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HomeMy WebLinkAboutCJ CONCRETE CONSTRUCTION INC. Recording Requested By, Retarded in Official Records, Orange County And When Recorded Mail To: Hugh Nguyen, Clerk-Recorder City of Santa Ana,Public Works Agency M22 111i: 11111 1E1 ���l 11E 1111111�11111 111��fill El ��l ffl N® F E E 20 Civic Center Plaza,P.O.Box 1988 * g R 0 1 7 9 3 5 4 5 Santa Ana,CA 92702 202400003613012:41 pm 02120124 48 414A N 12 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 OMNIBUS CONCRETE REPAIRS under contract entered into on NOVEMBER 02, 2021, with Q CONCRETE CONSTRUCTION INC., on which contract MERCHANTS x BONDING COMPANY is surety. The property on which such work improvement was placed is oin the City of Santa Ana, County of Orange, State of California, and described as Project No. 22- c z 6970 located at: Various Locations. The work improvement on said property was accepted as a completed on FEBRUARY 20, 2024. az� a � CITY OF SANTA ANA, A MUNICIPAL CORPORATION O f By qz < Dated: �` / Principal Civil Engineer Sean Thomas �4 TITLE O Up ---------------------------------------------------W ------------- VERIFICATION I, the undersigned, say: I am the City Engineer — Rodolfo 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 E-F-IU74 A 9y 2 , ZO O , at Santa Ana,California City E ineer—Rodolfo Rosas THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION Exhibit 3 NSURANCE NOT ON FILE WORK MAY NOT PROCEED ,. CLERK OF COUNCIL DATE: 1A) CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJBCT 22.6970 OMNIBUS CONCRPTE RRPAiRS This CONSTRUCTION CONTRACT is made and entered into this 02 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 laws of the State of California (hereinafter "CITY"), and CJ Concrete Construction Inc, (heroinafter "CONTRACTOR'), WITNESSEM The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Omnibus Concrete Repairs (hereinafter referred to as the "WORT( OF IMPROVEMENT") identified in and in acoordance 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 mud 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 Contraot Documents, the precedence of documents shall be as established in the Standard Speolfleadons for Public Works Construction, 3. CITY agrees to pay and CONTRACTOR agrees to accept in flab payment to complete the WORT( OF IMPROVEMENT the sun total dtneunt not to exceed Three Hundred Sixty Thousand One Hundrod Rlighty-Three Dollar's and No Cents ($360,183.00), as sat forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A." The BID PROPOSAL oontaius 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. rw, a91o1n.aw Page I of 3 4. CONTRACTOR agrees to complete the WORT{ OF IMPROVEMENT within the (line specified in tite Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing constructionwitlrin the timeftamo therein specified attar issuance of a Notice to Proceed, 5, Tile 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 aeenkriee with applioable State and Federal law. 6, If applicable, the CONTRACTOR shall adhere to the C1TY'S Community Work(br'ce Agreement (CWA), a pea -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 dowribod in the CWA. The CWA may be found on the City's wobsite at; UP Santa-ann.arg/pw�d4411ll1en s Cad# 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one In the amount of One Hundred Percent (100%) of the Contract peloe, to guarantee the faithful por'fot'irance of the work (Per'fortnanoo Bond), and one in the amount. of One Hundred Percent (100%) of the Contract price to guarantee payment of all claims for labor amid Materials flarnished (Payment Bond), This Contract shall not become offective until such bonds are supplied to and approved by the CITY. 8, CONTRACTOR shall, prior to the release of the performanoe 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 Vivo Hundred Thousand Dollars ($500,000), the Warranty Bond amountshall be the groaterof Ton Thousand Dollars ($10,000) or 'Twenty Percent (20%) of the final contract price. For projeots above Five Hundred Thousand Dollar's ($500,000), the Warranty Bond amount shall be the greater of One Rundr'ed Thousand Dollars ($100,000) or Ton Percent (10%) of the final contract price, 9, CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insuranoo and Warkor's Compensation Insurance as outlined Indic General Provisions, to be approved by the CITY. 10. INDEMNIFICATION. To the hillost extent allowed by law, CONTRACTOR and mks Subcontractors hereby agroe to defend, indemnify, and hold harmless CITY, its City Coutioil, boards and commissions, officers, agents, employees, roproseatatives and volunteers (hereinafter collectively referred to as "Indomnitees"), through legal counsel acceptable to CITY, iron and against any liability, claims, actions, casts, damagas or losses, including reasonable oosts and attor'ney's fees, for igjury, including death to any person or damage to any property, arising directly or indireatly 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; (11) 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 nonperforinance 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 die Contract Documents shall be construed to give rise to any implied tight of indemnity in thvor of CONTRACTOR against CITY or any other Indenmitee. IN WITNESS WHBREOF, the parties hereto have executed this Construction Contract out the day and year first above written. ATTEST: APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By, JORN FUNK Assistant City Attorney FOR APPROVAL; NABIL SABA, PE Executive Director Public Works Agency CITY OF SANTA ANA I TINE RIDGE City Manager CONTRACTOR: CJ Concrete Construction Inc. :3c n C•sprr,u TITL ; pttisicrN— Page 3 of 3 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: CT CctiGrOc CcnSfYVc+lOii, lnL REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount I Remove and Construct PCC Curb Ramp 1,746 SF $ p O p a $ 1 60' (054 2 Remove and Construct 24,080 SF $ GO $ PCC Sidewalk (T=4') 9 g 101770' 3 Remove and Construct 823 LF $ oo I $ PCC Curb & Gutter (A-2- _S. ld y Qf' ' 4 Remove and Construct 18 LF $ �o $ PCC Rolled Curb & SQ ' .11700 Gutter (A-2-6) 5 Remove and Construct 6" 2,316 SF $ O $ PCC Driveway tl I 2 U, V 1 6 Construction Permit 1 LS $10,000 $ .a tol 000' TOTAL BASE BID s 3 LOO, The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any). * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual P-1 ofP-17 CITY OF SANTA ANA PROPOSAL PROTECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS 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. t This bid item is considered a Specialty Item per Section 2-12 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 number (80) 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 $1,000 per calendar day. Name of Firm C% C OP Signature of BIDDER /n6. Title /J�tcf/eve 17% (If an individual, go 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-2 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS 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 (10) business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. The BIDDER also certifies that the bid is a balanced bid. In accordance with Section 7028.15 of the California Business and Professions Code, the undersigned certifies under penalty of perjury that the foregoing is true and correct. Name of Firm CT C cn crc t Cens-f ry c r-n, /n L . Signature of BIDDER Title pf-ecfjd"mIL! (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 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS 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: C/ C m r rGTc C w7strooj on i/ n C Business Address: �Ul%-d ShVCQ'lC/%r Ave • S9irf-g �t y Spri�vr erJ 9av�e � Business E-Mail Address: 1'GIGn-v o kd G Telephone: ((5W) 77-7 • i 7,'a- State Contractor's License No. and Class: 79'0 R 8 cl f1- License Expiration Date: !!t /$tl / 7k State Dept. of Industrial Relations (DIR) Registration No.: l (JOGO C 2 /" State Dept. of Industrial Relations (DR) Registration Expiration Date: Signed: Title: Prc siG -m+ P-4 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct. Name of Firm C / Ir Inn crt Signature of BIDDER Title P/tcS)Cl (if an individual, so state) Inc. P-5 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA ) Oh n C • J C4 r/7 a , being duly sworn, deposes and says: ❑ INDIVIDUAL That he/eke is the party making the foregoing proposal: ❑ PARTNERSHIP That hcl"is a member of the co -partnership firm designated as: and who has been and is duty vested with the authority to make and execute instruments for the co -partnership by: who constitute the other members of the co -partnership. [J�CORPORAI'ION That prijident 0-f— CT CehCre tc Can S*rvo7Yc*7, /r, a corporation which is making the foregoing proposal: ❑ JOINT VENTURE That he is of one of the parties making the foregoing proposal as a joint venture, and the he/she has been and is duly vested with the authority to execute instruments for an on behalf of the parties making said hid who are: that such a bid is genuine and not collusive or sham, and has not in any inanner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for himself or any other person. Signattt(eof der Subscribed and sworn to before m this a �h q' day of cW h b*' 20 A" Signature of officer Administe ath (Notary Public) SANACHEL ANDREAJIMENEZ Notary Public - California Los Angeles County y Commission R 2305370 y Comm. Expires Sep 15, 20t3 - P-6 of P-17 CITY Or SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS LIST OF SUB -CONTRACTORS Section 4100 et, seq. of die 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: %% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %z% 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 Aldtk License #/Exp. DIR Reg. #/Exp. Location Phone Type Of Work _ Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # _ Location _ Phone Type Of Work Amount $ Sign •e of Bidder Name License #/Bxp. DIR Reg. #/Exp. Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp, License # _ Location _ Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # _ Location _ Phone Type Of Work Amount $ P-8 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS 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. 2. 3. epj-c sre Name and Address of Owner. Name and Telephone Number of person familiar with project. Contract Amount Name and Address of owner. Type of Work Name and Telephone Number of person familiar with project. Contract Amount Name and Address of owner. Type of Work Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed Date Completed 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. 1ta�-c s-re 441-0c-&ed P-9 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THRTT public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. 1. p 1 my - S 4-f— 2. 3. td Naine and Address of Owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed Name and Address of owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work and Address of owner, Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed 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. COa P-1.0 of P-17 C] Concrete Construction, Inca LETTER OF QUALIFICATION Confidential Company Information Corporate Office: 10142 ShoemakerAve. Santa Fe Springs, Ca. 90670 Phone: 662-777-2222 Contractors Class & License: A- 720989 (established 1093) exp. 4.30.2022 Cal. Resale 0: NONE Fed, ID Number: 95-4578126 State EIN#: 423.6338 D & B Number: NONE California Corporation #: 1770884 9-29-1995 NAICS 238910 DIR (PWCR) Public Work Reg# 1000002154 exp. 6-30-2022 Bonding Information Bonding Company: Contractors Bonding, Inc, Address: 7220 N. 16th Building K Phoenix, AT 85020 Contact: Jennifer Castillo Phone: (480) 878-4226 insurance Information Liability & Auto Insurance : Behr Insurance Services Workmans Compensation: Sirius America Insurance Company WC7398100 COMPLETED OR CURRENT PROJECTS Owner Class of Work/Description Data Completed CITY OF LONG BEACH Annual Maintenance Contract Keith Hoey Curb Gutter Sidewalks Driveways ADA Ramps 2/2019 to Current Senior Civil Engineer 333 W. Ocean Blvd. Lang Peach, Co. 90802 562-570-6586 CITY OF NORWALK Annual Maintenance Contract Damian Rosales Curb Gutter Sidewalks Driveways ADA Ramps 1/2019 to Current Special Projects Coordinator 12700 Norwalk Blvd. Nowalk CA 90650 562-929-5527 CITY OF BELLFLOWER Annual Maintenance Contract Philip Wang Curb Gutter Sidewalks Driveways ADA Ramps 10- 2018 to Current Assocaite Engineer L6600 Civic Center Dr. Bellflower, CA 90706 562-804-1424 CITY OF LAKEWOOD Annual Maintenance Contract Max Withrow Curb Gutter Sidewalks Driveways ADA Ramps 6-2010 to Current Senior Engineer 5050 Clark Ave. Lakewood, Ca. 90712 562-866-9771 CITY OF CERRITOS Annual Maintenance Contract Mary Anne Wozniak Curb Gutter Sidewalks Driveways ADA Ramps 6-2012 to Current Malntenanae Superintendent 16125 Bloomfield Ave. Cerritos, Ca. 90703 562-860,0311 CITY OF ORANGE Annual Maintenance Contract Salvador Munoz Curb Gutter Sidewalks Driveways ADA Ramps 3-2021 to 6-2021 Public Works 300 E. Chapman Ave. Grange, Ca. 92866 714-744-5541 CITY OF LA HABRA Annual Sidewalk 19.20 Project Raquel Garcia Curb Gutter Sidewalks Driveways ADA Ramps Jun-21 Assistant Civil Engineer 110 E. La Habra Blvd. W Habra CA 90631 562-383-4160 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS 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, cominunication, 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 fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed State of California County of / G,S lwlick65 Subscribed and sworn to (or affirmed) before me on this 215t- day of &C hQr�Or�, by tTc,hn e • Sarno proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me P— lt- i4� 4 r Notary Public Signatuo V Notary Public Seal RACHEL ANDREA JIMENEL Notary Public • California a o Los Angeles County 1 + Commission N 2305370 My Comm. Expires Sep 13. 2023 A P-11 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-12 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS 7. 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 riles, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1.420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: 1 Title: pr1r jj c/-C n f •— Firm: V CChcrtitL Cmit%Uctten, Inc' Date: cS(et Cp r a oth , ac7/ P-13 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall: Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or bade 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 fand or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council. Signed: q::Gt Title: FL-raiden— Firm: CT (Gncrt-,f'L C6n&tructiy'3inc Date: stun►% a�at� �a� P-14 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS STATEMENT REGARDING "ANTI -I ICKBACK' 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 constriction or repair of public work, to give up any part of the compensation to which he/she is otherwise entitled. Signed: `[ " j Title: Pas)ckrl-tL Firm: Cr C�C1%1,C i't4--C [ ct7dq G f Ja✓J r 1/7 L'. Date: P-15 ofP-17 CITY OF SANI'A ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS PUBLIC CONTRACT' CODE: SECTION 10162 QUESTIONNAIRE lit conformance with Public Contract Code Section 10162, the BIDD)R shall complete, under penalty of perjury, tine 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 reguI t' n? Yes No If the answer is yes, explain the circumstances in the following space. P-16 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS 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: http://www.santa-ana.org(pwa/doculiients/CWA.pdf The undersigned BIDDER hereby agrees to comply with all teens 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 Section 2-2a and the Notice of Inviting Bids. Signed: Title: Pry esid�� Firm: Cr Ccnc%r-� ce-ns-b-o tinn.1ty. Date: Mt l)?b cr goo, 26�1 P-17 ofP-17 CITY Or SANTA ANA PROPOSAL PROJECT NO.: 22-6970 OMNIBUS CONCRETE REPAIRS IQVOW ALL PRESENT that, CJ Concrete Construction, Inc. , as BIDDER, and Merchants on ing ompany u ua as SURETY, are held and firstly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of _ Ten Percent of Amount Bid Dollars ($ 10% ), which is ten percent (100/0) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and a contract is. awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in ftill force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 16th day of September , 20 21, BIDDER* CJ Concrete C SURETY* Merchants Inc. 10142 Shoemaker Ave, Santa Fe Springs, CA P.O. Box 14498, Des Moines, IA 50306 Subscribed and sworn to before me David J. McKee this 16th September , 20 21. Signatue " Notary Public in and or the County of Maricope State of Arizona day of Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. DAVID J. MCKEE Notary Publio, State of Arizona Marloopo County Commission # 600231 My Comml"I" Expires March 12, 2023 P-7 ofP-17 MERCHANTS BONDING COMPANY,, POWER OF ATTORNEY Know All Persons By These Presents, gist MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Componiee) do hereby make, conslilute and appoint, Individually, Chrystal Hedges; David J McKee; Jennifer Castillo; Joseph A Clarken III; Melanie Ankeney; Patrick R Hedges; Ted H Rarrick their true and lawful Attornoy(s)-In-Fact, to sign Its name as surely(les) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written Instruments In the nature thereof, on behalf of the Companies In (heir business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permuted in any actions or proceedings allowed by law, This Power -of -Attorney Is granted and is signed and seated by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding, Inc., on October 16, 2016. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice president shall have power and authority to appoint Attorneys -in -Fact, and to authorize them 10 execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings, recogrdzances, contracts of indemnity and otherwrltings obligatory In the nature thereof." 'The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Codification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company, and such signature and seal when so used shall have The same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, It is agreed that the power and out horily hereby given to the Attorneydn-Fact Includes any and all consents for the release of retained percentages andlor final estimates on engineering and construction corilmots required by The State of Florida Department of Transportation. It Is fully understood that consenting to the Stale of Florida Department of Transportation making payment of the final estimate to the Contractor and/or Its assignee, shall not relieve this surely company of any of Its obligations under Its bond. In connection with obligations In favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Atlorney4n-Fact cannot be modified or revoked unless prior written personal notice of such Intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification of revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 41h day of September , 2020 ''.............. •• • •. G n •,,• :°•+A'i'•P 0AL e0°• 'O�p\NPd O"'0q•. MERCHANTS BONDING COMPANY (MUTUAL) "a2 2(fo _p_ AAd' p:" � ;ZV4P o A9©.�� a MERCHANT NATIONAL BONDING, INC. p' 2003 :;+�:� :y 1933 :'c' By f%. .: �,. ��.act. °••. •'° °•,•+'iy fr �1 • President STATE OF IOWA COUNTY OF DALLAS as. On this 41h day of September 2020 , before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he Is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seats affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said Instrument was signed and sealed In behalf of the Companies by authority of their respective Boards of Directors. �L*IAIs POLLY MASON `� Commission Number750576 7 0vj- rasa" My Commission Expires O • yowP January 07, 2023 Norery Public (Expiratlon of notary's commission does not Invalidate this instrument) I, William Warner, Jr., Secretary of MERCHANTS BONDING COMPANY (MUTUAL) end MERCHANTS NATIONAL BONDING, INC., do hereby certgy that the above and foregoing is a true and coned copy of the POWER -OF -ATTORNEY executed by said Companies, which Is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 161h day of September , 2021 °r•pgV0ly.4 •. ; ' p1VVa tip •.• .. ..........�o• .0�.•�ji0 a'• / /i AyZG�A •9r•. off: aa.�0 9q:;.�,� ���x.� �.�„�r•e�i fr�a . 52 ,,, 1^;0: :Mid -o- r"•[ / . 2003 o cZje 1933 /C; Secretary POA 0018 (1/20) CALIFORNIA ACKNOWLEDGMENT CIVIL CODE § 1189 In:97(§ESd4f ,}h3:%5kit8T Ei$}.'l1:iHFAf�#FS�8h}�>Ei:PG, hZs�f9Fih`icE'i�;th4s@ 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 /Gs, IW�.t/-e,.S On s%P*-Mlati O"" hl2c9l before me, _j3!4j('hd fl ht://'rcf 6/jwl-ens, , Nyl�ir� b/,t Date Here Insert Name and Title of the Officer personally appeared ,hl) C+ .S Qrnc Names) of Signers) who proved to me on the basis of satisfactory evidence to be the person(sywhose name("Iare•subscribed to the within instrument and acknowledged to me that heMbeHhepexecuted the same in hisfl±er/thell authorized capacity#"), and that by his/heallaeic signature(s) on the Instrument the person(*, or the entity upon behalf of which the person(s) acted, executed the Instrument. HEL O RA Los Angeles AJIMENEZ ounty Notary PobliC • California Los Anteles County Commission N 2305170 �� "" My Comm, Expires Sep 15, 2021 Place Notary Seal and/or Stamp Above 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 add Signature of NotaryPut c Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached 0 Title or Type of Document: Signer(s) Other Than Named Above: night Capacity(les) Claimed Signer(s Opy arr/v Sign r'sName: DXorporate Officer — Title(s): _ I'CJ( -[ ❑ Partner— ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: 02019 National Notary Association Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: fltc9rrled faCC``tr official tticortfs nge Cowry .Nv li! �� — llli 1� rk ar�;o��I MOPE Av 185MOSU 117 pm MUD 4M 231 A 201 0.00 ¢0.00 0,00 0" OM am 0,00 0.00 LA iW I UAn+a vwdwtwwhm � PMTM'' �aW[ PERd coutct umaw" neMwar .sr'� areas Iarm Ml a""R PUBLIC WORKS AGENCY to t� tnat. r4.n Ott-1+r1 f•.Q iPt IAe+eatM A+"l [�e+a_y httta Q #*MMaI-fW0 4j W. WO api+}a,a� aftimlow CMATPOfiMY t °�r..icut.U. erw oawr POSTED OCT u 7 2021 NOTICE OF EXEMPTION From the Raquiratnenta of the Callfarals Fnvtrorur,sntal QuOly Act (CE(W Foe Exemption par Calllunla Govararnant Coda Baetton 6103 iat COArl1Y CLFRK Ftvm CM4ds u A..,* or 0two FVW V*ft /fir F101 Dos zx ?0 CKQ f'faaa p[ 7lry SWU NW CAQ2m Sara Ara CA 927C2 Pvetett nw, 0WNV tf3 CONCRETE REPAIRS Profatmaneook 2"W" Prajact t.ocaOw V" Fk(Al PW* & RNeNA v %%tdl heq*ia:*DW cn,: SrwAna Qpumy: Q'sys L%swmbar. Ek=141 02tv 44 Appmot-btPo0=1 Rejo t CMser',p"n; Rew al & mp;� 6f PVt&sd C m tCv4c-** App=,;=t Nuea: f?i Sara Ane. P.tatC tll+rf,a N9+eE,1' App7can%Addt*3: 20 CW4 Cenla Pu= M-36 seam, AM CA22M Nash at PVtPft Ap fty App"0*bg P94099 e V or Santa Ara Ra", of All"cy CfffY Y 044 Preja+t Flora WOO A.w—v [.wmpt SufLA; C!^a`.erttl5et ismal Ct�a ed Enff; 4y (5" 152"jdjr 0 CVAn R,*ISK 15MtWMXV01 Rwrrwrtalkllt thvJsfteM lautept t4wu mak t579tQayeov+ted �, s or0"v Ab%W► -raa ew ceaulL ter pru Tins: S+ruar CWJ l?W-4W Stml r; Ark3m Vsf�'rf axf+�NNcrrgcsxaecx c W bftw was FILED OCT 4 T 2021 The Orange County Register 1771 S. Lewis Street Anaheim, CA92805 714-798.2209 5211379 CNSB I CNSB-ACCOMMODATIONS 915E 1STST ORDER EXPEDITING LOS ANGELES, CA 90012-4050 FILE NO. CNS-3504085 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, SS. 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. I 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-21046, 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: 08128/2021, 09/03/2021 I cartify {or 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 03, 2021. 2 4 1 Signature on less cent bid PROOF OF PUBLICATION. are now on Is. For be of a or Se con. Some The } the ie bid Legal No. 0011484436 ' °"u" IIIIIIIIIIIlI�IIIIIIWIIIII�II�IIIIIVIIIIVIIIIIIIIIIlIIIIIIIII!(I an orlggWol :APY of ille _,froiiosal + A 0 0 0 0 0 5 8 1 9 7 1 7* ,.Lri.,u1sns �oilure" "io -pro- vide required documents with old may cause the bid to be deemed non- responsive. 8rl&71, 9/all CNS•3504085a ORANGE COUNTY REGISTER