingency of $31,500and supplemental expenses of $42,400 for inspection and labor compliance. The engineer's estimate for this project was $400,000. The total cost of the project, including contingency and supplemental expenses, is as follows: Project Costs: Construction Contract $315,000 Construction Contingency (10%) $31,500 Soft Cost(Inspection, labor compliance) $42,400 Total $388,900 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. Strategic Plan Goal: Non Applicable - Administrative Item Attachment(s): 1. Vicinity Map 2. PowerPoint Presentation City of Huntington Beach Page 2 of 2 Printed on 2/14/2024 power LegistarTM /��''"''1��► Zone 1 Residential Curb RampProject frir J TIN ,‘‘\ G r 111 • • • ► .••�. C4RP DRAT O'•• s%*< -� /� o, oat • '�� y • \ Mc£AOORI AVE. _� In 11-1 i r //! r•. r p. . CI) 4 ♦\ 14nRNER AVE. \.:71 SIR ER AVE. ,\ FRT A • D • GAR Jr To C2 \ • • 11111" St 4 \ 4\ir, g \ c;s �r \, 4111Urno, A,.. 4)0 • •:<0. I 4 */ • 4.41‘ ,447? •''' 7' Seib* •••• P�QgCI 4 QGAIlol1 \ ♦ • , `� ` /0 ou�nFr consmuaron mums f CO \V NV a6i 47T q],ayd 47� ZONE 1 RESIDENTIAL OVERLAY PROJECT C PROJECT LOCATION MAP N TCITY HUNTINGTON OF U 'VGTON BEACH 1111W-41111." ` DEPARTMENT OF PUBLIC WORKS t of I f 646 Residential Zone Maintenance Program 5�r_ Public Works Residential Paving ...' 'f ��`�'�� 7 �,• Maintenance Zones ��" 4'" City of Huntington Beach g�„°� �t : Phases within program l . 41iu`' .,, ` 1 lc 1 ` 1{ • Tree Maintenance - Fall ��, > �l t R1S`7 A.Z, ..'. r A.„1 a ice, r A fi . . 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Y * 1 ^� •��, \ tNtRn J Zanar�ffi&a _vumcev.a� P,S ie. y.t ` • _ we rams» Masly.. r r-n t, .. _ >- MI zmoelswss+ s _ I Ztxp.l�Q11j� O • 6"„l' Zre to120]Z - • { \ � � �j 7:�'f= a!Zae IYl29l1.2t OZC.11II�• _. _ L . , Cry>;dm l]12tiY•35 Melnlenallto Zone NUlnQ•I• \ •• .. • \ , _ 0UNT`I C',l# 647 Zone I Residential Curb Q��P Ramp Project ; mg A 3 x ` U �U r • SfAa t'E 01) 4 T z w • This project consists of approx. 35 curb -.. 4,L \ 1 access ramps (comply with the American � �-.4`"� , p C pYire Disabilities Act - ADA). i- i'� • Includes ramps for streets to be paved within `�',�. *1 AVE ° FROJFCT LOCATION ``,� c'£' f q zone 1 _PZMAr W 11uam 4r.t4l"(F ZONE 1 RESIDENTIAL OVERLAY PROJECT PROJECT LOCATION MAP �� CITY OF RJNTINCTON BEACH Fa DEPARTMENT OF PUBLIC WORKS I OF 1 il�UNTINGT f0 <<II* ,o Q` .-•.ItORPORA1 I.�.& f ,•'�----- -v__- •.V" t rlit I. • 0 �©• �, tt 0Arif oUNTN I 648 Zone I Resid ential Curb RampProject Curb Ramp Construction . Completed Curb Ramp ., 1 - .- .. 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BANNING \ � A Oqq0i,�. r AVE. 14, PROJECT LOCATION ti \ OVERLAY CONSTRUCTION INCLUDES N / REPORTING DISTRICT'S (RD) 433, \ / 442, 443, 452, 453, 462, 463, 464, 472, 473, and 474. — _ .--- ZONE 1 RESIDENTIAL OVERLAY PROJECT PROJECT LOCATION MAP 'A• p CITY OF HUNTINGTON BEACH es'' P DEPARTMENT OF PUBLIC WORKS 1 OF 1 �v/urn, /0/25--/3 f6;&h/'4,, /i/2/23 /1/4/23 SECTION A /i//lv/23 NOTICE INVITING ELECTRONIC BIDS for the construction of Zone 1 Curb Ramp Installation CC No. 1742 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites electronic bids for the above stated project and will receive such bids prior to 10:00 AM on Tuesday,November 28,2023,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 bid on this project via the City's PlanetBids System Vendor Portal website at: https://www.planetbids.com/portal/portal.cfm?CompanyID=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 deduct 5% retention from all progress payments. The Contractor may substitute an escrow holder surety of equal value to the retention in accordance with the provisions of the Public Contract Code, Section 10263. The Contractor shall be beneficial owner of the surety and shall receive any interest thereon. The AGENCY hereby affirmatively ensures that minority business enterprises will be afforded full opportunity to submit bids in response to this notice and will not be discriminated against on the basis of race,color,national origin,ancestry,sex,or religion in any consideration leading to the award of contract. No bid shall be considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined by the AGENCY.The bid must be accompanied by a certified check, cashier's check, or bidder's bond made payable to the AGENCY for an amount no less than 10% of the amount bid. For electronic submittal of bids, the bid security must be received at the City of Huntington Beach Public Works Office,2000 Main Street,no later than the bid opening date and time.The bid security must be submitted in a sealed envelope bearing the name and address of the bidder, and the outside of the envelope must read as follows: OFFICIAL BID SECURITY- DO NOT OPEN Project Name: Zone 1 Curb Ramp Installation CC #: 1742 Bid Opening Date: November 28, 2023 at 10:00 AM. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State.Contractor's.License Class A, at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension,the unit price will govern. Project Description: This project will provide the construction of curb access ramps and truncated domes to existing ramps throughout the city. These locations are prioritized from a list compiled by Public Works staff,based on requirements for.the upcoming residential pavement management project and public requests. The proposed locations are listed in the Appendix along with Contractor guidelines and provisions to meet all Federal requirements. The contract shall allow the Contractor 30 working days to complete the contract. The Notice of Proceed will be issued no later than Monday, February. 5, 2024 and the working days will commence for this project. All questions related to this bid solicitation must be submitted through the City's PlanetBids System Vendor Portal per the information provided in the Instructions to Bidders. Any other contact to City staff regarding this bid solicitation will be referred back to the PlanetBids system. The AGENCY reserves the right to reject any or all bids, to waive any irregularity and to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA,the 29th day of June 2020,by Resolution No. 2020-39. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Column OFFICIAL AD PROOF This is the proof of your ad scheduled to run in Huntington Beach Wave on the dates indicated below. If changes are needed, please contact us prior to deadline at (714) 796-2209. Notice ID:ezx0nrA37pD4GA5irNtn I Proof Updated: Oct.25,2023 at 11:33am PDT Notice Name: NIEB CC No. 1742 I Publisher ID:0011630797 FILER FILING FOR See Proof on Next Page Donna Switzer Huntington Beach Wave donna.switzer@surfcity-hb.org (714)374-1649 Columns Wide: 5 Ad Class: Legals 11/02/2023:City Notices 752.88 11/09/2023:City Notices 752.88 11/16/2023:City Notices 752.87 Subtotal $2258.63 Tax% 0 Total $2258.63 NIEB CC No. 1742 - Page 1 of 3 SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of Zone 1 Curb Ramp Installation CC No.1742 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GiVEN that the CITY OF HUNTINGTON BEACH, as AGENCY,-invites electronic bids for the above stated proiect and will receive such bids prior to 10:00 AM on Tuesday,November 28,2023,on the City's Planetbics System Vendor Portal,at which tine or thereafter bids will he opened and made available online.Bids received after this time will be considered non-responsive:-Prospective bidders must first register as a vendor and then:bid on this proiect via the City's PlanetBids System Vendor Portal website.at: https://www.planetblds.com/portal/portal.cfm?Company I D=15340 Copies of the bid documents, Including instructions to bidders,bidder proposal form; and specifications may be downloaded free at: https:j/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 pr_ospective 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. Pursuantfothe 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.atthe 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:Zone 1 Curb Ramp Installation CC#:1742 Bid Opening Date:November 28,2023 at 10:00 AM. The successful bidder shall be licensed In accordance with provisions of the Business and Professions Code and shall possess a State Contractors License Class A,at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY.All extension of unit prices will be 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: This Protect will provide the construction of curb access ramps and truncated domes to existing ramps throughout the city. These locations are prioritized from a list compiled by Public Works staff, based on requirements for the upcoming residential pavement management protect and public requests.Tile proposed locations are listed in'the Appendix along•with Contractor guidelines and provisions to meet all Federal requirements. The contract shall allow the Contractor 30 working days to complete the contract. The Notice of Proceed will be issued no later than Monday,February 5,2024 and the working days will commence for tills protect. • All questions related to this bid solicitation must be submitted through tile 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 PlanetBids system. Tile AGENCY reserves the right to relect any or all bids,to waive any irregularity and NIEB CC No. 1742 - Page 2 of 3 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 29th clay of June 2020,by Resolution No.2020-39. Attest: • /s/Robin Estanlslau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Huntington Beach Wave Published:11/2,11/9,11/16/23 NIEB CC No. 1742 - Page 3 of 3 INCLUDES THE FOUNTAIN Alyints....._ VALLEY VIEW 1920 Main St. Suite 225, Irvine Irvine, California 92614 (714)796-2209 legals@inlandnewspapers.com City of Huntington Beach-City Clerk's Office 2000 Main Street Huntington Beach, California 92648 Account Number: 5272431 Ad Order Number: 0011630797 Customer's Reference/PO Number: Publication: Huntington Beach Wave Publication Dates: 11/02/2023, 11/09/2023 and 11/16/2023 Total Amount $2258.63 Payment Amount: $0.00 Amount Due: $2258.63 Notice ID: ezx0nrA37pD4GA5irNtn Invoice Text: SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of Zone 1 Curb Ramp Installation CC No. 1742 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH,as AGENCY, invites electronic bids for the above stated project and will receive such bids prior to 10:00 AM on Tuesday, November 28,2023, 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 bid 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 deduct 5%retention from all progress payments.The NIEB CC No. 1742 - Page 1 of 3 See Proof on Next Page INCLUDES THE . e FDUNTNN ..Mi‘illyels...... VRLLET VIEW Huntington Beach Wave 1920 Main St.Suite 225,Irvine Irvine,California 92614 (714)796-2209 2000 Main Street Huntington Beach,California 92648 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA County of Orange County I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years,and not a party to or interested in the above-entitled matter. I am the principal clerk of the Huntington Beach Wave, a newspaper that has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange County, State of California, on July 1, 1998, Case No. A-185906 in and for the City of Irvine, County of Orange County, State of California; that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates,to wit: 1110212023, 11/0912023, 1111612023 I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim,Orange County,California,on Date: Nov 16,2023. ekia.. .. (y,,,,_00, Signature NIEB CC No. 1742 - Page 1 of 3 SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of - Zone 1 Curb Ramp Installation CC No.1742 in the CITY:OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY 'OF HUNTINGTON BEACH, as AGENCY,.invites electronic bids for:the above stated protect and will receive such.bids prior to 10:00 AM on Tuesday,November 28;2023,on the City:'s PlarietBlds System Vendor Portal,atwhlch time or thereafter bids will be opened and-made available online.Bids received after this.time will be considered non-responsive:Prospective bidders must first register as a'vendor and then.bid on this protect via the CitY's PlarietBlds System Vendor Portal website.at: https://www.planetblds.com/portal/portal.cfm?CompanyI D=15340 Copies of the bid documents,Including instructions to bidders,bidder proposal form, and specifications may bedownloaded free at: https•//www.planetbids.com/portal/portal.cfm?Company)D=15340.Bidders must first register'as a vendor oh the City:of Huntington Beach PlanetBids system to,view and download the'Contract Documents,to be added to the prospective bidders I lst;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.tothe-provislonsofthe Labor Codeof the Stafeof California, 'theminimum 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.dlr. 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 front 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 tosubmit.bids In response to this notice and will not be ba sis on the of race, color,- national origin, ancestry, sex, or religion in any consideration leading to the award of contract: No bid shall be'considered unless it is prepared on the approved Proposal forms in conformance with the Instructions to Bidders as determined•by the AGENCY. The bid must be accompanied by a certified check, cashiers check,. or bidder's bond made,payable to the AGENCY-for an amount no less than 10%of the amount bid. For electronicsubmtttal of bids,the bid security must be:received atthe City of Huntington Beach Publlc works Office,2000 Main-Street, no.late) than.thebid opening date and time.The bid security must be submitted in a sealed envelope bearing the nameand address of the bidder,and the-outside of the'envelope must read as follows: OFFICIAL BID SECURITY-DO NOT OPEN Project.Name:Zone 1 Curb Ramp Installation CC#:.1742 Bid:Opening-Date:November 28,2023 at 10:00 AM. •The successful bidder shall be licensed in-accordance with provisions of the Business and Professions Code and shall possess a State Contractors License Class A,at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY.All extension of'unit prices will be subiect to verification by the.AGENCY. in case of a variatlon.between the unit price and the extension,the Unit'price will govern. Project.Description:: This prolect'will provide the construction of curb access rampsand truncated domes to existing ramps throughout the city. These locations are prioritized from a.list compiled by Public Works staff,based on requirements for the upcoming residential pavement.management;prolect,and public requests.The proposed locations are listed ln'the Appendix-along•with Contractor guidelines'and provisions to meet all Federal requirements. The contract shall allow the-Contractor 30 working days.to complete the contract. The Notice of Proceed'will be issued no'later than Monday,February 5,2024 and the working days will commence for this protect. 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 P I a netB ids,system. The AGENCY reserves the right to relect any or all bids,to waive anyirregularitY and NIEB CC No. 1742 - Page 2 of 3 to take all bids under advisement for a maximum period of 60 days. BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA,the 29th clay of June 2020,by Resolution No.2020-39. Attest:. /s/Robin Estunislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH Huntington Beach Wave Published:11/2,11/9,11/16/23 NIEB CC No. 1742 - Page 3 of 3 UNSUCCESSFUL BIDS CC No. 1742 Residential Maintenance Zone 1 ADA Curb Ramp Project City of :l` l:untington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 • www.huntingtonbeachca.gov .��®mac`` #: ok; Office of the City Clerk �Fc��NTY \, ea Robin Estanislau, City Clerk April 5, 2024 Addison-Miller, Inc. 1100 Town & Country Road, Suite#1250 Orange, CA 92868 RE: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, 2101,111, e6411€1,14Ad Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan 79-14ifice 711//k2- SECTION C PROPO. AL for the 0041.anuotiott of ZONE I CURB RAMP ViSTALLATION fit VAR/OIJS LOCATIONS CC No.114.2 the or.a1V:WOTON U.ACH TO THE HONORABLE MAYOR A :IVIEMBERS OF THE COINCIL OF IIIINTINOTON BEACH; In with;*he Notice inviting%ECTRONIC Eida,the dadersigtied herebY proposes and agrees to perform all the work therein described,and to furnish all labor,material,equipment and incident insurance therefor,in accordance the plans and specifications on ftleinlbe Office of the City Engineer of the City Of-Huntington Beach. The undersigned agrees to perfomt the work therein in the satisfaction of and under the supervision ofthe City Engineer of the City of Huntington Beach and to enter into a contract atthe following pdces. The undersigned agrees to complete the work within vorkitlg diy$1,starting front the date orthe NOtice to PrOceed, BIDDER deciarisa that this proposal is based upon carefill examinanon of the work site,plans specifications, Instructions to Bidders .ead all other contract documents, if this proposal is accepted for award BIDDER agrees to enter into a contract withAGENCY Mite unit and/or harp sum prices set forth in the following Bid SChedule. OIDDER.understands that failure to enter into a contract in th manner and time prescribed will result in forfeiture to A ;0E1407 of the guaranty accompanying thla proposal. BIDDER' understandis that a bid is required for the entire work,that the estimated quantities set forth lathe Bid Seheduie are solely for thepurpose of comparing bids and that finalicompensation under the contract will be based upon the actual quantities of work satisfactorily completed,THE. AGENCY RESERVES THE WOW TO DELETE ANY ITEM FROM THE CONTRACT It Is agreed that the unit arid/or Jump sum prices bid include all appurtenant eXpetiseti taxes,royalties, fees,ete,and Will be guaranteed for a period-of sty days*can:the bid opening date. If at such time the'dentinal&ndi awarded,the AOENCY win'reject all bids and will teadvertise the project. In the case of discrepatkies in the amounts bid,unit prices:shrill,govern over extended amounts,, and words Shall govern over.figurei, SECTION C V.R.OJgcT SW , . ,._.. .„..., ..... ,._.- .. . . 'CIAO Iti.t.N1?PROJECTXCII:42 BIDATEMS: _ , v 7t,1,:tral.;..,,tf,,,,,-14, -'. • :::.,..---. , .0,-;,.,•-r.•1,-,soo*t-t-Ntz., —.00,1.,,,,4„;,..:;,,,„..,,,,,..;7:::,'Wq'AM',„ ..,,•',-",c,fflv1/41.2,,,,,,Xfptopio,5;45:w4,-,w llf,014 . - --;-*-10$*grititit r,,,a,Ci,-;;j:,,;ASt;PC' • ' 1 ViltA 1#111.1,A4 :°1.-:-rri'•'jP#144 '..,. *1 ;,, ..;,- ",kj.:''''' ,),1,-- r... , .- ,:-,,w,,,,,-.*:,,,,,?,,,,w,,i4.----.-- '-4T*,4 -4':;:t34 :t-k,,,,,,,,,'„•,,,,, triwV,:: :-.,..L: „.... 44,-Aztail-k--. 4-,.,:;,-:„ '..-'','',-nP.f.:4:A-,, ....4,,,,,g ' .".-1 `,30;As,-, $.t 1 E Iklitifigattna.. :; ::. is .:: -$10it)06;00 io,oba Lba , , . . • . . , ...,, ,• $ : 2 ''Pretjaitg.Sto' rittWaterPOlielon,.Prevention Plat(Sw.PPF). i „ , .... $,. ,Si:000.,00 $ 4, E Install 4, Maintain egnstrOgoi3Mp* . , is .,:!. $tC40,09.,...,.00: 1-0,k.900P0, . .... . •: Construct Curb Access Ramp per%trans SW,']Fijit !! . 401wAfsaa as elidika PdfC:OrtiReenp Detail I in Appendix • 4 ::0 of Spedigartiatia (Item Includes apputtatianoes„curb i ., • $ . . , ., , !&gUtteriz.deptesee4;44 Espsccitj,pktot.r411c,.,domes, 5, ;:i ,• . retaining curb.slot pave, . : :'1 EA ' $6,;5oa.00 - 500;.,00;; „. ... ..., Horizontal Curb Cut curb Access Ramp per Caltrant-Stdi • ,i • Platt Ae8A1A88E1 using horizontal c.4iPPLiang machine as • ,s, show,on Curb Ramp ttitiOl:2 io,Appenaik$of „ : ! $pookittons• (0AMIPPIPdat all apparteitarteeiti.4:ttk • 000,depitisedcurb',,,eavircut.,eidelkaJk,,;:domeai.reigning _ . . . oirtv,Ata.); : 23 !.; ..EA. ; $1,.500-00, 172,500:00 Construct Curb Access Ramp per Caltrans Std*Plan; A813NA88lit as shown on.',.carb Ramp Detail lin APPendbc, .,. ..... .. s.6, :., Hof$0,001ceions (Item InciOcigo.gilt appurtenances,curbA.*Met depressed d r0,1altit sidewalk,domes, eirogouik.ontoavei 0 EA ,. $0,S0QPQ . :•. , . • „ . ,, _, -, . Rernoye:and Replace damaged concrete cross gutter as . . ., ,.. .. .,. , .. , ,.. , .shown Cu RaMp.Detait4 in-AppendikH of : ',I Specifications; (Item Incluaes all appurtenances,.curb,.& $ . gutter,troii*gotter,:pow*,*lot pao,etc) 1,300, i SF :; aa.to• ;42,90006 .. ! - - ....,...... ,.,... . .,, .... -:- „ ,.. 8 --; Install4"---PV.0 Sleevefitie Street Assembly:Sigitcpgr'.city'bf i ;t .$ • !; HB Std Piet 404: . S ;3, :; tA,;! $ .000c.). . :1-;000:Q0 . . .,..: :• Remove and replace existing sWewelkperCity of SO:Std, 9 ! ',0146.,gt ofOcatiorisia00.400 to ramp (Item includes all .'? l'aca • apparIeriarldeastiiiittio: , r, ',S ! $ 4100, . 28;50(k:001 ,1 Aemovo:000 re0100aeOleting s'',..11':*.tur0-.0nd.,:outter per 10: .: HB Std Plan'.205'.(Itertlia01.0dok.WtapputtatianCaei . ... . .. . tacke,ei:•-ste pave,•etc,l, ,'• 300 '-i :LF ::i $ 40040 30,000',..00 .. , , ..... , .. .v..,.__ 366490100 , . . . SECTION C ORO4cr BID CVO Uki PRQ0Ct tt.:114 SUB4TOTAL:BID MOUNT IN NotQftpa: .0006,hundred size thousand:nine.hundred.doliars and zero cents iVote'r All ektebilbete Of unit prices wilt be subject to verification by Owner In case verification is required between the unit price and ttie odensibn,Ihe unit price wilt govern The Owner reserves the right to . ;vied any or 111 proposals and biditems„In addition, the City reserves the right to include or remove Bid SonedoleBin award orttte ooritrati, Tf.awarded:the Contract; the undersigned agrees that in the event of the BIDDER'S default.in executing the required contract and filing the necessary bondsand insurance certificates within 1,a workin—g day$.after the date of the AGENCY'S notice of.award of contract to:the BIDDER;the- proceeds of the security accompany4 this bid shall become the property of the AGENCY and this bid and the Aco‘vtattot.. ereofiaay,at the AGENCYS optonn,be considered,null and veld. Accompanyin&thispropesat ofhid;find BICderFs'Elond 10% cn.tneamount.of which: said.amiNOt is not leas than"10%of the aggregate of th total bid price,as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY.. (Please insert the words "Cash",. 'Certified Check" or "I3idde Bond for % " as the case may be) Any standard Surety Bid Bend form Ls acceptable. 'Bidder Shall signify receipt&aall.Addenda here,if any: N! ..... .. .. .. , is 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. .51,,77a#410i/Addresipt State ' Class • ;: Akerise *00007#4,, Ndenbet • - N/A By submission ofthis proposal,the Bidder Certifies: 1. That he is able to and will Perform the balance of all work which is not covered ih the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by sulkontractor for this Project. C-3 1 NONCOLLITSION AFFIDAVIT' TO BE EUCTJTED:BY BIDDER AND'S .wrrtrinD. 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 114644,tit Valencia 'CA. Date ,City State Nate Beach being'first duly sworn,„deposes arid says:that he or she is ., Secretary , . Addlianatilliter Inc. the party making the. foregoing bid that the bid is not made in interest of;ortrithebehalfO4.any undisclosed person, 00140WP, company, association, organization, or corporation;that the bid is:sent**and not collusive or sham;that bidder has not directly or indirectly induced or any other bidder to put in a false or Shalt 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 41t0Testect,in the: proposed contract;that all statements contained in the bid are true;and,further,that the has not,directly orindirectly,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,eQtripany association, organization,bid depository,or.to any member or agent*weal to effectuate a collusive or sham bid. Addison-Miller inc. NdiTie,6f Bidder S1gna ntte of Bidder 1106.1.k Town,&Country Rd Ste 1250,Orange,.OA:01806 Addess _ . of.$idder 1 UTILITY AGREEM:ENT HONORAIII.,E MAYOR AND'CITY COUNCIL CITY ormINTINGTON.BEACH y CALIFORNIA •Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE I CURB RAMP INSTALLATION, (l)(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 irtetrootion, &familiar with the operation to be petionned and the hezergie involved" The undersigned also promised and agrees that all such work shaft be performed in accordance with all applicable electrical utility ompanyts requirements,Public Utility Commission,orders, and State of California Cat-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, Addison-Miller Inc. Contactor Nate Beach Secretary Title Date: 11/26/2023 c-s DISQVALIFICATION QUESTIONNAIRE ottorifittice with OoverOttent Code•Section 101:624 the Bidder shall complete under penalty of pelittrYi:the flown questionnaire. QuEsTIQNNAIRE Ras the Bitide4:any officer Of Bidder or- inty Ailoyee,dike.Bidder who has a.prop.rietaq•-• • interest 14-tho Biddet ever been disqualified,removed.or otherwise prevented front bidding on or completing a Federal,State or local government•project because of a violation of law or a safety reOlatlOnI Yes No If the answeria yes explain the oiroonistartmin the:spec eTrovided. . . . „ . . „ • „ Note: This ttoestiornialte constitutes, a parr of,the ProposaL, and a signature portion of the Proposal Shall constitute$liptation•of this.questionnaire. .4111.11•11iM1111.11•••••••••••11•••••• c4 COMPENSATION INSTJRANCE CERTIFICATE Pursuant to.Section 1861 ofthe Statelabor Code,eachoontractor to whormapublic works:contract has bett,awarded sitall.Sign the foltelAting c efigtate. I am aware of the provisions of Section,3100 of the Labor Code which require every employer to be insured against liability for worker's compensation or to undertake,self- insurance in accordance with the provisions of that code,and I will comply with such provisions before commencing the performance of the work ofthit contract Addleon,011er hid. COntractOr \+, Nate Beach Secretary Title Date:, 11126/2023 .... .. , „., .. _ CA ., DIFORIVIATION BIDDER certifies that the following infonnatibn is true and.correct Addleon-Miller Bidder Name 1100 W,Town&Country Rd.,Ste lasa Business Address Orange _CA 325613 City, State Zip ( 310 ) 66$-1683 nate(garidisoranlilerirte-corri Telephone Number Einail Address 1001142 AB C-E3 C-27 State Contractor's License No.and Class 02/13/2015 Original Date Issued 02/28/2025 Expiration Date The work site Was inspected hY Nate Jaeac. ofoutoffice on 11/19: Af}‹;,023 The folloviling are persons,firms,and corporations having a principal interest in this propssal: Nate Beach-Secretor/ ,Cara tobasi-President The undersigned is prepared to satisfY the Council of the City of fiuntingtolt Beach of its ability financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and speacations set forth. Addison-it/1111er'inc. C tri y Nanie „ SI atUre of Bidder Nate Beach Printed or-Typed Signature •C4 NOTARY CERTIFICATE Subscribed and sworn to before me this&day of Atint, 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 truthfulnas,accuracy,or validity ofthatdocument. State of (7:4V-* .04eitto. ) County of t,pa'44,sleor On Welt X4 befoterno ) 41..so. With,DaY,and Year Insert Name and Tide of Notary A-,14'41At/ Personally appeared 'V Warne( of signer ®. who proved to me on the basis of satisfactory evidence to be the person®whose name(s)is/are subscribed to the within instrument and acknowledged to the that befsheitheY executed the same in hialheritheir authorized capacity(ies),and that by his/her/their signaure(s),ork the instrument the person(s),or the entity upon behalf of which theperson(s)acted,executed the instrument I certify under PENALTY OF PERJURY under the laws of the State of California that the fomgoing paragraph istrue and correct. WITNESS my hand and official seal, t • Notary Public-CaNtotota Los Alleles County g IQ Ny._CotoC7ntinisErto°14414521020! Signature Signature of Notary Public (PLACE NoTARY SEAL AEOVE) C-9 idde's Isr ect dory For the purposes cry °th .1;•troleeto, the biddo,shallprovide pra, t frisk of sontfar work specificall7 referencing the'eonstructton.o :specific me.tit and seesiary far pr:,e For example*"Snit ry per ne ti l�on.of at.least o i.000.:4f-iaek and eater hi public aught-+f1*- . `Santt s r tin + f niter ,erect �vae : within public st re�eis azir aiea ittaiitlns ii bi rouiikd water and pwelinecnnstruction hi lui+h' g nuud wale,ref lops ith, 8ei s ofl 3eet to the in ert aid `ear e mu submit s•upp titel i tea% t hi;ytai .additi to props i sted hereia. Listed halt r'ar the motes address artd',telephone niters for three public ages Iles for,Width the bidder has rei "+ xned similar. ark within, pe.4ftve yott l: L as,Angeles CountytCleparl ent of Publlc Works<.Road Maintenance 131stiict Nainei d Address of PutAto,Agency 900 fterOPtit Ave,Ahainbra,CA 9'1`803 lathe and Telephone'N:ot of 'r ect:Managerr Nataila Pirieda .6 -300- 384 Conies repair(siudewalks,curb ramps* MMOM° +curlx acid utter,irr s gutter`,:AG 8ti l l... �r2 . .c0httttet 001 _uf"Work Date C;dmp1eted 0:04e,additional project des01Wof to=show sirttilar work; kib carder contract at.various ticat ona;thittualtoat rrtaintettancedistri uerfarrt nq impairs;: Coordination'with C}1�yi iet ,court '+ag etet.Lao'' b io 1 tilities. Los Angeles.County Department of Public Work;-RoadMaintenance district wine:and Address of Public Agee 900 Fresh+ rttA ,Aiti aI thra,CAA 91803 Name and`Tel bone Io,of l rolect h : Cella Lopes..- 6 #`T 71?3 x23tf. Concrete repair(sidew k8, curd ramps, $t,200,g00 curb art+ gi tter crass gutter,AD 000 Contraet amount '1"�pe v�" = • date CJperrple�; .11/23 Provide dttt l pro ec t description to shnw si filar wo k jib orderteetract at various locations throughout maintenance distr;it5 oe,fotminitr • repairs, i ordination ` t:hom ners,county agencies local`public u#rti� . City sr l''ica,Ri►er = 8t8]:•passtiosiBlvd,Pito;Rivet, #9 8t3 .. _ _ Name and Address ofPublio Ageocy • Nine d Telepkicrne No.,of PtolOtt MaSger Nedia C ots 1- 22 Concrete repair(sfd alks, curb ramps) $230;Q ._ arnutter,d g .ge er,AC patch 1 removal 09723: C:ontta4tAnma Ty la 'orl Oa*Cgnipleted • Provide: ldxttonal project,descnpti t allow sitar won Anouattorterate.:rnaintattaticatontrattatliatiout locations,berforrnino repair . t o this#lobs i� rrte riei County ac es,local.public i; it es Bidder's Critical Staff Listed below'are the names of the bidders proposed Construction Project manager,and Superintendent For each of these eriticaipoihioris,please list*least three projects for which die Critical,staff has,performed similar work within the last five years, These projects do not have to be Ode;the employment Of-the bidder of this project.Bidders are encouraged submit supplemental relmaimproject history in addition to the projectslisted hereht. 1, Nate fl,e4oh Name of posed Project Nan* TelephoneNo.of proposed,Project Manager: 34 0-6634683 :$ st0.-441W,90(1.LAOPW, Curb&Outler. cob Amp,reat. --t1914 Project Name&Contract Amount Ty,pe fie Pate CoMplete4 mum EtAt.0130300_,LADpw:,,siciewalk,,curb&gutter,purb ramp replacement 10/23 #1100.i act.Aniowli- TM* Work Date cnivitted iCitn Sitt Al 426000-LADPW.Sidewalli„curb&gutter,-curb raMP,replacernent -09123 Preject Name Conn.**Amount Toe of-Work —Date Completed 1-0.61:41Peda Nanie of proposed Superintendent Telephone NO,ofproposed Superintendent _ ,322449,4170 _ $th St et Al $599 OQI: m LADPW-Sidewalk, curb&guter,curb ramp replacement -09/23 Pr.e)eetiqatne keentract-Amonnt: TYPef Work Pate Completed Acton EtAl=$$301000 LADPW--Sidowalk..cutta&gutter', curbram,replacement 10/23 Projectliame&Contract Antolini Type tWork Date'Completed 10th St EtAl •$260,000- -Sidewalk, curb&gutter curb tamp replacement 09/23 Project Name Contract Amount T,rpe of Work Date CoMpleted CONUACTOR REGISTRATION wnii,CALIFORNIA DEPARTNIENT OP'MUST-MAL RELATIONS(DIR)CERTIFICATE Pursuant to SB 834,(c ttng Labor Code Section I771 1Wa)) passed by the California State Senate on:lane 20,2414.established ane public works Contractor AggistrationPra grant,which=requires all contractors and=subcontractors bidding end 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& ndustrial Relations PI .Currently the annual uon4etbadable re8istintion fee for Contractors is$300. Each contractor to whom a public works coact has been awarded shall sign the following certificate.. DI.PACT SHEET on Stt 854 ht w w.d .ca giiw LSl blii or a138 1 actS c 6:30.14. DIR's Contra tr Registration Link—mil( 44) 22 6 4 *silt e iaplitca.gov W :1 Acti tet?action=dtvlayPW 1 gistr t DIR's Contractor Registration searchable-database: lu s lel g, eL / W f earch.act on I am aware and will comply with the provisions ofLabor Code Section 1' 71 1(a)which:states "A contractor or subcontractor sl 11 not be qualified to bid on,be listed in a bid proposal,, subject to the requirements of Sermon 4104 of the Public Contract Cow or engage in the performance of any contract for public work,.as'defined in this chp1ec unless currently registaed..an and qualified to perform public work pursuant to Section 112$5, it is not:a violation of""thta section for an unregistered contractor to submit a bid that is authorized by Section 7O29 I otthe Business:and Professions Code or by Section 10164 or 2( 1 Q3.5 of the Public Contract Code; provided the contractor is tegmst ed to perform public work pursuant to Section 1725.5 atthenmethe cOnttaot is awarded" l furthermore will comply by providing proof of registration with M as the Primary contractor,. as well as for ALL subcontractors at the*lc submitting the W. diso ►»Miller Inc Contractor Nate Beach. BY nateeaddisOnmillerinc.com Email. -Secretary Title Dare: 1112 _ PWc:Re *ration ,KV-LR-10 I5797 7 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT.OF 1968 AS AM4qENDED IW1992 SECTION 3 TITLE 24i,Code of Federal Regulation*:Bart 135* &Oka&Oppottunities for Low and Very Low-Income Persons The:bidder,.under penalty dt.perjury,certifies that except as,noted.below,any person assoCiated therewith in the capacity ofowner,partner,director,officer,or manager(initial the applicable selections): Will:etit tat 1:0%,orell new hiresas axesUlt of this project shall meet all.requirementsof' Section 3 of CFR Part 13$of theHIJD Act of 1968;or X Win hire tonew employees:in conjunctiOn with this:project Will award In%of its sub-contracts to Section 3 bWinosw, This certification shall apply to the prime tontrattar's sub-contracts Mated tO This.project COntractor: Addison:4111er Inc. „ :Contact Person! Nate Beach • Ctintadtp ai.o31683........ . ...................................... Signed! . - Date: _ 11/26/ 3- *Note: Theabovecertification is required by of Housingattathban Development (24 CFR 05 and Subtitle A et #1) and must be submitted by the bidders and proposed sub- contractors only in connection with,contracts and subcontracts which are subject to Section 3 of 'the 196S Rousing and'Urban Development Act,as an in 1:092, ..(aum, Previous non-compliance with Section 3 could result in disqualification. C43 EXHIBIT A DISADVANTAGEDSIISINESS,EISITEIVAISEMBEI This Project ts st aject to::Part 2 =3Zt,Title ,Evde off eder t Rcgt iatxos totititd.Gorging: with Small and Minority Businesses.,. Wok's, plus Ea ses, and. Labor %spina Area firms." The Regulations in their.',entiretyare imorpouttollwatit b this reference, It :is .the polio of the City that disadvantaged bi4inees rprises (ft * as defamed in; Part 2O0«22. Tie 2 : R Shall be encouraged to participate in the :or Contracts .tin aced tn. hol`e.orin party federal funds.TheContractorshouktensurothat tiBEs as ilotineit is Part:2!ki0321, Title 2 CPR have the opportunity tr participate in the performance of this Contract andashatl take of necessary and reasonable s as set forth Part 200 321,744 .for this assurance,ThoContractor skin di r n mate on toe basis ofrace,c or,n ib ortgi ,. or,sex to,the award.:and,pertonnance su bcontracts P to carry out th err of this Paragraph shall constitute a i 0h 000044 mad.ray result ht termination orthia contract:Or • cam remedy the City Pay deem appropriate, Bidders=shall he fully ini'nrmed respectm the Oltottgott of the. eclat ns and are urged to obtain.DBE partioipatirm in this project :a th there is no speeifie guy fair OW participation. c4 . x EXHIBIT B DBE INFORMATION GOOD FAITH EFFORTS Federal-aid Project NO. Bid Opening Date The City of Huntington Beattestablished a Disadvantaged Business Enterprise(DBE),goal of 0%. for this Project.The information provided herein shows that a goad faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document Adequate good faith efforts.Bidders Should submit the following information even if the "Local Agency Bidder DBE Commitment"form,indicates that the bidder has met the DBE goal.This will protettthebidder'seligibilityfor award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening,or the bidder made a mathematical error: Submittal of only the"Local Agency Bidder DBE commitment"Aura may not provide sufficient documentation to demonstrate that adequate good faith efforts,were made. The following items are listed in the Section entitled"Submission of DOE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was plated by the bidder (please attach copies of advertisements or proofs of publication): Publications; Dates of AdVertisement B. The names and dates of written notices sent to certified DBEs soliciting bids for Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations,.etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates ,•, . • C. The items of work which; the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation.It is the bidders responsibility to demonstrate that sufficient work to facilitate DBE participation was;th8de available',to DBE firms. Items YofWo rk Bidder.Normally Breakdown of Amount Percentage Performs Item Items ($) of ( Contract.. D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE i€the selected firm. is not a DBE:: Names,addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DHEs Manses,addresses and phone numbers of`fr IS selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work.which was..provided to DBEs: 016 F. Efforts made to assist interested DBEs in obtaining necessary equipment, ;supplies, materials or related assistance or services, ,excluding:supplies and equipment the DBE subcontractor purchases or leases front the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please ash copies of requests to agencies and my responses received,i.e.,lists,.Internet page download,etc;); Name ofA►gency/Organization... _... h 'ethod/Date of Contact Results I : Any additional data to support a demonstration of good faith efforts(use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. 041 fF A.SQLE D ER OR SOLE CO TR ACTOR SfON HE = 1)l ame utide�r % usiness is-+ (2) Suture(give and suzrrte)of p $etc , Plaeef Bust�zess .(Strat.d NumSer t I't and State 4) Ziptode 'Telephone if A '# . R, SIGN 14EREt 1 Nnnie uaxder wick business is conducted..... (2) 'Signature,(given and surname and el as r of.partner) (Note Signature must be made by a general pier" Pia,cif Business_ . (Street and Numb ) City and date (4) Zip Code Telephone NCR ............ c8 JP A coRPgRATION.SIGN HERE: (1):11.01010140..tW is-ggn4Octed -.*dtsonMd1e Inc. E. f . .. ' . Secretary gttiittite) t4-!: „ . '',.;;N•s•.!`." ," (ride) $glig..05$:,001110.tate$0411100. (3) it1000.z$00;00erAg 1.4w$.ctf the tOitg 01 .1404100,00H (4) P1efBusines 110)84.1rovvo .steloiso Niitiber) City,:.and State., , !9.41:11.9% PA (5) 41p,Co . telohoneNo,, ,141710463', „ .„. (6) EMU .„......_,Alate030010-0014000400 ACJOQIWLEDGNIENT OF'EXECUTION By,ALL SIGNATOR/ES:44TAT BE A1tA011E0 • • O.* List betOlornanies...-04teSidelit,Nrice presidei.tectataq and sIatan :seereta y lac afro; a par c sb p, tiaane*&f $mt pa*tsat4itattvintpartner$1, 0 '0(Mai,PrE. dart: tai_ . ... . .,_.. LOCAL.AOtriCV BIDOrgDBE C :. " .( ! ' t O NT TS). NOTES,PLE nrExto Sr TIONS REV EiSio .Tics LQCAL4N L PR.Olta 1t Tlark. BDAr4,._ _ . _. ..._ . , . . _.._... glitwrgardgAMitt Jt +iTBAtT itat 'WOKK,AD Cl:IPTI BECERTt4O .NAME €yF E&Ci DBE to M lot? OIt SERVICES BErOW a 61,4004da thc. a brdsOBE `SuBeOOtTI TEt? O opeeed-u+chtaie Ei ' 1 t Etti,zto,MEZ(or ctn cage1 it thej.' A r . „ , pp Total Cl*.ked,DBE h$, ,. 1:aear A#gerar}+-Contrmt Ntati�: . Pat'11d oti , ltsclr ttaid'Not , ;. Loca1;ABeocY earth *AA DBEs tti€ieadetrs have h p-Voire 40 s ffi br iiatien'1a comp1 c a n to , 17ita.. ' VevaCode)TeC-NO 'Print-Name A� - Dale t acal Agency itettateatairre arsati areoritact (flaw Type or/tier} i code)TeE hoz " u aher. taoad 14*31aile t ote£eomma m recto rucaoi oneec 4 �`dPl6d�i9} PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low.bidder or the sweat"orthird low bidder,it must be submitted and received as specified in,the,Special Provisions.Failure to.submit the required DBE commitment will be grounds for finding the bid nonresponsive The form ,requires specific Leforination regarding the con action contract: Local Agency, Location, Project Description, Total Contract Amount, Bid ate,Bidder's Nettie, and Contract DBE Goal The form has a column for the Contract'nett Number and Item of Work and;Description or Servicesio be.Subcontracted&Materials toy beprovided by L BEs.Prime contractors shall indicate all work to be performed by DBEs including,if the prime is APSE,work performed by;its own forces,if a,DBE. The DBE shell provide a certification number to the Contractor and expiration n date.Enter the DBE prime's and s bcontractors' certificationcertifiCatiot rutbers.The:form.has a cow for the Names of Ott DBE contractors to perform the Work (Who Must be Certified on the date bids are opened and IncludetheDgE address and phone-number). IMPORTANT; Identify all DBE firms participating in'theproject regardless of tier,Names of the First-Tier DBE Subcontractors and their respective'item(s)of work listed should be consistent, where applicable,with the names.and items of work in the"List of Subcontractors"-submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed. DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. ttf l00%of item is not to be,perfo rmed or-furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.)See 'Section 'Disadvantaged Business Enterprise(DBE),"of.the Special Provisions(construction contracts),to&terrible how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the;person bidding Also list aphone number in.the 'space provided and print the name of the person to contact. Local:agencies.should completee the Leta]Agency Contract Award,Federal aid Project'Number,; Federal Share,Contract,Award Date fields and verify that all information Is complete and accurate before signing and fling.: C-22. EXIT D EQUAL'EMPLOYIVIENT OPPORTUNITY CERTIFICATION The bidder Addison-Miller loc. [apposed subcontractor , hereby eerttftes that. efsl /tt.has has not _ ,participated.in a pr 1ous contract or subcontraet sii1 Jeet to the Equal .OPPortunitY clauses,as required by Executive Orders 10925,11114,or 11 46,and that,where requuad,1e/shetrthat Bled " it the.Io Reporting Committee:,the Director of the ce of Federal tamed Compliance a Federal Government cottoadi g or administering agency,or'the l niter Presidents Committee on Equal'Employment all reports dike-under the applicable filling rui ents; The above certiAcatien is required by the Equal Etnpinymcnt 0ppartunity.R go ona o the Secretary oflabor(4.1'CFR, 1,7(b),C.l),and must be submitted by:bidders and ppsed, subcontracted only in connection with contracts and subcontracts w tickare subject to the eqiial opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity mouse are set forth in 4.1 CFR =1F , (Generally only contracts or subcontracts of`*1 ,OGO ar under are exempt> Currently,Standard:Form 1.00.00-4 is the only report required by tlie Executive Orders or their implementing ret..lateons, eeoc,govfe ployerste ./ ndex;cfn) Proposed prime contraetors and,subcontractors Wit lave participated in a prevloUs contract.or subcontract subject to the Executive Orded and have not flied thereq ared teportsAtould notuthat 41 CFR 1..7(b) (1)prevents the sward of ofitescts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal .Highway Administration or by the Dior, Office of Federal Conte Compliance, US,: tepartn ent et-Labor. Date "1l18 aatnre - print Name. Nate lei Title: ecrrY EXHIBIT E NONCOLLUSION A.OIDAVIT (Title 23 United StateaCOde Section'1.12 and Public Cont, trac Code Section 7106) Zone 1 Curb Ratup Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and CaliforniaPublic Contract Code if 06 the bidder declares that the bid is not made in the interest of,or on behalf of,any undisclosed Person,partnership,company,association,Organization*or corporation;that the hid 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 haSnot directly or indirectly Oolludet4conspired,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 fi the bid price of the bidder or any other bidder, or to fix any overhead,profit,or cost element of thetidprice,or of that of any other bidder,or to secure any advantage against the public body awarding the contract of Anyone interested In the. proposed'contract;that all statements contained in the bid are true;and,,further,that the bidder has not,directly or indirectly,submitted his or her bid price or anYtreakdovinsthereof,or the contents thereof;or divulged information or data relative thereto,or paid,and will not pay, ally fee to any corporation,partnership, company association,organization,bid depository,or In any member or agent thereof to effectuate a collusive er!ahTan't :Note: The ahciveNoncollosion Affidavit is part of the Bidder's ptoptisai, By signing the Proposal,the has also doted this Noncollusion Affidavit Bidders are cautioned that making a false Certification may subject the Bidder to ctiminal prosecution. Signature: 0, Date: 11126121 Print Name: Nate Beech Title: Secretary' EXHIBIT F DEBARMENT AND SUMENSION CERTIFWATION TITLE 49,CODE OF IffEML"MUTATIONS,PART 29 The Bidder,under penalty of perjury, certifies that,except a noted below,he/she or any other person associated with Bidder in the capacity((owner,partner,director,officer,manager: i Lsnot curivatly under.=Pension,dellatmeilr,volontorY exoinsibk or '-g arty Federal or determination of inletinility by' agen , • bus not been suspended,debantd,1 i t/dhanarilY excluded.or deteunitted ineligible by any Federal agency within the past 3 years; • *es not have a proposed debarment pending;and . has not been htdicted,convicted,or hati a civil judgrnearendered against himiher by a court of competent jurisdiction hi any matter involving*sod or official misconduct within the past 3 years. If there are any exceptions to this certification,insert the excePtions in the following space. Exceptions will pot necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above,tti' thca' te below to whom it applies,initiatirtg agency,and dates of actiott Note: Provlai•ng false infontuttion nuty result in criminal prosecution or,adrninistrative sanctions The above certification is part of the Proposal'. Signing this Proposal on the signature portion thereof shall also constitute signature ofthis Certificatiatt. Signature: „W Date II/2623 Print Name: Nate Beach Title: Secretary ! C4$ ii I nfl t NZ t#EYING CERTIFICATION' ED - .CONTRACTS T 'The Provectivoppunt certifi es,by si tg$4.sahmitting i bid or proposal,It the hest of ,his other. nowledg and#beiW,.tiat:. 1) NQ Federal appropriated funds hat,been paid or will be pa4 by or on behalf of the: undersigned, to any PIMP for it uencing.or Attemptang i fiutence an officer or employee of<any Federal agent u Member of Congress an officer or employee of tongrese,or an enployee of ember of Co revs t connection with the awarding:of Federal contras thornaking ofavVerietai t the ma ting otany Federal-loan,the entering into of any imperative agreement, and the extex io(4 continuation, renewalt atnentitnent,,ormodiflcatiof ofany Federal coattigiant loan,or cooperative agreement, 2) if and funnds other titan Federal apooFriated znds have ben paid or will''be paid to,any person for influencing or attempting rto"infittenl a an Officer ot'employee of any.Federal: agency, a Member oof Congress,an der or etnplo-Fee of Cong ss,or an..employee of a Member of Congress:in connection with this Federal contract grant, loan,or cooperative agreement,the undersigned:shall complete end submit Standard"FortvI L; "Disclosure: of:Labbying Activities;"in:conic ntatree with its instructions Tiais certification is: material r resentation c fact upon which reliance was pla ed when this transaction;was.maddee or entered into, SkIblnisOnn of'th s certification is a prerequisite-for.makin .or entering into this transaction timposed by S'ocOloo, 13$2, Title IL US, code, Any person why: finalefile the required certification sham be subject to.a civil penaltyofnoot leas than.$.1 OW and not more than$110,400 for; ch such.failure, The prospect vepart etpaiit also agrees by.pubtOting` or her bid or vroposafthet he or she shall .reqaire that the language of this certification be included all lower tier subcontracts, which exceed:$1 OGll and'that all such sul rec ierits ahalicertify-and disclose:accordingly. Signature: y Dates; 11126123 Print Name: Mate Beach Title: Secretary 2c DISCLOSURE F LO 'I G ACTIVITIES COMPLETE TPUS Ft TO DISCLOSE LOBEWINO,ACTivtritS k itstimO }: 1'CI$.C4 2'132:.. _. I "`I y of redtlsl et . . 4, $t 4i `itl$ta1.tettitti i RRpo" T p. " 0 it t t< b4 ini iet.awerct. b,tneterial.attang4 xx;chive a ttient e,po $ward t"tcruitr. '4 Mitchel Ct Q04 touts gemettee tittarter • ' tteeit:lttentetiee dsta leetrepott`` " _ .._. 4 tnme etet 44,44 4EReperctln ,Eedty- $, ZfReE *` `3 "+ $#stub* r ee; 1t404e4:004471tte: jJ Pekoe Seto** tot sfiza angresa1. DJi le :3 known t> t ore!)7p t i4 ria rni: • • (4 f txterxi.DttpttrttuaittfAgencyt Z. .p'edet4ROAra tl i tltne tte rip aft« • ttta.Nittehttei if epptteable 8« `F tleiilp(best Vun etiflatowr : Avian i-1 pptt -if iO.. I ;: :it,soiwiiii.Amdkowxmi:W.Pft..... it, titdtattiaaki Perfor�tiiiii Set vik s ttntitilie$ t;1f fish idutatT lusttiame fl ntattte: } ems$£fdi tt ftom No:at) -►taut[ irsi[tame,t'4ii ;*a it otmntw�tort 31t s tf rtcco$arry>: • ti, ette tFaytttt t Olteek ett i ieN40 IX T$tio of elittentteheek ati thaf soft,}° S Q 4tet ial; pit not i A,teloitier t;..osteeme'tee` i. Form ot,fNint001400tiiii th*e agp It- e.fiommtssttxtl k;to trots.;:speet 1 natwue. .- e defaced , 11:. Brit 0.0.0iptioa it Sertriaes;Perfot e i oe to'lic iietio u d and Dtete(a"et$rttrtt:er`irictu tt ,utlfee t Cmp*Ysttel+;ur. **00-yen.tniett ,t"ar'! ientmated ti*J 4'1-s tatteekteetinuationiSh )ifn ssotY) itl t-estWtiadotr;Sb ettm a*ta* .fin t& 31 ti. pi 5+eton t33 lus dfsetosurtt of tottbyn1 [essence Sl W& wt s.ptaceifb r the flee.aboae wharf has tt sots"wa"s taade.cit entered inns,�4tseteeere4i uiteti etusuent t6I1 VAC.,, Frint 14a N Beath c352 This utfiittna don will .be r port d to::;ntttpes seasietuttialt `autd teilltieoetteitte.,tietpatine insetetion.Arty Title; SWOOP/ • plan who tbtis to le1'1e required dts 1osltre snail be subject **am pannity o npt,ins theft sio,L and nor pom e'4n `t'et1 tlione l'iO4 310436 4 8 ate;.11J26123 5utb olio ftie" oistki fIiiitu i 4t*iiiiO4 for 44.t lie iici4otiod rederei`sioiltyr is Fotnt,tt6 Stattdatd Font tt4 ee t39.3,7.-9? ,C42.7 INSTRUCTIONS FOR COMPLETION OF.EXHIB ';FT.. D,IS LOS "b t ¢ Q ACTIVITIES: Thisdistioaure form shall be completed=by the reporting entity whether eubawardee or prime Federal "recipient,ate initiation or receipt of covered Federal action or material change to Previous Nog pursuant to "title . ` .S C., section 1352 The filing;of a. form is required for such payment..or agreement to Make payment,to lobbying entity for influencing or attempting to influence an officer. or employee of any agency, a Member of Congress, an -Offieer or employee of C ngress or an employee of a Me €ber" .of Congress in connection with a covered federal actiOn. Attach e continuation sheet for additional information itthe spate :the firm is"nedegatee Complete ail W P W items that apply for both the initial filing and material change report..Refer to the ttnplementin guidance published by the"Office.afMahof ement and:Budget for additional information. 1) Identify the type of covered Federal action for whist lobbying setivity°is end/or has heen seeured to.influence,the outcome otancovered Federal action. 2) IdentifY the status oldie covered.Federal action. 3) Identify the appropriate classification of this report, If this is a follow-up report eaused:by a material change to the information.previously reported, enter the year and quarter its which the change occurred.Enter the date of the last,previously submitted port by this reporting entity for this covered Federal action 4) Enter :the fillPatim address, city, state and zip code .of the reporting entity Include Congressional District tf known.Check:the appropriate classification of the reporting entity that designates if it is or expects to be a prune or subaward:recipient.Identify the tier of"the suibawardeet,e:g.,the first subawardee of the prune:is the first tier::Subawards include but are not limited to subcontracts,,subgrants and contract aWards under grants;: $) if the organization fling the"report in Ism 4 clerk`"Subawardee9 then enter the full name; address,city,state and zip code oftthe prune Federal recipient InclitdeCongressimudDistriet, if known, 6) Enter the name of the Federal agency making the riviard or loan commitment Include at least one organization level below agency name, if known,. For a aniptee Department of Transportation,United States Coast Guard: 7) Enter the Federal program name or description for`the covered Federal action"(item" 1). If known,.enter the full Catalog of Federal Domestic Assistance(CFDA) number for tents,, :cooperative agreements, loans and loan.:commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in.item I (eg., Regtt for Proposal°(RFP) number,Invitation for Bid (IFJ3) number, grant announcement :number, the contract grant or loan award number, the application/proposal control number.assigned by the Federal agency) Include prefixes,a g., 4RFP- 9 { 19 9) For a covered-Federal action where there has been en award or loan commitment by the Federal agency,enter'the Federal amount of the awardiloantottinitments for the crime=entiity, identified in item 4 or 5. 1€0)(a),Enter the fun,name„address,City,state>n:zip"•Code of the lobbying entity engaged'by the 'reporting entity identified in itatt 4 to influenced the covered federal action (b)Enter the ail names ad* n4v4dua1(s)perforating services and indlade"MI address if different: om B)(a). Enter Last acne,First Name and Middle i ial"(MI). I I)Enter the amount of compensation paid or reasonably expected to be paid by"the reporting entity(item 4)to the lobbying entity(item 10).Indicate whether the payment has been made (actual) or will be made(planned). Check all boxes that apply If this is a material"change report,enter the cumulative amount apayrncnt made or planned to be made,: Vs 12)Check the appropriate boxes)„Check:ali boxes that apply. If payment is made through an in4dnd contribution,specify'the nature and value of th in-kind payment 11)Check the appro r bo (es).Check all boxes that apply.Ifother,specify nature.. 14)Pm/1de a specific and detailed description of the services that the lobbyist has performed or will be expected to perform andthe:fie( )ofny ser'v ces rendered.Include all preparatory and related activity not just time:spent in tictual contact with Federal officials. Identity the Federal officer(s)or employee(s)contacted or the officer(s)employee(s) or Member(s)of Congress that were coated 15)Cheek whether or not a continuation sheet(s)is attached:: 16)The cert fjying official shall signand date the form,print his/her name title and telephone numb Public reporting burden for this collection of information is estimated to average 30 minutes per response,including time for reviewing instruction*searching exist data sources, gathering and: maintaining the data needed, and completing and reviewing the colon of intonation. Send comments regarding the burden estimate or any other aspect of this collection of information including suggestions f reducing this burden, to the Office of Management and Budget Paperwork_Reduction.Project(434•0 6),Washington, C..2 )3 y signature rn.y .. on this proposal I certify,under penalty of penury}under the of the:State of California, that the foregoing questio i a and statements of Public Cont Code Sections 10162, 10?232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title:2 of the califomin Administrative Code) EXHIBIT I. FEBER LOBB G RESTRICTIONS 'Section I352,.'Title 3I,'United States Code prohibits Federal ds*Om:being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to Pay fbr any person for influencing or a ..,ling to influence a Federal agency or Congress in connection with the -awarding of any Fedora-aid con the maktng oFatlyFederal graft-or loan,arthe entering into off cooperadve agreement If any:ids other Federal funda have been paid for:the same-purposes ininconnectiett"with this Federal aid contracts Me recipient shall submit VI exaoute4-0ectificationexe ands ifruired,.subtn a completed disc c form as part,ofthe bidtkoinents. A eettifcation fi r Federal-aid contracts re trding payment o ftMds to lobby Congress Or a:}edera agency is included the Propose Standard Fenn-LLL, "DiSelosttre+ f`Lobbying Activities" with instructional-for completion of the Standard Form is also in eluded in the Proposal,Signing the Proposal.shall constitute signature of`the 'e iOcatioit The above referenced certification and disclosure of`lobbying mollies shall be included in each subcontract .and any lower-tier contracts exceeding SNOW All disclosure`forms, but not codifications,shall from tier°totiar until received by the Engineer; The Contractor,.subcontractorsand any lower tier contractors shall tile a disclosure farm at:the end of each calendar quarter in which there occurs any event that requites disclosure or that ntaittiallyaftects the aoenraey ofthe inforroationoontaine4 inany disclosure form-previously filed by the Contractor,subconactors and any lower':tier contractors..An event that mamrially affects the:accuracy ofthe information reported inclniie l) A Otonlative ioorease if$25,66.6 or more in the amount paid or expected to be paid fee inftue ng or:attem g to influence if:doVored Federal action;or 2) A chi in the person(s)or individual(S)influencing tit attempting to influence a covered Fedeeml action,or A change in the o cer(s).empioyees(s. , or Membt4s)contacted to influence or attempt to influences covered federal,An. C- Thisiackfrailedgifferif *Wel aatt1112 X.11 ikfttersitopoiffOlff ofol**-000040.krtiOft#0004;tsiii'oftereinismaming 40000400N b.citorrfoft44ocument .• • ACKNOWLEDGMENT .. ,• A notary public ttthertffibototopietito thi*O0tato vgiifi-0,a:pnly the,.ideptityllThe lacliviid*Wha:$1,0riect,the (idojni:pottio-Avtitch-tt114.10,:dificato'is attached,and atitte::tatftitiets,aoctitaey,,bt k"i'aildityidt that document State of California County of Los Angeles On 2023,,,before me,Denise 04101.4 Notary,Pu.1411of,pereormIty appeared:NAtflAtilla!,0:00.t,:whO:proved to me on the basis Of satiafattoty,evidence 10 be ta.pareon(s)whose • name(s)is/are subscribed to theWithiti instrument and acknowledged to me:that hataheithey executed the same in r.lits/heritheir anthorized:Oapacity(4,.laid that by.his/her/their signatures} thainStrement thoperson(s)„,or the . : entity.Upon behalf of iinio the person(e):adled„executed the inStrument: • I certify under PENALTY OF PERJURY under tha laws of the State of CalifOrnialhattne foregoing paragraph,is true and correct, WITNESS my flaild ood,OffitialstaL • "i iltatyPtibile*talfromiii f . . ..,„ .400iiiitifit04610 • Signature OPTIONAL. . . — Desctiption.of Attached Document Title or Typo of Document,. FoViee...5•aw.!rdelfv‘em.? -,;Pehrode447 :0744:41*.„.,. "470.y: e-144 44, .e- ) „ . „ • Document Date „ E*; 2oza otpageoyfie.ies fo.,),Nomoot of st..geter(s):.orie,a) Thisocktiovopioent4,06iiiittl'iftf6if a fig X;11frooff0.040 00pgr,witil#011**01*-frif*,:ittawitio:rejoctiktifize.iirbovet So:pp0..40(4 plOorog: appears also at tolf,atflio,dbeumelt . . . . ,.„ „... „..„ BID BOND KNOW ALL BY THESE PRESENTS,That we, ADDISON-MILLER, INC. of 1100 TOWN&COUNRTY RD.#1250 ORANGE,CA 92868 (hereinafter called the Principal), as Principal, and GREAT MIDWEST INSURANCE COMPANY (hereinafter called the Surety),as Surety are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the Obligee)in the penal sum of TEN PERCENT OF AMOUNT BID Dollars($ 10% for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and.severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION 1S SUCH,That WHEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for ZONE 1 CURB RAMP INSTALLATION CC No. 1742 NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void;otherwise to remain in full force and effect. Signed and sealed this 15TH day of NOVEMBER , 2023 ADDISON-MILLER, INC. (Seal) Principal Witness �1RTE �EAy� -S E ETMJ Title GREAT MIDWEST INSURANC CO ANY Witness { By KEVIN VEG 44A ttotvey-in-Fact POWER OF ATTORNEY Great Midwest Insurance Company KNOW ALL MEN BY THESE PRESENTS,that GREAT MIDWEST INSURANCE COMPANY,a Texas Corporation,with its principal office in Houston,TX,does hereby constitute and appoint: Philip E.Vega, Kevin Vega, Britton Christiansen its true and lawful Attorney(s)-In-Fact to make, execute,seal and deliver for, and on its behalf as surety, any and all bonds, undertakings or other writings obligatory in nature of a bond. This authority is made under and by the authority of a resolution which was passed by the Board of Directors of GREAT MIDWEST INSURANCE COMPANY,on the 1u day of October,2018 as follows: Resolved,that the President, or any officer,be and hereby is,authorized to appoint and empower any representative of the Company or other person or persons as Attorney-In-Fact to execute on behalf of the Company any bonds,undertakings,policies,contracts of indemnity or other writings obligatory in nature of a bond not to exceed Ten Million dollars($10,000,000.00),which the Company might execute through its duly elected officers, and affix the seal of the Company thereto. Any said execution of such documents by an Attorney-In-Fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company.Any Attorney-In-Fact,so appointed, may be removed in the Company's sole discretion and the authority so granted may be revoked as specified in the Power of Attorney. Resolved,that the signature of the President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary, and the seal of the Company may be affixed by facsimile to any certificate of any such power and any such power or certificate bearing such facsimile signature and seal shall be valid and binding on the Company.Any such power so executed and sealed and certificate so executed and sealed shall,with respect to any bond of undertaking to which it is attached,continue to be valid and binding on the Company. IN WITNESS THEREOF,GREAT MIDWEST INSURANCE COMPANY, has caused this instrument to be signed by its President,and its Corporate Seal to be affixed this 11th day of February,2021. ��5�tNsuA,�c GREAT MIDWEST INSURANCE COMPANY yj 9 BY 1-r'n'�r. V� r�v111(► CORPORATE SEAI Mark W.Haushill President F+�s CORPO-1' ACKNOWLEDGEMENT On this 11th day of February, 2021, before me,personally came Mark W. Haushill to me known,who being duly sworn, did depose and say that he is the President of GREAT MIDWEST INSURANCE COMPANY,the corporation described in and which executed the above instrument; that he executed said instrument on behalf of the corporation by authority of his office under the By-laws of said corporation. stet, CHRISTINA BISHOP i;y.�. ,_Notary Public,State of Texas r BY upp7...— ''�k�;►:�r Comm.Expires 04•14-2025 Christina Bishop �'�4;;�,'�`� Notary ID 131090488 Notary Public CERTIFICATE I,the undersigned,Secretary of GREAT MIDWEST INSURANCE COMPANY,A Texas Insurance Company, DO HEREBY CERTIFY that the original Power of Attorney of which the foregoing is a true and correct copy,is in full force and effect and has not been revoked and the resolutions as set forth are now in force. Signed and Sealed at Houston,TX this 15th Day of November ,20 23 � INSUgq'vC�. �o 0 °; 'S t g CORPORATE SEAL 1 BY Leslie K.Shaunty \off Secretary s CORP O "WARNING:Any person who knowingly and with intent to defraud any insurance company or other person,files and application for Insurance of claim containing any materially false Information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act,which is a crime and subjects such person to criminal and civil penalties. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. • State of California County of LOS ANGELES On 11/15/2023 before me, PHILIP VEGA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared KEVIN VEGA,ATTORNEY-in-FACT • Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the persons whose names) is/2trc subscribed to the within instrument and acknowledged to me that he/eke/trey executed the same in his/I'tnf/their authorized capacity(tes) and that by his/heckheix signatures),on the instrument the persons),, or the entity upon behalf of which the persont*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. .5,-""4,. PHILIP VEGA WITNESS my hand and official seal. Notary Public-California _ A Los Angeles County `s "� - Commission#2327592 Signature I. 0% My Comm.Expires May 31,2024 Signa !!,of No -ry Public "‘% Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer —Title(s): ❑Corporate Officer — Title(s): ❑ Partner — 0 Limited 0 General 0 Partner — 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: amp ©2014 National Notary Association•www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 • This acknowledgment is provided on an 81/2 X 11 in.letter size paper with continuous black border.It must be rejected if size or border has been altered.This warning appears also at the bottom of this document. ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy,or validity of that document. State of California County of Los Angeles . On Atli. ,2023, before me, Denise O'Dell, Notary Public, personally appeared NATHANIEL BEACH, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal, • �5 „° •,� DEMISE a'DELL • �syr•> Notary Public-California g Los Angeles County g Commission!i 2452610 My Comm.Expires Jul 29,2027 Signature (Seal) (Seal) OPTIONAL Description of Attached Document Title or Type of Document: 07 girfr7" Document Date: ////S-- Number of page(s):tn.! ( ) Number of Signer(s): One (1) This acknowledgment is provided on an 81/2 X 11 in.letter size paper with continuous black border.It must be rejected if size or border has been altered.This warning appears also at the top of this document. Addison-Miller Inc. 1100 W Town&Country Rd Ste. 1250 Orange,CA 92868 • OFFICIAL BID SECURITY—DO NOT OPEN Project-Name:20M 1 Oub Ramp Installation qc#:1742 Bid Opening Date November 28,2023 at 1000 ADA • e ' NT!N City of : :untington Beach voF.ne ����' •; ``F9 k 2000 Main Street ♦ Huntington Beach, CA 92648 - -- -_ = (714) 536.-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk (-61\m? of Robin Estanislau, City Clerk April 5, 2024 Aneen Construction, Inc. 17473 Star Canyon Court Riverside, CA 92503 RE: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, trikoti 9-4114nzattu) Robin Estanislau, CMC City Clerk RE:ds Enclosure • Sister City: Anjo, Japan 9p .7k// ,7),-70 SECTION C PROPOSAL for the construction of • ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor,material, equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option,be considered null and void. Accompanying this proposal of bid,find BIDDER'S BOND in the amount of 1°% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond 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 hate Received a Bidder.! ;Signat re WA C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name and Address of State C/as DIR PVC Dollar %of Itetn(s), Subcontractor License Registration# Amount ,Contract`: umbe . N/A By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/27/23 , at GLENDALE CA Date City State TAMER KHALIL , being first duly sworn, deposes and says that he or she is PRESIDENT of ANEEN CONSTRUCTION,INC. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true; and,further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. ANEEN CONSTRUCTION,INC. Name of idder Signatu;', of Bidder 9938 MAGNOLIAAVE.RIVERSIDE,CA 92503 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term"Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved" The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. ANEEN CONSTRUCTION,INC. Co actor TAMER KHALIL B. PRESIDENT Title Date: 11-27-23 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 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. ANEEN CONSTRUCTION,INC. Con ctor TAMER KHALIL By PRESIDENT Title Date: 11-27-23 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: ANEEN CONSTRUCTION,INC. Bidder Name 9938 MAGNOLIA AVE. Business Address RIVERSIDE,CA 92503 City, State Zip 909 ) 913-3024 TAMER@ANEENCONSTRUCTION.COM Telephone Number Email Address 1004775 State Contractor's License No. and Class 2014 Original Date Issued 06-29-25 Expiration Date The work site was inspected by TAMER KHALIL of our office on 11-27 , 20123 The following are persons, firms, and corporations having a principal interest in this proposal: TAMER KHALIL,CEO,PRESIDENT The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. ANEEN CONSTRUCTION,INC. Compa Name Signs `'e of Bidder TAMER KHALIL Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 27TH day of NOVEMBER , 202 3 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy, or validity of that document. State of CALIFORNIA ) County of LOS ANGELES ) On 11-27-23 before me Angel Nunez,Notary Public Month, Day, and Year Insert Name and Title of Notary personally appeared TAMER KHALIL ame(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 CALIFORNIA• OS:ACKNOWLEDGMENT �L CODE§11#i9 Ofiot er nicer rcorn this r itikii Atils cniyr ttre ide±ifttof` r ndi'm lr i w sa' the p 0t0,. ts WUis. rti(te Ate Otnotrhe tn ttiio ,aecurscy:r ofthat4ccu 4,tt : .. i, `aunty ol`• •Ltit ." ele _.. .. .1, November #'tii _ � " epee_ .. vl„nget. ui .._ cz a y E„„l 1i ... 001 ate .:_ T.emer lh`alil Name(s,of who r;n art: t•�- t sat tactory a iden " t the perstsn(st whr name(s) ts/ere.. • ': • :_. F ,��t ttta �instrument•and ariad ed to a that sh e execthe.-s a in. . auttsonzed r a s4,0e"s).andtha€by his er/thewt sugna s}care tha rnstruc ent��on(s). the ,u n behalf � p e. erson{s)ac e execuit+ed the Intstruc, ent • , (certify.under PENALTY OF PERA und+er%the:laws. .; • . , of the. tareCalifornia.ttta the✓�au► ragraphr. -, • trueand comet. r~a arur WITNESS d bfci at�' - . .:' '- i 4. _ r �urip tio r tatA ta ttt r letn �t l s lcr ca de la on o YtE A r$ •Irarror r lr e tat s errT anima erdoc ent r tr ::: •Tate' Tpe prDacu Curent s� •Number. Pages s1 t tier Than Named Abov ,.. firer*: igner's am ' S.i &„j Urnitd � t . eyFac -• ...l, iiLrrrte : General d +�7a �A in ps to ndua • € Corey n= • • , L _'i. - Trr ,l Gra d( or nservator - Trust 0 uardiat=or Ca •afr i tt� ;r 2€ ,4'-'4 .-,N•otay t+ tl rrt- w . a e lNutart erq 4; ' 4JS NOT 't t,°OQ-87 - �. r#5907. Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."1. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. CITY OF LAKE ELSINORE Name and Address of Public Agency Name and Telephone No. of Project Manager: CARLOS NORVANI 951-674-3124 EXT 248 1,095,000 DOWNTOWN SIDEWALK 10-05-23 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: SIDEWALK,CURB&GUTTER,ADA RAMPS 2. CITY OF PLACENTIA Name and Address of Public Agency Name and Telephone No. of Project Manager: KEVIN KORY 714-920-7604 645,000 MAIN ST PARKING JUNE,23 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: PARKING LOT IMPROVEMENT 3. CITY OF HEMET Name and Address of Public Agency Name and Telephone No. of Project Manager: ANTHONY FLOREZ 562-547-8555 435,000 SIMPSON CENTER PARKING LOT AUG,23 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: PARKING LOT IMPROVEMENT 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. TAMER KHALIL Name of proposed Project Manager Telephone No. of proposed Project Manager: 909-913-3024 MAIN ST PARKING LOT 645,000 ADA IMPROVEMENTS MARCH,2023 Project Name&Contract Amount Type of Work Date Completed MAIN ST ADA IMPROVEMENTS 1,095,000 ADA IMPROVEMENTS SEPTEMBER,2023 Project Name &Contract Amount Type of Work Date Completed SIMPSON CENTER PARKING LOT 425,000 ADA IMPROVEMENTS JUNE,2023 Project Name & Contract Amount Type of Work Date Completed 2. BORIS SANTANA Name of proposed Superintendent Telephone No. of proposed Superintendent: BORIS SANTANA MAIN ST PARKING LOT 645,000 ADA IMPROVEMENTS MARCH,2023 Project Name &Contract Amount Type of Work Date Completed MAIN ST ADA IMPROVEMENTS 1,095,000 ADA IMPROVEMENTS SEPTEMBER,2023 Project Name & Contract Amount Type of Work Date Completed SIMPSON CENTER PARKING LOT 425,000 ADA IMPROVEMENTS JUNE,2023 Project Name &Contract Amount Type of Work Date Completed C-i l CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/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. ANEEN CONSTRUCTION,INC. Contractor TAMER KHALIL By TAMER@ANEENCONSTRUCTION.COM Email PRESIDENT Title Date: 11-27-23 PWC Registration#: 1000033880 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder,under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner,partner, director, officer, or manager(initial the applicable selections): Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10% of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: ANEEN CONSTRUCTION,INC. Contact Person: TAM KHALIL Contact Phone: 909 3-3024 Signed: Date: 11-27-23 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled"Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. N/A Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the"Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement N/A B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates N/A C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (Y/N) Contract N/A D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: N/A Names,addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: N/A C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: N/A G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists,Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results N/A H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): N/A NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature(given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted ANEEN CONTRUCTION,INC. (2) (S ature) PRESIDENT (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of CALIFORNIA (4) Place of Business 9938 MAGNOLIA AVE. (Street and Number) City and State RIVERSIDE,CA (5) Zip Code 92503 Telephone No. 909-913-3024 (6) E-Mail TAMER@ANEENCONSTRUCTION.COM NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 ems. . - • A F & 4Ptit4PO4t 0,0**0OM GML t D 1 }, b a t eta ettng 100 t ttty q t 3 trtdtei 1!t titia , -x a ot, L o 4 q t • 1: .. .. O t � b r 27,1. ,� - �bettir :.. :.' Nutl t�.Notaa. Pi nt ..., _. '' 4 1s .-3 Jtrsett Name„,. ri tii G.„.„.„.- ir . ... T 3 Ut t h ttit crt a si ° ; Le rr iide .tott# p oTh fa si t to the thr #E tiwilst a t Etna ge to rte That��ey'eecst# same rn', h fig-r/ttt lrauthoi at ty re t.duty tt .tot-thefrs#gnetur 1, tha in0trumentt#te:peiaE t(*, or" e t ut? tom , th1t#athe ti(a),:act #*,exec t d the r;t hient I certify udder P$ LTY`OF PERJUF Y under a 40,„ it the State of Cast drrtta ttaat the taregQing 'tg ph _ true at'td t can ., ,: ' 10V zeta., #fora t1r . ars : •.:,•i,f-,.,-,,IE,.-„ ,i •Stgrtatu .4r''� 4�r5 c*No fir; _ �ttuew �- • i.'., ;{' ,yam k . . _ ' '� :�Aitio1'e? f Thou this— of Iopt a4,cc p1:e rr th1e`rrr 97'"t art #er alferatrz +fir �'u etat car . • f. :rfr tit ct'thas frx to aid firaeic!dcure� T (if t t'rta L Ol ume'#t Cate _ . . N6# of.P -.: 'agnne s}t�r:�a timed#Above 8u ,e N�' --" . r at'ate�Otff Ue st : Corporate tamer Tine }' �:t=+ zer* D L G e tt:= ` Partnor ;Jm,ted :C Generr. itch t Ei�r�Y m 14 1ndMr ar aAttc�rne trt Fact ; .Trt: t D dt t cr•C+a r�r` -tit''''''''', rute uardtan or Ceps• ter . oboe,'• " s •t tgner is Rp entn9 � g 01'1 Repr hi - w € o14 rW Wat y' n.. ft latt is it off? I.100,. # "t" 1 - T6 i List below names of president,vice president, secretary and assistant secretary,if a corporation;if a partnership, list names of all general partners and managing partners: TAMER KHALIL,PRESIDENT,CEO C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: LOCATION: PROJECT DESCRIPTION: N/A TOTAL CONTRACT AMOUNT:$ BID DATE: BIDDERS NAME: CONTRACT DBE GOAL: CONTRACT ITEM OF WORK AND DESCRIPTIONDBE CERT NO. NAME OF EACH DBEDOLLAR AMOUNT ITEM NO. OR SERVICES TO BEAND EXPIRATION (Must be certified on the date bidsDBE SUBCONTRACTED OR MATERIALS DATE are opened-include DBE address TO BE PROVIDED(or contracted if the and phone number) bidder is a DBE) For Local Agency to Complete: Total Claimed DBE $ Local Agency Contract Number: Participation Federal-aid Project Number: Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bidder Date (Area Code)Tel.No. Print Name Signature Date Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions.Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE)," of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder ANEEN CONSTRUCTION,INC. [proposed subcontractor ,] hereby certifies that he/she/it has x , has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that,where required,he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration ,or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: 11-27-23 Print Name: TAMER KHALIL Title: PRESIDENT C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead,profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true; and,further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation,partnership, company association, organization,bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: Date: 11-27-23 Print Name: TAMER KHALIL Title: PRESIDENT C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer,manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended,debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification,insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above,indicate below to whom it applies,initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: Date: 11-27-23 Print Name: TAMER KHALIL Title: PRESIDENT C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-MD CONTRACTS The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: 11-27-23 Print Name: TAMER KHALIL Title: PRESIDENT C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: a.contract [II]a.bid/offer/application ❑ a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity N/A 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: Prime ❑Subawardee Tier ,if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable 8. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No.10a) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ Actual ❑planned a.retainer b.one-time fee 12. Form of Payment(check all that apply): c.commission ea.cash d.contingent fee b.in-kind; specify: nature e deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes No ® ., 16. Information requested through this form is authorized by Title 31 U.S.C.Section 1352.This disclosure of lobbying reliance Signature was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: TAMER KHALIL 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: PRESIDENT person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: 909-913-3024 Date: 11-27-23 _ $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last,previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation,United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name, address, city,state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial (M1). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(item 4) to the lobbying entity(item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,D.C. 20503. By my signature on this proposal I certify,under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 SECTION C PROJECT BID CURB RAMP PROJECT, CC 1742 BID ITEMS Uri Qll`dntnY , al pst t 1 Mobilization 1 LS $60,000.00 60,0 0.00 2 Prepare Storm Water Pollution Prevention Plan (SWPPP) 1 LS $ 30,000.00 30,000.00 3 Install&Maintain Construction BMPs $ 1 LS $25,000.00 25,000.00 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix 4 H of Specifications (Item includes all appurtenances, curb &gutter,depressed curb,sawcut,sidewalk,domes, 5 retaining curb,slot pave, etc.) EA $5,000.00 25,000.00 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A/A88B using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes, retaining curb,etc.) 23 EA $4,500.00 103,500.00 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A38B as shown on Curb Ramp Detail 3 in Appendix 6 H of Specifications (Item includes all appurtenances,curb &gutter,depressed curb,sawcut,sidewalk, domes, 4,000.00 24,000.00 retaining curb, slot pave,etc.) 6 EA $ Remove and Replace damaged concrete cross gutter as 7 shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances,curb& 44.00 57,200.00 gutter, cross gutter, sawcut,slot patch, etc.) 1,300 SF $ 8 Install 4"PVC Sleeve for Street Assembly Sign per City of $ HB Std. Plan 401 3 EA $ 400.00 1,200.00 Remove and replace existing sidewalk per City of HB Std. 9 Plan 207 at locations adjacent to ramp. (Item includes all 1500 appurtenances,sawcut) SF $ 24.00 36,000.00 Remove and replaces existing 8"-12"Curb and Gutter per 10 HB Std. Plan 205(Item includes all appurtenances, sawcut,slot pave, etc.). 300 LF $ 50.00 15,000.00 376,900.00 C-2.1 SECTION C PROJECT BID CURB RAMP PROJECT, CC 1742 SUB-TOTAL BID AMOUNT IN WORDS: Three Hundred Seventy Six Thousand Nine Hundred Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 Bond No. N/A BID OR PROPOSAL BOND , KNOW ALL MEN BY THESE PRESENTS,that we Aneen Construction, Inc. as Principal, (hereinafter called the Principal), and American Contractors Indemnity Company , a corporation duly organized under the laws of California and authorized to transact a general surety business in the State of California as Surety, (hereinafter called the Surety), are held firmly bound unto: City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 as OBLIGEE, (hereinafter called the Obligee), in the sum equal to 10% of the'accompanying bid of the Principal, not, however, in excess of Ten Percent of the Total Amount of the Bid for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION IS SUCH, That, whereas, the Principal has submitted or is about to submit to the Obligee a Proposal or bid, dated on or about the date mentioned below, for: (1) the performance of the designated work, or(2)the furnishing of the specified goods, supplies or products,to-wit: Zone 1 Curb Ramp Installation CC No. 1742 NOW, THEREFORE, if the Principal shall not legally withdraw said bid within or at the times permitted therefor, but shall duly make and enter into a written contract with the Obligee, in accordance with the terms of said proposal or bid, or any amendment thereof acceptable to the Principal, within the time permitted therefore after such contract forms are presented to the Principal for execution, should the Obligee award the Principal the said work or contract or any part thereof and if the Principal shall give bond or bonds for the faithful performance thereof, and/or for payment for labor and materials going thereinto, as in the specifications or contracts provided: or if the Principal shall in case of failure so to do, pay the Obligee the damages which the Obligee shall have actually suffered by reason of such failure, not exceeding the penal sum of this bond,then this obligation shall be null and void, otherwise to be and remain in full force and virtue. PROVIDED, HOWEVER, that no action shall lie, or claim be enforced hereunder, unless the award on the basis of said bid shall have been made within thirty (30) days after the formal opening of said bid, or within the time specified within the bid provisions, whichever time shall be greater, and unless the Obligee hereunder shall give notice to Surety of said award at the time of notification to the Principal; and unless legal action to enforce any claim hereunder shall have been commenced within six(6) months from the date of the formal opening of said bid. PROVIDED, always, that this Bond shall not be valid and binding upon Surety unless accompanied by a Certified Copy of a Power of Attorney authorizing the undersigned Attorney-in-Fact to execute such a bond, the Serial Number upon which Copy of Power of Attorney shall correspond with the Bond Number set out above. Signed,sealed and dated this 28th day of November , 2023 , Aneen Construction, Inc. Principal Name �/ By: it v Principal American Contractors Indemnity Company _ Name of Company By: Attorney-in-Fact, Pietro Micciche • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of.California County of Los Angeles Onl r DVellnW /iiI102Z)before me, Angel Nunez, Notary Public Date Here Insert Name and Title of the Officer personally appeared Pietro Micciche Name(s)of Signer(s) who proved to me on the basis of satisfactory 'evidence to be the person whose name% is/3t subscribed to the within instrument and acknowledged to me that he/xle(tex executed the same in hisibgatekauthorized capacity(I ,and that by his/Acme(signatureW 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. `"°`r�E ANGEL NUNEZ 4, J Notary WITNESS and - d official seal. .. yr; ry Public•California - `'o Los Angeles County Y y" Commission#2321675 , `'� G�"� My Comm.Expires Mar 14,2024 Signa/10, Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages Signer(s) Other Than Named Above: • Capacity(ies) Claimed by Signer(s) Signer's Names Signer's Name: Corporate Officer — Title(s): ❑Corporate Officer— Title(s): O Partner— O Li milted 0 General D Partner. — :❑Limited D General ❑Individual Attorney in Fact ❑Individual 0 Attorney in Fact ❑Trustee ❑Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑'Other: ❑ Other: Signer Is Representing: Signer Is Representing: C2014 National Notary Association•www.NationalNotary.org•1-800-US NOTARY(1-800-876-6827) Item#5907 - : •., 5.: .....z,,..:,,,,„;., :,,,,• fir...,,,,,,,I, .‘,,,,,,,e:,.,...... ..y;i:, .0. .k.,.:,..7.,..,u,,.. :.,:.‘u -,.,„.:..,61y,L,-:,,,, •:;;;.4..,...!„.p. 4.1%., :4i -,,Q:, ,,,L:, •,.,•3,,ker e.,q n. .k.:a,„,..,,,. „:„..„... -....„ ,-:.uli.zi ”...,...;:rip .,A.,.' .:‘.., "T, ,;','''.,3%,,,'',.. ,.'ft',,, „Ct:..0,.'i r•::.%..,.:..; ,.,:i ,,' ..-:::,..--;- ."":< ., 4r, .. .: ..i:.c ..,'; ,rekii .:,..,-: ,z:1-!i,,,%- ,„:,,,i ,ty., .,:,--,2,,..-,,,. ,.,,,,-:, „,..„..„ pi ,u.,.,,;:.!?•,,,:. ::::, pm 5::-; ,-4:,.', L2...z:.; , ., ..;,-,..,-,-,,, , .N'! 1-0',, ''.. i%,., " '•"';'.i'',.. a',.:','i i'.',.% .4 `:',:-?•,,r,c,i'.'-' '4.-.:'„i,-,4. .'.'.'.('‘.A .* .% .,. f-'. , ,&",j 4,.:Z; •1,, ,,',g ',.-4 F.% NI•;,.'''0./ • ' • feildb iViAR.I4E.*'- eit HC C ,,,,A,.::,.,,i:. -,...,, ,:' "'" N ,,;„','.%,:•:::-:.:*:%,.4•:1.,.''.5`."','g.:-;-..,i-0I,'.),;I,:A,,'.•:'4;':'.'9:,,'.:,,-)7'..P"i., .:.,.,,Ik:',,',''o'?.:','' .,'''r'"4'.',;1,..";,P;''.,:.r'`':'N"-, '.4.:;. .,,. ...-? , POWERD F ATTORNEY .;. . .„.,,,,`:..:l•... , 4•1;• AMERIDAN CONTRACTORS INDEMNITY compgy TEXAS iBONDING.tooANy....f ,t•-,`,,);%O,.•,,,..,7..'.',-,'a,....':','.l.5 Z .,,-,.., ''..'','.'f.'.."l`'Z'.':':,.t.'h'''1'',i?"if.%.:i!.,-'3;‘.:,1;':'.,',',V'q''•,,,''•.,,'.j:I..'%'.:''.'4'''....'.;',i...%,•.,(:,7?'4H ifyjaorktg5orporatit and Specialty ,.,;.,.,, ' '4.,, .•:,. UNITED STATES SURETY COMPANY U.S.SPECIALTY INSURANCE COMPANY KNOW ALL MEN SY THESE PRESENTS;;ThaAme,rican contractors Indemnity,Company, a California coiporatior, Texas Bondinp. P >.'-c io v n'as'i6tri‘ciliiiWe atA"alericametiiiirAttplogemr*Compeintiy:',Aiitedtta....,te.k.S.yrety CaO.:14.„4„rj,g,„;1 ,N1,, :•',:.••:-:•::,P,' _9h:1,,,ari,,a..,, „.„,.,..,,,•:•..„- „,•...,, ;.--;.•4'; peciaity'.4risuranCeiCompa,ay, a Tela;.4,34::,kista.,,,b,h4...(4:6).:ItOtivelK#1,;:gi"5":„Pri)1!.'1.,..,,e‘el,k.O.,,p by these..,,p.,rlisel!:;si,p.r.,,f,onstitC4,0..,:t!),.di,,,i; ,':... .,.2,:.?.'",.'.' ''."' appoint: PIETRO MICCICHE of GLENDALE,CALIFORNIA • 'i!;•• ,e.....,,,=,.... . , .4;7,';:•;',.Z1'4 ,. ,4, ..f,!A ,..--.,?,.•,....„. .,,:„::-.,..,,,,.., ,,,.,p::::. ,,,fqp.,,,,... .,••• ••,1, ok,.. ..,4 ,-0:.P.,z. AR; ,..,• .; ;,.,,,,, (:.:,-.,,-... A ,,,,,,,.,..,4.;,,...,,-1 '-.%.1 , ',- ./hej::. --,-Ki4 ‘i....,,..i ._.,•-f= ea :,,,,..:,;-,....,„. ..„ ,,- .tyt f, f:::,•,,itt Aide and 10*1 Atti:grIgY.OnP,ct, c:ririrtr'ltre'ir'::,!6'p..p\''asrat'e!''PA,:k. Pact l'I'''r,"litire"!4'.;Than iib,':',9'..$,A,s.,':-.,-,,i,,..iirned OciOil.:''Irth„,,:..flilt,•:po#ai;.u,annad.e:lhiancguy,s1j,} ti": 64 f -eilis riattie, 1aCe`and ste ere y con err 'ad-lo,execute,:acknow e ge bond of surety, providing the ',".-' ' ;" I d iiiiI•deliVeeany..and,all bon&Precogahces; or other instruments or contracts of suretyship to include riders, amendments, and consents *F' Mil' *"** . penalty doee,p,??,.e,xceed, .-,-,.. ****$5000,000.00****J,„ ••' -rili4i?cower 91A,IIIPY'.,P„F„, „,::. ,, -,--- --- - -1 rA ri42026,:'This Power of Attorn0ii.:0;,!9P'09)Inrid., 4,'49.0-i0r.,4,pd by L,J.,pp.,,t!tx::;:•,g,-.‘,'!.71,1'.,',:l /1 h'll eXiilie withoutAimet dtiori,orp!Qn.2-r•-..ik ...,:...' ,,...,,,,, ,gn.,,-.1.. w.;4::.::,;:.,Z!i.::.:-.;:q ,4,i , j.:',,,, ',':.t„.E,....1,,,,,:.A. ),.,,.:,.:•<, .::.:4: '4 V,it...a.-iF alhOollowih resolutions- -a%g, , doptep.by the.i3„.O4r:46i.p,MOICkf the Companies 4....,, ,,;1 . ''''''.• ''' -• Be it Resolved, P7es'ident,any Vice-President,any Assistant Vice-Presiiielitiny teCretafy dr'any AssistarittSaencdreatali'ryco'srfi'aenildi;oen'abnedhiaslfh'oeief the '.1. v-""••••''' f*O? vested with full power and authority to appoint any one or more suitable persons as,Attomey(s)-in!,oct to represent „<A•,,,,,,,A, Company subjectlelhe,l9liowingzprovisions:,e,,. tt.t.k: ,q.:-.,.., ..g.,-. -,Att- ey-in-ki6f4oasib,p.giAii fultpower and:#n.O.rikikilarild''jn Itikaame of at4,41;e'lt*f;iif,-tb'''e C:o.'17-' a any"end all canientIE:P any,to,execute,',?','.a:,Cin.ITWie Oa ej rid deliver, ,.)-.,•-...;. ,,,,, 4, ,..• nurall bondk,,r#Ogiliii.,noes;.56„.ntf.a_Fts, agreernirt*ot indemnity and othePOontlittonil,,or ototory underta1,90;'‘ihelli F.1.9. iiiifiLN ',:':!:,;.!;:';'•,,.;!;.4 Attorney-in-Fact shall be binding upon '• forlfie release of'retained percentages and/Oft:lel eitinfateb-on-engineenniin&Conititiction'coritracts,anAdtaorirny,e,eyn-dilt,iiottces-and docum . canceling or terminating the Company's liability thereunder,and any such instruments so executed by any such any as,if signed:OI,the President and seeledand;effectedby the Corporate Secretary. . ' ..tget,thej signatureOf any auttiiiii`400::Of0Cef.end seal of the COrnOlerii..,k,'::te.itiOye Ofhereafter affki.l. 144 any power ..9,(ahYN i,,,,E.1),:;;.) i,::•.:.! •A'*#R"o"-c-41.--.'.4-,;•"-- " -- -4.'-. "liirer4if atibineYoi' ertificatc,b.:e,irf0,9 f4Ps:,F11'e,mg7..... ,N55 ,,,..:q. ,..,,.:,:•:, .,,,-,..,,: ..,,t,--2 certificate retetin*r;ereloe0y?facsiraAe,and en.v.p, ,.,.„...,.„. ,,,,, ,, s.,,z,,,,, i..,,,,,:::::a2ure or te6s'irtillel•Seal stiall.tieVelid and i?,41.,:).:711::,i1 4,u'po'n the CorriOahkWithlittiedeto'any bond or tindertaking,to whichifis attacned: 't`z IN,WITNESS W„ HEREO,„F,,,T,,he.9,9rnpanies have.,caused,this,instrument?vierssigne,dnendpreir corporate seals to be hereto affixed,this .4-,,, i•>:6;.7,0"'..- 5,-..,.: :47,::::' ‘.•'.';'!'".;45'..::::;.h ;:kZ:„0:, ''' 7.,, .::::: A 42.TA 1 Okilay 9tOrt20,72..4- i „,„,,,o,,z, yiii,,,,,,,,* Y.,‘,',1 1,. , ?'•;•11:1•',:',";';':'•••'liAlligki•eA„NliCONTRACT0,3,$/111P41,VINITY•P'(31PA 'TEXA '''.''.". ...•;!;;,'',.'•.4,':' ' •'"'" • ''' • ',', t,1 aft, ...,..,':,,,::='`.,'.4,,,o1P:, ,Witr.,. 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V t'AYA, this certificatelis.attache-di,andm...ot the truthfulness, or validity,,ofthat.i,:iocumenL,„ .,,,,,...g,•.,-.r-:: -ii•,.. p..::::, .!.1 llik:;! :<41 1:;:,.i ;',,A .,.-,y:.,cli?.:,..J:(;-:,,, nz ..,..-5.....,,t,, .---1, ;',c •.1 i,ij 3',,- ;Y1'4 A i :';-,,,--4f 4;:':7; 4.;I ..-:' .N":::q ..„.--,, :'i:-:,il ki Ill I',IiA fi...;;;.•;:';',;VA z--1 J'I .--,:-..---, ,4,., `-,,,,,,'--. -•,--n --•k.--c,' ',4,V.:1'i,,i ,,:.•,,,,,r .•,,-. r., ,,v,,,,k-:, x..,,,,,., ,.,: .S.;Vtai IteAo f California t•:,-Eft. = N..,w..,_t,, 4--N•v-.",-,-<,,,, '..,.-,..:--..7.. .-.-..,:-'- •=s--li County of Los Angeles •,,y,•:,,, '3,4 ..',:•:'•;' •:'. •••'%4 ''''• '''''''' ''' *"1, 1 e,th,t*Jr 2022,before meaiirili'i(i)-.104r.rejOita„ notar10141)!1•4110,0.:0; ''.:i'''''"' &-I.Lt.j Specialty Insurance 'Oppiiy.%bcppeared/Inhipl,','Pi;Pi.,§0.),Iar;Ni.,ce President Of :;;•, .,.M.-....'''',:!:;',.Off•LiS , .401.i .., .,0 .;,..,,•. ...-•0,•,•r,•••• ,,...,m Company, United States j.,.ifiety Company,,11p.. . , ,„.„.: . . .„......„...,,.„,..,1 0 eft Atb-erican ObatraprarOnderqii,:itti.Compaii .tTexas,;•139na!n,9, • •,.•:•,.: , $1: • ,, .s.k1 ' "C.''b.rtilany whOlibVe'dib'm'en the basis'kieflifebtbry e'vlderice.to bethe'pergonwhose.name is silbcribedito ttie within instrument, ....,,,. .:,.... and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, ...-. ,,-;„.•,..:,•K., ,....em,... i..".":•., ,,,,- ',..,..r,..5,,,, ..,,,,e.:.„.,. .11 . . th entity upon behalfof which,the personlizte!.:1,„...exeFuted, ,i.the instrurha„nt.,;,...? ,,,....,&-.,,.... :.'..-,.'•••:,.%-, ,..?*•,,,,,,,i, 1...-4,1'...;;?.... ,.6,-,-, ,....;,,,a..,m .v?.. i M7- .,i. 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',i.. , '': n',%• “, • S. • I,.,Kio Lo, Asfie.ta,nt, S,ecretarY,..„of Ameri9P9, POntrgoors,Indemnity C.o,mpany, Texas Bonding Company, United States Surety Company antt.,0.,,t.,,,,8piebleity Insurance cOMP4.'r:1:11,;00'hel#.6.ertify that ibckVic,a10 f4090ing is..,,,aAri:).6,an,c1161.7,F5:P.9,_py of ai flocYre91::,,Iii,,,,,,,.:::..y1 ' '' 'furthermore' the regilyircinsof the,,Boaras of D re,,‘ ,.:,..H 0..,,, ,.:-.• ;:,,... ' ' teliti-''y.iiicf-t,c/iti'Paniee:.'WO,':Is*JILfh.t.ill,ifp,rce arid,esa,d....,;: ,. ,,..,4. ... ,,.,,,,,,s ,,, ,..,.. ,;;;,, 1,,,, iu., ,.:::•,.,.; ...,z;,.„....,, ,,4,....,.u likz.4-off AttomeY,'PlcqP . •••'..,•:•• •:-.• ., - '?,"'-`•,--d*6-at..,%•' '''''‘ ''''' '''-. 4• eratit in the 156Vv4rOf.AfteinfeY are in full fcirte An e, • • .••••,,,::.f.: ...•••,,,,,,. ,,.,:-... •"f' ....i ,-.,1, ,,k:. Whereof, .khave ,h,preunt% s:c.i.2,rny,tiE,951pnffj*d Ihe,..,,s,,e,,),§, oLsaid. C, ompanie, tLp.,,e ,Angeles, alifornia this qtk-.... 191,1:7 --..,',....,....-: :41,v---..;,`‘,.s.tiKka...c/KA,'. .-'1.f':::..i .:%:':.., -2.' g-,-A-,! "1",•a;,.-, p::".!4': . .11a4,,,,,,, i. ,' ,. ,,.,)N f,..i.g Wpl. : dAy:0 t.,,,,,,,,, -,- :. .! . .- All V 'q '' ,-,t,,,,,,,.... ;,,,. ''',Q'...,..,'• -..z.,.i„..:.,41,..7:i ry, ,p,,,,..4.,• Ay t,.....,1„, ...:4„,..0.9p44•45,6,, ...0c),,,.. •,...A.,.,. ..v....„?.,,,:, f...4,.....-- ...!A - • •- - ill•r !i: ''',!:•••14,-f V °Bond No. '''''SS' . • 16)/ "'N., t s'zoif / \-Vi.2'01..Z. -10\t-rt:Of vi- ... --i Kio Lo, A-VA ant Secretary , _ - .7 '-',,515F•s--' ‘7.F.-igal 1411 11".4„.si --.....-, iI E.0 14C0PORCED 7,IP.E-I I,Z1:11.7 •S--k- - F.r, •',.,, :;,,,, •/•-.,:,:^,• ..",":'• .4,Y.>:•••'::',',..'''i ,.,•:' 7'',., .,•`. Agency No. 3057 _ i<gge• • „3•74*.t''V.,'A r‘, ,,,,,,,Ar,,,,,,,,, ,,,,,,,,,,, ..,:,H- :Ps.;7s:'•-, ,,,,....i.,0 .,..:; ,„' :',.:, i ,.•,,,, ,' .1.',:::0 :'-.N 0,... ..6.'%.4...'...„,"; ..:Ps.?? .q.41. - 044,..,w,ovv^e4N.3 il'O,'4 ....',... slrl•*4,.r..,. :•'•`.,•1-$:`,....:,,,,-.,,.,`•......' ,$•.o.. ';,, .,/,. 0, ,,',1 '''.• k smANptiAondzi. :•'.'') ,N.: **.'j :•,•'... :-SS::.•%:?•.-6:-";.4.•••••'.0-' :,,,,,: .e.,'1---',..':•"„.*.:T?: ?!.4;,,',,r1;. ...... ',.,. .:".•:::e i',1 ; c • •.<, -,, :: ,•: '1,..-•si -• D :Y.:iQ'.:0''. 't :.'fX •,*: '',n ' ','..kie4Cir'8'40N4-.OF /*"filos -',,,,1,41,:i„ ... k,:: vp...pm,.. s'4%,.=',0'?,, ',%t" kc•: •'' ..,',.', t;•' :''... .,"4' a, ‘,.,...'....":** ,ie ':k,,..1-;X *.t ,..,...,.,!9„„„, ,,,,,..:,..,,:, .;,,v',nitwit, _ •,., ,• ., ..• ,...-'_tion •4, •sw.k.,. ,14. "'" .'vitit tmhcc.cornisurety tor more intorma . . .. . ,... ........ ,..,.. _. ..,.. ,. , ._ , , .... .4.•,--.-•, ;: , ,:-..,•;:,,,;.. .4.1. .,...,:,..}1: .; '...N. , " .'' 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' ''',..%'-:•.., , '',,,`:,', v ,-, iipbis Preferred Bonding &Insurance Services 3455 Ocean View Blvd,#200,Glendale,CA 91208 - "For Active & Growing Contractors" To: .437„bcegivArk,c,41;free--, SECTION C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor,material, equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 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. �42 6/4 / 6 a f�1;th ) U c-i If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the'AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find in the amount of which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC 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: F y Addenda No. ->7ibQr@'RBCL'[1tQ�u� f ,. �r�.,�.,...r,,,, .,,',, ,; Bidder's Signature :: t C-2 N/A LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and •usiness address of each subcontractor who will perform work or render service to the bidder on sa'• contract in an amount in excess of one-half of one percent of the total bid or $10,000, whi• ever is greater, and the portion of the work to be done by such subcontractor. Ba' Name and Address of State Class DIR PWC „Dollar %of Item(s) Subcontractor License Registration# Amount Contract Nuniber 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 coveree in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bons 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 27th , at San Diego CA Date City State Wadih E. Daher , being first duly sworn, deposes and says that he or she is President of Aster Construction Services 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. Aster Construction Services Name of Bidder Signature of Bidder 1666 1/2 Mccadden PI, Los Angeles, CA 90028 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Aster Construction Services Contractor Wadih E. Daher By President Title Date: 11/27/23 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 X No If the answer is yes, explain the circumstances in the space provided. Note: This questionnaire constitutes a part of the Proposal, and a signature portion of the Proposal shall constitute signature of this questionnaire. C-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. Aster Construction Services Contractor Wadih E. Daher By President Title Date: 11/27/23 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Aster Construction Services Bidder Name Business Address 1666 1/2 Mccadden PI, Los Angeles, CA 90028 City, State Zip ( 323)463-1473 wdaher@myacsinc.com Telephone Number Email Address 976915 A,B,C-8,C-29 State Contractor's License No. and Class 9/19/2012 Original Date Issued 9/30/2024 Expiration Date The work site was inspected by of our office on ,20 1_. The following are persons, firms, and corporations having a principal interest in this proposal: 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. Aster Construction Servic Company Name Signature of Bidder Wadih E. Daher Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and swnrAfe before me this 27th day of November 2023 . A notary public or Other officer completing this certificate verifies only the identity of the, individual who signed the document, to *hid this certificate is attached,. 114 not the truthfulness,accuracy,or validity Of that document. State of: California County Of San;Neon ) On November 27,2023 before me, Idanin Soloman,Wotan"Public Month,,Day,and Year Insert Name and Title of Notary personally appeared Wadih E.Daher "Name(s)of Signer(s)i who proved to 4110 On the basis of satisfactory evidence to be the pattnt(s):WhOSO name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in Wier/their authorized capacity(ie4 and that by his/her/their siOature(a)Qt:the,i4ortitentth e person(s), or the entity upon behalf of which the perS,04(s).444.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. bI- %Notary Put* wan* .san nty trnit$410437544 : C4rnra,404001) P4,; Signature of Notary Public (PUCE'NOTARY SEAL ABOVE) (ATTACHED TOBID DOOS FOR 14 uNTA.aro. N, BEACH:W-14e CURB RAMPS DATED 1-1127i2023) : Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."1. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. City of Carlsbad 12000 Carlsbad Village Dr, Carlsbad, CA 92008 Name and Address of Public Agency Name and Telephone No. of Project Manager: Wadih Daher 951-445-6117 Sidewalk curb $1,246,566.40 improvement 12/31/23 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Concrete sidewalk work was performed on this job. 2. City of Temecula 41000 Main Street. Temecula. CA 92590 Name and Address of Public Agency Name and Telephone No. of Project Manager: Carlos Espinoza 619-218-3270 $550,822.00 concrete work 10/31/23 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Concrete sidewalk work was performed on this job. 3. City of Chula Vista 1800 Maxwell Road, Chula Vista, CA 91911 Name and Address of Public Agency Name and Telephone No. of Project Manager: Carlos Espinoza 619-218-3270 $154,225.00 cross gutter concrete work October 2020 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Concrete sidewalk work was performed on this job. c-to 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. Wadih E. Daher Name of proposed Project Manager Telephone No. of proposed Project Manager: 951-445-6117 Mary Philips Senior Center$550,822.00 concrete work 10/31/23 Project Name & Contract Amount Type of Work Date Completed Carlsbad Blvd Crosswalk Improvements Project Sidewalk curb $1,246,566.40 improvement 12/31/23 Project Name &Contract Amount Type of Work Date Completed Chula Vista Cross Gutter Project $154,225.00 cross gutter concrete work October 2020 Project Name & Contract Amount Type of Work Date Completed 2. Carlos Espinoza Name of proposed Superintendent Telephone No. of proposed Superintendent: (619) 218-3270 Mary Philips Senior Center$550,822.00 concrete work 10/31/23 Project Name &Contract Amount Type of Work Date Completed Carlsbad Blvd Crosswalk Improvements Project Sidewalk curb $1,246,566.40 improvement 12/31/23 Project Name & Contract Amount Type of Work Date Completed Chula Vista Cross Gutter Project$154,225.00 cross gutter concrete work October 2020 Project Name & Contract Amount Type of Work Date Completed C-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS CERTIFICATE Pursuant to SB'854(citing Labor Code Section 1771.1(4))„passed by the California State Senate onJunc2Q;2014‘established a new public workacontractor RogistratiOnPrOgram,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 IQ state fiscal year) with the :04ifornin Department of Industrial Relations:Ont-X-Currently the annual non-refundable registration fee for Contractors is S31:10, Each contractor to Nvhorn a public works contract has been aWAr.d0c1.shall sign the following certificate. =TACT SHEET on SB 854 ca,gosilljt SE/PublieNorlisiSBS34fa0Sbeet: 6-30J:4•Pdt DIR's:CoritractOr Registration Link—611(844)=4134 littp5Ylefilinviir.casovintMotionSeryiet?actiotr- playMMOStrationForrn. Mrs Contractor Registration Searchable database: littPite011ng:dir,ca,gmr/PWCOlgeatal4etion I am aware and will comply with the provisions of Labor Code Section which states:: contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements Of Section4104 of the Public Contract Code,or engage in the performance of any contract for as defined in this chapter,unless currently registered and qualified to perform public work pursuant to Section 112$.5. It is not a violation of this section for an lint000004`011tractorka submit a bid that is authorized by Section'702,9,4 of the Business and Professions Code or by Section 0.164,Ot-2.0104 of the Public Contract Code, provided the contractor is registered.to perform public work pursuant to Section 11253 at the time the contract ia I furthermore will comply by providing proof of registration*Al;OM as the primary contractor, as well as fotALTisubconttadt0t$at the time of submitting the Aster:nfrtC obrn Construction Services ,• io‘ idarliaOrnyadsint.thirt Email OFFICE MANAGER Title Date 1.121/7.3 pwelt,nistration,k t000`05757 . _ :10.00 'S CERTIPIC .'TIor. 1Ibt18tNO AND:MO'oawitopmgtgAcro l; f 8A$.01.10.140f4D IN 1 }, •SECTION'3 11711E 24,:Cade of'Fede1,41 Regulatko'%sr Part 1 35* `Economic Opportunities for Low-and Very Low--Income Persons he bidder,under penalty ,ofperjury,certifies that,except us•noted below;',any person associated therewith.in:the capacity of`owner,partner,director,40cer, or manager(initial The applicable sdootto# X Will ensure that]O,•14'afall new hares as a aesult ofthis project shall meet all require nenCs af. Section 3 of CFR Part 13$ of t oe F .TI Ad of ilt hire no near, employees in conjunction with, this project 1t award 1 t1°fi«aF tts sub=c ntracts o Section businesses;, This+certification shalt apply to thhe`prime centractor."s sub cvnfrac$.related to tis pro ect. xContractOr Aster Constructtot SetVita torrted.t Person; tbANtA sOLO ANO.._. onfact Phone: • 619-65`138fl8 • , Signed; Date: 1 f./27f23, is :. .. .,. *N°ote l:e abeve cerhficat nn'rs irequue41 the.Uegarkment,cri vusi�ng attd i;Frban Devetagmeint (24 CFR I35 and Subtitle A. et at) and must be submitted by the bidders and proposed sub- contractors only in;connection wilt:contracts and subcontracts wliict are subject to Section 3 or. the 19684;Hous ng and Urban Dewelogmment Act as amended mn 1992(T UD) Previous non4osup iance with S`ection,3touuld result in disqualification. EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321,Title,2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 N/A EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date The City . Huntington Beach established a Disadvantaged Business Enterprise (DBE) goal of 0% for this Proj ct. The information provided herein shows that a good faith effort was made. Lowest,second •west and third lowest bidders shall submit the following information to document adequate good fai►. efforts. Bidders should submit the following information even if the "Local Agency Bidder DB Commitment"form indicates that the bidder has met the DBE goal.This will protect the bidder's eli for award of the contract if the administering agency determines that the bidder failed to mee the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder ma• a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate th. adequate good faith efforts were made. The following items are listed in the ection entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (pl- se attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified D Es soliciting bids for this Project and the dates and methods used for following up initial olicitations to determine with certainty whether the DBEs were interested(please attach co 'es of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow • Methods Solicitation and ►ates C-15 N/A C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (YIN) Contract D. The names, add =sses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection o the DBEs, the firms selected for that work (please attach copies of quotes from the firms volved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phon- numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Names, addresses and phone numbers of fi is selected for the work above: E. Efforts made to assist interested DBEs in obtaining bon• g, lines of credit or insurance, and any technical assistance or information related to e plans, specifications and requirements for the work which was provided to DBEs: C-16 N/A F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. T' - names of agencies, organizations or groups contacted to provide assistance in con cting, recruiting and using DBE firms (please attach copies of requests to agencies and an responses received, i.e., lists,Internet page download, etc.): Name o gency/Organization Method/Date of Contact Results H. Any additional data to s► sport a demonstration of good faith efforts (use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF P ' R IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname) of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted Aster Construction Services (2) (Signature) President (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of (4) Place of Business 1666 1/2 Mccadden PI, (Street and Number) City and State Los Angeles, CA (5) Zip Code 90028 Telephone No. 323-463-1473 (6) E-Mail wdaher@myacsinc.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 ACKNOWLEDGMENT A notaryy public'or other officer mplet►ng this certificate:verifies only;tne identity of tt a individual` who signed the.document towh►ch this certiffcat'e is. attached,:and oaths triithfifness,accuracy,or validity of that document. Stateof tatifOrtila County of Sand Diego ) oh November 27, 2Q23. before.me-4; Tdama$6,.1 a.4 , Notary:Pubiiir . (insert name and.title ofthe officer) personaly;appeared Wadth E. Daher who proved i.0 me on the:basis of satisfactory eVldersca to be the petson(s)whose narne0)►s/are subscribed to the withih instrument and:acknowledged"to me that he/shelfhey executed.the seine m. • .• his/herltheir authorized capacity( ),an►d that Ely his/her/the►r s►gnature(s)an the instrument the personts)• a..or the entity upon behalf of`whi ch the pet soilts)acted,executed the instrument.. • I certify•under PENALTY OF PERJURYuncle the laves of the State ofCalifornia that the foregoing • paragraph is tiers aril correct. WITNESS:rrlyr hand anti official seal �,: ►DANIASOLO►tTAKcr Hatary Public cahornia r • Smfi Coo,:4 . • Corm on7S T i. ° rComm EXP►�es Sep t.T025 , tJ.Nature°.. (seal) Si List below names of president,vice president, secretary and assistant secretary,if a corporation; if a partnership, list names of all general partners and managing partners: Wadih E. Daher President Alan Hajjar Vice President Alan Hajjar Secretary Mina Siry Assistant Secretary C-20 N/A EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOC AGENCY: LOCATION: PROJEC P ESCRIPTION: TOTAL CON r 'CT AMOUNT:$ BID DATE: BIDDERS NAME: CONTRACT DBE GOAL: CONTRACT ITEM OF RK AND DESCRIPTIONDBE CERT NO. NAME OF EACH DBEDOLLAR AMOUNT ITEM NO. OR SER' CES TO BEAND EXPIRATION (Must be certified on the date bidsDBE SUBCONTRAC D OR MATERIALS DATE are opened-include DBE address TO BE PROVIDE I (or contracted if the and phone number) bidder is a DBE) For Local Agency to Complete: Total Claimed DBE $ Local Agency Contract Number: Participation Federal-aid Project Number: Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature.f Bidder Date (Area Code)Tel.No. Print Name Signature Date Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitm- (Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts), to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Aster Construction Services [proposed subcontractor ,] hereby certifies that he/she/it has x ,has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that,where required,he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: Date: 11/27/23 Print Name: Wadih E. Daher Title: President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that m g a false Certification may subject the Bidder to criminal prosecution. Signature: Date: 11/27/23 Print Name: Wadih E. Dah r Title: President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer,manager: • is not currently under suspension, debarment,voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: Date: 11-27-23 Print Name: Wadih E. Daher Title: President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: I) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certific ' be included in all lower tier subcontracts, which exceed$100,000 and that all such s ecip. is shall certify and disclose accordingly. Signature: C/ V / ' Date: 11-27-23 Print Name: Wadih E. Daher Title: President C-26 N/A EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ■ a. ontract ❑a.bid/offer/application ❑ a.initial b. a. t b.initial award b.material change c.coo erative agreement c.post-award d.loan For Material Change Only: e.loan• •.antee year quarter f.loan ins ..4 ce date of last report 4. Name and Ad ess of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: ElPrime Subawardee Tier ,if known Congressional District,if own Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable 8. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No. I Oa) (last name,first name,MI) (attach Continua ion Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ Actual planned _ a.retainer _ b.one-time fee 12. Form of Payment(check all that apply): c.commission ea.cash — d.contingent fee b.in-kind; specify: nature e deferred value .other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Se ice,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item . (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes El No El 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352.This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: I:te: $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name,address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial (M1). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4) to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply.If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. • C-30 INq City of Li±untington Beach <, Ilk �rcY° '`°�� 2000 Main Street ♦ Huntington Beach, CA 92648 tt�� _ 1 6- 227 ♦ www.huntingtonbeachca.gov tk �t Office of the City Clerk �oU"NT1 ����' ®� Robin Estanislau, City Clerk ®a. ' April 5, 2024 CT&T Concrete Paving, Inc. 324 S. Diamond Bar Blvd., PMB 275 Diamond Bar, CA 91765 RE: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, 943/-4,74,44d Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan 77-C440/et6C-A lei • SECTION C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION . from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described,and to furnish all labor,material, equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach,and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 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-I • SECTION C PROJECT BID CURB RAMP PROJECT,CC 1742 BID ITEMS --,F;--.v..-.4,,,,,,,,,,„...,m,..: ,-....,•,',. ,•Arr 1 ,111.56.11''...,,,,. .,r'^}4,,,,,W.(4 ,,,,i‘. 412'4,74.r14.''''•7:MNAFTWAERNOWIRSAIMeirrr trgagregiVik-k014 PIX1615;4fritiatkiitt:4 '',',41.4:.,.,,,,,...-etx., ,....;...: kaar;to'':.Vti' it34,'*-•„.:14,0:00.4.-vg.,**TaflikVf.,Oth,,..40,,,attApa..'44.' WAltimrtiteistri_,Otre.ii.-'‘.',,•8...,',;•Mateal 1 .1.,,VRIA4,Xf tgAgglike„. .14*,nstr.,otp4stowfwl,,,,witin:A.,,N,Aotieviewoboovego,.450,04., Cli ..w,y..0 ./.-.-owio,,,,,.. ....y J.,.--;. ;....,&,....UTI.T.z.. ,10, •.,--•?,:46 •s-kige.-.... ..,...,...36,1.•,.4.h-.1.3P..14,54,-Axtzl ,'.:4,1.44s.,,i.o.:4,...,,,,.e A-wg,.,...ft,..-*,!).1f_44-2:',,g..,.'%1APWS.040 $ 1 Mobilization ,....... 1 LS $14* $ 2 Prepare Storm Water Pollution Prevention Plan(SWPPP) ,tic 1 LS $AVI.."-- L4,0.0 0 $ 3 Install&Maintain Construction BMPs • o 1 LS $'°kIIN09.— 9 Construct Curb Access Ramp per Caltrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix 4 H of Specifications (Item includes all appurtenances,curb &gutter,depressed curb,sawcut,sidewalk,domes, 5 $ retaining curb,slot pave,etc.) EA $-. ,6 T)Otii. -3 LI 0 cc* • Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A/A88B using horizontal curb cutting machine as shown on Curb Ramp Detail 2 in Appendix H of 5 Specifications (Item includes all appurtenances,curb& $ gutter,depressed curb,sawcut,sidewalk,domes,retaining curb,etc.) 23 EA $ (430C- I S 6r LtaY±: Construct Curb Access Ramp per Caltrans Std.Plan A88A/A88B as shown on Curb Ramp Detail 3 in Appendix 6 H of Specifications (Item includes all appurtenances,curb $ &gutter,depressed curb,sawcut,sidewalk,domes, retaining curb, slot pave,etc.) 6 EA $WIel-% cp,grx)-0 4 i Remove and Replace damaged concrete cross gutter as shown on Curb Ramp Detail 4 in Appendix H of : 7 $ Specifications (Item includes all appurtenances,curb& ' gutter,cross gutter,sawcut,slot patch,etc.) 1,300 SF $ t46 585rn , Install 4"PVC Sleeve for Street Assembly Sign per City of $ 8 HB Std.Plan 401 3 EA $ 14 0 Olj'. /al 00-92 i Remove and replace existing sidewalk per City of HB Std. 9 Plan 207 at locations adjacent to ramp,(Item includes all 1500 $ appurtenances,sawcut) SF $ 0,00 30()ooqs; I Remove and replaces existing 8"-12"Curb and Gutter per A $ 10 HB Std.Plan 205(Item includes all appurtenances, ! sawcut,slot pave,etc.). 300 LF $ 1'1 g" 9-3 700'.'. 0,... C-2.1 SECTION C PROJECT BID CURB RAMP PROJECT,CC 1742 SUB-TOTAL BID AMOUNT IN WORDS: Four Uundre2 Tw - X Tko i c. T)o // . ?moo Ce4AAS Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern.The Owner reserves the right to reject any or all proposals and bid items. In addition,the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may,at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find a Bid Bond in the amount of l016 of Total which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. Date Received Bidder's Signature 4u C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater,and the portion of the work to be done by such subcontractor. Bid Name and Address of State Class DIR PWC Dollar %of Item(s) Subcontractor License Registration# Amount Contract Number NpY�9 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/27123,at Pomona , CA Date City State Jose Carvajal , being first duly sworn, deposes and says that he or she is President of CT&T Concrete Paving Inc. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership,company association, organization,bid depository,or to any member or agent thereof to effectuate a collusive or sham bid. CT&T Concr,. Pavin Inc. Name f B. r Signature of Bidder 324 S.Diamond Bar Blvd,PMB 275, Diamond Bar,CA 91765 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (I)(we)(it)will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code,Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved" The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. CT&T Concret aving Inc. Contra or B President Title Date: 11/27/2023 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 fa 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. CT&T Concr;`; Paving inc. Contractor /,/ B President Title Date: 11/27/2023 C-7 AttitintIMPOWilATION OTP:OVIi,1 W .OW to f000iikgkforthitiotts till. ed.tid Oette*: ro,460.0t4t,lf*Itid tret'.6 2,4 S:.01iiiiititiit tiAttitild,00:11A3 za Iltows$,A4'dross biamititi Bar,cA.,94•*i5, : C.4N state 2;41 001 ,032940,0 fae..Atitit*Offidit466i1 TatOliond144.010 '0044 Address 87itt72t6sA 6.4-,tit ..„ „. gfatd::e6t.tt:4O•tiiettkiti *t,:oif Clad t....10iiods: ......„ :„_:„...: 0144140..40:0404: Itowoikitte•Aval&gotteitty.40.0;04:7010...,.. . ..... ,ibtourdittailw NO14#00.270 .,,,,lial - -- ifietcii1Owitig Ate,0:010,ai ti' ,.ftiiitOopootfon:17 lholtig*OW0,tfitotal tit ihi$titcottoo4 o7cAtp...ohorSto 0:0-*00;14,...... , , 4100*CA000.404141014.4: 40000' 44:00-0,0wa.0.41.0.040r . ,. ,;•.,,..,:::,,,,.L....%,,,,,,,t;.,,,,,,,..„...,,......,...,,,,••:-.,.:::„..„:„:•......,•;---.,„,--,,,.., - .... .. .,. „. „ .... _ . „ _ „.. ....„„. „.„._„.. :....::: ...•.-.7.:.-_,•.:T-.::7-.T..7.ii7.7.- ----.7.-.7::.7.-.:.......„':.:•::::.:.„--:::..::::::::„::-.: „;,,,„,„:„.„,„„„,„,,,..„,„„:„.,,,,,,,,,,,_-„, ,..,„:„,,,-,,,,„,„ -:4;E.,:-.,,,..,,,,„,,,,...„-.,:y.,,,,t-„,,...„.„,,:t,,,,,,,,..:-....-•, ,,,,,:,. ..::•:•,::.:-..„,•:„...:,, tio,'Att40#007.4 io prepared to$4 ti4P0.440Plif*tkoT City 0000-tito#*40toritg*lit* flilociatir or to perform the contract for the 00110Std lOik and,.iitiposaitti6 iin ad ' mijo,,O;p***-4400040000*forth 4'0- $ro•rConcrete .,..,../;.4,id,.•,,.:4„, i, -: .4 trip. $40: I0- 4660 0400.01 ft44 Or4P0:41:004.*:0 :......, ,.. NOTAXY CUTIFICAlt $ bdid.0.0030 kidtare hit tiiii,41;'dhj"ifi.trierAfttoL) 202:4-?* 40*Y.:011).110*4.*f]OffitOt',40itiplotrot this tetittrte.ett des only the;14efility,Orifm -v,1#44(140:41 ht sincd 70xo gtookottti to. !wii4) ifitti 4faclx04 and not th Stat— of tAtjt,,,rv' County ) fte A, 1 - On before xne „ , p Mot*0..4w.444.1700, , riet:$004,40:04tOt 7.1*.10 44 4 prOtatiltitYdri; basis dit ;he the petotto.)whosesnanitisYlitkm stMetitiO4*tht*tiWhIsirtIM041444'40t410:640.4ggra44 me that fld4g4ergla0010 the,stoe-., in hiObo'ithoie:'aOtbtiiizot. 4tOcitAiesY,Andthh:t hy.$fsltietAheirifgttOgON*thC''i#$AVPIO1lt* t***),iler*-0**Aport;4441f4fwowithiej****44*.40,06-4-thvuitmment - I certify :0040 PENALTY :REgIVKY"ON&the taws Of the State'-dreeffortlia that 'the tiqt0g041010041:0*kii0J0400t:00t. 1,411014 . trottyPerc-Calitimila *A4010'6401 WC:Oirifil*iit'allaftrk2b# Stgiatt#6,-,- ' *.gefOlre'OM9i..4*Pubhc ffiCAVe$70M1(s-r4LOOW: OiddeltoPotilliitory 004 thpurosea Ort40,pojoti t1i biddr LaU pito140 project isóry f Pra:Ar. work v.05:4:04 orovratio*.z,.04sittiotiblvot 0040,00 spOftew.titk and eperiaRce necessary WM 414166(4!8rnch and gieitetAtic grotiiitimuidtteitims.Witkitendi depths of rnvertJ 414.4oisare onaouraged to. ubmipp1erneneieantprojectMb . . hi addition to the*O0d6 L1044-1:ttdONrargifig names j 441.4r95gpcfLtOlOtipnq.np.nibers:.-forihrwptiblic nendes for which 1,1) AA. dflrWok wthtnthttiv. we.47.40#4.411.-gftN40:4:040k040.0.m00070* 10440 iN010.0 4n#4,A04 04$'a.Thibtie.AvAt$ • ft*okil:TotohooNflA*,eriolootootogorz moioym:40%;o:4,1o4o4.040. :Afi.tfOrg.404f0gttitf 1117/2023 ietfatil„OrArrAMitt TY.p.g41V0.4( TWO.00:.41-400 .„... *Oil&addkionid polordaaciptiottto'*m'k7-,:itilittit:wok .tioffim.00:4 001.0*0.d.0.64,01o0C.#02.0000:forox000.00*.trititootootoasot.o.gittowookk„ „otoromoio.,..00:fs.:„BonViOnt;Ave4 tue444*1.400.$OPO:Iillpag004 ood.tilophooNo,",olit' g(MottgeA: ttitd.AdAtonereta tampsReconitruciton refitektiViiitittilt T.A*:-.4t*dtk: 040 Cotpido-el Provide additional prtilstdeserttion'to Aowsirnilarsatoikz lk0q*Oj';,00f..4.0,4„teltileofAjkdijiii it*Otbf.:90i*f00110it Ailft.O8;l0100061i:Akison*.Pwodoako.'io6lo .„: „..„..... pØ and 44.4.f00. bII ix.totto àtd rifolutiNd.,,raktif)oc-malwt,. titex fl6req owa'ousti, )0416,0!1± .. RO:0/00:0101-P0000 kt,0400P0,44 041.21=3. ',V.:9104:041119.14*. „ . TypporlIttoik, Date'Completed _ . 10,„*..,-A011..„ 14r workt.: Rom-*,o.t.4i'06.f,*Ao4otio(o*i6ii0.4',POOoTO:o.wo.".ikooti**boitot,li*oi:"o'y*oi000.',400.44:iO4dett000*, construction of,n idewa and curb raItps,. ffnish áfld*tnstat joint tiHerand rest 'raion Bidder's Critical Staff Listed below are the names of the bidders proposed Construction Project Manager,and Superintendent. For each of these critical positions,please list at least three projects for which the critical staff has performed similar work within the last five years. These projects do not have to be under the employment of the bidder of this project. Bidders are encouraged submit supplemental relevant project history in addition to the projects listed herein. l, Richard Ramos Name of proposed Project Manager Telephone No. of proposed Project Manager: 909'957'6717 Citywide Sidewalk, Curb& Gutter Replacements $479,053.68 8/11/2023 Project Name&Contract Amount Type of Work Date Completed CDBG ADA Concrete Ramps Construction $175,000.00 6/16/2023 Project Name&Contract Amount Type of Work Date Completed Residential Concrete Improvements $404,030.60 04/27/2023 Project Name&Contract Amount Type of Work Date Completed 2. Oswaldo Deanda Name of proposed Superintendent Telephone No. of proposed Superintendent: 909-706-5506 Concrete Rehabilitation Project $200,131.30 4/28/2023 Project Name&Contract Amount Type of Work Date Completed Redondela Drive Area ADA Improvements $242,088.00 04/06/2023 Project Name&Contract Amount Type of Work Date Completed Citywide Sidewalk, Curb &Gutter Replacements $479,053.68 08/11/2023 Project Name&Contract Amount Type of Work Date Completed C-1l CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854(citing Labor Code Section 1771.1(a)),passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844)522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayP 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. CT&T Conc t Paving Inc. Contr t B jose.cttinc@gmail.com Email President Title Date: 11/27/2023 PWC Registration#: 1000025154 C-12 • TATM.EWS,MTIVICATION# actusw•GANA):0101Ali DEVFLOVItiqtAtrt,)Si t9.0.$:•Ag Oftit)ThirigtiV .$.RWAM:3104E.;24*CO*40-0.4001,00.1444*,:•kift430, ,FOOtiOttit 00titd.t10ftit W**41 V ,.l'4001.00ti-0.,P417$0.14: The 15.1dde teitifi6 that except as noteffbdtiavkarlypersce associated therewith in the 44pwof ot.goot,:powt doctor,zottoot ormat000r 0111.410o.'..014.1048i0 section : • WilJ ensure that 1•6%o ii.t.ttew hires s ate-stilt requirements of fOit#1.0:00,00 115,0*figaiwor r90:80$ •4*.,„ j.ft iiirettopoo 00500.$ ocitoodfoil 44' . . Will award 11115.1kofita.subcontractsdo Soititai This.Ottriftati4a50fall tUpittit OWO.Idetisa-tbdt140W*Witti)AtislOtojgd„ Contractor r;14;i .'06 •I'. • - 4k - Contact Person' -,54.1th•&r.C. ,OSNia4.4I4 Coilta4.P1:000' • 11•644:::0t owItkotott4;*ipiiid4 hytitid,Oopotitiottot Matt 40Wdt(0.0•4911itiOtt 24 OP•O, I3 and Subtitle A et-44*4(ttiii,*.(:1:0 latCb0.404,by the kiklOP ,444,,proposo0$407. totitmotoo.,90tyin connection*i0P0;itt604:4.114$0.14.06100$ which are subject o sootiO4.;Aior 19:6.06.04-4104 Vb . 4 3 Ltilidlaitit inthsaualaticatioiL • t.411 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321, Title 2,Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project,although there is no specific goal for DBE participation. C-14 EXHIBITII • vay.EVORNTATIONVOOD FAITSZer- ,610$ F010:414iiid t-e4.11,4; tritA'S" :Tti*City of:flotithlotTwil3;04 Disadvantaged BusinessErAtevrise(DBE)4.4 forthi001.gpt negitifOrouti6A.p043444fiet,OW$WWtifiatitOitiaUtlie6trWOrlitat,.< i001Y-0:00:940.41M4.0,444 .4.,:k00t0$ Ohio itiraccdoctunerif adequate good r4i:thiefrott$,:f440,,..01P11114:Attlgtit*Of Oitc)N1*.iitt0:4000W0(Atit 1.1*'1400: bi0,4041,4*motithoi.004041,This wilt l.POP.0*. a 044*Thi foist.,,o41#4,10:61 detelnes That '..th.o.t444se,WW1*meet the 0041,,,f0f,:todeit,o,roopo* 44,f013Ei 00100 bid „ . opo*go,or*.'01$14#01:oo4o tOggi.011400.40:61* $AbstflittgiVt otitttl "Loot Agency Orafito DE conuwtienr bitlww..46.t proidesuffiderit documesititiortio dipnrp*Akf6g44oqpgkj$: gtotth gfrigtvore,:ogdo.,, The:fOttOwAIS it=4.01$ are Jisted in tie!S,-otiog,i'otiffoiV%titittigitoti sottiap-kiii." e: 7P.4 04-10# 40:44*:$,E0f 04*P4liii:Ottgkt#440 tt04:40441e0tlit*i0#44100Jitu.it$ ZO.Cflit0; was pItced t 0*,i 0174,64.0 attach copies of*fVttffo-#itnti'fbr pogo of :.p4.40.4twPtblkattonsf „ It INIfts„ „:.„ „„„ ttiiiitaditel4titedittititb.§tetittottitifiedDBastdicitiiitbids.farthisToject an 0.40: dates and ifogiho01:•.o.100 Mowing'op tuttl .4„0„):*40:00vv.4.0totstoil'oivt-th certainty whether th tBEs were interested(please attach eppies ofsaIrcitation tetephne #402...f4:*t*:00:ritt.i.140444,et *4-,0:0V04011,440 pwor initial VO.1I4*.V0,;140000 40:64,4tiltt and Date . , + 't e, sterns of*orb•:: hieti the bidt1e ma e< aura l bl 'DBE fz i inebid n *igiere pp ,�, ro rrgtteoll; bteang down ofthe canitaat work stern 4*,1udr10,those-tteros n4alt rformed by the bidder w.the its own forces into economically fitsrtfie units to fa rtif.4. 1BE pa c$t ►n. Jt is the bidde' sponsrbrtit'to demon t ,that:. aent work to citrtate*004aerpat;;an; :0 mate axjabte try D`BE Itoo of york: B r t B at a� t~ Amount. P�� Perfo s tt Tieing j of `cntct 1+� = t '. ei � �� " fl names; artdresses�a d Tt'UQn bars of rejected:DBE urns, tEte reasox fa btdiWs *j ?ti of;tfiotOt, the zinc t cted for."tit Elkoit, pt ase attach eopfes 4 tes-frorn,.tho.arms to t tv and°the r e dxf renee t r a h fie ected'f�rr t not a Dom: Names;addresses and;phone-numb rsiofrcte :d Es and the.reasons.T ar=the bidders retectotaae,DBs' t<I ,ddt.01$ ,4#0506ne:nurclbets cif Brins setect d Q th or .at c�� E. EffortsmaileAkyassistinter. tedDREs n;o trt ndrn �tfut c + r tt+ t xnsurancer a t n all asses, r e 6r tfcar natjrott ated; to the tta �tt t oris requirements T the work wh i w p ayr ted to t �i � � r t �... • •,. .... . 1% tittitt Atioao,;t tjntóitèd PB tn !ohtottiiog tquipiwoot, :,§ositto, )04-tori441$for t41400'.0$14st4400, fo:OW. 01*4.0.040p,uiaes orieass front the prttne ecntrater ptits:kt%*(ot;,.L • ,myc • .4;:it.W.v0.9,4t fit _ . Th6,,-, OftitiO§,•`..d,:biitated,.14 contacting,torttiftog 41,14 gomg '01.0.Ast,i,ottaih;t0016w. teoem t agencie and anynisponseateneived*ke.t ii4.1ittentekp.41pr,diymiloado.etc'): .Namont:Agorinybarganizatton :14•Ottm...t1/Dato.ortootad , , • . _ , : „.„ • „ H, Any additional dat ato support wdeinongtrationtofgood laithffefts(oseafdditkrnatk: heets itill000$0.0,0t NOTE 11%A!)-P1tiONAL SHEETS OF p;A:Ptg.Ip.stg(4$:omy•; • ciffbI .000. -Witii<p.400.0440tiltlentoorn CT&T Concrete Paving tn . :Ftwetitttsia,tild§:litemited.Howitio itIptraOtt flit*:OBETtittilkfa0Wing040,0t, Pt 1,1D: M24. 4***410:11,:tgi-NO Zone C "•'rb Ra pt „ . . ....... . . Proip..p.twomopyki .-„1410440*lipmagp-A-AgoArxg,; Ogg'Phtig0011f4C:„.„10,..•..44...41 ...f1:1001.1 4)41:40 ag.07.0.000:410404 C0142- tour*Orange t0.000tV HOti#0.0 Ecit Cokäct.10{6..ftatioii (04400:t.Joe 0.0.wo titotliiatio0offoo:Oroto.040:04gm, §6.401.01.0 'RaxA0geaatial, WO:t0t0;1111* 0,4004t;04.4 Advertised DBE Scope of Work CT&T Concrete Paving, Inc. is seeking quotes from all qualified subcontractors and suppliers, including certified DBE firms.All bid items are open for bid, including items of work typically performed by CT&T Concrete Paving, Inc. Portions of work for the project include but are not limited to the following items of work:Prepare SWPPP, Maintain BMPs, Install Curb Access Ramp, Remove and replace concrete sidewalk, remove and replace concrete curb &gutter.Quotations will be broken down into comparable packages as reasonably necessary. CT&T Concrete Paving, Inc.will work with interested subcontractors to identify opportunities to break down items into economically feasible packages to encourage the participation of DBE contractors/vendors.CT&T Concrete Paving, Inc. Is an Equal Opportunity Employer, accepting proposals from all subcontractors/suppliers regardless of race, color,creed, sex, or national origin.We intend to negotiate in good faith with all qualified subcontractors and suppliers for project participation. 100%Performance and Payment Bonds may be required for full amount of subcontract price. Please contact us if you need assistance obtaining bonding, insurance, equipment, supplies, and/or materials or this project. Subcontractors must possess an active contractor's license, insurance, and workers compensation coverage meeting all requirements set forth in the contract documents.All quotes shall be in accordance with project plans, specifications, and valid for the entire length of the contract. Where to find the plans &specs? Plans and specs are available for download on the City of Huntington Beach Planetbids Portal. https://pbsystem.pla netbids.cosy/portal/15340/bo/bo-detail/111412# Plans and specs are also available for review at our office or sent electronically upon request.All bids can be faxed to(909) 629-8001 or emailed to bidinfo©cttconcretepaving.com. IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted N/A (2) Signature (given and surname)of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1)Name under which business is conducted N/A (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 Itkeditoti-MTA.dg„Aidgifilftt: tmd1,Nbith. "cr.417,..Ctittite g4rf PrO00:00t, triff4) j*itjt04k;e:Origi#W$041• here 0)1006:1,ti**4 040.701-0 170*-Oftliii$,figt4At: -'0:a*t1114-- (4)#144t-6,1704 Ai24 D1061060 Bata 2 '5 k$400f41,4141411:bP67 tity*id State 0,14f1I00:44-t.,CA. (5 9ii6& Veloti-dooNo: (6 -'©g a cilm 70,-Mali)04ei-ettIM Mt .14. ' AM:AettS.OWL'UbidlittNt(tflUetTOON UV'AtliOrAttikw$: ArAttActito, • • , „„ . .,.„„ . , ....... ..:.....,„.,. ... .„.,,, .„........ ................... „ . . .„ __........„.... ., . ...„.„ . • . .. • .. : .. . . CH• ALIECIANIAH ALL-,PURPOSE-, :.1 ... „ „ .. .... ... . . . ......,,,,„_••,,,,,,„„•,„„ . • . • .•, . , ,.„ • •, , . . • ., : .. ,. , , , ,: . „ •• ., , , , CERTIFICATE OF ACKNOWLEDGMENT •;,,, • , ,•A hatalkObild or other officer completing this certificate Varifidd,only identity theof the document to which,11114; certificaters.attached, end rOt ftW trtittOttlmss:i accuracy or that document . . , State of California ,...,-,.. I i 1 1 • .i ,„ ., ., . -Nat Zdurrty4 olU*Ailg: , ...„ „. ....„... : irl, , 1 • ii ---,-'—---' ----. :*:,-.•------''beti''to ins,•,•.•.•.•.:----D 0• a-'i a•..-,::'l A B utta0•t,A ormtar'#••y5';00Pub04t 0 4tqc.qpf•,o---- -• -I ... . . ,. . , .iti60041.•hiHopTeatta Jo-, 4.4,3;:40,Vez,::'7,--k, .,.;',1:,:...----:::.:,-•••,..„:.,:-„-:----„,:„:-.,,, ;::-::::•;:. ••.:. ....::::.•••.,........ „,,,,, ,, who P.C.W.04,10.me ii:t31.00 basis of*Abofa,L.d.rs:(,OradadO„to:hata,zgeraphc : ;),, .:..: ,:e li ain'' 'e‘' re,5:subsciibe'd teite wiifilmfrorgepf 0M: o:Oktutoloitgett toAtie.that iCrig3g.':' hatthaV4*4611-10.0*Sam in:140 ',d'ftreir authorized cgp.404(44Anti that by . . !!"41v 7o:iithtit otgoopow[dttiht,littgrOtiletititii0:00(4 drit4 4#::tttat,„oatrty,',493,1 behalf of t4iii-,hith ihro pettbfi .,•acted,txwed ihatht ,..,.... I certifyiiiidOt PENALTY OF RERJORY.iiitidett It*laws of iha State of Californiahat . : . . . . 10,•*.fore•§04 ta7*tabetiralii4karid.#00Yadt, . , , .. „,... , ..., . , . . . . , . . • . . WITNESS:'':ti'*tiAtid 004,10.kr0.1 0eat -,,„:',;-,---' ,..; • bAt4,,1%'xr.,:t..iirtzg„. , ,','- ecr, ..e.iniiiiiii-NittifOr •, . . : ,• ,„ .., • ''',..04,12;..--,,-4. Nthplibge:::aiikittia: .. . ,. ,., -: , :,,.:f• -.7.1::,-!,i , ,-• ,v.,-V,• weeiti,E440.140Z2026'"':'1'1:1*".' :--"''''''' ' '':::''-'': —'''''''. 44-ki....J, '... , . , . , . , . . . _.:.„ ,..::: ...... ......... ..... ..... iNtratlettata#61C00.talt.0.0400$10.0t Art.DITIONALi.01?TiONALIWORMATION Ifitartiiiiii-ozOn. ta : tti1644;:iiiiii ii;k ': l'''' a a 68$0410flifitfbO'ffigiAtriiithiti666€100: 1 OrK44,,o,:i040F,A0 Roo'0**,409,,,i#.!;!,#g:,!r 4:1,0,.z,1,74467, ...! , ' So too i f 4.:it:oo*ko';o1;0ai.,Aog#:p1,1o*.0k:-4.0got4q**oo , . •Oxv.A.0,r4,00:**00000014140.***00**31,04-0000.0 00 . ; •. . 11,4 - rifPti*,440ioriP'(41114,004060 - . . , , -e'1,,• 4*114°:040-061400*,##0:0*WWAS0040:4*.tpio44,,4404iii00 I00.„Wii1V-40•40:0*0*0#0[0040:!ciAOk44-1**,,,, [ : 0:010.ot,,00 .0 rog*,000#ffi444;k1Nolio0(.4: 0,0floottoit0 , OttoeoOlgoofitiio44040*.irti#000 0-" • ..k400ligi*,,li,.*,000,:tito,„;4#004:00-0.0r40410., *,E,'',',al otoo OA Oiit-periii,iiit,oil,,irio:,:isAto a .10:0766-:,,viiiiiiifilifg or,ii'd: „ . 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URSNMt s .itrriu- citAr 6.,e.„..„, ,„,::...:'- ,,paiiffe4, lino - aifitudlititttigu •,,'' '-o.i..-:'.,-4::,.,,. 1.ft*tit Afi*X.,,ANWOOMONt40480N6. " NAME .dt Eit& PBOOtt,40•MiC011Z 0404. . 1.0 !OtiVitSA V EtiWp480110:i1OP !-'04400W0.0.04i0ii;rti*Otlintie . stittOitligArtEry OR. rififcrEgt.iits'.:DoS '..60,60i"0.-444.14*',0„00140* .. - Toiffg•iltratilliNiititailtiaiti ittho 4000*, OW' tiodkeisvlogy . ! i I 4 , 1 i . 4 .' : I 1 For Local A.014--.. 10:ebtinSe* • iti0(64i4i-oitkEit: '$.._:::,„0. . .,... ••• . •."to•i00:006:ri.i • ; .,_ . ROPT4190*4-WXIAR*••• --- • •. - •—•:.:, . ...... „, ... . .., . ,_.....„ •': .voilootAvor4bc.t.w., .; ,..., • •, . • ,• ,:•.•,::';.•,,.,. : , : . : r, ,-,,„••,,-,•.• ,„•..,. „ , : .. ,•••: ,i•..,- .''-.,/,,•,:•,,, i . : . • ,... . -- i,,-•• i •• ,•,:•,,,,—• i : [*ii AOtiFiCeifiiria thitt a 1 i DtEeidiiiaiiiiailiiiiiiiii,Vditait : . • ,. . .. . „. . , ,.. iiir46:400iirs:*tiniptife:*400r#4 . .0 .- • r . ..,-•„....,,,,,7.iil...:,.--: . Tii011401A tan )#, -„p*.e.,..1 - '•:' .Z4BK.•-r14tYl'a-,-- •.,- --;;;:-.•;::.- - . , i ; V-6c7tibtif,...—ge'prftti..*IM: dj ; '`AltA0:_ht:040.104C ';'' 1111.0.401:1*Pek.Oftorg • . : . : ! 1 0.k..-tdd.bj&OlitOeidekilitifielt. : i; Ao., 4: 1 pi;44114,0ii.falaifiOttogctifflopt,#onc4i...itriitogifoomoi•4 41:141. "" 4.. ."( , ... - , ... ..., ... ., . PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions.Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE),"of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION • The bidder CT&T Concrete Paving Inc. [proposed subcontractor ,] hereby certifies that he/she/it has X ,has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114,or 11246, and that,where required,he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance,a Federal Government contracting or administering agency,or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report coverin the delinquent period or such other period specified by the Federal Highway Administratio or by the Director, Office of Federal Contract Compliance, U.S. Department of Lab r. Signature: Date: 11/27/2023 Print Name: Jose Carvajal Title: President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead,profit,or cost element of the bid price,or of that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto,or paid, and will not pay, any fee to any corporation,partnership,company association, organization, bid depository,or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned at making a false Certification may subject the Bidder to criminal prosecution. Signature: Date: 11/27/2023 Print Name: J e Carvajal Title: President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director,officer, manager: • is not currently under suspension,debarment,voluntary exclusion,or determination of ineligibility by any Federal agency; • has not been suspended,debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted,convicted,or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies,initiating agency,and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion e f shall also constitute signature of this Certification. Signature: Date: 11/27/2023 Print Name: Carvajal Title: President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: I) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, , amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency,a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also a ree y submitting his or her bid or proposal that he or she shall require that the Ianguag of is ce 'cation be included in all lower tier subcontracts, which exceed$100,000 and th t all u recipients shall certify and disclose accordingly. Signature: r Date: 11/27/2023 Print Name: Jose ajal Title: President C-26 , . ,,,. r,i , DigiabStalig Or LOBUYINGACTMIZIES - , : :: ralPtettlftt&loktATIO Otstiostwatiymo xerwit:its tt#,S,VAIWttill ttt4 t13.2) i!•••:L 1oo.,4000040:ttioo. r 2:: ..stititss-litridOotiution ' . 3i •440iiii:Toie....: 44044.ii: LJA,:$06,044)4:44iAn El , . WIldiit Viiiiti1aiiii4 IX'4.004.4wpgq, 6:,*iiiiiii# .;.:Aili4,i44 : 11 ct Froiiiii IP4?r,*A.0.404.1W.0441g • ')11 4.404iiiiiifirig4, 'NA*;9pOor !•001,YV00.-* !40*,0,14,4tre04r ° OR.M.V4Z4.0*111°A.OPO!***** :* t0400:4140:34***4,40VAiii* , ato. ii49:t4itiisi4.kiiiiik. • ' : • .00.iiiii-.„ „,. .. PlOgre,01.400,ifknowi A7...014ftf00#41,0.iitritintit„howii, i: ;:6.• 64:14.44-011401#1,80.604 ? 'F7,014*Piii#00t;$*011704*iii*i • , XFIYA,,Niii*I,V..4.1.00.14, : ,,r‘ TitlifidAktilifiNiiiiihefOrkiltAii.'' P.'i At:40:41#00#•#W0,1 •• , :0!' kcit146**4040*#00W440 k :fil044 ...: gitimP40,f,.nice#,;4:i0t4pis ' '1.014.04.411444.440:4;w47.2...0.41:2Y '.*„447.0,#0.0mitifix81140 1O.4i 4.44:fivflOgtmov.0,.ux . . . . , 01.5*:PAO.#940x.r-440.01000'.00#61 , . , 14i .404Ottiftil:**40.(:000*4100440:0W ::„ t3: t$' tttiafitieiOWitn ilizit,4W): ......., $: ., ..,E : ow* g„ re.,i..in,0 ,.'•'•••I''•''''•'• 1 ,:.M Oiiiii*".40104.00:*****foPiiiik, •,:: c::::,,olgtoisgibil:, 1 it:•.:.A.iir. : trastaiiiviimd I I :13,4rAina,spect6:414,•"iure, , . •••iibliii,' ,,,, i! r bitlif60011Y., :* .:Olditti.„estrof00400.14gotteotitkmttitiott.14.w,Otritta#Ftt:00440gitoteitnettitifik *rwmi4sooptoxoisi,;fit nitinhOisfoiiodokkiitgottorliliditotod.iii*iiitte ,,.. , fogofypofiev.040.1 .4Wik0.0047)] gi., 41: ;00400#0.00* i44.04 .Y.0, ,1 , U, :Lj ifiC: 44T*76.60i'**1.40d.itie6460iikr#itifiTi044,0:4zia§..Illjk :341 0.j;,.0*ii440:IV*#40010.fookorr000itmpoo oisocot..*: ._-****14,Atowi*ii4*iiiiiodio:**** -'• :,, :ittt iii*Ihiiiiiatiiii*ii4i4iiiSidpiii,i4iii40,00. Wij,(Naille..;„ 0,41,Iiiik',10911)14%Im 1A/1!: lie tct**4 .'02 .•'.C9Plii,,P, I §mitannuair artaimlittlw4-4401wAir.P0:14:instiaktrfLAyir Tiitig ggxso-l. ii4.9,444iiiiikke-rgq.40,44!ilit:4411 i.,*( iii poolvor ot1dosittiort„.$0.;.Q0A•gatanat di:ft TOtorilimitrilkt bow (.tiliaak.t.4600:46ticii.Aithr.a, " - ‘ " - • - •— — - •• — - • i',,,,:i *-tiloti*:kiietoolicitept-oaa4iiiii , i4ite.olitreitiiifiz 8.01Mitedlikiii,4,..U, •, ; . . §.10.601.44300#'4,440.4rOn. , , ..., ,,,.„_.„„, ,„...____,„ ... _, , . _ .. ....„- ....„ ..................„..... :„.... ...._..._.,„ 11TN TRUcTIONS FOR.COMPLE l I0N OF E 1.'f'FI:, bigeLiAtittaltalVINdiketiVitftgr Ts drs insure.formjh afi t ct tpt&fled b ffkrep+Ong entity,whieth subawat dee ar prune e erat: reetpteni atthe inrf t tQrt or receipt:ousvtered Federal action ar a tnate'rtal.ch :nge to previ u h pursuant:to title. l` 'secttnta f 'The Ming cif'a ,form is regu d"far sne p rta t .fir. agreemetzooTma epaymept lnbbymg entity for influencing pi*vmptiVio influence an officer =or empreyee of any age:, a C'dr gress axt ofl1reer or of Outiggamot?ana errtployee of a M 1fro of Congre , to.connection with 4 covered Pederat fiction Attach a icontirtua t=sheetr for additional m i fcrmation l*-t1ae.space on;fie"O aa�t .inadeeluasae + t fslete:all; items tbat apply for hotli initial fit iv: i miter at t Binge tooffg gait to the in l txtentirzg. o lane pulslrshed l*t i ffice OfManagernentand B „ for additionati afot at vn. 1) tderitiIy'tine type of cbt�ei d,federal action fr r Mich idbbyrrtg actw ty is andkor bias been .secured to$nfluertcc,the outcome of * Federal aeons, 1d ratify .444us of tine Bred Merit'ict ti .[dents the apprnprimte classification.oltliio report If:tt is is a follca~wup report caused by a iaterial iiw.g0TO the`inforrrtation. reviousl =reported,',ottontiolot 4d Dartet hi whigh e clhange ec erred Enter,the date liu last,"pre ziausl t submitted-report y Ali;reporting City for a co` Bred Federal acttota. 4 Enter £tne !ult,'name, address, city, state d zip code of"the portitrg :ertttt Ineh4 Congressional Diattiet if known Check he appropriate classification Or did etotiteiti. fitity ttaat desi 0 if`it is or pectcto be a4 me or;A award recipient Identify the 0.optitig subawardee,,e the t snhawa e cif the prune.as the lrs*tierz S ubawards inch but<are riot limited to subcontract`s subg�rat(g and contract award§0100 grant ) If the c rganizatton 04t i toport xt stern 4 check "Subawa*e'then enter the t1 nne address city Late and ztp-co,de.nfttte prtmeFedcral reciplen .Include:Congressional District tf known 6) Enterthe name of F deraL_ageni inakmg the awarcLor loan commitment.Include;at.least one **Italia le*l below a cncy name, :if Ifni .. For e ample Department of~ T`ransportttt'�on U tte ' ta(es Enter the Federal program„inarn or description for they eoOered Federal action ifekn l , kno t, enter_"the full,:wog at Fetiera(Nolo*A ly ce. CE` . .) rtn lair grants, epoperatrve agreements,loans and.loan commitments :Fitter tie tttost approprtute .Eedet l identifying num r a*adable: for tFte: ederal action identr .cutIon in item 1 tot R.eq for Fliop6at tl I ) nuttiber,,Invitation for«Bid (IF) nurmiber; grant announcement nu ber, tie. contra+ g afit :ate loan a and aum er, the applicat on/proposal control, turn s assigned by the Federal 40401 Include 'A4,4 "RFp DE 9f 00l ,t Fet a covered:Federal action ' tliete there has b"een.art aid ar loan corm cti nent b P the Federal 4ei1 ; enterthe federal *rrr f the award/low-m rrtatm+entsS t ieprime mint` denntified in;iiitern orl; 10)Via)Enx the full earn;address,cit ;s and zip code of he Vobbyrrag entity engaged by reporting enter identified ni tem 4 to lnfluenrred the cowered Federal actin? (b)Ebfer the.dill rian ea.of tote indl id 4)performing aerilGes attd include fide arddressl`t different from ol(1(a) , der LastN :me itstl ame and t itldi xlrix sal: Mt I I Ilhter the anioumit of combyin pensation paid r aa' asonab ly** ted to be"paid by the r�porting;; entity(iteedt 4) to the.l entt tem.tn) Indicate-whetli er�the paymentxh rs been mad+ (actual orwill be made 440004,Che aft boxes ttiaf apply ff"dtis to a. tatetali t�ftange. .teport,, rater tilt~cumcu tative✓atno00. `I`pa anent made or plannei to be made to=s 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution,specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other,specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s)of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources,gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the.Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington,D.C.20503. By my signature on this proposal I certify,under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and,if required,submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal.Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action;or 2) A change in the person(s)or individual(s)influencing or attempting to influence a covered Federal action;or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 AIA Document A310TM — 2010 .. . . . .. ... .. ... .. . . . .. . . Bid Bond No:N/A ::: :Bid Bond :: : :CONTRACTOR: SURETY: •.(Nance, legal status and address) (Name, legal status and principal place. • CT&T Concrete Paving, Inc. of business)Contractors Bonding and Insurance Company € 324 S. Diamond Bar Blvd. PMB 275 9025 N. Lindbergh Drive Diamond Bar, CA 91765 Peoria, IL 61615 This document has important legal consequences.Consultation with OWNER: an attorney is encouraged with (Name,legal status and address) respect to its completion or ., City of Huntington Beach modification. 2000 Main St. Any singular reference to .:`.�Huntington Beach, CA 92648 • Contractor,Surety,Owner or ::: ,BOND AMOUNT::Ten Percent of the Total Amount Bid (10%of Bid Amount) other party shall be considered plural where applicable. PROJECT: (Name,location or address,.and Project number, (f any) ;Zone 1 Curb Ramps Project Number,if any:CC-1742 • The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety themselves,their heirs,.executors,administrators,successors and assigns,jointly and severally,as,provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the'Contractor within the time specified.in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such hid,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 arriount: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 fi, •obligation shall be null and void;:otherwise to remain in full force and effect.The Surety hereby waives any notice of an::agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waic er of "notice by the Surety shall not apply,to any extension exceeding sixty(60)days in the aggregate beyond the time for ... . . : acceptance of bids specifed'in:the hid documents,and the Owner and Contractor shall obtain the Surety's consent for •'an extension beyond sixty(60).days. i fthis Bond is iss•ued• .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 her.efrom 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 21st day of November 2023 • • CT&T Concrete P v' (Princppa / (Seal) . . . Seal itn,sS . ( tle r`QSY • ,eyct —TOSR. G roevA • ' -' Contracto Bondin and In rance mpany (Buret a� J/ (Seo(Seal) • (Witness) . �/l..t • (Title) Emilie George, or y-in-Fact • Init. AIA Document A310TM—2010.Copyright CD 1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNING:This AIA* Document is protected by U.S.Copyright.Law and International Treaties.Unauthorized reproduction or distribution of this Ale'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 AIA Documents-on-Demand"'order no. 200839748 .,and is not for resale.This document is licensed by The American Institute of Architects for one-time use only,and may not be reproduced odor to its comoletion. CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this.certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California } County of Los Angeles } • • On 1‘) 2711;Zo 23 before me, Daniel A. Butler, A Notary Public (Here insert name an itle of the officer) • personally appeared TO sR C rV a j ( who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is re subscribed to the within instrument and acknowledged to me that OP-he/they executed the same in 4.0D er/their authorized capacity(ies), and that by gyp, er/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ."~ DANIEL A.BUTLER WITNESS my hand and official seal. r,-- Commission#2402807 Notary Public-Califomla • iIk„rIjiiip, Angeles County Rr • My Comm.Expires May 2,2026 Notary Public Signature (Notary Public Seal) • • ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other stales may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. • (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s)personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her . Number of Pages Document Date • commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE.SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/they,is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ • Signature of the notary public must match the signature on file with the office of Partner(s) the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ S Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e.CEO,CFO,Secretary). www.NotaryClasses.com 800-873-9865 st • Securely attach this document to the signed document with a staple. ARIZONA NOTARY ACKNOWLEDGMENT State of Arizona County of Maricopa On this NOV 2 1 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. ges,r DANIELLE IRIS HANSON oQ Notary Public-Arizona Maricopa County Commission#653538 My Commission Expires August 11,2027 (Seal) [Affix Seal Here] Signature of Notary ublic POWER OF ATTORNEY RLI Insurance Company Contractors Bonding and Insurance Company • 9025 N.Lindbergh Dr. Peoria,IL 61615 Phone: 800-645-2402 Know All Men by These Presents: That this Power of Attorney is not valid or in effect unless attached to the bond which it authorizes executed, but may be detached by the approving officer if desired. That RLI Insurance Company and/or Contractors Bonding and Insurance Company, each an Illinois corporation, (separately and together,the"Company")do hereby make,constitute and appoint: Yung T.Mullick.James W.Moilanen,P.Austin Neff,Irene Luong,Emilie George.Danielle Hanson,Christine Woolford,Alexander R. Holsheimer,jointly or severally in the City of Mission Viejo , State of California its true and lawful Agent(s) and Attorney(s) in Fact,with full power and authority hereby conferred, to sign, execute, acknowledge and deliver for and on its behalf as Surety, in general, any and all bonds and undertakings in an amount not to exceed Twenty Five Million Dollars ( $25.000.000.00 )for any single obligation. The acknowledgment and execution of such bond by the said Attorney in Fact shall be as binding upon the Company as if such bond had been executed and acknowledged by the regularly elected officers of the Company. RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have each further certified that the following is a true and exact copy of a Resolution adopted by the Board of Directors of each such corporation,and is now in force,to-wit: "All bonds,policies,undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the corporate name of the Company by the President,Secretary,any Assistant Secretary,Treasurer,or any Vice President,or by such other officers as the Board of Directors.may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys in Fact or Agents who shall have authority to issue bonds,policies or undertakings in the name of the Company. The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The • signature of any such officer and the corporate seal may be printed by facsimile." IN WITNESS WHEREOF, the RLI Insurance Company and/or Contractors Bonding and Insurance Company, as applicable, have caused these presents to be executed by its respective Vice President with its corporate seal affixed this 15th day of February , 2023 . I Insurance Company ,, O,NG AND.,ys°',,, ,,,,,,p_N,,FOO'' Contractors Bonding and Insurance Company •• O4 As' � PPOgq T •�_a O• • U CA F : so. SEAL;?$ SEAL .< By.Barton W.Davis Vice President State of Illinois ,,,,i�cuNo,,,,,,�`'�`% ` /, '''%�Ln,N 0"````,`,` SS County of Peoria ))) CERTIFICATE On this 15th day of February , 2023 before me,a Notary Public, I, the undersigned officer of RLI Insurance Company and/or personally appeared Barton W. Davis , who being by me duly sworn, Contractors Bonding and Insurance Company, do hereby certify acknowledged that he signed the above Power of Attorney as the aforesaid that the attached Power of Attorney is in full force and effect and is officer of the RLI Insurance Company and/or Contractors Bonding and irrevocable; and furthermore, that the Resolution of the Company'ass . Insurance Company and acknowledged said instrument to be the voluntary set forth in the Power of Attorney, is now in force. In testimony act and deed of said corporation. whereof, I have hereunto set my hand and the seal of the RLI Insurance Company and/or Contractors Bonding and Insurance OCompany this 21st day of November , 2023 . By: • �.I�a�-- RLI Insurance Company Catherine D.Geiger o Notary Public Contractors Bonding and Insurance Company CATHERINE D.GEIGER 0 „O,U„y OFFICIAL SEAL „ I PUBLIC Notary Public-State of Illinois i By: 3/. 1C. 6,rleT,oa My Commission Expires i 0 December 05,2026 I Jeffrey i� Corporate Secretary 04566590202/2 A0058D19 CT&T Concrete Paving Inc. 324 S. Diamond Bar Blvd, PMB 275 Diamond Bar,CA 91765 SEALED BID BOND ENCLOSED-DO NOT OPEN WITH REGULAR MAIL Project Name:Zone 1 Curb Ramp Installation CC#: 1742 Bid Opening Date:Thursday, November 28th,2023 at 10:00 AM City of Huntington Beach Public Works Office 2000 Main Street Huntington Beach,CA 92648 • . • 4 Express r Express® tFo • r FO : ' FedEx First Overnight° 147919REVS/20 FedEx Fir st Overnight 14791E REV5/20 dNS sn—na VAdVIrk _.., 4. LH91Na3A01S914 , OZZO 6ZLb OL8L'�md�' I \` 't ) ,;.4 y‘i d0E:6 AON 6Z — 03M , / - ' i. \\ ‘. .;:if` -:' ...*.jAY'.1'' ,-,‘-'•"?S. 11.1- 9yES8LE 'E I, 1 - i ri3H #,z 3 ., ,,,, .... ., ,,,,,,:„....1,4, ... .. -,,,,, , ,,,v4:. ,, „. ., ,\..?,,,,1 71 1 .1 , ,, iimtnnnnmiinurnuununniuunm jean 0000-00010001 _ A.,.' ,.t,,,( uP. UM tnin. 8b9Z6 V3 H�tl39 NO19NI1N(1H % IS NIVIN OOOZ 331330 SMIOM 0f811d Ol Sn S31tl15 O31INn ' m 2ltld OlIIH1 '1�I6 S9LT6 in9 9 ONOWtlIO A1 , 0AlS 996 ONOWHIO S 42E ' s 094Z0355/49G49G9 '010 OHS 9NIAtld 31393H00 1810 • ' c El 0E-0 •19Ml39 a MOWS :31tl0 dIHS 0009-6E9 (606) d30d:0I NISIMO ' LInUJi4 d SECTION C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor,material, equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 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. A-ej gb7 K6 (tilZ IUnI11CL) C-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find Bidder's Bond for 10% in the amount of which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda Nrr ate Rea v A ��v F ..k:��� G�f�,��m €�c�x���u fi..,.,,,. Btdf�4°iF. l5IgnTauTe„ C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bad 1l�arr and Address of State Clash t3IRPWC Dollar % v� Items) Subco 1tractor License F Registration# Erf oust Conti ac umbel 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 onl 1/28/23, at Ontario , CA Date City State Gabriel Garcia , being first duly sworn, deposes and says that he or she is President of Garcon Construction, Inc. the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and, further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Gabriel Garcia Name of Bidder yz‘tv Signature of Bidder 4975 W Phillips Blvd. Ontario, CA. 91762 Address of Bidder • C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved." The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Garcon Construction,Inc. Contractor wAb By President Title Date: 11/28/23 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 E]'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. Garcon Construction,Inc. Contractor ?By President Title Date: 11/28/23 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Garcon Construction, Inc. Bidder Name 4975 W Phillips Blvd. Business Address Ontario CA 91762 City, State Zip ( 909 ) 591-8601 gabrieljr@garconconstruction.com Telephone Number Email Address 913550. A, C-8 State Contractor's License No. and Class 4/07/08 Original Date Issued 4/30/24 Expiration Date The work site was inspected by Gabriel Garcia of our office on Nov 22 ,2023. The following are persons,firms, and corporations having a principal interest in this proposal: Gabriel Garcia,President Patricia Garcia,Vice-President/ Officer 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. Garcon Construction, Inc. Company Name /4 ,//Z Signature of Bidder Gabriel Garcia Printed or Typed Signature C-8 r, � , - nam 4 o.w.jm^ cER7.rivRMAT _ ngta,—pub t other of tce~cootpletcn this certificare;*.rt 13.s ont•y the tdentst, of the . attd vtd ia1 wh gpe the,;docum etit,: to z w,jitch Chas ceztt ate is at0",4c(k:anti not the' tt tfiilr ess aaeura . >,:or�ralsiitty cif ttiatc�ocucrteiir, State of ' atsii . t - x , —o. of � Y MTontli a,$-;and:\''ea 'insert Name atad' 1,.K Qfbtot ' )rsctcialt€apl'' `''► 'f• � , > E , , 4 uhc proved fo x e'on the basis of sates to evidence;to be the rs+on(s)whose names)rs; subscribed to the nth�n ci ument and a�z+��g to me tfiatTaeee e`executed the saute ` hest i�tTte z a thorcz cagae�t (e an t rat i lf� ltltetr gna . t )on a in tr•ument ilia f ere oI1(`*k.� sr4`ie enti upon halal:�of the person( )acte e�utedthe nsttument. K I carte"under PENAL."T - E Y under the;•laws of•,the State tad•, ahtbrma that t 4 Iareueft-n tagraph is tatueattc:c ss t� �. �V1 tS nth baud attctnciai seal • `i . • racoata � Wit' IitotnTa Y ' *44 , l 9 r k.:Si nature • ' ature of ota Public .; LA.�NOTA Y SEAL BQ .. , T, y Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of(Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."I. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. City of Claremont, 207 Harvard Ave. N. Caaremont, CA 91711 Name and Address of Public Agency Name and Telephone No. of Project Manager: Vince Ramos (909) 399-5395 $562,343.91 R&R Concrete 7/15/23 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Removal and replacement of concrete bus pads located in downtown area of the city. 2. Hudson Pacific Properties (Permitted through the City of Los Angeles) Name and Address of Public Agency Name and Telephone No. of Project Manager: Tammy Murray(818) 472-1107 $846,784.90 R&R Concrete September 2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Remove and replace curb and gutter, sidewalk and ADA ramps around building complex in Hollywood, CA. 3. Walton CI 358 E Foothill Blvd. San Dimas, CA 91773 (Permitted with the City of Los Angeles) Name and Address of Public Agency Name and Telephone No. of Project Manager: Rony Cifuentes (626) 385-9330 $584,576.52 R&R Concrete November 2023 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Remove and replace curb and gutter, sidewalk, and ADA curb ramps around new apartment complex in Watts, CA. 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. Gabriel Garcia Jr. Name of proposed Project Manager Telephone No. of proposed Project Manager: 909 203 0308 Sunset Las Palmas Studio-$846,784.90-City Street improvements- September 2022 Project Name & Contract Amount Type of Work Date Completed Santa Fe Apartements-$800,574.00-Architectural concrete and city street improv.-Feb 2022 Project Name & Contract Amount Type of Work Date Completed Florence Apartments-$657,864.80-Architectural concrete and city street improv:• •••- Project Name &Contract Amount Type of Work Date Completed 2. Gabriel Garcia Sr. Name of proposed Superintendent Telephone No. of proposed Superintendent: 909 203 0308 Jordan Downs S3-$432,805.52 City street improvements September 2023 Project Name & Contract Amount Type of Work Date Completed Llewellyn Chinatown Lofts-$1,470,297.37-Architectural concrete and city street improvements-Feb 2022 Project Name & Contract Amount Type of Work Date Completed ARCO Gas Station Moreno Valley-$712,365.00-On site concrete flat work and city street improv.-Sept 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/PW CR/ActionServlet?action=displayPWCRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in.the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Garcon Construction, Inc. Contractor /46,4,/ By gabriel@garconconstruction.com Email President Title Date: 11/28/23 PWC Registration#: 1000013860 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations,Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder,under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner,partner, director, officer, or manager(initial the applicable selections): gfWill ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: Garcon Construction, Inc. Contact Person: Gabriel Garcia Contact Phone: 909 591 860 Signed: ,' ,bei Date: """ *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321,Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE) goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records,fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (YIN) Contract D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Names, addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists,Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname If proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted Garcon Construction,Inc. (2)___724,4 (Signature)t President (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of California (4) Place of Business 4975 W Phillips Blvd. (Street and Number) City and State Ontario, CA (5) Zip Code 91762 Telephone No. 909 591 8601 (6) E-Mail gabrieljr@garconconstruction.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 List below names of president,vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Gabriel Garcia, President Patricia Garcia,Vice President Patricia Garcia, Secretary • ...w.M .......« ............. C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: LOCATION: PROJECT DESCRIPTION: TOTAL CONTRACT AMOUNT:$ BID DATE: BIDDER'S NAME: CONTRACT DBE GOAL: CONTRACT ITEM OF WORK AND DESCRIPTIONDBE CERT NO. NAME OF EACH DBEDOLLAR AMOUNT ITEM NO. OR SERVICES TO BEAND EXPIRATION (Must be certified on the date bidsDBE SUBCONTRACTED OR MATERIALS DATE are opened-include DBE address TO BE PROVIDED(or contracted if the and phone number) bidder is a DBE) • For Local Agency to Complete: Total Claimed DBE $ Local Agency Contract Number: Participation Federal-aid Project Number: aka Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bidder Date (Area Code)Tel.No. Print Name Signature Date Local Agency Representative Person to Contact (Please Type or Print) (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rev 6/26/09) C-21 PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions. Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the "List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share, Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Garcon Construction, Inc. [proposed subcontractor ,] hereby certifies that he/she/it has ,has not " ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that,where required,he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: /4 4/4 11 Date: 11/28/23 Print Name: Gabriel Garcia Title: President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: 4Date: 11/28/23 Print Name: Gabriel Garcia Title: President C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer, manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: /44 «,' Date: 11 28 23 Print Name: Gabriel Garcia Title: President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: /44, _*, Date: 11/28/23 Print Name: Gabriel Garcia Title: ........ C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 • 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ❑a.contract [Il a.bid/offer/application El a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: Prime Subawardee Tier ,if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable 8. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No.l0a) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ Actual planned a retainer b.one-time fee 12. Form of Payment(check all that apply): c.commission ea.cash d.contingent fee b.in-kind; specify: nature e deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes El No 0 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352.This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: Date: $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 • C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last,previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation,United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name, address, city,state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial (M1). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4)to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply.If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal.Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 <<''\``�NTIN City of :untington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 E _ (714) 536-5227 • www.huntingtonbeachca.gov ��c�� Office of the City Clerk 0 '100o Robin Estanislau, City Clerk April 5, 2024 Gentry General Engineering, Inc. 9277 Archibald Avenue Rancho Cucamonga, CA 91730 RE: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, e/ dilekot, `245 Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan (94 tetee-e) One/ .�� , ice. SECTION C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor, material, equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 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-i SECTION C PROJECT BID CURB RAMP PROJECT, CC 1742 BID ITEMS O. L��F .3 > 3 '4 .. ensica o tq e 5 f y .. ¥¥g� `atrt4 �q, 1 Mobilization $ 1 LS $21,000 21,000 2 Prepare Storm Water Pollution Prevention Plan (SWPPP) $ 1 LS $ 6,300 6,300 3 Install&Maintain Construction BMPs $ 1 LS $ 15,400 15,400 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 1 in Appendix 4 H of Specifications (Item includes all appurtenances,curb &gutter,depressed curb,sawcut,sidewalk,domes, 5 retaining curb,slot pave,etc.) EA $10,600 53,000 Horizontal Curb Cut Curb Access Ramp per Caltrans Std. Plan A88A/A888 using horizontal curb cutting machine as 5 shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances,curb& gutter,depressed curb,sawcut,sidewalk,domes, retaining curb, etc.) 23 EA $21,000 483,000 Construct Curb Access Ramp per Caltrans Std. Plan A88A/A88B as shown on Curb Ramp Detail 3 in Appendix 6 H of Specifications (Item includes all appurtenances,curb &gutter,depressed curb,sawcut,sidewalk,domes, retaining curb, slot pave,etc.) 6 EA $ 8,000 48,000 Remove and Replace damaged concrete cross gutter as shown on Curb Ramp Detail 4 in Appendix H of Specifications (Item includes all appurtenances,curb& gutter, cross gutter, sawcut, slot patch, etc.) 1,300 SF $ 52 67,600 8 Install 4"PVC Sleeve for Street Assembly Sign per City of $ HB Std. Plan 401 3 EA $ 610 1,830 Remove and replace existing sidewalk per City of HB Std. 9 Plan 207 at locations adjacent to ramp. (Item includes all 1500 appurtenances,sawcut) SF $ 14 21,000 Remove and replaces existing 8"-12"Curb and Gutter per 10 HB Std. Plan 205(Item includes all appurtenances, sawcut,slot pave, etc.). 300 LF $ 130 39,000 $ 756,130.00 C-2.1 SECTION C PROJECT BID CURB RAMP PROJECT, CC 1742 SUB-TOTAL BID AMOUNT IN WORDS: seven hundred fifty-six thousand one hundred thirty dollars and zero cents Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension, the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find bidder's bond in the amount of 10% which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: �4`ddendrr how.,., , Date l�eeexVec�... .... , B�cY le's 5`cg�iuture ' C.' C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. Bid Name andAddresx of FS'tate Class DER PWC Dollar' %of ftem(s) Subcontractor License Registration# Amaunt Contract Number None By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/20/23, at Colton , CA Date City State Brenton Gentry , being first duly sworn, deposes and says that he or she is President of Gentry General Engineering,.Inc the party making the foregoing bid that the bid is not made in the interest of,or on the behalf of,any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham;that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price, or that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true; and,further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Gentry General Engineering,Inc Name of Bidder Signature of Bidder 320 W Tropica Rancho Rd Colton, CA 92324 Address of Bidder C-4 wmat :t _ . i�"> - xx.. .':..i'. 5%t "Fo `e a` % ,. ��s a .. a Pse ;., ,; . ."<cr °...., ,> a! y x, yi�j,, q X-�a Et 2. .> r i 95 - > ",a S "s f„ ,:: R°fi '''I, r ^ e ` ;�n'"a R > J .R°. , Ea . y,s :ey„ yn , , ,e 1," .., ,„4 _ � � H%:,:�:s{,`d� � ,}:Er--� > � :.ae" � ",:„p8° - ..0" ,, :h ° y. s. t "„ > - t :'tie ;eft�/��� , f ;a E-"ram - uE EE<< "i;:°"';;;�aE.. �y M .' t ' tX r completing €f:"' t 'i f R°" r t �:a�x i, � _ r 3 >'E�: }. C� ^E3`T s 1` 'Tf , . > , ,E:E ern �t � » � o° v�t `� a , .,..E ;e, t. er,:„ E yr- 4 s ,j� 'k^, 5- d 1+, tioc4t1lpi 1-�{ > 3j 9i iSt Californiae yew `{/y�( .:�t��that 1 �'wk F i } *i M € > �.:;;..:;, .ys ;irkif _ : , S ; ri".j a F ,a; i^, Gelltry �r, t , �E , libTjA pro :`�y+ �E.,,' ;� {,j k, %J r, Y >, J3; o� sc E ��.p [, { w. &` h q } ji a vy; j [= d���W�p "Vie R .ti: d #� r wt > r " ;`�' �:Ai» r, ^ram �x s<. n - sR� E . tix ar. a� �r�.r , .x� lY fax/ / g, ti > R_i . d,I�kw4 ,.E „ a.r.: > „ , . i> > max: '.' '.;.::: <...,. >�.. . UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (1)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved" The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. Gentry General Engineering, Inc Contractor By President Title Date: November 20, 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 51 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. Gentry General Engineering, Inc Contractor By President Title Date: November 20, 2023 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Gentry General Engineering,Inc Bidder Name 320 W Tropica Rancho Rd Business Address Colton CA 92324 City, State Zip ( 909 ) 330-1128 gentrygeneral2Igmail.com Telephone Number Email Address 974279-A State Contractor's License No. and Class June 26, 2012 Original Date Issued June 30, 2024 Expiration Date Dean Bates, 2023 The work site was inspected by Brenton Gentry of our office on November 20 , 201_. The following are persons, firms, and corporations having a principal interest in this proposal: Gentry General Engineering. Inc -corporation Brenton Gentry -President The undersigned is prepared to satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Gentry General Engineering,Inc Company Name Signature of Bidder Brenton Gentry Printed or Typed Signature C-8 :.=i',a'^ t�,. • �r a..:;=�.-=ft',.:1- E4.-r:`--;,,.:'«'a. a:?, _;rr,sc ---E, r F , '": t,,. "� , "sac'ex :' ,I•t�.G "�'.Y;z.'2' • .6`Y`Eb,'"'�>, '`"» ..,r"m',:�,�'`::.'<-a g'e K' ,-= r,. ,,,t: ,'s't. :�" �} ^ � rx r' T^ tom, <<>: 'r>L N!'•be'• .. -.- r as H..'t�.,,Y :�{A s:'4�z,a �t,-�-,of.: ., f- .9 ,b''<'rY,'<sM, ",rsF<w>', kc 'E E,t dt a4^ (▪ .f,..:,a' "frx v 1. >'A J-:'rv. 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" �"� �.z> °<3b °,�i'' •i�'�,.,<, �i'��FFP't -w�,<; a'p'?ri,2,,=,s;a� >.>r'",X"�3d','<b" rr�� b�' a6 48`Er a,`z,1' :3�>; 4>",:.,'•;ry. ^, „ t;?`w x TS`,`�-.` "as, ..BE. '"<,`''",;`hs=x ",fir ' "zs t' •y1• ` ^": '<.H; " •.r < Y{(»t'`�`�;'". t' f4'S.-y ,," '% s+sk y» r •": t.;.«. ,4,1g.,v ," "re`R., ,.''. .`H'-H" ",•.; S=`- q' :t'ktr,n`.}r ?R s, T•q... ;.:a ye m £ 't��t,�, < .,., - ..• -r �....�.>.,�,. - > ., > t,•e " , »,.•m <,%g%'. -., �� ':...'°fir ., ..d ..-.tt... , - x Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. please see attached Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. please see attached Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. please see attached Name and Address of Public Agency Name and Telephone No. of Project Manager: Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 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. Dean Bates Name of proposed Project Manager Telephone No. of proposed Project Manager: (909) 330-1128 please see attached(all projects on attached list since 2020) 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. Brenton Gentry Name of proposed Superintendent Telephone No. of proposed Superintendent: (909) 330-1128 please see attached(all projects on attached list) Project Name & Contract Amount Type of Work Date Completed Project Name &Contract Amount Type of Work Date Completed Project Name & Contract Amount Type of Work Date Completed C-11 U:imp, „4,,,,,,zejtri,-lifyiGHE, ,, : . ' , E,.k.:.A.I. 1 :..',_',.,,„ ,,I .,, „,... Prior Projects 2013—$34,500.00 2016—$504,420 City of Fontana City of Baldwin Park Damaged Street/Sidewalk Alleyway Street/Sidewalk Asphalt&Concrete R&R Asphalt&Concrete R&R 8353 Sierra Ave 14403 Pacific Ave Fontana,Ca 92335 Baldwin Park,Ca 91706 Jason Jojola: No Email Address Chase Fidler:CFidlerPbaldwinPark.com 909.350.6636 626.960.4011 2014—$30,000.00 2016—$619,075 City of Rancho Cucamonga City of Bloomington Solar Shade Structure ADA Ramp—Repair/Maintenance/Replaced 8794 Lion St. 825 E. 3rd Street Rancho Cucamonga,Ca 91730 San Bernardino,CA 92415 909.477.2730(No Email Address) Haile Ford: HFord@DPW.SBCount.gov 909.387.7936 2015—$495,000 City of Whittier 2016—$173,604 Fire Loop/Fire Sprinkler Repair City of Montclair 9401Painter Ave Alleyway Street/Sidewalk Asphalt&Concrete Whittier,Ca 90605 5111 Benito St Karla Embry: Karla.Embrv@WUHSD.org Montclair,Ca 91763 562.332.9303 Steve Stanton:SStanton@CityofMontclair.org 909.625.9444 2015—$41,000 City of Glendora 2017—$325,000 Water Improvement City of Upland 116 E. Foothill Blvd. Damaged Street/Sidewalk Glendora,Ca 91741 Asphalt&Concrete R&R Carlos Cigneros: No Email Address 1370 North Benson Ave 626.786.1285 Upland,Ca 91785 Tony Trejo:TTreioPCI.Ubland.Ca.Us 909.631.3918 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2017—$624,688 2018—$547,950 Santa Ana City of Pasadena Repair Maintenance/Replaced Miscellaneous Concrete Repair Damaged Street/Sidewalk 100 Garfield Ave Asphalt&Concrete R&R Pasadena,Ca 91101 20 Civic Center Plaza Morley Saralya: MSaralva@CitvofPasadena.net Santa Ana,Ca 92701 626.744.3703 Victor So:Vso@Santa-Ana.org 714.647.5076 2018—$2.2 Million City of Torrance 2017—$694,000 Downtown Torrance Active Transportation City of Corona Improvements Miscellaneous Concrete Repair 20500 Madrona Ave 400 S.Vicentia Ave,Ste. 210 Torrance, Ca 90503 Corona,Ca 92882 Justin Gatza:JGatza@TorranceCa.gov Barry Ghaemi: Barry.Ghaemi@Coronaca.gov 310.618.3032 951.739.4961 2019—$288,974 2017—$30,000 City of Barstow City of San Diego Water Treatment Plant Dewatering Pad&Wall Demo/Backfill/Compact Existing 2200 Riverside Dr. Vault Location Barstow,Ca 92311 422 W.Washington St. KodyTopkins: KTopkins@BarstowCa.gov San Diego,Ca 92103 760.252.2538 Matt Cavan: MCavan@HARCOInc.Us 951.684.1909 2019-$544,342 Torrance Unified School District 2018—$1.2 Million Anza,Arnold and Hickory ES Site Drainage City of Torrance 21400 Ellinwood Dr Damaged Street/Sidewalk Torrance,CA 90503 Asphalt&Concrete R&R Joe Winterburn: 20500'Madrona Ave jinterburn@balfourbeattvus.com Torrance,Ca 90503 (949)502-4000 Shin Furukawa:SFurukawa@TorranceCa.gov 310.618.3073 2019-$714,000 City of Hermosa Beach 8th Street Improvements Project 8eh Street Hermosa Beach,CA 90254 Reed Salan: rsalan@hermosabch.org (310)318-0229 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygenerai@gmail.com 2019-$267,000 2019-$210,000 Costa Mesa Sanitary District Lynwood Middle School(USD) Indus Sewer Main Replacement Storm Drain Improvements 20122 Santa Ana Ave 11321 Bullis Road Newport Beach,CA 92660 Lynwood, CA 90262 Rob Hamers: rhamers@robhamers.com Manuel Jaramillo: MiaramilloPdelterra.com (949) 548-1192 (323)447-0996 2019-$285,744 2020-$1,369,000 City of Fullerton City of Torrance Curb/Gutter and Sidewalk Reconstruction Sidewalk Repair for Handicap Accessibility Fullerton,CA 92831 Torrance,CA 90505 Jose Medina: josem@citvoffullerton.com Shin Furukawa:sfurukawa@torranceca.gov (714)738-6863 (310)781-6900 2019-$141,312 ($139,573 original bid;work 2020-$19,546 limits increased) City of Fontana City of Irvine San Bernardino at Cypress Driveway Ranch Park Bike Trail Rehabilitation Improvements Irvine,CA 92618 Fontana,CA 92335 Anthony Caraveo:acaraveo@citvofirvine.org Christopher Smethurst: (949)724-7365 csmethurst@fontana.org (909)350-6649 2019-$644,763 City of Thousand Oaks Concrete Replacement and Sidewalk Repair 2020-$158,338 ($149,835 original bid; Program additional grading work performed) Thousand Oaks,CA 91320 City of Walnut Michelle McCarty: mmccartv@toaks.org Butterfield Park Trail Rehabilitation (805)449-2477 21201 La Puente Rd Walnut,CA 91789 2019-$14,800.00 Tony Lopez:tlopez@rkasroup.com Whittier Unified School District(Whittier CHS) (909) 594-9702 Refurbish Long Jump Pits 9401 S. Painter Ave., Whittier,CA 90605 Danny True— Dannv.true@wuhsd.org (562) 237-0795 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2020-$29,820 2021-$366,732 City of Irwindale City of Laguna Beach Peppertree Bus Shelter Removal and Foothill Zones 2 and 3 Street Concrete Improvements Column 505 Forest Ave 5050 N Irwindale Ave Laguna Beach,CA 92651 Irwindale,CA 91706 Alpha Santos-Guinto— Elizabeth Rodriguez— asantosC laeunabeachcity.net erodrieuezPirwindaleca.gov (949)497-0729 (626)430-2211 2021—$221,318 ($211,965 original bid;extra work added) 2020-$5,565 City of Laguna Beach City of Irwindale Ramona Alley Decorative Paving Replacement Arrow Bus Shelter Roof Repair 505 Forest Ave 5050 N Irwindale Ave Laguna Beach,CA 92651 Irwindale,CA 91706 Alpha Santos-Guinto— Elizabeth Rodriguez— asantos@lagunabeachcity.net erodriguez@irwindaleca.gov (949)497-0729 (626)430-2211 2021-$198,420 2021-$22,000 Chino Valley Unified School District Whittier Unified School District Briggs K-8 Waterline Upgrades Collapsed Storm Drain Repair 11880 Roswell Ave 9401 S. Painter Ave., Chino,CA 91710 Whittier,CA 90605 Sam Sousa— Danny True— sam sousa@chino.k12.ca.us Dannv.true@wuhsd.org (909)628-1201 x1490 (562) 237-0795 2021-$125,400 2021-$29,999 Torrance Unified School District Costa Mesa Sanitary District Seaside Elementary Site Drainage Improvement Manhole Surface Repairs Phase 7 2335 Plaza Del Amo 290 Paularino Ave Torrance,CA 90501 Costa Mesa,CA 92626 Ryan Palmer— Michael Benesh— Palmer.ryan@tusd.org mlbenesh@robhamers.com (310)972-6240 (949) 548-1192 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2021-$252,796 City of Rancho Cucamonga 2022-$88,066 Citywide Concrete Repair Cucamonga Valley Water District 10500 Civic Center Dr Nitrate Facility Retaining Wall Rancho Cucamonga,CA 91730 10440 Ashford St Ernie Ruiz— Rancho Cucamonga,CA 91730 Ernie.ruiz@citvofrc.us Tyler Bui— (909)774-4108 tvlerbui@cvwdwater.com (909)483-7455 2021-$41,750 State of California 2022-$148,029 Moro State Deck and ADA Access County of San Bernardino 715 P Street Laurel Ave/Randall Ave Drainage Improvement Sacramento,CA 94296 825 E 3rd St Michelle Humphrey— San Bernardino,CA 92415 Michelle.humphrev@parks.ca.gov Carlos Seanez— (949)366-8533 carlos.seanez@dpw.sbcountv.gov (909)486-0227 2021-$1,924,055 City of Anaheim 2022—$98,050 Alley Sanitary Sewer Improvement City of Laguna Beach 200 5 Anaheim Blvd Citywide Guardrails Anaheim,CA 92805 505 Forest Ave Scott Yanagihara— Laguna Beach,CA 92651 svanagihara@anaheim.net Alpha Santos-Guinto— (714)231-4696 asantos@lagunabeachcitv.net (949)497-0729 2022-$9,010,551($8,449,000 original bid; plans/specs revised post-award) 2022-$121,318($111,000 original bid;work State of California limits extended) Doheny State Beach Projects A, B and C City of Orange 715 P Street Chapman Ave Alley Improvement Sacramento,CA 95832 300 E Chapman Ave Ryan McBride— Orange,CA 92866 rmcbride@4leafinc.com Karl Schmidt— (714)833-1792 kschmidt@citvoforange.org (714)744-5562 wa-a �. ::, ../, .� __=W.:Ma=,: .v ,,. , ,� .. s sssas,�_._ 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2022-$1,085,610.50 City of Torrance 2022-$5,700 Citywide Sidewalk Repair for Disabled City of Rancho Cucamonga Accessibility Way Finder Monument Sign Replacement 3031 Torrance Blvd 8794 Lion St Torrance,CA 90503 Rancho Cucamonga, CA 91730 Marc Simons— Phillip Ortega — msimonsC itorranceca.Rov Phillip.Ortega@citvofrc.us (424)399-3193 (909)477-2730 2022-$7,997 2022-$426,472 ($508,372 original bid;some City of Rancho Cucamonga bid schedule items deleted from work) Citywide Fence Repair County of San Bernardino 8794 Lion St Ridgecrest Rd Sidewalk and Ramps Rancho Cucamonga,CA 91730 825 E 3rd St Phillip Ortega — San Bernardino,CA 92415 Phillip.Ortega@citvofrc.us Carlos Seanez— (909)477-2730 carlos.seanez@dpw.sbcountv.gov (909)486-0227 2022-$206,496($200,010 original bid;design revisions) 2022-$48,606 City of El Segundo City of Rancho Cucamonga W Mariposa Ave and W Pine Ave Sidewalk Calle Carabe Sidewalk Repair Construction 8794 Lion St 350 Main St Rancho Cucamonga,CA 91730 El Segundo,CA 90245 Richard Favela — Floriza Rivera— Richard.Favela@citvofrc.us frivera( elsegundo.org (909)774-4107 (310) 524-2361 2022—$128,695 2022-$413,420 City of Laguna Beach Temecula Valley Unified School District Peppertree Parking Lot Rehabilitation Vintage Hills Elementary School Modernization 505 Forest Ave 31350 Rancho Vista Rd Laguna Beach,CA 92651 Temecula,CA 92592 Alpha Santos-Guinto— Jim Flath— asantos@lagunabeachcitv.net iflath@balfourbeattvus.com (949)497-0729 (951) 501-9594 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2022-$529,424($489,075 bid value; 2022-$8,922 quantities/limits increased) City of Rancho Cucamonga City of El Monte Guardrail Replacement at Woodruff and Sidewalk and Curb Ramp Reconstruction Highland 11333 Valley Blvd 8794 Lion St El Monte,CA 91731 Rancho Cucamonga,CA 91730 John Rico— Phillip Ortega — irico@elmonteca.gov Phillip.Ortega@citvofrc.us (626) 258-8833 (909)477-2730 2022-$47,522 ($44,236 bid value;additional 2022—$176,450($138,925 bid value; signage added to scope) limits/quantities increased) City of El Monte City of Orange City Hall Parking Lot ADA Improvements Chapman and Yorba Sidewalk Construction 11333 Valley Blvd 300 E Chapman Ave El Monte,CA 91731 Orange,CA 92866 Kevin Ko— Eric Perez— kko@elmonteca.gov eoerez@citvoforange.org (626)580-2058 (714)744-4107 2022-$142,591 2022-$109,208($99,420 bid value;scope of City of Rancho Cucamonga work increased Heritage Community Park Pedestrian Trail City of Rancho Cucamonga Rehabilitation Construction of Pickleball Courts at Redhill Park 8794 Lion St 8794 Lion St Rancho Cucamonga, CA 91730 Rancho Cucamonga,CA 91730 Richard Favela — Jenny Hanlon — Richard.Favela@citvofrc.us Jennv.Hanlon@citvofrc.us (909) 774-4107 (909)774-2343 2022-$15,600 2022-$181,909.90(original bid$186,155; City of Rancho Cucamonga actual quantities less than bid schedule) Carnelian Block Wall Repair County of San Bernardino 8794 Lion St City Creek Guardrails Rancho Cucamonga,CA 91730 825 E 3rd St Richard Favela — San Bernardino,CA 92415 Richard.Favela@citvofrc.us Carlos Seanez— (909)774-4107 carlos.seanez@dpw.sbcountv.gov (909)486-0227 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com 2022-$240,528($233,440.68 bid value; limits 2022-$101,192.76 extended) City of Rancho Cucamonga City of Fontana Emergency Trail Repairs Foothill-Alder Curb Ramp 8794 Lion St 8353 Sierra Ave Rancho Cucamonga,CA 91730 Fontana,CA 92335 Sonny Rodriguez — Estephany Monroy sonnv.rodriguez@citvofrc.us emonrov@fontana.org (909)477-2730 (909)350-6642 2023-$46,793.44 2023-$163,771.34($200,000 bid value;on-call City of Hermosa Beach contract) Clark Field Restroom Plumbing Upgrades and City of Laguna Niguel Site Improvements Citywide Concrete Infrastructure Repair 1315 Valley Dr 30111 Crown Valley Pkwy Hermosa Beach, CA 90254 Laguna Niguel,CA 92677 Jonathan Pascual — Jeff Metz jpascual@hermosabeach.gov imetz@cityoflagunaniguel.org (310) 318-0252 (949)362-4344 2023-$26,800.00 2023-$281,019($207,793 bid value; locations City of Hermosa Beach added and scope of work increased) South Park Restroom Plumbing Upgrades and City of Hermosa Beach Site Improvements Prospect Ave Curb Ramps, Longfellow Sidewalk 1315 Valley Dr Improvements and ADA Improvements Hermosa Beach,CA 90254 1315 Valley Dr Jonathan Pascual — Hermosa Beach,CA 90254 ipascual@hermosabeach.gov Jonathan Pascual — (310)318-0252 ipascual@hermosabeach.gov (310)318-0252 2023-$646,577.87(original bid$552,252) City of Downey Annual Miscellaneous Concrete Repairs 11111 Brookshire Ave Downey, CA 90241 Brian Aleman — baleman@downevca.org (562)904-7110 9277 Archibald Ave. off:909.330.1128 Rancho Cucamonga,CA 91730 fax:909.330.1129 gentrygeneral@gmail.com CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR). Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/P W CR/ActionServlet?action=displayP W CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on, be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. Gentry General Engineering,Inc Contractor By gentrygeneral@gmail.com Email President Title Date: November 20, 2023 PWC Registration#: 1000024189 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations,Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder,under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner,partner, director, officer, or manager(initial the applicable selections): X Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: Gentry General Engineering, Inc Contact Person: Brenton Gentry Contact Phone: (909) 330-1128 Signed: , Date: November 20, 2023 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBI_T B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. not provided Bid Opening Date November 28, 2023 The City of Huntington Beach established a Disadvantaged Business Enterprise (DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest, second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise,DBE firms will be sought. B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise, DBE firms will be sought. C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (Y/N) Contract No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise.DBE firms will be sought. D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise,DBE firms will be sought. Names, addresses and phone numbers of firms selected for the work above: No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise, DBE firms will be sought. E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise,DBE firms will be sought. C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise, DBE firms will be sought. G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists,Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise,DBE firms will be sought. H. Any additional data to support a demonstration of good faith efforts(use additional sheets if necessary): No subcontracts will be awarded for the scope of work covered by this proposal. Should subcontract opportunities arise, DBE firms will be sought. NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted n/a- corporation (2) Signature (given and surname)of proprietor (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted n/a-corporation (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted Gentry General Engineering, Inc (2) (Signature) President (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of CA (4) Place of Business 320 W Tropica Rancho Rd (Street and Number) City and State Colton, CA (5) Zip Code 92324 Telephone No. (909) 330-1128 (6) E-mail gentrygeneral@gmail.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED ,,off = <, fir. � � tff ': % € .„gip ffi ^gym a .. 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E,. i ,1 r 'i' ;',." ,' ..,;;. �a'e„w v'A/y/4,K- `..YA-�a �'J: :rY^? 1Y,•": . , <4 = ,tip,. ,r... 4. :i. a ,ems. ,.,.. .., s.. h List below names of president,vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: Brenton Gentry-President/Vice President, Secretary/Assistant Secretary C-20 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Gentry General Engineering, Inc [proposed subcontractor ,] hereby certifies that he/she/it has X , has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that,where required,he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or. subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: '--- Date: November 20. 2023 Print Name: Brenton Gentry Title: President C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead,profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and, further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. r-' Signature: Date: November 20, 2023 Print Name: Brenton Gentry Title: President C-24 ,fw; ,,.,'b lF „ f: A< w' d r } a. » F t .., ,,,>„3�^' ..,. ... a... 9 as ,z ",,.'"r,.•. .;..r ': '�)a\.'t s:- v �C� "YZ. .,, a <,-- ->.�_.:! 'a' 1. °e ,v:;Q- > S -..i...,..t. � .. .. .,;.< .au-v4S „ "a ::... �':a"2.k'?t'.- ».a• ..xMr .�N: 'h, .Y., ..fl:n- >„ .. .., r . -= �.�,_> �'t°3.^ '„�,,,,,a,etr, _ - ,.,.; .rr,<..; .-ems" ,. .. � ,. . ,-x•i- - nr" s. -Fu..rz>.." '" ,'i" �.'i`rex�,;.'trx^.; .'�Y'. 5 sl,,,,ypn<w,. ,,. .im.':'.a.et v.,, -< , 2,` - " �'is a :v ..,,..r ... � �liiYf,` L rm,'i-,t •s. ,a"... „. �a 6�4. t.t»x a' r 4'-• r e, ii P, Y: w, . ,r:Y" ,.. 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'� a ` ,�.�" ., `� ,q fit anew; EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer, manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: '., "' Date: November 20,2023 Print Name: Brenton Gentry Title: President C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: November 20, 2023 Print Name: Brenton Gentry Title: President C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ❑ NONE ❑ ❑ a.contract a.bid/offer/application a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: Prime Subawardee Tier ,if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable 8. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No.10a) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ Actual planned a.retainer b.one-time fee 12. Form of Payment(check all that apply): c.commission Ba.cash d.contingent fee b.in-kind; specify: nature e deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes No 16. Information requested through this form is authorized by Title 31 U.S.C. Section 1352. This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: Brenton 1352. This information will be reported to Congress President semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: (909)330-1128 Date: 11/20/2023 $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal,action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial (M1). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(item 4)to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection-of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046), Washington,D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5, Title 2 of the California Administrative Code). • C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s) or individual(s)influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 . .��'," i FsF::iF'..y,.. , F„;.x�x9. .cam .' a ax t ,.;tea, AtAr a!r. 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Data current as of 5/20/2022 8:15:12 AM Business Information GENTRY GENERAL ENGINEERING INC 9277 ARCHIBALD AVE RANCHO CUCAMONGA,CA 91730 Business Phone Number.(909)330-1128 Entity Corporation Issue Date 06/26/2012 Reissue Date 06/24/2016 Expire Date 06/30/2024 License Status This license is current and active. All information below should be reviewed. Classifications A-GENERAL ENGINEERING Bonding Information Contractor's Bond This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number:100316398 Bond Amount:S15,000 Effective Date:06/24/2016 Contractor's Bond History Bond of Qualifying Individual The qualifying individual BRENTON WAYNE GENTRY certified that he/she owns 10 percent or mare of the voting stock/membership interest of this company;therefore,the Bond of Qualifying Individual is not required. Effective Date:06/24/2016 tAiorkei:s'Compensation This license has workers compensation insurance with the INSURANCE COMPANY OF THE WEST Policy Number:W5A5048153 Effective Date:05/OG/2020 Expire Date:05/06/2023 Workers'Compensation History Back to lop Conditions of Use Privacy Policy Accessibility Accessibility Certification Copyright©2022 State of California Contractor Information Registration History Legal Entity Name Effective Date Expiration Date GENTRY GENERAL ENGINEERING INC Legal Entity Type 6/13/2018 6/30/2019 Corporation Status 7/12/2017 6/30/2018 Active - Registration Number 6/14/2016 6/30/2017 1000024189 Registration effective date 12/20/2015 0/30/2016 7/1/2022 • Registration expiration date 6/23/2015 6/30/2015 6/30/2025 --- MailingAddress 7/1/2019 6/30/2022 9277 ARCHIBALD AVE RANCHO CUCAMONGA 91730 C... Physical Address 7/1/2022 6/30/2025 9277 ARCHIBALD AVE RANCHO CUCAMONGA 91730 C... Email Address Trade Name/DBA • License Number(s) CSLB:974279 • • CSLB:974279 • 4 Legal Entity Information • • Corporation Number: Federal Employment Identification Number: • • President Name: • • • Brenton Gentry • Vice President Name: • Brenton Gentry • • Treasurer Name: • • Brenton Gentry • • Secretary Name: Brenton Gentry CEO Name: Brenton Gentry Agent of Service Name: • • Brenton Gentry • Agent of Service Mailing Address: 9277 Archibald Ave Rancho Cucamonga 91730 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:Gentry General Engineering, IncInsurance Carrier:ICW Group Policy Number:WSA 504815302Inception date:5/6/2021Expiration Date:5/6/2022 Bid Bond Bid Bond Number.CSBA-25498 • CONTRACTOR: SURETY: • • (Name,legal status and address) (Name,legal status and princpal place of business) Gentry General Engineering,Inc. The Ohio Casualty Insurance Company 9277 Archibald Avenue • 790 The City Drive South,Suite 200 Rancho Cucamonga,CA 91730 Orange,CA 92868 • OWNER: This document has important legal consequences. (Name,legal status and address) Consultation with City of Huntington Beach • An attorney is encouraged with respect to its 2000 Main Street completion or modification. Huntington Beach,CA 92648 Any singular reference to Contractor,Surety,Owner or other party shall be considered Plural where applicable. BOND AMOUNT: Ten Percent(10%)of the Amount Bid PROJECT:Zone 1 Curb Ramp Installation,CC No.1742 • Project Number,if any: The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms'of such bid,and gives such bond or-bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for .an extension beyond sixty(60)days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted here from and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 20th day of November.2023 ' Gentry General Engineering.Inc. • (Principal) (Seal) (Witness) • �.o w,' 4 C e -r„„,44— _— I t4` (Title)• The Ohio Casualty Insurance Company (Surety) ` (Seal) (Witness) Melissa Ann Vaccaro • • (Title)Dwight Reilly,Attorney-in-Fact • • By arrangement with the American Institute of Architects, the National Association of Surety Bond Producers(NASBP)(www.nasbp.org) makes this form document available to its members,affiliates,and associates in Microsoft Word format for use in the regular Course of surety business.NASBP vouches that N A5 Q P the original text of this document conforms exactly to the text in AIA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion, execution or acceptance. ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Bernardino ) On I 1 / Z0/Zi73 before me, S. Alicia Sanchez, Notary Public (insert name and title of the officer) personally appeared Brenton Gentry 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/Fier/their authorized capacity(4es), and that by his/I fti:eir signature%) on the instrument the person%), or the entity upon behalf of which the personQ ) 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. rs � Notary Public-California ; =. sr San Bernardino County Commission"2409874 • ..o. My Comm.Expires Jul 29,2026 Signature (Seal) ACKNOWLEDGMENT • A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 11/20/2023 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Dwight Reilly who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. MeussAANNvaccARo COMM.#2401942rl ►47• Notary Public-California g f ORANGE COUNTY a My Comm,Eapl es May a2026 wwwcipmmti Signature (Seal) Melissa Ann Vaccaro Bond No.CSBA-25498 orThis Power of Attorney limits the acts of those named herein,and they have no authority to . • -, Liberty bind the Company except In the manner and to the extent herein stated. '�r� le 7�� -7 Liberty Mutual Insurance Company , • /jr 1 Mutual. • The Ohio Casualty Insurance Company Certificate No:8209029-969561 • West American Insurance Company SURETY . POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies').pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Adrian Langrell:Arturo Ayala;Ben Stong;Benjamin Wolfe:Chelsea Liberatore;Daniel Huckabav;Dwight Reilly;Frank Morones:Michael D.Stone;R.Nappi;Shaunna Roadie Ostrom all of the city of Oran_e •state of CA each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizancas and other surety obligations,in pursuance • of these presents and shall be as binding upon the Companies as if they have been duly:signed by the president and attested,by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 22nd day of November , 2022. . Liberty Mutual Insurance Company Pt'Week '4ZY INS& , tws&4 The Ohio Casualty Insurance Company 3`0.,N,o4, Q-ovok,+4, 3�0ePOn W to est American Insurance Company s i 1912 0 l -9. 1919 0 V 1991 0 J /,/y/y/� LO- md� r4 uzeaD 0,,CAMP ' b YS, maxi L B r - • U 8r) * pet vy1 * > 4/ tit ' Y' ._. m David M.Carey,Assistant Secretary at— State of PENNSYLVANIA ass o ▪? County of MONTGOMERY E o>, w=i On this 22nd day of November , 2022 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance CO 2 o m Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes"_•- 5,n therein contained by signing on behalf of the corporations by himself as a duly authorized officer. iii 6 m D IN WITNESS WHEEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above vmtten. cn CO En P o d C�� neivz,Fr Commomw•aaw of Pennsytvanta-Notary Seel ti.�\ �(,, Teresa Pastille.Nasty Patio C.a y O r-L 5 Montgomery County ..�{{--'�/� E p 0 OP My comR�ion expires Merin 28.2xru By, �4%LLl f./� S gh . c coo t.� , Ccmm:sslon number n2sxwa . 7teyOd>t-,L, Member.PemuytanlaAvedationotNmarin ereSaPaStella,NotaryPublic Q o m This Power of Attorney is made and executed pursuant to and by authority of the following By-lees and Authorizations of The Ohio Casualty Insurance Company;Liberty Mutual 3 e• Insurance Company.end West American Insurance Company which resolutions are now in full force and effect reading as follows: a o en o ARTICLE N—OFFICERS:Section 12 Power of Attorney. `o o Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or the v is ,v_ President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m= m c any and all undertakings,bonds,recognizances and other surety obligations.Such ahorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall 0 3 . >b have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such o re z c32 instrument shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the a co m provisions of this article maybe revoked at anytime bythe Board,the Chairman,the President orthe officer or officers grantingsuchpower or a' by authority. Ii a ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings: Any officer of the Company euthorized.far that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the • Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as bincfing as if . signed by the prmident and attested by the secretary. Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such atomeys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety . obligations. . Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appeari g upon a certified copy of any power of allomey issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as tho ah manually affixed. I,Renee C.Uewal r.,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do , hereby certify that the:reinl power of attorney of which the foregoing is a full,hue and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. • k,IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 20th day of November , 2023 tiJ c,P7O:11- •yJP.QaPok 41'cpaNPoni y, • 3 mom Q N ¢B b° A 1912 9 c 1919 7, t 1991 ' ( c,�i.f�Cry�a- s Wo c BY: - d�8y'Acnu �,aa °�MAMe3`��ya ,e, f ,,,,Ab Renee C.Llewellyn,Assistant Secretary LMs-tzar MC Oc:C WAIC Molt Co CTN2t • Gentry General Engineering,Inc. 9277 Archibald Ave. Rancho Cucamonga,CA 91730 Sea- le) G0 ,1 ) Zone I C ,„r‘ lc, - cc / `/2_ ®,®ems®a®® ��NT I N G TO City of Huntington Beach 2000 Main Street ♦ Huntington Beach, CA 92648 (714) 536-5227 ♦ www.huntingtonbeachca.gov • 11 ` 4 e e Office of the City Clerk c ` 6)0UNTY c if®� Robin Estanislau, City Clerk April 5, 2024 Leonida Builders, Inc. 32023 Crown Valley Road Acton,CA 93510 RE: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, 101441,, 9,6/44,714hAd Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SCTON C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Ir_viting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described,and to furnish all labor, material, equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfact on 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 30 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 bic is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes, royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded.the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. C-1 , .., . .. ...._... • SECTION C ...- PROJECT BID CURB RAMP PROJECT,CC 1.7,..,,,4, 2 BID ITEMS 1 Anmlavt Rigv-5,,,, :,:. ,:,q77Y,,•*,,,',VT,,qr."-'%„..'-v.,4,,,e, .: .:„„ ,:.?;:l;t:;„;'.':„:„„.•;'„G:-,;,„:„„..,..Tepre4o4 Unit Item,:;11:4:,di,„%:; „„..;:t;;;;;„.::;.;::::::.;:-.:: ::: : "":„:1;iesictiptioitit,12 ::iN],.:-'):.,I.::.",f':', ' ' ,,,,,/,'4alltigintityaNi ITfile,,,,,3-ti Cost''„::„'::::::::"„TatirtroiC.11 , , ....„..„„....,.... ::, , ".;..,.",„..„„- . ...:".'„i'" ,':!„„ , ;;;,..,..„;„41:?,,":"„.*:.,,,,,,,":„.rd, ,..„„..„..,,...„.. '". -.."— - "..-„,,,411 N0-4,1'1.kidglifd;i4a:.;;:dd;„;;" „d„:„;:::„„-;„ "';';".';',;;.,;„;„,„;; ; ,..,:i.4h0„;M„Y-";;;..."„..,:',f;."..;.;;. ;: . :-;.- ,,p,„-:„:„,?;.6.`" .:„q:-;;V:„.11„;.:d;;,?:„.-„,d;;.4,4,, .r„.y,F;-",-;:„,,-":„:„,..:d.,.„-..„ ;" '„ :„„:„„,„1Eitiasiiiiit„&„, 1J ii .!;'1. $ .. . • , 11 1 J11 Mobilization : ; ..„ 1 LS $45,000.00 i 45,000.90 It I ; . , ii 2 il(r`Prepare Storm Water Pollution Prevention Plan(SWPPP) d i 1 d qa, 8,000.00 1 8,000.00 LS i . . 111 j t $ 3 ','d Install&Maintain Construction BIVOs , .: LS 1 $7,900.00 ,7,000.00, Construct Curb Access Ramp per„;altrans Std.„Plan 4 1 . : A88A/A88B as shown on Curb Ramp Detail 1 in Appendix : 4 A' H of Specifications (Item includes all appurtenances,curb $ , . )1 &gutter,depressed curb,sawcut,sidewalk,domes, '„i , 5 ,: . . ., :„„: : : „.. EA : $8,000.00 i :. 40 000 00 . 11 retaining curb,slot pave,etc.) . „:: Horizontal Curb Cut Curb Access Ramp per Caltrans Std.. Plan A88A/A88B using horizontal curb cutting machine as .. „ „ . shown on Curb Ramp Detail 2 in Appendix H of Specifications (Item includes all appurtenances,curb& .gutter,depressed curb, sawcut,sicewalk,domes,retaining d , ::„:, • .• curb,etc.) „„ 23 ;„ EA :, $8,000.00 :11,', 184,000.00 .'• . . Construct Curb Access Ramp per Caltrans Std. Plan . : .. , ;:- A88A/A88B as shown on Curb Ranp Detail 3 in Appendix 6 H of Specifications (Item includes all appurtenances,curb . • ." &gutter,depressed curb,sawcut,sidewalk,domes, I;, i, retaining curb,slot pave,etc.) . 6 EA $10,000.00 60,000.00 - 4 l• Remove and Replace damaged concrete cross gutter as 1 .. • , . „; • 7 "1 shown on Curb Ramp Detail 4 in Appendix H of $ ::. i„. Specifications (Item includes all appurtenances,curb& gutter,cross gutter,sawcut,slot patch,etc.) 1,300 ,''' SF '' $ 25.00 32,500.00 8 '-,) Install 47,..."1RM, 'peeve for Street Assembly Sign per City of i „ :: $ HB Std.rja441 . 41 $20000 I! 600.00 Remove and replace existing sidewalk per City of HB Std, 1 „. , 9 ' Plan 207 at locations adjacent to ramp (Item includes ail i; 1500 1 • ! 1,-, $ 11.00 I. ii SF ,, ', 16,500.00 appurtenances,sawcut) : I Remove and replaces existing 8"-1 2"Curb and Gutter per :; $1": d'I 10 HB Std Plan 205(Item includes all appurtenances, .. .„ sawcut,slot pave, etc.), : 300 1 LFr 1 $50.0015,000.00 $.408,600.00 C-2.1 ,..! SECTION C PROJECT BID CURB RAMP PROJECT,CC 1742 SUB-TOTAL BID AMOUNT IN WOFDS: Four hundred eight thousand six hundred dollars and zero cents Note: All extensions of unit prices will be subject to verification by Owner. In case verification is required between the unit price and the extension,the unit price will govern. The Owner reserves the right to reject any or all proposals and bid items. In addition, the City reserves the right to include or remove Bid Schedule B in the award of the contract. C-2.2 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance herepf may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find bid bond in the amount of $40,860 which said amount is not less than 10%of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: Addenda No. 'i Date Received Bi a enure- 0 none ‘It 0 , 0 a • , C-2 LIST OF SUBCONTRACTORS In accordance with Governmert 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 ,Il" Name and Address of State Class DIR PWC Dollar ' %of" Item(s) Subcontractor ii License Registration# Amount Contract Number N/A N/A N/A N/A N/A N/A N/A F' a- _ E •• • a • i • j • t i • (j • j i • 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 lis-ing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/2712023 at Acton CA Date City State Panagiotis Leonida :being first duly sworn, deposes and says that he or she is President,Secretary&Treasurer of Leonida Builders, Inc. the party making the foregoing bid that the bid is not nade 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 informatioi 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. Leonida Builders Inc , ., Name of Bidder Panagiotis Leonida Signature of Bidder 32023 Crown Valley Road,Acton_CA 93510,,, Address of Bidder .1961f 4,1 e k 3"a C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH,CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facili-ies. 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. Leonida Builders, Inc. Contractor Panagiotis Leonida ' s By President, Secretary&Treasurer Title Date: .11/27/2023 C_s 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 tie 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 :6 No If the answer is yes,explain the :ircumstances in the space providedv 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 prov:sions 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. Leonida Builders, Inc. Contractor PariAliotis'Leonida , By President, Secretary & Treasurer Title �� 4 � Date: 11/27/2023 k0 17 , .�� z� 2 r"/40,:toi, 4;1'4#4,001''',1 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Leonida Builders, Inc. Bidder Name 32023 Crown Valley Road Business Address Acton CA 93510 City, State Zip M� 909 )_275-3354 panikos@leonidabuilders.com Telephone Number Email Address 896772/P, B, &C-8 State Contractor's License No. and Class 05/18/200' Original Date Issued 05/31/2025 Expiration Date The work site was inspected by Panagiotis Leonida of our office on November 20 ,20 Q3. The following are persons, firms, and corporations having a principal interest in this proposal: Panagiotis Leonida President, Secretary&Treasurer The undersigned is prepared to Satisfy the Council of the City of Huntington Beach of its ability, financially or otherwise, to perform the contract for the proposed work and improvements in accordance with the plans and specifications set forth. Leonida 41004 Inc. Comp e Stp atutr Bidder , � � r Pat1.alotr Leonida * Printed or Typed Signature -•�, �, z a e- Ili it. s $ :' C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this 27th day of November , 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 E, truthfulness,accuracy,or validity of that document. State of California .. County of Los Angeles ) On November 27,2023 before me, Kelly Yaniira Orellana Notary Public" Month, Day,and Year Insert Name and Title of Notary personally appeared Panagiotis Leonida Name(s)of Signer(s) who proved to me on the basis cif 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 capaciy(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. *0-4; 7491 Me .tt Mr Signature f tio, o gnature ofNotary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, °`Sit tr :s+ er.lifpiei atititt,o z t ► 4,(it l< "$- ch an greater in public right= f way., Sanitary sewer....lift-stations.,of„similar..size, project,work li within R'ablic str ts,,ana+rea , aini tg'f i nd water�a�nd nto m hig *wit ate'tiiiii lh trench depthis of8-feet tt the:invert:n. 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: l. Azusa Unified School District-546 South Citrus Avenue Azusa CA 91702 Name and Address of Publ"c Agency Name and Telephone No. cf Project Manager: ,Brian Allen 626 506-6586 $340,000.00 Pedestrian path improvements 06/21/2023 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: Pedestrian path improvements ncluded but not limited to,ada upgrades,curb ramps,and truncated dome installation at Foothill Middle School and Azusa High School, 2. City of Riverside-3900 Main Street Riverside CA 92522 Name and Address of Public Agency Name and Telephone No.cf Project Manager: :Fred Cerda/FCerda@rivers.deca.gov ,,.$678404 70 Citywide curb3nd gutter sidewalk and ada improvements April 2021 Contract Amount Type of or Date Completed Provide additional project description to show similar work: Work include 800 CY removal of unsuitable base or subgrade material 800 CY replacement base for unsuitable ,base or subgrade material ,,4 G 2F errOWand re:01**,concrete curb ands utter't re 86 SF remove and place �t st ewalk.4 T asphal€and : . .. .-.: . 3. South Orange County Community College District-28000 Marguerite Parkway,.Mission Viejo,CA 92692 Name and Address of Publ c Agency Name and Telephone No.cf Project Manager: Parker Davis 949-943-4610 ext 5740/pdavis7@ivc.edu $550,000.00 Site acrossibility upgrades throughout campus December 2019 Contract Amount Type of Work Date Completed'' Provide additional project description to show similar worlc; Work inculdes but is not limited to,Site up rades for accessibility throughout the campus,including concrete ramp and sidewalk replacement,asphaltwork truncated domes addition and replacement,guardrail,additiori signage addition and replacement, and entry mat replacement 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 employmert of the bidder of this project. Bidders are encouraged submit supplemental relevant project hi;tort' in addition to the projects listed herein. 1. Panagiotis Leonida Name of proposed Project Manager Telephone No.of proposed Project Manager;951 532 7717 Santa Gertrudis Pedestrian Multi-use trail extension Bicycle Trail Extension $4,902,682.96 and channel improvements October 2021 and Interconnect Project Name&Contract Amount Type of Work Date Completed Irviner Ivey College ,Accessibility Upgrajdes, Phasel $550,000).00 Campus wide accessibility upgrades Septemeber 2019 Project Name &Contract Amount Type of Work Date Completed Sewer and Park Improvement Sewer and Park Improvement March 2021 at La Puente Community Park 81,648,031.00 at La Puente Community Park Project &Contract Amount Type of Work Date Completed 2,. Juan Lopez Name of proposed Superintendent Telephone No. of proposed Superintendent 909-296-0681 Santa Gertrudis Pedestrian Multi-use trail extension Bicycle Trail Extension and channel improvements and Interconnect $4,902,682 96 October 2021 Project Name &Contract Amount ,T Type of Work Date Completed City of Wildomar Multi-trade improvements -Grand Avenue forpedestrian and cycle trail walkways Multi-purpose Trail project $1,080,050.00 Y Y April 2018 ProjectNafite&C n ct P mount Type of Work Date Completed tIVItioreno'Valley Citywide multi-trade improvements, included but not limited to, Cycle Al 'Citywid SR S ADA upgrades,pedestrian/cycle trails and walkways, Pedestrian lity Improve ent storm sewer/drainage,trench shoring Project et Fiv Lo ition $1,205,127.00November 2018 Project Name &Contract Amountry Type of Work Date Completed C-11 " CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT ., OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE ,J` Pursuant to SB 854 (citing Labo-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 subcontractcrs 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 Relatiot s(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.d ir.ca.gcv/D LS E/Pub l is W orks/S B 854FactSheet_6.3 0.14.pdf DIR's Contractor Registration Link—Call (844)522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayPWCRegistrationForm i 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 contact 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. ,„ uy fi A o/44. ' Leonida Builders Inc �,ar e8 � � 1,1 Rv4 + .k � f? Contractor: F`r„,,,,,,Z; .;,",v,eb, 'AV S-4 -,'''.;//:?, ',,, � a ?s By -ir f ° panikos@leonidabuilders.com F Email President, Secretary &Treasurer Title Date: 11/27/2023 PWC Registration #: 1001081361 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN CEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TI'TLE 24, Code of Federal Regulations, Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury,certifies that except as noted below, any person associated therewith in the capacity of owner, partner, director, officer,or manager(initial the applicable selections): Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or X Will hire no new employees in conjunction with this project. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. de da Leoni Builrs, Inc. Contractor: Contact Person: Panagiotis eonida � Contact Phone: 909 Signed: ' ' � • � Date: 111 °` 023 *Note: The above certification is required by the Department ofHousing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act,as amended in 1992(HUD). Previo.us:.n.on-compliance with Secifi43.:could:.result:::in.disqualification. C-13 ,EXHIBIT:A. DISADVAY:TAGED..BUS>l l ,SS: . ;"141 [SE [J'SE „ This Project is subject to Part 201.321,Title 2,Code of Federal Regulations entitled "Contracting with Small and Minority Businsses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXH.IBIT.B... DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project N). < Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 0% for this Project.The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal.This will protect the bidder's eligibility fo-award of the contract if the administering agency determines that the bidder failed to meet the gcal for various reasons, e.g., a DBE firm was not certified at bid opening,or the bidder made a mathematical error. Submittal of only the"Local Agency Bidder DBE Commitment"form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed i-i the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement Not Ap licable 0% oal on this aD ect Nof Ap5116a6le 0%/o goal on thi project F B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation ::e and Dates Not Applicable 0%goal on this proect C-I 5 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is t1e bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (YIN) Contract Not Applicable 0%goal on this project -- D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the,DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Not Applicable 0%goal on this project Names, addr esses and phone numbers of firms selected for the work above: Not Applicable 0%goal on this project E. Efforts made to assist in-erested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the won(which was provided to DBEs: Not Applicable 0%goal on this project .._ C-16 F, Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: Not Applicable 0%goal on this project G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name ofAgency/Organization Method/Date of Contact Results Not Appllcable'0%goal on this project H. Any additional data to support a demonstration of good faith efforts(use additional sheets if necessary): Not Applicable 0%goal on this project NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY; C-17 IFA...S.OLE OWNER OR SOLE CONTRACTOR SIGN HERE (1) Name under which business„s conducted N/A (2) Signature (given and surnam2,)of proprietor (3) Place of Business N/A (Street and Number) City and State (4) Zip Code N/A Telephone No..N/A (5) E-Mail•N/A . IF A PARINERSHIPSIGN HERE: (1) Name under which business s conducted NA (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) N/A N/A (3) Place of Business N/A (Street and Number) (4) Zip Code N/A Telephone No, N/A (5) E-Mail N/A C-I8 At Qitikbi A 4 T el (1) Name under which business is conducted Leonida Builders, Inc. Panagiotis Leonida "` i t of President, Secretary &Treasurer � 4, (Title) V yf�� d�r�rMt Impress Corporate Seal bore (3) Incorporated under the laws of the State of California (4) Place of Business 32023 Crown Vailey Road (St:eet and Number) City and State Acton CA (5) Zip Code 93510 Telephone No.,909.275 3354 ... (6) E-Mail_Panikosleonidabuilders.com NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 CALIFORNIA ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and rot the truthfulness,accuracy,or validity of that document. State of California County of On ' oefore me, VA/Men b� r Dote Here Name and Title of the,0 r personally appeared l ...Nam , ,,)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(les),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 trgm KELLY YANIRA ORE' I.LAN" laws of the State of California that the foregoing Notary Publlr California paragraph is true and correct. Los Angeles County Commissiong245389! WITNESS my hand and official seal. cos'. Comm,Expires Jul 8,1027 Signature „ Place Notary Seal and/or Stomp Above gndt re of Notary Public OPTIONAL Completing this hformation 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 Signea(s) Signer's Name Signer's Name ❑Corporate Officer—Title(s) 0 Corporate Officer—Title(s): ❑ Partner— 0 Limited 0 General 0 Partner— 0 Limited 0 General ❑ Individual 0 Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑ Other ❑ Other: .. .. . Signer is Representing; s Signer is Representing: ©2019 National Notary Association List below names of president,`.ice president,secretary and assistant secretary,if a corporation;if a partnership, list names of all general partners and managing partners: Panagiotis Leonida-President,Secre-ary and Treasurer C-ZO.. ii ,EX.EI.I:B I.T..G::. LOCAL AGENCY BIDDER DBE COMMITMENT(CONSTRUCTION CONTRACTS) I, NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF'THIS FORM LOCATION:-.. _, LOCAL AGENCY ._ PROJECT DESCRIPTIONZone I Cud Ramp Installation TOTAL CONTRACT AMOUNT:$ 408,600.00 BID DATE 1 1/28/2023 ,,. . Leonida Builders Inc : BIDDER'S NAME,o_ .. OIo 0 CONTRACT DBE COAL: x CONTRACT ITEM OF WORK AND CESCRIPTION DBE CERTNO, NAME or EACH DBE11C)C;14 AMOUNT ii ITEM NO, OR SERVICES TO B .AND EXPIRATION '(Must be certified on the date bidst UE .,.a- SUBCONTRACTED OR MATERIALS;DATE ;ire opened-include DBE address TO BE PROVIDED(or cauracted if the tnd phone number) bidder is a DBE) `N/AA.: hf/A �: ,„/� „ NIA •_ _-, N/A .. ...... ..: <..� ...._ ,,, .ter For Local Agency to Complete: Total Claimed DBE $0.00 Local Agency Contract Number: Participation i Federal-aid Project Number: _ _, 0 % r '.Federal Share:.. .. ,.. Contract Award Date . :::: ._ . ,, , Local Agency certifies that all DBE certificatons have been verified and .!information is complete and accurate Signature, Bidder 118 a 909-275-3354 ten, __ Date (Area Code)Tel No; _. . _... President Print Name Signa-ure _ � -.... .;._.. ;Date-- L Panaglotls Leonida _.. Local Agency Representative E Person to Contact "'(Please Type or Print) (Arta Code)Telephone Number: Lacal:Agency B drier OBE Commitment(Construction Conteacts). ,. lRev fi/16/Q9) ( tttttrttl: t � .a 4117007` ' C-21 !' �7 ,° ,,, ' � "„ lisIHIl1Yi4 .�.gu�,l"• PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Prov=sions. Failure to submit the required DBE commitment will be grounds for finding the bidonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date. Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%.of item is not to be performed or furnished by the DBE, describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE),"of the Special Provisions (construction contracts),to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award, Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D, EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Leonida Builders, Inc. [proposed subcontractor. . � amm�_.m. _� �_:-.,,__.. .� .. „.„,1 hereby certifies that he/she/it has X , has not , participated in a previous contract or subcontract subject to the Equal Opportunitrclauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required,he/she/it has filed with the Joint Reporting Committee,the Director of the Office of FederalContract Compliance, a Federal Government contracting or administering agency,or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently, Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeol survey/index.cfin) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents :he award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. 4 Signature: Date::11/28/2023 Print Name: Panagiotis Leonida Title: President, Secretary&Treasurer !,! 0444 R y J '5 yyy% i�-eu��.. �i��yy X C-23 ,EXHIBIT;;E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the Did is not made in the interest of,or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference\kith anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit,or cost element of the bid price, or of that of any other bidder,or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true; and,further,that the bidder has . • not,directly or indirectly,submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: _ ' Date 11/28/2023 Print Name- PanagiotisLeor ida Title: President, Secre ary&Treasurer :.:........ .. C-24 ,EXHIBIT:..F, DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner, partner, director, officer, manager: • is not currently urder suspension, debarment,voluntary exclusion,or determination of ineligibility by any Federal agency; • has not been suspended, debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending;and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jirisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily:esult in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: � �^ ��� Date: 11/28/2023 Print Name: Panagioti ,Leorida Title: President, Secretary &Treasurer ` 04� )-„ 0 t Yet#iA -6 8t$ 5 ". C-25 EXHIB I.T:::G, NONLOBSYINGXERTIFICATION;FOR,FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: I) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the;making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$100,000 anthem E• l subrecipients shall certify and disclose accordingly,. Signature: ;; 4, Date: _1/28/2023 Print Name: Panagi`®' s Leonida Title: President, Secretary &Treasurer rguiNfp, hoi + sty c lw ,.arrr�� • I C-26 ;EXHIBIT::L ,DIS.CLQSURE_OE..LOBBYING..ACTI.YITIES COMPLETE.THIS._FORM TO.DSSCLOS.E_LOBBXING.ACTI.V.ITIES.PURSUANT TO 31 U.S.C. 1352 _ ., t. 1. Type of Federal Action: 2. Status of Federal Action; 3. Report Type: a„contract ji 1hIA Ia,bid/offer/application : a.initial br,grant -b initial award •` b„.material change c.cooperative agreement c post-award • d.loan For Material Change Only: eloan guarantee year quarter f.loan insurance date of last repot[::::::::::::::::::::::.::::::.....::.::....:::::..., 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: i El Prime N/A El Subawardee Tier ,if known N/A s Congressional District,if known Congressional District,if known Iil j 6. Federal Department/Agency: 7. Federal Program Name/Description: 11 r N/A N/A CFDA Number,if a pl Sable ; 8. Federal Action Number,if known: 9. Award Amount,if known: N/A I N/A r 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including II i (If individual,last name,first name,MI) address if different from No;l0a) (last name,first name,MI) II l.` N/A (attach Continuation Sheet(s)if necessary) i "' 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) i I s ,:;,;�R- Actual ❑planned a;retaiher _ b;one-time Fee 12. Form of Payment(check all that apply): c;,commisson is iateaslt d,;contingent fee ' R b,zin-kind; specify: natureISI/A .. e deferredN/A 1 l value ; i f.other,specify 1 le 14. Brief Description of Services Per•fo-med or to be performed and Date(s)of Service,including 1 oflicer(s),employee(s),or members)contacted,for Payment Indicated in Item 11: il N/A (attach Continuation Sheet(s)if necessary) i 15. Continuation Sheet(s)attached: Yes ❑ No 16. Information requested through this fora is authorized by Title 31 U S.C. Section 1352.This disclosrre of lobbying reliance Signature: was placed by the tier above when his tzansaction was made or Pana iotis Leonida entered into.This disclosure is required pursuant to 31 U,S,C, Print Name;. ..,.__ g 1352., This information will be -sported to Congress i' semiannually and will be available for public inspection:Any Title: President, Secretary&Treasur ",€ i person who fails to tile the required disclosure shall be subject I to a civil penalty of not less than$10,000 and not more than Telephone No,r..909-275-3354 Date 11/28/2023 $100,000 for each such failure,: Authorized for Local Reproduction ,, Federal Use Only: Standard form-LLL 'm 1 .4.4 v`ttltt s t-ni } Standard Form LLLRev,09=12=97 �, � : � ,4 $11 , t s, } tAi - " ., . �; ors f snwa`m poiR COMPLETION OFIXtAillrft, • DISCLOSURE OF LOBBYING ACTIVITIES -;. This disclosure form shall be con-pleted by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or rece:pt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Ccngress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the in tial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing :he report in Item 4 checks "Subawardee"then enter the full name, address,city,state and zip code of the prime Federal recipient. Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal cont-ol number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a) Enter the full name, acdress,city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name, First Name and Middle Initial (MI). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4)to the lobbying entity(item 10). Indicate whether the payment has been made (actual) or will be made ;planned). Check all boxes that apply. If this is a material change report, enter the cumulati-ie amount of payment made or planned to be made. C=28 12)Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es).Check all boxes that apply. If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form, print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0248-0046), Washington, D.C. 20503. By my signature on this proposal I certify, under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT:]. ,FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier sub~ecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal.Signing the Proposal shall constitute signature of the Certification. The above referenced certificaticn and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action;or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action;or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. w _ _ C-30 • , ri. f•ro; .•i, '_31u t';t. . 1(s i®t,.d �i. •1 {, • - ".t„+ > i1,11j11i:.,T'4it!{9�y tt;•i��M{•, I r. ^ i IM�..1 to "1 i.jsal 4rt .:v{1{tt {1t.51 tt nN.1lsf,r _ixr. . . • - `1t ter y':4R{°iw,ort.I• a i;t�t. f3 • • • 1'1 y("H9,1. eviu t3.,t - a {'r it ,s ). ° ..•.1'a 1 •i.,.f�� ,� .., - • 1 `{{tlt•,•1 d t .xf"s yy� :fill ',k•,` `r -' � ® ` +a /5nx',ee, • :n,..: , ,<vx, r-." - ` a ; "*at, •q*vr , -� •`, T„ Vie; i,,�,,+r;k��R � .s: . „ « t 2 '£u f ,,,,,,,,,Jr,;:,,,;,;-„— N,,',.r',.." {,� ;• �K4°�1v,� � ',;ax, 0,_ zEc{ ' ^'-Y" -y" 7 ,.: . 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Fib, , " ' , ` "- -Wxu t ; u « fir-r "4 „ {z r ' fi,-:,x,. a ,,s'- °-;, , ' :F "kW^: ry' y`g7 ,s`krer, „s a" F,A� ra�'rnv tj Te.,•t ,✓, ..� r;'-*m...=�x`:.,44q` '"a ; :,,-°az' � ;Z-44-*' it;. - E.�p'''f ! 4A� ? dP= tS�N:7r1�E ;rt �a.(,¢ _ ,,: r '�r'!t , ,`hF,..,i"h!. !„.<-- „,- ' e��� LtFfi}RA - UQ � AC WLLUGMNA RP E ;� � . • . A notary pudic or-other"officer cot pating thXs.certificate verifies 3 ; document to-which this certificate is.attached'F and nof.the�tcuihfulness acsur w only fhe idenbtyof tke,tn�jvJdttl-who stgad the . acy, orya idrtyaftiaaft?loeumerri State of- California E County of I-OS ANGELES } 11/27/2a23 On ; .IP VEGA"N,OTARYPUBLIC before me, PHIL Date Here insert titame ano�nitie of Ihe,CJh5cer personally appeared. KEVIN VEGA ATFQRNEY in FACT_ > Names)of Signers) �. who proved to;me on the a basis of satisfactory evidence to be the Ae > who're•name sj ist I subscribed'to the within instrument and acknowled ed.to°me that;hei/ 1 g executed.the.samegrirk � ��. s hisftsar/their-authorized and that,by'his/herthei:signature( .ori the fnstrumenttihhperson(s)..' t or the entityupon behalf of which'he personNacted;executed the.instrument '- : I certi under PENALTY OF PERJU wder.the laws, ,' of the State,of California that the-foregoing paragraph ` ;, is true and correct.. PH1uPVEGA WITNESS my hand andd{(ici al,. f' " ' "Notary Bubllc-Ca[ifarma • - " � tos angrier County 'a y. '1:- Commission k 2327592 jAytCamm.Expires May31,2024 Signature Stgnata- Arotary°Public Place Notary Seal'Above „ „ ,.,, . ;, "OPTIONAL • Though this section is optional,",:arnpfeting"this.information can deteraltertion of the document Pr fraudulent reattachment of this.,form to an unintended document. flaco pT_��ofAttachedDocumcxtt Number or Toype f Document: Document Date:_ 9 err Other Than Named Ah'ava -. _ f Pages: Sign ens) " y( Signer(s) . arit ies Claimed by S Co r s"t lame: Signer's'Nanse �, f�Corporate officer"— itlo sI D rporatc Dfficer Tiitte(s} t ©<Partner D Limited D General D:Partner-� ,,C t-united ���Generat� cI1hdivi ua!'" i 1�Attorney in Fit D�inrlividuai" (�;l ft©rr�ey,in,Fact Q Trustee_- O'Guardian:or Conservator" D.Trustee 0"Guardian.or Conservator D Qfher " 0 Other: , Signer Is Representing. Signer Is Representing: _ H Nationa-` - -.. ic�2014l Notary Association www NationalNota'ry.org 1-800 US NOTAfl( (1-800-876-6827) Item SSC1 Notice of Completion (NOC) Final Retention Non-Permanent (NP) Project Name Date Destruction Year Records Box Number CC-1371- Hoburn Drive CC-1378 Springdale Street CC-1408 Beach Blvd. -Water Main Extensions 2011-11-17 2023 2023-001 CC-1396-Sewer Rehabilitation Project- Beach Blvd - Clarkdale Drive- Cliff Drive 2012-01-25 2023 2023-001 CC-1434- FY 11-12 Curb Ramps 2012-10-08 2023 2023-001 CC-1413 -Street Rehabilitation - 2023-001 & PW- Center- Magnolia -Springdale 2012-07-18 2023 NP00004 BID BOND KNOW ALL BY THESE PRESENTS,That we, LEONIDA BUILDERS, INC. of-32023 CROWN VALLEY ROAD ACTON,CA 93510 (hereinafter called the Principal), as Principal, and OLD REPUBLIC SURETY COMPANY (hereinafter called the Surety),as Surety are held and firmly bound unto CITY OF HUNTINGTON BEACH (hereinafter called the Obligee)in the penal sum of TEN PERCENT OF AMOUNT BID Dollars($ 10% for the payment of'which the Principal and the Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,That WHEREAS, the Principal has submitted or is about to submit a proposal to the Obligee on a contract for ZONE 1 CURB RAMP INSTALLATION NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is required, with surety acceptable to the Obligee for the faithful performance of the said Contract, then this obligation shall be void;otherwise to remain in full force and effect. Signed and sealed this 27TH day of NOVEMBER , 2023 LEONIDA BUILDERS, INC. I (Seal) Principal Witness 4. •l.S u Leo i trff ges0,ev,k'}` Title S(chl OLD REPUBLIC SURETY COMP NY Witness { By KEVIN VEG Attorney-in-Fact **** * * OLD REPUBLIC SURETY COMPANY ***** • POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That OLD REPUBLIC SURETY COMPANY,a Wisconsin stock Insurance corporation,does make,constitute and appoint: ' Britton Christiansen,Myrna Smith,Philip E.Vega,Kevin Vega of Covina,CA Its true and lawful Attorneys)-in-Fact,with full power and authority for and on behalf of the company as surety,to execute and deliver and affix the seal of the company thereto (if a seal is required), bonds, undertakings, recognizances or other written obligations in the nature thereof, (other than bail bonds,bank depository bonds, mortgage deficiency bonds, mortgage guaranty bonds,guarantees of installment paper and note guaranty bonds, self-insurance workers compensation bonds guaranteeing payment of benefits, or black lung bonds),as follows: ALL WRITTEN INSTRUMENTS and to bind OLD REPUBLIC SURETY COMPANY thereby,and all of the acts of said Attorneys-in-Fact, pursuant to these presents,are ratified and confirmed. This appointment is made under and by authority of the board of directors at a special meeting held on February 18,1982. This Power of Attorney is signed and sealed by facsimile under and by the authority of the following resolutions adopted by the board of directors of the OLD REPUBLIC SURETY COMPANY on February 18,1982. RESOLVED that, the president, any vice-president or assistant vice president, in conjunction with the secretary or any assistant secretary, may appoint attorneys-in-fact or agents with authority as defined or limited in the Instrument evidencing the appointment in each case,for and on behalf of the company to execute and deliver and affix the seal of the company to bonds,undertakings,recognizances,and suretyship obligations of all kinds;and said officers may remove any such attorney-in-fact or agent and revoke any Power of Attorney previously granted to such person, RESOLVED FURTHER,that any bond,undertaking,recognizance,or suretyship obligation shall be valid and binding upon the Company (i) when signed by the president,any vice president or assistant vice president,and attested and sealed(if a seal be required)by any secretary or assistant secretary;or (II) when signed by the president,any vice president or assistant vice president,secretary or assistant secretary,and countersigned and sealed(if a seal be required)by a duly authorized attorney-in-fact or agent;or (ill) when duly executed and sealed (if a sea!be required) by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority evidenced by the Power of Attorney issued by the company to such person or persons. RESOLVED FURTHER that the signature of any authorized officer and the seal of the company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the company;and such signature and seal when so used shall have the same force and effect as though manually affixed. IN WITNESS WHEREOF, OLD REPUBLIC SURETY COMPANY has caused these presents to be signed by Its proper officer,and its corporate seal to be affixed this 23rd day of September ""2022 , �0,..," "w OLD REPUBL4IC SURETY COMPANY c t r/CAIVo,yit,• �pt ;E --4 - dAMAII Assi.,ant Secrets. % �' r at▪ e -,,y„n*mm o,,. President STATE OF WISCONSIN,COUNTY OF WAUKESHA-SS • On this 23rd day of September 2022 ,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. . i " - {�/(J . � Oet.�)j�'• �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 and has not been revoked; and furthermore, that the Resolutions of the board of directors set forth in the Power of Attorney,are now In force. gVA f. 'c s e roo,va.rt\od 9 74 0061 .. SEAL ,.r4 Signed and sealed at the City of Brookfield,WI this 27th day �oof�November 2023 sod ,..1 T,. ORSC 22252(3-06) ,*"""m aao p` A5515-.tl Saenfa - C& D Bonding & Insurance • CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of LOS ANGELES On 11/27/2023 before me, PHILIP VEGA, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared KEVIN VEGA,ATTORNEY-in-FACT Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person'whose names} is/ate subscribed to the within instrument and acknowledged to me that he/eke/No/ executed the same in his/I'1nr,/ttrair authorized capacity(tes)„and that by his/hecrtheix 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. �0,0.Ot r PHILIP VEGA WITNESS my hand and offici- --al. �..' Notary Public-California Los Angeles County ��—,�.,��+ Commission#2327592 +,7F...0 My Comm.Expires May 31,2024 Signature Signatu y"rNotary 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 0 Partner — ❑Limited ❑General 0 Individual ❑Attorney in Fact ❑ Individual 0 Attorney in Fact ❑Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator 0 Other: - ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA 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 ZvS / (Air � 1}D On OIAC011 "L7,207 j / before me, 1`II'/ 141111'd( O I[AAA,I „1JLI1 C Date _ Herd Insert Nameand Title of the Officer 7personally appeared Q �7`.t�-�' Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the r.. KELLY YANIRA ORELLANA laws of the State of California that the foregoing , .. Notary Public•California paragraph is true and correct. - Los Angeles County E 'W' f- Commission#2453896 WITNESS my hand and official seal. 4,, .0 My Comm.Expires Jul 18,2027 //// �/ Signature �sL� Place Notary Seal and/or Stamp Above `jr nature 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— 0 Limited 0 General 0 Partner— 0 Limited 0 General ❑ Individual ❑ Attorney in Fact 0 Individual 0 Attorney in Fact ❑ Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator ❑ Other: 0 Other: Signer is Representing: Signer is Representing: ©2019 National Notary Association • OFFICIAL BID SECURITY - DO NOT OPEN Project Name: Zone 1 Curb Ramp Installation CC #: 1742 c Qpe.n nDate De er28 O 3 a iO OO 2000 Main Street, Huntington Beach, CA 92648 Leonida Builders, Inc. 32023 Crown Valley Road Acton CA 93510 0�f��N�!NGroti City of Huntington Beach 40 ‹, n�PF .cr, 2000 Main Street ♦ Huntington Beach, CA 92648 Atat -- =u. °_�� (714) 536-5227 ♦ www.huntingtonbeachca.gov Office of the City Clerk e� Robin Estanislau, City Clerk April 5, 2024 Onyx Paving Company, Inc. 2890 East La Cuesta Avenue Anaheim, CA 92806 RE: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, 21PIPPIL, e4). .4-174a4t4) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan uotime /I1c 03wCogi; CONTRACT DOCUMENTS SPECIFICATIONS AND STANDARD DRAWINGS for the construction of Zone 1 Curb Ramp Installation CC No. 1742 in the CITY OF HUNTINGTON BEACH • .AJ • 41" 44. 2000 MAIN STREET HUNTINGTON BEACH, CALIFORNIA 92648 (714)536-5431 BIDS ELECTRONICALLY DUE: TUESDAY,NOVEMEBER 28,2023 AT 10:00 A.M. NO LATER THAN SPECIFIED TIME CHAU VU,DIRECTOR DEPARTMENT OF PUBLIC WORKS CITY OF HUNTINGTON BEACH PLANS SPECIFICATIONS AND CONTRACT DOCUMENTS for the construction of Zone 1.Curb Ramp Installation CC No, 1742 Prepared Under the Supervision of: /iwI / 11/3/13 Max Olin Date Approved by: Thomas M.Herbel,P.E.,City Engineer,No, 53300 Date ii NOTE: If there are any questions relative to this project,please call Max Olin at: CITY OF HUNTINGTON BEACH DEPARTMENT OF PUBLIC WORKS 17371 GOTHARD STREET P.O. BOX 190 HUNTINGTON BEACH,CALIFORNIA 92647 (714)960-8861 TABLE OF CONTENTS SECTION A NOTICE INVITING ELECTRONIC BIDS A-1 SECTION B INSTRUCTIONS TO BIDDERS B-1 1. Proposal Forms B-1 2. Proposal Guarantee B-1 3. Proposal Signature B-2 4. Delivery of Proposal B-2 5. Return of Proposal Guarantee B-2 6.Taxes B-2 7. Disqualification of Bidders B-2 8. Contractor's License Requirement B-2 9. References B-3 10. Listing of Subcontractors B-3 11. Discrepancies and Misunderstandings B-3 12. Equivalent Materials B-3 13. Legal Responsibilities B-4 14.Award of Contract B-4 15.Material Guarantee B-4 16.Execution of Contract B-4 17. Submission of Bonds and Insurance B-4 18. Addenda B-5 19. Bid Protest B-5 20. Questions to the Engineer B-5 iii SECTION C PROPOSAL C-1,2 Project Bid Schedule C-2.1 -C-2.2 List of Subcontractors C-3 Noncollusion Affidavit C-4 Utility Agreement C-5 Disqualification Questionnaire C-6 Compensation Insurance Certification C-7 Bidder's Information C-8 Notary Certificate C-9 Bidder's Project History C-10 Bidder's Critical Staff C-11 California Department of Industrial Relations(DIR)Certificate C-12 CDBG Forms: Bidder's Certification C-13 CDBG Exhibit A-DISADVANTAGED BUSINESS ENTERPRISE (DBE) C-14 CDBG Exhibit B-DBE INFORMATION—GOOD FAITH EFFORTS C-15 CDBG Exhibit C-LOCAL AGENCY BIDDER DBE COMMITMENT C-21 CDBG Exhibit D-EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION C-23 CDBG Exhibit E-NONCOLLUSION AFFIDAVIT C-24 CDBG Exhibit F-DEBARMENT AND SUSPENSION CERTIFICATION C-25 CDBG Exhibit G-NONLOBBYING CERT FOR FEDERAL-AID CONTRACTS C-26 CDBG Exhibit H-DISCLOSURE OF LOBBYING ACTIVITIES C-27 CDBG Exhibit 1-FEDERAL LOBBYING RESTRICTIONS C-30 SECTION D SAMPLE.CONTRACT D-1 SECTION E SPECIAL PROVISIONS E-1 PART 1 GENERAL PROVISIONS SECTION l —GENERAL E-2 1-2 TERMS AND DEFINITIONS 1-7 AWARD AND EXECUTION OF THE CONTRACT SECTION 2—SCOPE OF THE WORK E-3 2-2 PERMITS 2-5 THE CONTRACTOR'S EQUIPMENT AND FACILITIES SECTION 3—CONTROL OF THE WORK E-4 iv 3-4 AUTHORITY OF BOARD AND THE ENGINEER 3-7 CONTRACT DOCUMENTS 3-8 SUBMITTALS 3-10 SURVEYING 3-11 CONTRACT INFORMATIONAL SIGNS 3-12 WORK SITE MAINTENANCE 3-14 CLAIMS RESOLUTION SECTION 4 -CONTROL OF MATERIALS E-7 4-1 GENERAL 4-3 INSPECTION 4-4 TESTING 4-6 TRADE NAMES SECTION 5-LEGAL RELATIONS AND RESPONSIBILITIES E-9 5-3 LABOR 5-4 INSURANCE 5-7 SAFETY SECTION 6-PROSECUTION AND PROGRESS OF THE WORK E-12 6-1 CONSTRUCTION SCHEDULE AND COMMENCEMENT OF THE WORK 6-2 PROSECUTION OF THE WORK 6-3 TIME OF COMPLETION 6-9 LIQUIDATED DAMAGES SECTION 7-MEASUREMENT AND PAYMENT E-14 7-3 PAYMENT 7-4 PAYMENT FOR EXTRA WORK SECTION 8 - FACILITIES FOR AGENCY PERSONNEL E-16 8-1 GENERAL PART 2 CONSTRUCTION MATERIALS SECTION 200 - ROCK MATERIALS E-17 200-1 ROCK PRODUCTS 200-2 UNTREATED BASE MATERIALS SECTION 201 -CONCRETE, MORTAR AND RELATED MATERIALS ...E-17 V 201-1 PORTLAND CEMENT CONCRETE SECTION 203 -BITUMINOUS MATERIALS E-I8 203-6 ASPHALT CONCRETE 203-11 ASPHALT RUBBER HOT MIX (ARHM) 203-17 FIBER REINFORCEMENT FOR ASPHALT(ALL TYPES) SECTION 214 -TRAFFIC STRIPING, CURB AND PAVEMENT MARKINGS, AND PAVEMENT MARKERS E-18 214-5 THERMOPLASTIC MATERIAL FOR TRAFFIC STRIPING AND MARKINGS. PART 3 CONSTRUCTION METHODS SECTION 300-EARTHWORK E-20 300-1 CLEARING AND GRUBBING 300-2 UNCLASSIFIED EXCAVATION SECTION 301- SUBGRADE PREPARATION,TREATED MATERIALS,AND PLACEMENT OF BASE MATERIALS E-21 301-1 SUBGRADE PREPARATION SECTION 302-ROADWAY SURFACING E-21 302-5 ASPHALT CONCRETE PAVEMENT SECTION 303 -CONCRETE AND MASONRY CONSTRUCTION E-22 303-5 CONCRETE CURBS, WALKS GUTTERS, CROSS GUTTERS, ALLEY INTERSECTIONS,ACCESS RAMPS AND DRIVEWAYS PART 4 EXISTING IMPROVEMENTS SECTION 400 - PROTECTION AND RESTORATION OF EXISTING IMPROVEMENTS E-23 400-1 GENERAL SECTION 402-UTILITIES E-24 402-1 LOCATION vi 402-2 PROTECTION 402-4 RELOCATION 402-5 DELAYS DUE TO UTILITY CONFLICTS APPENDICES APPENDIX A DOWNLOAD PUBLIC WORKS STANDARDS,TRUCK ROUTE, TRASH PICK UP,STREET SWEEPING SCHEDULE, AND TEMPORARY WATER METER APPENDIX B DOWNLOAD ADDITIONAL COPIES OF PROJECT PLANS AND SPECIFICATIONS (ENSURE ONLY THE PLANET BIDS LINK IS PROVIDED IN THIS APPENDIX IF BIDDING ELECTRONICALLY: https://www.planetbids.corn/portal/portal.cfm?CompanylD=15340) APPENDIX C DOWNLOAD REGIONAL WATER QUALITY CONTROL BOARD PERMITS APPENDIX D CONTRACTOR BUSINESS LICENSE APPLICATION APPENDIX E INSURANCE AND INDEMNITY REQUIREMENTS APPENDIX F BOND FORMS APPENDIX G AGENCY EXTRA WORK FORMS APPENDIX H LOCATION MAPS AND RAMP LISTS APPENDIX I STANDARD PLANS AND DETAILS APPENDIX J UNDERGROUND SERVICE ALERT IDENTIFICATION NUMBER APPENDIX K CONTRACTORS GUIDE TO PREVAILING WAGE AND GENERAL CONDITIONS OF THE CONTRACT FOR CONSTRUCTION APPENDIX L PREVAILING WAGE SCHEDULE vii SECTION A NOTICE INVITING ELECTRONIC BIDS for the construction of Zone 1 Curb Ramp Installation CC No. 1742 in the CITY OF HUNTINGTON BEACH PUBLIC NOTICE IS HEREBY GIVEN that the CITY OF HUNTINGTON BEACH, as AGENCY, invites electronic bids for the above stated project and will receive such bids prior to 10:00 AM on Tuesday,November 28,2023, 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 bid on this project via the City's PlanetBids System Vendor Portal website at: hftps://www.planetbids.com/portal/portal.cfin?Companyll>15340 Copies of the bid documents, including instructions to bidders, bidder proposal form, and specifications may be downloaded free at: https://www.planetbids.cam/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. This is a Davis-Bacon project and the Federal Regulations will be enforced. Any contract entered into pursuant to this notice will incorporate the provisions of the Federal Labor Standards, which are 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 ofthe 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 A-1 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:Zone 1 Curb Ramp Installation CC#: 1742 Bid Opening Date: November 28, 2023 at 10:00 AM. The successful bidder shall be licensed in accordance with provisions of the Business and Professions Code and shall possess a State Contractor's License Class A, at the time of the bid opening. The successful Contractor and his subcontractors will be required to possess business licenses from the AGENCY. All extension of unit prices will be subject to verification by the AGENCY. In case of a variation between the unit price and the extension,the unit price will govern. Project Description: This project will provide the construction of curb access ramps and truncated domes to existing ramps throughout the city. These locations are prioritized from a list compiled by Public Works staff, based on requirements for the upcoming residential pavement management project and public requests. The proposed locations are listed in the Appendix along with Contractor guidelines and provisions to meet all Federal requirements. The contract shall allow the Contractor 30 working days to complete the contract. The Notice of Proceed will be issued no later than Monday, February 5, 2024 and the working days will commence for this project. All questions related to this bid solicitation must be submitted through the City's PlanetBids System Vendor Portal per the 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. The Project Disadvantage Business Enterprises(DBE)goal is 0% BY ORDER of the CITY COUNCIL of the CITY OF HUNTINGTON BEACH, CALIFORNIA, the 26th day of June 2023,by Resolution No.2023-24. Attest: /s/Robin Estanislau CITY CLERK OF THE CITY OF HUNTINGTON BEACH A-2 SECTION C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described,and to furnish all labor,material, equipment and incident insurance necessary therefor, in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach,and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 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-I "RO CE..B 11 ..� iP lkili ket fit.11 • w "X, �-'� 3' � 4p (� .crrk°�-v,_ �S vt M art./�ac'� `��1 Vtuma e`a 14it'ec°4,4 •. i 2�.t,,,,. -,0 itiigil iih " 0 i.'- k:."k 4 s =t aP s ,,p f;. :=M �lis`" sit �P.- .s't z ' 4*�"f°. t ,� a .w^=A u s s�, t+ ,: �F s �'1,,�Ti " t"c � r * i t E i pt 4 4 g ''r i � ,4i i _ 4 ��. �...�..... [3 ^, '�..^ ,�.��G- a� ,�,.... .s�{+.�Hr YT& NrHY�r`1,...�� ,^^o � I Mob`lizati`or_i • ,.j 1 $33'dt eil -- -- o, , P smut` t .aterAoDtada et eritrorrOta vppm. .A ,W 3 1ns#ail&ladintatit C`odstructior BMPs ,. ...„,,,, ,,,,:1176( ---,,...i1S-0- ottsiiruct Curb Access Ramp per Catttans Std Ptarr A88A(A88B=as atiownxon Curls Ramp Detrl t iriAppendi1. 4- #pi`gpecificatio ns� (item inch deal s l appurtenances;curb &gutter,depressed curb,sawcut,.side*elk„domes, : j retai mg curb,slot ace,etc} E 0 ''13( `'�� a 8 0. t onzonta Curb Cut curb Access l arrip perca�itrarfs Stii k . Plan A8WASt i sipg or ontat curb;cpttrng rrrachtrie>as. shoVirontilitc Ramp Detail 2tn Appendt,cl-f a Spe�ftton's (lteinJnelUdes aII appurtenrnc?sicurbP&. ituttik:00pressed CWbi sawcut,sidewa)fe,domes,rptairt ng 23 3 I 2='' cerrtet } t Can i rctr0w Access,Ramp perCaitr�ans Sid;Piari A88AXA8ttB as sin an Curb Ramp t7 taxi !rt Appen $: H a1§le. cations (Item rnciudes alt.appurtenances cutb i &gutter',-divessecYctirb;sawcut sidewal C,domes. , r retaining curb;slot pave,etc y, 0: A $ D t , Rexnie and tacedanl�aed concrete cross gutter as 7 ishowrt crrrburb Ramp DetallA in Appear x 8 o $ tSpecifs t+ona (item thcittadsall appu elrancas,curb gutter s*gu r.s4+ cut~a#atpatch,:etc ' 1400 SP $° 7 f [ Install °i? 51eevpinrtaet AssembFSir per,Ci[r at 13 k1B4Std.Ptan' t �3 a s , Rernp9e and repl'ace;exlsting sIfewalte per Crtj of HB.Std 9 Plan 20r of focatrons adlacent;3tp ramp (Item includes ail i 150Q. appurtenances,k4.W ut) ,S>r $ 2 3( OO 1 emove nd reptaces.existing z 2"Curb td Gutter per . • 1,0 HB Strt Ptaa 05 pter r,includep all appurtenances /� $ .Silawcut,stotpaveetc.7r< 300 LF / a- n 02.it , SECTION IC Btu 'CAL 041 cum-koirpg,To* , , susToTAtignUmouNitowe—Rb,Sz to7dip--ed 1A10 4t, ,kr det lill'ektelittett0:04010#10 q#41e hV ;t1„ h Ipeqoartiritirii0iittirt;lkittiit itt;T '"6"DwrierreservesinengntIFt. - etwee:R: ddike h Teleptgo,iiiig..,p..rppo,_sits/0,11: ,,10-0.:ttettIt. addition,the City:reserves the right toinckicle orirenpve Ittict-$otte-dtite.tOtt It10300#0:.ifttie,:talleadt: f.4**40 If*q010.4-et AitieditotedagtthAtlit it*t-Vdiltial4e.,810DE Vg.,detailt t:,lk0,::.ttd.4ikCtt*ttagoiitaetaittfIIT.6:0:,fthea4gayb:oiid§4fid Ifi:4600e.c0ifkates*IIiikgy w9fti444y.§:„ after the 0...0.gprik.,A0.0„NW$mtlikcotowa atottworto th AlittiOt.11 ';140#04$''iAf t0 0054401:41iid.ghabeComg#19:1;19,Pcgrdfthe AGENC?and this 10.14:041*:00.0100.0011040104)"4 0.1.040,:#XONPOI.§.0,-A:0:,.004404:41iiii:::0648,4'.; mootom*gii.fik poodtif 6.64(..64.ki,01:Ottte.ik(jNb.-,40%" ;W:* *hith, said amounti not 1ssan L %ofhe aggretef the toaJ id pie,otioolica4ttheNotice • kitting ELECTRONIC Bids, payable.:: The AGENCY:, (Please inserts tbe Not4g ":.00104 aoil4f4to..1q0..t**N/A ,0:04t411-01.tigtifyweetpt4tiliMattitalitedeitty* XIX , _ „ .. • • • . • . „ . 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' . . .!, ., • dectare 411401,penal.*of perj o under~the fa v4 t f ih $ia fogigl o tt fmgthg Ls= true.00tt'ectz and that th is declaration Is:* .ecuted:oa, ,rziii2—A a,at A Nei it rto�z ,tc�nsotiiN aberxg f first duI!x xortf *tiott rand is that he,or she.rs„; .0E0iPAM:VPii$EOPTREk2.met: . of or4 x: aVi (C O1‘►P ttto the Art a the foregoing bid that the bid is not made in the'tinteresl of f oton the beha`ff zf an unthse1osedper ont partnership, oQmpany, asso0tation,-organ 4431 or cot totation t a e Ltd 1$g golf e.a0cf riot rflusrve or sham ihatthe btdderfsas not,dtreetly otxnct a 1Y14.0cedq ' r ltc te0 at0 '+agxer bidd aloof a;false or shun,bids,*it has tz zreetiy or ttkdtrectl eolluded,;xcdt'sp red;connived; or :agreed +.nh,at%y la rider ar anyone;else to put*A. =that}anyone s ia€il�refra u fro biddmgl that the.bidder has not u any manner, dtrect1 c oc tndtrectly,:sought,by agreement; co tzrttrntcatIon, or eonferert r th anyone t o tied pace,nr that at ,otheebidder,br to. secure any ad:,anta a agave t't1 puhbo body awarding°t'hecontract o anycotte interested to the: roposed contract•ft at ail s a etrzents coma ned<lit the Ltd.are *anii Pu re ,that the bid a has not,direct&o hiairectl sub red his or her l td prie'e ti>s'att brealtc t wiz tberofif,or the contents thereof or divulged inforti ation°"or data-relative thereto, or pant, andwill not pay fee to,any. cArporatzozi,partnership,eompaty assoetatro ,orgahizauonrbt4 dej� "sttor}:O tQ any menshe or agent tt erea.f o,0.**te a1ltzs or sham tzzct ,ONVFAVI.NO C:OMPANV„INC ,, • e ofBdde itoReyAi iK1R8CHNER :AEU`;-PRE�;vRx SE'C'TRi Signnatur of Bkl en 20 I: t. GRE 'EA EVE;ANAtlEIM,C`128O6, Ad�ress o ��iddec ma`s tVi37t. '0:014.11YA0:000.M. :00-X.00::.,WYPItAls10010(.0 .1111014. 0.TrocottforaniGTOPortict*tamoity44 ‘f:Weff.:itotitdt --..4he.:044104:**4-140d6yrOttiikkAlictagreollianabd110.-ArrnarttOgIf-titmdric*oikta—fit -- Ol1ttadt Abkii 4.1,1liO:1014;k[1,-tV016Ait*STAtti-.8***.004,10 witotokriaria titjlizonir valifed pergOns. herehialtet'attitt,e'd to 3;310* in piximity.to any tbdtrica sendarX or titakiaiits'Abil,"11eflie&..'TbltiiiVV4alifid&PW610.1§;,d6gadilitZitk8;,,Caliknitai OtAtbibtOr40-0.0.140.0,00.0t.;210.01-0$141,1:01M "Onai4040:etstof ,A;p et-o*who,s-y:,:*ts000j're.tpeeOrto..or4tooieti*ti.,ofaoo fotitt qp,00totio***410:040:#4o/hogge.441.owe • Atto; ttliff work attAt'be 11001cm. 01- amstdancei • •.• •4•• • mdthaff viiticabk,er1011:ntilify:compabytalrgqnfrements;Pubk ILItilketanmission orders „.. . . The undersigned flitiliOr.0tottil§tvz4o0400 that iiii0qtfitt01.00*1erern shall be and are bindingi upon any.$11„10-ottolotio or'Aih000tfootoothot my lbo to:4404 of ktplitoyot by the and that the unitr4gri0 shalt take §tgpa, as necessary to assure ion*.tian‘T any said: atkontant0tOrt eltiti000004,00...044010 0...qWttibTObt$:O.00.tabidtOt4 • ONYIPA.VINGIOMMNY410,_ _ (CONOtor • EY: r4$0.0.10&. CEO;PRE‘dtip.,‘ZEC,TkEik, Titio ;.. . , bate oigtkal . • ,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. 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 CQ P g E31�I INgTl et t vie . : P.rrs t t tc ctior;t ;1 til t * . c r Dade, ck 'wk.*grt 1 hr *.aptilmar s potract has betitiMAtizidd sty srg the kr c�erticat , T arri;aware of°the:.'prtigittons,of Sectbott, 00 of Tabor`.01d4. wrhrch requtrea every erupt yer AO,be rrfsurecf against.t abmtcty,'lbr warker' d nsstion-onto tlnd'ertake seU ms ran tt;a ort arise i�. ci�ts� ns of fha , c e� and t tf Oct pIy wtdz 4.,110ft provisionsbearazommenitiwithe performance o f ww.Qfk o h s cants -t..m. ,.... _.,a_.-..,... .. >.«> ..... _.. „,.,.....m ,......__..... ... ..... ,. ... 04*--X 0:4:{F 10 100,k IT4141'.... ., o ,.. _.x.a CQiltr4Cto :00keY.t4,KtRSGHNER, :, tea PRES,VP;SEC,.THE t tt� BID,IIV S INFORIST JON ;Ent ft eR cdi C dies tl at the foinawing formation is true anc cprre • B er Nam: 28 �E tLA REST,<AVE::,._ .. . Business Addre4s AN/Xi—IOW _ . CALIFORNIA. 928QA C;i% State~, „izio ,( rf - es0 EID "@QIVY PRMING Nam' Teiephonn b frrtm�`I,A, 63(1... 69t AXI2° State Contree` tr=s Lieense.No,:and Ctas 10)91A 9O1 . Drtg itat Bate lssire 1Oi3 i2G2 . F7cpt attoH Dam The work gitowas`iiispected:hy :00,1WI. RS0RNEa pour office Litt,. 191G12023 ,2G 'TlieJo .awing are persons,firms,,andscorporatiot s baying a,prtneipat t .tet sttn,lhis,,proposa.l k*,PAVING CONMPANY„'INC: . COF ORATtO{F......... COREY RI RSCHNEt �-GEO-,PRES,,VET,SEC,,TR M 2890E_LA CREsTAAVE ANAHE I G 2 : . . The understgped is prepare4 to arisfy thn Council of the City O l4un trngtott,Bea0,1V0f tts,abhty t3 ;F n ar4crat1y or otherwisei, to pertor the contract for hie proposed work: an4•.nttpravementa xn 4ccotc ce.0l4*.oyptans n speclfeattokfit Ritt:l.: PANY:INC Ccnnpan .IN me .. :m ..,5„,,,,—..,i, gltttatw e�,of B1ddcr CCREI R KIRSCHNEi �Ea, PRES,VP,:SEC,`rI .. ... Pit'ti eci csr*rped S gr4atu NOTARY CERTIFICATE Subscribed and sworn to before me this_day of ,202_. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy, or validity of that document. State of ) County of ) On before me, Month, Day, and Year Insert Name and Title of Notary personally appeared Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s)acted,executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature **"*SEE ATTACHED NOTARY JURAT**** Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 • 1., 044...000004,i4.JURAT?41100.„0...0, st STATEMENT:, GOVERNMENT CODE 04. 8202 atoo'Affachof.f:(t000mpoi*Oig(y to mop out lines 1-6 below) 0,-.gp?ipwoolork Below(Lines 14,to be oomp,toto*orkivi4904.17:40*4000104.0olotii x . . Signature of Document Signer 61 014P0t0r4:,*.tgPgymgoifOonott(q 2(if any) A notary public or other officer completing this certificate verifies only the identity o - . Ibkfookiditiai4hoOme4tftodocumentto.which this certificate Is . d truthfulness,accuracy. lidity . .that document. State of California [Subscribedt.and sworn to (or affirmed) beforeme ..0outify of beefflik • on this 20 day of November Ploto. ,Mpt:th:fYear .,,; • (and 44""1"*".." 41 N4hIgisf of Signer( Notary ubllc.California Orange County : :PrTIA'SjPAitlfi#11. proved to me the boo*of',.,satisfactory evidence to be the person(s) who appeared before me. 1!; Signature : • nature of • Seal „ P1.440W041',92,04t4.1)0!:0 f1P1:101444; Though this section is optional, completing this alteration taddOldfitie00011.00ikt041*):*40*-!ii 00440.4.0:02.;4620*041:., !Description of Attached Document Title or Type of Document: . . Document 0,410vNumber of Pages: . . .gignettsrtthistietitiol'iAintidAboVet, ©2014 National Notary Associatcn V.40004000:40401i01&44.0.10.44kONOI17004704.0.1.1; ifiii*#00 • Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high around water and npeline construction in high ground water regions with trench depths of 8-feet to the invert."}. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: I, CITY OF LA MIRADA-15515 PHOEBE AVE,LA MIRADA, CA 90638 Name and Address of Public Agency Name and Telephone No.of Project Manager: ERIC VILLAGRACIA 562-902-2373 $4,524,646.67 ASPHALT PAVING NOV 2021 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: PHASING 6A-RESIDENTIAL STREET REHABILITATION STREET IMPROVEMENTS 2. CITY OF ANAHEIM-400 E.Vermont Avenue Anaheim, CA 92805 Name and Address of Public Agency Name and Telephone No. of Project Manager: LORENZO REA 714-765-6893 $4,306,776.80 ASPHALT PAVING FEB 2023 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: RESIDENTIAL STREET IMPROVMENT PROJECT-GROUP 14 STREET IMPROVMENTS 3. CITY OF DOWNEY-11111 BROOKSHIRE AVE, DOWNEY, CA 90241 Name and Address of Public Agency Name and Telephone No.of Project Manager: DESI GUTIERREZ 562-622-3468 $3,553,442.43 ASPHALT PAVING OCT 2022 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: RESIDENTIAL STREET PAVEMENT REHABILITATION PROJECT,AREA 8 STREET IMPROVEMENTS 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. JACKSON HULSE-SENIOR PROJECT MANAGER Name of proposed Project Manager Telephone No.of proposed Project Manager: 909-816-2511 PHASING 6A-RESIDENTIAL STREET REHABILITATION $4,524,646.67 ASPHALT PAVING NOV 2021 Project Name&Contract Amount Type of Work Date Completed RESIDENTIAL STREET IMPROVMENT PROJECT-GROUP 14 $4,306,776.80 ASPHALT PAVING FEB 2023 Project Name&Contract Amount Type of Work Date Completed RESIDENTIAL STREET PAVEMENT REHABILITATION PROJECT,AREA 8 $3,553,442.43 ASPHALT PAVING OCT 2022 Project Name &Contract Amount Type of Work Date Completed 2. TYLER HENRY-SUPERINTENDENT Name of proposed Superintendent Telephone No.of proposed Superintendent: 714-329-3269 PHASING 6A-RESIDENTIAL STREET REHABILITATION $4,524,646.67 ASPHALT PAVING NOV 2021 Project Name&Contract Amount Type of Work Date Completed RESIDENTIAL STREET IMPROVMENT PROJECT-GROUP 14 $4,306,776.80 ASPHALT PAVING FEB 2023 Project Name &Contract Amount Type of Work Date Completed RESIDENTIAL STREET PAVEMENT REHABILITATION PROJECT,AREA 8 $3,553,442.43 ASPHALT PAVING OCT 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 W CR/ActionServlet?action=displayP W CRegi strationForm 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 20I03.5 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. ONYX PAVING COMPANY, INC. Contractor By BIDS@ONYXPAVING.NET Email COREY R. KIRSCHNER-CEO,PRES,VP,SEC,TREA. Title Date: 11/20/2023 PWC Registration#: 1000004798 C-12 attiiiiiitileadian,,,,iiitet iititoireenetis of OlttritRi%C.ARVItCATEION* .RtjWit44:A:NTbiaktti,N'ttttsitzoEtmENTAerloF 196{tASLAMMENDED IN 1992t .SKOTION.AlfaX14X.440.4:00.40:ti:AgotOtomigw:10* o:o:rt.-ookopocootitttd.toum atavortol,Inorno.per.400 Itte*Ia*,.,:46kivotttytt perjury,: Wtitattitaeot Wilid.W.ii6143:w,:atntifsa:aw6:.ida' therewith iil theOPA:dit3r 4.0-vmeopvtook 412.rogo4 40*-iori mo#40014:kiitMoi'mil.k400 .. *itt.ebsutelli,At 4430,*ziftlit*Iiitt 0,A $JeotitilaaOlt Parr 145.eti1elft0Aere1, • i9:684 et, ws..,:preivo, Villaward Meiteffs,subcortiracisifoleOlonl ,t141000, thkuitillatt6641 0.4isly:ttYthP POP. VT-PlItractW4'sPE*0.Or4POS.04#0,**is,P..rpf#4 tt:ot'.tot ',-C4SIYX0AV.its10.'00.0K0'; .,...:. - . . . . certtatt,Person.. tOtkEY Et TORS:0141.0.(4.OE6PREt.,V14;88-0-IfitA, *..,- i ContactMitiket,'. 1144.y00'.- .; '; '; 1 .:: 1 Pgrigdr, Pitt *Note:' Th.4INAT,cortifkAtiPtIlgoct4iitofby;*00-MmiolitottloOlog.:04 OttoiDinoloplont . 0:*CPR.:JO Atta..Stiblitte;,.'A ie aly and jfivabe.. slibniftdd by:tlic'bidders and proposed?..4413 '-.01040010,titY ill YgefoOti.'00 with':gontOotc:04;*:00totsMit4hiwslkott to$. 410.4 3'or .: the: : in VIdOrtWD,041.9.040_0A0t*4010 0-0441,14:19:9MOTA, . Peedititik4toit-4.eoititdittitaivithSedioita7ectitititeguitavdisituAratatitirt. - '' ,.., ,.. EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE(DBE) This Project is subject to Part 200.321,Title 2,Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date 11/28/2023 The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal.This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the"Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement PLEASE SEE THE ATTACHED. B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested(please attach copies of solicitations,telephone records, fax confirmations,etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates PLEASE SEE THE ATTACHED. C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (Y/N) Contract PLEASE SEE THE ATTACHED. D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved),and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: PLEASE SEE THE ATTACHED. Names,addresses and phone numbers of firms selected for the work above: PLEASE SEE THE ATTACHED. E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: PLEASE SEE THE ATTACHED. C-16 r„ gftis.ft- ii-*00. * osfk.iiiiteio#0 OftEgi thi:X!ibtOpilg i**0011.:.!..ecttittiinottti. ,atiOltea'3., MaterialsOr;tad' red assistance!it.$10t4.0.04",,V...0:.tittattigIS'40.114 4fid,!..0.4.tfi;0010tii:16#'10.13V.' stibtotitrador'poroliasga,or Waesi.f4ota the pilineJconktactor oritsAffillatc, 14.LSE:$' 0117,115.A.,T-f4,0.14gPt,' ,•,.:• :110id.0 kr.4 0'444, 4ifg0"hitAtitia:AO'Aft:i.gis ovitkor44'; -• ,... _ .„,...._..,.._.,...„,..,__ ._ --04T44/1&40Nittilgz4441A444,ORS4i#11s,-k•(P1000,att4thlgoige.4'.'ot N4uo,s: t5.;0ae4cYg ------ 40.,:aoyt.:041.0001$*Otite.aiii:P.'..-Jtst§dottftigtOttg#:40844.to*4 etc ..:.: ,., . ._ , „„.........,,,;RSIV"4iggniOrg011ZtlPg------.'*tri4:l*e':''"*a4--"---1444b1---- • '1PkEAS.a.i.a, EILigtarrA,0111Kt ,..: ... - .. , ... . :.: It-4nradditronallata to support n deatonittatiotrotgood faith tffOtsluse additional iheits, 4-..fii0Varatg. )Q. cel:.;e#s.e. telliEl.ATTACHEIY, NOTE'r, VJ:SE;ADVITIONALfSHEt17 :,QfT.'AP.EitIPNEPE$ RY4, . ..:.1.- I 1 i•.1 .:,!. 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Sigoort me -, --:.-;..--:.--...--- - -- -- :0000f.4,KO:00.t .1;1:PAO:orOA:Officer.:=.i;Titto()z: . - - ii110i,torpOroikpfitor.. ..'-iittgor., ii.Nititiiii, tiLithiiO4 11;P:OriorOt 1,,0kplitrtiker: ptiOlt44 LE:1:000.ON tittle:414404i CAttOrr1OSz ki:::Va.0 tfirielfidigit dAtforriosPiki.::P:06.t titru.:-,steo' cr,Guardi'M or ettiri6ervAtoe '0,,TrtidtWO ttat44.)14.40i0..:t 0.000t4c: • ,.. . tiOttien. ca Qtben SigneertAiOresiolirig: .. . , -$1goorlo:P;Oprogoo.00.9ci, ..„. ..._....._ -..., .. . .„ . „ . .... . .0.044,:krott,O04 14.40Caisi.A.4OO.OratiOO:,,,WANO'ttOtiOiN,OTOOiOr4,l',..4.80U.S.NOTARY0590047.640.8274: Iteitt45907,' ,.. .. . : . ,,: List below names of president,vice president,secretary and assistant secretary,if a corporation; if a partnership, list names of all general partners and managing partners: COREY R. KIRSCHNER-CEO, PRES,VP, SEC, TREA. C-20 ;;Exiintot c: -!':!,1! 7, '.�t'E PLV SM.IBE 'ER TO s 1O O TR NCOSE l WE THE F c >w �- of Hururt( TO eEACH t o :al:H JN7 ti rar �8EA H PRt37E DE°sCRIPTIQN ZONE i C IP B INST ILLATrON 'FQTAt,GQI CftACti•fr i $„ iii&kij24.:'44 ,, P " tc '4X Pl1t{IUC :QtI!A[1 ,INC 4.(TRACT' 000, ©RtK A P CRP IQT DBEC;RQ OF EACH e- DEb d6 EAR MQUNT prgksC ,. OR EBvcES RED IRATIO M bex01fe4om tdsfla t 3 SUDtONTIACr D OR A TE CAT = ac rrd Int$DIEadrs TiBERtOVI $ 00.;*edte Erhoem • lddrs t3 { • . r 0,r Lo0441 enc to C,440,ete Lacat A rte 'fora!Claimed 04 Y ,,J !Itt44.Rrrhbr, _ Pntrcipatigrr Eed"eraf lc.l�rijeet emit er ? °a r ` Petteral Share:. unii tt Aii401<Difit; •. m Loral ttgenc�y a esthatal�D4Ecer4X catwns nays beef verified trtd ; InfrtrmaporrlseontpTe mc1accur�ile. � _. SrmatiNikE iddet A - ,.... :.(Area.Cidv Tel.<Nw . ,. F PnntNaitte s,gnatatr:: Du{0-s < COREYR ICIRSdHNEF2 . . E Local Agettcf LtepramAtrvc rsnn to Gonfaef ( h�ase 73`P � ' t�4). (. e:Qode 40:• 0 446,e ._,.,. *b) ens}?QN r' I.Cu*0,4; ik.(.044*0..k. cnfrngfs ? vi2609I s 3g PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions.Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If I00%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise(DBE),"of the Special Provisions(construction contracts),to determine how to count the participation of DBE firms. Exhibit i 5-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award,Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder ONYX PAVING COMPANY, INC. [proposed subcontractor ,] hereby certifies that he/she/it has X ,has not ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses,as required by Executive Orders 10925, 11114, or 11246,and that,where required,he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeo I survey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signature: ONYX PAVINGPA COMPANY, INC. Date: 11/20/2023 Print Name: v COREY R. KIRSCHNER- Title: CEO, PRES,VP, SEC, TREA. C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of,or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead,profit,or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true;and,further,that the bidder has not,directly or indirectly, submitted his or her bid price or any breakdown thereof,or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization,bid depository,or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the • Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal • prosecution. Signature: Date: 11/20/2023 Print Name: COREY R.KIRSCHNER Title: CEO, PRES,VP, SEC, TREA. C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49,CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director,officer, manager: • is not currently under suspension,debarment,voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted,convicted,or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies,initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signature: '' Date: 11/20/2023 Print Name: COREY R. KIRSCHNER Title: CEO,PRES,VP, SEC,TREA. C-25 The. ôrèpa1,to the higgoifivtloomVogoct bOli:o4 OW • -— ..„ „ I) 1To f:04.041 ivogpoocod funds Jtotcbgtso pai1 or Mg be pai4 *,W.#0:,::,bat4tf of the *00.40•0 of 4410004.-#604 a Meñiber of 4404 an officer or employee of Or an ofployo-OfT1,.46:6ot o•-t Copes u ookigodWmftit*.o.04:04Ogpt aayaderacciniiaati:#icTn4insg4Oyf*rat*ant tt**010.ar.qrany!POOt4 ka),V:th:pc gowili%too gotooutti,gwst the.,atoWoox pntinuation,,Atiwot, g'Oto,tc4p****acgl.Po,*r,goytOkoit.oxgkgA got*togrOrgovotgilyg.otOokOt 0) .T:f04 funds oit***00:00.4400014t0 funds háe ben paU ôb will 6',0 paid tkoyi person for infinpOngi.iprat‘alliOngio inflitenw an officer or oyeo 'tederit o:iritoii#64.tit Mae'e,ottgo,:e.--e of Congress ikoilooptiO with tins hdogt PogrAct,grant, Joan :PP;PPRO*0i: watddifitiit the undersigned V,t010$nio Oft,AiVito:AL.*iitiosP toototitit000ifiti Ifiiituttillotitot it 4: fact Upon which reliance á when ifitt trairsa0d*Nr4441402rptentered uit S iston cth oortiftooto$apiereqtplaced 0,:oitolitg:i4to fliis transaction iroata*,$ettfort I352 Title 31, pock 40/00.00 who t4ktolfito-tfi0o4oitd4 ootafoliOti sha1tb sujb a civil penaltyof;not tai,itiatitt6'ti(ik4ttd not more igA00.0 TIvitiogpoOftp,gikligitiecolggro*WOIYAilttivaliikoiltobk-f.orprowititg(lio,:ot ift-0411: 0401i6 that the language of this certification be VO1040 401 Of10W*tter su ntracs which vcogalltW,04ritiii*oUtdMiibf.'oagotits-Ahifi-tettif:s*d*:otoo aooditoy, Data 14/207201a CO. Kla$OHNER.H. " . • ... Tit144- tEd, ISM . • fe46, ':,,,:l.,:,,!.,,.1.,.,,,•',.-',.,.. IX171,111iTIK ADISCLOSURKOYLOBBYINGACTIVITIES „..titOttlt-tilig,0,5,0i:1601t:atittirti.017.06 AdifiVitikSlittlftAH: SiT.VOIratt. ' - L T',',.p:,,or.•iiiffa„ iidAliiit 1: Vitof.0„'..o1rfs0i.4.. oalo t--- - l'a34:6 A9otitrid01 1t'.,,”p,.0 acontract 01 50kk i OM ikitiltfic*E4 ktiltiia4 tugv, ik ..:' '. 141.00404V‘!4.2.iii.Or t4iott;4*tiai Ye#::':4644-et infliiitiO. nSlibtaaitW , ,. .. '' ..'..T.-10' ATI.4!,0y,,,,g 114tAi. ,•• ., Viiv.lolowyorioktr*.tfoo 000.440-004.***Aoffi ..•. . . 4, 'fdoo:'i•'•P'o0-.s.i.000Yfte::fi:'o, 7...,„ Foo(ititotoot..$0*-iiit§o4tfo* • ::: 1WA, ,;:cfroxNtitibitAtatipricablO, N/A .,.!i.,, , ,.... • „, 8 f00*.1*40T01100t Wk* N PAWC4**041.0.6404 N/A, Silk •-,...:,,..., . 10,-, 4filNiftio,0*-AttOgq004,41$.40;! : tc..,linAt (40#0*t4rOON44').0044i4i • :. ,• 41'.414*(44.0;,,Liast,,nailio.,rotinmpoN.4 4.40,0.414 .04ov,9;,,1.04 I.., Niit 'ItoolgiFiltiffslfia,ow;li.).4) . •:,:, ::(004.ivatiotr.410014.1t.40r.0.g.a4t, , .. . . li,„, Anion*404yintiellokittittiiiatioto 4, 1,00,00,010004:101.0itilOpfity$ . T., , .. . . t. N/, , ,.....: A;" ' • - 11 'Omuta}, • . „... . ::. 1 i 0,.400(iiii0* •_ „,.., , _ _ ,, ., ,„ IX Nottit0071#1.000401t,iiitthatappOt : i i .-0.4.017,4»1000 '-'4jciiii:, ... t .'. cintrtigetiffie °.*:'', , NIA 11..,-.44*iiiq V.:eoiFyy Was, ;.:.„:„....: 0 xittettviti — , :'•', ,',".....': . . :E.0-ftie'tiisoidifik. VI& . .„. ., . ., ..,..., ' ''.W Oile:t.04.01:000(0.0.-.01**„.0.610,000041#041:i..c0it,P..10).4.1( 1**Iii-04 , ,1 #411004(00:014,00Wiltiiii0014,40444:Ffiff,4****44414,•40i4ONY•tPAVINtaZOMPANYi;;1140.44AS.W.,',Ct0f.ttiBIMPAWFUNDOTO THIa',.PROilgr'017::: ' 444-giiiiiiikoiro.#0400)30.00„..**Ii .. . . 1..$ tothiumio&'shittiotritelikiti NIA, 'Ve's 'El flort i; . ,:. .,..:, ., . . . iitt,Vanwilori.40446140#64,gkiMiAifiwiki0fOr*Wilr Fd:t44itififk..2,Aliik tti'iiioitiiii'-'44641iiiiiiiii4: :ftivittite, 40.q4katt41(0461:070**401Mits#4***57441k*. . , , ;. _,.... .-- i..• niikIliii;trat&iiiittOt4iiita,Ofiiidati616.344k.S.10, iiiiiillsiilint ','f4C4f:117r..:ICKIRSCHNtft BR,'This iiirdriiiiiiibiC Will :ite litioilt4 te .:Cratititi§.! ittOiiiiiiik11 *id*OUW5iiiiitOki.f#'00bikirittKelii*A* Title C80„PRESiAiPi.saq,;TREA, It.i.0440,W006.fg- tf*t-00144.040141f,00`.4i:* • :.,. , , . .. ,): liii'a iiiiifrliiiiirkiiiri10140*:$0jit4ifiiitkoi)iii*:;'01*-70#6tioieNii,f,71,4VZ-0.5`W. i.patit:if/040:3 40.00.46iiii4:**4-fiik," ' '' ''- "•,..;i: `• - • - - - ' , :_.. . 40iii:96.**490,41popoilk• .1',.#.4etotticoik*A -i.,.#4notfortlifiv.,.ru ,..., „. . ......._..... .Stiliftbid:FiiiirittLitit.13942;91: 3:- A - " 1 1' •::: INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. I) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last,previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee"then enter the full name, address,city,state and zip code of the prime Federal recipient. Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation, United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name,address,city,state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10(a). Enter Last Name, First Name and Middle Initial (Ml). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(item 4)to the lobbying entity(item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es).Check all boxes that apply. If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es).Check all boxes that apply. If other,specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington, D.C.20503. By my signature on this proposal I certify,under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). • C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required,submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors. An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action;or 2) A change in the person(s)or individual(s)influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 ONYX PAVING COMPANY INC. 2890 E.La Cresta Ave. Anaheim,CA 92806 Tel: (714)632-6699 Fax:(714)632-1883 Ad Proofs Project Name: Zone 1 Curb Ramp Installation Contract/Bid #: CC No. 1742 Awarding Agency: CITY OF HUNTINGTON BEACH Focus Journal Ad Publication:DBE GoodFaith(DBEGoodFaith.com) Published On: 11/21/2023 @ 01:27:27 PM Pacific Expired On: 11/2812023 @ 11:59:59 PM Pacific Message Notifications Sent To: bids@onyxpaving.net Published At: https://dbegoodfaith.comfitem.php?Item_type=ads&ad_adid=58926 . . . . . . . • _ . ........ ONYX PAVING COMPANY INC. is seeking qualified DBEs, MBEs, WBEs, Section 3s Project Name Zone 1 Curb Ramp installation Get in Touch • • Bid/Contract# Outreach Coordinator CC No.1742 • Telephone Awarding Agency (714)632-6699 • CITY OF HUNTINGTON BEACH • • • Fax • Project Location (714)632-1883 • HUNTINGTON BEACH,ORANGE County,CA Address Bid Date 2890 E.La Cresta Ave. 11/28/2023 at 10:00 Anaheim,CA 92806 . . Project Details : • SURVEY Send Message » HAULING • • TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. Certification&Assistance Flee DBE Resources „. . . California DBE Program Procurement, Capital Access, & Surety Bond Assistance San Francisco LBE Program San Diego SLBE Program 1 The U.S.Department of Transportation- Bay :Area Rapid Transit MBE,WBE(EOPP)Program supported Southwest Region SBTRC helps DBEs with Procurement,Capital Access,and Los Angeles County CBE Program Surety Bond Assistance-and much more-at no cost. Alameda County SLEB Program • Learn more » California Supplier Clearinghouse Diversity Program Program • Oakland LBE/SLBE Program Los Angeles County SLBE&DVBE Program California SB-PW Program California DVBE Program Trade Journal Ad Publication: DBE Journal(DBEJournal.com) Published On:11/21/2023 @ 01:27:27 PM Pacific Expired On: 11/28/2023 @ 11:59:59 PM Pacific Published At: http://dbejoumal.comfindex.php7show_ad=58926&ad_project name=Zone+1+Curb+Ramp+installation&co_name=ONYX+PAVING +COMPANY+INC. ONYX PAVING COMPANY INC. Igh is seeking qualified DBEs, MBEs, WBEs, Section 3s Project Name • Outreach Coordinator Zone 1 Curb Ramp Installation Contact Information Bid/Contract# 2890 E.La Cresta Ave. CC No. 1742 Anaheim,CA 92806 Telephone Awarding Agency (714)632-6699 CITY OF HUNTINGTON BEACH Fax Project Location (714)632-1883 HUNTINGTON BEACH, ORANGE County,CA Bid Date 11/28/2023 at 10:00 Project Details SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. X Post (Tweet) Due to the rapid changes occurring at X(Twitter), we are no longer displaying a sample copy of your tweet. You can obtain a copy of the post via the link below. Please note-in recent months X(Twitter)has experienced significant website downtime.Please obtain a copy of the post as soon as possible. Published On: 11/21/2023 @ 01:38:19 PM Pacific Published At:https://x.com/dbegoodfaith/status/1727078989813121341 Linkedln Remember to follow DBEGoodFaith on Linkedln and re-post the bid invitation provided below. This will help you get more eyes on the sub/supplier opportunities available on the project. Published On: 11/21/2023 @ 01:35:03 PM Pacific Published At:https://www.linkedin.com/feed/update/urn:li:share:7132843880298778624/ ONYX PAVING COMPANY INC. 2890 E.La Cresta Ave. Anaheim, CA 92806 Tel:(714)632-6699 Fax:(714)632-1883 Outreach Invitation Proofs Project Name: Zone I Curb Ramp Installation Contract/Bid #: CC No. 1742 Awarding Agency: CITY OF HUNTINGTON BEACH Log details •This document contains a single copy of the bid invitation emailed to each company with an email address listed on their certification.The same email was sent to all companies, which is why we have provided the single email proof. •This document contains a copy of each fax notice sent to solicited companies with a fax number listed on their certification. Email Proof Subject Line:[Bid Invite I Zone 1 Curb Ramp Installation Reply To Email:bids@onyxpaving.net ONYX PAVING COMPANY INC.is seeking qualified DBEs, MBEs, Reply WBEs, Section 3s and invites you to bid on the following contract. PROJECT NAME: Zone 1 Curb Ramp Installation BID#: CC No. 1742 BID DUE DATE: 11/28/2023 at 10:00(local time) AWARDING AGENCY/OWNER: CITY OF HUNTINGTON BEACH PROJECT LOCATION: HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. If interested, contact: ONYX PAVING COMPANY INC. Tel:(714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net This email was sent via the DBEGoodFailh.corn outreach platform.To learn more about why you received this bid invitation email,vistl DBIGoodFailh.comlwily_. INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO:ALISON SERVICE COMPANY 2890 E. La Cresta Ave. Tel: (760) 949-2184 Anaheim, CA 92806 Fax: ()- Tel: (714) 632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs,MBEs, WBEs, Section 35 PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749285-58926 BY FAX Fax back this invitation with your response to:(714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ J Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this Invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Ameri-Mex Plumbing Inc 2890 E. La Cresta Ave. Tel: (619)422-8996 Anaheim, CA 92806 Fax: (619)422-0115 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs, WBEs,Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY • ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749288-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Axiom Engineering&Science Corporation 2890 E. La Cresta Ave. Tel: (949)231-9253 Anaheim, CA 92806 Fax: (714)247-1006 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC.is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfalth.com/respond and enter Solicitation ID 2749319-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ]No,we are not interested. [ ] Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Bayside Engineering Construction Inc. 2890 E. La Cresta Ave. Tel: (760)272-7308 Anaheim, CA 92806 Fax: (619)557-8341 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs,MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID 1 PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749289-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ]No,we are not interested. [ ] Interested,but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,MIME,DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFalth.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: BECERRA'S HVAC 2890 E. La Cresta Ave. Tel: (619)855-1769 Anaheim, CA 92806 Fax: (619)644-2594 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs, WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749290-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes, we will send a fax quote by the bid date. [ ]No,we are not interested. • [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net Thls solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the OBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Blue Ocean Civil Consulting 2890 E. La Cresta Ave. Tel: (714)655-1441 Anaheim, CA 92806 Fax: ()- Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs, MBEs, WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749320-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ]No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this Invitation at DBEGoodFaith.com/why INVITATION TO BID FROM:ONYX PAVING COMPANY INC. TO: BPI PLUMBING 2890 E. La Cresta Ave. Tel: (619)429-9066 Anaheim, CA 92806 Fax: (858)435-4313 Tel: (714) 632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs,MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749292-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ]No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this Invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Caliagua, Inc. 2890 E. La Cresta Ave. Tel: (866)416-4214 Anaheim, CA 92806 Fax: (866)416-4214 Tel: (714) 632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfalth.comirespond and enter Solicitation ID 2749327-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested,but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE,DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFalth.com. Learn more about why you received this invitation at DBEGoodFalth.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: CL SURVEYING AND MAPPING, INC. 2890 E. La Cresta Ave. Tel: (909)484-4200 Anaheim, CA 92806 Fax: (909)839-4504 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC.is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749294-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ j No,we are not interested. [ I Interested,but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Coast Surveying, Inc 2890 E. La Cresta Ave. Tel: (714)918-6266 Anaheim, CA 92806 Fax: (714)918-6277 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749321-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ j Yes,we will send a fax quote by the bid date. [ j No,we are not interested. [ j Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, MAYBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: DABCO INC. MECHANICAL CONTRACTORS 2890 E. La Cresta Ave. Tel: (562) 804-1537 Anaheim, CA 92806 Fax: (562)866-0661 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs,MBEs,WBEs,Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749296-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this Invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Dabri, Inc. 2890 E. La Cresta Ave. Tel: (415)839-8142 Anaheim,CA 92806 Fax: (925)313-9237 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: • ONYX PAVING COMPANY INC.is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID!PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON.BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.comlrespon4 and enter Solicitation ID 2749297-58926 BY FAX Fax back this invitation with your response to:(714)632-1883 [ ]Yes, we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids©onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: DM TRUCKING 2890 E. La Cresta Ave. Tel: (714)293-4158 Anaheim, CA 92806 Fax: (714)821-7860 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749318-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested,but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: FMF Pandion 2890 E. La Cresta Ave. Tel: (760)212-9120 Anaheim, CA 92806 Fax: 0- Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs,MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfalth.com/respond and enter Solicitation ID 2749299-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids©onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:46:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: GAVINA PLUMBING INC. 2890 E. La Cresta Ave. Tel: (818)723-6892 Anaheim, CA 92806 Fax: (818)221-2184 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT II CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749300-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No, we are not interested. [ I Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:02 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: GLEZ TRUCKING INC. 2890 E. La Cresta Ave. Tel: (714)984-4443 Anaheim, CA 92806 Fax: ()- Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs,MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE,CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749322-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ 'Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM:ONYX PAVING COMPANY INC. TO: GM RENOVATIONS, INC 2890 E. La Cresta Ave. Tel: (619)838-5598 Anaheim, CA 92806 Fax: (619)564-3639 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC.is Seeking Qualified DBEs,MBEs, WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH,ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfalth.com/respond and enter Solicitation ID 2749301-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ]No,we are not interested. [ ]Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the . DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE,SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this Invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: JADE Consultants 2890 E. La Cresta Ave. Tel: (619)403-9278 Anaheim, CA 92806 Fax: ()- Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.comtrespond and enter Solicitation ID 2749303-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE,SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. 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Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: JLV, INC 2890 E. La Cresta Ave. Tel: (858)668-8879 Anaheim, CA 92806 Fax: ()- Tel: (714) 632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs,MBEs,WBEs,Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749305-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ]No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: K2 Lopez Trucking Services Inc 2890 E. La Cresta Ave. Tel:(714)719-3675 Anaheim, CA 92806 Fax: ()- Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749323-58926 BY FAX Fax back this invitation with your response to:(714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ) Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:04 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE,SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: KELSURVEYS INC 2890 E. La Cresta Ave. Tel: (949)660-8016 Anaheim, CA 92806 Fax: (949)660-1758 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs,MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749306-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: L.D. KING ENGINEERING CO., INC 2890 E. La Cresta Ave. Tel: (909)945-0526 Anaheim, CA 92806 Fax: (909)945-0529 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoadfaith.com/respond and enter Solicitation ID 2749307-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested,but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net Thls solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE,DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Rings UAV Provider, LLC 2890 E. La Cresta Ave. Tel: (951)423-0132 Anaheim, CA 92806 Fax: ()- Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC.Is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749311-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at DBEGoodFalth.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: Saddleback Surveys, Inc. 2890 E. La Cresta Ave. Tel: (949)215-8630 Anaheim, CA 92806 Fax: (949)215-8631 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC.Is Seeking Qualified DBEs,MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749324-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC. at 11/21/2023 01:45:04 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: SPC Geotechnical, Inc. 2890 E. La Cresta Ave. Tel: (714)630-0321 Anaheim, CA 92806 Fax: (714)630-0326 Tel: (714) 632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID I PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749325-58926 BY FAX Fax back this invitation with your response to:(714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ]Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids©onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:04 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE, and other subcontracting and supplier opportunities at OBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: System Metrics Group, Inc. 2890 E. La Cresta Ave. Tel: (415) 395-7000 Anaheim, CA 92806 Fax: (415)397-1000 Tel: (714) 632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs,MBEs,WBEs,Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.comlrespand and enter Solicitation ID 2749326-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:04 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: T3 Group, Inc. 2890 E. La Crests Ave. Tel: (619)306-0373 Anaheim, CA 92806 Fax: ()- Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID/PROJECT IS CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit_dbegoodfaith.com/respond and enter Solicitation ID 2749314-58926 BY FAX Fax back this invitation with your response to:(714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ]No,we are not interested. [ ] Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFaith.com/why INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: TERRA WEST, INC 2890 E. La Cresta Ave. Tel: (619)488-3000 Anaheim, CA 92806 Fax: (619)568-3475 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID l PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4"PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749315-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at • BY EMAIL Contact at bids@onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE,MM/BE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFaith.com. Learn more about why you received this invitation at DBEGoodFafth.comAvhy INVITATION TO BID FROM: ONYX PAVING COMPANY INC. TO: V3 Construction Inc. 2890 E. La Cresta Ave. Tel: (562)690-1030 Anaheim, CA 92806 Fax: (562)690-1034 Tel: (714)632-6699 Fax: (714)632-1883 bids@onyxpaving.net CONTACT NAME: ONYX PAVING COMPANY INC. Is Seeking Qualified DBEs, MBEs,WBEs, Section 3s PROJECT NAME Zone 1 Curb Ramp Installation BID DUE DATE 11/28/2023 at 10:00 BID t PROJECT# CC No. 1742 AGENCY NAME CITY OF HUNTINGTON BEACH PROJECT LOCATION HUNTINGTON BEACH, ORANGE, CA SURVEY HAULING TRUCKING STORM WATER POLLUTION INSTALL 4" PVC SLEEVE PLANS AND SPECS WILL BE MADE AVAILABLE UPON REQUEST BY EMAILING BIDS@ONYXPAVING.NET. HOW TO REPLY ONLINE Visit dbegoodfaith.com/respond and enter Solicitation ID 2749316-58926 BY FAX Fax back this invitation with your response to: (714)632-1883 [ ]Yes,we will send a fax quote by the bid date. [ ] No,we are not interested. [ ] Interested, but we would like more information. Please contact us at • • BY EMAIL Contact at bids©onyxpaving.net This solicitation was generated and sent on behalf of ONYX PAVING COMPANY INC.at 11/21/2023 01:45:03 pm Pacific through the DBEGoodFaith.com outreach platform. Find other DBE, M/WBE, DVBE, SBE,and other subcontracting and supplier opportunities at DBEGoodFalth.com. Learn more about why you received this Invitation at DBEGoodFalth.com/why • ONYX PAVING COMPANY INC. 2890 E.La Cresta Ave_ Anaheim,CA 92806 Tel: (714)632-6699 Fax:(714)632-1883 Email & Fax Solicitation Log Project Name: Zone 1 Curb Ramp Installation Contract/Bid#: CC No. 1742 Awarding Agency: CITY OF HUNTINGTON BEACH Log Details •All emails and faxes were sent and tracked through DBEGoodFaith.com's automated solicitation and logging system. •The solicitation system makes up to 5 attempts to successfully delivery a fax as long as a human does not answer the call.If a human answers the call,only 1 attempt is made. •The solicitation system attempts to successfully deliver emails until the response from the recipient's email server requests that no other attempts be made. Company Fax Send Date Email Send Date &Delivery Status &Delivery Status AUSON SERVICE COMPANY n/a 11/22/2023 11122 COTTONWOOD AVE. 06:02 am PST HESPERIA,CA 92345 Delivered Tel:7609492184 Fax:None Listed accounting@alisonserviceco.com Cert:DBE-M.Owned Ameri-Mex Plumbing Inc 11/21/2023 11/22/2023 1038 WOODLAWN AVENUE 02:15 pm PST 06:02 am PST CHULA VISTA, CA 91911 Failed Delivered Tel:6194228996 Fax:6194220115 amerimexpl@aol.com Cert DBE-M.Owned Axiom Engineering&Science Corporation 11/21/2023 11/22/2023 1322 BELL AVE.STE.1G 02:02 pm PST 06:02 am PST TUSTIN,CA 92780 Failed Delivered Tel:9492319253 Fax:7142471006 johnathanhou@gmail.com Cert:DBE-M.Owned Bayside Engineering Construction Inc. 11/21/2023 11/22/2023 2534 State St,Suite 201 02:02 pm PST 06:02 am PST San Diego,CA 92101 Failed Delivered Tel:7602727308 Fax:6195578341 jorge.rivero@baysideec.com Cert: DBE-M.Owned BECERRA'S HVAC 11/21/2023 11/22/2023 241 MEADOWBROOK DRIVE 02:02 pm PST 06:02 am PST SAN DIEGO,CA 92114 Failed Delivered Tel:6198551769 Fax:6196442594 becerrashvac@yahoo.com Cert:DBE-M.Owned Page II Solicitation Log-Zone 1 Curb Ramp Installa • • Blue Ocean Civil Consulting n/a 11/22/2023 5063 Palmere Dr 06:02 am PST Oceanside,CA 92056 Delivered Tel:7146551441 Fax:None Listed jcassman@blueoceancivil.com Cert: DBE-F.Owned BPI PLUMBING 11/21/2023 11/22/2023 1021 BAY BLVD.,STE.S 01:46 pm PST 06:02 am PST CHULA VISTA,CA 91911 Successful Delivered Tel:6194299066 Fax:8584354313 alex@bpiplumbing.com Cert:DBE-M.Owned Caliagua,Inc. 11/21/2023 11/22/2023 4930 E.La Palma Ave. 01:46 pm PST 06:02 am PST Anaheim,CA 92807 Successful Bounced Tel:8664164214 Fax:8664164214 gusbruner©caliagua.net Cert:DBE-M.Owned CL SURVEYING AND MAPPING,INC. 11/21/2023 11/22/2023 1269 WEST POMONA ROAD,SUITE 108 01:47 pm PST 06:02 am PST CORONA,CA 92882 Successful Delivered Tel:9094844200 Fax:9098394504 dan@cl-survey.com Cert:DBE-M.Owned Coast Surveying,Inc 11/21/2023 11/22/2023 15031 PARKWAY LOOP,SUITE B 01:46 pm PST 06:02 am PST TUSTIN,CA 92780 Successful Delivered Tel:7149186266 Fax:7149186277 ruel.delcastillo@coastsurvey.com Cart: DBE-M.Owned Page III Solicitation Log-Zone 1 Curb Ramp Installa DABCO INC.MECHANICAL CONTRACTORS 11/21/2023 11/22/2023 6245 FAUST AVENUE 01:46 pm PST 06:02 am PST LAKEWOOD,CA 90713 Successful Bounced Tel:5628041537 Fax:5628660661 desiree@dabcoinc_com Cert:DBE-F.Owned Dabri,Inc. 11/21/2023 11/22/2023 850 South Van Ness Avenue 01:46 pm PST 06:02 am PST San Francisco,CA 94110 Successful Delivered Tel:4158398142 Fax:9253139237 dkaur@dabri.com Cert: DBE-F.Owned DM TRUCKING 11/21/2023 11/22/2023 2872 W.KEYS LANE 02:02 pm PST 06:02 am PST ANAHEIM,CA 92804 Failed Delivered Tel:7142934158 Fax:7148217860 dfmcampos@aol.com Cert: DBE-M.Owned FMF Pandion n/a 11/22/2023 2235 Encinitas Blvd STE 107 06:02 am PST Encinitas,CA 92024 Delivered Tel:7602129120 Fax:None Listed admin@fmfpandion.com Cert:DBE-M.Owned GAVINA PLUMBING INC. 11/21/2023 11/22J2023 26911 RUETHER AVE,UNIT N 01:46 pm PST 06:02 am PST SANTA CLARITA, CA 91351 Successful Delivered Tel:8187236892 Fax:8182212184 gavinaplumbing@aol.com Cert DBE-M.Owned Page IV Solicitation Log-Zone 1 Curb Ramp Installa • GLEZ TRUCKING INC. n/a 11/22/2023 8092 Holder St 06:02 am PST Buena Park,CA 90620 Delivered Tel:7149844443 Fax:None Listed glez01@sbcglobal.net Cert DBE-M.Owned GM RENOVATIONS,INC 11/21/2023 11/22/2023 3758 BETA ST 02:01 pm PST 06:02 am PST SAN DIEGO,CA 92113 Failed Delivered Tel:6198385598 Fax:6195643639 greg@gmrenovationsco.com Celt DBE-M.Owned JADE Consultants n/a 11/22/2023 5575 Lake Park Way,Suite 100-06 06:02 am PST La Mesa,CA 91942 Delivered Tel:6194039278 Fax:None Listed daniel@jade-engrs.com Cert DBE-M.Owned JCI DESIGN AND ENGINEERING n/a 11/22/2023 3664 HOWARD AVE 06:02 am PST LOS ALIMITOS,CA 90720 Delivered Tel:7147432364 Fax:None Listed johnjche@yahoo.com Cert:DBE-M.Owned ....... JLV,INC n/a 11/22/2023 2214 FARADAY AVENUE 06:02 am PST CARLSBAD,CA 92008 Delivered Tel:8586688879 Fax:None Listed jlvplumbing82@yahoo.com Cert:DBE-M.Owned Page V Solicitation Log-Zone 1 Curb Ramp Installa . . K2 Lopez Trucking Services Inc n/a 11/22/2023 2101 N Eastwood Ave 06:02 am PST Santa Ana,CA 92705 Delivered Tel:7147193675 Fax:None Listed alyssa@k2lopeztrucking.com Cert:DBE-M. Owned KELSURVEYS INC 11/21/2023 11/22/2023 1740 E GARRY AVENUE STE. 110 02:02 pm PST 06:02 am PST SANTA ANA,CA 92705 Failed Delivered Tel:9496608016 Fax:9496601758 kelvink@kelsurveys.com Cert:DBE-M.Owned LD.KING ENGINEERING CO.,INC 11/21/2023 11/22/2023 2151 CONVENTION CENTER WAY,#100 02:01 pm PST 06:02 am PST ONTARIO,CA 91764 Failed Delivered Tel:9099450526 Fax:9099450529 pwaddingham@Idking.com Cert:DBE-F_Owned Rings UAV Provider,LLC n/a 11/22/2023 29135 Outrigger St 06:02 am PST Lake Elsinore,CA 92530 Delivered Tel:9514230132 Fax: None Listed ringsuavproviderlic@gmail.com Cert:DBE-M.Owned • Saddleback Surveys,Inc. 11/21/2023 11/22/2023 9 CORPORATE PARK,SUITE 110 02:00 pm PST 06:02 am PST IRVINE,CA 92606 Failed Delivered Tel:9492158630 - Fax:9492158631 ktetreault@saddlebacksurveys.com Cert:DBE-F.Owned Page VI • Solicitation Log-Zone 1 Curb Ramp Installa SPC Geotechnical,Inc. 11/21/2023 11/22/2023 685 N Shepard Street 01:46 pm PST 06:02 am PST Anaheim,CA 92806 Successful Delivered Tel:7146300321 Fax:7146300326 taki@spcgeo.com Cert DBE-M.Owned System Metrics Group,Inc. 11/21/2023 11/22/2023 510 West 6th Street,Suite 1006 01:46 pm PST 06:02 am PST Los Angeles,CA 90014 Successful Delivered Tel:4153957000 Fax:4153971000 tarek hatata@sysmetgroup.com Cert:DBE-M.Owned T3 Group,Inc. n/a 11/22/2023 9655 Granite Ridge Drive,Suite 200 06:02 am PST San Diego,CA 92123 Delivered Tel:6193060373 Fax:None Listed info@t3group.us Cert:DBE-F.Owned TERRA WEST,INC 11/21/2023 11/22/2023 591 TELEGRAPH CANYON RD#713 01:46 pm PST 06:02 am PST CHULA VISTA,CA 91910 Successful Bounced Tel:6194883000 Fax:6195683475 roberto@terrawestinc.com Cert:DBE-M.Owned V3 Construction Inc. 11/21/2023 11/22/2023 10918 Shoemaker Avenue 02:02 pm PST 06:02 am PST Santa Fe Springs,CA 90670 Failed Bounced Tel:5626901030 Fax:5626901034 ahronv@v3constructioninc.com Cert:DBE-M.Owned Page VII Solicitation Log-Zone 1 Curb Ramp Installs • • • REFERENCES PROJECT NAME:CITYWIDE ASPHALT REPAIRS PROJECT FY 21/22 PROJECT DESCRIPTION:CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: FEB 2022•NOV 2022 CONSULTING COMPANY:CITY OF DANA POINT•33282 GOLDEN LANTERN,DANA POINT,CA 92629 CONTACT PERSON:SCOTT FISHER 760414-7226 ORIGINAL CONTRACT AMOUNT:$1,595,000.00 FINAL CONTRACT AMOUNT:$1,314,878.59 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO PROJECT NAME:PALISADES PAVEMENT REPAIR,CC•07 PROJECT DESCRIPTION:PAVEMENT REPAIR APPROXIMATE CONSTRUCTION DATES:SEP 2022 AGENCY:CITY OF LAGUNA NIGUEL•30111 CROWN VALLEY PARKWAY,LAGUNA NIGUEL,CA 92677 CONTACT PERSON:JEFF METZ 949.362-4344 ORIGINAL CONTRACT AMOUNT:$292,000.00 FINAL CONTRACT AMOUNT:$199,999.65 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES. DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO PROJECT NAME:2021.2022 PAVEMENT REHABILITATION PROJECT PROJECT DESCRIPTION:VARIOUS PAVEMENT REHABILITATION&CONCRETE IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:NOV 2022•MARCH 2023 AGENCY:CITY OF ARCADIA-240 W.HUNTINGTON DR,ARCADIA,CA 91007 CONTACT PERSON:JAN BALANAY 626.254-2726 ORIGINAL CONTRACT AMOUNT:$1,727,000.00 FINAL CONTRACT AMOUNT:$1,899,698.72 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:AGENCY HAD ADDITIONAL SCOPES OF WORK. DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO ONYX PAVING COMPANY,INC. 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806-TEL(714)632.6699-FAX(714)632.1883 • 111 PROJECT NAME: 2020 RESIDENTIAL STREET REHABILITATION PROJECT PROJECT DESCRIPTION:CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES: JULY 2021-NOV 2021 AGENCY:CITY OF SOUTH EL MONTE- 1415 SANTA ANITA AVE,SOUTH EL MONTE,CA 91733 CONTACT PERSON: OKAN DEMIRCI-714-319-6137 ORIGINAL CONTRACT AMOUNT:$614,000A0 FINAL CONTRACT AMOUNT:$706,010.03 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:SCOPES Of WORK ADDED BY AGENCY DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO fi PROJECT NAME:RESIDENTIAL STREET PAVEMENT REHABILITATION PROJECT,AREA 8 PROJECT DESCRIPTION:STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:JULY 2022-OCT 2022 AGENCY: CITY OF DOWNEY-11111 BROOKSHIRE AVE,DOWNEY,CA 90241 CONTACT PERSON: DESI GUTIERREZ 562-622-3468 ORIGINAL CONTRACT AMOUNT:$3,227,00.00 FINAL CONTRACT AMOUNT:$3,553,442.43 _ t IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO PROJECT NAME:SOBOBA STREET RESURFACING PROJECT PROJECT DESCRIPTION;STREET REHABIILITATION AND RECONSTRUCTION APPROXIMATE CONSTRUCTION DATES:AUG 2022-OCT 2022 AGENCY:RIVERSIDE COUNTY TRANSPORTATION DEPARTMENT-352514TM STREET,RIVERSIDE,CA 92507 CONTACT PERSON:TRAI NGUYEN 951.961.5363 ORIGINAL CONTRACT AMOUNT:$1,272,000.00 FINAL CONTRACT AMOUNT:$1,160,284,10 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES OID THE AGENCY FILE ANY CLAIMS AGAINST YOd V PAVING COMPANY,INC. 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806-TEL(714)632.6699-FAX(714)632-1883 i PROJECT NAME:2019/20 ARTERIAL AND MINOR STREETS MAINTENANCE PHASE 2 - i PROJECT DESCRIPTION:CITYWIDE STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:DEC 2021-NOV 2022 AGENCY:CITY OF RIVERSIDE-3900 MAIN ST,RIVERSIDE,CA 92501 CONTACT PERSON:STEVEN HOWARD 951.826•5311 ORIGINAL CONTRACT AMOUNT:$4,585,000.00 FINAL CONTRACT AMOUNT:$4,558,151.40 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO PROJECT NAME:FY 2021.22 ANNUAL ROADWAY REHABILITATION AND SIDEWALK REPAIR PROJECT DESCRIPTION:VARIOUS STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:JUNE 2022•SEP 2022 AGENCY:CITY OF TUSTIN•300 CENTENNIAL WAY,TUSTIN,CA 92780 CONTACT PERSON:JOANN WU 714.573-3157 ORIGINAL CONTRACT AMOUNT:$2,442,000.00 FINAL CONTRACT AMOUNT:$2,413,734.93 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES. DID THE AGENCY FILE ANY CLAIMS AGAINST YOU? NO SZ it{ t I i t ONYX PAVING COMPANY,INC, 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806-TEL(714)632-6699-FAX(714)632-1883 1 I { LARGE PROJECT REFERENCES PROJECT NAME:CULVER DRIVE IMPROVEMENTS FROM WALNUT AVENUE TO 1-5 FREEWAY PROJECT DESCRIPTION:STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:SEPT 2022-JAN 2023 CONSULTING COMPANY:CITY OF IRVINE-6427 OAK CANYON,IRVINE,CA 92618 { CONTACT PERSON: FARHAD BOLOURCHI 949-724-6689 ORIGINAL CONTRACT AMOUNT:$1,677,000.00 FINAL CONTRACTAMOUNT:$1,704,308.59 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO PROJECT NAME:PHASING 6A-RESIDENTIAL STREET REHABILITATION PROJECT DESCRIPTION:STREET IMPROVEMETNS APPROXIMATE CONSTRUCTION DATES: CONSULTING COMPANY:CITY OF LA MIRADA-15515 PHOEBE AVE,LA MIRADA,CA 90638 CONTACT PERSON:ERIC VILLAGRACIA 562-902-2373 ORIGINAL CONTRACT AMOUNT:$4,242,000.00 FINAL CONTRACT AMOUNT:$4,524,646.67 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:SCOPES OF WORK CHANGED BY AGENCY DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO PROJECT NAME: ROCHESTER AVENUE PAVEMENT REHABILITATION PROJECT DESCRIPTION:STREET IMPROVEMENTS APPROXIMATE CONSTRUCTION DATES:MARCH 2022•AUG 2022 AGENCY:CITY OF RANCHO CUCAMONGA- 10500 CIVIC CENTER DRIVE,RANCH CUCAMONGA,CA 91730 CONTACT PERSON:ROMEO DAVID 909-774.4070 ORIGINAL CONTRACT AMOUNT:$1,727,000.00 FINAL CONTRACT AMOUNT:$1,714,733.75 IF FINAL AMOUNT IS DIFFERENT FROM ORIGINAL AMOUNT,PLEASE EXPLAIN:FIELD QUANTITIES DIFFERED FROM BID SCHEDULE QUANTITIES DID THE AGENCY FILE ANY CLAIMS AGAINST YOU?NO ONYX PAVING COMPANY,INC. 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806-TEL(714)632-6699-FAX(714)632-1883 REFEi11ENCES GENERAL CONTRACTORS: JOBS PERFORMED; LOCAJION: AMOUN : { Fullmer Construction Centerpolnte Moreno Valley $3,187,914.00 1725 S.Grove Ave. Sycamore Bus.Park Riverside $999,708.00 Ontario,CA 91761 Hlllwood Hofer Ranch Ontario $603,600.00 Ph:909-947-9467 Interchange A-E San Bernardino $1,288,615.00 Fax:909-947-2970 San Michelle Logistics Moreno Valley $670,674.00 Contact:Casey Jones Terra Francesco Ontario $524,216.00 - i KCS West,Inc. BP Refinery Maintenance Shop Carson $896,357.00 901 Corporate Ctr,Dr,3r°fir Monterey Park,CA 9174 • • I Ph:323.269-0020 Fx:323-263-4576 Contact:Matthew Vawter GMC Engineering,inc. Edison Romoiand $1,623,480.00 1401 Warner Ave Tustin,CA 92780 Ph:760.744-133 Fx:714-247-1041 Contact:Gennady Lusardl Construction FEDEX—Otay Mesa San Diego $1,335,530.00 1570 Linda Vista Dr. Team Nissan Oxnard $669,075.00 San Marcos,CA 92064 Edge at Campus El Segundo $541,385.00 Ph:760-744-3133 Carmax - Oxnard $606,443.00 Fax:760-744-9064 Seabridge Oxnard Contact Scott Staley ONYX PAVING COMPANY,INC. 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806--TEL(714)632-6699-FAX(714)632-1883 Haagen Company,LLC Empire Polo Club Indio $1,036,745.00 12302 Exposition Blvd Los Angeles,CA 90064 Ph:310-820-1200 Fx:310.820.1225 Contact:Chris Fahey ARCO National Construction Co. Scannell FEDEX Burbank $1,125,958.00 900 N.Rock Hill Rd St.Louis,MO 63119 Ph:314.963.0715 Fx:314-963.7114 Contact:Chris Wilson Grant General Contractors Whittier Area Community Whittler $625,920.00 5051 Avenida Encinas Church Carlsbad,CA 92008 Crevler BMW Santa Ana $30,600.00 Ph:760-438.7500 Fx:760-438-3056 Contact:Pete Burrows ONYX PAVING COMPANY,INC. 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806—TEL(714)632-6699—FAX(714)632-1883 ASPHALT RUBBER HOT MIX REFERENCES: gENERAL c01OTRACTORS: JOBS PERFORMED: LOCATION: AMOUNT: GMC ENGINEERING,INC, Kateila Ave.St.Improv Los Alamitos $120,000.00 1401 Warner Ave,Ste B. Various Projects Tustin,CA 92780 Ph:714.247.1040 Fx:714-247.1041 Contact:Gennady Chfzik R.D OLSON CONSIRUCITON,INC. Lido House Hotel Newport Beach $193,105.00 2955 Main Street,3'd Floor Irvine,CA 92614 Ph:949474-2001 Fx:949-474.1534 Contact:Jeremy Dunn ( IF YOU HAVE ANY QUESTIONS,PLEASE FEEL FREE TO CONTACT COREY KIRSCHNER AT 714-632.6699 OR VIA EMAIL AT CORE Y@ONYXPAVING.NET 717 I ONYX PAVING COMPANY,INC. r 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806-TEL(714)632-6699-FAX(714)632-1883 {/t ) CREDIT REFERENCES ONYX PAVING COMPANY,INC 2890 E.LA CRESTA AVE ANAHEIM,CA 92806 { PHONE; (714)632.6699 DATE ESTABLISHED 1/4/90 CORP.TAX ID.1133.0394344 FAX: (714)632.1883 TYPE OF WORK•ASPHALT PAVING CONTRACTORS LIC.II 630360-A PRESIDENT:COREY R.KIRSCHNER 14029 SPRINGWATER LN.EASTVALE,CA 92880 BANK: BANK OF THE WEST 4501 E.LA PALMA AVENUE,ANAHEIM,CA 92807 ! - i PHONE:(714)777-9620 BRYAN PLOESSEL INSURANCE AGENT:WOOD GUTMANN&BOGART 15901 RED HILL AVE.,STE,100,TUSTIN,CA 92780 PHONE:(714)824-8384 MICHAEL IRAN SURETY AGENT: TURNER SURETY AND INSURANCE BROKERAGE,INC, 5 HUTTON CENTRE,STE.730 SANTA ANA,CA 92707 PHONE:(714)915-4032 JEREMY PENDERGAST CREDIT Rf tERENCES; MATICH CORP. P,O.BOX 10,HIGHLAND,CA 92346 (909)382-7400 Steve Matich ALL AMERICAN P.O.BOX 2229,CORONA,CA 92878 (951)736.7600 Carl KELTERITE CORP, 12231 PANGBORN AVE.DOWNEY,CA (562)401-0011 Gladys VULCAN MATERIALS CO, 16013 E.FOOTHILL BLVD,IRWINDALE,CA 91702 (858)530-9414 Dabble GENERAL CONTRACTOR REFERENCES; FULLM ER CONSTRUCTION 1725 S.GROVE AVE.,ONTARIO,CA 91761 (909)9474467 Casey Jones BYROM-DAVEY,INC. 13220 EVENING CREEK DR.SOUTH 0103,SAN DIEGO (858)513.7199 Steve Davey PACIFIC CONST.GROUP 17895 SKY PARK CIR.,IRVINE,CA 92614 (949)748.1500 Mark Bundy f ERICKSON-HALL CONST.CO. 500 CORPORATE DR.,ESCONOI00,CA 92069 (760)796-7700 Justin Sinnott ONYX PAVING COMPANY,INC. 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806-•TEL(714)632-6699—FAX(714)632-1883 ERICKSON-HALL CONST.CO. 500 CORPORATE DR.,ESCONDIDO,CA 92069 (760)796-7700 Justin Sinnott RESUME Corey Kirschner has over 20 years of experience both as an estimator and CEO.Corey is an experienced estimator and lead a majority of those years being the Chief Estimator before becoming CEO and President of Onyx Paving Company, Inc.Over the short period of time here at Onyx Paving,Corey has completed over 3,000 paving projects,allowing the company to gross over$50 million dollars in the previous year. Jay Kirschner,Senior Project Manager,holds a Bachelor's Degree from Chapman University and has 7 years of experience upholding the maintenance supervisor and lead estimator position for Onyx Paving. He leads our team,with the project managers under his direct supervision, in managing our productions and coordinating our field mobilizations for all projects. Tyler Henry, Field Superintendent,serves as the core of all field related matters.He has over 20 years of paving experience performing Jobs that stretches from San Diego County to Ventura County.Tyler has been with Onyx in completing all of our Public Works projects.Overseeing the on-site laborers,cement masons,and operating engineers is one of his many responsibilities. BACKLOG ALLOCATION: Corey Kirschner,Jay Kirschner,and Tyler Henry oversee 100%of all current project In attached backlog. 2 . { is ONYX PAVING COMPANY,INC. 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806—TEL(714)632-6699—FAX(714)632-1883 } Corey Kirschner CEO/President Jackson Hulse Tyler Henr.y° Senior Project Manager ._ .. - ; { 1 g Field Superintendent Key individual Responsibilities: Corey Kirschner - Manage overall operations and resources of company - Decision maker of corporation Jackson Hulse - Lead project management team with organization - Overseeing overall project scheduling, budgeting,and dispatching on all projects - Main point of communications between company and agencies Tyler Henry - Lead and manage on-site labors and operators - Coordinate daily operations and project production - Ensuring project quality expectations are met F . ONYX PAVING COMPANY,INC, 2890 EAST LA CRESTA AVE,ANAHEIM,CA 92806—TEL(714)632-6699—FAX(714)632-1883 . • , . . . •I • .. . . . .. .. . , .. . .• - - t 1 aT ,134- T .E OF t. 1111E8 [114. 1A !I :, - - 1 I zgib.,. i .• -• il t' s.il.',46•23 1 CONTRACTC}R.S. STATE LICENSE BOARD ;', •I E-... .--",d; I Ir.' ... ...•.... ... ........... - ••• iIPursuant to Chapter q of Division 3 of thisJ3tntinoss and Profassiorc Code It* and the Rules and itegolafions of the ConigastarsetatrilicarrearBOard; ., i to RegisArarof Consacents does hoseby issue this GOOnse to: i 11 . -I ' . S :1 .1 ONYX PAVING e0111PAISMN.c I,I •i .1 Lkense Nurnber 630360. _ I i • I: b engage irthe business or aq in Ihrcapacily deco-420W inliefaming dazaircatiaaT !' ;- A:-GENERALIENBINEERINB-00NTRAGTOR .1 012-EARTI-iWoRKANDtPAYINE I i I i 1.1 Mesa my Iliad ancisealllis day. . I; jamiay-4.2019 . • 1 i i . Issued-Gab:4er 9,1991' • -,,:- .• .. • " . ., I Mario Frochardson,Board Chair ThisEcesavisihapnemarsfibeRegiTtraraCuotactarz Davit!R.Oast,Fter.jsbar of Cagractors is rattoaderal4 and.dudItordaroatiothe Rifisirpr open dooms obiosospoodegortaokeiS,ir kanadsid . 1 I i I fir art respon.Itixecess isid*not mowed. I i t i 1 -- -1s _. . - _ ....——. .-_.— .703e%Imo . ViDefrArifialF oterramasciass . . CONTRACTORS ci=a STATE LICENSE BOARD ,M�+_�- ACTIVE LICENSE aj' L...r:.....630360 ONYX PAVING COMPANY INC C�..«..lA C12 C.'LI3 �iC s'x ra0air.am.10/31/2025 www cslb ca.aov T ^ " d rtment of ,. 'js1 in acirial Relations ' STATE OF CALIFORNIA APPLICATION FOR PUBLIC WORKS CONTRACTOR REGISTRATION Registration Information Type: Public Works Period:07/01/2023 06/30/2024 Contractor Information Contractor Name:ONYX PAVING COMPANY,INC. Trade Name: License Type Number: 1000004798 Contractor Physical Address Physical Business Country: United States of America Physical Business City/ ANAHEIM Province: Physical Business Address: 2890 E.LA CRESTA AVENUE Physical Business State: CA Physical Business Postal 92806 Code: Contractor Mailing Address Mailing Country: United States of America Mailing City/Province: ANAHEIM Mailing Address: 2890 E.LA CRESTA AVENUE Mailing State: CA Mailing Postal Code: 92806 Contact Info Daytime Phone: Daytime Phone Ext.: Mobile Phone: Business Email: davidw@onyxpaving.com Applicant's Email: davldw@onyxpaving.net Registration Services::Page 1 of 2 6/27/202310:06:22 AM Workers' Compensation Professional Employer Organization(PEO) Do you lease employees through Professional Employer Organization? No Workers'Compensation Overview Carrier:ZURICH AMERICAN INSURANCE Inception Date: 10/01/2022 COMPANY Policyholder Name:Onyx Paving Company Inc Expiration Date: October 12,2023 Policy Number:WC106300504 Certification Yes I certify that I do not have any delinquent liability to an employee or the state for any assessment of back wages or related damages,interest,fines,or penalties pursuant to any final judgment,order,or determination by a court or any federal,state,or local administrative agency,including a confirmed arbitration award Yes I certify that the contractor is not currently debarred under Section 1777.1 or under any other federal or state law providing for the debarment of contractors from public works. Yes I certify that one of the following is true:(1)I am licensed by the Contractors State License Board(CSLB)in accordance with Chapter 9(commencing with Section 7000)of the Business and Professions Code;or(2)my business or trade is not subject to licensing by the CSLB. • I understand refunds are not authorized I,David Wiltfong,the undersigned,am,ONYX PAVING COMPANY,INC.with the authority to act for and on behalf of the above named contractor.I certify under penalty of perjury that all of the above Information provided is true and correct.I further acknowledge that any untruthful information provided in this application could result in the certification being canceled. I certify this on:10:00 AM Legal Entity Information Legal Entity Type: Corporation Name:ONYX PAVING COMPANY,INC. Registration Services::Page 2 of 2 4114 ONYX PAV G COMPANY,INC. Ltcea�e N 634360�DIR N Io00004798 UNANIMOUS WRITTEN CONSENT OF THE BOARD.Olf DIRECTORS OF ONYX PAVING COMPANY,MO, (a California corporation) - October 28,2020 The undersigned director,constituting the entire board of directors(the"Board)of Onyx Paving Company,Inc.,a California corporation(the"Cerporadonl,hereby takes the following actions,adapts the following resolutions,and transacts the Mowing business,by written consent without a meeting,es of the date above written,point to Section 307(b)of the General CorporatloaLaw of the State of California and the Corporation's Bylaws: Apa royal of Loan'Loan Tropqes,gon *BEREA9,Corey Kirschner is currently the Corporation's Wet Executive Officer, and Chief Financial Officer(the VOW")with authority to enter into centre*on behalf of the Corporation. WHEREAS,the Corporation opportunities from time to time to hid on various governmental and non•governnaental projects; WHEREAS, elks careful consideration,the Board has determined that the tonne and _ conditions of the proposed project in the form of the bid attached hereto as Bhi it4(the "Project)are just and equitable and fair as to tide Corporation and that it is in the best interests of the Corporation end its stockholder to submit the bid and complete the Project subject to.the toms egad upon by the parties. NOW,THEREFORE,DE IT BESOLVED,the Board on bobatf of the Corporation hereby approves sttd ratifies the Project in all respects,end hereby attodze•and direct the Corpsoration to negotiate,execute;deliver and perform the terms of all doctwtents,requlzed In connection with the Project,together with such changes thereto as may bo approved by the • Officer executing the same onbehalf of the Corporation(pursuant to the authorization provided herein),suds approval of the Officer tobe conclusively evidencedby lit cotton and delivery of same. RESOLVED FURTHER, that the Officer may execute'and deliver any and all • agreements and any end ail other documents and instruments,and telte such farther actions as may be necessary or appropriate,for the financing of the Corporation, • . RESOLVED FURTHER, that the Officer is hereby authorized, directed, end empowered to emote end deliver any and all agreements and any and all other documents and instruments, and talcs such further actions as may be necessary or appropriate, for the • . consurnroallon of the Project, 2890 East La Crests Ave,Aueholm,CA 92806—PH:(714)632.6699-RX(714)632.1883 RESOLVED P'URTSER, that the Officer,in the name of de Corporation,Is hereby • authorized,directed,and empowered to negotiate,execute and deliver to the Ippplkable counter- party, any aed all documents with respect to the:Project and otter iastrumeats as may be reasonably requested, and the Oeloor on behalf of the Ceeporatloa Is.authorized front tiro®to thne to execute renewala or extensions or other lnsbnunenta as may belt chair. • RESOIATD ruRrnER,that the authority given hereunder sliallbe deemed retroacdve and any emd all acts euijiorized beeenuder performed prior to the passage olthia resolution ate ' hereby ratified and tweed, • This Secretary of the corporation is directed to file the original executed copy of this Consent with the miautes of proceedings of the Corporation. [Signature page follows] • ONYX PAVING COMPANY,INC. Liam 0610360-DIR lI 1000004791 IN WITNESS WHEREOF,the uadersIIaed has executed tbua thiseimotu Written Context of the Hoard of Dlrietors as of the date Ant above wr1tten Corey Khschner • No VIM) Request for Taxpayer Wm Form to the Qttv,0rioletate) ldentlftoatlon Number and Certlllcatlon i faguester,Do hot pippwrefkliroo y send to the IRB. ,, Arvannt ► w Ootociltaydv/PamW9torinatruclbneendlRNtterthlotm120n. .,imago thou►loCn0)vrywPbombtwntuottatmrgrpvh3ontlitn•;cinatkeyesiIiO Banc. 1�i 3oa��e�64u+0adeNC -- "'� ^—'— ataam aalrnarrANddiaentTiaaaabave I oPat.ppmprrrb Pori.awltagYa,lk. dtrtaam.huu.eonuutOWab uric 0 C7+as daprroocdetaa 0 ocorperat:on ©aComo/don ElPartneM+p 0!SOwu hareptp•YM nth M+dl,,,_„� . 1r 0 Wiled 0424,ycoMl**Eru the ladu0epaliapocapa+tke,44corpora!l%PaPrlmegtio• ..— k MaakakMWp9yroro�p�etrboxNurrinebowra tin l•gNaasilattoa tt esirilteta eaww.Wald* DnmptonhomPATOANPeret9 I UOtflt6LLOlidraabadaaa twaarberUAlh ytlI4Ma 4WfromIfisomerun011it4MMwdhlµA etaat7 amoUmeLWOulbn downpatfMdiamMovewfe uelrrdenitrpurpaaa.OlMnvr red reakrwo IYd'a�xdar[tramUaowm+ohoulQehmlttl�eapO�hUtc6rk►ur.u><dadtulbnorlboxnn �kmema���a� eerlde t:atueeam r• 1 r,s, u t nMd.pLarutnna�QNh+a++a a•iii 'ipiaWlatnianiadan+lW Waal � 80E1t .ACRfSYI�AVfi a e r!t�llp�ei" • 1011 A 12 • - 1moknat . r„i t I - i ldw►Unition till ttb4(r re " M - = r yew TNtnasap ate bex.?h, INpttr+ldadmntmrtchthonamoo inonh1II tomou ""4404 K . dh lrorl 5/ t►lollefttcurltynumbrr(99rtiHowove`tore •• r, 'piieLe 1fd�fdrF►(Iipte4tlN,rodt(Jtler, ?..Jim,. ' an hpltyot3 i •AO..Gli KA ft'to hell 7/At or Nati Nth'tooted e isin ooeg i ono omm a wh the own Inahuotkos foe Ina 1.Al m Ts.What Name bid 4a • rtaautnclanmmmher , t G 5 ' 8 04. 3 4A' k?r1r,l t1 I;d9ttiticatlon _. �� . ,.r.- .01.• ofper�ity.1 NON that 1.The lumber ahownon Waked Is my correct tutps)Nldaa�atillonttco nutty(or l on waling fora ereybertobaMud tome);and 2,I uereg(1iReb�:t0 bap vdthhardtrg boom: )t am ao 1 ham backup wldthatdktp,or(ellluno not htts NOW byt a Intanwi Remain Si** 110100201 M�bW toOh subject tO a biloPp Ord ng an a mew da fare tonport a0 Mama adMdndr,ado)the!Rahn notitod nu V tam 2.1 am a U.S.deem troths:Mt parson(doifoad beto*sod 4,1biFATOAeadagyiatt radonthishmapiny)Wittig that Iamex/mpQ front MICA repa:itoolsoreet e.rtinoa*fwtruc1oiU,Yot,must araas out Item 2abor. AwhersbaannoeadbyOs.trtathatmutwrodywbjadto b+ 4v.hhholdnObosoM yuhivafdadlorapait llhtoraitInddtltdendaon)eurtacNball•Far(aVasntetnnraedalahem2doaa[otegti,Forsod&e5 airxarotesie, aogt/lttlormaahan tvtnuMolaeaurad anoalotmoidabgaont,thwlaneroanNdMdualrigamwaracpmpant��ankaN olherhunMud0pddbtdenda,you Anoka)toAnlh,so ootlan,butyoomuitproiotoyoIrocusctfW.ete IorP Qn tomtit*of ere $e,)teraan► •AN* • Aviv . 0. 4. 22 a t. Geltlara'thstru0tl $ 4 Fordo]1009-oW(thtde a,tuludhoSolokomataduormutual funBaallain niaonaei are to th/MternlRavanuaf ode onNsbothettito. .paten too9.MiSo(vadour typosd mean.priiae,enm%or9roee notad. rum developmanta.FCr tektite!Ntormatian&mutdaveupmonla •ram igog.a onwtw itsd egos swain*ow • 'Mod torwatW it'd hitnalrudion; uh431e�110oawold trtneaationsby�) attertheyakin publshtd,poto MSWw.9s gavlfoanWR •Pam 10224(prccaadatoslrodestate tranaaa0ane Purpose of Farm •Pores 1o9b•K(maulsetcardardeltidpary network Wnsudano) M Maui orinatp firm W4l44UHtar)vvho!entered toflNen i e tttlinan eblaEst),m90•E(etudidtanNtereo4, informedon/elmvitthaipq$�musl obtain your aertaattaWpam Wov • IdaMiecatoahttnher(UDO+Mdahmybeyoarooatva nurrbev •FaArt1099-0teasoataddebt) 5i)rat tidMMdrdbxpal'arldsntl7aattonri number ploysi � ar4FOonI 9A(aegaltMoaorsbaodorrr tettsuedpropa49lde lceOonntin*or(' lhp,ormtpfoyaonpoilonotWosmetlonrNarniheamownpakloyfrou,orodrar Welro+mW�onYly ON A mraen{inatrdlapausldent aanouat appt)abl.on in Intomuaon return.Bxaniptet of hrermatIon siial.to prov oad raw Mums IroWa•bt*era not Wed to,the following, If you do not Olio Porn 109Wrhere're:4,TiJt arlW,}Wlfl19$I •Form1000.r1T(lilting famed arpoll .oubltdto took*w, oft.ItatVhallatxeMupwhhhotdha. • at No.tOJMIX /qmW- f4iu10201a) . aligaraven ! +CyR CERTIFfOATE OP LIABILITY iN8)RANCf? I OAT* TRIE CEl11S70A1 lE NAUED AS A fdAT I O!r IHtOBMATTWN ONLYINO CONFER,ore T8 UPON Dim C1RTWOAt HOLDER YH e CttMTIF OATS DOES HOT AMM{V1WtLY OR MEOATIUELY AMEND,PATEN OR ALTER 7NECOYdRI►A1 Ammo BY IRE PO!.O= MOW TMCERT1f1OAT[OP II IURANCR mu NOY CONETlM9 A CONTR4CT UMW THE IE301N01HEUIIER(81 AUTNOWYED RINUMENTATTVB OA ARODUCcI,AND THNCSRTIMOATil HOLDER. IMPOZOlin ft yu RiNa th 1IC}det!e En ADDITIONAL INWARD,the poloy(leel nwst bf Wood. IillidDingthiN($wAjgfib,eut4.:I to thiUT,badaandaUaliaofthippaoy.certain plaice may tagnlnenendoreemon4 Aetet. ,nlantliaartatratedaanot;Wartightstelh. Wilda te Diu efeuehaidaraamorIl �.+... Qp� "si` �.•,a J 1d901 •ad KM AYe..• 1,0te 100 ' ti't _ Rol n •927E0 ,,: nlrnecl0wat%o g . .t j,Itriitaal WMAm0lkentr04. 4�4n,,u3 _:: 4,'Lr.r �Y ••�r��� 3te'AnY,I Rl .iotiaDItRi► 1NCO 401e PMboIm OA92800.1818 .• • ilium' anuain1Pt g8. 1�1 pp�IQTj COYDR�IQHB. 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YonF - amtCO io490 is Ec08379120� `'CHRITPI 7F (QJrOdR_ • CANCELLA t U i� _- ,______ _ THE LCPDtA(ON DATA WIMP,N Kumasi W L al D l M awn M Ong Paving C9mp�Ry,Ina AOQORMNCi WIiNTN8i01J0YNtOYtltOtgt . 28taa0h e l e Create AYa. Ayroolnaotut 1m - • Anaheim CA woe r _':�• • 9 teR8 2014 MAD CORPOR*--M7 All tlghtereserltd. ACORD 26(2044101) Th•ACORD amend logo era nplstaredll1arld of _ 1 r - ;,,,,,...5f. State of California S s, Secretary of State .4:'-Y Statement of Information 0070477 ' (Domestic Stook and Agricultural CoaperatlYa Corporations) FILED Pt?E8(Filing end DIscroeure):;MOO. If tide Is an stnsndnlont,aoo inatruotlona. IMPORTANT-R@AC I111)7RUCTIOHB BEFORE COMPLE WO THIS FORM. In the office of the 89011teiy of State t, CORPORAIV ti.*KR Mho Stele ofCfffornfs ONYX PAYING COMPANY,INC. QOT•p9 go18 2.OAIdFORNIA OORPORATENUM0W • • C1dmole TN.si+a..►almWa0M+ fNo¢hsn>1q IOcrifrt(Not appltwbfs if spot sedreae of record fs a P.O.eoxeddresx�o fMructesl o. Ifihilo(avibensiya(lsngestothilnl dotmidonaonfalaodlnthereatStstyhoptolickiii.l-oe•etir#1-0-iMicediWts Secretery etSIste,or jib i1i1mn1 of Ipronnollon hoe been previouelyRed,Ihts io►p1 mast hecepNotwdin Ito entirety. in ifEters has been110chanDa trl soy 0E4inftinnallonWMe6redIn the lot SfatpmeeloftnhamifonMOw1tbthRCslTIRNSocTelvy carats,chock the boxindprossad to 114TR 17. CO1np t.Addr/ee.Et4171701E0w1no (40notebbr.Nato Mohan*of The dfY Itanns4RAS pan;boP•0•acxee. . 4. enter A00(tllsopPRR,IC Airoo{�gbUTIVaiturAnS On .STATE ZIPCCOE 2000 E.IACk6STAAVE., HEII CA 9 Us • a stftearsoppOttc Paolo mil &PIMIHOALYOINN,FANY 4.9Y Wilk 1740120R MOE LA ORESTAAVD.. A92800 �, t qunB.OMDtlWOOFCORPOJWARIPOFIe�EDRTifANR ill 4 0f1Y . STATE ZIP{, Nsime a •COMtnpptots AMtd asiaa o the.PO1lowln OfOcets(the cbtpd►sdon analfdlipeaslhrie elksro.kcabpkTI 1444 , *al' - ofloermA ..Eddedf tiowevoe_o pripfnts4 thas.tin 0ru Mmi must not he el aset) 7. OfIR'SXEG11ftaa0P1}CeRI 400Ro0O• CV ... STATR OP CODE - 00REeKIRBOHNI3R_ 2090E.LACRE$TA AYE,ANAHEIM,CA92800 i a gem/ - AMPS •CITY STATE OP CCME COREY WOR$CHNER 2800 E.to CRt:BTAAIiS.,Room,%CA 92808 4. CUSP MAWS%aritcatI ADORNS ANY en ZIP CODE CORBY KIRSCHF(ER 2090 L.IA CRI?BTAAVE.,ANAHEIM,OA Neat Nuns an Cotaplets ruses of All DIMetote,Including'DIroetote Who art Ito OOk.ra(the corporiVon'owit kw of lust ens . deter.Attsheddifynd nos Unacessny.) ' . .4QR;EYY KIRSCHNER 2880E IACRE8 A NAMO AVE,ANAHEIM,CA02800' Pr 67ATE tV0000 H.NAM • icons A' STATE ZIP COIF • 1S NAYS MOWS CRY — STATE EPODE• is piss OPVADrmnsesnoammo? SiIFANY: _ _ 4ont for INIVI o of Preeese if die eNantrs en NdN O the egentmuetrelldoe3Celironm Who 18'rouettie oampteted vdth a Csl de east Wdrsse,s PA Sot eddreee is apt eceepfabrs, tf the nerd Is another corpontkn,the opal nest bars co Re oih the NON*sacrotvry of Mete e .eetQftCeta morn to OrEfef1ti9 Co/pa/egos Coda mean WSW Den 10 m,o be tell blank - is tote 0PA0=yTPORSEIMCt!OrPROCESS OOBEY KRSCHNER 'fe.STRM11DDl1Eli0FACENTFORTITIRVICEOP FOCUSIN CAUFOAM*,IFANDIDIVMDOAL CITY STATE VPCCOE - 28A0 E.IACRESTAAVE.,ANAHEIM,CA 02906 _Ty pe klutInssi 4l�au n . AE!HAFPAv SERvioE8c9eortNecortPoaAnaN ... . . 17.SY SUSLOTTlNO'THIO S7dTe24917 OP INFORMATION TO THE OAUPOANIA 8SOROMAY OP OVA,'Ms COA'0R1nON CERTIFIES T$I INFORMATION CQHTAIN IO HEAEiINCWORSANTATTACIIMENTe,ISTRUQM000RREO7. 10I014010 At<9HIN HAKIM ATi'ORNEY • GATt tlYfeJFicEiT NIAoppgRooNca\PLET SPORM -lht1- " ingi uNE- - ...jeloino1e1 _ - Sao o IPP1t0VESSYe5CR9TARYOFSTAIA - ,errm,w • ' State of Coil i "�' )p ` ti<`�. Secrete of Stag �;;,., . 8ttatement of Information 0888167 IDomestlo Stock and Agricultural Cooperative Corporations)FEES(Filing and Dtaalosure)t$28.00. FILED if thta is an arcondment,aao If180uo1Iona. IN�NT—R fNBT tJ BEFORECOMPLETINGTHiNFORM, k (RlhooMReiof Ike Becalm ofState 1. CORPORATO NAME oit=ea Slate of CDUfornta • M ONYX PAVING COMPA)IY,INC. . JAN.03 2020 • 2.CALIFORNIA CORPORAta NUININfl 01059076 MgOplaenottos woes o Ch}rngaStatatnent We totted. Dent ectdrrao of record ie a P.C.Box eddrlu.Ed ue!1t o.)' 11 •rc a, bi h.,nbiryobingas to 169 fanga(on eong0nod(q the last 4iatemant oft aimr an Weil wiitfiih.CslitomlI Secya(ary of Mathbrnooutir/Notbi,IRionnot(anhlae OUR ptcatouely Nod,ills tom mot becomp h Its anlhaty © IFtMrta ilia NON II0 d d�go hf aayof the infarmatIon eartelnad to theta ll Statem8iftl fro mi9an i!edwIlh MC Canis$saelary cf6tato,chtoklhilick dpteooedtoitemil. , reor lateAddneeisforthSFoQowing(00Adsbbon4eto the nemeof the ciy.'iteme4 cod icaolotb.P.OMac) - 4. eeRearAoaaei#sotpawcwataxacurNsMRiaca Wrx 8TATs 2P000I a 8'ra19TADDncasOPPRrVOrni!MantascRPto€tNCALtionalstrAHY n? STATE 3tP000e —a wurlN0,inner43ep00Rr0RAttbti,ipoORrakiNTTiuwnEAa4 COI • are1e 2/FCooe • . ear,i atpl C late A ',a Oft• tlta Fott •Mete (Ms eorpgmtion moat Ifs theca(us. 'a.A corn., a ,. , 'a oredA6 . officarinaytiedd�a j•(iarrormthept iTUdIItresonthfafonnodttnotbaetnnd) a cHI pativtiveMIRAN Winos •On: erase IF CODE - B,•8ECARTAAY 'AP DROSS CnY aTAna•' ZIP Pone - R0IA sICew ADDI1O 8 Olttr - $TATP ZlPc000 NOUNS alld Complete Addriasaa el All Cinders,Indic#g erect s-Who are Mid Ofcare(me corptrallon must bate at lout one .dlracton•Aketfi additlooalc00%ltnineasa ,) , 1a NA* Wan AO eTATO McGee ..� • .. Ii.nmen WREN ClOY SYATe NP000u a 11. HAY! • ADDRESS .rIY erAta aPCbDE 13.IMAM 4$OtITNle0M007ding0TORSVarF� Aggdfit foe terirtC Pot Prowii itIti cognition lnildissl,Iha awn muat resift in Words nd Rim tdsuatt►oaco1laled 01110alramfe*cot - addror,,a P.O.Roz.sddroa,b not ecgpkbl,. If the Kalb N Imam comorotort,the quilted Paw en re MO the Celfaula eouetay of State a carmtoeta,wwentbCalitoMSCotporaalaaCodsaaptlontbne and Dan IIMIR P,iddbhn1 • �'14.NAk@OPACERF01(al<AV1O6Itr-PACOFO8 • • 1a CIRetTTADDRRAsoPAoeNTFRRBRAVlcdOFPROCUsit'1cALIFOANIA01RoINDNInUAt.NY g1ATit amcooc fa DF.scAtse THE ntpe ammo ormroanpoaAnok - _ , • • _ 1f.IV aUeal MMA THIS MU/1W OR ORMATI N TO TNL CALPORNA SB;°RITARY OP.OTAT3.PigPOiVOIt(TION deflnlae T u lNFOALMAT.ON CONtARJaomating,otouto tOMYAmmons.ATMANDCORR>a O1roa�020 , MABARBRA RAYPON . OFFICE MANAOERJCONiROLL.ER , DANQ tvrvroNl'umndf•-•80NOMPLIITwo FORM mir" aotarfnE . 11405 -hv, r,1p-.. ,.; <�R y.T:" \ ' '-AIA Document A310 TM - 2010 Bid Bond CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place Onyx Paving Company, Inc. of business) 2890 East La Cresta Avenue SiriusPoint America Insurance Company Anaheim,CA 92806 1 World Trade Center 285 Fulton Street, This document has important legal 47th Floor, Suite 47J consequences.Consultation with OWNER: New York, NY 10007 an attorney is encouraged with (Name, legal status and address) respect to its completion or City of Huntington Beach modification. 17371 Gothard Street Any singular reference to Huntington Beach,CA 92647 Contractor,Surety,Owner or BOND AMOUNT: TEN PERCENT OF TOTAL AMOUNT BID(10%) other party shall be considered plural where applicable. PROJECT: (Name, location or address, and Project number, if any) Zone 1 Curb Ramp Installation Project Number,if any: CC No. 1742 The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60)days. if this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. • When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrona and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.Wher,1 so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signedand sealed this 20th day of November,2023 "(117,/ Onyx Paving Company, Inc. (Principal) / (Seal) (Witnes ate $old e !i Cir 1e. Zlil'SGi7/1 Gl/ -('EQ ✓ (Title) tn►st, SiriusPoint America Insurance Company O �,/ al) 0411 (Witn ss Jonathan Batin '41 SEAL a= it e) Christina Rogers, lour in- act = 'k,.� 4r/��l'= Init. AIA Document A3107,—2010.Copyright®1963,1970 and 2010 by The American Institute of Architects.All rights reserved.WARNING:This AIA° Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe 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 AIA Documentson-Demandw order no. 2008397483,and is not for resale.This document is licensed by The American institute of Architects for one-time use only,and may not be reproduced prior to its completion.081110 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Orange On November 20.2023 before me, Carly Breda!, Notary Public Date Here Insert Name and Title of the Officer personally appeared Corey R. Kirschner Name(1 'of Signer who proved to me on the basis of satisfactory evidence to be the person(g) whose name() is/apre subscribed to the within instrument and acknowledged to me that he/slue/they executed the same in his/her/their authorized capacity(iefi),and that by his/her/their signature()on the instrument the person(, ' or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. o, CARLY BREDAL WITNESS my hand and official seal. S Notary Public-California „ Orange County 4 i. Commission it2442539 <i-400 " My Comm.Expires Mar 28,2027 Signature nature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑Limited Cl 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: r�,�w•e,w^�v�c�e.�e,�c.��c.�c. - �^-v^w�,v�c:��e.�e,��c.�^�,..�,. ©2014 National Notary Association•www.NationalNotary.org• 1-800-US NOTARY(1-800-876-6827) Item#5907 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Orange On NOV 2 0 2023 ,before me, Albert Melendez , Notary Public, personally appeared _ Christina Rogers who proved to me on the basis of satisfactory evidence to be the person(x) whose name(X) is/ale subscribed to the within instrument and acknowledged to me that h'e/she/tly executed the same in 1.s/her/tWeir authorized capacity(ixs), and that by his/her/thgir signatures on the instrument the person(v), or the entity upon behalf of which the person(x) acted, executed the instrument. • I certify under PENALTY OF PERJURY under the laws of State of California that the foregoing paragraph is true and correct. ALBERT MELENDE2 J Notary Public-California ��, Corn raniss o0 2391�1 - WITNESS my hand and official seal. 'aaz.D%My Comm.Expires Jan23,2026 SIGNATURE l PLACE NOTARY SEAL ABOVE Though the information below is not required by law,it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of attached document Title or type of document: • Document Date: Number of Pages: Signer(s) Other than Named Above: PERTAMO1_0823 POWER OF ATTORNEY SIRIUSPOINT AMERICA INSURANCE COMPANY NEW YORK KNOW ALL MEN BY THESE PRESENTS:That SiriusPoint America Insurance Company,a New York corporation,having its principal office in the City of New York,pursuant to the following Resolution,which was adopted by the Board of Directors of the Company,to wit: RESOLVED,that the President,Senior Vice President,Chief Financial Officer,Secretary or Assistant Secretary is hereby authorized to execute Powers of Attorney appointing as attorneys-in-fact selected employees of certain surety companies who shall have the power for and on behalf oldie Company to execute and affix the seal of the Company to surety contracts as co-surety. Does hereby nominate,constitute and appoint: Albert Melendez,Christina Rogers.Erik Johanson.Jennifer Maya.Joaquin Perez.Melissa Lopez • Its uueand lawftl attomey-in-fact,to make,execute,seal and deliver for and on its behalf,and as its act and deed;any and all bonds,contracts,agreements of indemnity,and other undertakings in suretyship(NOT INCLUDING bonds without a fixed penalty or financial guarantee bonds)and to bind the Company thereby as fully and to the same extent as if same were signed by the duly authorized officers of the Company,provided,however,that the penal sum of any one such instrument executed hereunder shall not exceed the sum of S50,000,000 single bond limit All acts of said attorneys-in-fact pursuant to the authorities herein given are hereby ratified and confirmed.The executive officers listed above in the Resolution may from time to time and at any time remove any such appointee and revoke the power given to him or her. The execution of such bonds or undertakings in pursuance of these presents,within one year of the date of issue of these presents,shall be binding upon said Company,as fully andantply,to all intents andpurposes,as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its office in New York,New York,in their own proper persons, IN 11'ITNESS1YHEREOF,SiriusPoint America Insurance Company has caused its corporate seal to be hereunto affixed,and these presents to be signed by its Secretary this 17th day of August in the year 2023. SiriusPoint America Ms uran Company By: Melissa .Ralph Secretary State of New York ) ss. County of New York • On this 17'"day of August 2023,before me,a Notary Public of the State of New-York in and for the County of New York duly commissioned and qualified,came Melissa J.Ralph,Secretary,of SiriusPoint America Insurance Company,to me personally known to be the Individual and officer described in,and • who executed the preceding instrument,and acknowledged the execution of the same,and,being by me duly sworn,deposeth and with,that she is the officer of • the Company aforesaid,and that the seal affixed to the preceding instrument as the corporate seal of said Company,and the said corporate seal and her signature as officer were duly alfrxedand subscribed to the said instrument by the authority and direction of the said Company,referred to In the preceding instrument,is now In force. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal. OP TNAEJA E LEWIS-SCOTT ~ I /III NOTARY PUBLIC ;on expires STATE OF NEW JERSEY LLxr� 'at y,pz4 MY COMMISSION EXPIRES MARCH 31,2028 State of New York COMMISSION.850208541 County of New York I,Melissa J.Ralph,Secretary,of SiriusPoint America Insurance Company,a New York corporation,do hereby certify that the above and foregoing is a full,true correct copy of Power of Attorney,is still in force and effect and has not been revoked. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Company this 20th day of November,2023. �tpnnrWNplik r'4"Ok ' 7� M rasa).Ralph 'r`'{ SEAL Sc relan' .' 1979 ;01 . EwYL�4/ r ''rrmn nna..... SURETY - APPLIED UNDERWRITERS 410® 10805 Old Mill Road Omaha, NE 68154 September 6,2023 Bond Obligees Project Owners General Contractors RE: Digital Seal Authority and Enforceability Notice To whom it may concern: The use of an electronic image of the corporate seal of Siriuspoint America Insurance Company(the"Digital Seal"), and the attachment of the Digital Seal to any surety bond issued by Siriuspoint America Insurance Company is authorized by the company. Siriuspoint America Insurance Company acknowledge and agree that the Digital Seal may be affixed to any authorized Surety bond approved by Applied Surety Underwriters, and relied upon to the same extent as if a raised corporate seal was attached to the bond. Delivery of a digital copy of this Digital Seal Authority and Enforceability Notice,executed electronically,to an Obligee or Obligee's representative,shall constitute effective execution and delivery of this notice and shall have the same legal effect as a delivery of a tangible original of the notice with my original "wet" signature. If you require further verification you may email our Home Office Underwriting Center at infoesuretv.auw.com In Witness Whereof,this has been executed by the President,Applied Surety Underwriters for Siriuspoint America Insurance Company. Y YNNY SEAL) \ 1979 , \41,1p,ef • WY Thank you for your continued business. Sincerely, oshuaC,Be* Pr,�s�d�r�t4<�,�pp�iQr��S`u�ef�+ ,nr�e"ri�%r�tess ?nqx ea'I 9 GO/iipamy / //? . Z 90 E Lk Cresit Ave. e16irr, Cif 72g061 Pi blie Was D iee &J1 ' Httompten &e % Zoo /lam SreGf 9 Hu/Vin len geac1r, ciet 926 yf ,BI.D SECGG1e l TY - t o NOT 0 PEN 7-o)ecf Na~: Zone 1 eta,b feeunpLns l/avian /7y2 ',i t/ Oven ina 7)A • AAA ,ivy.. / .. _- 4 r' n ie 7 ' /A • /S/1 _ ..•, . ... „., . -.•.14, 44 .,w.: v.4.-;,,,,,-4,74tr,7,14,4-•.•-,,,,,.:-',At,' :„-1 P:.1 Igor .• • ••:. -,,, •,-.-,-.,:6.40.0,.:...1 Waft:4Lie` ""11.01:• -4.ti'4.T4,,,,s-f,,44,.0,; 0,••: -•-• ,:„.i...-', ,: ' ; .4...#.1... Yi'14- _ ‘t...,,,, ,,/,,,,A4H4.r ‘,JE. -1., , •,.-0),-.• .. ,01-:.7417,4,.. -,11,-:,,..:,;,..'.iii, ,,-,,,,Agiii-$.0,,,,i,2,':.0.efrsi,•,-,Niehmhe :...'.'.,%,„_,-..;,,,,.-,;.4.,........ .,--,41,1•..4,: , . .0,..-_. .:,..,..t,,....4,...,,..4.4, 4.. ,,,,,,.._.,_. ,,,,./ . 1 ..., At,4 • .1' '4- -:.'-',.. ',.1.',0. 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''''''''''.Z--..-"` -'., 4='•-:::--",".--?;-;-- 1". .--..''''''.7.'•'` - "'"•'-- . .. cOoRRIGEyIN KIR:FscLHANR (714)632-6699 - ?iv\ ,-_.,_.".• •• .'151..,-,,,e, J .• oNYX PAVILANOcOROEMs • 1.'4--- .-4.c \ "t7-: -.- 1 i : ...f.',.... ;11,,,,,..„ : • •TPAANYAVEINNCLiE AC:MGT:1.00 LB , 2890 EAsT 7<*i,..k. CAD:790B491/INET466n / • 4- :°:-- — .11. -!`"r•s i.:I. ''-:'' , ANAHEIM,CA 92806 • DS S 1-9 ATTN: PUBLIC WORKS E /..., 6.,.- tt..'§-../•,,,,... ';•.'-.,.; ----4'.i• ',..)...i. ":;'' ,1-k e‘2\Z'?,'''ite'''':'.411,1.;- • CITY.OF HUNTINGTO -,:-..,::,4,9-;, .._, _2000-VAIN STREETN BEACH ._. v.:- ..,---7-...„.,.........„-,„ ,• „..,_ .,,,,,i,, - HUNTINGTON BEACH CA - (714)632-6699 92648 .W 17') INV: REF: . , _2-Q 1111111111111111111111111111111.11111111111111111111111117ii: ., . • . , , • t° I:it?,.liti L,1, 1,1 if Ili, 'Iil . . z 0_ . . , • . 1 1 . • , . 0) CD . cc, • .. • ., ill di i 1 if ii 1 ' I . . • , ..c i i 1 • , . X TUE-28.NOV:9:30A • . . . - . . • 7742 4404 8158 FIRST:OVERNIGHT . • . . . . TRio - an . . . - •. . .926-48 . . ._9 . I APVA . „,..ja• -. Toy� City of Hu ting ton Beach o� a 2000 Main Street ♦ untington Beach, CA 92648 (714) 536-5227 ♦ .huntingtonbeachca.gov �F - )a'� Office o `the City Clerk °UNT,l C � � Robin Est. •'slaw, City Clerk TVR Construction Engineering LLC 4230 Michael Street Riverside, CA 92507 RE: Zone 1 Curb Ramp Installation —CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, $4nJ4u) Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan TlittelAirj 41'6 SECTION C PROPOSAL for the construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS CC No. 1742 in the CITY OF HUNTINGTON BEACH TO THE HONORABLE MAYOR AND MEMBERS OF THE COUNCIL OF HUNTINGTON BEACH: In compliance with the Notice Inviting ELECTRONIC Bids,the undersigned hereby proposes and agrees to perform all the work therein described, and to furnish all labor,material, equipment and incident insurance necessary therefor,in accordance with the plans and specifications on file in the office of the City Engineer of the City of Huntington Beach. The undersigned agrees to perform the work therein to the satisfaction of and under the supervision of the City Engineer of the City of Huntington Beach, and to enter into a contract at the following prices. The undersigned agrees to complete the work within 30 working days, starting from the date of the Notice to Proceed. BIDDER declares that this proposal is based upon careful examination of the work site, plans, specifications, Instructions to Bidders and all other contract documents. If this proposal is accepted for award,BIDDER agrees to enter into a contract with AGENCY at the unit and/or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to AGENCY of the guaranty accompanying this proposal. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. THE AGENCY RESERVES THE RIGHT TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and/or lump sum prices bid include all appurtenant expenses,taxes,royalties, fees, etc., and will be guaranteed for a period of sixty days from the bid opening date. If at such time the contract is not awarded,the AGENCY will reject all bids and will readvertise the project. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. c-1 If awarded the Contract, the undersigned agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within 10 working days after the date of the AGENCY'S notice of award of contract to the BIDDER, the proceeds of the security accompanying this bid shall become the property of the AGENCY and this bid and the acceptance hereof may, at the AGENCY'S option, be considered null and void. Accompanying this proposal of bid,find Bidder's Bond in the amount of i min which said amount is not less than 10% of the aggregate of the total bid price, as required by the Notice Inviting ELECTRONIC Bids, payable to the AGENCY. (Please insert the words "Cash", "Certified Check", or "Bidder's Bond for_% ", as the case may be) Any standard Surety Bid Bond form is acceptable. Bidder shall signify receipt of all Addenda here, if any: N/A C-2 LIST OF SUBCONTRACTORS In accordance with Government Code Section 4104, the Bidder shall set forth the name and business address of each subcontractor who will perform work or render service to the bidder on said contract in an amount in excess of one-half of one percent of the total bid or $10,000, whichever is greater, and the portion of the work to be done by such subcontractor. &ate Name nd Address of tgte Ctas D R P C y Dollar W �r Iteri(s) Subcontractor Lr erase " ' Regot at op# count contract 4,5,6,8,9 Freedom Concrete 1052097 C-8 1000364975 0 PO BOX 869 RIVERSIDE,CA $123,000.00 /049 92502 By submission of this proposal,the Bidder certifies: 1. That he is able to and will perform the balance of all work which is not covered in the above subcontractors listing. 2. That the AGENCY will be furnished copies of all subcontracts entered into and bonds furnished by subcontractor for this project. C-3 NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on 11/28/202,3at Riverside ,CA Date City State Gergis Bebawy , being first duly sworn, deposes and says that he or she is Owner of TVR Construction Engineering LLC 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. TVR Construction Engineering LLC Name of Bidder Signature of Bidder 4230 Michael St., Riverside, CA - 92507 Address of Bidder C-4 UTILITY AGREEMENT HONORABLE MAYOR AND CITY COUNCIL CITY OF HUNTINGTON BEACH, CALIFORNIA Gentlemen: The undersigned hereby promises and agrees that in the performance of the work specified in the contract, known as the ZONE 1 CURB RAMP INSTALLATION, (I)(we)(it) will employ and utilize only qualified persons, as hereinafter defined, to work in proximity to any electrical secondary or transmission facilities. The term "Qualified Person" is defined in Title 8, California Administrative Code, Section 2700, as follows: "Qualified Person: A person who, by reason of experience or instruction, is familiar with the operation to be performed and the hazards involved" The undersigned also promised and agrees that all such work shall be performed in accordance with all applicable electrical utility company's requirements, Public Utility Commission orders, and State of California Cal-OSHA requirements. The undersigned further promises and agrees that the provisions herein shall be and are binding upon any subcontractor or subcontractors that may be retained or employed by the undersigned, and that the undersigned shall take steps as are necessary to assure compliance by any said subcontractor or subcontractors with the requirements contained herein. TVR Construction Engineering LLC Contractor Gergis Bebawy By Owner Title Date: 11/28/2023 c-s 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 1No 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. TVR Construction Engineering LLC Contractor Gergis Bebawy By Owner Title Date: 11/28/2023 C-7 BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: TVR Construction Engineering LLC Bidder Name 4230 Michael St., Business Address Riverside, CA-92507 City, State Zip ( (714)927 6664 Info@tvrcon.com Telephone Number Email Address 1064223 -A General Contractor A State Contractor's License No. and Class 01/30/2020 Original Date Issued 3/31/2024 Expiration Date The work site was inspected by Gergis Bebawy of our office on 11/22 , 20 23 The following are persons, firms, and corporations having a principal interest in this proposal: 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. TVR Construction Engineering LLC Company Name Signature of Bidder Gergis Bebawy Printed or Typed Signature C-8 NOTARY CERTIFICATE Subscribed and sworn to before me this day of , 202_. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness,accuracy, or validity of that document. State of ) County of ) On before me, Month,Day, and Year Insert Name and Title of Notary personally appeared Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s)acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 Bidder's Project History For the purposes of this project, the bidder shall provide project history of similar work, specifically referencing the construction of{Describe specific work and experience necessary for project. For example, "Sanitary sewer line installation of at least of 1,000 of 8-inch and greater in public right-of-way. Sanitary sewer lift stations of similar size, project work within public streets,an area containing high ground water and pipeline construction in high ground water regions with trench depths of 8-feet to the invert."1. Bidders are encouraged to submit supplemental relevant project history in addition to the projects listed herein. Listed below are the names, address and telephone numbers for three public agencies for which the bidder has performed similar work within the past five years: 1. City of Riverside Name and Address of Public Agency Name and Telephone No. of Project Manager: Shari Khalil (949)943-5958 $304,000.00 City Sidewalk 10/2022 Curb and Gutter Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 2. City of La Verne Name and Address of Public Agency Name and Telephone No. of Project Manager: Shari Khalil (949)243-5958 City Sidewalk $65,000.00 Curb and Gutter 09/2023 Contract Amount Type of Work Date Completed Provide additional project description to show similar work: 3. Montebello Unified School District Name and Address of Public Agency Name and Telephone No. of Project Manager: Shari Khalil (949)243-5958 modular classroom building foundation $730,000.00 with ADA ramp and play field 6/2022 Contract Amount Type of Work Date Completed Please ask for Shari Khalil 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. Shari Khalil Name of proposed Project Manager Telephone No. of proposed Project Manager: 949 243 5958 Central Language Academy" Site Restoration and Ontario"$1.9M New Parking Lot 11/2020 Project Name& Contract Amount Type of Work Date Completed ADA Barrier Removal at Palm Crest Elementary School"La New ADA Ramp with Canada Flintridge" $2.0M new utilities lines 11/2021 Project Name& Contract Amount Type of Work Date Completed New Modular Head Start Building and Shade Canopy at Macy Intermediate modular classroom building foundation School"Montebello" $750K with ADA ramp and play field 03/2021 Project Name& Contract Amount Type of Work Date Completed 2. Gergis Bebawy Name of proposed Superintendent Telephone No. of proposed Superintendent: (714) 927 6664 City of Riverside $304K City Sidewalk Curb and Gutter 6/2022 Project Name& Contract Amount Type of Work Date Completed City of La Verne (951)826 5708 Steven Howard Project No: 602624-23 City Sidewalk Curb and Gutter 9/2023 Project pNamOe& Contract Amount Type of Work Date Completed Project Name& Contract Amount Type of Work Date Completed c-11 CONTRACTOR REGISTRATION WITH CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS (DIR) CERTIFICATE Pursuant to SB 854 (citing Labor Code Section 1771.1(a)), passed by the California State Senate on June 20,2014,established a new public works Contractor Registration Program,which requires all contractors and subcontractors bidding and performing work on Public Works Projects to register on an annual basis (each July 1 through June 30 state fiscal year) with the California Department of Industrial Relations(DIR).Currently the annual non-refundable registration fee for Contractors is $300. Each contractor to whom a public works contract has been awarded shall sign the following certificate. DIR FACT SHEET on SB 854 http://www.dir.ca.gov/DLSE/PublicWorks/SB854FactSheet 6.30.14.pdf DIR's Contractor Registration Link—Call (844) 522-6734 https://efiling.dir.ca.gov/PWCR/ActionServlet?action=displayP W CRegistrationForm DIR's Contractor Registration searchable database: https://efiling.dir.ca.gov/PWCR/Search.action I am aware and will comply with the provisions of Labor Code Section 1771.1(a)which states: "A contractor or subcontractor shall not be qualified to bid on,be listed in a bid proposal, subject to the requirements of Section 4104 of the Public Contract Code, or engage in the performance of any contract for public work, as defined in this chapter, unless currently registered and qualified to perform public work pursuant to Section 1725.5. It is not a violation of this section for an unregistered contractor to submit a bid that is authorized by Section 7029.1 of the Business and Professions Code or by Section 10164 or 20103.5 of the Public Contract Code, provided the contractor is registered to perform public work pursuant to Section 1725.5 at the time the contract is awarded." I furthermore will comply by providing proof of registration with DIR as the primary contractor, as well as for ALL subcontractors at the time of submitting the bid. TVR Construction Engineering LLC Contractor Gergis Bebawy By Info@tvrcon.com Email Owner Title Date: 11/28/2023 PWC Registration #: 1000640510 C-12 BIDDER'S CERTIFICATION* HOUSING AND URBAN DEVELOPMENT ACT OF 1968 AS AMMENDED IN 1992, SECTION 3 TITLE 24, Code of Federal Regulations,Part 135* Economic Opportunities for Low and Very Low-Income Persons The bidder, under penalty of perjury, certifies that except as noted below, any person associated therewith in the capacity of owner,partner, director, officer, or manager(initial the applicable selections): G.B. Will ensure that 10%of all new hires as a result of this project shall meet all requirements of Section 3 of CFR Part 135 of the HUD Act of 1968; or G.B. Will hire no new employees in conjunction with this project. G.B. Will award 10%of its sub-contracts to Section 3 businesses. This certification shall apply to the prime contractor's sub-contracts related to this project. Contractor: TVR Construction Engineering LLC Contact Person: Gergis Bebawy Contact Phone: (714) 927 6664 Signed: Date: 11/28/2023 *Note: The above certification is required by the Department of Housing and Urban Development (24 CFR 135 and Subtitle A et al) and must be submitted by the bidders and proposed sub- contractors only in connection with contracts and subcontracts which are subject to Section 3 of the 1968 Housing and Urban Development Act, as amended in 1992 (HUD). Previous non-compliance with Section 3 could result in disqualification. C-13 EXHIBIT A DISADVANTAGED BUSINESS ENTERPRISE (DBE) This Project is subject to Part 200.321, Title 2, Code of Federal Regulations entitled "Contracting with Small and Minority Businesses, Women's Business Enterprises, and Labor Surplus Area Firms." The Regulations in their entirety are incorporated herein by this reference. It is the policy of the City that disadvantaged business enterprises (DBEs), as defined in Part 200.321, Title 2 CFR, shall be encouraged to participate in the performance of Contracts financed in whole or in part with federal funds.The Contractor should ensure that DBEs,as defined in Part 200.321, Title 2 CFR, have the opportunity to participate in the performance of this Contract and shall take all necessary and reasonable steps,as set forth in Part 200.321,Title 2 CFR, for this assurance.The Contractor shall not discriminate on the basis of race,color,national origin, or sex in the award and performance of subcontracts. Failure to carry out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may deem appropriate. Bidders shall be fully informed respecting the requirements of the Regulations and are urged to obtain DBE participation in this project, although there is no specific goal for DBE participation. C-14 EXHIBIT B DBE INFORMATION—GOOD FAITH EFFORTS Federal-aid Project No. Bid Opening Date The City of Huntington Beach established a Disadvantaged Business Enterprise(DBE)goal of 0% for this Project. The information provided herein shows that a good faith effort was made. Lowest,second lowest and third lowest bidders shall submit the following information to document adequate good faith efforts. Bidders should submit the following information even if the "Local Agency Bidder DBE Commitment"form indicates that the bidder has met the DBE goal. This will protect the bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. Submittal of only the "Local Agency Bidder DBE Commitment" form may not provide sufficient documentation to demonstrate that adequate good faith efforts were made. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement B. The names and dates of written notices sent to certified DBEs soliciting bids for this Project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were.interested(please attach copies of solicitations,telephone records,fax confirmations, etc.): Names of DBEs Solicited Date of Initial Follow Up Methods Solicitation and Dates C-15 C. The items of work which the bidder made available to DBE firms including, where appropriate,any breaking down of the contract work items(including those items normally performed by the bidder with its own forces) into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation was made available to DBE firms. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item Items ($) of (YIN) Contract D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: Names, addresses and phone numbers of firms selected for the work above: E. Efforts made to assist interested DBEs in obtaining bonding, lines of credit or insurance, and any technical assistance or information related to the plans, specifications and requirements for the work which was provided to DBEs: C-16 F. Efforts made to assist interested DBEs in obtaining necessary equipment, supplies, materials or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: G. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists,Internet page download, etc.): Name of Agency/Organization Method/Date of Contact Results H. Any additional data to support a demonstration of good faith efforts (use additional sheets if necessary): NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. C-17 IF A SOLE OWNER OR SOLE CONTRACTOR SIGN HERE: (1) Name under which business is conducted TVR Construction Engineering LLC (2) Signature (given and surname) of proprietor Gergis Bebawy 4230 Michael St., (3) Place of Business (Street and Number) City and State Riverside, CA (4) Zip Code 92507 Telephone No. (714) 927 6664 (5) E-Mail Info@tvrcon.com IF A PARTNERSHIP, SIGN HERE: (1) Name under which business is conducted (2) Signature (given and surname and character of partner) (Note: Signature must be made by a general partner) (3) Place of Business (Street and Number) City and State (4) Zip Code Telephone No. (5) E-Mail C-18 IF A CORPORATION, SIGN HERE: (1) Name under which business is conducted (2) (Signature) (Title) Impress Corporate Seal here (3) Incorporated under the laws of the State of (4) Place of Business (Street and Number) City and State (5) Zip Code Telephone No. (6) E-Mail NOTARIAL ACKNOWLEDGMENT OF EXECUTION BY ALL SIGNATORIES MUST BE ATTACHED C-19 List below names of president,vice president, secretary and assistant secretary, if a corporation; if a partnership, list names of all general partners and managing partners: C-20 EXHIBIT C LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: LOCATION: PROJECT DESCRIPTION: TOTAL CONTRACT AMOUNT:$ BID DATE: • BIDDERS NAME: CONTRACT DBE GOAL: CONTRACT ITEM OF WORK AND DESCRIPTIONDBE CERT NO. NAME OF EACH DBEDOLLAR AMOUNT ITEM NO. OR SERVICES TO BEAND EXPIRATION (Must be certified on the date bidsDBE SUBCONTRACTED OR MATERIALS DATE are opened-include DBE address TO BE PROVIDED(or contracted if the and phone number) bidder is a DBE) For Local Agency to Complete: Total Claimed DBE $ Local Agency Contract Number: Participation - Federal-aid Project Number: Federal Share: Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Signature of Bidder Date (Area Code)Tel.No. Print Name Signature Date Local Agency Representative Person to Contact (Please Type or Print) • (Area Code)Telephone Number: Local Agency Bidder DBE Commitment(Construction Contracts) (Rev 6/26/09) • C-21 PLEASE NOTE: This information may be submitted with your bid.If it is not,and you are the apparent low bidder or the second or third low bidder,it must be submitted and received as specified in the Special Provisions.Failure to submit the required DBE commitment will be grounds for finding the bid nonresponsive The form requires specific information regarding the construction contract: Local Agency, Location, Project Description, Total Contract Amount, Bid Date, Bidder's Name, and Contract DBE Goal. The form has a column for the Contract Item Number and Item of Work and Description or Services to be Subcontracted or Materials to be provided by DBEs.Prime contractors shall indicate all work to be performed by DBEs including, if the prime is a DBE, work performed by its own forces, if a DBE. The DBE shall provide a certification number to the Contractor and expiration date.Enter the DBE prime's and subcontractors' certification numbers.The form has a column for the Names of DBE contractors to perform the work (who must be certified on the date bids are opened and include the DBE address and phone number). IMPORTANT: Identify all DBE firms participating in the project regardless of tier.Names of the First-Tier DBE Subcontractors and their respective item(s) of work listed should be consistent, where applicable,with the names and items of work in the"List of Subcontractors"submitted with your bid. There is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items of work submitted with your bid pursuant to the Special Provisions. (If 100%of item is not to be performed or furnished by the DBE,describe exact portion of time to be performed or furnished by the DBE.) See Section "Disadvantaged Business Enterprise (DBE)," of the Special Provisions (construction contracts), to determine how to count the participation of DBE firms. Exhibit 15-G must be signed and dated by the person bidding. Also list a phone number in the space provided and print the name of the person to contact. Local agencies should complete the Local Agency Contract Award,Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all information is complete and accurate before signing and filing. C-22 EXHIBIT D EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder TVR Construction Engineering LLC [proposed subcontractor - Freedom Concrete ,] hereby certifies that he/she/it has , has not X ,participated in a previous contract or subcontract subject to the Equal Opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that,where required, he/she/it has filed with the Joint Reporting Committee,the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of$10,000 or under are exempt.) Currently,Standard Form 100(EEO-1)is the only report required by the Executive Orders or their implementing regulations. (eeoc.gov/employers/eeolsurvey/index.cfm) Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. -Ar�Is Signature: Date: 11/28/2023 Gergis Bebawy Print Name: Title: Owner C-23 EXHIBIT E NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) Zone 1 Curb Ramp Installation To the City of Huntington Beach In conformance with Title 23 United States Code Section 112 and California Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on behalf of,any undisclosed person,partnership,company,association,organization,or corporation;that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid,and has not directly or indirectly colluded,conspired,connived, or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead,profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract;that all statements contained in the bid are true; and,further,that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation,partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Noncollusion Affidavit is part of the Bidder's Proposal. By signing the Proposal,the Bidder has also signed this Noncollusion Affidavit. Bidders are cautioned that making a false Certification may subject the Bidder to criminal prosecution. Signature: Date: 11/28/2023 Print Name: Gergis Bebawy Title: Owner C-24 EXHIBIT F DEBARMENT AND SUSPENSION CERTIFICATION TITLE 49, CODE OF FEDERAL REGULATIONS,PART 29 The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated with Bidder in the capacity of owner,partner, director, officer, manager: • is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency; • has not been suspended, debarred,voluntarily excluded or determined ineligible by any Federal agency within the past 3 years; • does not have a proposed debarment pending; and • has not been indicted, convicted, or had a civil judgment rendered against him/her by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility.For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. -er�11S Signature: Date: 11/28/2023 Print Name: Gergis Bebawy Title: Owner C-25 EXHIBIT G NONLOBBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any - person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than$100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$100,000 and that all such subrecipients shall certify and disclose accordingly. Signature: Date: 11/28/2023 Print Name: Gergis Bebawy Title: Owner C-26 EXHIBIT H DISCLOSURE OF LOBBYING ACTIVITIES COMPLETE THIS FORM TO DISCLOSE LOBBYING ACTIVITIES PURSUANT TO 31 U.S.C. 1352 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type: ❑a.contract [I]a.bid/offer/application El a.initial b.grant b.initial award b.material change c.cooperative agreement c.post-award d.loan For Material Change Only: e.loan guarantee year quarter f.loan insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No.4 is Subawardee, Enter Name and Address of Prime: ElPrime ❑Subawardee Tier ,if known Congressional District,if known Congressional District,if known 6. Federal Department/Agency: 7. Federal Program Name/Description: CFDA Number,if applicable S. Federal Action Number,if known: 9. Award Amount,if known: 10. a.Name and Address of Lobby Entity b. Individuals Performing Services (including (If individual,last name,first name,MI) address if different from No. 10a) (last name,first name,MI) (attach Continuation Sheet(s)if necessary) 11. Amount of Payment(check all that apply) 13. Type of Payment(check all that apply) $ Actual planned a.retainer b.one-time fee 12. Form of Payment(check an that apply): c.commission ea.cash d.contingent fee b.in-kind; specify: nature e deferred value f.other,specify 14. Brief Description of Services Performed or to be performed and Date(s)of Service,including officer(s),employee(s),or member(s)contacted,for Payment Indicated in Item 11: (attach Continuation Sheet(s)if necessary) 15. Continuation Sheet(s)attached: Yes No ❑ l6. Information requested through this form is authorized by Title 31 U.S.C. Section 1352.This disclosure of lobbying reliance Signature: was placed by the tier above when his transaction was made or entered into.This disclosure is required pursuant to 31 U.S.C. Print Name: 1352. This information will be reported to Congress semiannually and will be available for public inspection.Any Title: person who fails to file the required disclosure shall be subject to a civil penalty of not less than$10,000 and not more than Telephone No.: Date: $100,000 for each such failure. Authorized for Local Reproduction Federal Use Only: Standard Form-LLL Standard Form LLL Rev.09-12-97 C-27 INSTRUCTIONS FOR COMPLETION OF EXHIBIT H, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient, at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C. section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1) Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2) Identify the status of the covered Federal action. 3) Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last,previously submitted report by this reporting entity for this covered Federal action. 4) Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee, e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts, subgrants and contract awards under grants. 5) If the organization filing the report in Item 4 checks "Subawardee" then enter the full name, address,city,state and zip code of the prime Federal recipient.Include Congressional District, if known. 6) Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name, if known. For example, Department of Transportation,United States Coast Guard. 7) Enter the Federal program name or description for the covered Federal action (item 1). If known, enter the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements, loans and loan commitments. 8) Enter the most appropriate Federal identifying number available for the Federal action identification in item 1 (e.g., Request for Proposal (RFP) number, Invitation for Bid (IFB) number, grant announcement number, the contract grant. or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001." 9) For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10)(a)Enter the full name, address, city, state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influenced the covered Federal action. (b) Enter the full names of the individual(s) performing services and include full address if different from 10 (a). Enter Last Name,First Name and Middle Initial (Ml). 11)Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity (item 4)to the lobbying entity (item 10). Indicate whether the payment has been made (actual) or will be made (planned). Check all boxes that apply. If this is a material change report, enter the cumulative amount of payment made or planned to be made. C-28 12)Check the appropriate box(es). Check all boxes that apply.If payment is made through an in-kind contribution, specify the nature and value of the in-kind payment. 13)Check the appropriate box(es). Check all boxes that apply.If other, specify nature. 14)Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s) of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s) or employee(s) contacted or the officer(s) employee(s) or Member(s) of Congress that were contacted. 15)Check whether or not a continuation sheet(s) is attached. 16)The certifying official shall sign and date the form,print his/her name title and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0046),Washington,D.C. 20503. By my signature on this proposal I certify,under penalty of perjury under the laws of the State of California, that the foregoing questionnaire and statements of Public Contract Code Sections 10162, 10232 and 10285.1 are true and correct and that the bidder has complied with the requirements of Section 8103 of the Fair Employment and Housing Commission Regulations (Chapter 5,Title 2 of the California Administrative Code). C-29 EXHIBIT I FEDERAL LOBBYING RESTRICTIONS Section 1352, Title 31, United States Code prohibits Federal funds from being expended by the recipient or any lower tier subrecipient of a Federal-aid contract to pay for any person for influencing or attempting to influence a Federal agency or Congress in connection with the awarding of any Federal-aid contract,the making of any Federal grant or loan,or the entering into of any cooperative agreement. If any funds other than Federal funds have been paid for the same purposes in connection with this Federal-aid contract,the recipient shall submit an executed certification and, if required, submit a completed disclosure form as part of the bid documents. A certification for Federal-aid contracts regarding payment of funds to lobby Congress or a Federal agency is included in the Proposal. Standard Form - LLL, "Disclosure of Lobbying Activities," with instructions for completion of the Standard Form is also included in the Proposal. Signing the Proposal shall constitute signature of the Certification. The above referenced certification and disclosure of lobbying activities shall be included in each subcontract and any lower-tier contracts exceeding $100,000. All disclosure forms, but not certifications, shall be forwarded from tier to tier until received by the Engineer. The Contractor, subcontractors and any lower-tier contractors shall file a disclosure form at the end of each calendar quarter in which there occurs any event that requires disclosure or that materially affects the accuracy of the information contained in any disclosure form previously filed by the Contractor, subcontractors and any lower-tier contractors.An event that materially affects the accuracy of the information reported includes: 1) A cumulative increase if$25,000 or more in the amount paid or expected to be paid for influencing or attempting to influence a covered Federal action; or 2) A change in the person(s)or individual(s) influencing or attempting to influence a covered Federal action; or 3) A change in the officer(s), employees(s), or Member(s) contacted to influence or attempt to influence a covered Federal Action. C-30 Bid Bond SURETY: CONTRACTOR: (Name,legal status and princOal place of (Name,legal status and address) business) TVR Construction Engineering LLC 4230 Michael Street The Ohio Casualty Insurance Company This document has important legal Riverside,CA 92507 175 Berkeley Street Boston,MA 02116 consequences.Consultation with an attorney is encouraged with OWNER: respect to its completion or (Name,legal status and address) modification. City of Huntington Beach Any singular reference to 17371 Gothard Street,PO Box 190 Huntington Beach,CA 92647 Contractor,Surety,Owner or other party shall be considered BOND AMOUNT:Ten Percent (10%) of total amount bid plural where applicable. PROJECT: Zone 1 curb ramp installation (Name,location or address,and Project number,if any) Project Number,if any: CC# 1742 The Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such bid,and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof;or(2)pays to the Owner the difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid.Waiver of notice by the Surety shall not apply to any extension exceeding sixty(60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty(60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 27th day of November, 2023 TVR Construction Engineering LLC (Principal) (Seal) (Wi ess) (Title) The Ohio Casual Insurance Com any ��0/Disu /�C.41 6219 B (Surety) (Seal) c 1919 rm, $siy 0 MAe rt� (Witness) �ti'1 . Aaron M.St/ey,Attorn in act Seal No.E924 By arrangement with the American Institute of Architects, the National Association of Surety Bond 1 Producers (NASBP) (www.nasbp.org)makes this form document available to its members, affiliates, and NASBP associates in Microsoft Word format for use in the regular course of surety business.NASBP vouches that the original text of this document conforms exactly to the text in AlA Document A310-2010, Bid Bond. Subsequent modifications may be made to the original text of this document by users,so careful review of its wording and consultation with an attorney are encouraged before its completion,execution or acceptance. This Power of Attorney limits the acts of those named herein,and they have no authority to air bind the Company except in the manner and to the extent herein stated. sa,‘0��e Liberty Liberty Mutual Insurance Company ` Mutual. The Ohio Casualty Insurance Company Certificate No:8209969-992384 West American Insurance Company SURETY POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Lisa M. Battista;Ryan Gumbita;Christopher D.Kolger;Joseph Perschy;Aaron M.Steffey all of the city of Houston state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 18th day of April , 2023 . Liberty Mutual Insurance Company P,1NSU/4 ' INS" d %NSt,Rq The Ohio Casualty Insurance Company 4 oaPON 't, 4.s ovPO�>19.L „EY.,00 O�ie. 0 West American Insurance Company • .. For) Qa tc) cr $ ors v; 2 1912g 0 0 1919 1991 c �;1= r 3 30' a�r",ro y /� CD o d�'ZILL.. Aa NAmeS .aa :ed., N lot- Aa ! 4 .= U m David M.Carey,Assistant Secretary t`o State of PENNSYLVANIA ss •— n County of MONTGOMERY o E of A. = On this 18th day of April , 2023 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance 0 a2i o�o Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes e therein contained by signing on behalf of the corporations by himself as a duly authorized officer. >@ at IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written. c•0 a0 as 0 PA L9 MowW ST' Commonwealth of Pennsylvania-Notary Seal e�I, 0 U°�' laz Y Teresa Pastella,Notary Public �Q%� C E ai Montgomery County � o a OF My commission expires March 28,2025 By• N c a._ arr commission number 1126044 eresa Pastella,Notary Public Q `o N. N.."—• :G Member,Pennsylvania Association of Notaries .� cn W ,Q�,-.iq,. O C) Y� t.a? This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual 3 coo 0•g- Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o M ac D_ARTICLE IV—OFFICERS:Section 12.Power of Attorney. 15 co o m Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the to 2 r President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety m To• aci any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall c have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed, such O a> z instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the a a Zv provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ti n ARTICLE XIII—Execution of Contracts:Section 5.Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C.Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 27th day of November 2023 • Fv issue, P01 INS" 4o0 \ • o o %. �ro 1912 0 1919 0 1991 ° �,�ccy, : � o a B • �0 *us A ZO Humps Ab •ls,� mo- Aa y Renee C.Llewellyn,Assistant Secretary LMS-12 173 LMIC OCIC WAIC Multi Co 02/21 NOTARY CERTIFICATE Subscribed and sworn to before me this day of � v1fXYI V y, 202 3 . A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document, to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of CCCl`` ‘(i i CI ) County of -cV cv( (At. ) On NC)eYn100- a-71 9 6`d 3 before me, )( ,0 y YeI tIn LVOve r, 100E-0 FUG) C Month, Day, and Year Insert Name and Title of Notary personally appeared C-e_kr3\C ),€\p Q,W Name(s) 'Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS myhand and official seal. v''�'� KATHRIN EMELINE DOVER 6 ^'++tw COMM. #2427092 z i : ;;~ Notary Public•California o z �: r ,j/' Riverside County 07 Mx Comm.Ex Tres Nov.18,2026 Signature fi�✓lil,1-V1 D51)-0/\ Signature of Notary Public (PLACE NOTARY SEAL ABOVE) C-9 -Tvg coitsTv-tAFTioi FivOrWe-c-h'ivn / 3c, ptifchae'I Xlve-5(cie ce) ?”-07 I'l Fo® Tit r&Ca71 • CQM CC 111-12-- Zowe 1 CLAY- 6 ?Am.? !pisTal) f io'19 "TIN ief ...-... � City of. Huntington Beach ��o� 2000 Main Street ♦ Huntington Beach, CA 92648 ° _ (714) 536-5227 • www.huntingtonbeachca.gov ����� F� ►7:190 o�e�@� Office of the City Clerk .•P �4� Robin Estanislau, City Clerk °UNT�� ,f ® April 5, 2024 We R Builders, Inc. 3746 Foothill Blvd., #304 Glendale, CA 91214 RE: Residential Maintenance Zone 1 ADA Curb Ramp Project—CC No. 1742 Enclosed please find your original bid bond for CC No. 1742. Sincerely, 9,67444 Robin Estanislau, CMC City Clerk RE:ds Enclosure Sister City: Anjo, Japan SECTION C PROPOSAL forthe construction of ZONE 1 CURB RAMP INSTALLATION from VARIOUS LOCATIONS C No474,2 in the CITY OF RUNTINOTON BEACH TO THE HONORABLE _MAYOR ANI) 'MEMBERS OF nit COUNCIL OF HIPSTHCOTONHEACHI In compliance with the Notice Inviting ELECTRONIC Bids,the 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 Ifuntington Beach. The undersigned agrees to perform the work thereinto 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,341 working days,starting from the date of the Notice to Procood. 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 toeuterinto a.contractwith AGENCY at the unit and/or lump stun prices set forth in;the following BUSChedule. BIDDER understands-that failure to,enter into a tot-tract in the manner and time prescribed result th 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 fmal compensation under the contract wilt be based upon the actual quantities of work satisfactorily completed. 'THE AGENCY RESERVES THE loofa TO DELETE ANY ITEM FROM THE'CONTRACT. It is agreed that the unit and/or lump 5.11M,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 011,1)icis and will read-vat*the project. In the case of discrepancies lathe amounts bid,unit prices shalt govern over extended amounts, and words shall govern.over figures. , , 1 SECTION!C PROnCT:BM CURB:RANWPROJUTI.,CC 042 DID 1.17.MS . . .. .. ... .. 4C.Or:-.4Y-,-4.Pi,tilt... ...1:1t,:,'.9 L'OkObAgiiigii*Sitk_,L,4:-- -.:!litt*. :',.. °47..14... le.';'tik41.'.4!`4,41.-et'::•°'-,,Z:`,41.4;t4A4.1 14,,i+ , . t a.•e':":;;*;`:40440.Ak.,;.A;••',•!„,f14-0:."'',:ilf,N7V4'1142:44nEfttiiairt'4' '-ZT.Ert ,.? Vyi.-,,,,,,_„,. .",,t. ':-..*V,V4Zt.:4,.4-',,,i'!`":,4 tcrjrtr0:4V61*tA :-11-40 - i?.4.1,„.. ..';':-7.,':mHZ-';W:, ;;Pt4.,.'47*.t'.•..i:'',W,.„.i&-.4.t`:‘:ft;TAP..4.,tr."(;-:1:,'....:'mieltl',;',W.,.. ..,fse-,,Z-f4i 4.,:„.1V.c:',.':',Ps.'7-0,-,41:- ,-..-,P41C,..P.v,":41,7,,r-r.'.,,..—.1.,,,,"('-',,, ::;- .0.,...,'A''..,:,,,Vt-','''''-',..,.,;'-.47".: . - • i ,, , . $ ,i 1 Mobilization .! ., i: '1 • ,tA t 12,500 12,500 , ' 2 • 3000 Prepare Storm Water Pritintion Prevantion Plan:"(SLWPPP,y, : . Ls t 3000 • - •- ' ,1 1 ,.. ,. . 3 !t'O.:01.1,a Maintain•C OtartiaOtt 15-.M-P$ .', ,1,:.IS, $ 1500 1500 ' . ., . ;Constructeurb AccessEarro pertattrans,Std.,Plan g8.0440:a5.,as$ho* 'so Curb komo CrotM(1 (kAlogefidt* i'1 !-,• 4 E ft of Specifications (iteraincludes all appurtenances,curb 5 ,, &.gutter,depressed ourh.taw&t,Sidewalk dorms, 5 • retatilitig with Sfot pg9e,retc) $„ „. • EA 10,500 52,500 H , ., , , ! HOritOttitteC0t):04,0:0:dpAcce ,ETO- mp;110.r0t.igt*I.s:Sttl, •.. ,. . Plan.ASSNA8811.using,•horliontallturb cutting machine ' 1 0110WeildeliOom Rao°,oti.W121040600x fi of Specifications (item includes all appurtenances curb& 1• • . •r 0004 depressed ttiib..,SOW.,.alti SidetikOttf.domes retaining „ , ! ,curbi efo .23;) ! EA •S 8500 , 195,500 ! . • tonstruct,tutb Access Ramp pertaltrans Std.Plan • MWA:80 o shown on:Ow*Rarn 1)-, Mg:$0,Aoge-..-Nfix. 6 H of Specifications (IternaticludeS alt appurtenancesi,•curb ! . ',. &suffer,depressed rcurk sawed,Sidewalk,domes! •. " $.. , ... .... - • " , . '., retaining COM$itit Pa.V0i et ,), i 6 :: F.,,A,, .s.:7000 42,000 . ,, • . , Rett096#egt Replace 40000 c4:000.0 ati$Ottet0.$ Shown on Curb Ramp Detail inApoentlix H of- . - curb speciOtMisoo moot ireudo all a1;:oottotiatio#.:*,, u ,..... „ $ : gutter cross gtitter,,sawcut,aletpatCh,etc.',) i 1,300 ,, SF $ 50 ,: 1 InStalt4r PVC: a : S, leve forStre HO04P4m1401 Assmbl Sier Cit of ,!'! - ,' t ,,,,• 3 EA, $ 1,250 ' 3,750 . .....,.• . ''. Retri—evo,and rept"0.04,Jci— .Sidewalk per:0444 H8:$0, ! ; # i Pitio207:at bt-, 1:tiii.dokoj000titto fofop, (Item includes all ' TWO. appurtenances,sawcutl , sr 1., ii 1, 16,500 , : . •• :'!, Remove,and replaces existing/Z-12't Curb and( utter per '-: , ' •, .„,, la ' Ha Sfet,,:-Plait 2.0$titem includesMi.gpoolloallos; ' '$ : •:_, : owot mot 04ve„.. olo, S- OO LE $160 48,000 • It: 440,250.00 v.- •', •i . 04.4 SECTION t PROJECT:BID ta.0HZC:1:14 $U8-TOTAL.alit):AMOUNT fN WORM- four hundred forty thousand two hundred fifty dollars . " ....„ ........ ....... NOtC Ali extension$,of unit pet:mew-it:be.':$41)teot to,verifOotibri by:Owner..;in case between the unit price and the extension,the bilk pike will goVeht,The Owner reserves the right to reject any or all proposals and bid Items trt addition,the City reserves the right to include or remove id Schedule'8 in ittd:Award al*'t.orittatt. • • If awarded the'Contract, the tmdersigned agrees that itt the event of the BIDDERS dem* ,executing the requirecicontract and filingthe necessarybonds and insurance c- I ates within 10 wntking days after the date:of the AOINCY!S notice,of award of contract' to the 131WElt,,the proceeds of the security acconTanying this bid shall become the property of the AOENCY and this bid and the=acceptance.hereofmay,atihe AGENCY%option,bp:consideivd mill.and vo!*i: Accompanying this proposal ofbic;,find Bid,Boad .tu tl-fe amount of '..444; 'wineh, said amount is not less than tO%of the'aggre- gate ofthe total bid price, as required by the Notice inviting ELECTRONIC Bids payable to the AGENCY, ( 1ease inqert the words "rah . "Cettified Check",,.or"Bidder's Bond forin% as the case may be) My standard Surety Bid -Bond fortr.t is=acceptable. shatl signify rgooipt of 4:Addenda here,if any; . tiono blotto • C-2 LIST OF SUBCONTPACTORS In ueropiorie'with tionnumPt Code Section ,404,„the;14414e7 ow sat fatal'alp:Awe affd httittea addrogs ottaelt,gtibOdtitradibf who tin perform wok.Off rootlet g''.e.tiite,to the bidder oil -gzifil ieblitekt iti an amount in excess ,of mac-half of one percent of sth4. tool'hid or$11100#, villithevu is srmec:and ilie,p9tam;p2rthe welt:to be 47one ty,Ateh ohemozacttat, 1, .L,,..- .....•,:,...;,.,: „,:•::. :,.. .::., :.,,;..:•:;:i ..:, ,....:i :•::..,. .. .:,:i•;:-: ::...i•,i_..7 „.T2:,: . i';-''.':.•77., ;:;- :. f.4•:::;.,, 'L,2t= :5f::::1#44,40*: t:4 :;:„.1',; ::00.0:,:.: Dollar-,,:;.q, ;..o.pfogw-c .:;i . :5::.,!wi-:,#' Ili:f--11 1 :00i:•, ,:::'':.- t!0#0eliMfilE7:i!•.;,omooI,: ::!':::4, :!A04.**04t,::::';'/**04i4,),i;:iiitikit:0:1 ,-,:-c,4', 1,, .:.,-.7'.'E;7::,:W2 . -;..eil6(***10*.A02wAlZi.P.V. M . A4k47 ! -::. • 1111 1. ' 1 , I„ 1111111111 1111 :•':i. , . in i MIME .1 • • . ,. . .. . 111 . OM . .. ' :] i .• ;I ... , 11111 . , . . . . . • . . .. ,.. , • : • ,. . • i •• ,, , By whicoi$Aottof Wig propos4h the Bitidef oefiriott 1., That he:Isi atk to a-Ad...will tiedotth the balance of all work:vifilch 4$not ovorodirt'tb# Above koboorttraotors hail* 2,, That'ffko AGENCY *iill be-tiarhi*ea.;eoples of aft. stLimmtradts,eutered into.arld,band$ figniiked hy gtibcortot:fet this.prciat ca NONCOLLITSION AFFMAwr Td BE EXECUTED BY WDDitii,STD$U13, 1° w D wrraBID I declare under penalty of perjury sunder the laws of the State of'California that the foregoing is to and correct a idthat this decluation is:executed on ai/25t23,at Glendate , CA bate .fit date= N'ezar.ACsrnadi *being: hfrsst duly sworn•deposes and says.that he or she is President Secretary &Treasurer of We R Ouilders,Cr c the patty tniking the foregoing hi that the bid:is ncit made in the interest of;or oothehehalfot any undisclosed person partnership, company, association organization, or corporation; that the but is gen ie and not rive Pt$hut],,that the bidder has not directly or indirectly induced or solicited any ether bidder to put hi a false or sham bids and has snot 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 NIA not in any wanner* dlr ct y 1,indirectly, sought by ,agreement, communication*,or conference with anyone to fa.the:bid price, or-that early other bidder,or to ,:secure any advantage against foie-public body awarding the contract of anyone interested in the proposed een ractYh..;:at,all statements contained in the bid,are tree and,further,that•the Udder:has ncsl,dfre ly or:indirectly*a , ,muted lns or her bid price or any breakdown thereof*or the contents thereo , or d vulged 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*effectuate a Ce illusive:or sham bid. We R,Funders,,Cnc, Dame:of Bidder Signa a.of rider 3746;Foothill Blvd.#3.04;, Gtendate,,GA. 1214 ...... ............................ ... . Address of.Bidder UTILITY AOR: MEN EQNORAALt MAYOR AND'CITY tO:UNCIL :CM Of 1015-:.:MOTON:'EttA:CfL0.41o0RISTIA nettreitehit The undersigned hereby promises and agrees that m the performance of the:metal specified in the contract,known as the ZONE 1 CORD RAMP INSV.WA: 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,!Seddon:2106, f011ows:: 11Q:40,11aed rgnOitt A pers.:ow/0i by reason of experience or ks.stlictiot isja-mitior with the operatibitabopefeirmed4-44'th Iwo*it : :a The undersigned also promised and agrees that all such work Shall he performed in addordance with all.appliciblif,:electrical utility companys requirements, Public Utility Commission orders, and State ofealia,Citttglargq*mpxit . The tuidetdihel futthetretrakeg and ogees that the provisions herein Shall be and are binding PrOA.'41.1Y:P412c91147400!`or subcontractors that may be roUttood or 41;tplciy4 by the'undersigned, 4.44.. that the undersigned $1,10 take steps AS, are necessary to assure VO.P304:11e , by am said subcontractor.or sOhocotr4.0toro With the reqarOloOt$'goof*ett betebt Htract rAismal . , . By 2.'• President Secretary 84:Treasurer Title Dad: 11/28/2023 )31SQUALIFICATION QUESTIONA1Rt neeordnnieeWjGovemmenl Code Section 10162,the Bidder shall complete,.under penalty of pal"thc following questionnaire. QTJESTIONTIAIR E ilas the Irldder„any officer fthe Bidder or any employee-of the''B idder who hag a proprietary '1111Ptest in the Bidder ever been thsanalifted,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 a No Mg1thewerI explahthe circumstances in the spaceprovided, , - Note: This questionnaire constitutes a part of,t1ie Proposal, and a signature portion of Proposal shall constitute signature Of this questionnaire: COATPEN. SATION INSURANCE-CERTIFICATE 17arsuant.to Section 1861 of the State Labor Code,each contractortawbutnapublic works:co-farad has been awarded shall sign the following certicate. I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured aglinst`liability for wo±er's compensation or to undertake self insurance in accordance viith the provisims of that code, and I will comply with such provisions before Commencing the .etförxnanøe.ofThework ofthi cOtract Nezar AlsrrfacV aAdets Contractor presislent-,Secretarv,r$4,Treasurer Title Date: ii/28[20n c-7 BIDDER'S MO.M4i,:r.:107C AIDDElt certifies thatthe%naming infontation is trvel and cotreoti. Wideatr,R 13Nui s 'm sidertne .,I 8 a 746 POotfittli Blvd...4464 13nsiness Address Glendale,CA 91214 Ci State ' ZIp' .(714 ) 874,5275 toetatiOnS@WrbtotiStrUttiOrt.COril Tel ' En1411M4e$$ 1055746;A&B State Contractor's License No. mid Class ICt02/101,11 Ottn' al Date Issued CO/31/2015 Expiration bate The work site was inspected by,Nazar Alsffiadi of on ofgee on 11,1/1/2-023 The follomdtg,gre personsifirros,,and covorations having a principal interest in This proposal: Vto t t4Ztets1 t.iit,,,.. Nezer Aismadt President,Secretary,.&Treasurer The undersigned is prepared to satisfy the Council of die City of ZIA:logo'',Beach texts ability, financially Or otherwisel to perform the Contract for the proposed Work. and imilrovemonfta in ageorclwe Will'te P111116 a 14VePiteatiellS sPt„forth.,, We:R Buildera, trio. , COM. ,,.. *Ille ,,,, ' . . ' , 7 ..„., .. .. si - ... i. , ,.. „,....Ats... p.....typed,Signature C-8 NOTARY CERTIRCATE Subsetibectah4 waTa to before me this day of 202; . A notary public ox other officer oda0*g this certificate verifies only the ittenhvf of the individuai who signed the document, to which this .certificate is attached, and not the ttilthitioesS. accuracy or valifty of that document. State of . County of On bolo me Month,Day,.and Year 2 rnsertName and Tide of Notm personally appeared. Nte(s)of t ait igrter(s) who proved to Me on the.basis of satisfaargy-evidence to he 1h6perSon(s).whose Amm(s) is/am subscribed to the Within instrument and:aClatowleciged to me that heaeitbey executed the same In hialherttheirautho ed capacity(ies),and that'kylitAer/their signature(s)on'theinstrumentthe petS0110).„a the elifitt4diibehalfofNytkh 101PQr$011(8)„acted,.executed the instrumot. I certify under PENALTY OF PERJURY miler the laws -of the State of California that the fOregoW ptIs true and correct WITNESS my hand and-officiai seat Signature Signature orNotary Public (PLACE NOTAlef'SEAL ABOVB) Tel „ . „ . CALIFORNIA.,JURAT ,GOVERNMENT CODE§,.8202 A-notary public•:or other officerromplating this tertificatevettfies only the identity of the:indivildual who.signed 13 Ihedoosnentiowhich thicertificateis attached,and mottle truthfUlness,accuracworvalidity ofthat doc.urnert.. 1 State of California r.... County of LOS•: ' i:ItiN t'tk .S=.. , ' -' Subscribed and sworn 10 tar aftitifieci),.Ware be on 1 t1$ It'*.lO'f — 2.c-.-1.L3...., by _ Oath Month Aim- (.0‘. ......,m.,:i. ‘ Notary Piiblit-:tittrienti 1 .a.,.. "':::. 1.SANOle%County A, ( • --..fictr.. crilfilintottl,Z#W. - MK9100.140tmPO'Zt 2027. : (and(2)<::-.."....'.' Name(s)i of Signer(s) proved to,me on the basis or satisfactory gliklertS .to be the,pot-sot-0 who,appeared before ow 1: -- --- ' k A' Signature ,' 044st*Pe'S 4 ' NsikA.,•.--8 ._ . e.. ,Ploce AlattuySeal onoVorStofnp,Above Signature of NototylVigo OPTIONAL Completing 0101P-formotko.can deter alteration of the document or fraudulent reattachment at.,*form to an unintended document Description of Attached Document welat,..lies...,. Title or t^:y0e of Document: :---.j. ', . : :. Di5Witietit Date: :‘!'4'-:'''' ?3. .-i--'..: .t: , .- . .. : -----:- Number of Pages: SiVaef(a),Other rian Named Above: , ., . ..s.:, . :-_ _ . ._ ,: -.. : .... .„ -._.:„.. . -—„ ' - • „ „ ' CS2:019 National-Notary AsaoCiation milder9'sPrgeci)11story „,„ km the Purross of this Project the bidder shall pride 'project hiatoy of similar work, specifically referencing the constraction of{Describe spec work and experience necessary for orOject,For example,"Sanitary sewer line installation of at least of 1400 of 8-inch and greater hi public right=of.way. Sanitary sewer lift stations of sinillar Siie„—j3roieet'work within public streets,an area containing highground water and nioilineconstruction in high ground water regions with trench deuths of 8-feet to the invert A4agrs arc noragedto submit supplementaltelevant project historY in addition to the projects-listed.herein. Litted 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: L SEE ATTACHED Name and Address of Public Agency Name and Teleplione No.ofProject*rigger, Contract Amonnt Type OfWcric Dote Completed Pro-dde ad-ditienal project description to,Acv,siinijar work; 2. SEE ATTACHED Name and Address of Public Agency Naind and Telephone No.ofWoject Manager: COntatAiount 'Two of Work nae Completed Provide additional pro,feet deseriptionto show similar"work; 3. SEE ATTACHED Name andAddress ofPubik Agency Name and Phone No.ofProject Manager: COntra0 AMOUtti Type ofWork, Date-Completed Provide additional,proPet deseriptionto stow similarwork C-141, We R Builders, Inc. 3746 Foothill Blvd,#304,Glendale,CA 91214 714.874.5275 I Operations C(DWRBConstruction.com CA License #1055746 I DIR #1 0008846 1 0 V — SELECTIVE WORK EXPERIENCE — Included herein is a curated selection of contracts recently completed by We R Builders, Inc., demonstrating our expertise and commitment to excellence. These examples reflect a portion of our extensive portfolio, underscoring our capability to deliver high-quality results in response to public solicitations. Please Note: In the event that further references or detailed information on previously completed projects are needed, WRB is fully prepared to furnish these at your request. This is part of our commitment to ensuring full transparency and confidence in our qualifications for your project. (1) CONTRACT NAME: On-Call Emergency Asphalt and PCC Restorations. OWNER: City of Santa Ana, Public Works Department CONTRACT VALUE: $3M (Work-Orders) I Completion Date: 2023 (Extension —3 Years) CONTACT: Michelle Cabanas; (714) 647-5031; Mcabanasesanta-ana.orq DESCRIPTION OF WORK: This contract focuses on comprehensive concrete restorations in public rights-of-way,covering essential elements such as Sidewalks, Curbs and Gutters, Cross-Gutters, Drive-Approaches, and ADA Curb Ramps. Our approach includes thorough inspections, precise removal of damaged concrete, and meticulous replacement ensuring seamless integration with existing infrastructure and full ADA compliance. While the primary emphasis is on concrete work, brief attention is also given to necessary asphalt pavement restorations. We prioritize adherence to city standards and safety for the public,city personnel, and our staff, implementing stringent traffic and pedestrian control measures in line with the WATCH manual, and ensuring the use of all required Personal Protective Equipment (PPE). Our goal is to deliver high-quality, durable . . restorations with minimal public disruption, upholding the highest safety and quality standards. (2) CONTRACT NAME:On-Call Related Services OWNER: Eastern Municipal Water District CONTRACT VALUE: $1.8M I Completion Date: 2023 (Extension —5 Years) CONTACT: Haely Hernandez; (951) 928-3777 ext. 6231; hernanha(d emwd.orq DESCRIPTION OF WORK: This contract involves proficient management and coordination of the master contract with the owner, ensuring that all work is scheduled and executed effectively to align with the owner's requirements. Our approach is structured to maximize efficiency, often by bundling multiple location repairs to optimize resource use and response times. The scope of work is diverse and includes concrete flat work such as sidewalks,curbs and gutters,cross-gutters, drive approaches, and ADA curb ramps, alongside more specialized tasks like fencing repairs, structural foundation repairs, CMU block wall repairs, and bespoke masonry and concrete work for unique situations. Our team is adept at handling sophisticated scenarios,demonstrating flexibility and innovation in our solutions. Crucial to our success is the seamless coordination and scheduling of work with other contractors involved in the project. We maintain open communication channels and collaborative relationships to ensure all activities are harmonized, minimizing disruption and facilitating a timely and successful completion of the project, in accordance with the owner's schedule and standards. Our focus is on delivering high-quality results while maintaining rigorous safety and quality controls throughout the project lifecycle. WE R BUILDERS,INC. WWW.WRBCONSTRUCTION.COM PROPOSAL We R Builders, Inc. : " , 3746 Foothill Blvd,#304,Glendale,CA 91214 r 714.874.5275 I Operations@WRBConstruction.com CA License #1055746 I DIR #1 0008846 1 0 — SELECTIVE WORK EXPERIENCE CONTINUED — (3) CONTRACT NAME: Concrete,Masonry and Drainage Repair/Maintenance Master Agreement OWNER: Sierra Corporate Management, Inc. CONTRACT VALUE: $1 M I Completion Date: December 2022 CONTACT: Edmund Nisbet; (682) 215-9049; edmundnisbet@gmail.com DESCRIPTION OF WORK: As the primary contractor, we have been entrusted with the maintenance and major projects requiring professional services across all facilities owned by the client in Southern California, including Orange County, Los Angeles County, Riverside County, and San Bernardino County. This responsibility encompasses a broad range of activities with stringent requirements to ensure the highest standards are met. Our work has involved both minor and major concrete and masonry repairs across various facilities. A critical aspect of our role includes coordinating with homeowners, ensuring a smooth and unobtrusive process while performing necessary upgrades and repairs. This has been particularly significant in community pool projects, where we have upgraded facilities to meet health and safety standards,enhancing the recreational experience for residents. In addition to these tasks,we have focused on upgrading various community areas to ensure ADA compliance,making them accessible and safe for all users. A notable aspect of our work has been facilitating construction services to address and improve drainage infrastructures. Given the unique elevation challenges in communities along the mountains, our team has been instrumental in designing and implementing comprehensive new drainage systems.This includes the installation of necessary pumps, laying new piping, and adding catch basins to effectively manage water flow and prevent potential issues. Our commitment to meeting the specific needs of each community, particularly in challenging environments, demonstrates our capability to deliver tailored, high-quality solutions, ensuring every project not only meets but exceeds the expectations of our client and the community residents. (4) CONTRACT NAME: Retaining Wall and Foundation System Replacement OWNER: Hollydale Estates CONTRACT VALUE: $350K I Completion Date: December 2022 CONTACT: Edmund Nisbet; (682) 215-9049; edmundnisbet@gmail.com DESCRIPTION OF WORK: The scope of work entailed replacing over 500 linear feet of failing retaining CMU block walls, accompanied by the installation of new foundational systems. This intricate task required a harmonized approach, blending technical skill with acute attention to resident coordination and safety. Effective communication with residents impacted by the construction was paramount. Our team diligently informed and collaborated with the community to minimize disruption,ensuring a smooth process throughout the project's duration. Emphasizing safety, we rigorously implemented measures to secure the worksite during operation and at the close of each workday, safeguarding both the public and the residents. Compliance with the specifications and requirements of local authorities was a critical aspect of our execution strategy. We engaged continuously with regulatory bodies, adhering strictly to their guidelines, particularly in aspects related to structural integrity and safety. This meticulous adherence to regulatory standards was instrumental in the successful and compliant completion of the project, showcasing our commitment to quality, safety, and community cooperation. WE R BUILDERS,INC. WWW.WRBCONSTRUCTION.COM PROPOSAL iliddees Critical Staff Listed below are themmes_ 'ofthe Udders proposed ConatrnOfion:Project Manager*and Sapetintendent. For each of these.critical positicros,please lit at least three projects forwWcb the critrcaI staghas,performed sI1ar work within the last rive years, These paled's do not have to be Px der,tbe employment of the bidder fthis project,1Bidders are encouraged siihniit supplme:ntal relevantproject Netory in Addition to the project$listed herein, 1,, SEE ATTACHED . Name of proposedProject Manager Telephone No. ofproposed Project Manager, Pro,jePt.Name&Contract iiiinonnt Type-,ofWork Date Completed ProjectName&ContractAtno. tint Type of wort Date CoMpleted _ WOW Name&Contract..A.Motmt— Typeef Work Date totnpleted 2, SEE ATTACHED Wattle' ,afpropoae4 Soperintenclent Telephone No, ofproposed Superintehdent: Wojeet,Name a Contract Atnet'int 1We orWoric Dato CimPleted PtilectXartig 'CotitraetAmount Twomirk Date'Completed, Pr-ciegt Nam rotitif miacult Typd of Work. .. Date'Completed c41 We R Builders, Inc. r a r 3746 Foothill Blvd. #304,Glendale,CA 91214 / 'A 714.874.5275 I Operations@WRBConstruction.com KEY PERSONNEL NEZAR ALSMADI I EXECUTIVE •CONSTRUCTION PROJECT MANAGER CREDENTIALS • Bachelor of Science in Civil Engineering • California General Engineering Contractor License (A) • California General Building Contractor License (B) • OSHA-30 Certification • Participated in Acquiring the 2013 Project of the Year Award (American Public Works Association, Southern California Chapter South Lawn Storm Water Management System) RELEVANT SKILLS • Strategic Planning & Overall Strategic Planning • Developing &Applying Jobsite Safety Plans& Policy • Project Management • Materials& Equipment Control • Project Estimating • Document Control • Budgeting & Cost Controls • Compliance with Specifications,Submittals & Quality • Contractual Management • Oversite of Onsite &Offsite Operations& Deliverables • Resource Optimization • Information Governance /Dashboards/ Reports • Team & Efficiency Development • Clear Communication & Coordination • Scheduling & Goal Accomplishments • Adaptable to Changes or New Circumstances • Establishing New Businesses from Scratch to Successful • Convergent/Critical Thinking to Resolve Issues Outcomes • Scheduling Work& Crews • Establishing Protocols • Coordinating with Clientele & Personnel • Collaborations Inhouse & 3rd Party(s) • Enforcing OSHA Safety Regulations • Public Works Construction Projects • Managing Material &Vendors • Commercial Private Construction Projects • Conducting Weekly Safety Meetings • Residential Construction Projects • Reviewing Blueprints& Directing Crews Accordingly • Preparing Detailed Bids & Contracts • Quality Control • Managing Change Order(s) • Competent&Consistently Implementing New Innovations • Facilitating Construction Operations • Competent Person QUALIFICATIONS Experienced management and operational skills with extensive training in the Construction and Contracting Industry. Nezar Alsmadi's focuses his time to leverage his extensive experience in the industry to drive growth and deliver exceptional results. As an accomplished Executive with over 15 years of experience in the construction industry,Nezar has a proven track record of leading successful companies to achieve outstanding results. He possesses expertise in strategic planning, project management,financial management, and team leadership. Throughout Nezar's career, he has demonstrated a deep understanding of the construction industry and has successfully managed projects ranging from projects with price-scales as little as $5,000,to large-scale developments $20M+. Nezar experience in the industry encompasses of taking impactful part in successfully completing well over$100M in projects values. Having talent for identifying proficient and effective deliverables has led to new opportunities initiated by referrals from prior Clients due to satisfactory deliverables,allowing expansion of the company portfolios. As a skilled leader, Nezar has effectively managed cross-functional teams of engineers, architects, contractors, and other stakeholders to ensure successful project deliverables. His unique distinction in fostering a culture of collaboration and teamwork,and implementing processes to streamline operations,optimizing resource allocations,and increasing productivity. Nezar's overall experience is comprised in General Engineering & Building Construction, specializing in the underground utility infrastructure,Concrete &Masonry Construction,with substantial exposures to all other areas of construction. DIR I 1000884610 WE R BUILDERS,INC. KEY PERSONNEL LICENSE 11055746 WWW.WRBCONSTRUCTION.COM We R Builders, Inc. .� 3746 Foothill Blvd. #304,Glendale,CA 91214 , ;_ 714.874.5275 I Operations@WRBConstruction.com -4 NN KEY PERSONNEL NEZAR ALSMADI I EXECUTIVE • CONSTRUCTION PROJECT MANAGER PROFESSIONAL EXPERIENCE CONCRETE/ MASONRY REPAIR & MAINTENANCE ANNUAL MASTER AGREEMENT Orange County 12021 & 2022 I $500K Executive I Project Manager This annual contract included services to repair, alter and upgrade conditions on an On-Call basis. The work associated to this Agreement incorporated Concrete Driveways, Concrete Drive-Approaches, Concrete Ramps, Concrete Sidewalks, Concrete Curb and Gutters, Concrete Cross-Gutters,C.I.P. Catch Basins, Concrete Pool Decks, C.I.P. & Pre-cast Pool Coping, Free-Standing CMU Block Walls, Retaining Walls (CMU Blocks/Stones/C.I.P.),and more. Through transparency,capabilities of experienced management, professional workmanship, and effectively using resources as needed per each service-call concluded to securing the Contract for additional year extensions,as the exclusive contractor. ON-CALL SANITARY SEWER REPAIR PROJECT Brea, CA 12022 I $45K Executive I Project Manager One of many on-call service-orders,the value of this project specifically is with regards to Sanitary Sewer Mainline Repairs. Upon arrival to the site and investigating the complaint initiating the service call—without any available As-Builts, but solely through experience—we were instantly able to narrow down the locations of the possible issue(s)to the existing underground Sanitary Sewer system. Using a nearby clean-out to CCTV the existing sewer-line, approximately 15 min later (on our first attempt),we were able to locate the issue.Saw-cutting the existing asphalt pavement,excavating approximately 4-ft deep, and exposing the existing mainline,we were able to find the tree root penetrating the mainline. We began by installing a passthrough-bypass and using the cleanout to flush and clear the pipe, meanwhile pumping out any excessive waste. After clearing all the waste,prior to making this repair,we plugged the upstream section of the pipeline and CCTV the downstream section; approximately 40-ft from the first damaged section, we encountered another section damaged by roots. Upon retrieving direction from our client,we immediately began digging out the secondary section. Finding the main close to 6-ft deep,our crew set up the shoring system as required per OSHA,then accommodated the repairs.We initiated repairs after confirming no additional damages occurred along that stretch of mainline (up-to the next manhole).Such repairs consisted of cutting sections of the roots (without damaging the health of the tree),installing the sections of pipe in-place of the void/cut- out section removed, and re-connected onto the existing main on both ends of the new sections using flex-couplings. After testing and confirming no leaks occurred, we encased the section of mainline with concrete to avoid similar future issues, backfilled and compacted trench-zones,and restored pavement and landscape sections along the work areas. CRENSHAW/LAX TRANSIT CORRIDOR PROJECT LA COUNTY METROPOLITAN TRANSPORTATION AUTHORITY I 2020 I T&M Project Manager The work consisted of installing a new section of Sanitary Sewer mainline, laterals and manholes at a depth of 18-ft,part of the Metro Rail Transit Extension project,consisting of Transit Corridor Project. The work consisted of effective planning from competent personnel,proper implementation of safety regulations,extensive shoring system,and constructive equipment and personnel.This contract consisted of constructing this work under Time and Material basis,with a Not to Exceed(NTE)limitation. With collaboration of experienced management skills and competent individuals, essential planning, and effective deliverables,this successful project concluded well under the NTE,saving our clients thousands of dollars. DIR 11000884610 WE R BUILDERS,INC. KEY PERSONNEL LICENSE 11055746 WWW.WRBCONSTRUCTION.COM We R Builders, Inc. 3746 Foothill Blvd.#304,Glendale,CA 91214 \; 714.874.5275 I Operations@WRBConstruction.co ;x KEY PERSONNEL NEZAR ALSMADI I EXECUTIVE •CONSTRUCTION PROJECT MANAGER WATER DISTRIBUTION MASTER CONTRACT COUNTY OF LOS ANGELES I 2020 I CONTRACT VALUE: $5M Project Manager Managed construction operations for all water distribution systems associated to the Water Purveyor's service area within the County of Los Angeles as the Exclusive Contractor for the District. The services incorporated into this Master Contract consisted of facilitating in creating an efficient system composing of 100+ Line Items; coordinating up-to five inhouse 4-man-crews to accommodate Work Orders; implementing knowledge gained from years of experience in the industry for effective solutions and outcomes; and proficient document-management-control capturing accurate record keeping,accounting and other general project management reporting documentations. The services provided consisted of furnishing and installing appropriate pipe and appurtenances required for upgrades, replacements, leak repairs, and all new water systems; furthermore,this contract required the Contractor to stay available on an 'On-Call' basis — 24 hours a day, seven days a week — to service emergency leaks. The construction aspect of this Agreement encompassed water mains (up-to 24-inch 0), water services/laterals, meters, valves (cut-ins & line-stop types), fire hydrants, fire services, backflow-preventers, traffic control, trenching/excavating, shoring systems, backfilling, compacting, and pavement/landscape restoration repairs (Porcelain Cement Concrete, Hot-Mix Asphalt, Landscaping, and Striping Repairs). Operations were conducted within the Public and Private ROW, and being performed for the public, developers,or residents. The duration of the Master Contract's terms incorporated the maximum allowable contractual term 1-Year plus (+) Two 1- Year add-ons,concluding to a Three-Year term with over One Thousand successfully completed work orders. ORANGE COVE WATER IMPROVEMENTS PROJECT CITY OF ORANGE COVE I 2014 I $2.3M Project Manager This project was qualified and approved for 100% funding by the California Department of Public Works. This contract encompassed of upgrading and installing 1,900 new water services and 'smart' meters (providing daily electronic readings of the meters). This contract required working side-by-side with the engineering firm facilitating the design of this project,then establishing a protocol to effectively tackle this project, and implementing such protocols with the crews. In addition to the construction services in this Contract,additional services included coordinating,identifying and recording the size,location,length,reading and type (where applicable) of every water service, meter, backflow preventer, fire hydrant, and fire service throughout the City. To utilize the smart features of the water meters,we had to get the longitude and latitude for each water meter location. Given the ad-hoc nature of some of the residential units within the city, we encountered challenging circumstances that were overcome by proper management and people skills. This project was concluded to a successful completion,with a tremendous amount of time remaining in the Contract followed by the effective management,supervision,scheduling and implementation of available resources. CITY OF FRESNO MAINTENANCE & REPAIR CONTRACT City of Fresno 12013 I T&M Project Manager The on-call service calls required a crew to be dispatched onsite within 4-hours of its request. This contract required the Contractors availability 24 hours a day,for 7 days a week. DIR 11000884610 WE R BUILDERS,INC. KEY PERSONNEL LICENSE 11055746 WWW.WRBCONSTRUCTION.COM We R Builders, Inc. 3746 Foothill Blvd.#304,Glendale,CA 91214 y 714.874.5275 I Operations@W RBConstruction.com KEY PERSONNEL NEZAR ALSMADI I EXECUTIVE •CONSTRUCTION PROJECT MANAGER ORANGE COUNTY GREAT PARK — VISITOR CENTER PAVILION & SOUTH LAWN PROJECT City of Irvine 12013 I $22.8M Project Engineer I Jr. Project Manager This project included the construction of a new Visitor Center Pavilion, and expansion of the Great Park's sports programs and other unique features along the 'South Lawn' of the Great Park.The positive economic impact from this project resulted to 15%of the parks footprint at the time,with the South Lawn portion of this project alone generating more than 50 full-time equivalent construction jobs for the Orange County economy. The Visitor Center Pavilion consisted of a new ground-up 5,000 Sq-Ft unique building that became the Great Park's first new permanent building. This building included features such as a large lobby, restroom facilities, concession areas, exhibition areas and office spaces. The South Lawn included features such as four tournament-quality soccer fields (encompassed of synthetic and natural grass) with professional light features,concrete basketball courts,750-ft walkable historical timeline walkway made up of pavers and thereby connecting the South Lawn to the famous 400-ft high Great Park's orange balloon, restroom facilities,jogging and exercise trails made of decomposed granite, 400+ landscape tree plantings, six ponds that became the parks firsts water features,and a state-of-the-art storm water collection management system with filtration and store storm water mixed with reclaimed water from Irvine Ranch Water District. The sophistication of the infrastructure improvements of this development included underground wet and dry utilities,electrical equipment and lighting, drainage improvements, irrigations systems, concrete and masonry construction, asphalt roadways, landscape improvements, and fencing throughout the project. The complexity of this project, in addition to the obstacles of the stringent regulations of the Great Park, this Project created unique challenges that required a distinctive type of experienced management skills to overcome such obstacles.The outcome of this project resulted to acquiring the 2013 Project of the Year Award (American Public Works Association,Southern California Chapter South Lawn Storm Water Management System). ADDITIONAL PRIOR EXPERIENCE ( S ) — CALIFORNIA I 2010-2023 Along with the projects listed above, Nezar's experience includes a substantial list of additional Projects relating to the Construction areas indicated under the Qualifications section;some of these projects are— • Caltrans Highway Realignment Project(sub to Granite Construction)—Underground Utility& Concrete Div. I $15.8M • Failing Retaining Wall Replacements I Brea,CA I $150K • Concrete &Masonry Exclusive Contractor I Orange & LA Counties I $450K(in 2022) • Lot Grading & Drainage System Project I Corona,CA I $90K • New ADU Ground-Up Construction I Irvine,CA I $400K • Downtown LA Rehabilitation Project I Los Angeles,CA I $3.2M • Concrete Roadway Improvement Project I Cypress,CA I $61 5K • Pool & Balcony Addition Project I Irvine,CA I $500K • New Free-standing Patio Cover I Newport Beach,CA I $75K • New Free-standing Patio Cover I Laguna Beach,CA I $67K • Two Community Pools Plaster and Decks Replacement Project I Norwalk,CA I $350K DIR 11000884610 WE R BUILDERS,INC. KEY PERSONNEL LICENSE I 1055746 WWW.WRBCONSTRUCTION.COM We R Builders, Inc. 71 3746 Foothill Blvd.#304,Glendale,CA 91214 714.874.5275 I Operations@WRBConstruction.com s ,. KEY PERSONNEL ELIAS HERMOSILLO I SUPERINTENDENT RELEVANT SKILLS • 30 years of experience as a Superintendent in the construction industry. • In-depth knowledge of public bid solicitation processes and regulations. • Strong understanding of construction plans,specifications,and contract documents. • Proficient in coordinating and supervising subcontractors,ensuring compliance with project requirements. • Skilled in developing project schedules,monitoring progress,and implementing necessary adjustments to meet project milestones. • Exceptional leadership abilities with a focus on fostering teamwork and collaboration. • Excellent communication skills, both written and verbal,facilitating effective interaction with stakeholders at all levels. • Detail-oriented and highly organized,with the ability to prioritize tasks and manage multiple projects simultaneously. • Proficient in utilizing construction management software and tools to streamline project documentation and communication. QUALIFICATIONS As a highly experienced and dedicated Superintendent with over 30 years of experience in the construction industry, Elias has an outstanding track record of delivering successful projects on time,within budget,and to the highest quality standards. He possesses a deep understanding of all aspects of construction,from the initial planning and design phases through to project completion and has a proven ability to manage complex construction projects of all sizes and types. Throughout his career,he has developed a unique set of skills and expertise in all areas of construction,including planning, scheduling, budgeting,quality control,and safety management. He has worked on a diverse range of construction projects, from small-scale commercial buildings to large-scale infrastructure projects,and has always remained committed to delivering exceptional results for his clients. As a skilled leader and communicator,Elias has a natural ability to motivate and inspire his team,fostering a culture of collaboration,accountability,and excellence. He is highly skilled at managing cross-functional teams to ensure that project goals are met and that everyone is working together towards a common objective. In addition to his extensive technical knowledge and leadership skills,Elias is also highly adept at negotiating contracts with subcontractors and suppliers. He has a keen eye for detail and a passion for delivering projects that exceed client expectations. He is a highly skilled and experienced Superintendent with a proven track record of delivering successful construction projects across a wide range of industries. He is committed to providing exceptional customer service,ensuring that projects are completed on time,within budget,and to the highest quality standards. PROFESSIONAL EXPERIENCE GENERAL SUPERINTENDENT, WE R BUILDERS, INC. Los Angeles & Orange County I November 2020 — Present Superintendent • Oversee the contractor's response to public bid solicitations,ensuring timely and comprehensive submission of bid documents. • Review project plans,specifications,and contract documents to identify requirements and constraints. • Collaborate with the estimating team to prepare accurate cost estimates for bid proposals. DIR 1100088461 0 WE R BUILDERS,INC. KEY PERSONNEL LICENSE 11055746 WWW.WRBCONSTRUCTION.COM 1 OF 2 We R Builders, Inc. „-\\ 3746 Foothill Blvd. #304,Glendale,CA 91214 r. 714.874.5275 I Operations@WRBConstruction.com `" '"" / KEY PERSONNEL ELIAS HERMOSILLO I SUPERINTENDENT • Coordinate with subcontractors,suppliers,and vendors to ensure availability of resources and materials. • Develop detailed project schedules,including milestones,deadlines, and critical paths. • Monitor project progress,identifying potential delays or issues,and implementing corrective measures as required. • Conduct regular site visits to ensure compliance with safety regulations,quality standards,and project specifications. • Manage project budgets,including tracking expenses,approving invoices,and controlling costs. • Communicate with clients, architects,engineers,and other stakeholders to provide updates on project status, address concerns, and ensure client satisfaction. • Supervise and mentor construction personnel, providing guidance and training as needed. • Prepare and submit progress reports,change orders, and other project-related documentation. PROJECT SUPERINTENDENT, WE R BUILDERS, INC. Chino Hills I November, 201 0 — November 2020 Superintendent • Leads the project team in planning and execution of project and revises as appropriate to meet changing needs and requirements. • Take off quantities. • Examining quotes with specifications. • Completing bid items,incorporating all costs,etc. • Submittals/RFI's. • Traffic Control Plans. • Contacting suppliers and subcontractors. • Minimized company exposure and project performance risks. • Proficient in mixing, pouring,and fishing concrete at job sites. PROJECT SUPERINTENDENT, WE R BUILDERS, INC. Los Angeles County I January 2005 — November 2010 Foreman • Manage project scope,schedule,and budget on all projects. • Performed excavation,earth-moving, rigging,and concrete work. • Performed demolition work,coordinated work teams using knowledge of location and level of charge,wrote orders, and crosschecked materials requirements. • Established traffic Control Plans amongst teams. • Subcontractor communications. • Change Orders. • Purchase Orders. DIR 11000884610 WE R BUILDERS,INC. KEY PERSONNEL LICENSE 11055746 WWW.WRBCONSTRUCTION.COM 2 OF 2 We R Builders, Inc 3746 Foothill Blvd. #304,Glendale,CA 91214 v„ �r 714.874.5275 I Operations@WRBConstruction.com KEY PERSONNEL SAED ELSAADI I FIELD ENGINEER CREDENTIALS • Bachelor of Science in Finance, Real Estate & Law from Cal Poly Pomona • Associate degree in business administration from Orange Coast College RELEVANT SKILLS • Experienced in construction project • Skilled in technical problem-solving and management,scheduling,and budgeting. troubleshooting. • Familiar with construction codes and • Excellent communication and interpersonal regulations skills. • Skilled in managing construction teams and • Experienced in project management and subcontractors. leadership. • Knowledgeable in construction materials and • Strong attention to detail and time methods management abilities. • Proficient in Bluebeam Revu,and Microsoft • Adaptable and resourceful in changing Office environments. • Excellent communication and interpersonal skills • Knowledgeable in safety compliance and • Ability to work in a fast-paced,deadline- equipment maintenance. driven environment. • Proficient in documentation and quality control. • Developing &Applying Jobsite Safety Plans & • Expertise in data analysis and decision- Policy making. • Materials&Equipment Control • Experienced in customer service and contract management. QUALIFICATIONS The candidate is a highly qualified and experienced field engineer,with several years of relevant experience in the field of construction, engineering, and related industries. They have a solid understanding of engineering principles and practices and are familiar with a variety of tools and technologies used in the field, including Bluebeam and project management software like Microsoft Project. Throughout their career,the candidate has demonstrated excellent communication and interpersonal skills,working effectively with clients,contractors,and team members at all levels of the organization. They have a proven track record of managing projects independently, taking initiative to solve problems and make decisions as needed, while ensuring compliance with safety regulations and standards. They possess strong analytical and problem-solving skills, allowing them to diagnose and troubleshoot complex technical issues in the field. The candidate is well-organized, able to multitask and meet deadlines in a fast-paced environment and has experience working in dynamic and challenging environments. They are willing to travel and work in remote or challenging locations, such as construction sites,oil rigs,or mining operations.As a physically fit individual,they are comfortable working in a variety of outdoor and indoor environments. DIR 11000884610 WE R BUILDERS,INC. KEY PERSONNEL LICENSE I 1055746 WWW.WRBCONSTRUCTION.COM 1 OF 2 We R Builders, Inc. w4 3746 Foothill Blvd. #304,Glendale,CA 91214 Y r / , 714.874.5275 I Operations@WRBConstruction.com ,` , KEY PERSONNEL SAED ELSAADI I FIELD ENGINEER PROFESSIONAL EXPERIENCE FIELD ENGINEER, WE R BUILDERS, INC. Los Angeles County 12021 - Present Field Engineer • Manage and oversee multiple construction projects simultaneously,from planning to closeout. • Coordinate with architects,engineers,and subcontractors to ensure project specifications and requirements are met. • Develop project schedules and budgets and monitor progress to ensure timely completion of projects within budget. • Conduct site inspections and quality control to ensure work meets construction codes, safety standards, and quality requirements. • Create and interpret construction drawings and specifications. • Prepare daily reports and other project documentation,including change orders and requests for information. • Provide technical support and training to project teams and subcontractors. • Assist in the development of project proposals and cost estimates. • Demonstrated expertise in document control and management, with experience in developing and implementing effective document control systems,workflows,and procedures. • Proven ability to track and manage project costs,including forecasting,budgeting,and financial analysis.Familiarity with project accounting principles and practices. • Experience in using industry-standard document control software, such as Bluebeam Revu to manage project documents,drawings,and correspondence. • Familiarity with regulatory and compliance requirements related to document control and cost tracking, such as OSHA. • Strong attention to detail and organizational skills, with the ability to maintain accurate and up-to-date project records, logs,and reports. • Excellent communication and interpersonal skills, with the ability to work effectively with project teams, clients, vendors,and stakeholders at all levels of the organization. • Proven ability to manage multiple projects simultaneously and prioritize tasks effectively, while meeting deadlines and delivering high-quality results. • Experience in conducting regular project reviews, identifying areas for improvement, and implementing corrective actions to ensure project success. • Ability to analyze and interpret project data,such as cost reports,progress reports,and project schedules,to identify trends,patterns,and potential issues. DIR 11000884610 WE R BUILDERS,INC. KEY PERSONNEL LICENSE I 1055746 WWW.WRBCONSTRUCTION.COM 2 OF 2 CONTRACTORREGISTIIAIION WITT' CALIFOMIA.DEPARTmENT OF:INDUSTRIAL RELATIONS.031R) FaTiFiCATE ,Purgt,aPttoS:B 854(4ting Labor Code Section 17711(a)),passedby the California State Senate on June.20$201,4,established a new public-works Contractor Registratiorikrogram,which requires all contractors and subcontractors bidding and performing work on Ruble Worka 'Projects to register on an annual basis Oath My 1,through tune 30.Artte,os,001 year with the California Department of Industrial Relations(1)%Currently the annual nonlefinidableregistration,fee for Contractors is WO:, Each contractor to a public works contract has been awarded.,S1x41 sign the folloWing Certificate. DIRVACT MEET on SB:854 httrifwvvw,dir,cavviDLSE/PublieWorks/SB854ractShett .4.10.14.pdf DM' Contractor Registration Link—Call(844)522-6734 httpsSefiling dir ca.gpvVWCR/ActionServlgt?aCtion=dfspiayPWCRogista, tionForza Mk's Contractor Registration searcha• bledambase; kap-Kilefiring.clir.cagovtIVCWSearch,action I am aware comply with the provisions of Labor CodeSection 1171.40 which,states; A contractor or onhoontractor ahallnot be: 'rifiedio bid on„he listed in.a bid proposal,. subject to th rcqiirements of Section.4104 orthoPublic Contract Code,,or engage in the performatico afly contract forpublio work,a$defined in:Way ter,unless currently registered and queMed to perform public work pursuant to,Section 1125,5. It is not a viotatiortof this section&ran Unregistered contractor to submit a bid that is authorized by Section 7029.1 ofthe Business and.Professious(lode or by Section 1016,4 or 20103,.5 the Public Contract Code,provided the contactor is registered to pttfotru public work pumant to,aectiou 17215 at*clime thd coutractisaward6:4,*1' I furthermore WM,comply:by prolCding proof of regi :sitradort witliDIR as the primary to-Atta- dot, as well'aS for ALL subcoMractors at the time ofsubraitting the bid. Nezar Aismaal Contractor . P. operations@wrbooristruction.corn Email President,Secretary 8,c'Treaturer Title Date: 1i/28/20:23 VWC Registratio', .1013084610 042 • BIDDER'S CERTIFICATION* , HOUSING.AND'URBAN DEVFLOPWNT,ACT.OF 1.90.$AS Aia.ttNI)*ED 1$92,$ SECTION 'TITO 4, Code of irederal onsParti35 ' • Edoift—onik,Qpliortutlities.for Low wad VeryLow=hieornePersous The bidders teoder.penalty ofperjury,corOP:$:that except as Ari.t44:17elcq;'an3rp Mon,associated therewith in the capacity of owner,gainer,director,officer,or manager 0414 the,gppIitribio zelietiomy AI Will ensure that 10%of all new like's as a result of This project shall meet all requirements of Section 3,of CFR Part 135 of the Httl;tAgt of 19:6S; or . . „ Will hire no new employees hitotjunetiott With this project.. • Will award.la V10-of gal-contracts" to Section This certification 411a11..amjy to the,,:piiiid contractor's.sub-contracts related to this project OontractQc; We.11:.Builders, .Cdritea:Pergbilf Neitt Aistnadi . .„, Contact Phene! 014 : . . • Signet bate. *Netev The Above certification is required by'thel)9partrueut.of Efousiug!.autUrbattlevelotaueut (24 CFR 133 and Subtitle.A:eit.a) and.oust be subuiitted by the bidders and proposed.sub- toutrueteat only in connection with contracts,And subcontracts which are subject to Section 3tif the 1968 Housing and VitbaXiDgy019011..ent Act,4.4.._43.11:9./.14V4.i4.1092 Previous iton.e.oilwilanetIvith.Seetitili,3 totild result disktAlifitatioii, . " " " "" "" " • • -1 tITA DISADVANTAGED IIITSMSS ENTERPRISE tDRE) This Project is subject to Part 20321,,Title 2,Code of Federal Regulations entitled'Contracting with Small and Minority Bnsmess , Womenes Busniess Enterprises,and Labor Surplus Area Firms-11 The Regulations in their entirety are incorpOinted herein by this reference. It is te policy of the City that disadvautaged business enterprises (DBEs), as defined irt Part 200321, Tide 2 CFR, shall be encouraged t9 participate in the performance of Contracts &lamed in whole otin part with federalthnds The Contractor should ensure that DBEs,as defined in Part 200321, Title./CFR, have the erVottnnity to participate in the perfornian. ee of this Contraotand shall takeallneeeasatyand .,=$onahlestops,as set forthinPart 200.321,Title 2 CfR,, for-this assurance.The Contractor shall not discrio*ate en the basis ofrace,color,national origin, or sex in the award and performance of subcontracts.Failure to catty- out the requirements of this paragraph shall constitute a breach of Contract and may result in termination of this Contract or other remedy the City may dean appropriate, Bidders shall be Idly infonned respeclAng the requirements of the Regulations and arc urged to obtainDBE participation in this project,although there is no specific goal for DliE participation, e44 AXEMIT:Bi DBE,INFORNIATION,--.GOOD FAUN EFFORTS Federal:41d Project No. 11‘42. , 13Id Opening Date liNtteitt The City o rn oneackesta11isbecta Disadvantaged,B4SineSS: 111tefp'riie'(DBE)Oal of 0% fiat this,Project:Me information providediterein shows That a good faith eftiart was made. Lowest,,second lowest and third lowest bidders shall submit the following information to document adequate good faith effortsBidders should submit the followin' g information,evert if the "Local Agency Bidder DBE Commitznenr tom indicates that the bidder has met the DIM goal This will prate the bidder's eligibility for award the contract-if the administering agency determines that the bidder failed to meet the goal for varioos 17045011,,, C;g,, a DOB,firm. was not certified at hid optru4g,or the bidder made amathematical.cm. SttbmittaI,of only the'total Agency Bidder DBE Conitnittneur fop n may not provide=fficient documentation to 4entomtratetit4t,adewate good faith effutts Were made. The following items are listed in.the Section entitled"Sahn*sion„,ofDB,E Commitment" of the Special Provisionar .A. The names and dates of emli publication in which a request for DBE:participation for this pro*t was placed by the bidder(Please attach copies of advertisements or proofs, of publication): Publication§ Dates of Advertiseinent ttlik 01; tevititoicie4 13,- The names anddatesofwrittennotices sent to oerCt0e4,ME$soliciting bi4s for this Project and the dates md methods used for ingu untaI solioitations to deteriOine with certainty whether theDBEaVete interested(please attach copies ofsolicitationa,telephone rem*,fax oonftmations,ac,); :Names of DBEs Solicited Date of'Mita] Follow Up 1444thods Soho'itadoti and'DatS ' 17134444 •.c.45, C., The items cf wctk which the bidder made available to DBE lluitS imluding, where approptiat;any breaking down of the contractworkimms Cincludhig the items normally performed by the bidder with its owA forces}into econonlically feasible tmits to facilitate; DBPs participation.it is the bidder's responsibility to demonstrate that Sufficient work to facilitate DBE participatiortwas made availale to DBE firms.. items onkrork Bidder Normally Breakdown of Amount Percentage Performs Item items of (7/14) Contract iZer;e4vt.fA4f Ds The names, addresses and,phone ambers of rejected DBE firms, `the reasona for thc, bidders rejection of the DBEs, the firsig selected for that work(pleasq atah copies of quotes„from-the Arms Involved),and the price de:femme for=h DBE if the selected finn is not a BE; Names, addresses and phone numbers ofrejected DBEs and the reasons for the bidder's rejectionofthe DBEs: Nigh Nanieg,addreges..thld plionnWalberq offirms selected the work above: E4 Effortslnade to assist interested DBEs.ha obtaining bortding, lines of credit orlbsurance, and any kelmicaf .assistan_ce or information related to the plans, :specificatiom and, requirements Xctr the work which Vaa p.rovi,ded to DBEs: tv C-I6 F., EfThrts. made- to assist interested DBEs in °Wanting :necessary equipment, supplie$, materials ot related:assigtmee +Jr serviee4 exam:ring 'supplies and equipment the DBE subeontraotot pureitas, es or leases'froorthe*ne,00nttaetor orits affiliate: t The, nam of agencies, organizations r groups contacted to provide assistance in cattactthg, :jig and-tub*.DEE fit ins (please attach copies, rrequests to agencies and any respanges receivect.te,,1its,Internet page do-vat:Mad,etc): Igoe otAgency/Orgartizathrt,, lqethod/Date ot Contact kesvits tS1 IL My additional data to st*Tort /demonstration of good fai th eft°its(use additional sheets IA If necessary): NOTE: LSE ADDITIONAL SHEETS OF PAPtitIP NECESSARY_ c4ft ::.A SOLE OWNEROR SOLE'CONTRACTOR SIGN". E 'Kane under which business is eortdupted NIA St tore "vet mid sic of a nets. N A (3)Pace Qiiiusiness N/ Street ad Number) City an4.Ste : N/A ( Zip:Code N/A T l hone , WA, .,. , (5) B. ai .� `AA. ATNTSIF,STGN (1)Naxne vider which buszttcss is-eadz ted (2) SSig aatuFe ( d sum me and character ap r nerj-fie:Stg1.at ee.tnnst axe made iy a. geteM poftnEr,) N ( Place=ofuine __.... N/A (Street and.Ntxn ;City tttd State; _ _ .. , . (4) Zxp Code ....:..", . I IAA. Telepht ne No. N/A Mali NTA C8 IF A CORPORAITON, SIGN HERR- (I) NattleAtitderwhiat business-,i5-conchteted We,Rfuilder5i. . . . - . (Si atare ,•• President, titittryi.St TrOstrer ile) **7 Impress Corporate,SE'art#r:e ( .)Iteotporated under the laws:of-the State of California , (4)Place.ofilusines 3746 Foothill Blvd1304 Street andNuthfitr) imd State 61:ehcl1t,CA : 5)Zip Code SIZ14 Telvhone (7141:87475275 _ , . . ,b0eratiOtiggWebtOOSttottloh,00rh NOTARIAL ACKNOWLEDGMENT OF:EXECUTION WALL SIGNATORIE$sNIV,$T BE ATTACHED .C.14 NOTAItY,cERTliacATE Subscribed ham me, s day,of 20 A notary*fie or P.:01,er of&er,tompleting this !certificate verifies only-the identity otthe itbigvidual who Signed die document, to which this certificate ig attadhed„ and not the • OUthfilliegg-lAt etegY.1•QTY4.4.01 ad*.document • State of . . , !Conntr • . , :beforenie, , Month,:Day,mid Teat Insert Name and'Tide tifNi5tary • ::pettOtially appeared „,„ . Nate )':ot$ s.) • who proved to itie on the basis of satisfa4pty oliidence to be the-person(s)whose name(s)is/are ubscribed to the Within instrument and*14y:1*1edged to me,that:he/At/they executed fheane inhigther/their,atitholiFed capac4(ieg)„and that by.higth&Itheir*n4400 ontheinstrimierftthe ? pers9110), iorthe.wayupenlehalftfwhith The person( )400.,onotod thoiwonaelit tertif.y.-:under PENALTY Or MatY'under th lain of the State of coomfa, that the fcrOgPiAg paxagrapb-is true and owe& WITNESS in hand and official seal. Signature Signature of Notary Politic (PLACE NOTARY sE.isit„mloyo 14 e4 CALIFORNIA JURAT GOVERNMENT CODE§8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which is not theirathfulness,-accuracy,or vaildityof that dOCOMeht, , ttate:of taitforriiCuntyof Subscribed.and am a( r affirmed)before me on this tell ti*of ks164e4,, eittrza bate Month Year . _ NCu IMEES:ArSimatnIa .wiAn019T Om* t tr' catilt0#14424.3097 „ fend - • - . .. Nairie*Oe$J,74:04.1 proved to me orrthe basis ofsatisfactory evidence to be the person(S)who,appeared before me. ElOhatOre Pace Notary Seal and/or StarnpAbOke SiOature Notalyfuhlid OPTIONAL _ • Completing this 3information can deter alteration cf the 000=0*or fraudulent t4otrodtimilt of tifis Om to an unintended document Description of Attached Document .• • , oz. Title of Type of 05,0iboti wt.< Nws casa& E vri4 Dattattreht Date:;, 12,S, . Numberof.Pages: $400,0 Other Than Named Above: :02019 National Notary Association gALIFoRtii44:111A,T GOVERNMENT _ . • . ., __ ._ _„„...„...„„, „ A otitot.,public or other-officer completing:this certificate verifies only the identity of the individual who signed Ineduairrieritte•whicrfthiS certikateit,attached.,and not the trotilftikloto,Orotocy,prvactity of that tf-c14011101f, • State of - • California • County& L. Subscribed and sworn to Or affirmed)before me on this 2day oft4:04 *24Vit,,420 Za.,by Date Month • year • ;4.4— .. 1044.0044ii 4 ,Astarypark-,talifortgA " (and . • . , •.• • Pitam.".leiV.:tf•ST9r10(.4 ,.• camokNotettort.1427 proved to meon the basis of satisfactory evidence TO be the 00.0$0.4WiTOAPO..44r04 before Ltkkit1/44=keSi Signature ,:2• •••:••• •'• ••• • RtatOlit.OtOtleSecit and/or Stamp Above Signature of Notary Public • - OPTIONAL Completing this ibformtion,copfclter altoration,of the document or• fraudulent reattachment of this form to an unintended document. ttescttp•001.of Attached Ocfc0Mgrit. Title or Type of Document: • • •• - . • • • . • • Document Date: , Number of Pages: . ;Signer(s)Other Than Named Above:, . . . : • List betcw tiarries of:pre . vice tsresidera,secretary asigarit geottay,if a cow°ra o% apartrters* 1 t names optieral part-tiers and ota a s , N:ezzr:Alma Pr.es dent.$ cretarvi,;&Treasure Vice•Ptesi ent!ASsistaxtt Secretary, . ..... ..w. 1 I ,., 'EXHIBIT ,C, , „., LOCAI,AGENCY RIDOPKIHIt COMMITMENT tCONSII4VCTION CONTRACTS} ..f NOT PLEASE REPER TO INSIVICTIO14.8:ONTiitiItEVERSE SIDE OF 1311$1 FUG . ,,..;:,-,: LomAG6,10.ve ittA!',---,417%, 14,, . ,. ,POCATION't -: , ::' 1tOMMEPAVIIM ,:g0tv:4' ..1.., 6044t, -.'-,av . ..plioti4 ,f6H'c#:1,„ Bt.*, 131D DATE Doms '%.4.,-t- • ... .t• ,. ... , . ..„. , . • :twituket imEGOAD 0014::_Tia:tf — ;rt,WIdt.'"•*(0d14.,,Alsitt btSeitlEPTIQNDBE„q,KrNa, twisg. 101-1. WA " ototiviawAtweett . Ingyv.: :OR S:MVICES TO WAND EXPIRATION !Gust be certified on .:' , .-.'., .:Olt:WI:BRUM DATS ate opened-ttoaoe DDE Iddii.$3-,i :463*'i.it,.1*fthi1l(er ecoqi#494.Imo .4140haitartatifidl• tildatia a oBt), . !; . . ....... .,„. , . . , f , .,....„... ! '... '-• 1!. :ii' „._, _........... . . . — ForldoggJAgoopy to;Co*** TotattialaatatiBE V*taa ' 16iallizenerP00.474,~terg ,. . ,.,,, , . „ kattalloattot , E lea-data lafadsraftitatt. cacto. . „,„. „.. . .....„„„ , . • ,.,. . , ,t.;titittaZiAttiaitikitev . • , •! `,`. , • ,,-, i LaatAgdfiey datmealhat*I.V.M.poNcatiptp.haveletarverftdaud iiiiamatioa la .ap-Ida and accurate .;:tt „ :WWtirt .04Siddet - ,/, A ,,, , , ,• , ,, , ! :' .,i, AttiCOtte)TeLNii. - "•: *it'itlitwit, Signature ., rt.,Ata , AlitettAtt, , i.Pritgho , . tacitAgen.qatotetntak. ,. , pautimoontait: . flileasegypevrThat) ', (AtdtKecide):T01.50134VNImitter iiiettiAiditdrDEWOPPIntt.M9gt094.514t,_0110.05.0.9011100. , ftle'0100 'CM „ .„.. . .. PLEA NOTE. This information may be submitted with your lid.Ifitis not,and you are the apparent low bidder or the.second or third low.bidder;it must be submitted andreceived s specified in the Special.Provisions.Failure to submit the required DBE°commitment will be grounds for finding the bidbanOitre5PoPOTP contract Local The :fog requires specific information regarding the constructionconstructicontractL. .:.. Agency, Location,project Description, Total CblittA6C Amount, Bid Date,Bidder's Name, and Contract DBE.£foal, The form has a column for the Contract Item Munber and Iten t of Work:and Desctiption or Services o be Subcontracted or Materials to be provided byDBEs Prime contractors shall indicate all work to be performed by DBEs including,if the prime is a DBE, work performed by its:ow :forces,if a DBE The DBE shall provide a certificat[on:nu mber to the Contractor and expiration :date.Enter the.DBE prime%and subcontractors certification,numbers e form:has a cold for the Names.of DBE contractors to perform the work( o must be certified on:,the date bids.are opened and include the DBE address anaphoric ie number). IMPORTA N Identifyall DBE ftrras participating 'n.the project regardlless of tier.Names athe First-Tier SubegAtractors:and their respective items)of worklisted should he consistent, where applicable;with the names and items of work in the"List of Subcontractors"sub t itted With your bid. There 'is a column for the DBE participation dollar amount. Enter the Total Claimed DBE Participation dollars and percentage amount of items.awe .submitted withy'ourbid pursuant to the Special"Provisions ff;l bt"0%ahem iteem .s not to be performed or furnished by the D R F.,describe exact portion:.of time to be.performed or furnished by the.03 ) See Section Vi4adVaPTAPci Business Enterprise:(DBE),"of the Special Provisions(tonstruction contracts),to det- awl - flow to count the participation-ofDBE tuns, Exhibit 15-G must be signed and dated by the person bidding, Also list a phone number in the space:ptovided acid print the name of theperson to contact. Local,agencies should complete the:Locall Agency Contract.Award,Federal-aid Project Number, Federal Share,Contract Award Date fields and verify that all inforthation is complete and accurate before signing and filing. C-22 EXHIBIT II EQUAL EIVIPLOYIVIENT OPP oltrUNTIT ATIFICATION The bidder., R.Stiliders, , rproposed subcontract,- . to relay certifies that he/she/it haS has not x .,:pattieipated in a.previous ebuiract or subcontract bject to the Equal Oppiirtuiity clauses,as regdired:by Execs, dye Orders 10925.*11114,,or Aud that,where;req*ed,'he/she/it has filed with.the Joint Reportiug.thrtimittee,the Ditto-for-aft Moo offeder.41. Contract Compl4auxe,4P6aeral.60.vernment contracting administering"agency,or to former PteSideUtts Committee on tq44 EntPlOyment CiPPortunitY, ta reports due luiderthe applicablefilling requirements Note: The'Above eettificatiou,is requited by the. qual.Employ:mem Qpportunity „.gulations of the Secretary of Labor 01 CFR.-60,1,1( ) (1)04 and must be submitted by'-bidders and pxopu4sed. subeeturaeturs tfrdy in.eo-unection with:eoutracts cod$ubeoutraoto'which ore.sliblegt the „equal ppertunity chaise. Cautrae— Arid sub can-tracts-Win:ehex—empt fizz. the equal_opportulai. ty clause are set forth.in 41 0,13;60-14$, (Generally only contracts of,subcontacts of$10,000:. oi :under are • .CUrrently,Stauclardlonn160,a04):ig,the only reportregukedby the Executive Orders or their, ihnpimppritt$..:Tegohitfous.. (aeoc.goldemOtoyersiecolsprverindex.tfit) Proposed pi, gontractora.And,sulaconfractors who have partiCipated in a previous contract or skitoontractsubloottoihe,Exemi-ve Ord is gu.4114Yeilot tiled theixequixedreport4;sboxil note that .41 CFR 60-1.7(b)(1) prevents the award of contracts and$11bOuntracts'unless such contractor 'subplits a report covering the delinquent period or such other period,specified by the Federal Highway Admints triton or by the tIirector, Office oflederal Contract Cornplian.cer Department oftabOt Signature: natO: 11/2*1°23: Print Name arcAlsmodi ! Title: resident,SecretaryA Treasurer , 01:rrE NONCOLLITSION AFVD. AVIT (Tide 25 United States Code Section 112 and PihllcContract Code Section 7106) Zone I Curb Ramp Installation 'To the City,efliontititeonBeach, In conformance with Title 23 United States Code Section 112 arid California Pol7lic:Contract Code 7106 the bidder declares that-the bid is not made in the interest of,or 0,13:bd110-1't 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 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 he the bid price of the bidder or any other bidder,. or to fix any overhead,.profit,or cost element of the bid price, or of that of any other bidder,or to secure any advantage against the public body awarding the-contract of anyone interested in the proposed contract;that oll statements contained in the bid are trPe-,and,fitther,that The bidder has not,directly or indirectly,submitted his or her bid price or any breakdown thereof,or the contents thereof,or divulged information or data,relative thereto,or paid, and will not pay,any fee to any corporation,partnership,.company association, organization,bid depository, or to any member or agent thereat to effectuate acollusive orkokoM bid. Note: The above Noncollusio' Affidavit is part of the Bidder's,Proposal., By signing the Proposal,.the Bidder has also signed thia'WmpPit,naign Affidavit. Bidders are cautioned that making a false Certification may subject the.Bidder to criminal prosecution, Signature: Date: 11/2817023 Print Name: N ar Aismadi President,Secretary,,&Treasurer C-24 ExHIBIT:P 1:03*.RJONT MO SMONSIONCEATOICAVION 11111 The Bidder' ,,under penalty ofperjury,certifies That:except as rioted below,lie/she or any 44. person associated with Bidder in the capacity or,partner,director,;oaeqi inanage,r; • Una'airrenttyttider suspension,debHarnient,voiniitto exclusion,or det-:entinatiOn of ineligibilityby any Federal agency; .. • has not been:anapended„,debarreci,yap:1714y ox:olade4'.or determined Ineligible by auy r oderal age,:m(*ithin the past . does nothave a:proposed dobartnettperiditig and 4,- has not been indieted,convicted:,or had a rcivil lndginent rendered against bfiniber try:a,ctiott of competent jurisdiction many tnatter.'InvOlVing 0444 or ciOlciallascondnct, within the past 5 years. Itthore aro any exceptions to this certiftation,in-sert the one ions hi theldllo:;-:u'dng';‘,space. Exceptions will not necessarily result in denial.of oworfL but will be considered in 44e_nlaiinn.::._g; bidder responsibility.POT any excOoanotea abovg,indicate below-to w;hora it applies initiating: nem,agid.44te„...s kkta..C.,.tbarl„ Note! lit...-olitg false infonnation:thay,result in criminal prosecution or n(lTpinistrative tatetioffs,. The above certification la part of the Proposal, Signing this-Proposal oti:the alimatampordon tlioreof 4341 also coositate.:signatato of this Cbetifiroatiott, Signature: , 65‘‘. Data lioarion Print :,N;;1 r Alsroadi Title.'; Presidtm sweaty,ti Treasurer EXHIBIT 0 :NONLORBYING CERTIFICATION FOR FEDERAL-AID CONTRACTS The prospective participant certifies,by signing and submitting this bid Of:proposal,to the best of his or her.knowledge and belief,that: 1) No Federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned, to any person for influencing or attempting 'to influence an officer or employee of any Federal agency, a Member of Congress, on.officer or employee of Congress or on employee of a Member of Congress in connection with the awarding of any Federal contract,the making-of ony.Federal grant,the making of any Federal loan,the entering into of any cooperative agreement, and,the extension, continuation, renewal, amendment,oroodificatibt of artiVederAltzlifradt,grant,loan,or cooperative agreement. 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attemptingto iriftVPAgg,an officer or employee of any Federal Agency,a Member of Congress,an officer or employee of Congress, or an employee of Member of Congress in connection with this Federal contract, grant, kart, or cooperative agreement, the undersigned shall complete and submit Standard Forth-lit, "Disclosure Of Lobbying Activities," in conformance with its instructions. This certification is a material representation of fact upon which Teliano0. was 1113OP.d. when this transaction was made or entered into;submission of this,certification is a prerequisite for making or entering into;this,transaction imposed by Section 1352,Title 31.,U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$46,00()and not more than$100,000.for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed$1,00,000 and that all such subrecipients shall cert.*and disclose, accordingly. Signature: -AA— Date 11/28/208 Print Name: Nar Alsmadi Title: President,Secretary,&Treasurer , C-2,6 • E-1 i RUH DtgetbS,tin-Of. 10111WINCH ACTIVIT—W-1 _ .. .. .„:. ....,. QQNIKETE1;' 1$',FORMTCTA$E1....()B13.7f1NO AcTIVITM,I.141.,VITM01 7 TO',3,4 tiae,13:54 ..,2,404iffederiliAellerii, ...„2‘„,..StilitiibfFidekittAetiolit ,...3..Iletititt 0 -i ., IL OOntr.aPt .,r14,-..1)1410ftiapplIg00111 E] *AA* 1L,Wallt 4,:titiAl award 1Paste.41.414144g.0 C.g,P9,12413M..14cAt 4i,,p9t.a*aril dAdatt, .rolt4ittiiii.ehow)40..t , 0,tosepasete4 y.,eq tlttgrter !I,! kldmipsw,ado `41,0$0.49t,ppp* — '! r,I 4, 'Nalliettid AildierklifReliortillaittity t. If kodelito kietOsNY.4 is gifitftetde,. 1aitee:N3to:44n&Aildrom.ortrimd::: .1. Nod' 01$4.444400: : . . Ticr. .',..ifkAgvf4, : toevesSidedi tiietiovitiettme OdogressionsOlite4ificso,vou ,1 ,6. YedernDefilitititteittrAtelieyt 1., FaliteillittigptitiNirititittertittitforti • rokit:NkenlierigeptiAsOl.e . . it. tedastiteedikdiiiiidrOftedixt&. #., Aii4eidondiett,Mind** a name MargworkAkyi rilt14$ 4.., X40104*iNr.fo on.44,R.nicw,X*4104 :! Cifiedividte4b,issj.name first name;Ml) addiesalfdifferentfioniNtr,104) . . habit,flirt ttinfit„Itill .. '., ... itaittiaitlilititillitOtSlie00),lheeerrO0 '.,, ., 14 II AMOttlAtlif Y...41,01.Pit(gl*ktilliktt 41.01T), I& TyKoffstrsq4.(glieskall that apply) El ....villa.. . , "s,-,,,• $ : A Eillatitiett ,.. : Cretalttor • .-i ....-: .... !;'..940:41049*P. li Viiiiititiektfiiietd gidek,-A iiist$0010t , d disside 1, ... ,WO,011 ll Ottefingeatie ,.... ' N bin-kind; specs nature „ ' o leferred" — *i. . 1 4lialite, ', toilier4seik , .,,..„ 14, .0tief Pegqiiitt(144fSelrYiWT#Tr9P10,PTO-,Pepqft,mkg4tpd.Date(s)of Amic e Ad0.0g ',•,: ,oftleef(skemplayieWoillietitherfs).ebOttleteklor,P4mentizilloirtedlieltemlfr 4, (Aboli.,ebniiimptiog$600:yriegeotssa0) . 15.. VolitititlitdotiShelit(*)-Itrached: Yei 0 ,...., to: T.....:4#17*.orxnuo*.4.#4.7.941:00:§formJwagthsligg,03.,,Tio 31 via...c...5eellptt!',1312‘,.,..,Thls..plispicispee of kitityjigg..itjmcg $i.gnak‘;,, iidid)ikth&lititatft,sAidit.Iiii titniiididtilr'4 iiitide4ir dared litto'..ithii.4iii§efertire•iglaiviiitaplittiefirtei li tilat, Print:14'mile , .. IA:$.1. 'this ,;:itirdeitatiiiit will be ?eq.:deed to dieroke :reltitionThielly OnclAvill be available for public inrpedion::Airy Title: fterritrttVliiiiiltVttt kaeiliattidieattoidstied slistrtesiiiddt. W a ayo oftitty,4f40.Igo',.0140 POO seid.34ot:el.oto than. Viciiiiddoll.d:.; Data Aimoqwtorg404 pkvii4m, Authorized fortocallteproduetion : .0-Adepil Ilso,41.40, :tad-aseltdife-in $tde4ed Foot.;La.:Ito..A9-4-97 , • „..:...,..„:.„...,„, ,.,. , . ,.. . ,. , . .. C47 INSTRUCTICNS:FORCOMPLETTON OF ExHIBIT.T "z DISCLOSURE.(JF LOBBYING YING Acrivirths, This disclosesform sil he completed Zy the reports entity,whether subawardee or.prime Federal .recipient,at.the initiation or rece of covered Few action cra material change to previous filing pursuant to title 31 U.S.C., sermon, .I352 Ming of a'form is required for such payment or -a lent to make payment to lobbying:entity'for influencing or attempting to influence an offer ,or employee of any agency„4 Meth& of Congress ail weer or employee of Cogtess or 04, employee of a Member of Congress zn -connection with a crammed Federal awn.. Mtaeh a conthmation sheet for additional information if the space on the f is inadequate. Completell items that apply far both the initial:filing and material change report. 'Refer to the implementing guidancepixblished'by the office af3 anagementand.Brudget far add onai inarlaional information. 1) Identify the type of covered Federal,action for which lobbying activity is and/or has been secured to influence,the outcome of 4 cevere4 Federal act%an, 2) Identify the status of the coverred.Pederal action ,. Identifythe to classification this:reportif this a-follow report.caused bya pl - � �! : material change to the information preidonsly/va ted, enter the year and(patter itt which the- aiige accursed..dater the date of the last,previously , W`kted report by this reporting entity for this covered Federal action. 4) Enter the full- name, address, city, state and zip code of the reporting entity Include Congression l District.if known- Check the appropriate classification of the reporting' eirti that designates if it is or expects to-he a prime ors award re ipient,Identify the tier of the subawardee,e g, the first goba ardeeHofthe,primeis The first tier. Seawards include but are not°limAtedto sr beontractg, suligraiits and contact awards under•,grants. If the ors:aii atiou 'the report in Item 4 checks'Subawardee"then enter the fnli name, address,city,state and zip code ofthe prime Federal recipient.Include Congressional District, ifkilo : 6) Enter the name of the Federal agency ' g the award Or loan co mmitment.include,at least one organization level below -agency name, If known. For example, Department of Transportation,thuted States Coast Guard. I) Enter the Federal program name or description for the covered Federal action.(item 1)..: If known, enter the Catalog of Federal.Domestic Assistance.. CFTS number for-°grants, cooperative agreements,loans and loan.commitments. $ Enter the .most : pxo ate Federal identWing number available for the Federal action, identificatiou in item I (e g,Request for Proposal (‘A-P.)number,.Invitation for Bid 'number, grant .atmonnccnetl' ;fin erT; the contract grant. or loan award into i', the application roposal control number assigned by the Federal agency TnrIude prefixes;e.g, wP DE 9.(-Q(-I o 9 For a covered Federal action where there hest been an award or loan commitment by the Federral agency,enter the amount of the award/loan.commitments for the prime entity identified initem 4 or 5.. 10 (a)Enter the name,address,..city,state 411. zip code of the lobbying entity e gaged by the reporting entity identified in item 4 to influenced the covered Federal action. (11) Enter the Rill.des of t :indiv.idual(s).pet # g.services;and include pull.-address if if Brent:from l fl`(a) Enter Last Names,First Name and Middle Initial l l>. 11?Enter the amount of compensation vitt or reasonab0 expected to be paid b the reporting entity;(item 4) to the lobbying entity(item 104. Indicate whether.the potent has been made (aefual) or will be made(planned) Check all boxes that apply, If this is a niater#aat_change report,Otttetile_ a,®m.. atiy`e anion*of payment made oat`planned>to be fader oas 12).Checkte app opriatte boy(.eS) Check all*PO*that tfpaymer t is made through ianin-k m1 Contribution,s.; � ec the.n�e and`v tte of the in-kindpayment � 15)Cheek the appropriateWakes) Check all boxes that opt*,Mother,,specify nature, 1,):Provide a spec&and detailed dcscrrption of the sexviee&that be.lobbyist has performed or l'be:expected to perform and te date®of any:services rendeted.Itielude all preparatory and related activity not just tune spent in aetnal contact witb Federal opals Identify the Federal offreets)ur employee(s)`.contacted.or the officer(*)employee(s)or emtser s}o Congress that:were contacted. w. 15)Cectewhether>or not:a contiralation sheet(s)is atta+rhei 1 i =The certifying official shall s gd;s ad.(late the form,pri t hiss nay title and telephone number. Public reporting:burden for this:collection:of information.zs est d average 40 rrr wn xtea l r response,,innclad ng time for revie g instruction,searching existing;data sources,gathering and rndintai g tg;the data:needed,and completing and revieWing the collection of information. Send comments,regarding:the'burden'estimate or=ally other aspect of this mil/cotton of intfo nation including suggestions for reducing, this; =burden; to the Office of, a geine and 'Budget, 'Paperwork Reduction.`Project(05484040,Washington,DEC, 20501: By my.gnat.•re on this proposal T certify,under penalty ofpeury under the taws;of`the.:State of 'California, that the foregoing ques iontiaim and statements of Pob1 o Contract Code Sections 101.62, ;[O23.2 atid, 10285..1 are true and eoirect and that the bidder has complied with :t e requirements of Section g103 of the Pair Employment and:;Housing •Cott ssion Regillations ,(Chapter 5s T the of t the Calrfbr a AaTinistrative Code): EXHIBIT I 'FEDERAL LoBBYING RESTRICITONS Section 115.24,Tide 3 United States Code prohibits Federal funds from being„expended lw the recipient Or aty lower tier gutrecipiett of a, Ratal-aid contract to pay for ay persou or influencing Or attehilitin$ to fluence a Federal agetoy or Congress in totteetioli with the awarding of anyFederalhaid contract,thepaleing of any Federal grantor loan,or the enteft into ofarcf go:operative agreement If awfaads:other than Federal finds llavo been paid for the same purposes in connection with this: Federat,aisl.comet),the recipientshall stibmit an,ex-goutea:cgita#Palieg n4 if required,submit •totnrikted disclosure form,as part Odle bid.docultents Acertification forFederathaid cor4racts regardingI)ayraent offunds to lobby Congress or a,Federal agency ts included in the Proposal, startaara Form: LLL Disclosure of Lobbying Activities,7 'v.fith instructions:for eompIttiot ofthe Srandard Finn is also included in the Proposal Sivingte Vropopi shall constitute side ofthebertification. The above referenced,certification:and disclosure of lobbying activities sboll.1:. .ieb4dI in.each. subcontract and any lower-tier Contracts eceediiig $1OO,fJOO All. disclosure forms, but not: vereA:cations,1132'41)e forwarded ccro;tier to tier Until received by the Pngiteer, TheContractor, subcontractors and.any lower-tier contractors.8fiail file a,,diaeloatte form at the end of each calendar quarter in which there occurs any event'that re disclosure or that mat eriany affects the acqur4cy'9ftheinfbrP4afiotvcOntava' ed in any disclosure forapreviotaly filed by the Contractor, subcontractors and,any lower-tier contractors An event that:materially:affects lheatetraetof the itformattot repotted dude 1) A ovnualative it crease if$21,900.or more it the amount paid or expected to.be paid for 'influencing or attempting to influente..4 covered Federal aeon;or 2) A change in the p&soliO)Or inetii4:dtak0 influencing or attempting to inflict-toe a covered Federal action;or a) A change in the offlotr(skomployees(s),,or Ms) gottaoted'to-Wfluetee or attempt to"di:novo a.covered Federal Action. Oa& Bond No. N/A BID OR PROPOSAL BOND KNOW ALL MEN BY THESE PRESENTS,that we We R Builders, Inc. as Principal, (hereinafter called the Principal), and American Contractors Indemnity Company , a corporation duly organized under the laws of California and authorized to transact a general surety business in the State of California as Surety, (hereinafter called the Surety), are held firmly bound unto: City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 as OBLIGEE, (hereinafter called the Obligee), in the sum equal to 10% of the accompanying bid of the Principal, not, however, in excess of Ten Percent of the Total Amount of the Bid for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION IS SUCH, That, whereas, the Principal has submitted or is about to submit to the Obligee a Proposal or bid, dated on or about the date mentioned below, for: (1) the performance of the designated work, or(2)the furnishing of the specified goods, supplies or products,to-wit: Zone 1 Curb Ramp Installation, CC No.1742 NOW, THEREFORE, if the Principal shall not legally withdraw said bid within or at the times permitted therefor, but shall duly make and enter into a written contract with the Obligee, in accordance with the terms of said proposal or bid, or any amendment thereof acceptable to the Principal, within the time permitted therefore after such contract forms are presented to the Principal for execution, should the Obligee award the - Principal the said work or contract or any part thereof and if the Principal shall give bond or bonds for the faithful performance thereof, and/or for payment for labor and materials going thereinto, as in the specifications or contracts provided: or if the Principal shall in case of failure so to do, pay the Obligee the damages which the Obligee shall have actually suffered by reason of such failure, not exceeding the penal sum of this bond,then this obligation shall be null and void, otherwise to be and remain in full force and virtue. PROVIDED, HOWEVER, that no action shall lie, or claim be enforced hereunder, unless the award on the basis of said bid shall have been made within thirty (30) days after the formal opening of said bid, or within the time specified within the bid provisions, whichever time shall be greater, and unless the Obligee hereunder shall give notice to Surety of said award at the time of notification to the Principal; and unless legal action to enforce any claim hereunder shall have been commenced within six (6) months from the date of the formal opening of said bid. PROVIDED, always, that this Bond shall not be valid and binding upon Surety unless accompanied by a Certified Copy of a Power of Attorney authorizing the undersigned Attorney-in-Fact to execute such a bond, the Serial Number upon which Copy of Power of Attorney shall correspond with the Bond Number set out above. Signed, sealed and dated this 28th day of November , 2023 . We R Builders, Inc. Principal Name By: Principa • - American Contractors Indemnity Company Name of Surety Company • • . By: Attorney-in-Fact, Pietro Micciche CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of Los Angeles OnfifoNail4rd i61/1104073before me, Angel Nunez, Notary Public Date Here Insert Name and Title of the Officer personally appeared Pietro Micciche Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person( whose namecx) isPAte subscribed to the within instrument and acknowledged to me that he/ { key executed the same in hisibutlak authorized capacity(10.4 and that by his/tQilgXtligksignatureW on the instrument the person(;1, 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 corn- ANGEL NUNEZ WITNESS m •j d official se- • t � Notary Public-California € m Los Angeles County iav:"1;.4'y Commission R 2321675 Signature My Comm.Expires Mar 14,2024 Signature • 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): 0 Partner— ❑Lirnifpd ❑General 0 Partner— C3 Limited ❑General ❑Individual. Attorney in Fact 0 Individual ❑Attorney in Fact ❑'Trustee '❑Guardian or Conservator ❑Trustee 0 Guardian or Conservator ❑Other. ❑ Other: Signer.Is Representing: Signer Is Representing: 02014 National Notary Association•www.NationalNotary.arg•1-800-US NOTARY(1-800-876-6827) Item#5907 - ••• - -... ,-.,, ..- • .,.., ,,,,,. „,,,- -,r,.•-,.,,,'„, •,....,•-•,,• i',, .,,,,,, 4,,.:, J:11 '',•;...-..-.,:'-' 4i, ',..4,,,',-, ',.--i•,:,'..k. ;-!4.: '',..'••••.,.,' '.', '..:; '"a;',''j '''•->.'•' ',.,•• •.• ',-.i: •:,4••• ,.. :' K..,,,.: .1.7.,, ...,,.:,,..,..1-„,• ..4: ,*. •,:•%;4?,„r.. • W.c.,, i.,•:).4:, ,r,,...,:< ',,, i : ,..., •"• . . ...n.,'•: ••••.•.' •4',aa& F . ,,,.;:'4•••',;; :':;.:',,. ,.:.::.,••;:..•-•:',.. :.:: .44:?.. ., .,•,... .:,. ••.•„ ....: .... • •,,,, .:,, --•• .• 4 :, ..,.• „ . ;.'.- '% ':` .4: . ':'' ?%%' ''. : .1, :' ',!,,,:::,';'. :;:f'j'1,•';', ,t:0-.. -.C.,? "M,.V': :ct,. V: 1;....n?"4 '':'•.j N t;;;.• .,',2 .1;Va L.,;,' ',,...i `•• ,.:' ',..;A• ;:.:, .1:• '24,g',,,-.','.•';.' ''..",4 .':':' ::1,1'':,;,; gz•M••; •:,•4 ...:;...,.,.:',,,•? :•,15. ,..„ ,:n. ..:., ,-.::',•. :,,j,::...,, •.4q: „ '.. ,.:' „,,:, ,.; Q...!:,:••i:'•.- :••4. il-.;' :',•.; -,."4. •.',..'••:1" " ,,•.1V 'i',>, '‘'z;.f.''... ,. •.k.,',.:'.,•• .'••A:"?. 'm .''-',.....i'-":•••• """' .:"••,' '•••• '''''''' ''' 'e TM()MARINE• H C C „ ...... . ••,,, ..,-;A'.,,, . ,:. ....e.,..:„.....r ,,,.. ..-:,,..,-ir', - "- .,„„,..„ ,..., •,... -:..",i›:,','•i,f-,' ,1":,.':: •.•2;• :.'•:.-': •.;:r.:-.; '4,..-..,•:.; :..:: .....J: ..',-:•;. POWER OF AtTORNEYN', .:',?,:,:?.;•:', ••-',.•• ,,,'•' ,,:.,.%.. •,'.-:', ..;,.p.,:‘,',,..'•!:1, ,-1,.,;'4 „i',T.k...,!..,-:. Y;.:A. '.<3. '',:"'•' '''•'_,,.1.,,••' ,.,_.40 ....,. kj'''.''.•'-. itkAS2:?ISONDINd'COMIIPmf.:.!'' •'2.-.2'.' ''''''''• ',.'•-•,...,:::.i '"'K ;;" .f: AMERiCAN CONTRACTORS COMPANY UNITED STATES SURETY COMPANY U.S.T.I1 SPECIALTY. INSURANCE COMPANY . KNOW ALL MEN,By E„SE pRESENTS:‘.„Thet,Amer Contractors ican ,.. ...,Inderrinity Compny,a a•Californie_corppration,Texas Bonding._ '.:'w..'•J ,.'.Company ar' s'.P9'nrt'd.,;,i,.i„ie,n o,f,A,r„.ercanC.,,O,P0.,t,rac.....tn,.e..alp.•de1-iOn,ity,compr- 4:p,rjto.i•*..,,: teet-:S...':2u Surety Company ..aM, .a„r.'.-y•l Maryland :d:.p'orporati'o'n' e;-n,`d kPUrS3Specialty:iniuer*,Ciitet, a Texas corporation eoectivelYiihi.rPOMP0 ep44,4P bytiP,Praente;teke4,00netittte and anpont: , : w . f , Q!: , .: -. p , ? ,-. - i‘k,.F '."i.:.0:,:.-.,a,•;.i'.;,•.'').",•...i,,...,.,;,",,,,:.::.e.:.,,:z,Ii?.., PIETRO MICCICHE of GLENDALE,CALIFORNIA • ,,,,,,,P:'.7, .-q,'•u%. ,,, ...;::., 1.0.4i,... ??..•;',•., ,...,ii:.7,:::;, ...':').::: ,ov.:.:::',.. Azi, /QS: ...4 ,..;;;;:, .,,.. .,,,•' 31.g'',. 'f',,,' :17 -,`,•,-,•.. 3:,.T.: .'• '.'. :',,,,n, -,;•,, ...,,;;;,,,, 4'V*;;;• ..'‘'-•%°''tkirM and laWfUt:AttOrnOSNOr14fact, each'..in:11,*1 „ ,.,: ' : -:: Amdertaidngt4 ,-,,,;.•'., ;,.., ' , - one is named ..„:.,-,„, ....., ,,. ,,,,.,..,. ,. ' ''riepai-a.t .'.6apacityi'ititirlfri:ih,'.''.. ...,...',....12:. d alaPVe'With fult•-power and authd.aty,..i '' ''''''''. ' :arictall boiiiii;--ieciiglimaribia • lie ieb;conferretixirilitS'natii-e,'Place'and stead,,lbaxeCure,ackhowledge and deliver any, or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond -0,.: Five Million***„”.. ..„.. ,..„ .„., t e tt xcee ., --„. penalty does not . , . -' ' r' I Attorneicii*.intediihder:and by ao*fltauthority th tit further i-,,',.!„,•:' r11)1kPower dtAt,04.0r shall expire wl 0..,:' , . .. Dollars.(****$5000,000.00""),., e action on 23rd-.40 6 This ;::-. Ppw ,c!:;$ , ,,,,,,,,..',,•.,:m,. .,,,,,' ,,,,, ,,4-. 4.t, t•;!• :.,..:.• . ..., ,', ;.:. ;*! 0,:.=• •,d of th Companies te•:•>t:.!•,. -••;,...,.,.r.;•&,';,,•.'„:: .. .:-..,..,1%..-6',' %•,•,',Q ,t-•-•'•;.. ',.1.1 '',. ::;.r: ,.,:t,' 91...,..,th"e•jollowiitifi,.,joitlifiEindlidtit6Q by the-041-0,aptrectqrs;14 e . .,:',.,,..• ,, Be it Resolved,-that the President,. and act for and on behalf of the any Vice-President,any Assiitant Vice-President,arty Secretary or any Assistant Secretary shill be and is hereby-.' . • „.. vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent . " b* etto,the followinvprovisions:,.):A,-..:.n., .;•• ,, ..;..-,. miw:::.;' •: ::::',.;,,— ,.. -p: :K.',3t;•.; 't cicnowjedgalnd deliver$ny ,(el.'%: Company su-r ". fit,,, r and iiiiiribit,4cii*-ct in i'.-n' 4IttO.rney-in-F011iay,.!)!.;911VYTolf•ve • tri,..,...arne of and'.4.n?11t;eit.'aii,..4ine CO'n).,;pany,to.,er,n0,;.•:a .,, ......, . .„ .;.,„ ,„, , Cteititt arict,and all ccinpent ;1',.'.„;y, „; ,-,, ,*•4, ,4“ifall bondi'.Aii6d0iiiiences, 6Cnitacts, agreements. . ."!Oir,inleiiinify''#nd .othee,..,op.„‘„ri:tfiticitial'Ort*.100tOry undertakings -. . , '‘. '' ' .'and documents the release of retained percen . .. Attorney-in-Fact shall be upon 'forn ' ''''. .4:". • ' lages and/cirfinal estonatee-on engineenng and'bonstriktioWcontracts,aricl.any'and'all notices binding canceling or terminating . the Company's liability thereunder,and any such instruments so executed by any such t d aled and.,effected,by the Corporateecrptary. .....,,,„ .,, .1F,4:asiden an . ..:: 'signature:bi,any authorizedti,fffOr and seal of the Company„, . hereafter. .,.., 66.401004i shall be valid and binclingi,,, -'- ..'3`heratcifcire dr affixed 4i:any pe.0.9Y ',.:i.i:i:11-1.,• .i . 37 :Okilt„Resoly0d,ltetpp: power of facsimile or ..,...„ .,.‘,..„..‘,. ,‘.., , ;i ...t.i,,.7i .1 •''''rtificate relating iiiereta<Pyfacsikile,and any,VnWT ?!: 4,.., 4 „7 - •,-...-2..>, „.0,, ••":.:,...::,' &, ,,. . '' ''t7.''''rp a'fil the ConpanY4fit Wiespect'lo any bond or undertakincito whichltis attacnea.• IN,WITNESS WE M, .;•wThe . , i..::.,. REOF Companies heve.caused thisstrument!? 7•,,,f,7,••••,.,pc;:i,. .,45‘,76 'k:',I A';'?"'•;P, !:.'; sinned and their corporate seals to.be hereto affixed,this 18-62- lay olfhtii40 .2.4.:ir7.-Q,,,„„,...g.., 4,,,,".;:•,‘;',41.,,.,,.4,,:,: :';':? 4itiAilsuilii„,„, .° TI ': ' .: Ai.-.S' ti:64--"'.4%*/:';'' '''\.‘4'':•:;'T'i442Pc''''''''• BONDING'COMPANY,UNITED SURETY COMPANYe..,;!.. , ,....• .,.„ i.W,j' .ij'ilyiERICANONTRACTORSiINOEMNITY.COMPANY,TEXA.,.. PiN kZ.11,.•A.:.''''' f,'1:.,. 0-, $0.6...4,". ..,:•;,?•,,.e.,w.sz-tt.-"-- ....,&_:%:, --,-.,--- •••••., '•'.::•;!/.." .P .$4,t/- Iti •-•.,.,s. .,t.-oi U.S.SPEC ALTY INSURANCE COMPANY ••• ', 1,t--c,/ -,..vt, s•c,„F ,..7,::-....,:-..c„i#7.., ,..-6%12,,sts e<, -i- •,.a s.., ,, 1g$1. i=137-;cri 1)-E•21:0 '1r Ng 137:-F.6.i ., ric,,,., ;,.. .. ...--„,„,-Nz).— .,,,,,. ..,,,,,,,,, ,, J.,/;:z.,,I.. /.. , ........,r,,,,,,,.....d.-0..k,,,,„, .,:•,,,,i,zl.---E,V,A ,"ii,„ .s.i, „i2,412,.,...r. i.,.i...7tosy: ,,„';• ...-.;,'‘.'•;::::', 4'43.: • '4" • , , ' ji' '.-Y1,--,.,.3•,;', '-..l-.•,':..!,A'.'1e.:r.e••.1 i.',..,v,.A.,W'1 4 l.5'P•••••z2,\e,..:,.\4-,-.4--L-/F-o--s7-','t•.i,:„.:.z4,„4,,,..0',k,4,„,k,,i"e:i:,,;:,.•:'-'.:.':"n,-.4t94y,0,•."P,-42(1 5•„"V';t''',',1r1,„.,t:.4 1- %,-1,,1.:,";,),<4.',,,,,'::',,-t:•,4.:•:.;$•<,:'i<'•;i,.".-•,Z=:,9c,..,'.,v:4-e..•:--g-=..1•:'.`m.iA:-.'.g.4.r;.4'-'-H2,iq,4i*;..o...'„/,o`;*'^:'•'4-',',::fi-',.:C:-„I,•!,'.:i:":c:':d-,,::'.-;•,„: .•-<F•i•'•l.„,(,•,j..•:',74, niel P:A`..,.,.gfila:•r„1 1P...e..11P'.,'tO"d OW• •".'",:.„1?,1T V 410, " , , j-: K ;„ ; • j4 , q 'zi .Q , Z ,,,4,:,,,!,0''..,';•1"1.;.;.!:,.,.v•.••..',:'•f,'.::,,,*;: .•:; ,kominilino• A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which „•.:,;.‘,...,. . %.:,14, :,,T,;.:,,, ,q.n.."'•1 this certificat&ia,attaotiect,andnot the truthfulness,,;, 7,.„ :. ,•,-,-,,i, ..,,..z, ;•':C .,/ '.. ‘, ',',.f.j: 'g,f,,. .A, •:v-,. .,:,, :,..!:-,e. •%.„ ,••0, -,•,, th ,,n., ,n,., „,, ,,,.. <. ,:) „-6Y-N,, '.,-..4f e,i FA':!•4: ,X4•i;..-.;, ,Yg..,M ,.•'.. ..„ ;• .. '42, ;,.;.i..,: ..3 ... f.,i;:'(.1. i,..: ',:i,i1 P'.,t'i '•Z;,;.,i' q',.? A:.:••-) .,..1.if ,'0::, -4: •::,,,,,,,-•:0:-.:g , A.....• -,...-,,,. -4,.kn, ,.'.a' - -,!,P.• 41u .- ', I',' State of California,..a ..,,,, ,,,,,.: -- County of Los Angeles • - '15;"uilar'Vice President a ,.., ;,: ,, ,-..,..',..N., Onihis 18th;OX'Af)V.ri ? - ''''.7,-,'• .W..!',,•• •''''' `,••'b ;'•".2 . Surety and•;U.8% Specialty Inau'ranp.e,."%i 1-'027.'4:afore me.'16 Oniici'idiArrejii,l'a notary,:10,61,..j6.ip' .e.,,...1i,ikn. 11y".a.,,,.)3.,,peared J;)Nliel,1:).,.....)2,„ .,,, . ,,.,„.„ p Li Company:.United States. Company, ,......, .., .;,.. : •• •Within . ,p.,..: •. -,..pi ,...,‘,a:•'';'American do-r,.!.',e,,,o,;(5.„.0.,,hclein,iffh,1:„,comparly.,.,:rgps,. Pp, og:., )"-' -- th' b • 'fiatiifietorY eVidence to bathepersotrw ' tbmOany who-PfoVed tei me on e basis o . nose-name is and acknowledged to me that he executed the same in his authorizedcapacity, on the instrument tne person, 1''' ''' '' . ''''''' ."' • 'iiitikribedt6 the instrument, and that by his signature • .'..''g:•:•'::.:''-'-''.‘,,','"•a'•',g',:,,'!,t,,•"•',A,'. 0-'rte entity 4..‘.,,P.."..'ot'n '--P'et"a'I-lf gf,w h..„i.ch,t.h.e pers.„.pn....P,.'4:„.l.e,.4d:‘., ‘ute...,. f kh,,e instrum,1,.,e,.,n,...t- 4. •*,,,,•:,-,,..„ ,,,,,,',•. • •,',..':j '•:P,7 A'.. .-t......1,.„,„....'773, k 4 .: , ,/ :§ f4Ati f:A4 , Q' A,, ,„ ,. .: 0 , . . -$. ' , i , , W k " 1 eety uncr.P4N W$0EklURY under la*CPfteiState ofmi a iloing54dr41'40*Onlicorrec6 „ .. - ..,. . SONIA O.CARR= WITNESS my hand and official.seal. .. „%,... ,,,, r_ bik•California,. •'''v-G grns Counry..s,A,In— g.N. ,,z,>,..,,•< ..,.:,.V • ..W4:.'“n KI:0 A , ..„, • .,,..2,,.•oe,. ,..,k,.;.,,,, ..4,,,,. ni!ong 239870 .'', ;',.• .•:,;`..' 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To and effect,furthermorel: e resolutions. ,. „....„,,,,...,, .•:,..,..-?,..,: .i.,fi .• ..,. ,..., ;4‘..fs ai&cornpanies,,wtrrostiji;Jn, ,..rce , .„..,,,.., ,„. --,;-:4,.-%..'..,,,.. •,%.,:,„., -.: -:-.•„.,,, ..,.•..• •. .r .4:AttPrney.'0X2P,LIPY'.,31: , ''' . in ,i•V' 11;-i 6'kiict.'z \•" h .*cifIho•Boards ofir0.: 0,, rs 'a-it out in the viiWer'of Attorney are fh.,tune e . • • eles California this .. . , I of said Companies et, Los P8119 4.-„ 4.••-,1,..r.,,z pA5 ?.: ofe .6r12c set...noyAiencl,w6„affixed the.:Pg. 7,‘z.,s,„ ".r... .,„'"•.,a .,,w; „,-„,..-,,i..,f,:'.„••. :1..• !•'.: . .5.? InALOtness WlliarRf,,latIRye,•,,11. ,•,-4,...;.:;,..;•••. ..,,jr-,1., .%M.i:.,. ..c9f4,3:1'... P.:...1-..'A. iq•,. . '.. .:"-k . ,a v:,. !,%.di," 4. .::. i,.,. --:-:;:-'- f:. .&Ok...., 4 '... ,',A.rh1-4"!- AK°,...;,-,........; ...,--.-,:n,... itr:-':','•'••,''''''''';.;;i-,-.:„-,".• „iiu... ,...., • 01441.6,4,'' •••••!'• 'P''‘,i,,,r•""""00, . •.': .;: . '....,k ,pi'4••:":,. 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