The URL can be used to link to this page

Home My WebLink About20A - AA TRAFFIC SIGNAL UPDAGREREQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: JANUARY 21, 2020 TITLE: APPROVE AN APPROPRIATION ADJUSTMENT AND AWARD A CONSTRUCTION CONTRACT TO INTERNATIONAL LINE BUILDERS, INC., IN THE AMOUNT OF $308,059, FOR THE CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES PROJECT, WITH AN ESTIMATED TOTAL PROJECT DELIVERY COST OF $538,600 (PROJECT NO 17-6875) {STRATEGIC PLAN NOS. 6, 1B & 1G} CLERK OF COUNCIL USE ONLY: APPROVED ❑ As Recommended ❑ As Amended ❑ Ordinance on 1"Reading ❑ Ordinance on 2nd Reading ❑ Implementing Resolution ❑ Set Public Hearing For_ CONTINUED TO /s/Kristine Ridge FILE NUMBER CITY MANAGER RECOMMENDED ACTION 1. Approve an appropriation adjustment to recognize $538,600 in Highway Safety Improvement Program grant funds into the Federal Aid Safety Program, Federal Grant -Indirect revenue account and appropriate the same amount into the Public Services -Street Safety Projects, Improvements Other Than Buildings expenditure account. 2. Award a construction contract to International Line Builders, Inc., the lowest responsible bidder, in accordance with the base bid in the amount of $308,059, for construction of the Citywide Traffic Signal Vehicle Head Upgrades Project, for the term beginning upon execution of the contract and ending upon project completion, and authorize the City Manager 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 $538,600, which includes $308,059 for the construction contract; $70,000 for contract administration, inspection and testing; and a $160,541 project contingency for future and unanticipated work. DISCUSSION The Traffic Signal Vehicle Head Upgrades Project (formerly titled, Traffic Signal Hardware Upgrade) will replace non-standard, 8" traffic signal vehicle heads with 12" vehicle heads and associated hardware at selected intersections throughout the city (Exhibit 1). These upgrades will 20A-1 Contract Award for Citywide Traffic Signal Vehicle Head Upgrades Project January 21, 2020 Page 2 enhance traffic safety and signal visibility, while meeting current requirements of the State of California Manual on Uniform Traffic Control Devices. The Public Works Agency was awarded a $655,600 Highway Safety Improvement Program (HSIP) grant for this Project, which was recognized in the Council -approved, Fiscal Year 2016-17 Capital Improvement Program (CIP). $117,000 of the grant was earmarked for Preliminary Engineering and has been used for project design. However, spending authorization for the remaining $538,600 in Construction funding was not received until September 2019. Staff is requesting Council approval to recognize and reappropriate the construction grant funding for expenditure in Fiscal Year 2019-20. Upon approval of the requested Appropriation Adjustment, the total funds available for construction will be $538,600. 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 newspaper on October 8 and 15, 2019. Bids were received electronically via the City's web -based electronic bidding system, PlanetBids, on October 30, 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. Additionally, 24 vendors, including 2 located in the City of Santa Ana, were also notified of the project via PlanetBids. 34 vendors requested bidding documents and 6 bids were received. No bids were received from Santa Ana contractors. :I C1CZMM-1111.Yt11111- RANK BIDDER'S NAME LOCATION BASE BID 1 International Line Builders, Inc. Corona $308,059 2 Crosstown Electrical & Data, Inc. Irwindale $309,284 3 California Professional Engineering, Inc. La Puente $361,694 4 Select Electric, Inc. Vista $376,824 5 Elecnor Belco Electric, Inc. Chino $394,271 6 L.A. Traffic Signal Transportation, Inc. San Dimas $397,490 All 6 bids received were responsive and International Line Builders, Inc., submitted the lowest responsive bid (Exhibit 2), in the amount of $308,059. Based on the bid analysis and a contractor's reference check, staff recommends awarding the construction contract (Exhibit 3) to International Line Builders, Inc., in the amount bid. Project Delivery To deliver a complete project, in addition to the construction contract, the estimated total cost to deliver the project also includes construction administration, inspection, and testing, along with an allowance for contingencies to account for unexpected or unforeseen conditions. Construction administration and inspection includes construction management; implementation of the City's 20A-2 Contract Award for Citywide Traffic Signal Vehicle Head Upgrades Project January 21, 2020 Page 3 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 4) and as summarized in the table below, the estimated total construction delivery cost of the project is $538,600. Construction Contract 1 $308,059 Construction Administration, Inspection, and Testing $70,000 Contingencies (for future and unanticipated work) $160,541 ESTIMATED CONSTRUCTION DELIVERY COST $538,600 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 Plan [e.g., neighborhood streets, traffic improvements, park facilities, bike master plan, 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-2018-65 was filed for the project FISCAL IMPACT As indicated in the Cost Analysis (Exhibit 4), the estimated total construction delivery cost of the project is $538,600, which includes the construction contract, contract administration, inspection, testing, and project contingency. The following table summarizes the funds budgeted to deliver construction of this project: Fiscal Year Accounting Unit- Fund Description Accounting Unit, Amount Account # Account Description APPROPRIATION ADJUSTMENT Public Services -Street FY 2019-20 14717611-66220 Federal Aid Safety Program Safety Projects, $538,600 Jan. -June (Proj. 17-6875) (Capital Grants Fund) Improvements Other Than Building Total: $538,600 20A-3 Contract Award for Citywide Traffic Signal Vehicle Head Upgrades Project January 21, 2020 Page 4 All funds are scheduled for expenditure in Fiscal Year 2019-20. Nabil Saba, PE Acting Executive Director Public Works Agency NS/TC/MO Exhibits: 1. Location Map 2. Bid Proposal 3. Construction Contract 4. Cost Analysis APPROVED AS TO FUNDS & ACCOUNTS: Kathryn Downs, CPA Executive Director Finance and Management Services Agency 20A-4 EXHIBIT 1 SANTA ANA 11 Project No. 17-6875: eLP` A THE CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES PROJECT [HSIPL-5063(188)] 20A-5 City of Santa Ana Page 1 Citywide Traffic Signal Vehicle Head Upgrades (Federal Project No. HSIPL 5063(188)) (17-6875 (HSIPL 5063(188))), bidding Printed 12/05/2019 EXHIBIT 2 Bid Results Bidder Details Vendor Name International Line Builder's, Inc Address 3955 Temescal Canyon Road Corona, CA 92883 United States Respondee Curt Rusick Respondee Title Estimator Phone 951-682-2982 Ext. Email Cun.Rusick@ilbinc.com Vendor Type CADIR License # 782515 CA DIR Bid Detail Bid Format Electronic Submitted October 30, 2019 1:07:54 PM (Pacific) Delivery Method Bid Responsive Bid Status Submitted Confirmation # 194115 Ranking 0 Respondee Comment Buyer Comment Attachments File Title File Name File Type Proposal Proposal.pdf General Attachment Ownership Affidavit Ownership Affidavit.pdf Ownership Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Bid Bond Bid Bond.pdf Bid Bond Guaranty (Notary Public) - REQ Original Hard Copy Submittal in Addition Non -Collusion Affidavit Non -Collusion Affidavit.pdf Non -Collusion Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Line Items Type Item Code UOM City Unit Price Line Total Comment Base Bid Proposal 1 Replace Side Mounted 3-Section Traffic Signal Vehicle Head Assembly EA 194 $844.00 $163,736.00 2 Replace Side Mounted 5-Section Traffic Signal Vehicle Head Assembly EA 2 $1,292.00 $2,584.00 3 Replace Top Mounted 3-Section Traffic Signal Vehicle Head Assembly EA 119 $855.00 $101,745.00 City of Santa Ana Page 2 Citywide Traffic Signal Vehicle Head Upgrades (Federal Project No. HSIPL 5063(188)) (17-6875 (HSIPL 5063(188))), bidding Printed 12/05/2019 Bid Results Type Item Code UOM Qty Unit Price Line Total Comment 4 Replace Top Mounted 4-Section Traffic Signal Vehicle Head Assembly EA 4 $923.00 $3,692.00 5 Replace Top Mounted 5-Section Traffic Signal Vehicle Head Assembly EA 1 $1,230.00 $1,230.00 6 Replace Mast Arm Mounted Traffic Signal Vehicle Head Assembly EA 42 $716.00 $30,072.00 7 Labor Agreement Oversight LS 1 $5,000.00 $5,000.00 Subtotal $308,059.00 Total $303,059.00 PI=Tr, CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: International Line Builder's, Inc. REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish 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 sums) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Replace Side Mounted 3-Section Traffic 194 EA $Qt,Jtf OD $1103.� 3tv� Signal Vehicle Head Assembly . 2 Replace Side Mounted 5-Section Traffic 2 EA $1,3 r13.00 $ a,58q.CO Signal Vehicle Head Assembly 3 Replace Top Mounted 3-Section Traffic 119 EA $ 966.O0 $1 Q1 -4gj5 co Signal Vehicle Head Assembly 4 Replace Top Mounted 4-Section Traffic 4 EA $a1 $ 3,Caga,O> Signal Vehicle Head Assembly -00 5 Replace Top Mounted 5-Section Traffic 1 EA $1,'a.30,W $ (, a3p 00 Signal Vehicle Head Assembly 6 Replace Mast Ann Mounted Traffic 42 EA $-}1 tf,vo $ 30v+a-00 Signal Vehicle Head Assembly 7 Labor Agreement Oversight 1 LS $5,000 $5,000 20A-8 P-1 of P-38 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) TOTAL BASE BID S 300, v5cr. 00 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). * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. 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 (80) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $1,000 per calendar day. Name of Finn International Lirk Builder's. Inc. Signature of BIDDER Title (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) 20A-9 P-2 of P-38 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) BIDDER'S STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted 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 Council, 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 has 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 funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of 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 in lieu thereof shall 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 under the contract will be based upon the actual quantities of work satisfactorily completed. The 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 of perjury that the foregoing is true and correct. Name of Firm International Lille guilder's, Inc. y Signature of BIDDER Title �221>c ytF_ A 0,g1 Dni (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) 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: International Line Builder's, Inc. Business Address: 3955 Temescal Canyon Road Corona, CA 92883 Business E-Mail Address: Omar.Echeverri@)ilbinc.com Telephone: (951) 682-2982 State Contractor's License No. and Class: 782515 A-C10 License Expiration Date: 08/31 /2020 State Dept. of Industrial Relations (DIR) Registration No.: 1000007032 State De Registrat Signed: Title: I ►. ZOA1,,1 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) 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 and 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 for 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 BIl Title Pgad;o:G t� ro r ugi -Dw (if an individual, so state) ZO 42 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA-ANNA ) FarrW 1- ► agi lyf- FVOJtc1dr* dA Cal OIV . , being duly sworn, deposes and says: ❑ INDIVIDUAL That he/she 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 and is duly vested with the authority to make and execute instruments for the co -partnership by: who constitute the other members of the co -partnership. ® CORPORATION at he is of, �nternatlonal Line Builder's, Inc. a corporation which is making the foregoing proposal: ❑ JOINT VENTURE 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 instruments 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 collusi secure any advantage against the City of Santa Ana or any person interested in the propos ontract, f self or any other person. _ n Signature of Bidder {7�oJldtrlF- t/b ('jal piv Subscribed and sworn to before me this day of See& q� Fa cl ►ed . Signature of o er Administering Oath (Notary Public) 20A-13 P-6 of P-38 notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accuracy. or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this ZC day of Cbynel2 20 19 . by Earnest Brown proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. r s BRENDAMCKINNEY = Notary Public-CalHornia Riverside County _9 Commission 12278125 My Comm. Expires Feb 19. 2021 (Seal) Signature 20A-14 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) KNOW ALL PRESENT that, International Line Builders, Inc. as BIDDER, and Liberty Mutual Insurance Company as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of _ Ten Percent of Amount Bid Dollars (S 10% ), 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 full force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, bands, and seal this 3 th day of October , 2019. SURETY* Subscribed and swom to before me Kelly Nicole Bruggeman this �30th day of October , 201E. Signature:_��//if (NlJ�1 Notary Public in and for the County of Hennepin , State of Minnesota ' Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. CWTARY ICOLE BRUGGEMAN "Willis Towers Watson Midwest, Inc. PUBLIC-MINNESOTA 8400 Normandale Lake Blvd., Suite 1700, Bloomington, MN 55437sor Number 31070678 Phone: 763-302-7159amE�resJznwryDt.20rt P-7 of P-38 20A-15 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accuracy. or validity of that document. State of California County of Riverside ) Brenda McKinney, Notary Public (insert name and title of the officer) personally appeared Earnest Brown, President So Cal Div. who proved to me on the basis of satisfactory evidence to be the person(&) whose name(&) is/afe subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/heNtheif authorized capacity(ies). and that by his' eFA a 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. WITNESS my hand and official seal. Signature (Seal) 0'*0---"'�My BRENOA MCNINNEY Notary Public - Califorma Riverside County f Commission : 2278125 Comr. Expires Feb 19. 2023 20A-16 This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated. Liberty Mutual. SURETY Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY Certificate No: 8196930-190003 KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of Navy Hampshire, that Liberty Mutual Insurance Company is a corporation duty organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duty organized under the laws of the State of Indiana therein collectively called the'Companies�, pursuant to and by authwdy herein set font, does hereby name, constitute and appoint, Nicole Langer, Blake S. Be hlig, Kelly Nicole Bruggcman, Brian D. Carpenter, Heather R. Goedtel, Michelle Halter Jessica Hoff, Craig Olmstead all of the city of Bloomington state of Minnesota each individually lf there be more than one named, its true and lawful attorney -in -fact to mare, execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, reargnizances and other surety obligations, in pursuance of these presents and shall be as binding upon the Companies as if they have been duty 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 at the Companies and the corporate seals of the Companies have been affixed thereto this 28th day of September , 2018 0(90 liberty Mutual Insurance C ompany The Ohm Casualty Insurance Company West American Insurance Company BY:y421; David M. Care%Assistant Stxxrdav 1! State of PENNSYLVANIA > County of MONTGOMERY ss m c w On this 28th day of September 2018 before me personalty appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual insurance o 3 Comparry, 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 = � > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. x� ul IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King d Prussia, Pennsylvania, on the day antl yea first above written. n � PA `0M W Who yoxwr TFr COMYONW6ALdTMan6eOINI NSYLVAA mQ� O �p s 9 Tenets Pmle4a N ,, Pubk N Upper, W.Twp.. Mor,giomery Goun+y By: My c�peaun Ewres Me,rn zezoz+_ ME erese Pastella, Notary Public p M (b."4��sr� Mmwm can.vl.,w.n.o�auo�nvnanes a0 M NO W w 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 Insurance Company, and West Amencan Insurance Company which resolutions are now in full force and effect reading as follows : o to ARTICLE IV - OFFICERS: Section 12, Power of Attorney. Any officer or other official of the Corporation authorized fox that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or thejiin ev President may prescribe, shall appoint such attomeys-in-fact, as may be necessary toact in behalf ofthe Corporation to make, execute, seal, acknowledge and deliver as surety > v a any and all undertakings, bonds, recognizances and other surety obligations. Such adomeys-in-fact, subject to the limdabons set forth in their respective powers of attomey, shall t N have full paver to bind the Corporation by their signature and execukan of any such instruments and to attach thereto the seal of the Corporation. When so executed, such m instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the tE`rmo 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 a e authority. e m ARTICLE XIII - Execution of Contracts: Secton 5. Surety Bonds and Undertakings. 8 m 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, F shall appoint such attomeys-in-fact. as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, reoognirancee and other surety oblgatans. Such attomeys-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 d signed by the president and attested by the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in- fact as may be necessary to ad on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety oblgatons Authorization - By unanimous consent of the Gompanys 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 connector 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 Casually 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, tue and correct copy of the Power of Attorney executed by said Companies, s in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of sal Companies this 30th day of October , 2019 . By: i4/'/a L(9(90 Renee C. Llewellyn, �YA�Ass istant Secretary LMS-12873 LMIC OCIC WAIC Mufti Co-062018 20A-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) 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 following amount: o Streets, highways including bridge projects: %2% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: '/2% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name NI R 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. #/Exp. License # _ Location _ Phone Type Of Work Signature of Bidder 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. #/Exp. License # Location Phone Type Of Work Amount $ 20A rr1,8 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) 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. City of Orange/ 300 E Chapman Ave Orange, CA 92866 Name and Address of Owner. Josh Soliz/ (714) 744-5588 Name and Telephone Number of person familiar with project. $1,037,161.62 LED Conversion 01/05/2019 Contract Amount Type of Work Date Completed 2. City of Riverside/ 3900 Main Street Riverside, CA 92522 Name and Address of owner. Julian Cardenas/ (951) 826-5397 Name and Telephone Number of person familiar with project. $1,967,698.83 Street Light Relocation 04/30/2018 Contract Amount Type of Work Date Completed 3• City of Anaheim/ 200 S. Anaheim Blvd Anaheim, CA 92805 Name and Address of owner. Robert Paleoloqus/ (714) 765-5169 Name and Telephone Number of person familiar with project. $599,286.95 Street Light Installation 10/31/2018 Contract Amount 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. Willis of Min 8400 Normandale Lake Blvd., Suite 1700 Bloomington MN 55437 Heather Goedtel #(763) 302-7159 Nicole Langer #(763) 302-7214 Q&-IS91 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. Whiting -Turner/ 2520 Commerce St Suite 150 Irvine, CA 90062 Name and Address of Owner. David Thueson/ (949) 863-0800 Name and Telephone Number of person familiar with project. $1,988,327.00 Street Lighting, Site Electrical, Traffic Signal 04/30/2018 Contract Amount Type of Work Date Completed 2. City of Alhambra/ 111 S. First St Alhambra. CA 91801 Name and Address of owner. Robert Bias/ (626) 703-9013 Name and Telephone Number of person familiar with project. $670,780.96 Streetlight Conversion 08/30/2017 Contract Amount Type of Work Date Completed 3. Griffith Companv/ 4756 Mission Blvd Montclair. CA 91762 Name and Address of owner. Jill Kiefer/ (909) 270-5040 Name and Telephone Number of person familiar with project. $3,441,059.84 Street Light Installation 03/13/2016 Contract Amount 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. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 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 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 Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned ttlaflpaking a false certification may subject the certifier to criminal Signed State of California County of Subscribed and sworn to (or a edrrfi ) before me n thisday of proved to me on the basis of satisfactory person(s) whoa ed before me Notary Public Signature Notary Public Seal 20_, by evidence to be the 20A-21 P-11 of P-38 notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accuracy. or validity of that document. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this -_$ day of QEkz4x9 .20 19 . by Earnest Brown President So Cal Div. of International Line Builder's, Inc. proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. "'•„ BRENDA MCKINNEY Notary Pubk - California _ - Rmervde County _ Commission 12228121 My Comm. Expires Feb 19. 2023 (Seal) Signature 20A-22 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The 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 for 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. The 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 union or workers' representatives of the Contractor's commitments under this 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 of the rules, regulations, and relevant orders of the Secretary of Labor. 5. 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 for further Government 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. 120W_Z� CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) The Contractor shall include the portion of 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 the interests of the United States. 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, mcntal condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public ork violating this Section is subject to all the penalties imposed for a violation of the Chabter. Signed: Title: E�dl- C�oa vn- lPkaideni-, b�1 Div Firm: International Line Builder's, Inc. Date: 10/30/2019 M�� CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) 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 on actors, except contractors not signatory to the trust agreement shall pay a like amount the alifor is renticeship Council. Signed: Firm: International Line Builder's, Inc. Date: 10/30/2019 2AA►r 25 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) STATEMENT REGARDING "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 regulations (29 CFR, Part 3). This act provides that each contractor or subco actor shall be prohibited from inducing, by any means, any person employed in the cons ctio or repair of public work, to give up any part of the compensation to which he/she is otherwl ntitled. Signed: Title: fa0yfe-Aeawn- hd?nh Jo C.al DiJ. Firm: International Line Builder's, Inc. Date: 10/30/2019 204.r4 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, 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 law or a safety regulation? Yes No X If the answer is yes, explain the circumstances in the following space 2W27 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS (FORM FHWA-1273) The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, agregat to comply with the required Federal Contract Provision (Form FHWA-1273) as shown in Signed appendix a Special Provisions of this project. Firm International Line Builder's, Inc. Date 10/30/2019 74 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder International Line Builder's. Inc. , proposed subcontractor hereby certifies that he 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 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. 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 Administr on or by the Director, Office of Federal Contract Compliance, U.S. Department of Labo) Signed Fire, International Line Builder's Inc. Date 10/30/2019 20A r29 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has _ , has not been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. Note: The bidder must place a check mark after "has" or "has not" in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that maki�g� false certification may subject the certifier to criminal prosecution. / J Signed Firm International Line Builder's, Inc. Date 10/30/2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) PUBLIC CONTRACT CODE SECTION 10232 STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board. Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed Firm International Line Builder's, Inc. Date 10/30/2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) TITLE 49, CODE OF FEDERAL REGULATION, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith 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 suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; has not been indicted, convicted, or had a civil judgment rendered against it 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's responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification art of the Proposal. Signing this Proposal on the signature portion thereof shall also cons signaaLee o s Certification. Signed Firm International Line Builders, Inc. Date 10/30/2019 9Yi *P4 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) NON -LOBBYING 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 influence or attempting to influence 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 appropriate 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 accordance 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 lan&wrgof this certification be included in all lower tier subcontracts, which exceed $100,000 and at 1 such s -recipients shall certify and disclose accordingly. Signed Title FotP�1tJ f. 6eC4-qn_ ]�Mnddn . fo (jai Dtv Fire, International Line Builder's, Inc. Date 10/30/2019 • Standard Form LLL may be obtained from Calirans and FHWA offices. X001 Y�4S CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) DISCLOSURE OF LOBBYING ACTIVITIES DISCLOSURE OF LOBBYING ACTIVITIES APPbved by OlB Complete this form to disobse lobbying activities pursuant to 31 U.S.C. 1352 o3444)0e6 1. Type o1 Federal Action: 2. Status of Federal Action: 3. Report Type: a granted �a- bid/otlerlapplicabon ❑ a. initial filing b. grant b. iilbal award b. material change c. cooperative agreement c. post -award For Material Change Only: d ban year quarter e. ban guarantee date of last report 1 loan insurance a. Name and Address of Reporting Entity: 5, If Reporting Entity in No A is a Subawardee. Enter Name ❑ Pure ❑ SlCawa iee Tier r,, known Federal g. a_ Name and Address of Lobbyip Entil (ifklaWidual. lastname. Fastname. AM): Form of Payment (check aY that apply) ❑ a rash ❑ b. '"Ma apmW navure vakm and Address of Prime: CFDA Number. if applicable: S b. Individuals Performing Services (ndudng address if drfixent ham No. 10a ) (last name, test name. MI). ❑ a. retanu ❑ a aralrtr nee ❑ c dommmm ❑ a conttignit ive ❑ a. defened ❑ t other, peday. u i,,er uesmpnon or Services PMormed or to be Performed and Date(s) employee(s), or Memberisl contacted, for Payment Indicated in Rem 11: w r )i J SG . Signature: .P rtl w pee is ire. rr e.� wra r nCt llr Print NarlF •a Y �ierb new . N eA� Ye YY Y a. e. r r r Title:si N.rr.r �s.tr.wsrr r1.wr rr ewem ram. w.. ee,em t. n M ..uetr.. TMwiMna Federal Use Only- — Darw:1 AVtbaad Er Ua 9Q4T>34 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) INSTRUCTIONS FOR COMPLETION OF SF-LL. DISCLOSURE OF LOBBYING ACTIVITIES INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYMIG ACTIVITIES TIY6 la6cbspre TOrm" oe co-Nwed Dy me revomrgerT•. ~ner wdii0loee m pmre Federal re6>pislt al the InnlaPm x ferslpt or a covered Feoerat amm, or a maDerbldlange tO a pninno b nirg, pvfirrrrl b bale 31 U .i.C. 6 on t352. Tlp Ming of a i01, k reWirml Inr eaml paymenlm agreE.IPm b make Parrn b any dbbyngerlbry ran Imixvrrg m anemmg td nRNeroe an orncer or empkrye yr my, agm y, a Mender or w gnw . an porter or errobyeeor C ulacle, o an empo)eeof a eQlJ2W m Congeal b comecsan WN o covered Federd adbn. Use tee SFiJ1A Cantnla:dn w t e ad]ppnal ed gm ,; n Ow wane on be rice Is Manag compete - nem6 pat ally Tor iron fM INab 61rg and IndfpRal mlalge repast Regr b M lmpemenbrg gadance p/ni]Ie0 Dy M ORpe m Mmdg2rron[ Gild E-.bge[ bf aOIXpprNl ITpTRatdn. 1 deify VIe w of mvemo FetW_ral amen lor %"m Ipbdylrlg Mvffy w andlor has peer leaned tO lriuence the oorddne or a maeTed Fedeald aJm 2. alenllty by 6dllb m 1ra pWered Federal dGlor' 3. derlUfy the agappvMw da6uncmm m tlai RpOR. n fhs K a 1MOaW Rpwl cal6e0 b) ] nwteRa Wge b pre Mmrlallm prerplray repDleq MLPr beyear a'b giHer In• afKfl one mange poR ,Bit. dle da[2or"imgeMgby wp,-med n!pdr[ by M6 repofdng emTy rot on, war FppLT]I aMon <. EnterMNl name,amera.,dry.^ emdm pWemUle rePpdngeIX-'t]'.InoWeCorr¢esdmalGiblet nafl0'in. OprJl Rp mpoprQedavanca:m mMlepmtrfigemlryrla-declgrate6'ck,meapectib Oe.aprmeIXMtawaro �Mpelrt.IdentRyMMmM .e 9..Mnrs wdawaldee m de pnrle i ne ail ter �rca6arJa,rroade law ale nd Irrlme m Nlbmnrads. Nbganla ard mrrlrad awards Doper gahs 5. r me orwa=m rllelg be repo. In nem C dledts plvl enYt der! Nt name. apde6a. dty, .^ and rp mdE a be pnrle Federal reopen Irdlne calgre6svla olstrd_ F 6n�.-i. 5. EIRPr Qle la3ne d'tlle Feperdl agerlCT naktg tl1e band IX Ipal mlmNprprY, Ind We ]I Mdi' one ognlZdUpralleve [IOOA'MJenty narp. R knPm For ea]mple. Depa� of Trar16p lor, Jnr, d `.al m Cpi61 G1tT1 l Enler one Federa' prpgsn nameor de6DnpdN ror tte d Fld2.d aco n Inelrl 11 n knoaTl. M[M bE roll Clog V Federal pptl X A66161abe (CFDA: nu per b 7a'1d, mopr * agreements, Ions and pan mrrnrabrlem5. 8. Enter Rae mph ]P WUW Federal iWgUfylrg nlrnber 3,ylaiDlelm the Federal apron ldMded m Item 1 (eg. RepJec for Prcdocal ;fiFPi nNnb2r. nI 10n Tor Bd OM; nUlr , grid amol l emem lr n .. M omlb>CI. grant W earl award nUR' .Rae aPpr_3tlDnq•�dppsal mnitol rillrpm asckfpo Dy one Federal agency) ow" prvt w e.g..'RFp.'1E ppl 3. Vol, a covered Federal atuon wnere here inm peen an award or IDT WmditlCn Dy M Federal agency, enter be Federal anbtaR a Rae aFaarmlpar mRIIVMIeni 1Or De prmle enmy dernde[l m nave / Of 5. 10 Via; Emer ele'MI name, addei6, play, :#ye and lip dope m Me bob" erdry engaged Dy M re ng enmy bFlor ed Ir Item G b etsilence Rae merlin Federal aMon f b; Emer Te'. l rane6 Vale monad (, penom" 6errYa?6. and IndUde ul admeis tt dRreraR from 1 o lai Enter laG Nano, Fwv Name, and Nldde Irrtai ;M11. 11. E'dCMdrr10m1V Canprl6aOmPad IXreasmady0¢ecibmdi pad py Rp repmpng erY,F,y IYm/JbTebrorrg Crtny;Item tb) IngcalewllMnY one parnent has Deer made (a'a10) of MI be nNRe Iplan"eal. CMdI al DOCK dNt apply If Tp p a ma161]I crwge report enter Rp mrNla * a i ce pajrnenl made n plan' b be made. 12. Crete tte approo a opxlm 1 tllert bl Ooa '" apply. n 133) R 16 made urpugl an malnd donTD W. speCP'. M nat and ealm a 1de rmond pays n ' 13. CtlerJ one aplYOpnap Do ce61. Cr1 an doves Mx, apply. Y oRpr, 6pedfy ran/e. 1e Prv.Me a 6peerld arJ deWyk Wd rPam m be alai: oec N ..:I.e lodges nab pl mimeo. or .1r oe ope to W. Un. arld one dale(Sj m any 6m61s RYbHed. Irldlyde all Pfeparalmy ano R ]palmy, nor jw p spp .. In d ' COnW wasp Fe0er'/ mM1akbMply tap Feoera con si m W"Po pi l mlbLTed m 110 OrlOeg61. WI PlOYE yS I, Or MMber(6 a COngn 6 Mt YRre mlRadM. 15 Cheoa w1LLMhd IX asp/ a SF{ CIXMUamn sheets) k aaacnen. 16. TIM cerwpv Mama Y6all argil am dare M fbrrr6 prerl fiber rune. Rae and tleprbrle nenber 4000nllegtd Me PaperlwraRMa rAel ianlerlded rb peraorl6 are legwr101D resPmdpa mllectlmmVrlIXmanm mIF66ndkplays a vbldO C M Marber. T11e vmd OW cdrrbM nN. for M6 lrrpnydon t ,le N OMB %0, 03/306AE. %Dlc Mp=M o1Nen br iN6 msembr a Irbml , u Mnledlp average 3C mhI per MWOn6e. IrlclUdng lime for re ~%QmCrpobms, fiearcrartg e=mg data 6 roe, qal a lrg ad malntalring doe W3 nL'!D!Q ]Ild ppRQlearg nlD rl!/ICMrg T2 maimbr Of InfIXIrWIXI. $MD mnRD%Il6 Mg"rg M dJn ew1 e m my OtneT a6ped M n6 mieL m Ld DC a6p32050m 1. FlCidelg MR]ge6am16 br rMO113 DY6 plaSlen. SD M CROe m MbagLttlMt ]nC Btlp};. Oap6rprl RedJdlm PlOfem 103/p dMb 1. lY]UMlgp:, . YWI P f� CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) EXHIBIT 15-G CONSTRUCTION CONTRACT DBE COMMITMENT 1. Local Agency: City of Santa Ana 2. Contract DBE Goal: 3. Project Description: Citywide Traffic Signal Vehicle Head Upgrades 4. Project Location: Citywide 5. Bidder's Name: International Line BUIIder's, Inc. 6. Prime Certified DBE: ❑ 7. Bid Amount: 4309,05q.60 8. Total Dollar Amount for ALL Subcontractors: a 9. Total Number of ALL Subcontractors: 10. Bid Item Number 11. Description of Work. Service. or Materials Supplied 12. DBE Certification Number 13. DBE Contact Information (Must be certified on the date bids are opened) 14. DBE Dollar Amount 3 r leca ruczjl ti l ater�ra It yoSNo 7E17- d e 2"`= ►.L OI po ba,4 2f LP I "U, tLq�o 7itlli�l ILa111ah (}ICI �'�Cp- �I10 =$.�1,N6+J. Local Agency to Complete this Section upon Execution of Award s3�1,�8 21. Local Agency Contract Number: 22. Federal -Aid Project Number: HSIPL 5063(188) 23. Bid Opening Date: October 30. 2019 15. TOTAL CLAIMED DBE PARTICIPATION a G� 24. Contract Award Date: IMPORTANT: Identify all DBE firms being claimed for credit. 25. Award Amount: regardless of tier. Names of the First Tier DBE Subcontractors and their respectiv items) of work listed above must be consistent. where appli le with the names and items of the work in the "Subcontr t List" submitted with your bid. Written confirmation of each list E is r quire . Local Agency certifies that all DBE certifications are valid and information on this form is complete and accurate. 10/30/2019 26. Local Agency Representative's Signature 27. Date 16. Preparer's Signature 17. Date at¢n�-fl- 8¢ww, (951) 682-2982 28. Local Agency Representative's Name 29. Phone 18. Preparer's Name 19. Phone 30. Local Agency Representative's Title llde)b.l'O alai DtJ- 20. Preparer's Title DISTRIBUTION: 1. Original - Local Agency 2. Copy- Caltrans District Local Assistance Engineer (DLAE). Failure to submit to DLAE within 30 days of contract execution may result in de -obligation of federal funds on contract. 3. Include additional copy with award package. ADA Notice: For individuals with sensory disabilities. this document is available in alternate formats. For information call (916) 654-6410 or TDD (916) 654-3880 or write Records and Forms Management. 1120 N Street. MS-89. Sacramento. CA 95814. ?o A9 PO Box 2096 Yorba Linda, CA 92885 Ph. (714) 336-0536 Fax (714) 694-0116 Email: kim.TEKServ@gmail.com Name / Address International Line Builders Inc 3955 Temescal Canyon Ship To City of Santa Ana Project No.: 17-6875 Quote Date Quote # 10/30/2019 0349 Lead Time Terms Rep Project Name/# 6-8 Weeks Net 30 JK 17-6875 Description Qty Each Price Total 3 Section 12" Vehicle Signal with Visors, Backplate and Top Mount Framework 119 EA 560.00 66,640.00T Delivery: 6 to 8 Weeks ARO & Submittal Approval Quote valid for 30 Days. Terms: Net 30, Pending Credit Verification Price subject to change, if order not released within 60 days from the purchase order date. Freight: Included Subtotal $66,640.00 Sales Tax (9.25%n) $6,164.20 Total $72,804.20 Skip to Main Content Back To Query Form (IicenseForm.htm) Search Returned 1 Records Thu Oct 31 14:27:40 PDT 2019 Query Criteria Certification Types: DBE Firm ID: 40540 Firm ID 40540 DBA Name TEK SERVICES, LLC Firm Name TEK SERVICES, LLC Address Linell 5680 VAN GOGH WAY Address Line2 City YORBA LINDA State CA Zip Code1 92887 Zip Code2 Mailing 5680 VAN GOGH WAY Address Line1 Mailing Address Line2 Mailing City YORBA LINDA Mailing State CA Mailing Zip 92887 Codell Mailing Zip Code2 Certification DBE Type EMail kim.tekserv@Gmail.com Contact Name KIM KING Area Code 714 Phone Number 336-0536 Extension Alt Area Code Alt Phone Number Extension Fax Area Code 714 Fax Phone Number 694-0116 Agency Name LOS ANGELES COUNTY METRO TRANSPORTATION AUTHORITY (MTA) Counties 19, 30, 33; 37; Districts 07, 08; 11; 12, 20A-38 DBE NAICS 423610, 423840, ACDBE NAICS Work Codes C0600 MISC SUPPLIERS; C0686 ELECTRICAL & SIGNALS SUPPLIER; Licenses Trucks Gender F Ethnicity CAUCASIAN Firm Type DBE 20A-39 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) INSTRUCTIONS - CONSTRUCTION CONTRACT DBE COMMITMENT CONTRACTOR SECTION 1. Local Agency - Enter the name of the local agency that is administering the contract. 2. Contract DRE. Canal - Enter the cnnlraetDBE_go 1pencemage-as-it-appears-on-the-projectadvertisement 3. Project Location - Enter the project location(s) as it appears on the project advertisement. 4. Project Description - Enter the project description as it appears on the project advertisement (Bridge Rehab, Seismic Rehab, Overlay, Widening, etc). 5. Bidder's Name - Enter the contractor's firm name. 6. Prime Certified DBE - Check box if prime contractor is a certified DBE. 7. Bid Amount - Enter the total contract bid dollar amount for the prime contractor. S. Total Dollar Amount for ALL Subcontractors — Enter the total dollar amount for all subcontracted contractors. SUM = (DBEs + all Nov -DBEs). Do not include the prime contractor information in this court. 9. Total number of ALL subcontractors —Enter the total number of all subcontracted contractors. SUM = (DBEs + all Non - DBEs). Do not include the prime contractor information in this count. 10. Bid Item Number - Enter bid item number for work, services, or materials supplied to be provided. 11. Description of Work, Services, or Materials Supplied - Enter description of work, services, or materials to be provided. Indicate all work to be performed by DBEs including work performed by the prime contractor's own forces, if the prime is a DBE. If 100% of the item is not to be performed or furnished by the DBE, describe the exact portion to be performed or furnished by the DBE. See LAPM Chapter 9 to determine how to count the participation of DBE firms. 12. DBE Certification Number - Enter the DBE's Certification Identification Number. All DBEs must be certified on the date aids are opened, 13. DBE Contact Information - Enter the name, address, and phone ntunber of all DBE subcontracted contractors. Also, enter .he prime contractor's name and phone number, if the prime is a DBE. 14. DBE Dollar Amount - Enter the subcontracted dollar amount of the work to be performed or service to be provided. Include the prime contractor if the prune is a DBE. See LAPM Chapter 9 for how to count full/partial participation. 15. Total Claimed DBE Participation - $: Enter the total dollar amounts entered in the "DBE Dollar Arnmmt' column. %: Enter the total DBE participation claimed ("Total Claimed DBE Participation Dollars" divided by item "Bid Amount"). If the total % claimed is less than item "Contract DBE Goal," an adequately documented Good Faith Effort (GTE) is required (see Exhibit 15- H DBE Information - Good Faith Efforts of the LAPM). 16. Preparer's Signature - The person completing the DBE commitment form on behalf of the contractor's firm must sign their name. 17. Date - Enter the date the DBE commitment form is signed by the contractor's prepmer. 18. Preparer's Name - Enter the name of the person preparing and signing the contractor's DBE commitment form. 19. Phone - Enter the area code and phone number of the person signing the contractor's DBE commitment form. 20. Preparer's Title - Enter the position/title of the person signing the contractor's DBE commitment form. LOCAL AGENCY SECTION 21. Local Agency Contract Number - Enter the Local Agency contract number or identifier. 22. Federal -Aid Project Number - Enter the Federal -Aid Project Number(s). 23. Bid Opening Date - Enter the date contract bids were opened. 24. Contract Award Date - Enter the date the courant was executed. 25. Award Amount— Enter the contract award amount as stated in the executed contract. 26. Local Agency Representative's Signature - The person completing this section of the fonu for the Local Agency must sign their name to certify that the information in this and the Contractor Section of this form is complete and accurate. 27. Date - Enter the date the DBE commitment form is signed by the Local Agency Representative. 28. Local Agency Representative's Name - Enter the name of the Local Agency Representative certifying the contractor's DBE commitment form. 29. Phone - Enter the area code and phone number of the person signing the contractor's DBE commitment form. 30. Local Agency Representative Title - Enter the position/title of the Local Agency Representative certifying the contractor's DBE commitment form. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) EXHIBIT 15-H DBE INFORMATION — GOOD FAITH EFFORTS Federal -aid Project No(s). HSIPL 5063 188 Bid Opening Date October 30. 2019 contract. The information provided herein shows the required good faith efforts to meet or exceed the DBE contract goal. Proposers or bidders submit the following information to document their good faith efforts within five (5) business days from bid opening. Proposers and bidders are recommended to submit the following information even if the Exhibit 10-01: Consultant Proposal DBE Commitments or Exhibit 15-G: Construction Contract DBE Commitment indicate that the proposer or bidder has met the DBE goal. This form protects the proposer's or 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. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions, please attach additional sheets as needed: 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. 37. e En W1 l ice. 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 and Dates C. The items of work made available to DBE firms including those unbundled contract work items into economically feasible units to facilitate DBE participation. It is the bidder's I 1 A A CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) responsibility to demonstrate that sufficient work to facilitate DBE participation in order to met or exceed the DBE contract goal. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item (Y/N) Items M Of 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: tsI//} • DgF C-4oal Mel -- Names, addresses and phone numbers of firms selected for the work above: NJ1b8E77 (:gool M,eu. E. Efforts (e.g. in advertisements and solicitations) made to assist interested DBEs in obtaining information related to the plans, specifications and requirements for the work which was provided to DBEs: LN114 re)F (Anal ► ,ej- F. Efforts (e.g. in advertisements and solicitations) made to assist interested DBEs in obtaining bonding; lines of credit or insurance, 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: 20A-42 P-28 of P-38 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) 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 Method/Date of Results ency rgamza ion Contact NIA DAE 6.,oal G Imo. H. Any additional data to support a demonstration of good faith efforts: NIA-, DACL CAwl LAf l NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. 20A-43 P-29 ofP-38 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS (DBE AND NON -DBE) — PART I PART The bidder shall list all subcontractors (both DBE and non -DBE) in accordance with Section 2-1.054 of the Standard Specifications and per Title 49, Section 26.11 of the Code of Federal Regulations. This listing is required in addition to listing DBE Subcontractors elsewhere in the proposal. Photocopy this form for additional firms. Local Assistance Procedures Stasual Exhibit 12-B Bidders List of Subcontractors MBE and NON.DBE) Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part I As of Match I, 2015 Contractors (and sub -contractors) wishing to bid can public works contracts shall be registered with the State Division of Industrial Relations and certified to bid on Public Works contracts. Pleasemgisterat:https://www.dir.ca.pov/Public-Works/Contratior-Repistration.html In accordance with Title 49. Section 26.11 of the Code of Federal Regulations, and Section 4104 of the Public Contract Code of the State of California, as mnended. the following information is required (breach subcontractor who will perform work amounting to more than one half of one percent (0.5%) of the Total Base Bid or SI0.000 (whichever is greater). Photocopy this form for additional firms. Federal Project Number: HS I PL SVILF&168 Subcontractor Name and Location line Item 6 Description subcontract Amount Percentage of Bid Item Sub. contracted Contractor license Number ME (y/N) DBE Cart Number Annual Gross Receipts DIR ReS Number Name: N/A <$I million ds minion City. State: U <$to million Lj <$15 million e of iumc$: s. Name: 1 million City. State: <SS million e$10 million d1S million e of Firm: Ws. Name: <SI rNllion City, State: <$S million 0 <$10 million ❑ <$is million e of Firm: 10M. Name: 41 million City. State: <$5 million El d10 million dIs million e of Flrm: rs. Name: <$1 million City, State: <$$ million 610 million <$IS million e of firm: Wt. Name: <$1 million City, State: <$S million ❑ <$So million dls million e o/ Firm: rs. ..o.rmurmn. it uriginarvcocai Agency Fie 21 Copy-UtAE w/ Award varaage Page I of 2 January 2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS(DBE AND NON -DBE) - PART II PART II The bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this project. This is required for compliance with Title 49, Section 26 of the Code of Federal Regulations. Photocopy this form for additional films. Local Assistance Procedures Manmil Exhibit 12-B Bidder's List of Subcontractors (DBE and NOS -DBE) Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 2 In accordance with Title 49. Section 26 of the Code of Federal Regulations, the Bidder shall list all subcontractor who provided a quote" bid but were not selected to participate as a subcontractor on this project. Photocopy this form for additional firms. Federal Project Number: HSIP Subcontractor Name and Location line Rem a Description Subcontract Amount percentage of Bid Item Sub- contracted Contractor license Number DBE (Y/N) DBE Cert Number Annual Gross Iteceipb DNt Reg Number Name. N 14 eT 111Ygion 65 million City. State: U <$10 million <$15 million of Firm: yrs. Name 1 million ❑ 4$5 million On, State <$10 million d15 million Age Of Firm: yrs- Name U <$1 million <SS million City. State El <520 million ❑ <525million e of Firm: tics. Name: ❑ 41 million ❑ <$S million Uy. St.,, U <510 million blS million of Firm, rs. Name <$1 million <$5 million City. State. <$to million <$15 million of Firm: wc Name <$1 million <$S million City, State. <$10 million cl b15 million e of firm: ins. Dist ribat ion: 1) Original -Local Agency File 2) Copy -DIRE w/Award Package Page 2 of 2 January 2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) PROMPT PAYMENT OF FUNDS WITHHELD TO SUBCONTRACTORS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: The agency shall hold retainage from the prime contractor and shall make prompt and regular incremental acceptances of portions, as determined by the agency, of the contract work, and pay retainage to the prime contractor based on these acceptances. The prime contractor, or subcontractor, shall return all monies withheld in retention from a subcontractor within 30 days after receiving payment for work satisfactorily completed and accepted including incremental acceptances of portions of the contract work by the agency. Federal law (49CFR26.29) requires that any delay or postponement of payment over 30 days may take place only for good cause and with the agency's prior written approval. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime contractor or subcogiRctor in the event of a dispute involving late payment or nonpayment by the pri co ctor, deficient subcontract performance, or noncompliance by a s . co actor. —. Signed '—`11� Title Eyiiyiat- eaavn— Pgrinder ,Po Lei -ow' Firm International Line Builder's, Inc. Date 10/30/2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) EXHIBIT 16-B - SUBCONTRACTING REQUEST Local Assistance Procedures Manual Exhibit 16-8 CONTRAC7oRNAME =n4e¢ngh'cna% Lit-%f, bbilder6.Y tnrv. COUNTY �AylyQ 6. ROUTE BUSINESSADDRESS 3�155L"nu woad CDNTRACTNUMBER PW eu- NO, 1 CITY AND STATE ZIP CODE 9a-883 FEDERAL-AIDPROJECT NUMBER a NJ PL I A. SuBCONntACTOR B. BIDITEM C. PERCENTAGE OF D. SUB LL6TED E. CERTIFIED F. DESCRIBE WORK G. DOI s aR AMOUNT (Name, Busines Address, Phom) NUMBER(s) BID ITEM AT BID TIME DBE WHEN LESS THAN BASEDONTHEBID SUBCONTRACTED 100% OF WORK IS AMOUNT SUBCONTRACTED Yes No Yes No �L /T ❑ ❑ ❑ ❑ Yes No Yes No ❑❑❑❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ 1 ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ 1 certify that: a The Standard Provisions for labor set forth in the contract apply to the subcontracted work. • if applicable, Form FHW of the Special Provisions has been inserted in the subcontracts and should be incorporated in any low(((((( tier ubcontract. Written contracts have been executed for the above noted subcontracted work. _ Date This section is to be completed by the resident engineer. - 1. Total of bid items 2. Contractor most perform with own fours (Btu I X contract req. %) $ 3. Bid items previously subcontracted (taken from previously approved 16-8) $ 4. Bid items subcontracted (this request) $ S. Total bid items subcontracted (line 3 plus 4) 6. Balance of work contractor to perform (line 1 minus 5) $ Approved RESIDEX7 ENGINEERS SIGNATURE DATE c, •'^'•" ••+""`•"'••"^`•"• PY" cwuc.0 my..mr ..upY_.mci- __ _ evocaseunop c .,for tax to (Y16)3241949 Page 1 of 2 January 2018 r�� CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) Local Assistance Procedures Manual Exhibit 16-B Subcontracting Request INSTRUCTIONS FOR COMPLETING SUBCONTRACTING REQUEST FORM All first -tier subcontractors must be included on a subcontractor request. Before subcontracting work starts, the contractor will submit an original CEM-1201 for approval according to the Standard Specifications. After approval, the RE returns the original to the contractor and complete the remaining distribution as listed on the bottom of the form. D. If subcontractor was listed at bid time per the Fair Practices Act, check yes, otherwise check no. E. If subcontractor is a certified DBE contractor, check yes, otherwise check no. F and G. When a portion of an item is subcontracted, describe the portion and show the percentage of the bid item and value. G. When an entire item is subcontracted, show the full bid item value. THIS FORM IS NOT TO BE USED FOR SUBSTITUTIONS OF SUBCONTRACTORS AND UDBE, DVBE OR SMALL BUSINESS ENTITIES. Page 2 of 2 July 2018 ?n a �> CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: a. Contractor's Notification Promptly notify the Agency's Engineer if you find either of the following conditions: 1. Physical conditions differing materially from either of the following: • Contract documents • Job site examination 2. Physical conditions of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent in the work provided for in the Contract Include details explaining the information you relied on and the material differences you discovered. If you fail to promptly notify the Engineer, you waive the differing site condition claim for the period between your discovery of the differing site condition and your notification to the Engineer. If you disturb the site after discovery and before the Engineer's investigation, you waive the differing site condition claim. b. Engineer's Investigation and Decision Upon your notification, the Engineer investigates job site conditions and: 1. Notifies you whether to resume affected work 2. Decides whgb"he condition differs materially and is cause for an adjustment of tim , payment, or both Signed Title FC-1 C - 5e0WY1- 4A2adlddnt Firm International Line Builder's, Inc. Date 10/30/2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQUIREMENTS FOR STEEL OR MANUFACTURED PRODUCTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certi to comply with the "Buy America" requirements of Section 165 of the Surface Transportat' A sistance Act of 1982 and as shown in the special provisions of this project. P Signed Title �,C1erWjl- ]g¢awn-Tnz afn- fo Cugl 01v- Firm International Line Builder's, Inc. Date 10/30/2019 1� 1 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) NEPA COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the Categorical Exemption/Categorical Exclusion Determination Form including and not limited to the National Environmental Policy Act (NEPA) requirements and environmental commitments found in the appendix of the Contract Documents of this project. 0 Signed Firm International Line Builder's, Inc. Date 10/30/2019 aoJoAl CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES FEDERAL PROJECT NO: HSIPL 5063(188) TMP COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to ply with the Traffic Management Plan (TMP) commitments found in the appendix of the ntr ct Documgntsof this project. Signed Firm International Line Builder's, Inc. Date 10/30/2019 20A-52 P- 8 of P-38 CITY OF SANTA ANA EXHIBIT 3 CONSTRUCTION CONTRACT PROJECT 17-6875 CITYWIDE TRAFFIC SIGNAL VEHICLE HEAD UPGRADES [HSIPL-5063(188)] This CONSTRUCTION CONTRACT is made and entered into this 21s1 day of January, 2020 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 International Line Builders, 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 construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Citywide Traffic Signal Vehicle Head Upgrades 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 sum total amount not to exceed Three Hundred Eight Thousand Fifty-nine Dollars and No Cents ($308,059.00), 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. 09/01/2017 20A-53 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: http://www.santa-ana.org/pwa/documents/CWA.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. // 20A-54 Page 2 of 3 IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: DAISY GOMEZ Clerk of the Council U"-:D-Iv/ 317MIKII-01] ;7u li SONIA R. CARVALHO City Attorney By: 14 0' MiN FUNK Assistant City Attorney RECOMMENDED FOR APPROVAL: FUAD SWEISS, PE, PLS Executive Director Public Works Agency CITY OF SANTA ANA KRISTINE RIDGE City Manager CONTRACTOR: Intemati,oP4 Line Builders, Inc. NAME:VpvrW - b¢orvn TITLE: ►PwI o-u- fo ('ja I D N 20A-55 Page 3 of 3 Exhibit 4 COST ANALYSIS CONSTRUCTION OF PROJECT NO. 17-6875: Citywide Traffic Signal Vehicle Head Upgrades [HSIPL 5063(188)] Construction Contract $ 308,059 Contract Administration $ 26,228 Inspection and Testing $ 43,772 Contingencies $ 160,541 TOTAL ESTIMATED CONSTRUCTION COSTS $ 538,600 20A-56