HomeMy WebLinkAbout23A - PROJ - STREET CURB RAMP IMPROVEMENTSREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
JULY 16, 2019
TITLE:
AMEND THE FISCAL YEAR 2019-20
CAPITAL IMPROVEMENT PROGRAM AND
AWARD A CONSTRUCTION CONTRACT
TO VIDO SAMARZICH, INC., IN THE
AMOUNT OF $495,750 FOR THE LOCAL
STREET CURB RAMP IMPROVEMENTS
PROJECT ESTIMATED DELIVERY COST:
$619,708 (PROJECT NO 20-7532)
(STRATEGIC PLAN NOS. 6, 1B AND 1G)
—CITY MANAGER
RECOMMENDED ACTION
CLERK OF COUNCIL USE ONLY:
APPROVED
❑
As Recommended
❑
As Amended
❑
Ordinance on 181 Reading
❑
Ordinance on 2nd Reading
❑
Implementing Resolution
❑
Set Public Hearing For
CONTINUED TO
FILE NUMBER
Approve an amendment to the Fiscal Year 2019-20 Capital Improvement Program adding the
Local Street Curb Ramp Improvements Project and $619,708 in Community Development
Block Grant funding.
Award a construction contract to Vido Samarzich, Inc., the lowest responsible bidder, in
accordance with the base bid in the amount of $495,750, for construction of the Local Street
Curb Ramp Improvements Project, for the term beginning upon execution of the contract and
ending upon project completion, and authorize the City Manager and the Clerk of the Council
to execute the contract subject to non -substantive changes approved by the City Manager
and the City Attorney.
3. Approve the Project Cost Analysis for a total estimated construction delivery cost of
$619,708, which includes $495,750 for the construction contract, $74,383 for contract
administration, inspection and testing, and a $49,575 project contingency (approximately
10% of the construction contract amount), paid with Community Development Block Grant
funding.
DISCUSSION
On June 18, 2019, the City Council approved the Fiscal Year 2019-20 Community Development
Block Grant (CDBG) Program (Exhibit 1). The $2,150,323 CDBG allocation for the Public Works
Agency included $620,000 for the installation of ADA curb ramps at various locations in the City
of Santa Ana, adjacent to the Walker, Martin, Madison, Fremont, and John Adams Elementary
Schools, and at Edna Park (Exhibit 2). Improvements include replacement of damaged and
23A-1
Award Contract to Vido Samarzich, Inc.
for Local Street Curb Ramp Improvements Project
July 16, 2019
Page 2
deteriorated concrete sidewalk; and installation of curbs, gutters, and wheelchair ramps. The
work will be performed on an as -needed basis.
Also at the June 18, 2019, City Council Meeting, Council approved the Fiscal Year 2019-20
Capital Improvement Program (CIP). Approval of this recommended action will add the Local
Street Curb Ramp Improvements Project to the Fiscal Year 2019-20 CIP so that project
construction can begin as soon as possible (Exhibit 3).
Public Outreach and Contractor Participation
To provide an opportunity for local vendors to submit bids, a Notice Inviting Bids was advertised
in the Orange County Register on May 3 and 10, 2019, and bids were received electronically via
the City's web -based electronic bidding system, PlanetBids, on May 21, 2019. Through the
PlanetBids online portal, vendors may register to receive notifications on all current and future
City projects, as well as download contract documents, receive project updates, and submit bids
electronically.
A total of 126 vendors, including 5 located in the City of Santa Ana, were notified of the project
via PlanetBids. 26 vendors requested bidding documents and five bids were received, including
one from a Santa Ana contractor.
Bid Results Summary
RANK
BIDDER'S NAME
LOCATION
BASE BID
1
Vido Samarzich, Inc.
Rancho Cucamonga
$495,750
2
L.C. Paving & Sealing, Inc.
Escondido
$515,000
3
EBS General Engineering Inc.
Corona
$523,000
4
Hardy & Harper, Inc.
Santa Ana
$551,000
5
Gentry General Engineering Inc.
Rancho Cucamonga
$627,250
All five bids received were deemed responsive. Vido Samarzich, Inc., submitted the lowest
responsive bid in the amount of $495,750 (Exhibit 4). Based on the bid analysis and a
contractor's reference check, staff recommends awarding the construction contract to Vido
Samarzich, Inc., in the amount bid (Exhibit 5).
Project Delivery
In order to deliver a complete project, in addition to the construction contract awarded to the
lowest responsible bidder, the estimated total construction delivery cost of the project includes
construction administration, inspection, and testing, along with an allowance for contingencies to
account for unexpected or unforeseen conditions. Construction administration and inspection
23A-2
Award Contract to Vido Samarzich, Inc.
for Local Street Curb Ramp Improvements Project
July 16, 2019
Page 3
includes construction management, implementation of the City's Community Workforce
Agreement requirements, inspection of the Contractor's work to ensure contract compliance,
workmanship, and quality and material testing. As indicated in the Cost Analysis (Exhibit 6) and
as summarized in the table below, the estimated total construction delivery cost of the project is
$619,708.
Construction Contract
$495,760
Construction Administration, Inspection, and Testing
$74,383
Contingencies
$49,575
ESTIMATED CONSTRUCTION DELIVERY COST
$619,708
Project funds will cover all staffing costs for delivery of this capital project. No additional or
separate funding will be used.
STRATEGIC PLAN ALIGNMENT
Approval of this item supports the City's efforts to meet Goal #6 - Community Facilities &
Infrastructure, Objective #1 (establish and maintain a Community Investment Plan for all City
assets), Strategy B (equitably maintain existing streets and associated assets in a state of good
repair so they are clean, safe, and aesthetically pleasing for all users).; and Strategy G (develop
and implement the City's Capital Improvement Program in coordination with the Community
Investment (e.g., neighborhood streets, traffic improvements, etc.).
ENVIRONMENTAL IMPACT
In accordance with the California Environmental Quality Act, the recommended actions are
exempt from further review. Categorical Exemption Environmental Review No. ER-2019-57 was
filed for the project.
FISCAL IMPACT
As indicated in the Cost Analysis (Exhibit 6), the estimated total construction delivery cost of the
project is $619,708, which includes construction, contract administration, inspection, testing,
design engineering, and an authorized contingency of $49,575. The following table summarizes
the funds available and funds to be incorporated into the Fiscal Year 2019-20 Capital
Improvement Program to deliver construction of this project:
23A-3
Award Contract to Vido Samarzich, Inc.
for Local Street Curb Ramp Improvements Project
July 16, 2019
Page 4
Accounting Unit —
Accounting Unit - Account
Fiscal Year
Account No.
Fund Description
No. Description
Amount
(Project No.
13518783-66220
Community
CDBG Programs -
FY 2019-20
(20-7532)
Development
Improvements Other Than
$619,708
Block Grant
Buildings
Total
$619,708
APPROVED AS TO FUNDS AND ACCOUNTS:
n
Fuad S. S eiss, PE, PLS Kathryn Downs, CPA
Executive irector Executive Director
Public Wor t
Agency Finance and Management Services Agency
FSS/TC/MO
Exhibits: 1. FY 2019-20 CDBG Funding Plan (Approved June 18, 2019)
2. Location Map
3. Amended FY 2019-20 CIP Project Sheet
4. Bid
5. Construction Contract
6. Cost Analysis
23A-4
EXHIBIT 1
PROGRAM
APPROVED
REQUESTED APPROVED
FY 18-19
FY 19-20 FY19.20
ADMINISTRATION S, PLANNING
$
1,163,391
$
1,140,230
Adninlstration and Planning
1,101,150
1.080.230
Fair Housing
62,241
60,000
CODE ENFORCEMENT
$
815,644
$
790,664
Community Preservation Code Enforcement
765.664
765,664
Community Preservation Legal Services
49.980
25,000
ECONOMIC DEVELOPMENT
$
72,926
$
72,926
New Business Start -Up
72,920
72,926
NONPROFIT PUBLIC SERVICES
$
872,543
$
872,543
Achievemnellns$hdeofScientiflo Studes
-
-
ALSI
61,557
America on Track
45,000
45,000
BoysBG&Clubof Santa Ana
-
40.000
Charitable Ventures of OC
-
30.000
Community Action Partnerships
30,D00
Community Health lniLat!W Orange County
38,499
30.000
Count Appointed Special Advocates
-
30,000
Dell Center (Family Economic Success lnTaare)
71.568
93,205
DeN Center (Teem Engaged In Learning and Leadership)
58,776
68.461
Dell Center/AL81
-
61,557
Heatage Museum of Orange County
-
31.320
Legal Aid Society of00(Clean Stale Prgect)
44,227
-
Legal Aid Society ofOC (Domestic Vlolenm Pmventlon Project)
36,374
38,000
Lutheran Social Services of So. Cal.
-
30.000
We How(dba Neutral Ground) SNL
51.959
60.000
NaEs House late Neutral Ground)
45,865
-
DCChildrenkTherapeutic Arts Center
69,609
70,000
Public Law Center(Caosumm)
35,807
30,000
Pubic Law Center(Housing)
37,084
30,000
Pure Game
_
_
Soft Ana Xtreme
-
-
Second Chance Orange Caunty
30,000
50.000
Teter San Jose Hope Builders
49,125
30,000
The Cambodian Family
43.459
45,000
The Chrysalis Center
_
-
The Illumination Foundation
48,559
-
WISEPIare
39,066
-
Young Men's Christen Associalion of Orange County
3D,000
CRY CAPRAL RIPROVE6NEN78
$
1,892,455
$
3,635,323
Park Improvements
921,227
1.435,000
Rm $11a asm! lttheaWe01ml MRrrowme d,
921.228
215g,32$
Neighborhood Sponsored Improvements
50,000
60,000
HOUSING
$
1,000,000
$
635,000
Single Family Rehab-Chty
850,000
300,000
Mu10 Family Rehab
150,000
175,000
Homebuyer Down Payment Assistance
200,000
160,000
TOTAL
$
5,816,959
$
7,146,606
CDBG ALLOCATION
$
5.816.959
$
5.701.154
CDBG ANTICIPATED PROGRAM INCOME
$
-
$
275.039
CDBG RE -ALLOCATION -AVAILABLE
$
$
1,170.493
SURPLUS/(DEFICIT)
$
-
$
0 $ -
ADMINISTRATION CAP 20%OF ALLOCATION
$
1,163,391
$
1,140,231
ADMINISTRATION PROPOSED
$
1,163.391
S
1.140,231
SURPLUS/(DEFICIT)
$
-
a�(0) $
PUBLIC SERVICE CAP 15%OF ALLOCATION
PLUS PROGRAM INCOME NOT TO EXCEED 15%
$
872.543
$
872.543
PUBLIC SERVICE PROPOSED
$
872.543
$
872,643
SURPLUS/(DEFICIT)
$
-
$
23A-5
U
°; c
E o m
Ni
cni
2
�a
Of�
CL i/i
C�
•_ E t0
E N
O N
N
C N
N U
t0
y 0> C
O C R
C v
N N
c v a
h d
3 E
T N
y0 N O
> Q
v? r
n
N m
o
O N w
U Q
a c >
d=
3
Q o
oCf
o
=o
NN
y c
t
e
d E
W t
;m w
O
U m n
E
o o
m V
O Ol N
U O N
L a
}
c a
?i N t0
a `oc
'O C
a1Oia�E
y O
'y
L>
cc
N N Q
C
a� c
m w 0
rra
ammo
a=u)
c o m
v m
ii 3 m
N
N
(V
N
N
Z
Z
Z
`o c
o
a V
v
m
C C =O
m'm
E
2 c'oU
m
U T
N O C
N o
m E
a
.c
H 2
H li
U O
E
m
0
rn
m
y
O
q
c
d
N
a
Q
O
�
c
Q
m
c
LL E
¢
Q m
c
w
m
22
m
a
}a
m e
= 6 N N c
a
c
O c
H o.y
d
a 0
�.oc
>n��
E-8 E -E!
'S
=
.O
0
Na�NE
E
oa o
a-
L
M
m
C C
O �
n m
rn
a N c 3 `o c
rn m
v
m
da
c a
a �� 015 m
m
o
m Tg
C7 c Q
o> c
y 0
9
a� —
0
E
y
a�
m
mU
C OF N cf0
u E y
c
i5 a
y
d r
C
C t9 N U
lO
N
=E
d
voo�3y
Rm
a E
d 3 c coi
a�
H�3
=cc w o Em
um E
C C
C$ C N C
N O
N
E N '0 0=
m
O
>
E1O
n�aEi23.�
>�
.0
15
E m o m
c
tO N
^y .�
O
C C
9oR
46
Eu
c'm
N�21
M o m
8 E
y
<O N c w U C
c c
E—vo,Q
L T
a 3
m
f0 N C m
N
L
pJ
n — OI
zaa
�d3m°aci
zo
u
N c
W
R
m
�a
Sri
�c
N
in
z
z
z
G
QC A U
¢
Q
N
C U
Q
c o
E Q
C O d
U
....
1C0
(n c2 E
N
N= O
O
oYaZ
oa
o00
aci
U m m�
U d Q
U U D Q
�yy
N
N
~
>
C
C
g
E
�� E
n
E
n`.
mho
N q
.acmo
c
.00 n
a
c E
z m E
23A-6
EXHIBIT 2
VETAAV
T {
Us
® 44, 6 'v A HAYENAV
I]
b u
1 L'LARA , A2 all 10
,PINS,' -
WESlMWS
WASNM4IUR AV ='
•�. J 93
ItE: 21 CM .. C ITM Us J
2 LIZ
SANiA
K 15T'ST
- _ MCFAUO■N AV y �■
Jss �
�■� IA I ■. �i N MCCO r 1
�m tT
i�
t■ 3T
95 W RAV tl
Is - k�
SE6EPSTRdI . a IF
n
D Y
0 'G %. 1
hq
741, Miles
SANTA ANA
Project No. 20-7532:
Pl Local Street Curb Ramp Improvement
PUBLIC WORMSAGENCY Project
23A-7
23A-8
EXHIBIT
}}
(
f
\
(
zOL
e
�
K
00:
2
et§{
§
\
§
Q}
g
j
g
co
IL
IL
�
{
§
§
§
§
§
B
§
§
§
N
2
§
§
[
�
§
\
\
§
}
}
�
§
�
§
d
_
\
a
k
LIL
W
o
@
(
(
(
k
\
\
\
LN
\
\
$
w
w
w
x
aY
Up
o�
�F
�U
w
(y 0
a
H
cw
i
(t0 ir
iL
U�
aH
Q
U
23A-10
N
City of Santa Ana Page 1
Local Street Curb Ramp Improvements (20-7532), bidding on May 28, 2019 2:00 PM (Paolfic) Printed 06/13/2010
EXHIBIT 4
Bid Results
Bidder Details
Vendor Name
Ado Samandch, Inc.
Address
6829 Blllings Place
Rancho Cucamonga, CA 91701
United States
Raspondee
Vldo L Samarzlch
Respondvo Title
Vice President
Phone
909-987-6377 Ext.
Email
vidosam@yahco.com
Vendor Type
CADIR
License#
433210
CA DIR
Bid Detail
Bid Format
Electronic
Submitted
May 28, 2019 11:54:23 AM (Pacific)
Delivery Method
Bid Responsive
Bid Status
Submitted
Confirmation#
179871
Ranking
0
Respondee Comment
Buyer Comment
Attachments
File Title
File Name
File Type
Bid Does
Bid Does for Santa Ana Curb Rampa.pdf
General Forms
Santa Ana Ownership Affidavit
Santa Ana Ownership Affidavlt,pdf
Ownership Affidavit (Notary
Public)- REQ Orlglnal
Hard Copy Submittal in
Addition
Santa Ana Bid Band
Santa Ana Bid Bond.pdf
Bid Bond Guaranty (Notary
Public) - REQ Original
Hard Copy Submittal in
Addition
Santa Ana Non -Collusion Affidavit
Santa Ana Non -Collusion ATdavit.pdf
Non -Collusion Afdavit
(Notary Public)- REQ
Original Hard Copy
Submittal In Addition
Line Items
Type Item Code
UOM city Unit Price
Line Total Comment
Section 1
1 Remove and Construct PCC Curb Ramp
SF 25000 $16.00
$400,000.00
2 Remove and Construct PCC Sidewalk (T=4")
SF 3000 $9.00
$27,000,00
PlanetSids, Inc.
23A-11
City of Santa Ana
Local Street Curb Ramp Improvements (20-7532), bidding on May 26, 2019 2:00 PM (Pacl9c)
Bid Results
Type Item Code UOM City Unit Price
3 Remove and Construct PCC Curb & Gutter (A-2-6)
LF 1250 $55.00
Subtotal
Total
PlanotOlds, Inc.
23A-12
Page 2
Printed 06/13/2019
Llneiotal Comment
$68,750.00
$495,750,00
$495,750.00
CITY OF SANTA ANA
PROPOSAL
PROJECTNO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
BID PROPOSAL
TO: CITY COUNCIL OF TI lE CITY OF SANTA ANA
FROM:
REQUIREMENT:
The undersigned bidder declares that they have carefully examined the location of the proposed
work, that fhey have examined the Contract Documents in its entirety and hereby proposes to
tarnish all material and do all the work required to complete the said work in accordance with
said plans (if any) and the specifications for the Unit price(s) or lump sunt(s) set forth in the
Ibllowing schedule:
Item
Description
—
Qty
Unit
Unit Price
Amount
1
Remove nntt Construct PCC Curb
25,000
T�
Ramp
2
Remove and Construct PCC Siticwallt
3.000
SF
$
_-
3
Rumovc anti Construct PCC Cw b &
1,250
LP
$
$
Gutter (A-2-6)
TOTAL BAST BID ,$ S F�E'
The lowest responsible bidder shall be selected based on the total base bid. The City reserves the
right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any).
TIME: FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES
The undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within eighty (30) working clays after the commencement date stated in the Notice
to Proceed.
The liquidated damages amount, ht lieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shall be $500 per calendar day.
Name of Firm
Signature of Bit
(I an individual, so state. If a tirnt orco-partnership, state the firm name and give the names of
all individual co-partners composing the firm, lra corporation, state legal naive of corporation,
and names of President, Secretary, Treasurer and i onager, thereof.)
iJtDo ,SAAAA2l`t(
I'-1 ol'11-I5
iyc9awkq
�ras�stcra-SF�Rr�7"AR�y
VIDO (,.. 54AV-xioi _ Vtc PREFta�,��� f y,
CITY OF SANTA ANA
PROPOSAL
PROXCf NO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
BIDDER'S STATEMENT
BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent
C0nstrtletio(1 Contract Agreement shall constitute the entire agreement between BIDDER and the
AGENCY only alter it has been accented by the City Council, endorsed by the Clerk of the
Council with her signature and official seal noting hereon the action of approval of the COLlnCil,
signed by the Public Works Agency Executive Director or his/her duly authorized agent, and
signed by the City Attorney, denoting ,his approval of the form of this document, and its
execution, and when it or an exact copy of it his been either delivered to BIDDER or deposited
with the United States Postal Service properly addressed to the BIDDER with the correct postage
affixed thereto.
BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she
will furnish AGENCY all required bonds and certificate of liability insurance within ten (10)
business days or the fiords, check, draft, or BIDDERS bond substituted in lieu thereof
accompanying this proposal shall become the propertyof the AGENCY and shall be considered
as payment of damages due to the delay and other causes suffered by AGENCY because of'the
failure to furnish the necessary bonds and because it is distinctly agreed that the proof of
damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or
BIDDER'S bond substituted inlieu thercorshatl be returned to the undersigned.
BIDDER understands that a bid is required for the entire work, the estimated quantities set forth
In the bid schedule are solely for the purpose of comparing bids, and that final compensation
tinder (lie contract will be based upon the actual quantities of work satisfactorily completed. 'File
BIDDER also certifies that the bid is a balanced bid.
In accordance with Section 7028.15 of the California Business and Professions Code, the
undersigned certifies under penalty ofpeijury that the' foregoing is true and correct.
Name of firm
Signature of Bil
'title VIDE. Pkaloewg—
(Ifan individual, so state. If firm or co -partnership, state the firm name and give die names of
all individual co-partners composing the firm. If a wr )oration state legal name of corporation,
and names
orPresident, Seeretary,'freasurer and anager, thereof.)
(IN
Vtoo rV!AuW2.(C.g
Mgvlk4 �Ak9R2.fLFF
U11Db C. SAMBA2(c.0
V(� �Restv�NT � -tk'�KwReR.
P-2 o f P-15
23A-14
CITY OF SANTA ANA
PROPOSAL
PROJECI' NO.: 20-7532
LOCAL STREET CURES RAMP ►MPROVEMEWS
CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT
The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she
and all his/her subcontractors are registered with the State of California Department of Industrial
Relations (DIR), and that the following is true and correct.
Contractor's Name: 1 m �ts2icN . ING.
Business Address: Z,?ack St ea i p4 FV_F_ _�zvab ZG /Q4.0,/4 ca • 7CJi
Business E-Mail Address:vl pp $ sl n
Telephone: T �cY?�$
State Contractor's License No. and Class: W33 a (o
License Expiration Date: iZ 13t ;oA6
State Dept. of Industrial Relations (DER)
Registration No.:
State Dept, of Industrial Relations (DIR)
Registration Expirati i Datc' 6 3c V20(`�
�' 61�
Signed: i7t/1 bn 1. 94ewr4sGaw r�9
Title: (%lG�l.Es(bF�1r—
P-3 of P-15
23A-15
CITY OF SANTA ANA
PROPOSAL,
PROJECT NO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENT'S
PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT.
Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well
as California Code of Regulations,, 'title 8, Section 16,000, et seq., ("Prevailing Wage Laws"),
which require the payment of prevailing wage rates an([ the performance of other requirements
on "public works" and "maintenance" projects, Since the services are being performed as part of
an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws,
and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such
Prevailing Wage Laws.
City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at
the commencement of this Agreement. Contractor shall make copies of the prevailing rates of
per diem wages far each craft, classification or type of worker needed to execute the services
available to interested parties upon request, and shall post copies at the Contractor's principal
place of business and at the project site.
Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees
and agents free and harmless from any claim or liability arising out of any failure or alleged
failure to comply with the Prevailing Wage Laws.
The undersigned certifies that the foregoing is true and correct.
Name of Firm
Signature of BI
Title (lS
(ifan individual, so
P-4 of P-1 S
23A-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.; 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
OWNERSHIP AFFIDAVIT
STATE OF-CALIFORNIA )
COUNTY OF ORANGE ) SS:
CITY OF SANTA ANA j
_,_ -V aQ L-. �$Ag/)R-a&W , being duly sworn, deposes and says:
[]INDIVIDUAL That he/sho is the party making the foregoing proposal:
❑ PARTNERSHIP That he/she is a member of the co -partnership firm designated as:
and who has been later is dilly vested with the authority W milks and execute instruments
for the co -partnership by:
who constitute the other mee(n��tbcis of the co -partnership. �—
CORC'OfW'[ON That he is of.'�IACa c�ArMR/e21G�( _gt{(
n corporation which is malting the foregoing proposal:
❑ JOINT VEN`PURE That he is of.
one of the parties making the foregoing proposal as a joint venture, and the he/she has
been and is duly vested with the authority to execute insnvmonts for an on behalf of the
parties making said bid who are:
that such a bid is genuine and not collusive or sham, and has not in any manner sought by
collusion to secure any advantage against the City of Santa Ana or any person interested in the
propose nh' t, or himself or any other person. "e
QV Ii'j 4.. �t'MEl2'L1 Cr^y
Signature of - udder
Subscribed and sworn to before me this day of 20 _
SSE iAc U
Signature of officer Administering Oath (Notary Public)
P-5 of P- l S
23A-17
notary public or other officer completing this
rtificate verifies only the identity of the individuG
io signed the document to which this certificate
attached, and not the truthfulness, accuracy, of
State of California
County of LOS ANGELES
Subscribed and sworn to (or affirmed) before me on this 23RD
day of MAY 20 19, by VIDO L. SAMARZICH
proved to me on the basis of satisfactory evidence to be the
person�vrwho appeared before me.
;,unnl„hy ummnnllmnounmonunmmmmn
<v;.'.. nESN}nNP9.WARRENREN
COMM.8Y19b534
e >LL Nolnry Pu611�•Catfta(nla
E Rlvmalde County. `
ry Qomm. E u resApr. 0, 2021 K
nlllllNlll I IIIIIIIII IIIIIINIIIIIIIIIIIIII'I IIIIIIIINIIINIIIIIIIIIIIII .•
(Seal) Signature
23A-18
Bond No.: VIDSA-2010
CITY OF SAINTA ATNA
PROPOSAL
PROJECVNO;; 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
BID BOND
KNOW ALL PRESENT that,
Vido Samarzich, Inc. as BIDDER, and
Fidelity and Deposit Company of Maryland as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal stun of _
Ten Percent Of The Total Amount Bid Dollars ($ 10% Of Bid ), which is ten percent (10%)
of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of
which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these
presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to
submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is
accepted :and a contract is awarded and entered into by BIDDER in the manner and time
specified, then this obligation shall be null and void, otherwise it shall remain in fill force and
effect in favor of AGENCY.
IN WITNESS WHEREOF the patties hereto have set their names, titles, hands, find seal this
16th day of May , 20 99.
BIDDER* 6829 Billings Place
SURETY*
)1
777 S. Figueroa'Street, Suite 3900
_Subkr. bed -and sworn to before me this day of
5i�nature:_
Notary Public in end for the County of
, State of
* Provide BIDDER/ SURETY name, address, and telephone number and the nafne,.title,
address, and telephone number of authorized representative.
1'-6 of P-15
ZURICH AMERICAN INSURANCE. COMPANY
COLONIAL. AMERICAN CASUALTY AND SURETY COMPANY
11DELITY AND DEPOSIT COMPANY OF MARYLAND
PONVER OF ATTORNEY
KNOW ALL MEN BY THESE PRESBNTS: Than the ZURIC II AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
Robert D. Murray, Vice President; in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are
gel forth Oil the reverse side hereof find Are hereby certfied to be in full force and effect oil lire date hereof, do hereby nominate, constitute,
laid appoint Bandy SPOHN, Ashley M. SPOHN, Matthew It. DOIIYNS and Hamilton KENNEY, all of Santa Ann, California, EACH,
fls true and Inwfid agent and Attorney -in -Fact, to make, execute, seal and deliver, fox, and on its behalf as surety, and as its act and deed: any
and all bonds and undertakings, and the execution of such bonus or undertakings in pursuance of these presents, shall be as binding upon
said Companics, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZU RICH AMERICAN INSURANCE COMPANY at its office in Now York, Now York., the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office illOwings Mills, Maylaud:,-and tire regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Mayland., in their own proper
poisons.
Tire said Vice, President does hereby certify (lint the extract set forth oil the reverse side hereof is it tine copy of Article V, Section 8, of
the By -Laws of said Companies, slid is now in force.
IN WITNESS WIIBREOF, ire said Vice-president has hereitawsubsoribed-his/her• names maid affixed the Corporate Seats of the said
7.URICII AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY. COMPANY, and
FIDELITY AND DEPOSFI' COMPANY OF MARYLAND, this 15tb day of May, A.D. 2019.
w Last,
r roar tJ1"�it
hhh4l *Vp,"�,
ATTEST:
ZURICH AMERICAN INSURANCL COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
By: RobertD.Murray -
Vicepresideint
8v: Dawn E. Brown -
Secretary
Shlte.o1'Marylan<1 - _ .,,
Comity of Baltimore -
on this 1501 (lily of May, A.D. 2019, before the subscriber, it Notary Public of the State of Maryland, duly commissioned fled qu¢dlftedPRoger6).
Murray, Vino President and Dawn E. Brown, Secretary of the Coinlaulies, to ire personally known to be the individuals and officers described in and who
cxoeuted the preceding insmmeluuu, and acknowledged the execution of same, and being by ae duly sworn, deposeth still saith, that he/she is the lard officer of
the Company aforesaid, and that the seals affixed to the preceding instrument are tho Corpm'ato Seals of said Companies, sad that (tic still[ Corporate Seals and
the sigmatw'o as meh officta were duty aftixod and subscribed to die said imsnunrcnt by the authority and direction of the said Corporntiais.
1N IES-I'IMONY W11EM10F, t have h=111110 set ny hall([ laid affixed my Official Sold Ilia dray and year first above written.
f r1+ry r
'`t'>iln
y
` �wt�I1N�r.Y'i
s'I~h x eft
��� � 4�",,.�3
F
Couetxace A. llaw, Notary Public
,��s``
My Commission Expires: July 9, 2019
23A-20
EXTRACT FROM BY-LAWS OF THE COMPANIES
"At'ticle. V, Section 8, Altorneys-in Jrtu,,t. The Chief Executive Officer, the President, or any Executive Vieo President or Vice Illosident
may, by written instrument under file attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recogaizances, stipulations, undertakings, or other like instruments on behalf of the Company, and rally authorize any officer or any such
attorney -in -fact to affix the corporate seat thereto; and may with or without cause modify of revoke any suchappointment or authority at any
time,"
CERTIFICATE
1, the tandersiguod, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect of the dato of this certificate; and I do furthor certify that Article V, Secl'ion 8, of
the By -Laws of the Companies is still in force,
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly culled and held on the I Stb day ofDecemller 1998,
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of it Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power. of Aunt ney ... Anysuch Power or any certificate thereof hearing Such
Facsimile signature and seat shall be valid and bindingon the Company."
']Tits Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution or the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held oil the Soh day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990,
RESOLVED: "That the facsimile.or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Seoretay, or Assistant Secretary of. the Company, whether made heretofore or hereafter, wherever appearing upon it
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name aid affixed the corporate seals of the said Companies,
this +air _day of M"v , 2019_
�r'"jy�rta'.e
9aBR � Mr
Brian M. Hodges, Vice President
TO REPORT A.CI,AIM NVITII REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL, ON THE BOND, THE BOND NUMBER, AND YOUR-CON'rACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196.1056
www.Ni orts clainis@ urichrE e� om
900-626.4577
23A-21
. ALIFORNIA 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, ar validity of that document.
State of CALIFORNIA
County of ORANGE ..... —
On May 1601, 201.9 before me ASHLEY MARIE SPOHN NOTARY PUBLIC,
personally appeared MATrHEML R. DOBYN5
® who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is/ere 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
ASIILEY iVIARI-E sr 01I IKI instrument the person(, or the entity upon behalf of which the person(s)
S�OIflM t 2/188666
NornlavPUBLIC cni.iroaNln acted; executed the instrument.
s k ORANak GUUIV rY N
d, Myanmm,explrnroM . 7 20 1 R I certify under PENALTY OF PERJURY under the laws of the State of
California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Though the data below is not required by law, it may prove valuable to persons Belying on the document and
could prevent fraudulent reattachment of this form.
CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT
❑ INDIVIDUAL
❑ CORPORATE OFFICER
❑ PARTNER(S) ❑ LIMITED
® ATTORNEY -IN -FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER: —
SIGNER IS REPRESENTING:
NAME OF PERSON(S) OR ENTITY(IES)
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 MAY 28, 2019
before me, DESMOND G. WARREN
(insert name and title of the officer)
personally appeared _ VIDO L. SAMARZICH
who proved to me on the basis of satisfactory evidence to be the personl,)-Whose name(a')'is/
subscribed to the within instrument and acknowledged to me that he/s4ethey executed the same in
his/>dthetrr authorized capacity(iess•)'and that by his/11eVf4eirsignature,(84-on the Instrument the
personK, or the entity upon behalf of which the personKacted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS m hand and official seal. �Innnllll 1111111111111f11111111P4111111111111111�11111)IIUI11111111111�
Y oeayoNo o. a aagaN
CdORRM. N2fA 534 '�
Notary Public• Callldrnly
ems�i' M �River&Ida County
IIIUllllall 11a1111111n11111uIWIIliI1RilfillresfAIpllNilllel l
Signature (Seat)
23A-23
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 20-7532
LOCAL STREET CURE RAMP IMPROVEMENTS
LIST OF SUB -CONTRACTORS
Section 4100 et. seq. of the Public Contract Code requires listing of all Subcontractors with the bid for all
subcontract work, exceeding the 1•0llowing amount:
o Streets, highways including bridge projects: ''/2%oftile l)id or $10,000, whichever is greater
o Buildings, parks, or other projects: %2°/n of the bid
Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State
Department of 111(iusn9al Relations (DIR).
BIDDER proposes to Subcontract certain portions ofthe workto the firms listed below:
Name
License #/Exp.
DIR Reg. #/Exp.
Location
Phone
'type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp
License #
Location
Phone
Type Of Work
Amount $
Name
License #/Exp _
DIR Reg. # _,xp.
Liccns
Lo ion
Type Of Work
Amount $
Gv 1170 C. s4 oAx'cM
Si store oi' I: d er
Name
License #/Rxp.
DIR Reg. #/Exp.
Location
Phone —
Type Of wee __.—.
Amount
N• e
License #/Exp.
DIR Reg. WExp.
License #
Location
Phone
Type Of work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp,
License #
Location
Phone
Type Of Work
Amount $
P-7 of P-15
23A-24
CITY OF SANTA ANA
PROPOSAL,
PROJECT NO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
REFERENCES
The following are the names, addresses, and telephone numbers for THREE public agencies for
which the BIDDER has performed similar work within the past three years.
and Telephone Number of person familiar with pro.jeet.
Contract Amount
2.
Name and Addre:
Name and Teleph
Contract Amount
3.
Name an ddres
to and Teleph
Contract Amount
of owner.
of owner.
Type of Work��
rrk�
person familiar with prglcct.
Type of Work
Date Completed
Date Completed
Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds.
t633 s7-, sLrre
:5AnrrA- AuA,Cfi ' af;001
68 sg1-Dc
11-8 of P-15
23A-25
VIDO SAMARZICH, INC.
General Engineering Contractor No. 433210 A
6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377
FAX 909-987-8988
COMPLETED CONSTRUCTION
PROJECT REFERENCES
1. Project Name: Wilshire Avenue Bicycle Blvd Improvements
Owner: City of Iaullerton
Phone Number: (714) 738-6853
Engineer/Contact: Mr. David Grantham
Contract Amount: $2,100,000.00
Date of Completion: 2019
2. Project Name: l,Y 17-18 ADA Access Ramp Improvements at Various Locations
Owner: City of Rancho Cucamonga
Phone Number: (909) 774-4070
Engineer/Contact: Mr, Romeo David
Contract Amount: $975,000.00
Date of Completion: 2018
3. Project Name: Wilshire Avenue Water and. Sewer Improvement Project
Owner: City of Fullerton
Phone Number: (714) 738-6895
Engineer/Contact: Mr. Gar Huang
Contract Amount- $550,000.00
Date of Completion: 2018
4. Project Name: Elm/Malden Area. Street, Sewer and Water Improvements
Owner: City of Fullerton
Phone Number: (714) 773-0049
Engineer/Contact: Mr. Joseph Hernandez
Contract Amount: $2,200,000.00
Date of Completion: 2018
5. Project Name: Anaheim Hills Road Water Main Replacement
Owner: City of Anailieim.
Phone Number: (714) 863-8020
Engineer/Contact: Mr. Luis Tapia
Contract Amount: $600,000.00
Date of Completion: 2018
Page l of 5
23A-26
VID® SAMARZICH, INC.
General Engineering Contractor No.433210A
6829 BILLINGS PLACE, RANCI-10 CUCAMONGA, CALIFORNIA 91701
TELEPHONE 909-987-6377
FAX 909-987-8988
6. Project Name: CD13G ADA Wheelchair Access Ramp Rep]acerrieint at Various Locations
Owner: City of Orange
Phone Number: (714) 744-5566
Engineer/Contact: Mr. Matthew Lorenzen
Contract Amount: $204,300.00
Date of Completion: 2018
Project Name: 2017 Citywide Curb Ramp Improvements
Owner: City of Laguna Beach
Phone Number: (949) 497-0741
Engineer/Contact: Mr. 'Fri Nguyen
Contract Amount: $285,000.00
Completion Date: 2017
8. .Project Name: Safe Routes io School Improvements, Phase 3
Owner: City of Glendale
Phone Number: (818) 402-0225
Engineer/Contact: Mr. Gary Edsall
Contract Amount: $908,000.00
Date of Completion: 2017
9. Project Name: Heirn Ave at Canal St Storm Drain Improvements
Owner! City of Change
Phone Number: (714) 744-5566
Engineer/Contact: Mr. Matthew Lorenzen
Contract Amount: $99,000.00
Date of Completion: 2017
10. Project Name: Citywide Sidewalk Repair Project FY 15-16
Owner: City of Santa Monica
Phone Number: (951) 522-4505
Engineer/Contact: Mr. Craig Wheeler
Contract Amount: $878,000.00
Date of Completion: 2017
11. Project Name: FY 16/17 Curb Access Ramp Installation Project
Owner: City of Huntington Beach
Phone Number: (714) 536-5259
Engineer/Contact: Mr. Joe Fuentes
Contract Ambient: $679,000.00
Date of Completion: 2017
Page 2 of 5
23A-27
VINO SAMARZICH, INC.
General Engineering Contractor No. 433210A
6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377
FAX 909-987-8988
12. Project Name: Comstock Avenue Water Main Improvements
Owner: City of Whittier
Phone Number: (562) 567-9302
Engineer/Contact: Mr. Carl Ilassel
Contract Amount: $578,000.00
Date of Completion: 2017
13. Project Name: Monterey Road Street Improvements
Owner: City of South Pasadena
Phone Number: (626) 590-0570
Engineer/Contact: Mn•, Alex Chou
Contract Amount: $1,550,000.00
Date of Completion: 2017
14. Project Name: Fletcher Avenue Iteeonstrnotiun
Owner: City of South Pasadena
Phone Number: (702) 204-4025
Engineer/Contact: Mr. Mark Peterson
Contract Amount: $878,000.00
Date of Completion: 2016.
1.5. Project Name: Patterson Street Reconstruction
Owner: City of Fullerton
Phone Number: (714) 732-9060
Engineer/Contact: Mr. Pete Acosta
Contract Amount: $675,000.00
Date of Completion: 2016
16. Project Name: Magnoha/Bolsa Intersection Widening
Owner: City of Westminster
Phone Number: (714) 548-3464
Engineer/Contact: Ms. 'fheresaIran
Contract Amount: $975,000.00
Date of Completion: 2016
17. Project Name: 2015 Water Main Improvetments
Owner: City of Westminster
Phone Number: (714) 548-3456
Engineer/Contact: Mr, Tian Pham
Contract Amount: $1,100,000.00
Date of Completion: 2016
Page 3 of 5
23A-28
VIDO SAMARZICH, INC.
General E tigineering Contractor No. 433210 A
6829 BILLINGS PLACE, RANCHO 7CAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377
FAX 909-987-8988
18. Project Name: Red Hill Labe Modernization
Owner: City of Rancho Cucamonga
Phone Number: (909) 477-2740
Euglneer/Contact: Mr, Romeo David
Contract Amount: $300,000.00
Date of Completion: 2016
19. Project Name: 2015 Concrete Improvements
Owner: City of Inglewood
Phone Number: (714) 468-7319
Engineer/Contact: Mr. Hunter Nguyen
Contract Amount: $425,000.00
Date of Completion: 2015
20, Project Name: 1'1 Centro Avenue Rehabilitation
Owner: City oCSouth Pasadena
Phone Number: (626) 590-0570
Engineer/Contact: Mr. Alex Chou
Contract Amount: $I,1.00,000.00
Date of Completion: 2015
21. Project Name: Concrete Bus Pads
Owner: City of Rancho Cucamonga
Phone Number: (71.4) 548-3456
Eugincer/Contact: Curt Billings
Contract Amount: $175,000.00
Date of Completion: 2015
22. Project Name: AIOA Wheelchair Ramps
Owner: City of Orange
Phone Number: (714) 744-5566
Eagineer/Contact: Mr. Matthew Lorenzen
Contract Amount: $275,000.00
Date of Completion: 2015
23. Project Name: 2014 Water Improvement
Owner: City of Westminster
Phone Number: (714) 548-3456
Engineer/Contact: Mr. TUan Pham
Contract Amount: $1,1O0,000.00
Date of Completion: 2015.
Page 4 of 5
23A-29
VIDO SAMARZICH, INC.
General Engineering Contractor No. 433210 A
6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701
24. Project Name: ADA Sidewalk Improvement
Owner: City of Artesia
Phone Number: (951) 314-6984
Engineer/Contact: Mr, Chuck Burkhardt
Contract Amount: $200,000,00
Date of Completion: 2014.
2.5. Project Name: Y;l.,HS Park Bryant Cross Feeder Pipeline
Owner: Yorba Linda Water District
Phone Number: (714) 701-3104
Engineer/Contact: Mr. ,Foe Polimino
Contract Amount: $675,000.00
Date of Completion: 2013
26. Project Name: County Road Storm Drain
Owner: City ofPornona
Phone Number: (909) 322-7471
Engineer/Contact: Mr. Dave Barron
Contract Amount: $570,000,00
Date of Completion: 2013.
27. Project Name: Adams Square Park
Owner: City of Glendale
Phone Number: (818) 548-2864
Engineer/Contact: Mr. ) Iagop ILassabian
Contract Amount: $1,100,000.00
Date of Completion: 2010
28.11roject Name: Various Public Work. Purchase Orders and Contracts 2000-2013
Owner: City of Pasadena
Phone Number: (626) 484-5640
Engineer/Contact: Mr.'Dale Torstenbo - dtorstcnbo@cityofpasadena.riet
Contract Amount: $2,500,000.00
Date of Completion: 2000-2013
29. Project Narnc: Mise Ptak Improvements From 2000-2010
Owner: City of Glendale
Engineer/Contact: George Balteria— (951) 201-2710
Peter Vierheilig— pvierheilig cci.glendale.ca.us
Contract Amount: $3,500,000.00
Date of Completion: 2000-2010
Page 5 of 5
TELEPHONE 909-987-6377
FAX 909-987-8988
23A-30
CITY OF SANTA ANA
PROPOSAL
PROJ ECT NO,: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
ADDITIONAL REPERENCES
The following are the manes, addresses, and telephone numbers for THREE public agencies for
which the BIDDER or Subcontractor has performed similar work in the past five years.
Name and
Name and'Pelephone Number of person familiar with proj(
Contract Amount Type of Work `�
t-a�
2.
3.
Name and Telephone Number of person Familiar ) oject.
Contract Amount r/ Type of Work
Name
of owner.
and Telephone Number
Contract Amount
project.
Date Completed
Date Completed
Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds.
2tARIC ti — c%n i5 $aAr7iay! 2td/•*�?EI.JC�t/fie
IG33 E "IT'Id cg scx 21�
i
P-9 o f P- 15
23A-31
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
NON-C( 1j_USIONAFFIDAVIT
(Title 23 United States Code Section 412 and Public Contract Code Section 7106)
In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the
BIDDER declares that the bill 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 agrecnent, cominunication, or conference with anyone to fix the bid price of the
BIDDER or any other BIDDER, or to fix any overhead, profit, or cost elenreat 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; Mid, 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 Non -collusion Affidavit is Bart of the Proposal. BIDDERS are
cautioyed that making, a False certification may subject the certifier to criminal
Signed
State of California
County of ____
Subscribed and sworn to (or affirmed) before me on this _ day of ___, 20_, by
_> proved to nie on the basis of satisfactory evidence to be tine
person(s) who appeared before, ine
Notary Public Signature Notary Public Seal
P-10 ofP-15
23A-32
notary public or other officer completing this
:rtificate verifies only the identity of the individu€
io signed the document to which this certificate
attached, and not the truthfulness, accuracy, or
lidity of that document
State of California
County of LOS ANGELES
Subscribed and sworn to (or affirmed) before me on this 23RD
day of MAY 120 19 , by ViDO L. SAMARZSCH
proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me,
p11111111110.IIIIIIIIIIIIIIIIIIIIII'ISIx111HIIIINIIIIIIIIxIl01111111xN
E3ES 06ffig10ND0. WARRBN
C 534
nxllgNl. NxxI6
Notary P.ubjjo. jdN6
nlq
RiWaNde County
Ex "2 i0
yMxuApIHI(Seal) Signature
r -
23A-33
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
NON-DISCRIMINATION CERTIFICATE
The undersigned contractor or corporate officer, during the performance of this contract, certifies
as follows:
1. "file Contractor shall not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The Contractor shall take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment without, regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to, the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
Forms of compensation; and selection ter training, including apprenticeship. The Contractor
agrees to post in Conspicuous places, available to employees and applicants for employment,
notices to be provided setting forth the provisions of this nondiscrimination clause.
2. 'file Contractor shall, in all solicitations or advertisements for employees placed by or on
behalf of the Contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, or national origin.
3. The Contractor shall send to each labor union or representative of workers with which he/she
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor anion or workers' representatives of the Contractor's
connitnents under thus section, and shall post copies of the notice in conspicuous places
available to employees and applicants 'for employment.
4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24,
1965, and orthe rules, regulations, and relevant orders of the Secretary of Label-.
The Contractor shall furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his/her books, records, and accounts by the
administering agency and the Secretary of Labor for purposes of investigation, to ascertain
compliance with such rules,, regulations, and orders.
6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, the contract may be canceled,
terminated, or suspended in whole or in part and the Contractor may be declared ineligible
far further (lovernment contracts or federally assisted construction contracts in accordance
with procedures authorized in Execution Order 11246 of September 24, 1965, and such other
sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of
September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as
otherwise provided by law.
P-I I ofP-15
23A-34
CITY OF SANTA ANA
PROPOSAL
1'1110JEC'I'NO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
'rhe Contractor shall include the portion or the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (7) in every subcontract or purchase order
unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to
Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be
binding upon each subcontract or purchase order as the administering agency may direct as
means of enforcing such provisions, including sanctions for noncompliance; provided,
however, that in the event the Contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction by the administering
agency, the Contractor may request that the United States enter into such litigation to protect
[lie interests of the United Stales.
8. Pursuant to California Labor Code Section '1735, as added by Chapter 643 Stats. 1939, and as
amended, no discrimination shall be made in the employment of persons upon public works
because of race, religious creed, color, national origin, ancestry, physical handicaps, mental
condition, marital status, or sex of such persons, except as provided in Section 1420, and any
contractor of public works violating this Section is subject to all the penalties imposed for a
violation of the Cer.
Signed: ha �/ 117� �, rq,,7str�ztcri
'rhic: !tf FS11) A)T 7}-�(j /`'/�
Firm: _ V'bQ -QQi4&AN2(6 TJV
Date:
P-12 of'P-15
23A-35
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS
The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor
Code regarding employment of apprentices, and understands that contractors on contracts
exceeding $30,000 or 20 working days shall:
1. Apply to the joint apprenticeship Committee administering the apprenticeship standards of
the craft or trade in the area of the site of the public work for a certificate approving the
contractor under the apprenticeship standards for the employment and training of apprentices
in the area or industry affected.
2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the
apprenticeship standards.
3. Contribute to the fund or funds in each craft or trade in which he/she 'employs journeymen or
apprentices on the public work, in the same amount or upon the same basis and in the same
manner as the other coi tractors, except contractors not signatory to the trust agreement shall
pay a like amount to c Cali ornia Apprenticeship Couneil.
Signed: b
Title: Vlef 1`f��stAFnlr
Firm: _ VtAc> SroyRa�c(E trVc,
Date: y✓ltl-p 7 W, `Zo a�
P-13 of P-15
23A-36
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS
STATEMENT REOARDINO "ANTI -KICKBACK" REQUIREMENTS
The undersigned is submitting this proposal for performing by contract the work required by
these bid documents, agrees to comply with the Copeland "Anti -Kickback" Act (18 USC 74) as
supplemented in the Department of Labor rcgulalions (29 Cf R, Part 3). This acf provides that
each contractor or subcontractor shall be prohibited from inducing, by any means, any person
employed in the construction or repair of public work, to give up any part of the compensation to
which he/she is otherwi entitled.
Signed: � � IQ�wa td 5.4�-rA. �(Gy
Title: VIA PzIDEVI—
firm: 1f 1�G �.6fAn42.(G�f Zye-,
Date: Y 4-f 7,11
P-14 ofP-15
23A-37
CITY OF SANTA ANA
PROPOSAL
PRO,1 ECT NO.: 20-7532
LOCAL, STREET CURB RAMP IMI'ROVEMF.NTS
PUBLIC CONTRACT CODE SECTION 10162 QUE-S'FIONNAIRE
In conformance with Public Contract Code Section 10162, the BIDDER shall complete,
under penalty of pe"JUM the following 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 1aw Ora safety regulation?
Yes No __Je.
If the answer is yes, explain the circamslances in the following space
P-15 of P-15
23A-38
ws
/aryl," ANRWWAYTO SIGN IN- lfyou Already have Login
EIu
n FAM Acvounl, uec ymu GAIN enmil Cur IoRdu.gm•,
M1ritS1 MR
le,b'in.lVS FAQs
th vnll .... dl_Rtend„nxl-t R.'Il"I, d,{Il y� a. nnoenbnul
rhangox In thr nalall,d R'tIll l',,I....... ruodnlAersYdem imp..... ta.
ALIR1': BAM.guv,vlll hr Aown fnrvdbe, nh:d :nnintenm:, NAemhy, o6/Ivamo, Imn, ha,o AM :o l:oo 1-m P.DI I
ALIJtI (AllR lcp:o9calh xpui.¢Iha higl ,luu-+f:VJsma':IDn:-0Lamo9 mg than 611t. m'Ar:'I ehi.h Rny are:'xxh',L RI¢I;our cl lalm.nslNonllu,, CAl14:
'roPocld.o„pnn Mll he..... rvJ Ly CAf„R,if,reresxary, far unq addlllon:d intnnn.nlen.
Sill Results
I)tll'I'Cilt Scareb Terms: VIDO SAMAR%101I, INC'
ltstal revnrdsa $aye PDE Export Results_ 17l t,
Reeull Page 1 Nort Lc Ralevonce (?rdm� Le' E-- . -=Deseendng
C-=_J �
Ymn'netvch for VIVO 5AMAR`/.[C:Ft,INC."r[ftnruc�1 tLe. Golloa�nq resells...
Ena:J' Vitlo FnSIa4s: Adll,• '1
----� mm�aluh, [.I,-.
DUNS; r fgNfs66 CAL`P.Qele: gO(ai¢ vMw. DIMM,,
IIanA 11 L.:.h ionl: No IMAMA(: --a
EOIMtlon OxR4 m/o4boole la1s9ollj WOffict?; No
13nrpnaoof RMlgtmRcn: All AWnvlls
Result Pal"': 1 save PDF Export Reeu65 Print
l ibih1 Ill111.,uv
Dn All,,, A .11 4 mdly r.'l.F vJ1AIt
Chi s 4 S(auu Puvue Rllic} GbAgul'
ALoul UYA.P,ov
ittAi-F'<rznle3l5-lPfl
Fiq,lp
l4ll'N';i
t _ • ,ll �i 1 I:"I.'".,i .. ..� ,,,I::: I 1 :t 1 11 1•I. .�I., II yin ny„1 nv lr,... Ie l��w,.l
�.. .�.
23A-39
dun&brads treet Weiwme Ndn SAmnrzic6 I'�19rS.Q4l
Government Update
\
VAQS Contact un
Usdr p[pfile Transaction fiisRory
Hems "'u'°aateMaln"^A"° d!Update Main Menu
®Tile following companies are associated with Your prnflle. 'eleq the ctmpanY You would like In revl,w, then select arl option from the menu hclmv.
' D- u�N-SiA Company Address, City, State
0 1026486266IVlnn SAMARZIfth INC.II6829 Rilhngs PI, itancho Cucamonga, CA _.
, y" ° Sued Upd f.j".u.,,a + 001. UpdAta Vniicine nntl FAQ. >
6 We. l Print Cannp¢ny Report > Urar Orn111a >
0 nun F Bradstract, Ls., 2000-2015. All iights reserved.
FAQ,, I Camilla 0,
23A-40
City of Santa. Ana
Section 3 Contract Clause
These Clauses are to be inserted in all contracts
A. The work to be performed trader this contract number-%J�',i by and between the City of
Santa Ana, hereinafter referred to as City" ands/Lpy g&xf j--T liercinalter referred to as
"Contractor", is subject to the requirements of Section 3 of the (lousing and Urban Development Act of 1968, as
amended 12 U,S.C7. 170lu (section 3). The purpose (if Section 3 is to ensure that employment and other
economic opportunities generated HUD assistance or HUD -assisted projects covered by Section 3, shall, to the
greatest extent feasible, be directed to low -and very low-income persons.
U. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement
Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under
no contractual or other constraint that would prevent them fi•om complying with the Part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers with which the Contractor
has an agreement or other understanding; if any, a notice advising the labor organization or workers'
representative of the Contractor's commitments trader this Section 3 clause, and will post copies of the notice in
conspicuous places at the work site where both employees and applicants for training and employment positions
can see the notice. The notice shall describe the Section 3 preference, shall set lath minimum rwniber andjob
titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and tine
naive and location of the person(s) taking applications for each of the positions; and the anticipated date the work
shall begin.
D. The Contractor agrees to include a Section 3 clause in every subcontract subject to compliance with regulations
in 24 CFR Part 135, and agrees to take appropriate action, upon a finding that the subcontractor is in violation of
the regulations in 24 CFR part 135. The Contractor will riot subcontract with any subcontractor where the
Contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24
CFR Part 135.
E. The Contractor will certify that any vacant employment positions, including training positions, that are filled (1)
after the Con tractor is se leered but before the contract is executed, and (2) with persons other than those to
whom the regulations of 24 CPR part 135 require employment opportunities to be dir ected, were riot to
circumvent the Contractor's obligations under 24 CFR part 135.
F, Noncompliance with regulations in 24 CFR. Part 135 ❑ray result in sanctions, termination of this contract for
default, and debarnnent or suspension from future 1-tt1D assisted projects.
The Contractor by this signature affixed hereto declares trader penalty ofperjury: Contractor has read City
requirements and accepts all its requirements contained therein for all of his/her operations within the City of Santa
Ana.
I/ 14 t, /j— ---- Vipo L 71, ZOP7
signature orc n ractor Print Name and Title Date
Contractor License Number & Designation Federal DUNS Number
23A-41
EXHIBIT 2
City of Santa Ana
Section 3'New Hire Calculation Fornt
Project Nantc: %aa r 1y0. aA- 753 1, 4ocm- S7RcFiCuRd h�lgyyEo-rr�iP $
Project Location:
City State
ContractorN¢une;—_ U(Dp .WVi7 C-9 �Zpie
Contractor Contact: V (DO (" , �'.4nrl�Pz�
q
Contractor Telephone Number: JOT- W?- 63
Contractor Lpial l Address: 000 5,4 ffo0. GGit,
Section 3 Resident Hiring Goals
Trade/Crall Number of New hires
Total Number of New Hires: Q
Total number of Section 3 resident new hires necessary to comply with contract: --Q—
I/,,] J - VIVO L. SAmAA7160V —M/p/ 7 11
9igua ure ofC n actor Date
23A-42
EXHIBIT 8
Contractor's Section 3
Affirmative Action. Flan
']R9--va e^ta � sEO-Er_CfARR a44,p 1�pxou ;vzs
Protect Numbcr and Title
The undcrsigncd contractor agrees to implement the fbilowing affirmative action steps directed at ,increasing the
utilization of lower income residents and business concerns located within the County of Orange.
I. 'fake affirmative action to ensure that employees or applicants for employment or training are not
discriminated against because of race, color, religion, sex or national origin,
2. Send it notice of the contractor's Section 3 con minnent to each labor organization or representative of
workers and p ost a copy of the notice at a conspicuous place available to employees and appl icants for
employment or training,
3. To the greatest extent fcasible, make a good faith effort to recruit for employment or training lower income
residents from the County, and to award contracts to business concerns which are located in or owned in
substantial pat by persons residing in the County through use of: local advertising media, signs placed at the
project site and notification to community organim ions and public or private institutions operating within or
servhng the project area such as Service Employment and Redevelopment (SER), Opportunities
Industrialization Center (OIC), Urban League, Contracted Employment Program, U.S. Employment Service,
Chamber of Commerce, labor unions, trade associations and business concerns.
4. Maintain a file of at] low-income area residents who applied for employment or training either oil their own or
on referral from any source, and the action taken with respect to each area resident.
5. Maintain a file of all business concerns located in the County who submitted a bid for work on the project,
and the action taken with respect to each bid.
6. Maintain records, including copies ofcorrespondence., memoranda, etc., which document that affirmative
action steps have been taken.
7. Incorporate the Se etion 3 clause provisions in all subcontracts, and require subcontractor(s) to submit a
Section 3 Affirmative Action Plan.
Company Name Signature of C niractnr
4�1N^`�IIL/Nk-$ �P-r,V�11L4FFb L&A, e-4 ItApY? I— t7diM,Fj��dC.F�
Address: Street, City, State, Zip ctlr)at Printed Name
DUNS Number 1 itte
23A-43
EXHIBIT 9
City of Santa Ana
Section 3 Contract Award Consideration
Bidder's Nance: � 6 ;�Q vtAk r ..r
Please cliecic the numbered statement that is applicable to your business:
I . — My business qualities as a Section 3 business concern:
If you have checked statement NtiMl3CR i please read the attached Section 3 fOnsnress Concern
A'YZIrc'nce - Ridding Requirenunts,
(Please cheek the applicable gnolffleadon fir statentertt number })
51% owned by Section 3 residents; or
Permanent, full-time employees include at least 30% Section 3 residents; or
Will subconbact more than 25% of the dollar award of all subcontracts to be awarded to
business concern(s) that meet either ol'the two preceding qualifications,
Note: You are required to list all subcontractors and owner -operators in your Irid statement.
2• zmy business [toes not quality as a Section 3 business concern.
Note: Section 3 business concern jLWIffitim fire located in this project's ContractDocitments & 5pecific(jjiOn.T
Manual frthinthe section titled Section 31s'cnrroinle Opportimuies flan.
Signature of u. nesA s —owner Date
Print Name
23A-44
EXHIBIT 12
CITY OF SANTA ANA
WOMEN OWNED/MINORHYBUSINESS OWNED ENTERPRISES
(W/MBE) GOOD FAITH EFFORTS
Pl•o'Oct Nalne: LOr-AL CT cu pip ,rF mrwe„•r,g
Project Number: Z0 — F yr
Project Location: Aqa
Pt11•snattt to 24 CFR Part 85 § 8536 (e) of Code of Federal ltegulahons, contractor mist take all necessary
affirmative steps to assUU ro that minority business firms, wonica's business enterprises and labor surplus firms are
used whenever possible.
Contractor s11411 submit the following information to demonstrate that a goof' faith efflort has been made to comply
with the above section of the Code of Federal Regulations. Submittal of this form, in and of Itself, may nut
provide sufficient documentation to demonstrate that goof faith effort Was made. Documentation Stich as
copies of adverttsmuent, letters of solicihation, telephone logs, rejected quotes, etc. shou ld acbouyagy tills
form.
I. The names and dates of advertisement of each newspaper, trade paper, and minority -focus paper in which a
request for W/MBE participation for this project was placed by the bidder:
Names of News a per bate of Advertisement
NONE or+E
2. The names and dates of written notices sent to W/MBE soliciting bids for this project and methods used for
following up initial solicitation to determine with certainly whether the W/MBE were interested.
Dates of
Solicitation
Follow -tip Methods
and Dates
Rm�f
Zo I
Han�E r- Az z. i
3. The items of work which the bidder made available to W/MBE firms, inchading, where appropriate, any
breaking down of the contracts into economically feasible Units to facilitate W/MBE participation, and the
information furnished to W/MBE such as plans, specifications, and requirements for the work.
Ilcros of Work! +Sftw C,v'T'r I,,v & OF JtgvnPS $�oA mKA C, A 6 -re&
Breakdown of ltcros: ShW �tr �fi ONa y
Information Furnished: ty��
ROOMPROPSVCM1IODFORM5WA805804AW-SedIan3SPe ,DGC
23A-45
EXHIBIT 12 (cont.)
4. Efforts made to assist W/MBE in obtaining bonding, lines of credit or insurance, and any Technical assistance
related to [lie plans, specifications and requirements for the work which was provided to W/MBE:
5. Any additional data to support a demonstration of good faith effort, such as contracts with W/MBE assistance
agencies:
I A/are under penally gfperjury that the foregoing iglbrination is true and correct to the heat of my knowledge, I
mulerstand that the City ofSanta Ana and/or the US, DepuMnent of Housing and Urban Develolmiew may verify
the ua%prmatign iironided herein in connectlon with W/IM conrpllance evatuationlaudit activities and thai fidlure
to fully and truth idlycomplele this form may result in economic or other sanctions:
O`J 0
Signature:
Name:
I Vi t. uc /
Titte:
044 o+6400w'i
Date:
rn xY "Zai9
Name of 4z,h-actw 'abeoatractor:
y/a L> a S A'-MAIr:w C-rl, /,.t e.
Contracto-/Subeontraetau, Identification
Number: � S' - 3 l P V
Address (Street, City, State, Zip): 647- 9 lglb a 'bs P
+9tA_- 7 C4j",*roNG4r CA 6117 of
Business Racial/Lthale/Gender Code:
Circle Nio numeHo code which indicates the racial/ethnic/gender character of the owner(s) and controller(s) of 51 %
of the business. Wbcn 5l% or more is not owned and controlled by any single rarciai/elunielty/gcuder category,
circle the code which scems most appropriate.
(�)= White Americans
2 = Black Americans
3 = Native Americans
Woman Owned Business:
Circle One:
Ycs or
4 = Hispanic Americans
5 = Asian/Pacitie Americans
6 = I lasidie Jews
P.fDOCS%PROPSVCSWUDFORMS\MOU5BO4AMB-8edm38pe.$DOC
23A-46
EXHIBIT 15
NONCOLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and
Public Contract Code Section 7106)
'1'o the City of SAN•rr4 A jA
DEPARTMENT OF MBLIC WORKS
In accordance with Title 23 United States Code Section 112 and Pllbl is Contract Code 7106, the bidder declares
that the bid is not made in the interest of, or, on behalf of; any undisclosed person, partnership, conpiny,
association, organization, or corporation, that the bid is genuine and not collusive or sham; that the bidder has not
directly o indirectly induced or sol icited any other bidder to put in a false or sham bid, and Ills 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 front bidding; that the bidder has not in any manner, directly or indirectly, sought by
agreement, comnxmieation, or conference will' anyone to fix the bid price of the bidder or any other bidder, or to
fix any overhead, profit, or cost element of'tl'c 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 tite bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or ber bid
Price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid,
and will not pay, any fae to any corporation, partnership, company association, organization, bid depository; or to
any member or agent thereof to effectuate a collusive or sham bid.
FMCS1PROPSVCSVIlJDFORMS%MBU§004AM0 Sedion3SpncsOOC
Name of Contractor
Adddressdress /,v65 Tr4RC.F W9,tlG G mfttw4 T o0 (
VSig4nattue1 itle
9/_z tz 'Eats
Date
23A-47
EXHIBIT 16
FEDERAL LOBBYISTREQUIREMENTS CERTIFICATION
Name of Firm; V10 �q� ,�t� , %fir Date:
Address:
_ 170�`C
t7(LG(NGS 11F ^�LF— / /� i I G
' .ct &4
o IGR
State:
f, "T_
Lip Code: M-701
Telephone:
501-997-077
Acting on be half of (lie above -named firm as its Authorized Official, I make the following Certification to the
Department of Housing and Urban Development (IIUD) and the Community Development Commission, County of
Los Angeles:
I) No Federal appropriated fiords have been paid, by anon behalf of the above-rnanied lirm to any person for
influencing or attempting to influence an officer or employee of any agency, a Member or Congress, an
officer or employee of ongress, or an employee of a Member of Congress it, co nnection Willi the
awarding of any Federal contract, the making of any Federal grant, loan, or cooperative agreement, and any
extension, confirmation, renewal, amendment, or modification thereof; and
2) If ally funds other than Federal appropriated flmds have been paid or will be paid to any person for
inluencing or attempting to influence im oflicef or employee or any agency, a Member of Congress, an
_ officer or employee of Congress, or in employee of aMember of Congress in connection wilt this Federal
contract, grant, loan, or cooperative agreement, the above -named firm shall complete and submit Standard
Forni—LLL, "Disclosure Form to Report Lobbying" in accordance with its instructions; and
3) The above -named firm shall require that the latiguage of this certification be included in the award
documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants;
loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly,
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 file transaetion
imposed by Section 1352 Tale 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 faiko•e.
Authorized Official:
Name: ViUO. qgq �nek1 ]'itle: VtG _ riStL�Ki
Signature: Date:
F:aDOeSIPROPSVCSWUDFORMS%MBU5804AM6. Soalon9Spacs. DOC
23A-48
CERTIFICATION OF UN:f ERSTAMING
AND AVITIORI?_,ATION
Project Name: ---t0ayl�...
Project Numberp
This is to ce tity that the principals and the `iohoriced payroll officer, below, have, road uric( uudei;ttond the labor
stand ids clauses perminint; to the subject ptojec-t.
The lo(lowinp porson(s) is cicsiltnated as the payoll otticsr Aor the undersigned and is authorized to siLYn thr, Statemontof Compli,incc, ediu:h will nccompony ow WcAly ceilitied payrcill reports t`m this project:
1-paalun35pecs. UUC
12..SM0,�� Gri
Payroll O " `er'a Nan
Psryrall (J,+ " er's Sitn.rturc
Corrtr<rctodSul -c utiucf or
by-�i1..,_
U!
_..._.......
_
Printed Name
--V--E
Title
?y
Date
Contractor/5ubeonnactor License No.
23A-49
23A-50
CITY OF SANTA ANA EXHIBIT 5
CONSTRUCTION CONTRACT
PROJECT 20-7532
LOCAL STREET CURB RAMP IMPROVEMENTS PROJECT
This CONSTRUCTION CONTRACT is made and entered into this 161h day of July, 2019 by and
between the City of Santa Ana, California, a charter city and municipal corporation organized and
existing under the Constitution and laws of the State of California (hereinafter "CITY"), and Vido
Samarzich, Inc. (hereinafter "CONTRACTOR").
WITNESSETH:
The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows:
1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and
expense necessary to constrict and complete in a good and workmanlike manner and to the
satisfaction of the City Engineer of the CITY, the Local Street Curb Ramp Improvements Project
(hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with
the Contract Documents prepared by the City's Public Works Agency and approved by the City
Council.
2. The complete Construction Contract consists of the "Contract Documents" as defined by the
Standard Specifications for Public Works Construction and which include the following:
• Notice Inviting Bids
• Information to Bidders
• Bid Proposal
• Bid Bond
• Contract Form
• Contract Bonds
• General Provisions
• Special Provisions
• Technical Provisions and Project Plans
• Community Workforce Agreement
• Appendices
In case of conflict between the Contract Documents, the precedence of documents shall be as
established in the Standard Specifications for Public Works Construction.
3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK
OF IMPROVEMENT the stun total amount not to exceed Four Hundred Ninety-five Thousand
Seven Hundred Fifty Dollars and No Cents ($495,750.00), as set forth and identified in the BID
PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A."
The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate
quantities only, and the City does not expressly or by implication agree that the actual amount of
work will correspond therewith, but reserves the right to increase or decrease the amount of any
class or portion of the work or to omit portions of the work as may be deemed necessary or
advisable.
rev. 09ro1/2017 23A-51 Page 1 of 3
4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in
the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including
commencing construction within the timeframe therein specified after issuance of a Notice to
Proceed.
5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the
WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage
established for such work as set forth in the wage determinations for this work in accordance with
applicable State and Federal law.
6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement
(CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and
procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF
IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's
website at:
httn:Hwww. santa-ana. ore/nwa/docuinents/C W A.pdf
7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY,
one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful
performance of the work (Performance Bond), and one in the amount of One Hundred Percent
(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished
(Payment Bond). This Contract shall not become effective until such bonds are supplied to and
approved by the CITY.
8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention
payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond
shall also be required as a condition of project acceptance. For projects up to Five Hundred
Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of Ten Thousand
Dollars ($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five
Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of One
Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final contract price.
9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and
Worker's Compensation Insurance as outlined in the General Provisions, to be approved by the
CITY.
23A'52 Page 2 of 3
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the clay and
year first above written.
ATTEST:
NORMA MITRE-RAMIREZ
Acting Clerk of the Council
APPROVED AS TO NORM:
SONIA R. CARVALI-10
City Attorney
Ey:
JOY -IN FUNK
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
FUAD SWEISS, PE, PLS
Executive Director
Public Works Agency
CITY ON SANTA ANA
KRISTINE RIDGE
City Manager
CONTRACTOR:
Vido Samaizich, Inc.
NAME: ViDlD L. 54 �p�t�zicH
TITLE U c4= Pees +O rd i
23A-53
Page 3 of 3
23A-54
EXHIBIT 6
CONSTRUCTION OF THE PROJECT NO. 20-7532: LOCAL STREET CURB RAMP
IMPROVEMENTS
Construction Contract
$
495,750.00
Contract Administration
$
31,343.00
Inspection and Testing
$
43,040.00
Contingencies
$
49,575.00
TOTAL ESTIMATED CONSTRUCTION COSTS
j $
619,708.00
23A-55
23A-56