HomeMy WebLinkAboutCALIFORNIA PROFESSIONAL ENGINEERING, INC. (13) Recording Requested By,
And When Recorded Mail To: Recorded in Official Records, Orange County
City of Santa Ana,Public Works Agency M22 Hugh Nguyen, Clerk-Recorder
2o Civic Center 'a P.90.Box 1988 Ill I'I IIIIl11111111�111'�ia IIII'�ti111,1111 '! I' N0 FEE
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2021000069331 10:48 am 02/01121
363 RW11A N12 1
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NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana,
California, 92701, is the owner of the property hereinafter described, that said owner has caused
c construction of PACIFIC ELECTRIC BIKE TRAIL AND SADDLEBACK VIEW PARK
SECURITY LIGHTING under contract entered into on DECEMBER 17, 2019, with
CALIFORNIA PROFESSIONAL ENGINEERING INC. on which contract UNITED STATES
o° FIRE INSURANCE COMPANY is surety. The property on which such work improvement was
ara v
o placed is in the City of Santa Ana, County of Orange, State of California, and described as
Project Nos. 18-7524 & 18-7533 located at: SADDLEBACK VIEW PARK AND PAIFIC
oELECTRIC BIKE TRAIL. The work improvement on said property was accepted as completed
v on JANUARY 15, 2021.
w o CITY OF SANTA A, ICIPAL CORPORATION
v:
Z � by
Dated: 11-1 Principal Civil engineer—Jason Gabriel
rU TITLE
1Z -------------------------------------------------------------------------------------------
VERIFICATION
I, the undersigned, say: I am the City„Engineer— Edwin "William" Galvez of the City of Santa
Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of
the property therein described; I make this verification on behalf of said corporation by
authorization of the City Council of the City of Santa Ana; I have read said notice and know the
contents thereof; and I declare under penalty of perjury that the facts therein stated are true.
Executed on G'I�r �� ,at Santa Ana,California
(Signature of individual swearing that the
contents of Notice of Completion are true.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROrJECT-NOS.-IS 7524 AND 18-7533
PACIFIC ELECTRIC BIKE TRAIL AND SADDLEBACK VIEW PARK SECURITY LIGHTING
PROJECTS
This CONSTRUCTION CONTRACT is made and entered into this 171h day of December, 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 California
Professional Engineering, Inc. (hereinafter "CONTRACTOR").
WITNESSETH:
The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows:
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 Pacific Electric Bike Trail and Saddleback View
Park Security Lighting 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 Four Hundred Twenty -One Thousand
Forty-three and No Cents ($421,043.00), as set forth and identified in the BID PROPOSAL, which is
attached hereto and incorporated herein as Exhibit "A."
rev. 09/01/2017 Page I of 3
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.
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:
htto://wv.-�n,.santa-ana.ora/Dwa/documents/C WA.ndi
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.
/I
Page 2 of 3
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and
year first above written.
ATTEST:
rm, 2�- Lf]�'e�
DAISY GOMEZ
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By; GM A+'. -f"L
JGVN FUNK
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
a
FUAD SWEISS, PE, PLS
Executive Director
Public Works Agency
CITY OF SANTA ANA
OMSTINE RIDGE?
City Manager
CONTRACTOR:
California Professional
NAME: Van Nguyen
TITLE: President
Inc.
Page 3 of 3
City of Santa Ana Page t
Security Lighting for 18-7524 Pacific Electric Bike Trail & Project 18-7533 Saddleback View Park (18-7524 & 16-7533) bidding Printed 11/1812019
Bid Results
EXHIBIT A
Bidder Details
Vendor Name
California Professional Engineering, Inc.
Address
929 Otterbeir, Avenue
Unit E
be Puente, CA 91748
United States
Respondee
Van Nguyen
Respondee Title
President
Phone
626-810-1335 En.
Email
van&pengineeringinc.com
Vendor Type
SBE.MBE,CADIR
License #
793907
CA DIR
Bid Detail
Bid Format
Electronic
Submitted
October 15, 2019 1:32:02 PM (Pacific)
Delivery Method
Bid Responsive
Yes
Bid Status
Submitted
Confirmation #
192960
Ranking
0
Respondee Comment
Buyer Comment
Attachments
File Title
File Name
Fife Type
General Attachments
General Atrachments.pdf
General Attachment
Ownership Affidavit
Ownership Affidevitpdf
Ownership Affidavit (Notary
Public)- REQ Original Hard
Copy Submittal in Addition
Bid Bond
Bid Band (3).pdf
Bid Bond Guaranty (Notary
Public) - REQ Original Hard
Copy Submittal in Addition
Non -Collusion Affidavit
Non Collusim.pdt
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 items
1
New Security Lighting atPacific Electric Bike Trail
LS
1
$298,000.00
S298,000.00
2
New Security Lighting atSaddleback View Park
LS
1
$68,693.00
$68,693.00
3
Additional Wring`
LF
300
$2.50
$750.00
Pianetsids. inc.
City of Santa Ana Page 2
Security Lighting for 18-7524 Pacific Electric Bike Trail & Project 18-7533 Saddleback' View Park (18-7524 & 18-7533), bidding Pnnted 1111812019
Bid Results
EXHIBIT A
Type Item Code UOM Qty Unit Price Line Total Comment
4 Additional 2" Conduir
LF 300 $18.00 $5,400.00
5 Additional Light Pole*
EA 4 $3,650.00 $14,600.00
6 Additional Light Pole Assembly*
EA 4 $5,650-00 522,600.00
7 As -Built Drawings (PE Bike Trail)
LS 1 5500.00 $500.00
8 As Suilt Drawings (Saddleback ViewPark)
LS 1 $500.00 5500.00
9 Labor Agreement Oversight
LS 1 510,000.00 510,000.00
Subtotal $421,043.00
Asterisk Notes (Per Section 3-2 of Standard Specifications) - NOT part of Total Bid Calculation
10 ' = The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25V limit as stated in Section 3-2 of
the Standard Specifications. 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.
ea 0 0 0
11 t = This bid 'Rem is considered a Speciality Item per Section 2-3.2 of the Standard Specifications.
as 0 0 0
Subtotal 0
Total 5421,043.00
PianetBids, Inc.
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL EXHIBIT A
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
TOTAL BASE BID S a J� p
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 shalt 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 At*ency reserves the
right to increase or decrease the quantity of this item aecordingl}.
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 75 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 $ L200 per calendar day.
Name of Firm Califomia ProfGssil) a4-Fngineeringg lnc. //
Signature of BIDDER
Title President S(t.cre
(If an individual, so state. If a fine 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'.)
.)
P-2 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: California Professional Engineering 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 sum(s) set forth in the following
schedule:
Item
Description
Qty
Unit
Unit Price
Amount
I
New Security Lighting at
I
LS
$a S
ao
$
Pacific Electric Bike Trail
p
2
New Security Lighting at
I
LS
$ $
_
Saddleback View Park
3
Additional Wiring*
300
LF
$
$ 75-0
4
Additional 2" Conduit*
300
LF
$ g
$
�� tf c7c7
5
Additional Light Pole*
4
EA
$
3,b5o
$
ly, coao
6
Additional Light Pole Assembly*
4
EA
$
$
7
As -Built Drawings (PE Bike Trail)
I
LS
$ SOv
$ aS0
8
As -Built Drawings (Saddleback View
I
LS
$ ,5v0
$ o
Park)
9
Labor Agreement Oversight
I
LS
$ 10,000
$ yp r)ab
P-1 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
TOTAL BASE BID S y a]) o y 3=
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.
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 75 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 $1,200 per calendar day.
Name of Firm California Profepiqal_Engineering\lnc. /
Signature of BIDDER
Title President , S¢cre4-urq , MprN"E2
(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.)
(Sc� ��iF c fJ-i✓ D .
P-2 of P-16
MINUTES OF THE ANNUAL MEETING OF SHAREHOLDERS AND DIRECTORS
CALIFORNIA PROFESSIONAL ENGINEERING, INC.
The annual meeting of the shareholders of the above named California Corporation was duly held at the principal office of
the corporation located at 929 Otterbein Avenue, Unit E, La Puente, CA, 91748, USA on January 21, 20%
The Director present was VAN TAN NGUYEN.
President acting as Chairman, same being VAN TAN NGUYEN,
The Chairman then presented and read to the meeting a Waiver of Notice of Meeting, subscribed by all of the Directors of
I h i res
the Corporation. Upon motion duly made; it was:
Resolved, that the Chairman be requested to cause the same to be spread at length upon the minutes.
Resolved, that the following persons were nominated and thereupon elected to the position opposite their names to serve
until their successors are elected and qualified:
VAN NGUYEN, PRESIDENT
VAN NGUYEN, SECRETARY
PHUONG-THAO NGUYEN, CHIEF FINANCIAL OFFICER (CFO)
Resolved, that the above persons elected may sign all binding, contractual documents on behalf of the Corporation.
The President, Secretary, and Treasurer thereupon assumed their respective offices,
The President then presented and read the minutes of the annual meeting of shareholders of this Corporation, and the
same were, on motion duly made, seconded and unanimously carried, in all aspects ratified and adopted by this Board of
Directors.
There being no further business to come before the meeting, upon motion duly made, seconded and unanimously carded,
the same was adjourned.
The foregokiminutes of Januaiy 21,
1 $ ! 9 are approved:
VAN
(corporate seal)
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
BIDDER'S STATEMENT
BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent
Constriction 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 California Profess
Signature of BIDDER
Title President
(If an individual, so state. If a firm or co -partnership, state
all individual co-partners composing the firm. If a corpora
and names of President, Secretary, Treasurer and Manager,
Ile firm name and give the names of
Lion, state legal name of corporation,
thereof.)
Cs"-:v
P-3 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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: California Professional Engineering Inc.
Business Address: 929 Otterbein Ave, Unit E, La Puente, CA 91748
Business E-Mail Address: van@cpengineeringinc.com
Telephone: 626-810-1338
State Contractor's License No. and Class: 793907 A , C— l
License Expiration Date
04/30/2021
State Dept. of Industrial Relations (DIR)
Registration No.: 1000377609
State Dept. of Industrial Ra ' ns (DIR)
Registration Expiration tQat .
Signed:
Title: President
P-4 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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 Presidei
(if an individual, so state)
P-5 ofP-16
Attention: City of Santa Ana
To whomever this may concern,
Please accept ,the attached Bidder's Bond for project No. 18-7524 Pacific Electric Bike Trail/
Project No. 18-7533 Saddleback View Park, bidding 10/15/2019.
If there are any. coneerns.please feel free to contact me. Thank you for your time.
Estimating@cpengineeringine.com
Phone: 626-810-1338
Fax: 626-810-1322
929 Otterbein Avenue, Unit E, La Puente, CA 91748 0 Ph: (626) 810-1338 0 Fax: (626) 810-1322
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) SS:
CITY OF SANTA ANA )
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
That he is of:
President
a corporation which is making the foregoing proposal:
❑.POINT VENTURE
That he is of:
one of the parties making the foregoing proposal as ajoint venture, and the he/she has been
and is duly vested with the authority to execute instruments for an on behalf ofthe 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 sec re a a van a e against the City of Santa Ana or any person interested in the proposed
contra , fo himself or an her p rson.
p{n�Q
Signatur o idder
Subscribed and sworn to befor me this day of 20
Signature of officer Administering Oath (Notary Public)
P-6 of P-16
ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of
Los angeles
I
SS.
On IC)IM O� , before me, Alicia Nguyen Notary Public,
DATE
personally appeared Vbw who proved to me on the
basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
n . ALICI�A NG� YEE N
:... COMM. # 2211346 3
NOTARY PUBLIC -CALIFORNIA n
LOS ANGELES COUNTY
Comm. Exp. AUG. 25, 2021
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.
NOTARY'S SIGNATURE
A notary public or other office completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracv, or validity of that document.
PLACE NOTARY SEAL IN ABOVE SPACE
OPTIONAL INFORMATION
The information below is optional. However, it may prove valuable and could prevent fraudulent attachment
of this form to an unauthorized document.
CAPACITY CLAIMED BY SIGNER (PRINCIPAL)
INDIVIDUAL
[� CORPORATE OFFICER �RgOem
❑ PARTNER(S) TITLES)
❑ ATTORNEY -IN -FACT
❑ TRUSTEE(S)
❑ GUARDIAN/CONSERVATOR
❑ OTHER:
SIGNER (PRINCIPAL) IS REPRESENTING:
NAME OF PERSON(S) OR EN'I ITY(IES)
DESCRIPTION OFATTACHED DOCUMENT
TITLE OR TYPE OF DOCUMENT
I
NUMBER OF PAGES
DATE OF DOCUMENT
RIGHT
THUMBPRINT
OF
SIGNER
OTHER
APA 112012 NOTARY BONDS. SUPPLIES AND FORMS AT HTTP://WWW.VALLEY-SIERRA.C'OM G'2005-200S1'ALLEY-SIERRAINSURANCE
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
BID BOND
KNOW ALL PRESENT that,
California Professional Engineering Inc. , as BIDDER, and
United States Fire Insurance Cmmpany , as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of _
Ten Percent of the Total Bid Amount Dollars ($ 1o%of bid amount ), 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, hands, and seal this
14th day of October , 2019 .
BIDDER*
SURETY*
Irene Luong, Attorney ,n-Fact
Subscribed and sworn to
, 20_.
Signature:
Notary Public in and for the County of
Suite 160, Mission Viejo, CA 92691, T:949-461-7725
this
See Attached
, State of
day of
Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address,
and telephone number of authorized representative.
P-7 of P-16
ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of
Los angeles
I
SS.
On l el',,"A , before me, Alicia Nguyen Notary Public,
-� DATE p°
personally appeared VQ.h l who proved to me on the
basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
ALICIA NGUYEN
COMM. # 2211346
NOTARY PUBLIC • CALIFONNUI
LOS ANGELES COUNTY WITNESS my hand and official seal.
Comm. Exp. AUG. 25, 2021 +
NOTARY'S SIGNATURE
A notary public or other office completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracv, or validity of that document.
PLACE NOTARY SEAL Rd ABOVE SPACE
OPTIONAL INFORMATION
The information below is optional. However, it may prove valuable and could prevent fraudulent attachment
of this form to an unauthorized document.
CAPACITY CLAIMED BY SIGNER (PRINCIPAL)
INDIVIDUAL
CORPORATE OFFICER WgE jua-
PARTNER(S) TIME(S)
ATTORNEY -IN -FACT
TRUSTEE(S)
GUARDIAN/CONSERVATOR
OTHER:
SIGNER (PRINCIPAL) IS REPRESENTING:
NAME OV PERSON(S) OR EN'FFFY(IES)
DESCRIPTION OF ATTACHED DOCUMENT
90deWS BOY14
TITLE OR TYPE OF DOCUMENT
NUMBER OF PAGES
DATE OF DOCUMENT
RIGHT
THUMBPRINT
OF
SIGNER
v
c
s
a
a
F°-
AP.A 112012 NOTARY BONDS. SUPPLIES AND FORNIS ATHTrP://WWW.VALLEY-SIERRA.COM 02005.2008VALLEY-SIERRAINSt11tANCE
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA y
County of Orange
On October 14, 2019 before me, Robyn R. Kargari . Notary Public,
Date Insert Name of Notary exactly as it appears on the official sal
personally appeared Irene Luong
Name(s) of Signer(s)
ROBYN R. KARGARI
ev '. COMM. # 2296844 X
NOTARf R IBUCtALIFORNIA
lY t ORANGE COUNTY
MYCOAIKEXR.JULY13,2023�
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies),
and that by his/her/their gignature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witness my hand and official seal.
Signature
Place Notary Sal Above i n ota ublic Robyn R. Kargari
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of the form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer —Title(s):—
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s): _
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other -
Signer is Representing:
Top of thumb here
POWER OF ATTORNEY
UNITED STATES FIRE INSURANCE COMPANY
PRINCIPAL OFFICE - MORRISTOWN, NEW JERSEY
07626
KNOW ALL MEN BY THESE PRESENTS: That United States Fire Insurance Company, a corporation duly organized and existing under the laws of the
state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint
Yung T. Mullick, James W. Moilanen, Irene Luong, P. Austin Neff, Stephanie Hoang
each, its true and lawful Attomey(s)-In-Fact, with full power and authority hereby conferred in its time, place and stead, to execute, acknowledge and
deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require, and to bind United States
Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the
regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties not exceeding: Fifty Million
Dollars (S50,000,000).
This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to
bind United States Fire Insurance Company except in the manner and to the extent therein stated.
This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys -In -Fact named above and expires on January 31, 2020.
This Power of Attorney is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect,
and consistent with Article III thereof, which Articles provide, in pertinent part:
Article IV, Execution of Instruments - Except as the Board of Directors may authorize by resolution, the Chairman of the Board, President,
any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation:
(a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments
and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings,
recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages,
releases, satisfactions and agency agreements;
(b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the
seal of the Corporation.
Article III, Officers, Section 3.11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds,
guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance
issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of
Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile
signature or signatures, lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be
authorized to sign such instrrrnents on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the
facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the fact that he
may have ceased to be such at the time when such instruments shall be issued.
IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and
its corporate seal hereunto affixed this 10 day of Much, 2016.
UNITED STATES FIRE INSURANCE COMPANY
r
Anthony R. Slimowicz, Executive Vice President
State of New Jersey}
County of Morris }
On this I Ot day of March 2016, before me, a Notary public of the State of New Jersey, came the above named officer of United States Fire
Insurance Company, to me personally known to be the individual and officer described herein, and acknowledged that he executed the foregoing
instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office.
SONIA SCALA .>+t.3 --= leap -
NOTARY PUBLIC OF NEW JERSEY Sonia Scala (Notary Public)
MY COMMISSION EXPIRES 3/25/2024
No. 2163686
I, the undersigned officer of United States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attorney of which
the foregoing is a full, true and correct copy is still in force and effect and has not been revoked.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seat of United States Fire Insurance Company on the 14th day
Of October 12019
UNITED STATES FIRE INSURANCE COMPANY
Pb(-A
eter M. Quinn, Senior Vice President
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE NO 07812
SAN FRANCISCO
Certificate of Authority
THIS IS To CERTIFY THAT, Pursuant to the Insurance Code of due State of California,
United States: Fire Insurance Company
Of Wilmington, Delaware , organized under the
laws of Delaware subject -to its Articles ofineorporatioror
other.fLmdamental orgranitarionaidoewnents, is herebyauthorizedto transaztwithin the State, subjectto
allprovisions of this Cerrifocate, thefollowing classes of insurance. Fire, Marine,
_ Surety, Disability, Plate Glass, Liability, Workers` Compensation,
Common Carrier Liability., Boiler and Machinery., Burglary,. Credit,
Sprinkler, Team and Vehicle, Automobile, Aircraft,'andMiscellaneous
as such classes are now or may hereafter be defined in the Insurance. Laws of the .State of California_
THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in
jftll compliance with all, and not in violation ofwiy, of the applicable laws and lawful requirements made
under authority of the laws of the State of California as long as such laws or requirements are in effect
and applicable, and as such laws and requirements now are; or may hereafter be changed or amended.
IN WITNESS WHEREOF, effective as ofthe 31st
day of December' 2003 ,Ihave hereunto
set my hand and caused my officialseal to be affczed this
3ist day of Decem6ot 2003
NOTICE:..
Qualification with the Secreary of State mug
after issuance of this Certificate of Authority.
grounds for revoking this Certificate of AuUv
conditions containedherein.
roggxc0. osPa.&
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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: '/z% of the bid or $10,000, whichever is greater
o Buildings, parks, or other projects: '/% of the bid
Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State
Department of Industrial Relations (DIR).
BIDDER proposes to subcontract certain portions of the work to the firms listed below:
Name bC- bW, t.L., r4 G% IN G Name
License #/Exp. (4#4 License#/Exp.
DIR Reg. #/Exp. ®� ��. �( cr �z DIR Reg. #/Exp.
Location
u f�iY¢Is$t`i7�@H
Phone - qg 1 - 3(p$ —'7 Phone
Type Of Work ec>02 Type Of Work
Amount $ 1-1.4 2?47 Amount $
Name
License #/Exp.
DIR Reg. 9/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
I01
License #/Exp.
DIR Reg. #/Exp.
License # _
Location _
Phone
Type Of Work
Amount $ ,
Signature of Bidder
Name
License 4/Exp.
DIR Reg. #/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. 4/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
P-8 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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.
1, Please see attached
Name and Address of Owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
2.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
3.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
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.
Please see attached
P-9 of P-16
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California Professional Engineering, Inc,
e �..
fv
Bonding and Insurance Information
We intend to procure all bonds from:
United States Fire Insurance Company
Broker: The Bond Exchange
Yung T. Mullick, Attorney -In -Fact
24800 Chrisanta Drive, Suite 160
Mission Viejo, CA 92691
949-461-7000-office #
949-461-7725-fax #
ymullick@thebond-exchange.com
We intend to procure all general/access liability/auto liability certificates from:
Duran Risk & Insurance Services, Inc. an affiliate of United Agencies, Inc.
George Duran, Agent
6371 Haven Ave. Suite 3-222
Rancho Cucamonga, CA 91737
909-360-1108-office #
909-360-1273-fax #
george@duraninsuranceservices.com
We intend to procure all workers' compensation certificates from:
Duran Risk & Insurance Services, Inc. an affiliate of United Agencies, Inc.
George Duran, Agent
6371 Haven Ave. Suite 3-222
Rancho Cucamonga, CA 91737
909-360-1108-office #
909-360-1273-fax #
george@duraninsuranceservices.com
document last modified 08.22.2019
929 Otrerbein Avenue, Unit E. La Puente, CA 91748 1 Ph: (626) 810-1338 Fax: (626) 810-1322 1 Email: estimating@ cpengineeringinc.00m
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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.
1. Please see attached
2.
3.
Name and Address of Owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
Name and Address of owner.
Name and Telephone Number of person familiar with project.
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.
Please see attached
P-10 ofP-16
Email: khoey@downeyca.org
Contact Phone #: (562) 622-5898
Fax #: (562) 904-7296
Status: Completed
Approximate Start/End Dates: April 2014-August 2014
Description of Supplies, Equipment, or Services Provided: Installation of Conduit &
Wiring/Conductors, Pull Boxes, Pedestals, LED Fixtures, and Light Poles.
Street Light in Lieu
Amount: $244,716.35
Owner: City of Ontario
Project Manager: Johnson Huo
Email: jhua@ci.ontorio.co.us
Contact Phone #: (909) 395-2131
Fax #: (909) 395-2122
Status: Completed
Approximate Start/End Dates: Jan 2014-April 2014
Description of Supplies, Equipment, or Services Provided: Installation of Conduit &
Wiring/Conductors, Pullboxes, Pedestals, LED Fixtures, and Light Poles.
Old Towne Street Lighting Improvements
Amount: $453,145.00
Owner: City of Orange
Project Manager: Medel Lanes
Email: mliones@cityoforange.org
Contact Phone #: (714) 744-5535
Fax #: (714) 744-5573
Status: Completed
Approximate Start/End Dates: Jan 2012-April 2012
Description of Supplies, Equipment, or Services Provided: Installation of Conduit,
Pullboxes, Pedestals, Street Lights w/Fixtures, and Light Poles.
Installation of Street Lighting on Mountain Street from Craig Ave
Amount: $335,166.00
Owner: City of Pasadena
Project Manager: Chris Hernandez
Email: cehernandez@cityofpasadena.net
Contact Phone #: (626) 744-4303
Fax#: (626) 396-7931
Status: Completed
Approximate Start/End Dates: Ian 2012-May 2012
Description of Supplies, Equipment, or Services Provided: Installation of Conduit,
Street Light Pullboxes, LED lamps, Post Top Concrete Streetlights, Street Light
Conductors, and Modify Existing Street light Feed Point.
Page 2 of 3
Document Last Updated 41512016
Street Light Installation — Guinida Lane
Amount: $202,345.50
Owner: City of Anaheim
Project Manager: Mark Brownrigg
Email: mbronwrigg@anaheim.net
Contact Phone #: (714) 765-4300 Ext. 4596
Fax #: (714) 765-5225
Status: Completed
Approximate Start/End Dates: Aug 2011-March 2012
Description of Supplies, Equipment, or Services Provided: Installation of Conduits,
Wirings, Service, Foundations, Street Light Poles, and Luminaires.
Page 3 of 3
Document Last Updated 41512016
'California Professional Engineering, Inc.
�1lLLiLLLV ag"vLaL L nR.f�fiir�3— ,
a ".aitvesr
Bonding and Insurance Information
We intend to procure all bonds from:
United States Fire Insurance Company
Broker: The Bond Exchange
Yung T. Mullick, Attorney -In -Fact
24800 Chrisanta Drive, Suite 160
Mission Viejo, CA 92691
949-461-7000-office #
949-461-7725-fax #
ymullick@thebond-exchange.com
We intend to procure all -general/access liability/auto liability certificates from:
Duran Risk & Insurance Services, Inc. an affiliate of United Agencies, Inc.
George Duran, Agent
6371 Haven Ave. Suite 3-222
Rancho Cucamonga, CA 91737
909-360-1108-office #
909-360-1273-fax #
george@duraninsuranceservices.com
We intend to procure all workers' compensation certificates from:
Duran Risk & Insurance Services, Inc. an affiliate of United Agencies, Inc.
George Duran, Agent
6371 Haven Ave. Suite 3-222
Rancho Cucamonga, CA 91737
909-360-1108-office #
909-360-1273-fax #
george@duraninsuranceservices.com
document last modified 08.22.2019
929 Otterbein Avenue, Unit E. La Puente, CA 91748 1 Ph: (626) 810-1338 Fax: (626) 810-1322 1 Email: estimating@cpengineeringinc.com
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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 ofanyone
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 lyoh- oll� usionAffidgvitis#art of the Proposal. BIDDERS are cautioned
m that kin a false ification may/subject the certifier to criminal prosecution.
Signed
State of California
County of
Subscribed and sworn to (or affirmed) before me on this day of , 20_, by
, proved to me on the basis of satisfactory evidence to be the person(s)
who appeared before me
Notary Public Signature
Notary Public Seal
P-11 of P-16
ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Los angeles SS.
On 1DPP5 2olh , before me, ))) Alicia Nguyen Notary Public,
DATE
personally appeared who proved to me on the
basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
Eq =AC1A
Elaws of the State of California that the foregoing
YEN ara ra h is true and correct.
1346 ; P g PALIFORNW' nOUNTY 25, 202t
WITNES my hand and official seal.
NOTARY'SSIGNATURE
A notary public or other office 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.
PLACE NOTARY SEAL IN ABOVE SPACE
OPTIONAL INFORMATION
The information below is optional. However, it may prove valuable and could prevent fraudulent attachment
of this form to an unauthorized document.
CAPACITY CLAIMED BY SIGNER (PRINCIPAL)
DESCRIPTION OF ATTACHED DOCUMENT
dINDIVIDUAL
Y
CORPORATE OFFICER
t ^�(�"Ph TITLE OR TYPE OF DOCUMENT
❑
PARTNER(S)
nTLE(S)
❑
ATTORNEY -IN -FACT
l
❑
TRUSTEE(S)
NUMBER OF PAGES
❑
GUARDIAN/CONSERVATOR
❑
OTHER:
DATEOFDOCUMENT
SIGNER (PRINCIPAL) IS REPRESENTING:
NAME OF PERSON(S) OR E^NTITY(IES)
RIGHT
THUMBPRINT
OF
SIGNER
APA IG012 NOTARY BONDS. SUPPLIES AND FORMS AT HTTP:7/WWW.VALLEY-SIERRA.C'OM 02005-2005VALLEY-SIERRArNSURANCE
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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.
P-12 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
The Contractor shall include the portion of the sentence immediately preceding paragraph (I)
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, mental
condition, marital status, or sex of such persons, except as provided in Section 1420, and any
contractor of public or violating this Section is subject to all the penalties imposed for a
violation of the Chapter. II
Signed:
Title: President
Firm: California Professional Engineering Inc.
Date: 10/15/2019
P-13 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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:
I . 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 c tractors, except contr'ctors not signatory to the trust agreement shall
pay a like amount, o t e ornia Ap ent' eship Council.
Signed:
Title: President
Firm: California Professional Engineering, Inc.
Date: 10/15/2019
P-14 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
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 regulati99ns (29 CFR, Part 3). This act provides that
each contractor or subcontractor shall be prohibikd from inducing, by any means, any person
employed in the construct'on or repair of public ork, to give up any part of the compensation to
which he/she is other ise a ed.
Signed:
Title: President
Finn: California Professional Engineering Inc.
Date: 10/15/2019
P-15 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE
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.
P-16 of P-16
11
I
Project Title;
Project Numl
Project Local
City: Santa
Project Desci
FILED
OCT 01 201
ORANGBCOUNTYC c R DEPARTMENT
BY: - DEPUTY
A Puildo "
PRO TEM
e Martinez
L MEMBERS
d Benavides
Samriento
H J111f lIl 111Clark-Recorder
111111111[II I�Q�I f Ili�f
NO FE
$ 0 0 1 0 3 8 3 7 0 4$
20188500101711:05 am 10/01/18
370 OR03 Z01
0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00
CITY OF SANTA ANA
PLANNING S BUILDING AGENCY
20 Civic Center Plaza (M-20)
P.O. BOX 1988 a Santa Ana, California 92702
(714) 657-2700 • Fax (714) P73-1461
www.San1a-ana.org
NOTICE OF EXEMPTION
CITY MANAGER
Raul Godinez ll
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Marla D. Huizar
the Requirements of the California Environmental Quality Act (CEQA)
Fee Exemption per California Government Code Section 6103
ITY CLERK
From: City of Santa Ana
y of Orange
Planning & Building Agency
ox 238
20 Civic Center Plaza FA-20
Ana, CA 92702
Santa Ana, CA 92702
Saddleback View Park Security Lighting P18-7533
Date of Approval: 10/05/2018
PWA-2018-1439-CITY
1 CityWide (Partial)
County: Orange
Install security lighting in the park.
ER Number: ER-2018-106
Applicant Nam
"] O S E D �" T C j ti,
e: Kenny Nguyen, City of Santa Ana Public Works Agency POSTED
Applicant Ad
i"d ess: Ross Annex, 20 Civic Center Plaza, 3rd Floor M-36
SANTA ANA, CA 92702
Name of Public
Agency Approving Project; City Council OCT 1 20
Name of Persc
nor Agency Carrying Out Project: Nguyen, Kenny
HUGH L -RE ORDER
Exempt Status:
❑ Ministerial (
ec. 15258) BY., DEPI'
❑ Declared E
ergency (Sec. 15269 (a))
CJ Emergency
Project (Sec. 15219 (b through a))
❑ General Rue
(Sec. 15061(b)(3)1(5))
❑ Statutory E
emption:
Rf Categodcai
Exemption: 15301(f)
Reasorr(s) Wh
Project is Exempt From CEQA:
1530111 consis
s of addition of safety devices in conjunction with existing structures.
City Contact
MIA Ly Telephone: (714) 647-5665
Signature:
Title: Date:
�^
teMlrYJf eT• jffe. SAN7AANA CITY COUNCIL
Miguel A. Pufido
Mieheb Mad'im Vineea6e Samdanto Jose Solmio P. David 6ensvides Just Ulleg" Sol Tiularo
Msyor
mo fidormssrtzanaory
Mayor Pro Tam, Ward 2 Ward ward3 Ward Ward Wnd6
'vasrrnlentelmsanta•ens om ju1QdQQpptsyegp[y .koffeassaiant'ans
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk -Recorder
IIIIIIIIIIIIII�NIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllll NO FEE
* $ R 0 0 0 9 7 0 5 8 5 2 8
201785001184 1:50 prn 11/16/17
323 304 201
0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00
MAYOR
CITY MANAGER
Miguel A Pulido
' Raul Godinez II
MAYOR PRO TEM
.. CITY ATTORNEY
Michele Martinez
f "` N �{. Sonia R. Carvalho
COUNCIL MEMBERS
CLERK OF THE COUNCIL
P. David Benavides
Maria D. Huizar
Vicente Sarmiento
Jose Solodo
Sal Tinaiero
Juan Villages
CITY OF SANTA ANA
PLANNING 3 BUILDING AGENCY
20 Civic Center Plaza (M-20)
P.O. BOX 1988 -Santa Ana, California 92702
(714) 667.2700 • Fax (714) 973-1461
w .santa-ana.org
NOTICE OF EXEMPTION
From the Requirements
of the California Environmental Quality Act (CEQA)
Fee Exemption per California Government Code Section 6103
To: COUNTY CLERK
County of Orange
P.O. Box 238
Santa Ana, CA 92702
Project Title: Pacific Electric Bike Trail Security Ligthing (18-7524)
Project Number(s): PWA-2017-1801-CITY
Project Location: 1 CityWide (Partial)
City: Santa Ana County: Orange ER Number: ER-2017-142
Project Description: Install Phase security lighting along the Pack Electric Bike Trail from Occidental Street to McFadden Ave.
From: City of Santa Ana
Planning & Building Agency
20 Civic Center Plaza M-20
Santa Ana, CA 92702
Date of Approval: 05/08/2018
Applicant Name: Kenny Nguyen, City of Santa Ana Public Works Agency
Applicant Address: Ross Annex, 20 Civic Center Plaza, 3rd Floor M-36
SANTA ANA, CA 92702
Name of Public Agency Approving Project: City Council
Name of Person or Agency Carrying Out Project: Nguyen, Kenny
Exempt Status:
❑ Ministerial (Sec. 15268) FILED
POSTED
❑ Decipred Emergency (Sec. 15269 (a))
❑ Emergency Project (Sec. 15269 (b through a)) NOV 2U1%
El General Rule (Sec. 15061(b)(3)/(5))
NOV 16 2017
❑ Statutory Exemption ORANGE COUNTY CLERK -RECORDER DEPARTMM
Categorical Exemption: 15301(b)
HUGH NGUYEN, CLERK -RECORDER
N1
Reasons) Why Project is Exempt From CEClA: sv y ''� DEPUTY BY
N f-r DEPUTY
15301(b) consists of an addition of safely lights to existing public facilities
City Contact: Min Telephone: (714) 647-5665
Signature: •-' Title: A� J C Date: 11-16--1-4
SANTA ANA CITY COUNCIL
Miguel A. Pulido Mi ele Martinez Yaaxnte SannmW Jose 3Wodo R DaNd B.vdm Juan Vilegu Sal Tmeiem
Mayor Mayor Pro Tw,Wan12 Ward Ward WaN4 Ward5 Wards
moulid aanta naom mimertinezfWwnta-ana.om»amienb®santaaneom', 'solodo sanWana.om '._dbenerdesP. laana_om j�aa�p�.'atlnalero® wtn ,naom
THE REGISTER
21907OWNE CENTER PL, ANAHEIM, CA 92806
Telephone (714).796-7000 / Fax (714) 796.6059
CNS#: 3298559
PROOF OF. PUBLICATION.
(2015.5 C.C.P.)
State of Califomia )
County of ORANGE )SS
Notice Type: BID -NOTICE INVITING BIDS
Ad Description:
18-7524 PACIFIC ELECTRIC BIKE TRAIL SCRTY LGHTNG &
18-7533 SADDLEBACK VIEW PARK SCRTY LGHTNG
I am a citizen of the United States and a resident of the State of California; I am
over the age of eighteen years, and not a party to or interested in the above
entifled matter. I am the principal clerk of the printer and publisher of the THE
REGISTER a newspaper published in the English language in the city of
SANTA ANA, county of ORANGE, and adjudged a newspaper of general
circulation as defined by the laws of the State of California by the Superior
Court of the County of ORANGE, State of California, under date 11119/1905,
Case No. A21046. That the notice, of which the annexed is a printed copy, has
been published in each regular and entire issue of said newspaper and not in
any supplement thereof on the following dates, to -wit
09/2712019, 10/02/2019
Executed on: 10/02/2019
At SANTA ANA,CA
I certify (or declare) under penalty of perjury that1he foregoing Is true and
correct.
SAi ature
I!IIIIIIII �I luuIIIII�IIIIIIIIIIIIIIIIIIII II�IuIuIII II
Erna * A 0 0 0 0 5 2 2 6 4 4 6,*
This space fm filing stamp oNy.
Premium is subject to change based on the final contract amount Bond No. 6131006388
CITY OF SANTA ANA Bond Premium: $6,063.00
BONDS
PROJECT NO:4&3524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. I$-7533t SADDLEBACK VIEW PARK
SECURITY LIGHTING
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS that California Professional Engineering Inc.
as CONTRACTOR, and United States Fire Insurance Company
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of Four Hundred Twenty One Thousand
Forty Three and 00/100 Dollars
($ 421.043.00 ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
1 �- )-0 I q for Pacific Electric Bike Trail and Saddleback View Pads security Lighting Projects (Project No. 18-7524 & I8-7533)
if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work
of Improvement to be done under said Contract Agreement in the manner and time specified
therein, then this obligation shall be null and void, otherwise it shall remain in full force and effect
in favor of AGENCY; provided that any alterations in the obligations or time for completion made
pursuant to the terms of the contract documents shall not in any way release either CONTRACTOR
or SURETY, and notice of such alterations is hereby waived by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
2nd day of December .20 i9 .
[Us ►ak3IM7IC�J:Li
me,
Signature:
T:626-710-1338
SEE ATTACHED
Notary Public in and for the County of State of
this day of
Rate of premium on this bond is $ 14.4o per thousand.
Total amount of premium charge is $ $6,063.00 To be filled in by Surety
*Provide CONTRACTOR / ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
1 of 3
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity
of the individual who signed the document to which this certificate is attached,
and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
On December 9, 2019
before me, Diem Chu, Notary Public
( ere insert name dd late of the t mar
personally appeared Van Nguyen
who proved to me on the basis of satisfactory evidence to be the person(&) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
hellsheAheyexecuted the same in histiliefAbeii--authorized capacity(ies), and that by
his/herfttreir signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(&) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the state of California that
the foregoing paragraph is true and correct. �1a`o%M It"
�.y1\t 297-4t,
F otarY PubG ¢2 �:
WITNESS my hand and official seal.
-
Nola Signature ` J `\ j el '41
ry 9 (Notary Public Seal) 11 ro Atl9elesCo°,ti���
11
ADDITIONAL OPTIONAL INFORMATI
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of aftached document)
(Title or description of attached document continued)
Number of Pages Document Date
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
President/Secretary/Manager
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
2015 Version wavw.NotaryClasses.com BOO-873-9865
INSTRUCT108TOR COMPLETTNG THIS FORM
DN This./arm complies with current California statutes regarding notary wording and
if needed, should be completed and attached to the document, Acknowledgments
from other statesman be completed for documents being sear to that .state so long
as the hording does not mgaire the California notary to violate Caltfmwra notary
lmv.
N State and County information must be the State and County where the document
signer(s) personally appealed before the notary public for acknowledgment.
N Date of notarization must be the date that the signer(s) personally appeared which
must also he the same date the acknowledgment is completed.
N The notary public must print his or her name as it appears within his or her
commission followed by a comma and then ,your title (notary public).
N Print the names) of document signer(s) who personally appear at the time of
notarization.
N Indicate die correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/they— is fare ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
N The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment fain.
N Signature of the notary public must match the signature oil file with the office of
the county clerk.
N Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to adifferent document.
N Indicate title or type of attached document, number of pages and date.
N Indicatz the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
N Securely attach this document to the signed document with a staple.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Orange
On December 2, 2019 before me, Robyn R. Kargari , Notary Public,
Dale Insert Name of Notary exactly as it appears on the orricial seal
personally appeared Irene Luong
Name(s) of Signer(s)
eE��OF rNpav ROBYN R. KARGARI
w i COMM. # 2296844
w ® g NOTARY PUSUCGCALIFORNIAX
ORANGE COUNTY ro
Y �+«e MYCOWEXP.JULY13,2020
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witness my ha official seal. /
Signature
Place Notary Seal Above igna ota�lic Robyn R. Kargan
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of the form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer —Title(s):_
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fad
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
POWER OF ATTORNEY
UNITED STATES FIRE INSURANCE COMPANY
PRINCIPAL OFFICE - MORRISTOW N, NEW JERSEY
07626
KNOW ALL MEN BY THESE PRESENTS: That United States Fire Insurance Company, a corporation duly organized and existing under the laws of the
state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint:
Yung T. Mullick, James W. Moilanen, Irene Luang, P. Austin Neff, Stephanie Hoang
each, its true and lawful Attorney(s)-la•Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and
deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require, and to bind United States
Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the
regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties not exceeding: Fifty Million
Dollars ($50,000,000).
This Power of Attorney limits the act of those named therein to the bonds and undertakings specifically named therein, and they have no authority to
bind United States Fire Insurance Company except in the manner and to the extent therein stated.
This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys -In -Fact named above and expires on January 31, 2020.
This Power of Attorney is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect,
and consistent with Article III thereof, which Articles provide, in pertinent part:
Article IV, Execution of Instruments - Except as the Board ofDimetors may authorize by resolution, the Chairman of the Board, President,
any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation:
(a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments
and documents whatsoever in connection with its business including, withoul limiting the foregoing, any bonds, guarantees, undertakings,
recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages,
releases, satisfactions and agency agreements;
(b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the
seal of the Corporation.
Article III, Officers, Section 3, 11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds,
guarantees, undertakings, rocognizances, stipulations, powers of attorney or revocations of any powers of attorney mid policies of insurance
issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of
Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile
signature or signatures, lithographed or otherwise produced. of such officer or officers of the Corporation as from time to time may be
authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the
facsimile signature of any person or persons who shall have been such office or officers of the Corporation, notwithstanding the fact that he
may have, ceased to be such at the time when such instruments shall be issued.
IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and
its corporate seal hereunto affixed this 101' day of March, 2016,
UNITED STATES FIRE INSURANCE COMPANY
- - ------------- -
Anthony R. Shnrowicz, Executive Vice President
State of New Jersey)
County of Morris )
On this lot" day of March 2016, before me, a Notary public of the State of Nev, Jersey, came the above named offerer of United States Fire
Insurance Company, to me personally known to be the individual and officer described herein, and acknowledged that he executed the foregoing
instrument and affixed the seal ot'United States Fire Insurance Company thereto by the authority of his office.
SONIA SCALA 26+ r"
N07ARY Pl1RLIC OF NEW JERSEY Sonia Scala ---- (Notay Public)
MY COMMISSION EXPIRES 3/2512024
No. 2163686
I, the undersigned officer of thired States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attorney of which
the foregoing is a full, trite aid correct copy is still in force and effect and has not been revoked.
IN WITNESS WHEREOF,
I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on the 2nd day
Of December ,2019
UNITED STATES FIRE INSURANCE COMPANY
Peter ter M. Quinn, Senior Vice President
Bond No. 6131006388
CITY OF SANTA ANA Premium included in
BONDS Performance Bond
PROJECT NO. 18-7524: PACIFIC ELECTRIC BIKE TRAIL
PROJECT NO. 18-7533: SADDLEBACK VIEW PARK
SECURITY LIGHTING
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS that California Professional Engineering Inc.
as CONTRACTOR, and United States Fire Insurance Company
a corporation, organized and existing under the laws of the State, and duty authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of Four Hundred Twenty One Thousand.
FAO y Three and 001100 Dollars
($ 421 o4'i oo ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
14 , 20(0( for Pacific Electric Bike Trail and Saddleback View Park Sa:mity Lighting Pmjecta (Project No. 18-7524 & 18-7533)
if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in
the performance of the Work of Improvement to be done under said Contract Agreement, or fails
to submit amounts due under the State Unemployment Insurance Act with respect to said labor,
SURETY will pay for the same in an amount not exceeding the sum set forth above, which amount
shall insure to the benefit of all persons entitled to file claims under the State Code of Civil
Procedures; provided that any alterations in the work to be done, materials to be furnished, or time
for completion made pursuant to the terms of the contract documents shall not in any way release
either CONTRACTOR or SURETY, and notice of said alterations is hereby waived by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
Ind day of December . 20 19 .
CONTRACTOR
Signature:
Notary Public in and for the
u�
SEE ATTACHED
of , State of
Ste. E, La Puente, CA 91748, T: 626-810-1338
this day of
Rate of premium on this bond is $ 14.40 per thousand.
Total amount of premium charge is $ $6,063.00 To be filled in by Surety
*Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
2 of 3
CALIFORNIA ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity
of the individual who signed the document to which this certificate is attached,
and not the,truthfulness, accuracy, or validity of that document.
State of California
County of
Los Angeles
On December 9, 2019
before me, Diem Chu, Notary Public
( ins insert name.in.c.nal W..fttis o ser
personally appeared Van Nguyen
who proved to me on the basis of satisfactory evidence to be the persons) whose
names) is/are subscribed to the within instrument and acknowledged to me that
he/she/iheyexecuted the same in hisAiefAheirauthorized capacity(iee), and that by
his/hefMteir signature(&) on the instrument the personal, or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of thgt tate of California that
the foregoing paragraph is true and correct. .�``oIEMCjjUi .
a111129X41, poi
F&'ry F06jcay2
WITNESS my hand and official seal.
Y—
Notary Public Signature (Notary Public Seal) 1-1 ro °'`gngel�@o
rt ram• Exp. 9.1�`�
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
document continued)
of Pages _ Document Date
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
President/Secretary/Manager
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
2015 Version wwwmNotaryClasses.cam 800-873-9855
INSTRUCTIONS FOR COMPLETING THIS FORM
This form complies weh current California s1a utes regarding notary wording and,
if needed, should he completed and attached to the document. Aclmwvledgments
,from enter.states man he completed for documents being vent to thatriate so long
as the wording doer not require the Cal+J rnia notary to violate California notory
law.
0 State and County information must be the State and County where the document
signers) personally appeared before the notary public for acknowledgment.
9. Date of notarization must be the date that the signer(s) personally appeared which
must also bethe same date the acknowledgment is completed.
N The notary public must print his or her name as it appears within his or her
commission followed by a comma and then your title (notary public).
® Print the name(s) of document signer(&) who personally appear at the time of
notarization.
9 Indicate die correct singular or plural forms by crossing off incorrect forms (i.e.
he/shefthey— is /are ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
9 The notary seal impression must be clear and photographically reproducible.
Impression most not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete u different acknowledgment form.
9 Signature of the notary public most match the signature on file with the office of
the county clerk.
N Additional infnrmation is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
9 Indicate title or type of attacheddocument, number of pages and date,
9 Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer. indicate the title (i.e. CEO, CFO. Secretary).
Securely attach this document to the signed document with a staple.
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Orange
On December 2, 2019 before me, Robyn R. Kargari Notary Public,
Date Insert Name of Notary exactly as it appears on the official seal
personally appeared Irene Luong
Name(s) of Signer(s)
4XIMYCOMM.
ROBYN R. KARGARI
COMM.# 2296844
NOTARY PUBLIC•CALIFORNIA�ORANGE COUNTY hi EXR JULY 13, 2023
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is true
and correct.
Witness my Signha official seal.
ature �7 ,1 L�
Place Notary Seal Above Notaryublic Robyn RKargan
OPTIONAL
Though the information below is not required by law it may prove valuable to persons relying on the document
moval and could prevent fraudulent reana reattachment of the form to another document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
E■
■
�E
■
Corporate Officer—Title(s):_
Partner ❑ Limited ❑ General
Attorney in Fad
Trustee
Guardian or Conservator
❑ Other:
Signer is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer —Title(s): _
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fad
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
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POWEROIr ATTORNEY
UNITED STATES FIRE INSURANCE COMPANY
PRINCIPAL OFFICE- MORRISTOWN, NEW JERSEY
07626
KNOW ALL MEN BY THESE PRESENTS: That United States Fire Insurance Company, a corporation duly organized and existing under the laws of the
state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint:
Yung T. Mullick, James W. Moilanen, Irene Luong, P. Austin Neff, Stephanie Haring
each, its true and lawful Attorney(s)-In-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and
deliver: Any and all bonds and undertalings of surety and other documents that the ordinary course of surety business may require, mid to bind United States
Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the
regularly elected officers of United States Fire Insurance Company at its principal office, in amounts or penalties not exceeding: Fifty Million
Dollars ($50,000,000).
This Power of Attorney limits the act of those named therein to the bonds mid undertakings specifically named therein, and they have no authority to
bind United States Fire Insurance Company except in the manner and to the extent therein stated.
This Power of Attorney revokes all previous Powers of Attorney issued on behalf of the Attorneys -In -Fact named above mid expires on January 31, 2020.
This Power of Attorney is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect,
and consistent with Article III thereof, which Articles provide, in pertinent part:
Article IV, Execution of Instruments - Except as the Board of Directors may authorize by resolution, the Chairman of the Board, President,
any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation:
(a) to execute, affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments
and documents whatsoever in connection with its business including, without limiting the foregoing, any bonds, guarantees, undertakings,
recognizances, powers of attorney or revocations of any powers of attorney, stipulations, policies of insurance, deeds, leases, mortgages,
releases, satisfactions and agency agreements;
(b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including affixing the
seal of the Corporation.
Article 111, Officers, Section 3,11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds,
guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance
issued by the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of
Directors, dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile
signature or signatures, lithographed or otherwise produced, of such officer or officers of the Corporation as from time to time may be
authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the
facsimile signature. of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the tact that he
may have ceased to be such at the time when such instruments shall be issued.
IN WITNESS WHEREOF, United States Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer mid
its corporate seal hereunto affixed this 100' day of March, 2016.
UNITED STATES FIRE INSURANCE COMPANY
Anthony R. Slimowicz, Executive Vice President
State of New Jersey)
County of Morris }
On this 10'h day of March 2016, before me, a Notary public of the State of New Jersey, came the above named officer of United States Fire
Insurance Company, to me personally known to be the individual and officer described herein, and acknowledged that he executed the foregoing
instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. j`J fj
SONIASCALA 'lx,,t.:CL 1
NOTARY P(AILIC OF NEW JERSEY Sonia Scala (Notary Public)
MY COMMISSION EXPIRES 3/25/2024
No. 2163686
I, the undersigned officer of United States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attorney of which
the foregoing is a full, true and correct copy is still in force and effect and has not been revoked.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of United States Fire Insurance Company on the 2nd day
Of December ,2019
M
UNITED STATES FIRE INSURANCE COMPANY
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