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ALL CITIES ENGINEERING, INC
&zo Recording Requested By, Recorded in Official Records, Orange County And When Recorded Mail To: Hugh Nguyen, Clerk-Recorder City of Santa Ana,Public Works Agency M22 I!1 I I 11� I�I Ei ��i 11� I 11111 I �II ��i I� 20 Civic Center Plaza,P.O.Box 1988 l NO FEE Santa Ana,CA 92702 * $ R 0 0 1 3 4 7 0 8 2 0 $ * 202200002014611:51 am 01114/22 320 RW11 A N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 THIS SPACE FOR COUNTY RECORDERS USE ONLY a; T N�- 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 A construction of RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS C M PROJECT under contract entered into on JANUARY 21, 2020, with ALL CITIES N ENGINEERING,INC., on which contract UNITED STATES FIRE INSURANCE COMPANY Wo is surety. The property on which such work improvement was placed is in the City of Santa Ana, o z County of Orange, State of California, and described as Project No. 15-6453 located at: A ` RIVERVIEW NEIGHBORHOOD. The work improvement on said property was accepted as c completed on NOVEMBER 4, 2021. � o CITY OF SANTA ANA, �MICJPAL CORPORATION H By oDated: Principal Civil E gineer—Jason Gabriel U TITLE ------------------------------------------------------------------------------------------- VERIFICATION I, the undersigned, say: I am the Acting City Engineer—Zdenek Kekula 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 und]er penalty of perjury that the facts therein stated are true. Executed on 1f ! 2- ,at Santa Ana, California (7U L" ling City Engineer Zdenek Kekula THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION CERTIFICATE OF LIABILITY INSURANCE IMWDDIYYYYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pal DIRE may require an endorsement. A statement on INSURED ISU Insurance Services Cormarc Tasman 25220 Hancock Ave, Suite 200 Murrieta, CA 92562 License #: OES3487 ALL CITIES ENGINEERING,INC PO BOX 51406 BILLINGS, MT 69106 COVERAGES CI"nTR.Ir1ATPhHHAM=.- . "--""- - rccwslvry rvumt3tR: 30 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT IAITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUEDOR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOVNN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _".._.__._._..._..... INSR__..__...__—� AUD1 S0aa _..____....._,.._.�"_._..__ LTR TYPEOP INBUNANCE OUCY NUMBER PO1010fX `p01'I�YEXP LIMITS IAl A X COMMERCIAL GENERAL LIABILITY CLAIMS �I�� Y MKLV5PSC001504 0211212020 02112021 EACHOCCURRENCE S _1000000 '�—�1--- -.� -MADE u9ccUR .1RK?AL0 AisjaisnsaL_. $___..__300000." . __....___.�._...„_.. PER30NALAADVINJIIRY .$-. 1�QDgrajo OEN'L AGGREGATELIMIT APPLIES PER: POIICY X JET L_� LOG GENERAL AGGREGATE S 2000000 _ PRODUCTS -COMP/OP AGO 5- , _ ZyOOOiOOO,_ _ 0 1 $ B AUTOMOBILE LIAMUTY 06666482.1 0312712019 03127/2020 COM1tBIHED SINGLEL li IF..Awd1U___ S GOO, 9 SCHEDULED— BODILY INJURY (Par pen,) .. _._.I,,000 $ NLY .X AUTOS NON-OWNEp BODILY INJURY (Par accldenU --'�'DOM NLY AUTOSONLY (F„aLacelgA I LIAB OCCUR EZXS3O2O29207J12/2020 02/1212021 EACH OCCURRENCE S___ 1000000 IAB,._,"--_ CLAIM@MADa _..__AGGREOATE____�_$..._.1 _- —1—.- GOOETENTIONF_$ LOOOJ 'AND OR ENDION EMLOYERS' LIABILITY YIN BNUWC0140113 10/0312019 1010312020 X R ETN �T..�,. Eli ANY PROPRIHWIUPARTNER,EXECUTIVE OFFICINWIMBER EXCLUDED? Lj N/A _... __ EA_,EACHACCIOENT ._-_, S M iandotory In rein cy es desre,kw um ar 9ESCIPTIO OF OPERATIONS belay EL DISEASE. EA EMPLOYEE$ ".1E000,000 1000,00_0_ A Pollution Liability CPLMOL101043 0713112019 07131/2020 EL DISEASE -POLICY LIMIT$ Aggregate 1000000 $1,000,000 Deductible Claims Made $10,000 DESCRIPPONOFOPERATIONS/LOCArONSIVEHICI.EB(ACORD till, Addlllonal Remarkesa---lu,may b¢etlaahod lrmuru space is required) s The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 02702; Its officers, employees, agents and voluniters are named a additional insured with respects to general liability per CG201007041CG20370704. Insurance is Primary and Non -Contributory perCG20010413. AExcept 10 daynotice for non-payment of premium($q,t(.jyq{pUllpotbq;dasygTED KBy Risk MANACIEMENTRDIVISION City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza SANTA ANA, CA 92701 SHOULD ANY OF THe AB CITY20C THE EXPIRATION DATE T ACCORDANCE WITH THE All rlehta BEFORE ure nwrlw name aria logo are registered marks of ACORD Printed by SUN on February If, 2020 at 09;01AM POLICY NUMBER: MKLV5PBC001504 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organlzation(s): Locations Of Covered Operations As agreed to by written contract or agreement All locations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these Include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily Injury", "property This insurance does not apply to "bodily Injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. All work Including materials parts or 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same rojact By�IEWWiskMD&APP U o 0ISO Properties, Inc., 200.1 m Page 1 of 1 ❑ CG 2010 07 04 POLICY NUMBER: MKLV5PBC001504 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. RA III ME ,j J This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(S) Or Organlzation(s): ^ Location And Description Of Completed Operations As agreed to by written contract or agreement All locations Information required to complete this Schedule, if not shown above, will be shown In the Declarations, Section n - who Is An Insured is amended to Include as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional Insured and included in the "products - completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 13 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This, insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional Insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured, © Insurance Services Office, Inc., 2012 Page 1 of 1 CG 20 01 0413 INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES CLERK OF COUNCIL CITY OF SANTA ANA DATE: CONSTRUCTION CONTRACT PROJECT NO.15-6453 No RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS N= ' This CONSTRUCTION CONTRACT is made and entered into this 21s1 day of January, 2020 by and N between the City of Santa Ana, California, a charter city and municipal corporation organized and n existing under the Constitution and laws of the State of California (hereinafter "CITY"), and All Cities ¢ Engineering, Inc. (hereinafter "CONTRACTOR'). WTI'NESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Riverview Neighborhood Water Main Improvements Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the "Contract Documents" as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Two Million Three Hundred Ninty-nine Thousand Forty Dollars and No Cents ($2,399,040.00), as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A." The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. rev. 09/01/2017 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: hLtl2://www.sat'ita-ana.org/pw,t/documeiits/CWA.pdl 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. 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 first above written. ATTEST: r DAISY GOMEZ L Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By:� . -f.L MEN FUNK Assistant City Attorney FOR APPROVAL: it VABIL SABA, PE Acting Executive Director Public Works Agency CITY OF SANTA ANA KRISTINE RIDGE City Manager CONTRACTOR: All Cities Engineering, Inc A9Q140.N10 V-.AM1Its NAME: ,Afolpwio ILnw.irea TITLE: Qresi0&-4-/CC0 Page 3 of 3 CITY OF SANTA. t\NA Project No,16.6453 PROPOSAL Addendum Three PROJECT NO,: 15.6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS RM-P-RD-PP-SAL TO: CITY COUNCIL OF TILE t~ ry OF SANTA ANA FROINI: A\\ (iAi-e5 �,'ntc r,'h�, 'LnC ACQUIREMENT: The undersigned bidder declares that f icy have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and heresy 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 prices) or lump sum(s) ,set forth in tlic followingschedule; Item Description Unit Price Amount 1 Mobilization and Demobilization (not to Exceed s%ofTotal Contract) I LS $ S 2A�14140 2 Work Area Traffic Control I LS $ SU I S p r cla 8" PVC C-900 (Class 305) Waterline per 5,700 LF $ < $ 3 City StandardDmwing 100 50 In -4 z r Qa_ _ 4 12"PVCC-900(Classs305)Waterline per City SumdardDmwing 1150 2,600 LF $ - o=• i s $ '&5 It r')0 ? 5 $" Gate. Valve per City Standard Drawing 14toand Anchor Block , 15 EA $ I, 1i4o $ 12" Gate Valve per City Standard Drawing 10 EA $ $ 6 1410 and Anchor Block I t s bo ? S r 1"DomesticScrviceandMoter$oaper 135 EA $ $ 7 City Standard Drawing1401 ^zfJywa 3 Bt Zxa 2" Domestic Service and Meter Box per - 14 EA $ $ 8 City Standard Drawing t402 '§.f 50 qV t vc)o 3" Domestic Service and Meter Box per I EA $ $ 9 City Standard Drawing 1403A I Vr S ((y 15 pb 6" Domestic Service and Meter Box per 1 EA $ $ 10 City Standard Drawing 1403C 'Z/curs `rr4 t 9 tJo II 4" Fire Service per City Standard Drawing 4 EA $ $ 1417 5 r bOO 2 0 / 00b 6" Fire Service per City Standard Drawing 3 EA $ $ 12 1417 8" Fire Scrvicc per City Standard Drawing 2 EA $ $ 13 1417(bt7o Fire Hydrant per City Standard Drawing 19 EA $ $ 14 1405 and Detail 3 on Slice( WD-01 $r o0G ($ Z f 000 P-i ofP-17 CITY OF SANTA ANA Project No. 15-6463 PROPOSAL Addendum Three PROJECT NO.: 15-6453 RIVERVIBV NEIGHBORHOOD WATER MAIN IMPROVEMENTS licm Description Qty Unit Unit Price Amount I S 2" blow OB'Asscmblyand Thrust Block per City Standard Drawing 1414/�t I EA $ $ A 00 16 8" Vertical offict(type 2)per City Standard 2 EA $ $ I? 10Q0 Drawing1413Bifo0a 17 12" Vertical offset (type 2) per City Standard Drawing 1413B 2 EA $ 6 ! c?O a $ \ 2f 003 pg PCC Cross Gutter Replacement 6 EA $'21Stx� $ 15fo 19 Replace Damaged Concrete Curb and 450 LF $ $ Gutter per City Standard Drawing 1101 t.f SS 7,0rZ SO 20 Remove and Replace Concrete Bus Pad per City Standard Drawing 1108 5 EA $ 51 �O $ ``L i C 000 Additional Trenching Costs to Install Water 250 LF $ $ 21* Pipeline 18"-30" Deeper (Total 54"to66, $p 121 Jay cover) (As -Needed) 22* Additional Potholing (As -Needed) 10 10 Is &ZQ4-1 $Repair rppb 23* per City dates 2,600 SF $ % -` $ Drawingidewalk 1104 (As-Necde) 2 i t(Ot'3 1 24* Imported Backfill Material (As -Needed) 500 Cy $ y $ '?- Z f 5�00 25* 1"Combination Air Valve Assembly per City Standard Drawing 1415 (As -Needed) 4 EA $ 1 Z too $ 12 f it0 26 Labor Agreement Oversight I LS $15,000 $15,000 27 f Prc/PostCCTV Inspection oExisting Sewer Mains and Laterals I LS $ 1,10 50::� $ 7-2 f 28 Stripping andPavemeutMarking I LS $ Wo � 1 $ 4 � 1 c�c1Ck BMP Implementation and Erosion I LS $ $ 29 ControlXamplianoewith SWPPP 7I��10 otQ� Requirements 30* Furnish & install Traffic Loop Type D 42 EA $ 2 (gyp lc - $ 1 Q I 110 31* Furnish and install Traffic Loop Type 93 EA $ S 25v $ 2.31 ZSO 32* Cold Milling (1.5"micromul) 22,000 SF $ $ 14 oq 1� 33* Asphalt Concrete (AC Pavement) 210 TN $yz $�1� 34* Adjust Manhole Frame & Cover to Finish 21 EA $ to $ Grade 530 II15Sa 35* Remove Existing Striping, Pavement I LS $ $ Legends, and Markers I CIi SOS 1 Gt r .S 4 U 36* Crack Scaling 1 LS $ 6 f ScI<. $ �+r Sow P-2 of P-17 CITY Or SANTA ANA Project No. 15.6453 PROPOSAL Addendum Three PROJECT NO.: 15-6453 ItIVERVILW NEIGHBORHOOD WATER MAIN IMPROVEMENTS ltcm Ucscriptlnn Q(y Unit ljnik Prka -Amount 37* of 5urfaceptility rraaus and t LS S� { $ S f �? Coversien t;oyers 35* ItuUUcrizcd Emulsion Angrcgutc Slurry 135 t NQ0 �0 1 (REAS) Type Il TOTAL BASE BID $ e2f 3 "l g f OLIO 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 forbid 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 FO)2 COMPLETION OF IMPROVEMENTSAND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within one hundred seventy-five (175) working days after 'the commencement datestated 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 $1,500 per calendar day. Name of Firm 611 C1lic I EngivnPtr«c,�?3 C Signature of BIDDER ^Ad? )z 12AM I ILI_7 Title prf T'r Den (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.) I wsvY Wr4'ty Cfrrcruelr-/'rcr-1 y P-3 of P-17 CITY OIL SANTA ANA PROPOSAL PROJECT NO : 15-6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS IIDDER'S_STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seat 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 saidfunds, 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 penury that the foregoing is true and correct. Name of Firm 611 CrkeS Ehiivee6vt5ja+nC. Signature of BIDDER ih to /Vl 0 IMAM 12 E-a Title yve ri A, (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.) (">Veora'h ?(Ji 0.i.o kLCV"'KZ l ('.+41r. 4+4) P-4 ofP-17 CITY Or SANTA ANA PROPOSAL PROJECT NO.: 15-6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS 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 oflndustrial Relations (DIR), and that the following is true and correct, Contractor's Naive: A U I'll e C Business Address: 4 2sR[ ell25d Business E-Mail Address: aJ e� rti[ I c'r�i C l- a nib Co �. - Telephone: (Aoci%-y1-3(�37- State Contractor's License No, and Class: 40 C1 I -+ I r License Expiration Date: 1t - 3d - 2o1 State Dept. of Industrial Relations (DIR) Registration No- 1 00O0 0ZI5` State Dept, of industrial Relations (DIR) Registration Expiration Date: Signed; A J bjc, NOD Um IIZ Title: pi-e 6 dM �- P-5 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 1 S--6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of Calitiernia,Labor Code Section 1720, et scq,, as well as California Code of Regulations, Title 8, Section 16,000, of 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 dehned by the Prevailing Wage Laws, and since the total compensation is S.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 them 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 ofbusiness 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 Lawsn The undersigned certifies that the foregoing is true and correct. Name offirm /,11\ CIA)eS 14ee vio!� :1�1 C. Signature of BIDDER A pq b;..M o P Amf a gz Title si deA (if an individual, so state) 1'-6 ofl'-17 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 15.6453 RIVE.RVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS OWNrRS111P ArUIDA IT STATIiOF CAI,lpORNIA 1 COMW Olt ORANG11 j list CIIYOPSANTAANA ,being duty swom,deposes and says: [:jINIJIVIOUAG That holok- is the patty making Ore foregoing proposal, EIPARTNrRSIIIP That helalwlsamember ofthe co -partnership I'm designated as: and whohas been and is duty vested with the authority to make and execute instruments for the copartnership by: who. Constitute the other members of the co -partnership. CORPORATION That he is oh \'tP-5.t Qtti" CSC ..L._.S1_'i't'�"+--�t=n.,J�ld vw..a. a corporation which -is making the foregoing proposal• E] JOINT VO4TURE That heis of oneof the parties making the foregoing proposal as o joint vontprc, and the helsho has beenand is duly vested with the authority to exccutc instruments for'0 on behalf of the posties.making said bid who are: that such a bid is genuine and not collusive or sham, :and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for himself or any other person. �'+Pdlo/wlt� �AM1Itt� Signature of Bidder Subscribed and sworn to before me this '�- day of & V 20 19 Signanl of officer Administering Oath (Notary Public) JAVIE� GONZALEZ Comminum No, 2281488 NOrNq KNUOGNRORNU RNERINDE COUNM W 9amm. Epiy M4RCN ir, $Na P-7 ofP-17 ,Illjl IMNI1 which sum, ptcwnts, CITY OR SANTA ANA PROPOSAL PROJECTNO,t IS-6453 RIVt:RVIIsW NLIIGIIBOR1400D WATER MAIN IMPROVEMENTS flint, ANA, )F AMOUNT BID Dollars (S t4°% ruount bid by BIDDER to AGENCY for the c BIDDER and SURETY agree to be bound, ratio as BIDDER, and as SURETY, GRNCY, in the penal sum of _}, which is ton percent (10%) atcd project, for the payment,of and severally, firmly by these THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for theabove•stdted 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 spccificd, then this obligation shall be null and void, otherwise it shall remain In full force and effect in favor of AGENCY. ' IN Wn NESS WHEREOF the parties hereto have set their names, titles, bands, mad seat this 1ST day of NOVEMBER , 20t,. 9 SURETY* Subscribed and sworn ta before me this - day of 20�. Sigoature Notary Public In, aad for the County of State of " Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number ofauthorized representative. 11.8 of P47' UN 0459443210 I(NONV A 6L MEN B1 111 LSE 114"8ENTS: that United States Tim insurance Company, a corporation duly organized mid existing under die laws of die sintc tic OVI n4mr, has mnde, constituted And appoitded, aid does hereby make, -constitute #nd appoint: lt(r111p G. Ingo, A`etdrt (Vega, 849011 christlansen, Myrna Smith each, its hoe and lawful Allorney(s)•111 Fro(, will Nil power find Aullurity betcby eoofarred In its name, place and stead, t0 execute, acknowledgeand deliver: Any And alt bonds and mtdenaklogs of surety ant{ other dra tunenta that Ole ord'uhury course of surety business may Iequire, and to bind United States Fire Insurance Company thereby as rally mid to lie same extent AS Ifsuch bonds or und5rmlijogs hod been duly executed and Acknowledged by the regularly elected officers or United States File Insurance Company tit its principal ofiiea, In amounts or penalties not exceeding: Seven Million, Vivo Hundred Thousand Dollars (S7,500,000). This power of Auo icy limits Ole act of those named theinin to die bonds and undertakings specifically named dicrefn, and they have no authority (a bind United States Fire In amerwo Company except in [lie annular MIA to the extent Tliekain stated. ')life Power orRuulncy revokes all previous. Powers orARonioy issued on bahaltaftheAttomeys•In•Fact named above and expires on January 31, 2020. This Bower of Attorney is Sranted pursuant to Article IV of file By-I.aws of United States Fire insurance Company as now in Tull ferce and effect, and consistent avid) Article lit thcregf, which Arliclospmvlde, in pertinent pan. Artiefe IV, Execution of Instruments • Except as tilt, Board of Directors may Authorise by resolution, the Chairman of the Board, President; Any Vtice•president,oily Assistant Vice President, die Secretary, or any Assistant Secretary shall have poweron behalrofthe Corporation: , (0) to execute, affix, the oporate soul manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, Instruments and documents whatsoever in eonmectloft with Its business including, without, limiting the foregoing, any bonds, guarantees, undertakings, rveogniza ca, powers or attorney or revocations of any powersof attomey, stipulations, policies of insurance, deeds,. leases, mortgages, Hensel, satisfactions And agency agreements; (b) to appoint, in writing, one or mom persons for any arall of the purposes mentionedhl the preceding paragraph (a), including pwixing the seal Of the Corporation, Article ill, O(Ecers, Section 3.0, Facsimile Signatures, The signature of any officer authorized by the Corporation to sign any bonds, guaranfaes, underiaktngs, recognizances, stipulations, powers of attorney or revawalr as of any powers of Attorney and policies of insurance issued by the Corporation may be printed, facsimile, lithographed or otherwhae produced. in addition, If And as authorized by the Board of Directors, dividend warrants or chocks, or other numerous instihrments simdar toone another in form, may be signed by the facsimile signature or signatures, lithographed or otherwise produced, of sued officer or otYcers of the Corporation as goal time to time may be Authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for are purposes herein stated. the facsimile signature of Say person or persons who shall have been such officer or officers of the Corporation, notwithstanding fill, filet lint be may have teased to be such at the Oma when such Instruments shall be issued. IN WITNESS WHEREOF, United States Piro Insurance Company has caused these presents to be signed and Attested by its appmptdino oftilcor And its corporate seat heruunto affixed this 10" day of March, 2016. UNITEDSTATEe RIRR.INSI IRANCC COMPANY „7 Anthony R. Slimowlcz, Executive Vice President State orNowJersey) County of Morris I On this 10"' day of March 2016, befbre me, a Notary public of are Slate of New Jersey, came the above named orflccr of United States Fire hrsarnnee Company, to me personally known to be the individual and officer described heroin, and Acknowledged that he executed the foregoing lontmment And adigcd Jheseal or United States Fire Insurance Company thereto by the authority of his orrice. SONIASCAIA .,a!J NOTARY FUULICOFNkw JPIiSGY Santa Scala (Notary Public) MY COMMISSION tiXIIIIMS,?f2512019 1, ilia undersigned officer or United Stales Fire Insurance Company, a Delaware corpamtion,. do hereby certify that die original Power at Atiomcy orwhich the foregoing is A full, Irate slid correct copy Is still in lbrcc and effect and has not been revoked. IN WITNESS WHEREOF, Ihave hereunto Satiny hand and unlxcdthe corporate seal ofUnitedStates Fire lasumiccCompany oft ,Ae.'it&Iyor rlov.2flfi UNII'EOS'TATES FI RE [NS17tiANCE COyt1`ANl' >.w�; ?; At Wright, Senior Vice l'tesidear CALIFORNIA ALL-PURPOSE ACKNOWLEDONIENT CIVIL CODE § 1180 R:tj:7.Y`.l`i'.� Y`Ci Ci.Pi^�':Gt^Pi`SR �"RtfVk"FiiSY4P:.P.C.ii2ZM.F.GP.tKii`.T.LJ.;ik31t'3ic`isRti^X'2`.t"a4u'A` , A notary pu6Lc or her officer conlploling this 0artlficate verifies only the Identity of the Individual who signed the documanl to Alhieh this cortlficato Is attached, and not the truthfulness, aoouracy, orvalldltyof thaldocummt, State of California County of LOSANGELES Ort 1110112010 before me, PHILIP VEGA, NOTARY PUBLIG Data Here Insert Nams and Title of the Officer personally appeared Kevin Vega, Attorney -In -Fact who proved to me on the basis of sat Subscribed to the within instrument and or the entity upon wCie w PHI11P VEGA �pp A 12121 V!i MARYPURLIC,0Anr6RNIA Lw Monet CdoRrr hN coRM Err. MAY 1,,20a) I Name(s) evidence to be the persoft whose nameW is/are ledged to me that he/spe/fIley executed the same In is/lrePllhetn signature(s), on the Instrument the personNy aed, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of Caldornia that the foregoing paragraph Is true and correct, WITNESS my hand and offipi Signature Signature ryPublic Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this Corm to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages; Slgner(s) Other Than Named Above:. Capacity(ies). Claimed by Signer(s) Signer's Name; O Corporate Officer -- Ttge(s)s ❑ Partner — 0 Limited 0 General ❑ Individual 0 Attorney In Fact CI Trustee 0 Guardian or Conservator 0 Other: Signer Is Representing: Signer's Name: • Corporate Officer — Title(s): ❑ Partner — 0 Limited 0 General [I Individual ❑ Attorney InFact 0 Trustee O Guardian or Conservator ❑ Other: Signer is Representing: u^r�,�vss,se�ssa^swstt.er-crrssar�.�^sins,��ta.^erti^s�csx+r:4'susa.�srescnrs�rca�ehn:tx r_:oc�csct 02014 National Notary Association ^ www.NotionalNoteryorg' 1.000-US NOTARY (1.80M78.8827) Item ft5907 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 } Countyof, Uv ri_Q_ idt } OnNOV 112zai 42� _before me, Crt� �-�x.�G:rf o�A� in6,nlnu. nam••n aoffieoTlrwT personally appeared 4 Ars1 nra It tx ;•Y> who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) islaro-subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(i®s), and that by his/her/their-signature(* 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 taws of the State of California that the foregoing paragraph Is true and correct. WITNESS my hand and official seal. (ritfe ordesulpdan of attached'do0unl@dl ZegUnged) Number of pages,_,, �, Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) q Attomsy-in-Pact ❑ Trustee(s) ❑ other 2018 Version www,NolaryClassa xtin (le0-873-9866 (Notary. Public Seal) 9JAVIER CASTRO OONZA6EE Commission No. 2281466 NOTARY PIRIL1 -0h4liQahlAi aNE0.SI0E OOi1NiY toy Carom. Egwa•MaRCN tr.xe3a CTIONS FOR COMPLETING TlIIS. PCR(N Leah coming Ca(rforrife tames regarding notaryynrdrog and, ar me »nraing aner nor require the s,aapmDra notary ra taware k areprma marry I., • Suit And Couory infomuGun must be the State and Cattily whoa the doeumira aigaer(r) personally aplseamd Isefi,m the notary public for sa knussiedgmcnl, • natepfnotarimifan mint betlodote that the signers) persurally apintared which most also ba the same date the aeknowlcdimacnt is camplctn6 • The namy public most print his, or her rump: as it Appcan kFidiiu his or her commission followed bye conum Aid dim your title (notary, public); • Print the numc(s) of ducianmt signers) who prrsanully aiyttae At the tnui ar polarization. • Ind date the correct •mgularor plprdt romrs bycAt ctlg off incorrect farms OX.. be/dailthey,-is/me ).or circling tlhg partner rum". Failure or correctly indicate Ibis infonnatimt may lead no relm(ion of ducumenitrcauding. • 111e notary seal hopession mast be clear and iduactraphically reproducible. ❑npresslun must not cover text M lines. If seal imptcssion tomdge7, re+@cal if a saft ch ad acapcnldts, utheswisc complete a din'cremt ackamwleJj merot form. • Signature arthe notary public most nutch the signaure on me with the office or the cattily clerk. %% Additional infamution is not required but could help to. "sure this actan wlgdgncni is has misused (it Attached u a different document. S Indicate title as type of Attached document. tmrabrof pages and data. so )ndigale the capacity claimed by die signer. fir did claimed capacity is a corporate ofhcer, indicate lip title 0.e. CEO; CFO, Secretary). A Securely attach this docunsem to the signed ducoment with a.maple, CITY OF SANTA ANA PROPOSAL PROJECT NO,: 15•6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS lxtST OC SUB -CONTRACTORS Scttlou 4100 et. scq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work excccding the following amount: o Slrccts, highways inctuding brtdge projcct5: Y2%of the bid or $10,000, whichever is greater o Buildings, parks, or other projects; V2%ofthebid Suction 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 Can S� r ivn5 °She Name 1A C', License #/Exp, 5�1 1 % License #/Exp. DIR Rcg. #/Exp. c3 Uzo 12- 31-2O) DIR Reg. #/Exp. Location n e icv�cti CA Location Phone rllaai T- T 2 L 1 Phone --A-1 Type Of Work S. vw Mr Type Of Work Amount $ I 12 a 000 Amount $ Name JMn �t.vtataC+l:l.�Fx%yr. ctt {yt 6d, It Name ('clk%C 2�fe>4=&J License #/Exp, d, b b b 3t icense #/Exp. "A-61 cio 4 DIR Reg. #/Exp, 1 ocoUr� b tl 3.9 J� IR Reg. #/Exp. �Lfcetrse..# \J Iconsc #' Location t-at:5 Fv c5a (A Location Lh Vu7c.4e Phone 'A46- V;4"I- (- 13 0 T e( t2 Phone 626— Sla,- Type Of Work Cvacic lvsl Type Of Work Tryf 'c; Lochi Amount $ Cyr Sc-�> Amount$ 5 Sk;li Name $1i /E r A C� eA5 a 4,d 1 License #/Exp, laic C�1- DIRReg. 4/Exp. 1� �oby 1a51 --Weensc--n Location (nv!4 ,. Rhone of 1— 7�3G �bZr Type Of Work Slvwy Amount$ (osf cxo A Pd� NiQ RF bi I R- (> Signature of Bidder 11V"n License #/Exp. DIR Reg. #/Exp. License # Location. Phone Type Of Work Amount $ P-9 ofP-17 CITY OF SANTA ANA PROPOSAL PRoxcr NO.: 15.6453 RIVE^"RVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS REFERENCES The following are the names, addresses, and telephone numbers for T11RrE public agencics for which the BIDDER has performed similar work within the past three years, 1.tL" IkaCln. Name mid Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed 2. Name and Address of owner. 3, 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 Typc 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. C�vr�r�cc�korl` � Q�cv��pers �4tira��� 53u v. R,-c,t(b s4 11-10 ofP-17 CITY OF SANTA ANA PROPOSAL 11RO1rCT NO.: 15-6153 wvri CEW Nr1GHBORHOOD WATER MAIN IMPROVEMENTS ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for:[L!M public agencies for which the )1DDER or Subcontractor has performed similar work in the past five years. 2. 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 Ain Type of Work Date Completed 3. Name and Address of owner. Name and Telephone Number ofperson 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. P-11 ofP-17 ,\I.1, C'11,11iS 1;}WCiI\1;ERIN(I INC'. References 1, City of Pico Rivera Project name: Passons Bridge underpass Value: $200,000.00 Description Remove and repair PVC pipe and construct concrete Vgutters, curbs and Landscape. Contact; Kenner Guerrero (562) 8014351 2. City of Pico Rivera Project Name: Citywide Concrete improvements Value: $220,000.00 Description: Remove and repair various sidewalks, curb and gutters; ADA ramps, curbs; and trees throughout the City. Contact: Kenner Guerrero (562) 801-4351 S. CityofSanJacinto Project Name: Pedestrian Upgrades Value: $225,000.00 Description: Remove and replace various ADA Ramps, driveway approach, and sidewalk throughout the City. Contact: Sean Motlagh (949) 232-6153 4. City of San Jacinto Project Name; Citywide Upgrades Value: $100,000 Description: Repair various manhole, repair curb inlets, and repair AC pavement. Contact: Danny Astorga (951) 634-5261 A1.l. (.`lTliil EN01NF"E'RINf INC. References S. City of Duarte Project Name: Citywide Sidewalk improvements Value: $90,000.00 Description: Remove and repairvarious sidewalks, curbs, driveway approaches, and Ac pavement throughout the City. Contact; Teresa Renteria (626) 705-4837 6. City of La Habra Project Name; Citywide Sidewalk Improvements Value: $320,000,00 Description: Concrete improvements including the installation of sidewalks, curbs& gutters, driveway approaches, curb, and ADA ramps. Contact: Cesar Rangel (562) 383-4158 7. City of Orange Project Name:: Annual Concrete Replacements at Various Locations Value, 325,000,00 Description: Remove and replace sidewalks, ADA ramps, curb & gutter, driveway aprons, and trees. Contact: Fable Quinones (714)-744.5526 I. C'I'I'IilS I"NUI\F)-,,RING 1NC. 8. City of Downey Project Name: Civic Center Drive and Nall Road Water System improvement Project Value $400,000 Description: Installation of new main, fire hydrant assemblies, water service lines, meter and boxes; installation of gate valves, tees, bends, thrust blocks, and fittings; abandoning of existing water mains and service lines. Contact;Lorena Powell (562) 302-38655 9. City of Norco Project Name: Norco MDp Line ND Extension Storm Drain Project Value; $400,000 Description: Installation of RCP 18' and24" catch basins, manholes, junction structures, local depression, cold mill, and related work. Contact: Dan Cuthbertson (951) 545.7872 10. City of Oceanside Project Name: Vista Way/El Camino Real Sewer Relocation Value: $15Q,000 Description: Abandon existing 6" pipe and construct 8" SDR 26 PVC pipe, install new concrete manhole, modification & rehabilitation of existing manholes, sewer bypass pumping, and maintain/replace traffic loops, Contact $hukriSharabi(760)717-6161 11. City of Costa Mesa Project Name: North Del Mar Storm Drain Repair Value: $72,500 Description: Remove existing 24" corrugated metal pipe and install 24" with sack I slurry, construct newjunction structure and manhole, connect 24" RCP storm drain to existing CMP storm drain and pave trench.' Contact: Kelly Dalton (714) 466-0360 rkl.i. CI'TIFS ENGINFP,RING INC. 12. DCI Homes Project Name: Owens Court Wilson Estates Value: Wilson Estates $950,000 Owen's Court $150,000 Description; pothole, install 8" ductile iron waterline, water services, 8" VCP pipe sewer main,4" sewer laterals Contact: KC Brennan (951) 202-9815 13. Onsite Builders, Inc. Project Name: Chick Fit -A Santa Monica Sewer and Water Chick Fil-A Northridge Sewer and Water Value: Santa Monica $250,000 Northridge $170,000 Description:. Pothole, connect existing 12" sewer pipe, place 6" SDR-35 Sewer pipe, install cieanouts, connect existing water meter with 2" SCH 80 PVC water line, Install 2" reduced pressure backflow preventer, connect to existing 16" water main, 6" cleanouts, bedding, grease interceptor. Contact: Jody Harris (949) 4009474 CITY ORSANTA ANA PROPOSAL PROJECT NO.: 15-6453 RiVERVIEW N131GIiBORWOOD WATER MAIN IMPROVEMENTS NON-Ct71 117SI0N APPIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) in conf'unnuncc with Titic 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not trade In the interest of, or on behalf of, any undisclosed person, partnership, connpany, 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 uny other BIDDER to out 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 an) one Shull refrain from bldoling; that the BIDDERhas 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 outer BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid ate 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 Dion -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification, may subject the certifier to criminal prosecution, Signed Msika /y*%z TZAi" I It C2 State of California Countyof V tvcrs`•Id2 Subscribed and sworn to (or affirmed) before me on this I day of &0v , 2( by Apif Ain V2 ex 1y,-z , proved to me on the basis of satisfactory evidence to be the persarr(s) who appeared before me i, Lary public Signature Notary Public Seal _. oO JAMERCASTR6NZAM COMW3110n No. 228t6NOTAWP M491ioN&A Ft"AS CGown MY CM1 EW04 MMCN. 17, 2¢23 P-12 ofP-17 CITY OF SAN'T"A ANA PROPOSAL PROJECT NO.: 15-6453 RIVERVIENIIEIGILRORI#OOD WATER MAIN IM11ROVEMEN`fS NON DitiCRiM1NATiON CERTIFICATE 1'hc undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: i. 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 famish 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 maybe imposed and remedies invoked as provided in Executivc Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-13 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 15-6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS 7. The Contractor shall Include the portion of the sentence inunediately 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 tlw Secretary of Labor issued pursuant to Section 204 of ExecutiveOrder1124E 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. S. Pursuant to California Labor Code Section 1735, as added by Chapter643 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, anccstry, physical handicaps, mental condition, marital status, or sex of such persons, exceptas provided in Section 1420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: A Pp ut i ss UM IV ta Title, we Si rl m Firm; CAes F,nn i vt P P viN P-t-.,l. C' Date- i I I — I ai_ P-14 of Pk 17 CITY Of SANTA ANA PROPOSAL PROJECT NO.: 15-6453 RIVERVI.EW NEIGHBORHOOD WATER MAIN IMPROVEMENTS STATEMENT REGARDING APPRENTICES141EREQUIREMENTS 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 forthe 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 fiord 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 to the California Apprenticeship Council. Signed: A ?01,o AA U R RA+ j 1Z f--Z Title: Pv r c'i dM Firm: T 0 f I� e S P- ,5 i i eo A p, 4TI::2 c. Date: 11-15 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.:15.6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVi MENTS STATEMENT REGARDING "ANTI -KICKBACK" REOUIREMENTS The undersigned is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply withtheCopeland "Anti -Kickback" Act (18 USC 74) as supplemented in the Department of Labor regulations (39 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 or repair of public work, to give up any part of the compensation to which he/she is otherwise entitled. Signed, M,3k o titb V- M J- Gz Title: a-e s ) d to I- Firtm tl G14e,S n ,'30elyIan r- Date: t I - I - on, P-l6 otP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 15•6453 RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER ever been disqualified, removed, or otherwise prevented 'from bidding on, or completing a federal, state, or local government project because of a violation of law ora safety regulation? Yes No If the answer is yes, explain the circumstances in the following space. 11-17 ot'11-17 der 1111 IIIIIIIli1111111`111111111111111111Ir1 lrf 1Nrill1111111 IIInNO FEE * $ R 0 0 0 7 6 0 2 7 a $ 201685000505 9:43 am 06/16/15 242 304 Z01 0.00 60.00 0,00 0.00 0.00 0,00 0.00 0.00 MAYOR CITY MANAGER Miguel A. Pulldo David Cavazos MAYOR PRO TEM CITY ATTORNEY Vincent F. 5armlenta ,: Sonia R. Carvalho COUNCIL MEMBERS CLERK OF THE COUNCIL Angelica Amezcua T Marla D. Hulzar P. David Benavida8 Michele Martinez Roman A. Rayne SalTinalero CITY OF SANTA ANA PLANNING 8 BUILDING AGENCY 20 Civic Center Plaza (M-20) P.O. BOX 1988+Santa Ana, California 92702 (714) 667.2700 • Fax (714) 973.1461 www.sante-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 From: City of Santa Ana County of Orange Planning & Building Agency P.O. Box 238 20 Civic Center Plaza W20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: 15-6453 Riverview Neighborhood Water Main Date of Approval: 08/04/2015 Project. Numbeii PWA-2015-554-CIP Project Location: 1 CityWide (Partial) City: Santa Ana County: Orange ER Number: ER-2015-65 Project Description: The project consists of replacing existing deteriorated 6", 8" and 12" water mains with new Wand 12' water mains and related appurtenances in the Riverview Neighborhood, Applicant Name: Armando Fernandez , City of Santa Ana Applicant Address: 220 S, Daisy Avenue (M-85) SANTA ANA, CA 92703 Name of Public Agency Approving Project: City Councll Name of Person or Agency Carrying Out Project: Fernandez, Armando Exempt Status: Ll Ministerial (Sec, 15268) Ct Declared Emergency (Sec. 15269 (a)) El Emergency Project (Sec. 15269 (b through e)) © General Rule (See. 15061(b)(3)/(5)) ❑ Statutory Exemption: * Categorical Exemption: 15301 (b) Reasons) Why Project Is Exempt From CEQA: Existing public utility City Contact: Sean Thomas POSTED FILED JUN 15 2015 JUN 15 2015 ORANGE COUNTY C -RECORDER DEPARTMENT HUCN NGUYEN, LERK•RBCORRBR BY: DEPUTY Telephone: (714) 647-5655 Signature: ---- Title: Assistant Engineer SANTA ANA CITY COUNCIL Date; 6/15/15 Miguel A. Pulido Vincent F. Sarmlonto Michele Martinez Angelica Amoxcua P. David Bonavides Roman Rayne Sal Tlnajero Mayor Mayor Pro Tom, Ward 1 Ward2 Ward Ward Wards Ward MPulidoO ta:9naomMMAlag �nla-ana om r]�mgZruafdiaa taana ore DDenavide A an�na nm g$gyn annta•ana om $Ygaj6JRr�sanla ana om THE REGISTER 2190 TOWNE CENTER PL, ANAHEIM, CA 92806 Telephone (714) 790 7000 1 Fax (714) 79"059: (2at6;s c:c�} Mate or Cgli forma County of ORANGE )a$ NoticeType: BID-NOTICEINVITINGRIDS Ad rlpllon 10.8458.RIVERVIEW NEIGHBORHOOD WATER MAIN IMPROVEMENTS' Executed on; 0912812019 At SANTAANA,CA I certify (or declare) under penally of per)ury that the foregoing Is true and correct. Is zpNa VItR SUMPnnty CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 15-6453; Riverview Neighborhood Water Main Change Order Number 1 To All Cities Engineering Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by EXTRA WORK AT AGREED PRICE PUBLIC WORKS AGENCY 1. To compensate the contractor to remove and replace a three-inch water meter and valve at College and 191 Street per accepted proposal dated March 19th, 2021 (PCO#1). AGREED PRICE = $12,600.00 2. To compensate the contractor to remove and replace a three-inch water meter and valve at 5611 17s' Street per accepted proposal dated March 1911, 2021 (PCO#2). AGREED PRICE = $18,600.00 3. To compensate the contractor to hot tap an eight (8) inch line in order to install forty (40) linear feet of six (6) ductile iron pipe into an existing system. Work also involved an asphalt overlay of the intersection at College and 19th Street per accepted proposal dated August 5, 2021 (PCO#7). AGREED PRICE = $37,665.00 EXTRA WORK AT TIME & MATERIALS 4. To compensate the contractor for costs associated with the removal and replacement of afire service at 1725 West 171h Street per PCO#3. TOTAL COST = $6,968.40 5. To compensate the contractor for costs associated with the removal and replacement of an exposed damaged sewer line at 1830 West 171h Street per PCO#4. TOTAL COST = $2,195.36 6. To compensate the contractor for costs associated with the removal and replacement of vaults at College and 19'h Street per PCO#5. TOTAL COST = $1,347.16 Page 1 of 3 7. To compensate the contractor for costs associated with the removal and replacement of vaults at 17111 Street per PCO#6. TOTAL COST = $1,347.16 TOTAL AGREED PRICE _ $80,723.08 Page 2 of 3 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 15-6453; Riverview Neighborhood Water Main Change Order Number 1 To All Cities Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCILOR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COSTTHIS CHANGE ORDER: DECREASE $ --------------- INCREASE $ 80,723.08 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Twenty (20) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date 8/10/21 Contractor All Cities Engineering Inc. By n t Title PM Approval recommended by � er Date Z>It l 2C� i PUBLIC WORKS AGENCY EXECUTIVE DIRECTOR Approved by -:S�N'\J\_ :�C7 Date Ilil CITYMANAGER Page 3 of 3