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STEPHEN DORECK EQUIPMENT RENTALS, INC
Recording Requested By, And When Recorded Mail To: City of Santa Ana,Public Works Agency M22 Recorded in Official Records, Orange County 20 Civic Center Plaza,P.O.Box 1988 Hugh Nguyen, Clerk-Recorder Santa Ana,CA 92702 Ill1I I 111ii II '{l I I II II'I II II IIIIilliNO F E E * $ R 0 D 1 4 2 9 9 Q 1 4 $ * 2023000084593 9:14 am 04113/23 9 414A N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana, California, 92701, is the owner of the property hereinafter described, that said owner has caused construction of Grovemont Street Water Main Improvements under contract entered into Uon November 16, 2021 , with Stephen Doreck Equipment Rentals Inc. , on which contract North American Specialty Insurance Company CoMpany is surety. The property on wo which such work improvement was placed is in the City of Santa Ana, County of Orange, State o of California, and described as Project No. 21-6466 located at: various z w =� A locations—. The work improvement on said property was accepted as completed on February w 2023. Lo CITY OF SANTA ANA,A MUNICIPAL CORPORATION N z a By C Dated: 'I' �! Principal Civil En eer--Jason Gabriel w a TITLE ------------------------------------------------------------------------------------------- Kk` VERIFICATION I, the undersigned, say- I am the City Engineer — Rudy Rosas of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof-, and I declare under penalty of perjury that the facts therein stated are true. Executed on `!/P) Z.-f T 2 7i , at Santa Ana, California Ci Engineer—Rudy Rosas THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION INSURANCE NOT REQUIRED WORK MAY PROCEED CLERK OF COUNCIL. DATE: DEC CITY OF SANTA ANA 2 0 2 2021 CONSTRUCTION CONTRACT (wtwer CASd ktv)fft PROJECT 21-6466 GROVEMONT STREET WATERMAIN IMPROVEMENTS This CONSTRUCTION CONTRACT' made and entered into this 16s day of November, 2021 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and Jaws of the State of California (hereinafter "CITY" ), and Stephen Doreck Equipment Rentals, Inc. (hereinafter "CONTRACTOR"). WITNESSETH� The CITY and the- CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: I . 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 Orovemont street water main improvements (hereinafter referred to as the "WORI{ 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 foliowitig; • 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 Million Two Hundred Sixty Five Thousand Four Hundred Sixty -Five Dollars and No Cents ($1,265,465.00), asset 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. ray. 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 timeftame 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 maybe found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.Xdf 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 perforntanoe or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, ofthe 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 he 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: �y •SY GOMEZi ID lerk of the Council City Manager APPROVED AS TO CITY OF SANTA ANA SONIA R. CARVALHO City Attorney By- JOHN FUNK Assistant City Attorney RECOMMENDED FOR APPROVAL: NABIL SABA, PE Executive Director Public Works Agency CONTRACTOR: Stephen DoreckEc NAME: Moto Viotm TITLE: VIC,e, ppes ,j Rentals Inc. Page 3 of 3 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 OROVEMONT STREET WATER MAIN IMPROVEMENTS DID PROPOSAL, TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Stephen Doreck REQUIREMENT: ►ment Rentals, Inc. The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Mobilization & Demobilization (No 1 LS $ $ more than 5% of total bid) /_*1 `, (yt JJ aIJU 3 2 12,DR14AWWAC900P.V.0 40 LF $ $ e Water Main I 3q.ob t �V 3 8" Class 305 AW WA C900 P.V.G, 3580 LF $ $ Water Man +3a.of) I iJ 4na S*60 4 Construct 1" Water Service per City Sid, Plan 1401 85 EA $ ` ��� $ 1 5 E7 Gate Valve per City Std. Plan 1 EA $ $ 1410 3,00.00 3 $Moe 6 8" Gate Valve per City Std. Plan 1410 ry EA $e 111 0. ®0 $- 7 Fie Hydrant Assembly per City Std. Plan 1405 - 12 EA $ 101 W ID0 7 8 Adjust Manhole Frame and Cover 13 EA $ to Finished Grade �f 9 Adjust Water Valve Frame and g EA $ $1' Cover to Finished Grade 100.60 10 1'Air Vacuum andReleaseValve per City 1145 1 EA $ / f s/j 00 v. 6,'1 J w .7/) 11 Asphalt Rubber Hot Mix ARHM 1350 TN $ 12 AC Trench Pavement (T=S")* 850 TN $ 10-00 37 700. 13 told Milt(T=1.5")* 143504 SF $ $ j 9 d7 76V P-1 ofP-18 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS Item Description Qty Unit Unit Price Amount 14 PCC Cross -Gutter Replacement 1300 SF $ $ mso a5,3so.a 15 CCTV Inspection ofExisfng Sewer 3300 LF $ $ Mains � . 0 +�t 'J 100.11 16 CCTV Inspection of Existing Sewer 83 EA $ $1 Laterals la1.DQ �P lvS 17 Vertical Offset (As -Needed) 5 EA $ $ aX00,0o p1s,00a 18 ]'otholing(As Needed) 10 EA $ $; 5:500.00 :5Ob. 19 Additional Trenching Costs to 90 LF $ $ Install Water Pipeline 16" - 60" Deeper (Total 72" to 96" cover) (ry , Q o (As -Needed) 90600 20 Striping and Pavement Markings 1 LS $ $ syS'q. syso. 21 Traffic Control and Traffic Control 1 LS $ $ Plan `7,XP0 22 As-Builts Plans I LS $ �,50p,00 $�,S"Oo. to 23 Construction Pennit 1 LS $15,000 $15,000 P-2 of P-18 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS Bid Items 1— 23 TOTAL BASE BID $ The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base laid, and any, all, or none of the add -alternate bid items (if any). The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. i This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within Ninety (90) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $1,500 per calendar day. Name of F Signature Title Pablo Viramontes / Vice President (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) P-3 of P-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On September 28, 2021 before me, ___Sylvia Sifuentes (Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(j) whose name(A) is/ subscribed to the within instrument and acknowledged to me that he/$#y/** executed the same in his fty/)!fir authorized capacity("), and that by his/ot/their signature(j) on the instrument the person(j), or the entity upon behalf of which the person(*) acted, executed the instrument. 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. SYL��FUrNTES Signature Notary public -C'Iff fa ' (Seal) Los Angeles count Sylvia e5 (Notary Public) My Comm1EXVreso tB io22 a CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS BIDDER'S STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council; endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his/her duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she will furnish AGENCY all required bonds and certificate of liability insurance within ten (to) business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. The BIDDER also certifies that the bid is a balanced bid. In accordance with Section 7028.15 of the California Business and Professions Code, the undersigned certifies under penalty of perjury that the foregoing is true and correct. Name of Firm Stephen Dore EquiprneV R tals; Inc. Signature of BIDDERTitle Pablo Pablo Viralmontes / Vice President Of 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.) P-4 of P-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On _September 28, 2021 before me, _ Sylvia Sifuentes (Notary Public) (insert name and title of the officer) Personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(a) whose name(a) fs/ft subscribed to the within instrument and acknowledged to me that he/01/ 1#* executed the same in his#j#f/ft authorized capacity( ), and that by his/Itytfltheir signature(a) on the Instrument the person(q), or the entity upon behalf of which the person(o acted, executed the instrument. i certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal 1 Signature (Seat) Sylvia en' s (Notary Public) < SY411IA V. SIFUENTES $ 9 Notary Public. California Los Angeles county Commission 4 2251 18 My{omm. ExplresAct 8, 2a22 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET 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 of Industrial Relations (DIR), and that the following is true and correct. contractor's Name: Stephen Doreck Equipment Rentals, Inc. Business Address: 9075 Telegraph Road Pico Rivera, CA 90660 Business E-Mail Address: pablo@Cloreckconstruction.com Telephone: 562) 949-4949 State Contractor's License No. and Class: 665471-A License Expiration Date: 02/28/2022 State Dept. of Industrial Relations (DIR) Registration No.: 1000011335 State Dept. of Industrial Relations (DIR) Registration Expir4yi" Date,: _,,a , / 06/30/2023 Signed: "-- Title: Pablo Viramontes / Vice President P-5 of P-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On September 28, 2021 before me, —Sylvia Sifuentes (Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(j) whose name(A) is/jWfj subscribed to the within instrument and acknowledged to me that he/OY#/** executed the same in his/jftp/p)ry* authorized capacity("), and that by his11Mf/their signature(j) on the instrument the person(j), or the entity upon behalf of which the person(j) acted, executed the instrument, I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Sylvia nt (No ary Public) SYLVIA V. SIFUENTES NotaryLos Angeles CountyT + Commission k 2257816 My Comm. Expires Oct 8, 2022 11 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq, ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws, City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon rcquest and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials„ officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct. Name of Firm Signature of BI; Title Pablo Viramontes / Vice President (if an individual, so state) P-6 of P-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verges only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of _ Los Angeles } On :September 28, 2021 before me,. Sylvia Sifuentes (Notary Public) (insert name and title of the officer) personally appeared _Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(#) whose name(p) isiffp# subscribed to the within instrument and acknowledged to me that he/oW#/** executed the same in his#j#f/#* authorized capacity("), and that by his/W/their signature(:) on the instrument the person(#), or the entity upon behalf of which the person(q) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Sylvi ue tes (Notary Public) SYLYIAY. SIFUENTES NO Pubslc - California ot Los Angeles County £ Commission # 2257818 My. Comm. Expires Od 8, 2022 y CITY OF SANTA ANA PROPOSAL PROJECT NO,:-21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA ) Pablo Viramontes being duty sworn, deposes and says; ❑INDIVIDUAL That lie/she is the party making The foregoing proposal: ❑PARTNERSIIIP That he/she is amember of the co -partnership firm designated as: andwho has been and is duly vested with the authority to make and execute instruments for the co -partnership by; who constitute the other membersof the co -partnership. OCORPORATION That he is of Stephen Doreck Equipment Rentals, Inc. Vice Prest n 0 JOINT VENTURE That he isof one of the parties making the foregoing proposal as a joint venhue, and the he/she has been and isduly vested with the authority to executeinstruments for an on behalf of the parties making said bid who ate: 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 propose" n et, for hi if or any other person. Pablo Viramontes / Vice President Subscribed and sworn to before me this 28th day of September 2021 Signatu0e f of i er Administering Oath (Notary Public) Sylvia Sifuentes / Notary Public P-7 ofP-18 notary public or other officer completing this rtificate verifies only the identity of the individue io signed the document to which this certificate attached, and not the truthfulness, accuracy, or lidity of that document. State of California County of Los AnCieles Subscribed and sworn to (or affirmed) before me on this zstn day of September , 2021 , by Pablo Viramontes proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Q 5yL41A y. SIFENTES NogaryPublic-California Los Angeles County € Commission k 2257818 MY Comm. Expires Oct 8, Z022 (Seal) Signature SylviaWIlaWP—MIC Bond No. CSBA-18800 CITY OF SANTA ANA PROPOSAL PROJECTNO.: ZI-6466 GROVEMONT STREI3T WATER MAIN IMPROVEMENTS aW BOND KNOW ALL PRESENT that Stephen Doreck Equipment Rentals Inc. as BIDDER, and North American Specialty Insurance Company as SURETX, are held and firmly bound unto the GTTX OF SATyTA ANA, as AGENCY,; in the penal Sum of, Ten Percent of the Amount Bid Dollars $10% a — ( 1, which is ten percent (1Q/0) Oftho total amount bid by BIDDER 10 AGENCY for the above --stated proj.eet, for the payment of Which sum, B110DER and SURETY agree to be bound, jointly and presents. severally", firmly by these - ME CONDITIONS OF 1141S OBLIGATION ARE SLiCf-1 that, whereas BIDDER is about to submit a. bid to AGENCY' for the above -stated Prgject if said bid,is rejected, or if said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and time sPeclfted, then this obliRatioq stiall be ntiU and f%void, otherwise It shall remain in tall force anandect ri favfir of AGENCY.. fN WITNESS WR800F the,partles hereto have sat their names, titles, hands, and seal this 27th. day of September- 2t)2t, BIDDERS 9075 Telegraph Road = Ste ` "'' o ck E ui t Rentals, Inc, Pico Rivera, CA 90660, (662) 949-4949 SURETY* f t - Vi ft re5 777 S Figueroa Street, Suite 3700 North American Specialty Insurance Company Los Angeles, CA 90017, (714) 55077799 Dwight Relliy, Attorney -in -Fact 1411 N. Batavia St., Suite 201, Orange, CA 92867, (714j 515-1232 Sttb°cribed.atld sWeNn to before mG this day of zo "N St naYre' �;Nocary Public in and for the County of State of * I awide BIDDER/ SURETY name, adch�ess, and telephone numbee and the fiiame, ride, address, and telephone non ber of authorized repteW.t4tive, P`8 ofP,i 8 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of __ Los Angeles On September 28, 2021 before me, __._Sylvia Sifuentes Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved tome on the basis of satisfactory evidence to be the person(#) whose name($) islftgo subscribed to the within instrument and acknowledged to me that helQle'IttW executed the same in his//fpfl"t authorized capacity("), and that by his/op/their signature(a) on the instrument the person(a), or the entity upon behalf of which the person(q) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Sylvia Wi u tes (Notary Public) SYLVIA V. SIFUENTES ,._ Notary public - California m LOS An eles 4 County Cam m%sSion ,4 2Z57813 MY Comm. Expires Oct8, 2022 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On 9/2712021 before me, Melissa Ann Vaccaro, Notary Public (insert name and title of the officer) personally appeared Dwight Reilly , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. =-Nolary VAccANO 2A1394 241394 &�'"OP0 00UNTY� �s Mny i2, 2022 Signature\ (Seal) Melissa Ann Vaccaro SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY Bond No..CSBA-18800 WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company, a corporation duly organized: and existing under laws of the State of New Hampshire, and having its principal office in the City of Kansas City, Missouri and Washington International Insurance Company a corporation organized mid existing under the haws of the State of New Hampshire and having its principal office in the City of Kansas City, Missouri, and Westport lnsurance Corporation, organized under the laws of the State of Missouri, mid having its principal office in the City of Kansas City, Missouri does hereby make, constitute. and appoint: DANIEL HUCKABAY, ARTURO AYALA, DWIGHT REILLY, SHAUNNA ROZELLE OSTROM, FRANK MORONES Its free and lawful Attorney(s)-in-Fact,to make, execute, seal anddeliver,, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise; provided that no bond or undertaking or contract or suretyship executed under this authority: shall exceed the anoint of: ONE HUNDRED TWENTY FIVE. MILLION ($125,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimileunder mid by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24, 2000 and. Westport Insurance Corporation by written consent of its Executive Committee. dated July 1.8, 2011. "RESOLVED, that any two of the President, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby isauthorizedto execute a. Power of Attorney qualifying the attorney named in the. given Power of Attorney to execute on behalf ofthe Company bonds, undertakings and all contracts of surety, and drat each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of -the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimilesignatures or facsimile sealshall be binding upon the Company when so affixed and in the future with regard to any bond„ undertaking or contract of surety to which itis attached." i.Q QQ .'pPelrl WGl�`CY nRI�,cY BY d'P. Q' �'✓;j x2v'l S+L.O` at9ven n eraon, or a res �mn erva mursace CnmPeny �� �l�� 1 :SEAL n= _ O m &Senior Vlee PreaWe,19fn91M1A 9r1 aPtciely L,eurante C9mPanY vG/W fg ee,� 2 073 - — &aenioeVite Prerlaento portr anteC9rPOM1t Si t!AN... o JJj 9jH/hvONI11111tivi\`\"`a r� Mike A.no, sonar Vkz Prcritlent orWnshingfon rntenul,onal lnsumnrnCompvry i &seeniu: Vi a Peeiami 9fwc At1 mca a, C.d WnrmceCninnnnY ryA ryorc IN WITNESS WHEREOF, North American Specialty Insurance Company, Washington International Insurance Cult,. "ny and Westport Insurance Corporation havecaused their official seals to be hereunto affixed, and these presents to be signed by their sudamized oft% ens fh s this 14TH .day of JANUARY 20. 19 - -... North American Specialty Insurance Company .. Washington International Insurance Company State of Illinois Westport Insurance Corporation a• '' County of Cook as: ` On this 14THday of JANUARY , 20_19, before me, a Notary Public personally appeared Steven P, Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President ofNorth American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation, personally known to me, who being by me duly swom, acknowledged that they signedthe above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act anddeed of their respective companies. .xENnY ? ) ,[2-0- ublio 41aanf Al mS tun Cw}n azort`•p,aY M. Kenny, Notary Public t 1, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company, Washington. International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is atrue and correct. copy of a Power of Attorney given by said North American Specialty Insurance Company, Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand aid affixed the, seals of the Companies this 27th day of September , 20 21 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS LIST OF SUB -CONTRACTORS Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: o Streets, highways including bridge projects: V2% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: V2% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name All fttrtw In &01w J License #/Exp. W-07012 W' ill DIR Reg: #/Exp. 100000 i Location Phone t Q$7'131a DO Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name ©,a License #/Exp. DIR Reg. #/Exp. Location Phone 7)"1 Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Signature of Bidder Pablo Viramontes / Vice President P-9 of P-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or Validity of that document, State of California County of Los Angeles On September 28 2021 before me, ___Sylvia Sifuentes (Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(j) whose name(A) is/ subscribed to the within instrument and acknowledged to me that he/sffk`/tmexecuted the same in his/pfff/)!W authorized capacity(ft, and that by hislor/their signature(j) on the instrument the person(4), or the entity upon behalf of which the persorl acted, executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Sylvia ifue es (Notary Public) /R A SYLVIA V, $IFUENTES Notary Public • California y Los Angeles County Comm7ssion X 2257818 My Comm. Exptres Oct 8, 2022 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER has performed similar work within the past three years. 1, City of Whittier 13230 Penn Street, Whittier, CA 90602 Name and Telephone Number of person familiar with project. $990;245.00 Water Main Replacement 3/1/2020 Contract Amount Type of Work Date Completed 2. City of Lomita 24300 Narbonne Ave., Lomita, CA 90717 and Address of owner. Name and Telephone Number of person familiar with project. 11,447,508A0 Water Main Replacement 05/31/2019 Contract Amount Type of Work Date Completed s City of Covina 125 E. College Street, Covina, CA 91723 of owner. Name and Telephone Number of person familiar with project. $2,603,255.00 Water Main Replacement 3/1/2020 Contract Amount Type of Work Date Completed. The following are the names, addresses, and telephone nulnbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Commercial surety Bond Agency 1411 N. Batavia Street Suite 201, Orange, CA 92867 Daniel liuckahay 714) 516-1232 Wright, Finnegan & Carer Ins 22800 Savi Ranch Pkwy Suite 0 202, Yorba Linda, CA.92887 John Carter 7m) 616-1232 P-10 of P-18 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. City of Alhambra 111 South First Street, Alhambra, CA 91801 Name and Addre sot' wrier. DENNIS AHM (626) 570-3274 Name and Telephone Number of person familiar with project. $1,357,282.50 Water Main Replacement 7/112017 Contract Amount Type of Work Date Completed 2. City of Anaheim 200 S. Anaheim Blvd, Anaheim, CA Name and Address of owner. Name and Telephone Number of person familiar with project. $1,070,615.00 Water Main Replacement-302021 Contract Amount Type of Work Date Completed s City of Glendora 116 E. Foothill Blvd., Glendora, CA 91741 Name and Address of owner, Name and Telephone Nun $961,080.00 Contract Amount Water Main Improvements 5/7/2020 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. .:Commercial Surety Bond Agency 1411 N, Batavia Street suite 201, Orange, CA 92807 Daniel HuCkabay 714) 515d232 Wdght, Finnegan & Carter Ins 22800 Savi Ranch Pkwy Suite # 202, Yorba Linda, CA 02887 John Carter 714) 516-1232 P-1 I of P.18 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any The to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid; Note-: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prose o . Signed Pablo Viramontes / Vice President State of California County of Los Anrleles Subscribed and sworn to (or affirmed) before me on this 28th day of ,September 2011 by Pablo Viramontes proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me otary ul lic ki ire Notary Public Seal Sylvia Sifuentes I Notary Public P-12 ofP-18 notary public or other officer completing this T irtificate verifies only the identity of the individual io signed the document to which this certificate attached, and not the truthfulness, accuracy, or ilidity of that document. State of California County of Los Angeles Subscribed and sworn to (or affirmed) before me on this 28th day of Sep ember.___, 2021 , by Pablo Viramontes proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. SYLVIA Y, SIFIIENTES Notary Public - California Los Angeles County commission #2257848 Mg Comm, Expires Oct 6, 2022 (Seal) Signature _ Sylvia tes otary Public CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21.-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin, Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer recruitment or recruitment advertising; layoff or termination, rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-13 ofP-18 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Slats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violatgg this Section is subject to all the penalties imposed for a violation Sighed "Title: Firm: Date: Pablo Viramontes / Vice President Stephen Doreck Equipment Rentals, Inc. 09/28/2021 P-14 of P•18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On September 28 2021 before me, _ Sylvia Sifuentes (Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(*) whose name(A) is/ lilim subscribed to the within instrument and acknowledged to me that he1$,f /flh y executed the same in hisl#N/kW authorized capacity(MV), and that by his/N,Htheir signature(o) on the instrument the person(#I), or the entity upon behalf of which the person(*) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) Sylvia a es (Notary Public) SYLVIA 4. SIFNENPES z Notary Public ' Caliromia Lamusl.,es county g My COMM. Expi es Oct �8,2022 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS STATEMENT REGARDING APPRENTICESHIP REpUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall: 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay_a like atno t e Ca ' r ' AP `reship Council. grie Title: Pablo Viramontes / Vice President Firm: Stephen Doreck Equipment Rentals Inc. Date: 09/28/2021 P-15 ofP-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles } On September 28, 2021 before me, Sylvia "Sifuentes (Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(j) whose name(p) is/IW# subscribed to the within instrument and acknowledged to me that he/C#/W I executed the same in his/JIpIr/ir authorized capacity(jW), and that by his/"ir/their signature(q) on the instrument the person(#), or the entity upon behalf of which the person(j) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (seal) Sylvia ' n s (Notary Public) SYLVIA V. SIFUENTES = Notary Los Angeles County > Commhslun # 2257818 My Comm.. Expires Oct 8, 2022 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS STATEMENT REGARDING "ANTI -KICKBACK" REQUIREMENTS The undersigned is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the Copeland "Anti -Kickback" Act (18 USC 74) as supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or subcontractor shall be prohibited from inducing, by any means, any person employed in the construction or repair of ublic work, to give up any part of the compensation to which he/she is othe 'se entitled. Sigtied: Title: Pablo Viramontes / Vice President Firm: Stephen Doreck Equipment Rentals, Inc. Date: 09/28/2021 P-16 ofP-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On September 28, 2021 before me, Sylvia Sifuentes (Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(O whose name(A) is/ subscribed to the within instrument and acknowledged to me that hel00tVW executed the same in his/)Igfftt authorized capacityo "), and that by hisdlfr/their signature(g) on the instrument the person(d), or the entity upon behalf of which the person(4) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. III A V. SIFUENTE Notary P. -California WITNESS my hand and official seal. u asangele County : Commission R 2257818 hiy tomm. Expires Oct 8,.2022 Signature (Seal) Sylvia . e es (Notary Public) CITY OF SANTA ANA PROPOSAL PROJECT NO,: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER sliall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes No X If the answer is yes, explain the circumstances in the following space P-17 of P-18 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6466 GROVEMONT STREET WATER MAIN IMPROVEMENTS STATEMENT REGARDING COMMUNITY WORKFORCE AGREEMENT (CWA) REQUIREMENTS This is to certify that the undersigned BIDDER, and subcontractors, have read and understood the CWA entered into by and between the City of Santa Ana, the Los Angeles/Orange Counties Building and Construction Trades Council, and the signatory Craft Councils and Local Unions, effective as of September 1, 2017. The CWA is available at: bM://www.santa-ana org/pwa /documents/CWA.pdf The undersigned BIDDER hereby agrees to comply with all terms and conditions of the CWA, and is capable of completing construction of the project continuously, and without interruptions or delays. If awarded any work covered by the CWA, BIDDER will also be required to sign the Letter of Assent that appears as Attachment A to the CWA. The undersigned BIDDER has reviewed the Public Works Construction Permit and required deposit described in 2-2a and e Notice of Inviting Bids. :Signed: Zti on Title: Pablo Viramontes / Vice President Firm: Stephen Doreck Equipment Rentals, Inc. Date: 09/28/2021 P-18 ofP-18 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles On September 28, 2021 before me, _ Sylvia Sifuentes (Notary Public) (insert name and title of the officer) personally appeared Pablo Viramontes who proved to me on the basis of satisfactory evidence to be the person(j) whose name(g) isle subscribed to the within instrument and acknowledged to me that helft/** executed the same in hisftf/j"t authorized capacity(##), and that by hisA0#1/their signature(s) on the instrument the person(4), or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing Paragraph is true and correct. WITNESS my hand and official seal'. Signature (Seal) Sylvia S ent s (Notary Public) .. SYLVIAU. SIFUENTE; Notary Public-CaiiPornla ` Los eles County Cam issgan # 27578 S MYCOMM, Expires Oct 0, 2022,'b MAY 2. ! ZU21 ORANGE CO CLER-RE00RDER DEPARTMENT BY: -� DEPUTY MAYOR Vicente Sarmiento MAYOR PRO TEM David Penaloza COUNCIL MEMBERS Phil Bacerra Johnothan Ryan Hernandez Jessie Lopez Nellda Mendoza Thai Met Phan Recorded in Official Records, Orange County "iii i1 111111liiii�iiiiiTilliiiiJill TillJill NO FEE R 0 0 1 2 5 7 9 2 0$ 202185000399 9:51 am 05/27/21 414 Vitlndx Z01 0.00 60.00 0.00 0.00 0.00 0.00 OM 0.00 PUBLIC WORKS AGENCY 20 Civic Center Plaza (M-36) P.O. BOX 1908 . Santa Ana, California 92702 (714) 647-5690 - Fax (714) 047-5023 vMiw.santa-ana.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 Q Project Title: Grovemont Street Water Main Improvements l Project Numbor(s): 21-6466 Project Location; Grovemont St. from Tustin Ave. to Deodar St. ----City. __Szm Ana - unit'-:-07"angu"--ERNumber -- ER=2021z64-------Date ofApiproval: -05/2712021-- Project Description: Construction of approximately 3,450 linear feet of 12" PVC water main and all necessary appurtenani related to the new water facilities. r I Applicant Name: City of Santa Ana, Public Works Agency V) Applicant Address: 20 Civic Center Plaza M-36 cJ Santa Ana, CA 92702 t Name of Public Agency Approving Project:. City Council p Name of Agency Carrying Out Project: Public Works Agency l Exempt Status: ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) ❑ Emergency Project (Sec. 15269 (b through a)) ❑ General Rule (Sec. 15061(b)(3)1(5)) ❑ Statutory Exemption: * Categorical Exemption: 15301(b) Reason(s) Why Project Is Exempt From CEQA: 15301 (b) consists of repairlmaintenance of existing public facilities. City Contact: Rudy so Title: Principal Engineer Signature: - •= SANTAANA CITY COUNCIL MAY 2 7 2021. tlRAN0EC0 C RK-RECORDER DEPARTMENT BY:q.DEPUTY Telephone: (714) 647-3379 Dater Vincenle Sarmiento David Ponaloza The, Vial Phan Jessie Lopez Phil Dow,* Johnalhan Ryan Hernandez Nalda Mendoza Mayor Mayor Pro 'ram. ward 2 ward I Ward 3 Ward 4 Ward 5 Ward 6 warm enlo(?Jag na la-ane.ora d�esabza(osanla-ana.org t h (a, f- I - ,iQ I - nb hJ L ivanhemandez(psente-ens ore nmendozarmaaola-ena,oro The Orange County Boglster 1771 S. Lewis Street Anaheim, CA 92805 714-796.2209 5211379 CNSB / CNSB-ACCOMMODATIONS 915E1ST ST ORDER EXPEDITING LOSANGELES, CA 90012-4050 FILE NO. CNS-3507285 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, County of Orange I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or Interested in the above entitled matter. 1 am the principal clerk of The Orange County Register, a newspaper of general circulation, published in the city of Santa Ana, County of Orange, and which newspaper has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, under the date of November 19, 1905, Case No. A-21040, that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: 0910712021, 09108/2021 I certify for declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed at Anaheim, Orange County, California, on Date: September 08, 2021. Signature or PROOF OF PUBLICATION TO R A C - Is B Y Y:uu pm, )late bids accepted. w method submittal accepted For further lnfor- motion on how to register as a ven- dor with PB refer to: https://www.sani a - to an ❑ec- a urte- related to water to - possess a vatic California Class "A* or *C34- Con- tractor's license, All sub- contractors shall be properly li- censed for their respective trades. *In accordance with the Provi- sions of the Cali- fornia Labor Code, prevailing Wage' rates ap- ply. 917, WWI CNS-3507285# ORANGE COUNTY REGISTER Legal No. 0011485298 Illlllll�lllllllllllll�ll�ll�lllllllllnlllllllgll�hl��ll *a00000sazzsae* ,.LM.m,vio CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 21-6466: Grovemont Street Water Main Improvements Change Order Number 1 To Doreck Equipment Rentals 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 APPROVFn AY TUR Pl Y rni uiru no 1�1 Unless otherwise stated, rates for rental of equipment cover only such fime as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICE Change Order 1 — Line Item Quantity Unit Unit Price Total Amount Repair of existing culvert 1 LS $14,751.05 $14,751.05 Removal of concrete treated base 1 LS $66,183.43 $66,183.43 Installation of a temporaryhigh line 1 LS $29,325.00 $29,325.00 Installation of domestic restraints in lieu of imported 1 LS $2000.34 $2000.34 restraints TOTAL COST: $112 259 82 Page 1 of 2 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 21-6466: Grovemont Street Water Main Improvements Change Order Number 1 To _Doreck Equipment Rentals 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 EFFECTIVF IINTII Appenvr=n av TUG PITY Pn, "I'll na I'll I.......,-., Unless otherwise stated, rates for rental of equipment coveronly 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 $ 112,259.82 By reason of this order the CONTRACT TIME completion will be adjusted as follows: 89 additional 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 ! �,11 �'a. Contractor Doreck Equipment Rentals, Inc. By I V , �e Pres i� fi Approval recommended by,� AJ ut 4� G Date PUBLIC WORKS AGENCY EXECUTIVE DIRECTOR Approved by �� � Date CITYMANAGER Page 2 of 2