HomeMy WebLinkAboutD2S CONTRACTOR, INC. DBA DREAM BUILDERS COMPANY 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 1111 1�1111 111 1111111 III II N4 FEE
20 Civic Center Plaza,P.O.Box 1988 * $ R 0 0 1 3 6 3 3 0 9 0 $ *
Santa Ana,CA 92702 20220001212061:14 pm 03/29/22
63 RW11A 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
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 ADAMS PARK RESTROOM RENOVATION under contract entered into on
0 FEBRUARY 2, 2021, with DREAM BUILDERS COMPANY, on which contract THE OHIO
x eq
W CASUALTY INSURANCE COMPANY is surety. The property on which such work
Wo improvement was placed is in the City of Santa Ana, County of Orange, State of California, and
o z described as Project No. 20-2708 located at: ADAMS PARK. The work improvement on said
aproperty was accepted as completed on MARCH 24 2022.
x �
CITY OF SANTA ANA, A MUNICIPAL CORPORATION
W
w By
4 ¢ Dated: Principal Civ' En eer—Jason Gabriel
TITLE
G
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; 1 have read said notice and know the contents
thereof; and I declare under 6nalty of perjury that the facts therein stated are true.
31;;7
Executed on _ _ , at Santa Ana, Cal' ornia
c
Acting City Engineer—Zdenek Kekula
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION
INSURANCE NOT ON FILE
WORK MAY NOT PROCEED
CLERK OF COUNCIL CITY OF SANTA ANA
DATE: CONSTRUCTION CONTRACT
P PROJECT 20-2708
ADAMS PARK RESTROOM RENOVATION
N ThYs CONSTRUCTION CONTRACT is made and entered into this 21 day of February, 2021 by and
between the City of Santa Ana, California, a charter city and municipal corporation organized and existing
CD under the Constitution and laws of the State of California (hereinafter "CITY'), and D2S Contractor, Inc.
e- dba. Dream Builders Company (hereinafter "CONTRACTOR').
c,
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 necessaryto construct and complete in a good and workmanlike manner and to the satisfaction
of the City Engineer of the CITY, the Adams Park Restroom Renovation Project (hereinafter referred
to as the "WORK OF IMPROVEMENT l 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 One Hundred and Four Thousand Nine Hundred
Dollars and No Cents ($104,900.00), 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.
m.09/01rzo17 Page 1 of 3
4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in
the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including
commencing construction within the timeframe therein specified after issuance of a Notice to Proceed.
5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK
OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for
such work as set forth in the wage determinations for this work in accordance with applicable State
and Federal law.
6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement
(CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and
procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF
IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website
at: http:/hvww santa-ana ore/owa/documents/CWA pdf
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.
10. INDEMNIFICATION.
To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend,
indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents,
employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"),
through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs,
damages or losses, including reasonable costs and attorney's fees, for injury, including death to any
person or damage to any property, arising directly or indirectly from, or in any manner relating to, any
of the following:
(i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its
Subcontractors of any lower tier;
(ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier,
of any of the obligations under the Contract Documents;
Page 2 of 3
(iii) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either
on the project site or on other properties;
(iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower
tier, for Work of Improvement performed on or off the project site; and
(v) Any personal injury, property damage or economic loss to third persons related to and arising
from the performance or nonperformance by CONTRACTOR or its Subcontractors of any
lower tier, of the Work of Improvement.
(vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all
subcontract documents issued by CONTRACTOR.
Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in
favor of CONTRACTOR against CITY or any other Indemnitee.
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and
year first above written.
ATTEST:
AISY GOMEZ
lerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
Assistant City Attorney
FOR APPROVAL:
/I � '--, I k , 4 1-
NABIL SABA, PE
Executive Director
Public Works Agency
CITY OF SANTA ANA
!/K�
K ISTINE RIDGE
City Manager
CONTRACTOR:
Dream Builders Company
C4- �A�
NANM: L,p,�
TITLE:
Page 3 of 3
Cff,Y'QYSANTAANA
J 1ploposjd
PRO , )SCTNO.:20-2708 EXHIBIT A
ADAMS PAIM OSTROOM RENOVATION
TO; CrrYCOUNaLOFTHEcrffCF$ANTAANA
FROM: D2SCONTRACTOR tNCDDA.t)REWBMWMt$co
MUMEM13NT:
The'uncloolped bidder declares Vaufflned the INAtion orq&proposed
work !* they have O"AlInOd the 0001110t DOOUIficAis In its Ofithifly And hereby p popes to
furnish illmaterial and doall tiro Woeir qulced to aotttplete ilia card Work to acoadanoewith
asid Olans,Qfafiy) And The spectfloot '
Ions
following hr thePult li!Oc($) of ImnP ift(s) sat *A lwtha
Item
Bwvop �OA
-4,—y-
Wit]
val0dee
Assent
$
4 IR"Owm
I
TOTALBASE DID $
1 104,900.6
The lowest rwrisl6le bidder "111 bestiftted bated *nthe total base bid. The'Citynierves the
fightto, Award the Pase Did, *QdAny, All, otitogooftJup so -alternate bid Inuas'(1f =#
t This bid hft Is ponsidered a Spe.cialtykern per lIguflop23.2 offt Standard 4aelflootions,
IOMPLETIONQFRR===SAND LUW=DAMAQES
The v4devilped bidder hereby pro' , poM to complete the Work for she total ban bid amount
shown Above, within ddjj?g01 wotkina days after the
to Proceed. commencement dote stated In the Notice
The liquidated damages amount, in lieu of the Amount apecOW,in Subsection 6-9 of the
Standard $pAdficadons, stroll be $500 per;*n4v day.
P-1-60-17
CITY OF SANTA ANA
PROPOSAL
PPOJftTNO.:20.2708
ADAW PARK`RE$TR09M RENOVATION
NameofPirm D2D CON , CfnR i PEA• DREAM;BURDERB CO
3ipatwoofBIDDER �
Titto _ PRESIDENT
M afP•17
a
CITY OF SAINTA ANA
PROPOSAL
PKDJCI xlq•t 20.2708
,ADAMSFARICRtS dMRENOVAf10N
BID PI{SLaSA
TO: CITY OOUNCIL OF `)'i3E,CWY qF SANT'A AXA
FROM: OU CONTPACT0,,R;Ip1C3l7BA, i' UAjv%BUI
MUMEWNT'1
Item -
Deselrlltiori
;Qty
Sit
IIAltPrlce
";illppudt..
h
�iCBtl'Q4ll1•y981gn
I
'H8
$
It,oaa,
� -
�lto9g,90
2
,Rosaoom Improvements
k
s-
s93,9oo0o
....
s 9 0Qo9
t This bid item is oonsidared a Speq a(t Itom.per Section 244 of the Staad+ud 5peoif ca logs;
TIM FOR COMMiBTION OF TMFIiO)TMENTS AND_!,IQ,IIIDATBD pAMAC3L5
The undersigned bidder `hereby proposes to complete the Work for the total base,bid anngppi
shown abaye, within giehty_001-working days after:the oomm ncament date=stated in the Notice
to,proceed.
The liquidated .damages amount' in lieu of the amount, "cified In Subsection 6-0 of the
Standard Specifications; shall be $500 per calendar day.
P-1:0047
CITY OF uANTA ANA
PROPOS;AI .
" 1?R4JB�'NQ:::2U-2708
ADAMS PARKdIESTIjOQM RENOyAT1QN
NameofFirm D2DC9NIRACT(?RI4QDBA,'DRFAMDUILDBRS:CO
P-2 of P-17
CITY OF SANTA ANA
. PROPOSAL
MQMCTNO.: 202708
ADAMS PARK kESTR0QMj0DVATJ0N
BMER'S STATUNENT
Nome of, Fi-rin
-P'-3 of P-1 7
the
CITY Or' SANTA ANA
PROPOSAL
PROJ$CT NQt 20 2708
ADAMS PARK RBSTROOM RENOVATION
M CTOP%LJM N�? SINGAWREGISTRATIQNSSTATEMLN,,,
Contractor's Name: INDpA. AREAM IBUIWERS CO
BusinessAddross, I38 5 A SAELVDt R}2ITOS,CeS=907Q3
Business �IVla:tAddrass; �RBAIv#HU`IL;bE1t�5C0(a�aMAIL,CbM
Telephone;'6226,`J-288
State Cont'aptor s 6cense Np and Cla`s§: 932353 B •.GENERAL BUII p1N(}-CONTRACTOR
Incense ti piirstiopDate: 03i3I%-.022
}Y�a#ut4k�k�1Rµ4.514�11�LL?� TYUUO4V✓4�. -
'Regiatrad ' xP ation pate; 6/3,0/2023
n
Title: !PRE,SIDkNT
-< E. -
P-4 o£P47
CITY OF SANTA ANC -
PROPOSAL
hROJECT Nq., 26.2m
ADAMS PARK R%STROON] RENOVATION
M—PALING WAGE COMPLIANCE AND. MONITORING STATEMENT.-
Cotitmotor shall defend, indemnify.and hold the City, its pleotel off%lals, officers, employees
and agents free and harmless from any claim or liability arising out of any failure or alleged
failure to cgtitplY>vitltthe.Prevailing Wage Laws.
Name ofylml 1)21 CbNT1tAGTORII�C-,DBA BREAM' UILAl RS.0
>� r f�
Signature of B1DI)
Title pEESIDEIjC
mclividual, so'sduel
'1*-5 ofP-19
CITY Of SANTA ANA
O'ROPOSAL
PROM& NW20-2708
r1DAMS PART{ RPSTROOM RENtlVATION
9RR_ Ue 4EMAyrr
VtT,B 0P CAUP04MA
C UN'ry OP 042ANGIl ��SS;
Crrf QP AT ARIA 3
,BUNKyVANIit,Ea .. _ , Wq dplyswom, depasas aad says:.
'EIINDN1DUp%; 'Ihdtpattaha;lat6opaElymetin8 the foyagoMg:ProPdeati.
":[JpAR7NE1tSHIP `hAtWill smetnborofWC co-ponsership nrm daslgneteq as;.
and tq Ices been and ie dufy voted w(th Iheeuthodty to make and a:cecote Ioytiumgnly
1;oi�aih`coapaEmarship by; -'
W�ut$unstitu llu oWarmemliere .
ofthaIvdlmwp.
���'QIlA'lI9N. 7fiathaig¢`n � �.. ,
acofpoEatlPn whlcL rs tng&InBdtP foragpMgjrEgpnaat:
(310INTVEN'fga,Il `$utpe is uP,,
ona'bfithe paellas making all farcgotng Pmppsel as aJomE Waniure, end We he/she Nes
62eit *0 is duty vested with We authoetty to execute insirameNs loran on behalf of nopadl9A making said old wbb¢to:
that suoh a'bid is genuine and not collusive or sham, and has not in any manner sought by,
ccllusi }n to secure any advantage against the City of Santa Ana of any person Interested in the
,pr�,_tOltractlor himself or any other person.
11840) of BiddaT -
�Subseribed and sworn to;botbre me this?i
=GALIFORNIA
vENOYARVLIPONNIm 0M17240 [�:y OTYMy Cammae 4.2021..
P 6 Of P-17
CITY OF SANTA ANA
PROPOSAL
P.Is0 CTNO.:20-2798
ADAMS PARK RESTROOM RENOVATION
I BO.b
7HE CONDITIONS OP THIS OBLIGATION ARB SUCH Ih�t, whereas-BIDOBIb,is nbout to.
submit a bid to AOBNCY for 16 . Ah n_ l.,A _
Ina enteredinto -by
null and vptd, othen
INWTNESS WIIREOP thepartios hCr to 1 ave set their names, and seat (his
tales hands
day of DtCEIy16E12. -2� - f
SURETY"
THE OyI
ALTY INSURANCE COMPANY-p162&850.1000
834 E BADILLO ST. COVINA, CAat7'23
pyILIP4
-$u�raeri
q, ATTORNEY.In-FACT
nd
swom to before me this..
flay of
4.
Signature:
Notary Public
in and for the County of R arr of
s -•- "
Pr0YIde'BIDD%R/ SURETY- name, address, and telephone number and the name, title,
address, and telephone number Of epthoci?ad representative.
,d ei QiS Currtrac+ur ffTC dhc.. Dom Wilkderf Gb.,
t�8s� �Sr�est�A .giva, EerYifitlS, �� �ah�3
Gtn kwah�a ln2e,bCsideh�
�tnlf.�'� �i'he. Ti hi 0 CG•5�.rn11y lrSv, vUtce Cam���y
790 The C Dr.,U+h #v Gr�tr, CA1400
�7 of P-t7
1j�9 �, ANurncr_in—��f
State of Oatlfomla -.... -t
Personally .appearedynlllp C, Vega
NaMe� ofStg ja)
I sentry under PENALTY OF PERJURY under thelaws
of the State or California that the foregoing paragraph
+ MOMCA BLAI,SDEL4 is true and correct.
coMnn 923z4zso a WITNESS m hand and official goal.
NOiAPYPUBUC`CAL60ANM Sa" �
OBANGECOUNP/
M/[bmmbslnn[aplieeMac 26,7ai4 f
&IgflatUYQ .'
•$lgdature Of Notary
Liberty
Mutual.
SURETY
This Power ofAfklpayfimlle tloads of these named heein, and they. have no authority to
hand dNCpnlpany ettceq in the manner and k the extent Aeraln stated.
Uberty Mutual Insurance Company
The Ohio Casualty Insurance Company
Vftfd Amodoen Insurance Company
POWER OF ATTORNEY
ICethhcata No.N2o1h03.88_ 9pj
tNWITNptSWHEREOF, We
A ofAaomeY ila8.U3an Mdcaihed eyadduNodiedofileror official oldie Cpnponloq and tlr3 opipomteaeNrof Iha Coihpanles have iraen elAzad
Nereid Nla. rSlh Gaya August zole ,
tMa-0RW34MIGY%YC WAIC NWtl Co osa�18
CITY OF SANTA A1VA
PROPOSAL
PRQ MCT NO.: 20-2708
ADAM$ PARIK RESTROOM RENOVATION
• _ a; • u • .5...
evil a,vg a- aoq, ci um,ruonc y&,omWt; l:.eee ragerres nstLq; of all Subcontractors with the, bid for 41.1
subcontract work epecpeding-We tolloWlo$ amount:
o Streets, highways includingbridgeprojects: %% ofthe bid or $10,0Q0, wbichgver is greater
o Buildings, parks, or otherpnojects: %s"/o of tha bid
Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State.
Department of Industrial Relations (DIR). ,
BIDDER ptpposes,to subcontract eerteinpor[Ipgs of thatyork to the rums listed golow:.
:Name rl;*nM tr� Uft (shar
m 1 AMin14
Name
License #/Exp.
DIR Reg. #/Exp.
License #
I.00e0011 —
Phone
Typo Of Work
Amount $ .
Name
Lieense M/Exp.
.DER Reg. #/Exp,
License #
Location
Phone
Type -of Work
Amount $
,Slgna'iure of Bidder
Name
:License #/Exp..
DIRReg,#�Exn.
LicenseLf
Ucution
phone
fype Of Work
Atttopnt
Name
License- hp.
DIR,Rog. #/Exp.
License #
U'Qu ion
Pltone
Type Of or
Amount $
P-8 of P47
CITY OF SANTA ANA
PROPOSAL
1'I,QXCT NO.: 20-2708
ADAMS PAW1RESTROOM RENOVATION
1�P, BMCES
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.
C-hy ui0ardeno
I. 1711 W S162nd St. Gardena CA 90M7
N@mg and Address of Owner
IGevm Kwalc &, 310-217.96d3
Name and Telephone Number of person familiar with project.
2$,000.110 Exterior repair ofPreeman Park Center 02/2019
Contract Amount Typo of Work Date Compiotetl
city of EI Monto
2, 14333 Valley Blvd: El Monte, CA 91731
3.
Name and Telephone Number of person familiar with project.
136,629.00 Renovation of Housing Dept. dwelling 04/2o19
COhhact Amoant : strict Typo of Work 1)ate'Gotpleted
Bost W,hittior School Di
1 }95 E WhittierBlvd, Whittier CA 90605
NA111P. A91A A(IIIPPQQM1Finvnwn. ^... .....
ith protect.
:an View ES 12/2020
ork Pate Completed
numbers of all brokers and sureties from
The Ohio CBsnaGty Insnonce Company
Philip E,"Vega
534 E. Badillo St. Covina, CA 9i723 & 626-859.1000
P-9 of P-17
01 Y OF SANTA ANA
PROPOSAL
PROdBCT N0;9 20-2708
ADAMS PART(, IUBST� RENOVATION
ADDITIONALRMtiP qEy
'WlltOjt tb.@'HIDD$R OP SWOW* " •�� `sue ,4" Yuuuv gycuuA IP
�tasperfOfinedfiimtJD;-WOrk:int!wpapjflvoyeags.
1.
Warne and Addressof Osoter.`
Name"aod Telephone Number of person familiar with project. -
Cdgtrgyt Amoanff T�pp:af Work D&te Crosnploted
2.
Name aad Andress of owner.
OVUM N 0,berdfpsrso ,fptttllinrwitltproj t.
CpntractAtiaottnt 7;YPe of Work bete o pl@tpd
9:
Name end Addreas of owner.
Name and Telephone Number of person familiar with project.
Contraet.Amou t 'Type of Work .
Tate OuSnpletp3
The following ar0he mimes, Addresses, and telephgne hutnbet!s of all brokers and sureties from,
�wriom HIDDt R intends toPrOcu` , ?a!NAO Andhonds.
P-10 of P-17
u
CITY QF.SAi�TA ANA
PAL06$AG
PPWQ &'W 202708
AbAMSPARKRESTROQMRE 'VAnQN
MON-CtSMMMN AFFIDAVIT
(Title 23 (Inked States Code $eatiou.112 andPubllo Cnnkraat Code Section 7106,)
Note;,
Signed T1 �
State ofCalifornia
�ountyof ��Sv<.�.cx„,
Subscribed and swom to (or affirmed) before
6md,., lc„__aA6 L proyed tq me ,on
peiaon(s) Who appeared before me
Notary Pab11c SiBnat�lre
P-11 of V47
part of the PtoposaL BB)DMSare
ion may subject the certifiof to criminal
CffVOF $ANTA ANA
FkOPOSAL
CTOA 20Q708
ADAMS PARK REST$OOM RENOVATION
LION-DISCR ATION GP,RTIFI "T
The understg_ ned ptitraoigr.or eorliorate officer, dgring the p@rioctnettee of this euatreal c rti es esfo11o1vsS"
2. The Qontractor shall; in ,all solicitations or advertisements for employees placed by or on
behalf of -die Contractor, state that all qualified applicants will receive consideration for
employment Withontsegardto race, color, religion, sex, or national origin:
3.
5.
C
P-12 ofP-17
7.
S.
Sij
Ti
F1
Di
CI'TX OF SANTA AKA;
P"PolFc-TOO„ 20-2700
AT)AM5=PA fE STRO'OM 1tBNOVATION
P43 ofP-17
QTX 4)V SANTA, ANA
PRQP-QSAL
pRQJ�CTNO 1�0 2705
ADAM[S PARk�RES,TR(}OkYt 9ENOVA11ON
rtTATEMENT REGARDING AIiPNT'[C}iSlill YtE6UTREIvlENTS
Tho undersiggnaed BIDDBR.ts familiar with the requirements of Section 1777.5-of the Si
Code reg�rdit' etgplpypietit o£ apprentices, and ynderstands:that contractors on
2. Employ the gyygbcr 4f Appxeufl,
Appteflt;ee�b,psranaards, -.
I
sip
Title!
Rirmt
Vale
PRES�'1'
D2SC(NT CTORINCP$A.b-AEAMBUWVRS,CO
12/22(2024 ._ __
P-14 of P47
CITY OF SANTA ANA
PROPOSAL
PPQTECT NW20.2708
A DAMS k�STROOM RENOVATION
STATEMEt` RHGi# ING"Ej��1I'I��RRAGI" TnttrurS
Date; 12/22CtQ20i
P-15 Of P47
CITY OF,SANTA, ANA.
P OPOSa
PROJE644, b4708
ADAMS,PAtti� RiIS�RI?OM ItBNOyA7ION
DBI CONTRACT�TION IO1G�(1t1bS YT QmF.
In conforttrquce with Public Contract Code Section IQI02, :the B1DI)Elt ahalj complete,
under pent* 6lperluty, t efoliovftug quastlonnoire:.
Hsi the BIDDER, any .officer of the BIDDER, or any employee of the BIDDER who has a
proprietary interaat •ih the BIDDER, :ever been disqualified, removed, or otherwise prevented
vlonr bidding^ ont or completing a federal, state, or local government project because of`a
violation ¢f IaW o
r a safety: regulation?
=Yea NO
If the Answer;is,yes, oRpi#in tfie cirqumslances in iIt@.following,-pace;_
P46 of P-17
CITYOF SANTA ANA
PROPOSAL
PROJECTNO.t 20-2708
6AAW PARK RESTROOM RENOVATION
have read and understood
mber`,ly 2Q1�. The CWA is available at:,
bttp;Y/,Iyyyw. santa-ana.org(pwa/documents/C W A.pdF
Date: 4 =2/2020
P-17 of P-17
POSTED
DEC 11 2020
HUGH NGUYEN, CLERK -RECORDER
MAYOR BY: DEPUI
Miguel A, Pulido
MAYOR PRO TEM
Juan Villages
COUNCIL MEMBERS
Phil Bacerra
Nelida Mendoza
David Penaloza
Vicente Sarmiento
Jose Solorio
Hugh
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PUBLIC WORKS AGENCY
20 Civic Center Plaza (M-36)
P.O. BOX 1988 • Santa Ana, California 92702
(714) 647-5690 • Fax (714) 647-5823
www.santa-ano.org
CITY MANAGER
Kristine Ridge
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Daisy Gomez
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 Public Works Agency
P.O. Box 238 20 Civic Center Plaza (M-36)
Santa Ana, CA 92702 Santa Ana, CA 92702
Project Title: Adams Park Restrcom Renovation
Project Number(s):
Project Location: 2302 S Raitt St
City: Santa Ana County: Orange ER Number: ER-2020-108 Date of Approval: 12/15/2020
Project Description:
Construction will include interior and exterior building alterations, plumbing, and electrical.
Applicant Name: City of Santa Ana, Public Works Agency
Applicant Address: 20 Civic Center Plaza M-36 FILE Santa Ana, CA 92702
Name of Public Agency Approving Project: City Council
Name of Agency Carrying Out Project: Public Works Agency DEC 11 2020
Exempt Status:
❑ Ministerial (Sec. 15268)
❑ Declared Emergency (Sec. 15269 (a))
❑ Emergency Project (Sec. 15269 (b through e))
❑ General Rule (Sec, 15061(b)(3)/(5))
❑ Statutory Exemption:
LAC Categorical Exemption: 15301(a)
Reasons) Why Project is Exempt From CEQA:
Interior/exterior alterations.
City Contact: Robert Aguirre
Title: Associate Engineer
Signature:
SANTA ANA CITY COUNCIL
NO EE
ORANGE COUNTY CLERK -RECORDER DEPARTMENT
DEPUTY
Telephone: Telephone: (714) 647-5051
Date: lZ /t/u
Miguel A. Pulido Juan Vlllegas 1 vincente Sannlento Jose Solodo Phil Bacerra David Pension i Nelida Mendoza
Mayor Mayor Pm Tem,Ward 6 Ward Ward i Ward 1 Ward ! Ward
moulidoCds nta-ana ore ivilleoas(rDsanta-one om vsarmfento�santaana omi Isolorlo Santa-anaem lobacerra(@santa-anaom floenaloza(�santa-eno orgnmendozaSa-„Santa-anaoo
ISSUED IN THREE (3) ORIGINAL COUNTERPARTS BOND NUMBER 24244801
CITY OF SANTA ANA
BONDS
PROJECT NO.: 20-2708
PROJECT TITLE
KNOW ALL MEN BY THESE PRESENTS that o2s CONTRACTOR. INC. dba DREAM BUILDERS COMPANY
as CONTRACTOR, and THE OHIO CASUALTY INSURANCE COMPANY ,
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held mid firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of ONE HUNDRED FOUR THOUSAND
NINE HUNDRED NOl100 Dollars
($ to^•900 00 ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
FEBRUARY 2ND, 2021 for ADAMS PARK RESTROOM RENOVATION
if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work
of Improvement to be done under said Contract Agreement in the manner and time specified
therein, then this obligation shall be null and void, otherwise it shall remain in full force and
effect in favor of AGENCY; provided that any alterations in the obligations or time for
completion made pursuant to the terms of the contract documents shall not in any way release
either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by
SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
27TH day of JANUARY .2021
CONfRAC -ORO D2S CONTRACTOR, INC. dba DREAM BUILDERS COMPANY
13825 ARTESIA BLVD. CERRITOS. CA 90703 P15a2
COMPANY
SuubbscriWand sworn to before me, M oo a. C, L - this I—) Q'HtdBy of
JAN 201t
Signature:ker+� �-
Notary Public in and for the County of ht--a..3�s State of i'..e,
Rate of premium on this bond is $ 30,00 per thousand.
Total amount of premium charge is $ 3,14700 . To be filled in by Surely
*Provide CONTRACTOR / ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorised representative.
P ap,°>yF ______ MOON C. LEE
NOTARY PUBLIC - CALIFORNIA
COMMISSION # 2217240
I of3 • x. ORANGE COUNTY
My Comm. Exp. November 4, 2021
0 Liberty
Mutual.
SURETY
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company
West American Insurance Company
POWER OF ATTORNEY
Certificate No: 8201903-969577
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the Stale of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the 'Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Britton Christiansen; Myma Smith; Philip E. Vega; Kevin E. Vega
„r �.vPma srmew �auromm eacn momoualry lr mere De more man one named, its true and lawful attomey-in-fact to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 15th day of August , 2019 .
Liberty Mutual Insurance Company
CD
P\'tY INdp,Qd Wsug4The Ohio Casualty Insurance Company
PJ��ePOggJQfyn�P e,.Po�r�yoWest American Insurance Company
tl20 1919 ns 1991Z:M gm �,as• P d$ y,o o'R aNPS`�a r q mmnx d a B
1 + F M + ti
David M. Carev. Assistant Secretary
State of PENNSYLVANIA
County of MONTGOMERY ss
On this 15th day of August , 2019 before me personalty appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
Sp PAST
4. ONw P COMMONWEALTN OF PENNSVLVANIA
��QUt� E9ry`y Norerlal creel � // ,
OF Tereae Pestella, Notary PUMIc /J/�(�L-L�(A� J
Upper Meson Twp., Montgomery County By:
My Commission Exprms Me h 2a, 2021 Terms Pastella, Notary Public
Memfrer, venneyNenle Ncsoelelion of Nolenee
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV— OFFICERS: Section 12. Power of Attomey.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorneyJn-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII — Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation —The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, We and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 27TH day of JANUARY , 2021 .
(9(0(9
V INSUP \NSUsPoggr� y��P2onPoq,f �y0ir,19191991'pgMPe`c yDrs MOITNP da';ByRenee C. Llewellyn, Assistant Secretary
r F� '�M x ha
WS-12873 LMIC OCIC WAIC Multi Co Oa2016
ALL-PURPOSECALIFORNIA • •
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
JAN 2 7 021
On before me,
Date
personally appeared Philip E. Vegt
Monica Blaisdell, Notary Public
Here Insert Name and Title of the Officer
who proved to me on the basis of satisfactory evidence to be the person(.W whose name(j) is/
subscribed to the within instrument and acknowledged to me that he/xMIAIXO�Xexecuted the same in
his/bi6ftt&Pdr authorized capacityoW and that by his~DtAfticsignature(g) on the instrument the person(}),
or the entity upon behalf of which the person(s) acted, executed the instrument.
i 1�1M�,017Q
COMM #2324250 n
w "a 7 My Notary Public- California
ORANGECOUNTY
's::(;1. ` My Commission Expires Mar.A 20N+
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 4L�
re of Notary Public
ISSUED IN THREE (3) ORIGINAL COUNTERPARTS BOND NUMBER 24244801
CITY OF SANTA ANA
BONDS
PROJECT NO.: 20-2708
PROJECT TITLE
KNOW ALL MEN BY THESE PRESENTS that Dzs corvrRAcroB, IN' en. DRRAMBwmERS COMPANY
as CONTRACTOR, and THE OHIO CASUALTY INSURANCE COMPANY
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, In the penal Sum Of ONE HUNDRED FOUR THOUSAND
NINE HUNDRED NO/10D Dollars
(S 10a,90D.00 1, which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
FEBRUARY 2ND, 2021 for ADAMS PARK RESTROOM RENOVATION
if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in
the performance of the Work of Improvement to be done under said Contract Agreement, or fails
to submit amounts due under the State Unemployment Insurance Act with respect to said labor,
SURETY will pay for the same in an amount not exceeding the sum set forth above, which
amount shall insure to the benefit of all persons entitled to file claims under the State Code of
Civil Procedures; provided that any alterations in the work to be done, materials to be famished,
or time for completion made pursuant to the terms of the contract documents shall not in any
way release either CONTRACTOR or SURETY, and notice of said alterations is hereby waived
by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
27TH dayof JANUARY _2021 .
CONTRACTOR' D2S CONTRACTOR, INC. doa DREAM BUILDERS, INC.
13825 ARTESIA BLVD.. CERRITOS, CA 90703 P)%2-926-1288
Subsc c nd swom to before me, M " . this 1q 4" day of
S 20]1,,.
Signature:
Notary Public in and for the County of Da-st h4,,e_, State of
Rate of premium on this bond is S NONE per tbousand.
Total amount of premium charge is S NONE - PREMIUM ' . To befrlled in by Surety
*Provide CONTRACTOR / ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
* INCLUDED IN PERFORMANCE BOND. Q—Ot MOON C. LEE
2 of 3 NOTARY PUBLIC • CALIFORNUICOMMISSION#2217240 E
ORANGE COUNTY
My Comm. Exp, November 4, 2021
This Power of Attorney limits the ads of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mutuzu® The Ohio Casualty Insurance Company Certificate No: 8201903-969577
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the Stale of Massachusetts, and West American Insurance Company is a corporation duly organized
under the laws of the State of Indiana (herein collectively called the "Companies'), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Britton Christiansen; Myrna Smith; Philip E. Vega; Kevin E. Vega
an V i Ulu dry rn wvinut wale M l ainorma eacn Inorviouany IT mere De more man one named, Its true and Iawtul attamey-In-fad to make,
execute, seal, acknowledge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, rerngnizances and other surety obligations, in pursuance
of those presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 15th day of August , 2019 .
Liberty Mutual Insurance Company
PV 1NSU/r� PVZY INs� d \NSUg9 The Ohio Casualty Insurance Company
West American Insurance Company
a�o197 �d$ i z�1919p 3o es 1991 a3 `� �^�yF/��� P
9CN°9 a O XgMP"� 17 r �Np N> /
n„da nn c— mei.t—r ca,..er,,.,
State of PENNSYLVANIA
County of MONTGOMERY as
On this 15th day of August , 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes
therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
9P PAST
N4' M,aNwF Pr COMMONWEALTH OF PENNBVLVgNV\ A
Notarial Seal
OF Teresa Pastella, Notary Public Upper MerlonTwp., Montgomery County By:
Y My Commission Expires March 28, 2021
T'oT tx"�Jp Member, Prmgy riaP ociracn a Noianae erase Pastella, Notary Public
ANy P�
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV- OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations, Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attamey-in-fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII- Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attorneys -in -fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attomeys-in-tact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation -The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attorneys -in -
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 27TH day of JANUARY , 2021 .
1NSU ZY INSU � \NSU
j�pavpRa��Ycm 4J�p0.Poxyr'Pg2n pP=oNPoay�y0
3 F 3 m p: eo to
�� 1912 d o Uo 1919 n E 1991 I1FyMPMl7/,t,lir/�y�
d'ejagcNuo L O� x„aps rib ry, hp�pNP da Renee C. Llewellyn, Assistant Secretary
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LMS-12873 LMIC OCIC WAIC Multi Co-052018
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE § 1189
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 P N 2 7 ?021
Date
personally appeared _
before me, Monica Blaisdell, Notary Public
Here Insert Name and Title of the Officer
of
who proved to me on the basis of satisfactory evidence to be the person(* whose name%) is/
subscribed to the within instrument and acknowledged to me that hehtb(bl/CbfAylcexecuted the same in
his/b(Xp(ttp* authorized capacity , and that by hisYfl6`IJ XNKsignature(&) on the instrument the person(R),
or the entity upon behalf of which the person(y) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
MONICA BLAISDE LL is true and correct.
i} "a COMM #2324250 m
w'-�1Notary Public - California y WITNESS my hand and official seal..
a Frt,��„, ORANGECOUNTY
,,,..a My(ammissianuplre M2c2420241
Signature
Sign'&fure of Notary Public
ISSUED IN THREE (3) ORIGINAL COUNTERPARTS BOND NUMBER 24244801
CITY OF SANTA ANA
BONDS
PROJECT NO.: 20-2708
PROJECT TITLE
WARRANTY PERFORMANCF, AND PAYMFNT BOND
(To be submitted upon project completion m a condition of project acceptance)
KNOW ALL MEN BY THESE PRESENTS that ms coerrancToa, NC. dm DREAM eoaoeas co.1AN1
as CONTRACTOR, and THE OHIO CASUALTY INSURANCE COMPANY
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and finely bound unto
the City of Santa Ana, as AGENCY, in the penal sum of TWENTY THOUSAND NINE HUNDRED
EIGHT N01100 Dollars
($ 20 seo 00 ), which is _ percent of the final contract amount for the above stated
project, for the payment ofwhich sum, CONTRACTOR and SURETY agree to be bound,jointly
and severally, Finely by these presents.
THE CONDITIONS OF THIS OBLIGATION AR E SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
FEBRUARY 2ND, 2021 for ADAMS PARK RESTROOM RENOVATION
if CONTRACTOR faithfully warrants the work done under said Contract Agreement against
material or quality defects for a period of one year after acceptance by the AGENCY, then this
obligation shall be null and void, otherwise it shall remain in full force and effect in favor of
AGENCY; provided that any alterations in the obligations or time for completion made pursuant
to the terms of the contract documents shall not in any way release either CONTRACTOR or
SURETY, and notice of such alterations is hereby waived by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
27TH dayof JANUARY 2021
CONTRACTOR* D2S CONTRACTOR, INC. daa DREAM BUILDERS COMPANY
13825 ARTESIA BLVD. CERRITOS CA 90703 M562-926-12138
OHIOCASUALTY
and swom to before me, Nl e o W L . Lao . this 2A +i day of
�+—v ��•
Signature:
i
Notary Public in and for the County of Q. o...�.e_ State of C-f I ;+Qk e.: a
Rate of premium on this bond is S NONE per thousand.
Total amount of premium charge is $ NONE - PREMIUM , To befrlled lot by Surely
*Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
INCLUDED IN PERFORMANCE BOND
10A
MOON C. LEE
NOTARY PUBLIC - CALIFORNIA
COMMISSION # 22172403 of3 ORANGE COUNTY
My Comm. Exp. November 4, 2021
This Power of Attorney limits the acts of those named herein, and they have no authority to
bind the Company except in the manner and to the extent herein stated.
Liberty Liberty Mutual Insurance Company
Mu-tuilm The Ohio Casualty Insurance Company Certificate No: 8201903-969577
SURETY West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a Corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly Organized
under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute and appoint,
Britton Christiansen; Myma Smith; Philip E. Vega; Kevin E. Vega
all of the city of Covina state of California each individually if there be more than one named, its true and lawful aflamey-in-fact to make,
execute, seal, acknowledge and deliver, for and Wits behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance
of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper
persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 15th day of August , 2019 .
Liberty Mutual Insurance Company
ED
atY iNS�q \NsugqThe Ohio Casualty Insurance Company
°°p°O"^rFo Yn�+ 24°pPO�pF yC+West American Insurance Company
0 1919 „s 1991 �20� aapa3oas ° d� 41 hqM° a Y Q'e1pN a
n„da nn c—„ e«i.r,nr ee,..er—
of MONTGOMERY ss
On this 15th day of August , 2019 before me personally appeared David M. Carey, who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance
Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes)
therein Contained by signing on behalf of the corporations by himself as a duly authorized officer.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at King of Prussia, Pennsylvania, on the day and year first above written.
9P PAST
QQ. N,°NWp F� COMMONWEALTH OF PENNSYLVANIA /I
Notarial SealTecat
OF rNati n Twp.ia,Notary Public
Upper Marion n Ex Montgomery County By: Car
My Commission Expires MemM1 Ea, 2021 eresa Pastella, Notary Public
�4RYP� Member, wrvmenas
This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual
Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV —OFFICERS: Section 12. Power of Attorney.
Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the
President may prescribe, shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety
any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys -in -fact, subject to the limitations set forth in their respective powers of attorney, shall
have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such
instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney -in -fact under the
provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority.
ARTICLE XIII— Execution of Contracts: Section 5. Surety Bonds and Undertakings.
Any officer of the Company authorized for that purpose in writing by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe,
shall appoint such attomeys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings,
bonds, recognizances and other surety obligations. Such attorneys -in -fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if
signed by the president and attested by the secretary.
Certificate of Designation — The President of the Company, acting pursuant to the Bylaws of the Company, authorizes David M. Carey, Assistant Secretary to appoint such attomeys-in-
fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations.
Authorization — By unanimous consent of the Companys Board of Directors, the Company Consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company, wherever appealing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 27TH day of JANUARY , 2021
PV 1NSU� F\'tY IN3U N \NSU/rq
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Yd 9Se5CHU5w� a =0 a2MgM°5`n? a3 Ys rN°InN° aaY By: Renee C. Llewellyn, Assistant
'saiy � pe>d dxr.1 * t,Nd ''M x FN Y � Secretary
LMS-12873 LMIC OCIC WAIC Multi C° 062018
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § I IF"
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 )
Monica Blaisdell Notary Public
On JAN 2 7 2021 before me, � ,
Date Here Insert Name and Title of the Officer
personally appeared Philip E. Vega
Name)LOI Signer(
who proved to me on the basis of satisfactory evidence to be the person( whose name(g) is/>
subscribed to the within instrument and acknowledged to me that he/xD[Cexecuted the same in
his/kootbt k authorized'capacity"K and that by hisYfWX Csignaturo) on the instrument the persoh1k),
or the entity upon behalf of which the person(* acted, executed the instrument.
«» I certify under PENALTY OF PERJURY under the laws
MONICA BLAISDELL� of the State of California that the foregoing paragraph
COMM g2324?50 m
W i NotaryPubl,c- California+ is true and correct.
M C�msao Exp reds Mv.2fi 2a24 a WITNESS my hand and official seal.
Signature &�
ignature of Notary Public
Project Number Project No. 20-2708: Adams Park Restroom
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
CONTRACT CHANGE ORDER
Change Order Number 1
To Dream Builders Company 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
EXTRA WORK AT AGREED UNIT PRICE
PUBLIC WORKS AGENCY
1. Add Bid Item #3 per PCO #01, Bid Item #4 per PCO #02, Bid Item #5 per PCO #04, and Bid Item #6
per PCO #05.
Estimated Estimated
Quantitv Unit Unit Price Amount
3 Light Fixture
7
EA
4 CMU Wall
15
LF
5 Door, Frame, & Hardware
3
EA
6 PCC Walkway
350
SF
EXTRA WORK AT AGREED PRICE
2. Wood repair per PCO #06.
$380.00
$2,300.00
$13.40
$5,700.00
$6,900.00
$4,690.00
ESTIMATED TOTAL: $23,240.00
AGREED PRICE: $1,760.00
Page 1 of 2
411
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
CONTRACT CHANGE ORDER
Project Number Project No. 20-2708: Adams Park Restroom Change Order Number 1
To Dream Builders Company 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
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 COST THIS CHANGE ORDER: DECREASE $
INCREASE $ 25,000.00
By reason of this order the CONTRACT TIME completion will be adjusted as follows: Thirty -Five (35) 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 7/9/2021
By
Contractor Dream Builders Company
Title Project Manager
Approval recommended by M i Date
P UTIVE DIRECTOR
BLIC WORKS AGENCY EXEC
Approved by Date
CITYMANAGER
Page 2 of 2
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