HomeMy WebLinkAboutC.S. LEGACY CONSTRUCTION INC. Recording Requested By, I
And when Recorded Mail To: Recorded in Official Records, Orange County
City of Santa Ana,Public works Agency M22 Hugh Nguyen, Clerk-Recorder
20 Civic Center Plaza,P.O.Box 1988 (I I�f I III i I I III II �'I I II NO FEE
Santa Ana,CA 92702 * g R 0 G 1 2 7 Q 3 d 2 2 $
202100023650511:34 am 04107121
18 RW1A N12 1
0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00
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
construction of CIVIC CENTER IMPROVEMENTS under contract entered into on
DECEMBER 17, 2019, with C.S. LEGACY CONSTRUCTION INC., on which contract
GREAT AMERICAN INSURANCE COMPANY is surety. The property on which such work
W °o improvement was placed is in the City of Santa Ana, County of Orange, State of California, and
o z described as Project No. 18-2679 & 18-2680 located at: SANTA ANA CIVIC CENTER. The
awork improvement on said property was accepted as completed on OCTOBER 14, 2020.
a
p CITY OF SANTA ANA, A MUNICIPAL CORPORATION
� v
by
zZ Dated: ll� Principal Civil naineer—Jason Gabriel
TITLE
0 IX
-----------------------------------------------------------------------------
a
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 6/ , at Santa Ana, Califo a
(Signature of individual earing that the
contents of Notice of Completion are true.)
Ea'A%l' William " salver
THIS NOTICE OF COMPLETION MUST 8E RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECTS 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
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 C.S.
Legacy Construction 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 Civic Center Improvements Project (hereinafter
referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract
Documents prepared by the City's Public Works Agency and approved by the City Council,
2. The complete Construction Contract consists of the "Contract Documents" as defined by the
Standard Specifications for Public Works Construction and which include the following:
• Notice Inviting Bids
• Information to Bidders
• Bid Proposal
• Bid Bond
• Contract Form
• Contract Bonds
• General Provisions
• Special Provisions
• Technical Provisions and Project Plans
• Community Workforce Agreement
• Appendices
In case of conflict between the Contract Documents, the precedence of docurnents 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 Nine Hundred Twenty-seven Thousand
Four Hundred Twenty-one Dollars and No Cents ($927,421), 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 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:
httv://www.santa-ana.ora/i)wa/documents/CWA.t)df
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.
//
Page 2 of 3
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and
year fast above written.
ATTEST:
CITY OF SANTA ANA
D • • I vim. ,
°� ` 1 It /1---Clerk of the Council City �
Manager
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By: j�(, /A. -f ..
JOWN FUNK
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
—FUAD SWEISS, PE, PLS
Executive Director
Public Works Agency
CONTRACTOR:
C.S. Legacy Const
NAME:
TITLE:
Inc.
Page 3 of 3
City of Santa Ana
Civic Center Improvements
(18-2679 & 18-2680), bidding on September 18, 2019 2:00 PM (Pacific)
Bid Results
Bidder Details
Vendor Name
C.S. Legacy Construction, Inc.
Address
1704 Unit B S Grove Ave
Ontario, CA 91761
United States
Respondee
Richard Gonzales
Respondee Title
Estimator
Phone
909-590-2626 Ext.
Email
dchard@cslegacy.net
Vendor Type
CADIR
License #
826870
CA DIR
Bid Detail
Bid Format
Electronic
Submitted
September 18, 2019 1:29:29 PM (Pacific)
Delivery Method
Bid Responsive
Bid Status
Submitted
Confirmation #
190259
Ranking
0
Respondee Comment
Buyer Comment
Attachments
File Title
General Forms
Ownership Affidavit
Bid Bond
Non Collusion Affidavit
Line Items
Type Item Code UOM
Base Bid Items - Mall Landscaping Improvements
1 Clearing and Grubbing
LS
2 Unclassified Excavation
3 Import Soll
CY
CY
File Name
Santa Ana Civic Center Imp General Fonns.pdf
Civic Center Imp - Ownership Affidavit.pdf
Civic Center Imp - Bid Bond.pdf
Civic Center Imp - Non Collusion Afndavit.pdf
Qty Unit Price
1 $12,361.00
80 $113.00
120 $74.10
PlanetBids, Inc.
Page 1
Printed 1210912019
EXHIBIT A
File Type
General Forms
Ownership Affidavit (Notary
Public) - REQ Original Hard
Copy Submittal in Addition
Bid Bond Guaranty (Notary
Public) - REQ Original Hard
Copy Submittal In Addition
Non -Collusion Affidavit
(Notary Public) - REQ
Original Hard Copy Submittal
in Addition
Line Total Comment
$12,361.00
$9,040.00
$8,892.00
City of Santa Ana
Page 2
Civic Center Improvements (18-2679 & 18-2680), bidding on September 18, 2019 2:00 PM (Pacific)
Printed 12/00/2019
Bid Results
EXHIBIT A
Type
Item Code
UOM
Qty
Unit Price
Line Total
Comment
4
Grading
SF
12500
$1.26
$15,750.00
5
Concrete Paving - Gray
SF
2150
$7.00
$15,050.00
6
Concrete Pavers
SF
500
$24.04
$12,020.00
7
Stamped Concrete "Bridge" with Integral Color
FA
5
$2,299.00
$11,495.00
_..
8
Decomposed Granite
SF
1500
$4.56
$6,840.00
9
Concrete Mowcurb
LF
500
$20.18
$10,090.00
10
Concrete Steps and Wall at Terraced Sealing
LF
30
$647.00
$19,410.00
11
Handrail at Terraced Seating
LF
12
$416.00
$4,992.00
12
Concrete Terraced Seating
LF
60
$379.00
$22,740.00
13
Guardrail
LF
24
$575.00
$13,800.00
14
Tubular Steel Gate
LF
3
$6,996.00
$20,988.00
15
Soil Preparation & Fine Grading
FA
7500
$0.50
$3,750.00
16
Irrigation
SF
7500
$5.56
$41,700.00
17
10' BT Palms
SF
3
$15,586.00
$46,758.00
18
36" Box Trees
EA
3
$1,058.00
$3,174.00
19
24" Box Trees
FA
10
$366.00
$3,660.00
PlanetBids, Inc.
City of Santa Ana
Page 3
Civic Center Improvements (18-2679 & 18-2680), bidding on September 18,
2019 2:00 PM (Pacific)
Printed 12109/2019
Bid Results
EXHIBIT A
Type
Item Code
UOM
City
Unit Price
Line Total
20
15 Gallon Trees
EA
3
$157.00
$471.00
21
15 Gallon Shrubs*
EA
5
$136.00
$680.00
22
5 Gallon Shrubs*
EA
211
$23.00
$4,853.00
23
1 Gallon Shrubs*
EA
357
$17.00
$6,069.OD
24
Mulch*
CY
70
$93.00
$6,510.00
25
Dry Creek Bed
SF
800
$31.00
$24,800.00
26
Benches
EA
3
$1,248.00
$3,744.00
27
Waste Receptacles
EA
2
$1,674.00
$3,348.00
28
Drinking Fountain
EA
1
$9,772.00
$9,772.00
29
Utility Box Relocation
LS
1
$7,184.00
$7,184.00
30
6-Month (Calendar) Landscape & Irrigation Maintenance Period
LS
1
$10,479.00
$10,479.00
31
Labor Agreement Oversight
LS
1
$10,000.00
$10.000.00
Subtotal
$370,420.00
Base Bid Items -Japanese Pavilion
Improvements:
32
Clearing & Grubbing
LS
1
$9,444.00
$9,444.00
33
Unclassified Excavation
CY
25
$120.40
$3,010.00
34
Re -locate Existing Boulders
LS
1
$1,042.00
$1,042.00
PlanetBids, Inc.
City of Santa Ana
Page 4
Civic Center Improvements (18-2679 & 18-2680), bidding on September 18, 2019 2:00 PM (Pacific)
Printed 12I09I2019
Bid Results
EXHIBIT A
Type
Item Code
uOM
City
Unit Price
Line Total Comment
36
Electrical Power Feed
LS
1
$7,105.00
$7,105.00
36
Steamped Concrete Paving
SF
660
$13.80
$9,108.00
37
Low Rail Wood Fence
LF
305
$73.00
$22,265.00
38
Steel Edging
LF
435
$25.00
$10,875.00
39
Bird Mesh
LS
1
$39,830.00
$39,830.00
40
Tectum Panels
EA
700
$130.71
$91,497.00
41
Remove and Replace Non -Structural Lumber
LS
1
$85,143.00
$85,143.00
42
Remove and Replace Structural Lumber
EA
25
$4,170.00
$104,250.00
43
Furring and Trim
EA
30
$1,162.00
$34,860.00
44
Power Wash Flagstone Paving
LS
1
$3,089.00
$3,089.00
45
Replace Missing Flagstone Paving
LS
1
$2,110.00
$2,110.00
46
Clean, Prepare and Paint Existing Structure
LS
1
$39,472.00
$39,472.00
47
Install New Infrastructure for Lighting
LS
1
$7,449.00
$7,449.00
48
New Light Fixtures
EA
10
$1,453.00
$14,530.00
49
Soil Preparation and Fine Grading
SF
2775
$1.00
$2,775.00
50
Irrigation
SF
3400
$5.53
$18,802.00
PlanetBids, Inc.
City of Santa Ana
Page 5
Civic Center Improvements (18-2679 & 18-2680), bidding on September 18, 2019 2:00 PM
(Pacific)
Printed 12/09/2019
Bid Results
EXHIBIT A
Type Item Code
UOM
4ty
Unit Price
Line Total
Comment
51 36" Box Trees
FA
5
$1,072.00
$5,360.00
52 24" Box Trees
EA
2
$40B.00
$816.00
53 Mulch*
CY
30
$55.00
$1,650.00
54 Dry Creek Bed
SF
600
$30.00
$18,000.00
55 Pea Gravel Mulch
SF
340
$12.00
$4,080.00
-
56 6-Month (Calendar) Maintenance Period
LS
1
$10,439.00
$10,439.00
57 Labor Agreement Oversight
LS
1
$10,000.00
$10,000.00
Subtotal
$567,001.00
Total
$927,421.00
PlanetBids, Inc.
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
MYX CENTER IMPROVEMENTS
�TOTAL BASE BID (CC MALL LANDSCAPING + CC
PAVILIdN IMPROVEMENTS) $
I0AMI
The lowest responsible bidder shall be selected based on the "Total Base Bid: Civic Center Mall
Landscaping + Civic Center Pavilion Improvements". 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.
This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications,
LM FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGFS
The undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within SIXTY (60) 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 $500 per calendar day.
P-4 of P-19
CITY OF SAKI"A ANA
PROPOSAL
PROJECT NO.: 18-26,79 & 18-2680
CIVIC CENTER IMPROVEMENTS
TOTAL BID: CIVIC CENTER (CC) MALL LANDSCAPING
TOTAL BID: CIVIC CENTER (CC) PAVILION IMPROVEMENT'S
+ CC PAVILION
Name of Firm C. .
ON
$ ct 2,-1, q2j
Signature of BIDDER
Tittle r cis' C� —ru2 t6aq ---
(If an individual so state. If a inn or CO-paa ership, st' to the a 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.)
Gann Zq US— Z-ccy^ 10) j
P-5 ofP-19
CITY OF SANTA ANA
PROPOSAL,
PROJECT NO.: 18-2679 & 18-2680
CHIC CENTER IMPROVEMENTS
TO: CITY COUNCIL OF TI3E CITY OF SANTA ANA
FROM: G, S.
REQUIREMENT:
The undersigned bidder declares that they have carefidly 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:
1ILL I,ANDSCAPTNC rnrnnD`r'EMENI
P-1 ofP-19
CTI'Y OF SANTA ANA
PROPOSAL
PROJECT NO.: 18.2679 & 18-2680
CIVIC CENTER DAPROVEMENTS
P-2 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.; 18-2679 & 18-2680
CIVIC CENTER EMPROVEMENTS
JAPANESE PAVILION IMPI20VEMENTS:
P-3 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
Qty Unit - Unit at
Amount
24" Box Trees Price
2 EA $ q0b. to $
Dry
Pea
55. eb I a 1, tAs�b. m
30. Csv I a eg, 0(5:7.
2-.ct, I �, q, as-o oo
Period ib� �3q, IG,3<l.
Labor Agreement Oversight l LS s l0Ann t; In nnn
TOTAL BID: CIVIC CENTER (CC) PAVILION IMPROVEMENTS $ - -11 1 4
T BASE BID (CC MALL LANDSCAPING + CC
PAVILION IMPROVEMENTS)
The lowest responsible bidder shall be selected based on the "Total Base Bid: Civic Center Mall
Landscaping + Civic Center Pavilion Improvements". The City reserves the right to award the
Base Bid, and any, all, or none of the add -alternate bid items (i£ 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.
This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications.
TIME FOR COMPLETION OF IMPROVEMENTS AND LI UIDATED
The undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within SIXTY f60
Notice to Proceed. ) working days after the commencement date stated in the
The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shall be $500 per calendar day.
P-4 of P-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
TOTAL BID: CIVIC CENTER (CC) MALL LANDSCAPING_
TOTAL BID: CIVIC CL NTER (CC) PAVILION IMPROVEMENTS $ S��
TOTAL BASE BID:
(CCU SOAPING LIONIMPROVEMENTSI $ -7'zl
Name of Firm C. 7�).
Signature of BIDDER
1� easur.er� Mana�r�
Title S GCRFi — fir L tr
(If an individual, so state. If a' rm of co -par per -hip, st to the firm name and give the names'- -
all individual co-partners composing the firm. If a corporation, state legal name of corporation,
anil names of President, Secretary, Treasurer and Manager, thereof.)
-A
K'rxahct C�r�,ry7xiESccrett�
P-5 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
BIDDER'MTATEMENT
BIDDER understands and agrees that this Bid Proposal, Con act 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 C . 5.
Signature of BIDDER
Title yps dp j-
(If an individual, so state. I
all individual co-partners cc
and names of President, Se(
5 roux-}-Clr1
5
rrin or co -partnership, sta the firm name give the names of
)osing the firm. If a corporation, state legal name of corporation,
yy, Treasurer and Manager, thereof.)
P 110 card &2,M z r los
P-6 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
CONTRACTOR'S LICENSING AND REGISTRATIt�N 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: C , S
Business Address:
Business E-Mail Address:
Telephone:
OCT
State Contractor's License No. and Class: lg'Z ( p -70
License Expiration Date: f r-)13 i 11 Q
State Dept. of Industrial Relations (DIR)
Registration No.:
State Dept. of Industrial Relations (DIR)
Registration Expiration Dite: d
Signed:
Title: 'f ._..,_ . n
P-7 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER. Ev1P.ROVEMENI'S
MMILING WAGF Cnnm�r rANC
E AND MQNITORTN . 8 ".hT_ MIEN11
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 in
Prevailing Wage Laws. ore, Contractor agrees to fully comply with such
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 available to interested parties upon request, and shall post copies services
at the Contractor's execute the serservviices
place of business and at the project site.
Contractor shall defend, indemnify and hold the City, its elected. officials, offices, employees
r 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 (. 5. I I.fs, r... � i, _ ..
Signature of BIDDER
Title
(if an individual, so state)
P-8 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) SS:
CITY OF SANTA ANA
�� u Qa x 5 UmdLS�, being duly sworn, deposes and says:
❑ INDIVIDUAL That he/she is th777777e ply making the foregoing proposal:
❑ PARTNERSFIIP That he/she is a member of the co -partnership firm designated as:
[,CORPORATION
❑ JOINT VENTURE
that such a bid is
collusion to secure
proposed contract, i
Signature
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.
That he is of --
a corporation which is making the foregoing proposal:
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:
genuine and not collusive or sham, and has not in any manner sought by
y advantage against the City of Santa Ana or any person interested in the
r self or any other person.
ww�F— pivsS �knv
Subscribed and sworn to before me this
Signature of officer Administering
20
P-9 Of P-19
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 SAN BERNARDINO
On SEPTEMBER 16, 2019
before me, GLORIA MACIAS, NOTARY PUBLIC
(insert name and title of the officer)
personally appeared GREGG STRUMPF
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature i jjo-e�
GLORIA MACIAS
_ No[ary Public -California
;f San Bernardino County f<
Commission X 2284219
My Comm. Expires Apr 2, 2020
(Seal)
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
KNOW ALL PRESENT that,
C.S. Le¢acy_ConstnxctiQit ricm _._._.........____... > as BIDDER, and
Great-Ataaericat 1nslu nce Com_nnanv , 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 ($10% of amount bid i, 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, finely 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, mid seal this
loth day of September 2019.
BIDDER*
C.S. Lesad Con ction, Inc.
By:
Kevin Y. tea, Attorngy-rn-racx *****see attached acknowledgment
Subscribed and swom to b fore me s _
, 20_.
Signature:
Notary Public in and for the County of
, State of
Ili LIII,,
�.%� GREgTr'�.
:. •:?,
NVdn`'C'�•
r�I�ellryl
* Provide BIDDER/ SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
...J
P-10 of P-19
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 SAN BERNARDINO
On SEPTEMBER 16, 2019
before me, GLORIA MACIAS, NOTARY PUBLIC
(insert name and title of the officer)
personally appeared GREGG STRUMPF
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) istare
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.
+ GLORIA MACIAS
Notary Public - California
WITNESS my hand and official seal. San Bernardino County $
Commission # 2284219
/_T1i1 Liz► 7 iTiM i
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 September 10, 2019
before me, Brandon K. Grindel, Notary
(insert name and title of the
personally appeared Kevin P. Reed, Attorney -in -Fact
who proved to me on the basis of satisfactory evidence to be the person(s) whose narne(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand andofffEPNseal.
BRANDON K. GRINDEL
Notary Public California
Orange County
Commission p 2243619 If
My Comm. Expires Jun 18,2022 11,
Signature (Seal)
i,
GREAT AMERICAN INSURANCE COMPANY®
Administrative Office: 301 E 4TH STREET • CINCINNATI, OHIO 45202 • 513-369-5000 • FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than THREE
No.0 14866
POWER OFATTORNEY
KNOW ALLMEN BY THESE PRESENTS: That the GREATAMERICAN INSURANCE COMPANY, a corporation organized and existing under
and by virtue of the laws of the State of Ohio, does hereby nominate, constitute and appoint the person or persons named below, each individually if more than
one is named, its into and lawfid attomey-in-fact, for it and in its name, place and stead to execute on behalf of the said Company, as surety, any and all bonds,
undertakings and contracts of suretyship, or other written obligations in the nature thereof; provided that the liability of the said Company on any such bond,
undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below.
Name Address Limit of Power
KEVIN P. REED ALL OF ALL
MARCUS A. REED TUCSON, $100,000,000.00
JON ROSBURG ARIZONA
This Power ofAttomey revokes all previous powers issued on behalf of the attomey(s)-in-fact named above.
IN WITNESS WHEREOF the GREATAMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 26TH day of SEPTEMBER 1 2017
Attest GREAT AMERICAN INSURANCE COMPANY
3
Assio.'I SecretmY Divisional Senior Kee Needeet
STATE OF OHIO, COUNTY OF HAMILTON - ss: DAVID C. KRCHIN 1877-377-24051
On this 26TH day of SEPTEMBER 2017 , before me personally appeared DAVID C. KITCHIN, to me
known, being duly swom, deposes and says that he resides in Cincinnati, Ohio, that he is a Divisional Senior Vice President of the Bond Division of Great
American Insurance Company, the Company described in and which executed the above instrument; that he knows the seal of the said Company; that the seal
affixed to the said instrument is such corporate seal; that it was so affixed by authority of his office under the By -Laws of said Company, and that he signed his
time thereto by like authority.
&=A. Kdvd
"W81111I
mycW10"ME""WI M
This Power ofAttorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated hoe 9, 2008.
RESOLVED: That the Divisional President, the several Divisional Senior Vice Presidents, Divisional Vice Presidents and Divisonal Assistant ice
Presidents, or any one of them, be and hereby is authorizer, frvni time to tinge, to appoint one or more Attorneys -in -Fact to execute on behalf of the Company,
as surety, any and all bonds, undertakings and contracts of suretyship, or other written obligations in the nature thereof to prescribe their respective ditties and
the respective limits of their authority; and to revoke any such appointment at any time.
RESOLVED FURTHER: That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the
Company may be affixed by facsimile to any prover of attorney or certificate of either given for the execution of any band undertaking, contract of surety ship,
or other written obligation in the nature thereof, such signature and seal when so used being hereby adopted by the Company as the original signature of such
officer and the original seal of the Company, to be valid and binding upon the Company with the scone force and effect as though nu orally affixed.
4I t\t t i f,,/.
I, STEPHEN C. BERAHA, Assistant Secretary of Great American Insurance Company, do hereby certify that the foregoing Poser QG\AAe}f*f
the Resolutions of the Board of Directors of Sane 9, 2008 have not been revoked and are now in full force and effect.
Signed and sealed this ,O day of
e
p.W.
Assistanl Secretary
S1029AF (05/15) err / i l i t, l ti
n_
■�ir■ri�iiiii
C.S. LEGACY
CONSTItUCTION_ INC.
C.S. LEGACY CONSTRUCTION, INC.
MINUTES OF BOARD OF DIRECTORS MEETING
A SPECIAL MEETING OF THE BOARD OF DIRECTORS OF C.S. LEGACY CONSTRUCTION, INC, A
CALIFORNIA CORPORATION, WAS HELD AT 1704 UNIT B. S. GROVE AVE ONTARIO, CA 91761 ON
MAY 10, 2019.
THE BOARD OF DIRECTORS OF THE CORPORATION:
GREGG STRUMPF DIRECTOR
CONSTITUTING ALL OF THE MEMBERS OF THE BOARD OF DIRECTORS WERE PRESENT AT THE
MEETING.
THE MOTION WAS DULY MADE, SECONDED AND CARRIED THE FOLLOWING RESOLUTION
WAS ADOPTED:
RESOLVED, GREGG STRUMPF, PRESIDENT, IS SOLELY VESTED FULL AUTHORITY TO
SIGN ANY AND AN ALL CONTRACTUAL DOCUMENTS FOR THE CORPORATION, AND
THEREFORE HAS THE FULL AUTHORITY TO OBILIGATE THE CORPORATION IN ALL
CONTRACTURAL MATTERS.
THE UNDERSIGNED, RICHARD GONZALES, SECRETARY, CERTIFIED THAT GREGG STRUMPF IS
THE DULY APPOINTED PRESIDENT OF C.S. LEGACY CONSTRUCTION, INC. AND THAT THE
ABOVE IS A TRUE AND CORRECT COPY OF THE RESOLUTION DULY ADOPTED AT A MEETING
OF BYLAWS OF SAID CORPORATION ON MAY 10, 2019.
IN WITNESS THEREOF, I HAVE AFFIXED MY NAME AS SECRETARY OF THE CORPORATION,
AND HAVE ATTACHED THE SEAL OF C.S. LEGACY CONSTRUCTION, INC. TO THIS RESOLUTION.
DATE: MAY 10, 2 19
r
RICHARD GONZALES-SECRETARY
1704 Unit B S. Grove Ave Ontario, Ca 91761
(909)590-2626 (909)590-4117 fax
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 1.8-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
LIST OF SUB -CONTRACTORS
Section 4100 et, seq, of the Public Contract Code requires listing of all subcontractors with the bid for all
subcontract work exceeding the following amount:
o Streets, highways including bridge projects: ''/z% of the bid or $10,00o, 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
Depanment of Industrial Relations (DIR),
BIDDER proposes to subcontract certain portions of the work to the firms listed below:
Name W 01v
License #/Exp.
DIR leg, #/Exp.
Location
Phone <
rypeUTWOrk ��Pnci)tcl
Amount $ 4giak 50
Name CA-X Laid S .
License ##/E 11 3a 20
DIR Reg. #/Exp, p0IS- • 3 20
License # L5 q'I } Q 25
Location IP1 } ro�FKI1mF¢ SI <LI 11a4
Phone �'���•#ly
Type Of Work surx"
Amount$ i�yx go.
Name EoV
License #/Exp,
DIR Reg. #/Exp,
License #
Location
Phone
Type Of Work
Amount $
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 $
Signature of Bidder C Vke �,, Mri— Presrid& R
P-11 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
REFS••--MENCES
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.
9
3.
Name and Telephone Nun
13 ago. as
Contract Amount
Name
owner.
Person f iliar w
S�aii �1l
Type of W4
Date Completed
_ 1,1"_�_h3, L-L7-- Cv7c CRrt}ert Cemmunik 1 5 - —
Contract Amount TyType of Work �. �_1. Date Completed
na vu Y" �t `i 4° � 4 "7 � `7 t1c�C>
Name and Telephone Number o£person fami]iar with project. - -`-
3zy'�ilctry,�_, G c l
Contract Amount T e 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.
00 —3o
S
P-12 ofP-19
r.
Room
woo®o®®®
Kong summon
C.S. LEGACY
CONSTRUCTION_ INC.
Please Reference Page P-12 of P-19
Jack Bulik Courtyard
City of Fontana
16489 Orange Way
Fontana, Ca92335
Contact: Luis Villalobos
909-350-6696
Completed 5/2017
$566,583.00
Drake Chavez Park
City of Long Beach
333 W. Ocean Blvd 7 h Floor
Long Beach, Ca 90802
Contact: Teri Luce
562-570-6200
Completed 5/2017
Original Contract $2,474,478.00
1704 S. Grove Avenue Unit B, Ontario, CA 91761
(909) 590-2626 (909) 5904117 fax
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER 110PROVEMENTS
ADDITIONAL REFERENCES
The following are the names, addresses, and telephone numbers for T RE, E, public agencies for
which the BIDDER or Subcontractor has performed similar work in the past five years.
I. C-1-LI � �-, 1.1
Name and Telephone Nun
" 2 4�-iPi•Gu
Contract Amount
person
2. G I l r -Igr Y
Name and Address of owner.
1 Sill PC4 c.1 s
Name and Telephone N�f pet
9 ClS 6
Contract Amount
3. -I of- Gtl c ria
Name a d Address of owner,
Name and Telephone Num
Contract Amount
of person
project.
)?CtL1-= I m rn
Type of Work
on
Project.
--' 1
Dat Compl- _��eted
Dato Completed
Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds,
Phd
S
P-13 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER INIPROVEMENTS
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 m 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 that making a false certification may subject the certifier to criminal
i
Signed qq
State of California
County of J
Subscribed and sworn to �or affirmed)
proved t�q
person(s) who appeared before in
A W
Notary Public Signa*6e
{"S i
aeon this day of . 20_, by
the basis of satisfactory evidence to be the
Notary Public Seal
P-14 ofP-19
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 SAN BERNARDINO )
On SEPTEMBER 16, 2019 before me, GLORIA MACIAS, NOTARY PUBLIC
(insert name and title of the officer)
personally appeared GREGG STRUMPF
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.
GLORIA MACIAS
WITNESS m hand d official seal. Nofarypoblic- California
my anSan Bernardino Count €
Commission N 2284219
My Comm. Expires Apr 2, 2023
Signature V Le (Seal)
CITE' OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
NON -DI CIIIMINATION
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 farther 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 'unposed 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-15 of P-19
CITY OF SANTA ANA
PROPOSAL.
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
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 be
means of enforcing such provisions, as
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 :hates 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 publr'p works,:violating this Section is subject to all the penalties imposed for a
violation of the ClihoteV
Signed:
Title: Prp.�1 r4,r v4
Firm: O. S,
Date:
P-16 of P-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
STATEMENT REGARDING APPREITICESHIl' RPCunPENTS
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:
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 contractors, except contractors not signatory to the trust agreement shall
pay a like amount P
California Apprenticeship Council.
Signed:
Title: k'YiYlr�n 1
Firm: C-5.
Date:
P-17 ofP-19
MY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
STATEMENT REGARDING "ANTI-KICKBAC_� K' ItEgiJpZFMFNTS
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 subcontractor shall be prohibited from inducing, by any means, any person
employed in the construction ppr reppp�ir of public work, to give up any part of the compensation to
which he/she is otherwise entitled. I-
Signed:
Title: lYQ irlovtil
Firm: C.S.
Date:
P-18 ofP-19
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 18-2679 & 18-2680
CIVIC CENTER IMPROVEMENTS
PUBLIC-COICRACT CODF SECTION 19162 Or�STIO AIRE
In conformance with Public Contract Code Section 101.62, the BIDDER shall complete,
under penalty of perjury, the following questionnaire:
Has the BIDDER, any officer of the BIDDER,
proprietary interest in the BIDDER, ever been
from bidding on, or completing a federal, sta
violation of law or a safety regulation?
Yes No
te
or any employee of the BIDDER who has a
disqualified, removed, or otherwise prevented
, or local government project because of a
If the answer is yes, explain the circumstances in the following space.
P-19 ofP-19
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Juan Villages
COUNCIL MEMBERS
Cecilia Iglesias
David Penaloza
Vicente Sarmlanto
Jose Solorlo
CITY OF SANTAANA
PLANNING & BUILDING AGENCY
20 Civic Center Plaza (M-20)
P.O. BOX 1988 • Santa Ana, California 92702
(714) 667.2700 • Fax (714) 973.1461
vmw.santa-ana.org
NOTICE OF EXEMPTION
CITY MANAGER
Kristine Ridge
CITY ATTORN EY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Delay Gomez
From the Requirements of the California Environmental Quality Act (CEQA)
To: COUNTY CLERK
From: City of Santa Ana
County of Orange
Planning & Building Agency
P.O. Box 238
20 Civic Center Plaza M-20
Santa Ana, CA 92702
Santa Ana, CA92702
Project Title: Civic Center Improvements Date of Approval: 11/05/2019
ProjectNumber(s): PWA-2019-1275-CIP
Project Location: 1 CltyWide (Partial)
City: Santa Ana County: Orange ER Number: ER-2019-70
Project Description: Renovation of existing open air structure, new landscaping.
Applicant Name: Suzi Furjanic, Public Works
Applicant Address: 20 Civic Center Plaza
SANTA ANA, CA 92702
Name of Public Agency Approving Project City Council
Name of Person or Agency Carrying Out Project Furjanic, Suzi
Exempt Status:
❑ Ministerial (Sec. 15268)
❑ Declared Emergency (Sec. 16269 (a))
❑ Emergency Project (Sec. 15269 (b through a))
❑ General Rule (Sec, 15061(b)(3)/(5))
❑ Statutory Exemption:
tZ Categorical Exemption: 15304 Class 4
Reason(s) Why Project is Exempt From CEQA:
No healthy and/or mature trees will be removed. New trees and landscaping will be added.
City Contact: Suzi Furjanic
Telephone: (714) 571-4241
Signature:
Title: 60-' p�L t�/A'r7i7GY'
Date:
SANTA ANA CITY COUNCIL
Miguel A, Pulldo
Juan Vlllegas
Vlncente Sarmlento Jose solaria Vacant
j David Penaloza 1 Cecilia Iglesias
Mayor
Mayor Pro Tom, Ward$ 1
Ward Wards Ward
1 Wafd2 Wa1'de
mo lldo nta-ana.omi
JAlegg�,gga,.ora usarmlento
sanfa-ana arc; lsolarionsanta-ana.am
d� vl zei o te- na laigleslas�
THE REGISTER This space for filing stamp only
2190 TOWNE CENTER PL, ANAHEIM, CA 92808
Telephone (714) 796.7000 / Fax (714) 796-6059
CNS#: 3285799
PROOF OF PUBLICATION
(2015.5 C.C.P.)
Stateof California )
County of ORANGE )ss
Notice Type: BID -NOTICE INVITING BIDS
Ad Description:
18-2679 & 18-2680 CIVIC CENTER IMPROVEMENTS
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
entitled 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
circulationas defined by the laws of the State of California by the Superior
Court of the County of ORANGE, State of California, under date 11/1911905,
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:
-_ 08/2112019, 08/2812019
V Executed on: 08/28/2019
At SANTA ANA,CA
I certify (or declare) under penalty of perjury that the foregoing is true and
correct.
1 '
Horizons Construction Company
432 W Meats Avenue
Orange CA 92856
P: 714 626-0000 F: 714-626-0006
City of Santa Ana
Department of Public Works
20 Civic Center Plaza
Santa Ana, CA 92701
Attn: Victor So
Project: Civic Center Improvements
Project No. 18-2679 & 18-26.80
Mr. So,
After reviewing our bid for the above referenced project submitted on September 18, 2019, we
found a mathematical calculation error. We request to withdraw our bid due to the mathematical
calculation error.
This is to serve as our letter of withdrawal. We regret the inponvenience and we thank you for
your understanding. 1f you have any questions,. please contact our office.
Sincerely,
Kinan Kotrash
V. President
Horizons Construction Company Int'l, Inc.
432 W. MEATS AVE. ORANGE, CA 92865
TEL (714)626-0000 FAX (714)626-0006 CA LICENSE #825022