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HomeMy WebLinkAboutELECNOR BELCO ELECTRIC, INC. (2)INSURANCE NQl rill FILE � � `1GEED CITY OFSANTAANA WORK MAY N_-. "`' CONSTRUCTION CONTRACT AGREEMENT CLERK O� UOUNCIL PROJECTNO.:18-6918 DATE'. MAR 1 1 2012 Main Street at 151' Street New Traffic Signal Installation (Ifennyt u+�wt) f. This C t STRTUCTION CONTRACT is made and entered into this Ist day of March, 2022 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and taws of the State of California (hereinafter "CITY"), and Electror Belco Electric, Inc. (hereinafter "CONTRACTOR"). WITNESSETH: 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 Main Street at I5th Street New Traffic Signal Installation (hereinafter referred to as the "WORIC OF IMPROVEMENT") identified in and in accordance with the Contracts Documents prepared by the City's-Public Works Agency and approved by the City Council: 2. The complete Construction Contract consists of the -Contract Documents" as defined by the Standard Specifications for public works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in Rill payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Four Hundred Thirteen Thousand Nine Hundred Pourty-two and No Cents ($413,942.00), as set forth and identified in the BID PROPOSAL, which is attached bereto 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, 1 of 3 CITY OF SANTA ANA CONSTRUCTION CONTRACT AGREEMENT PROJECT NO.: 18-6918 Main Street at 15°i Street New Traffic Signal Installation 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 ^') including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEML-N I' as more fully described in the CWA. The CWA may be found on the City's website at: htttt i://w�"v.santa-ana.orgJpwa/documents/CWA.pdf CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work (Performance Bond), and one in the amount of One Hundred Percent (100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of Ten Thousand Dollars ($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions. to be approved by the CITY. 10. INDEMNIFICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses. including reasonable costs and attorneys fees. fir injjurN. including death to an} 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; 2 of 3 CITY OF SANTA ANA CONSTRUCTION CONTRACT AGREEMENT PROJECT NO.: 18-6918 Main Street at 15a' Sheet New Traffic Signal Installation (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; (iii) The constriction 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 thud persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: SONIAR. CARVALHO City Attorney By: �i"• J FUNK Assistant City Attorney RECOMMENDED FOR APPROVAL: �'Ss4'j�^ NABIL SABA, PE xecutive Director Public Works Agency CITY OF SANTA ANA KRiST - City Manager C. 3 of 3 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Elecnor Belco Electric, Inc. 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 1 Mobilization I LS $ 2 St & Traffic S'St al Installation at Main u I LS $ Z� �/ $ 14 If/ v 3 Install Video Detection System 1 LS $ 3 311,W $ 4 Install GTT Opticom GPS EVP System 1 LS $ Z/ci05 $ 1 ?y �l�j 5 Install 2" PVC per plan 75 LF $ I $ 6 Install 3" PVC per plan 60 LF $ b a $ 3, o')d 7 Install 4" PVC per plan 215 LF $ 'q $ �l (a7JC 8 Install No. 6 Pullbox 10 EA $ 750 O $'7y sUU 9 Install No. 6E Pullbox 1 EA $ I/t7uu $ l,vou 10 Install SCE Pull Box 1 EA $ ./UCd $ 750 11 Install 12 Strand SMFO Cable 275 LF $ noz $ 550 12 Fusion Splice 1 Strand SMFO 24 EA $ tea 1t�00 $ 46v 13 Install Fiber Optic Cable Splice Enclosure 1 EA $ I/ $ / y00 P-1 ofP-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) Item Description Qty Unit Unit Price Amount 14 Install CCTV and lP Communication System 1 LS $ 'j 0) $ 'Z,) / 15 Construct PCC Sidewalk 1344 SF $ to. 5 i7 $ i Y �' Z 16 Construct ADA Wheel Chair Ramp Per City of Santa Ana Sid. Plan No. 1122. 700 SF $ 23 $ L 6 W ( / 17 AC Pavement 20 TN $ 3 $ 18 Pothole Pole Locations for Utility Conflicts Not on Plans 9 fiA $ 19 Unclassified Excavation 60 CY $ 20 Signing and Striping I LS q/ -Xo $ y/ 7vn 21 Project Advertising Sign(s) 2 EA $ 1/ fV0 $ UUv 22 As -Built Plans 1 LS $5,000 S/ UcrU 23 Construction Permits 1 LS $10,000 161/ dUJ TOTAL BASE BID Is �(3) yy J- Tire 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 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. j' 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 Eighty (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 $500 per calendar day. P-2 ofP-52 MAYOR Vlosnte Sarmlenlo MAYOR PRO TEM David Peneloza COUNCILMEMBERS Phil Baomra Johnothan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan November 15, 2021 ADDENDUM No. ONE CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, California 92792 wvvdv.ssnia-ana.oro CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez SUBJECT: PROJECT NO. 18-6918: Main Street and 15t1 Street Traffic Signal Installation The following modifications have been made to Project Specifications page(s) ii, P-3 to P-5, P-25 to P- 28, & P-2 of P-52 for the subject project: Specifications: • Replace page(s) ii of the Table of Contents of the Bid Proposal of the specifications for Traffic Signal Installation project: Updated Table of Contents to reflect the correct page numbers. • Replace page(s) P-2 of P-52 of the Bid Proposal of the specifications for Traffic Signal Installation project: Updated to reflect the correct line items as shown in planet bids. • Replace page(s) P-25 of P-28 of the Special Provisions of the specifications for Traffic Signal Installation project: Updated Special Provisions to reflect the correct line item descriptions. • Replace page(s) P-3 of P-5 of the Appendix A (Definition of Bid Items) of the specifications for Traffic Signal Installation project: Updated Appendix A to reflect the correct definition of bid items. CITY OF SANTA ANA /Ca O'L NIV"- John Wong E4Win William" Galvez, P.E. Vice President City Engineer Attachments SANTA ANA CITY COUNCIL Vrrmmd5a,ma.W Dm.d Pmdr m,. Thm Vldl Phan J-rialoygt Phll Baoana Johna11anpyan Hammtlar Nelida MmMmn Mayor Mayo,P,o Tam. Ward 3 Ward Wsd] Ward4 Ward Ward YJ�xnno,lo$.min mnan daxa ,fiamlmaman IONoftlmrmamonl =aalad.a�lvm on dbdda`0famm.,m,m IrvdnNemyvleAryf:InW ani an y CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) Name of Firm Elecnor Belco Electric. Inc. Signature of BIDDER Title Vice President (If an individual, so state. V.A f m% uko-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.) Alberto Garcia De Los Angeles - President John Wong - Vice President Pedro Enrile - Secretary Jeroni Gervilla - Treasurer P-3 of P-52 UNANIMOUS WRITTEN CONSENT IN LIEU OF 2021 ANNUAL MEETING OF THE BOARD OF DIRECTORS OF ELECNOR BE' LCO ELECTRIC, INC. January 1, 2021 The undersigned, being all of the members of the Board of Directors (the "Board") of Elecnor Belco Electric, Inc., a California corporation (the "Company"), In lieu of holding it meeting of the Board, hereby take the following actions and adopt the following resolutions by unaninious written consent: WHEREAS, the Board has determined that it is in the Company's best interests to appoint a revised slate of Officers of the Company, NOW, THEREFORE, BE IT RESOLVED, that the following persons be, and hereby are, elected to the offices set forth opposite their respective names, to !told such offices until their respective successors are elected and qualified at or before the next annual meeting of the Board, or until their earlier respective deaths, resignations or removals: NAMES Alberto Garcia De Los Angeles Jeroni Gervilla Roger Devito Pedro Enrile Leonardo Sancho Frances John Wong OFFICE President and Chief Executive Officer Chief Financial Officer Senior Vice President, General Counsel and Assistant Secretary Secretary Vice President Vice President for Construction FURTHER RESOLVED, that Alberto Garcia De Los Angeles, Jeroni Gervilla, Alberto Garcia and Roger Devito in their respective capacities (listed above) subject to such supervisory powers of the Board of Directors, hereby are authorized and directed to perform all the duties commonly incident to that office; shall have authority to execute in the name of the Company contracts, leases and other written instruments to be executed by the Company; and, shall perform such other duties as the Board of Directors may from time to time determine. FURTHER RESOLVED, that the President and Chief Executive Officer may delegate authority to any Chief Financial Officer or Chief Operating Officer or Senior Vice President or Vice President as and within their authority levels as set forth in the Company's Bylaws, as the same may be amended from time to time; FURTHER RESOLVED, that Roger DeVito, in his capacity of Senior Vice President, or Leonardo Sancho Frances in his capacity of Vice President are hereby authorized and directed to: 1. Negotiate, sign, amend and terminate agreements in connection with the purpose of the Company, for all contracts up to $250,000,00, and acting jointly with Alberto Garcia De Los Angeles or Jcrotti Gervilla for all contracts in amounts greater than $250,000.00. 2. Execute, amend and finalize bid proposals in connection with the purpose of the Company, for all proposals up to $1,000,000.00, and acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla for all proposals in amounts greater than $1,OOO,000.00. 3. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and finalize purchase orders for materials and equipment in connection with the purpose of the Company. 4. Actingjointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and terminate agreements for the lease of real estate to be used as offices orjob related temporary yards. 5. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and terminate insurance and/or bid bonds arrangements in connection with the purpose of the Company. 6. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, hire, suspend, impose sanctions and dismiss the administrative personnel of the Company, setting forth their employment terms and conditions, obligations and remuneration. 7. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, settle and claims on behalf of the Company. AND IT IS FURTHER RESOLVED, that all actions heretofore taken by the officers of the Company on behalf of and in the name of the Company, relating to the conduct of the business of the Company, the expenditure of money, the making of contracts and all other acts taken or omitted in the performance of their duties to the Company be, and the same hereby are, in all respects, approved, ratified and affirmed, as of the date taken, done or omitted, respectively. The actions taken by the Board Consent shall have the same force and effect as if taken by the undersigned at a meeting of the Board of Directors, duly called and constituted pursuant to the Bylaws of the Company and the laws of the State of California. This Board Consent may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same document. IN WITNESS WHEREOF, the undersigned, being all of the members of the Board of Directors of Elecnor Belco Electric, Inc., have executed these actions by written consent as of the date first written - ok��- Luis Alcibar, Director 74-p— Alexander Arrola, Director CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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 famish 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 Firth Signature of BIDDER Title Vice President John (If an individual, so state. IRa/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.) Alberto Garcia De Los Angeles - President John Wong - Vice President Pedro Enrile - Secretary Jeroni Gervilla - Treasure P-4 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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: Elecnor Belco Electric Business Address: 14320 Albers Way, Chino, CA 91710 Business E-Mail Address: jwong(q�elecnor.com Telephone: 909-993-5470 State Contractor's License No. and Class: 738518 A, B, C-10 License Expiration Date: 7/31/2023 State Dept. of Industrial Relations (DIR) Registration No.: 1000004804 State Dept. of Industrial Relations (DIR) Registration Expiration Date: 6/30/22 Signed: Title: P-5 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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 Cully 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 Elecnor Belco Electric, Inc. Signature of BIDDER Title Vice President (if an individual, so state) P-6 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) LIST OF SUB -CONTRACTORS Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: o Streets, highways including bridge projects:/z% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %a% 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 funs listed below: Name Syerldi Ayeyi&-4-114,nfllal qs, ,Name Pr<}� /bl r--ry� 12rUUA13 License #/Exp. % b2 30,b W, 013112;3 License #/Exp. jU513 ? r T 3 DIR Reg. #/Exp. 00�0 0pj� % . b k =IR Reg. #/Exp, c t Vu 6 H V- Location53i2-CrP/'eSS�b. Ci AfCSS>L�KO6 0 Location 110 1 lhkee- 5-0,1 &0 Phone / -- '--r loc) Phone 7�y-23 —14ti Type Of Work 5)-qnYai Type Of Work (.tV Amount $ f , 5 IX Amount $ Ll0, CXV Name License #/Exp. DIR Reg. #/Exp. License # _ Location _ Phone Type Of Work Amount S Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ John Won Sig a re Odder 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-9 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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 Glendale / 633 E. Broadway, Room 205 Glendale, CA 91206 Name and Address of Owner. Sarkis Oganesyan / 818-548-3945 Name and Telephone Number of person familiar with p __$2,844,613.00 Signal Modifications Contract Amount Type of Work 2. City of Palm Desert / 73-510 Fred Waring Dr. Plam Desert, CA 92260 Name and Address of owner. Randy Brown / 760-346-061 I Name and Telephone Number of person familiar with project. February 2021 Date Completed $602,259.00 Traffic Signal Modifications August 2020 Contract Amount Type of Work Date Completed 3. City of Huntington Park / 6550 Miles Ave. Huntington Park, CA 90255 Name and Address of owner. Cesar Roldan / 323-584-6320 Name and Telephone Number of person familiar with project. $1,013.928.00 Signal Synchronization and Bus Improvements April2020 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Willis Towers Watson Zurich American Insurance 10 State House Square, Floor 11 777 S. Figueroa St, Suite 3900 Hartford, CT 06103 Los Angeles, CA 90017 Erin Kiernan 860-843-5404 Margaret Hentz 213-270-0757 P-10 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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. 1. City of Glendale / 633 E. Broadway, Glendale, CA 91206 Name and Address of Owner. Sarkis Oganesyan / 818-548-3945 Name and Telephone Number of person familiar with project. $600 000.00 Traffic Signals, Fiber & Interconnect Much 2018 Contract Amount Type of Work Date Completed 2. City of La Mirada 115515 Phoebe Ave., La Mirada, CA 90638 Name and Address of owner. Eric V illagarcia / 562-902-2385 Name and Telephone Number of person familiar with project. $299,490.00 Traffic Signal & Fiber Optics September 2017 Contract Amount Type of Work Date Completed 3. City of Azusa / 213 E. Foothill Blvd, Azusa, CA 91710 Name and Address of owner. Cody Rowing / 909-594-9702 Name and Telephone Number of person familiar with project. $352.296.00 Traffic Signals & Fiber Optics December 2017 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Willis Towers Watson 10 State House Square, Floor 11 Hartford, CT 06103 Erin Kiernan / 860-843-5404 P-I1 ofP-52 Zurich American Insurance 777 S. Figueroa St, Suite 3900 Los Angeles, CA 90017 Margaret Rentz / 213-270-0757 CITY OF SANTA ANA pavement Rehab Company PROPOSAL PROJECT NO,: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION prn llv AT DD nlwrlT Mn. Tjoynr rncv /i onx ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. I, G(' Sv-A- III ovt AR* [ Uj Type of Work Date Completed 2. tvame ana Aaaress or owner, Name and TeIephone Number of laerson fatriliar yvitlt project. Contract Amount Type,o Work Date Completed 3. Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. P-II ofP-52 CITY OF SANTA ANA PROPOSAL Superior Pavement Markings, Inc. PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. City of Irvine P.O. Box 19575, Irvine Ca. 92623 Name and Address of Owner. Byron Gemmell (949) 337-701$ Name and Telephone Number of person familiar with project. $391,868.00 Traffic Striping and Pavement Markings Maintenance 0710612021 Contract Amount Type of Work Date Completed 2. City of Costa Mesa P.O. Box 1200, Costa Mesa Ca. 92628 Name and Address of owner. ._Brenden Carpenter (714) 925-7385 Name and Telephone Number of person familiar with project. $113,731.00 Traffic Striping and Pavement Markings Maintenance 03/23/2021 Contract Amount Type of Work Date Completed 3. City of Ontario 1333 S. Bon View Ave, Ontario Ca. 91761 Name and Address of owner. Tim Meant (909) 395.2624 Number of person familiar $75,000.00 TrffIg Slrininn and Pavement tv arkinns Maintenance 06/30/2020 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. P-I I ofP-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 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 riles, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall famish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions 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 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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 Stats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: John Won Title: Vi P ,side Firm: Elemor Belco Electric, Inc. Date: 11/8/2021 P-14 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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 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 lik amount to the lifomia Apprenticeship Council. Signed: John Won Title: Vic P sidcnt Firm: Elecnor Belco Electric. Inc. Date: P-15 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: I8-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 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 public work, to give up any part of the compensation to which he/she is otherwise entitled. Signed: %rr X . John Wong Title: V i4e Pt -ftnt Firm: Elecnor Belco Electric, Inc. Date: P-16 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER., ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes No R If the answer is yes, explain the circumstances in the following space. P-17 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS (FORM FHWA-1273 ) The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the attached required Federal Contract Provision (Form FHWA-1273). Signed Title Firm Eleenor Belco Electric, Inc. Date P-18 of P-52 John CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) REOli1RED CONTRACT PROVISIONS FEDERAL -AID CONSTRUCTION CONTRACTS L General IL Nondiscrinlre0on III. Nmsegmgoied FadNiles N. Devlaeacon and Related Act Provision V, ConlroctWo rk Hours and SafeW Inndards Ad Provisions VI. Subbfting or Assigning the Contract VII. Safety: Accident Prevention Vlil False Slalanods Concerning Highway Prolocfs IX. Implements Dan of Cleen Air Ad and Fademl Water Pollution Control Ad X. Compliance wAh GovemmmaNde Suspension and Dobaumonl Regdromwts XI. Certification Regarding Use of Contract Finds for Lobbying ATTACHMENTS A. Emplay nenl and Malerlels Preference for Appaiechion Development 11191tway System orAppoIndaan Local Access Road Contracts (included in Appoleddan contracts only) 1. GENERAL 1. Farm FHWA-1273 must be physically Incorporated In each construction codraclfunded underTi0a 23 (excbdng emergency contracts ad* intended fordebds mmovalJ The contractor (or sdnconlmcbm) must msen [his form In each scbconlracl and fudier require Its Inclusion In dl barer 11er subcontrmrs(oxcluding purchoso orders, rwinlagrwmenis and other agreements for suppilasor sortast Tha appkabb requirements ofFoml FMVA-1273 am Incorpmated by reference for work done under my pu c hasp Order. moral agreement or ngreemonl fa other serview. The prime cmlmclor shall be msposslble for complance by any eubmntmbr, IDW41a subcontractor or service pro+Mw Foam FHWA-1273 must be Included In ag Federal -rid design build contracts, In air subconlmclsond In b:mr Tier submntacts (excluding subcontracts for design madras, pumhase orders, rental agreements and othaagrwmentzfor sufplas or services). The desigobdrdashel be rosponoble (a cif Bare byany subcontractor, boa -Oar subcadrmlor or service provider. Coniroclh0 agencies may reference Form FFNNA-1273 in bid proiwesl W Mgmd lot ploposal danamONS. hoeover, US Fenn FHWA•1273 must be phyukaAy Incoryomled (not mfaanced) In of contracts, subcontracts and hnwervtior srbcorbacts (au:luding purchase oders, meat agean@nls and after agreements far suppNM Orsavlces related to a conslmctloncontract). 2. Sutowl tope applcabIDy afierte noted In the following sections, them conlrocl prwislons shall apply to 01 Work performed on Ire contract by the codraclofs own organization and wlh the asdstanco of workers under he contractors Innmedble superintendence and to al work performed on he contract byptecowak, station work, or by subcontract FhWA-1273 -- Revised May t, 2012 3. A broach or an'y of the sllpulaflo s contained In these Required Contract Provictors may be autSdent gmurds for whh haAlIng of progress payments, wlll"Iding of Mal Payment. lonnhnlbn of the contract, wspondm / debanarml or any other action ddema ed to be apprgxlale by the 00nfmc6rg agency and FIIWA. 4. Solecllonol labor. During th8inalm mcn, of this contract, the codroctorsholl not use com4ct bbo (many pu"w within the limas of a somlrmlm project an a Fedemi•old highway unless It Is labor pedormed by convicts who am on pads, si peMsed Mease, or probation. The lean Fedem"id highvmy does not Include roadways functionally classified as local emds or mral an Imr carbclors. II. NONDISCRIMINATION The previsions dllhh sectlon rdatod to 23 CFR Pad 230 ere MOcablo to oiFedaal mid consbuclon eonlmds and tool mletudoonstmclionwbcmtmctsd$10,000«mom. The Pmvoiom of 23 CFR Port 230 am ml applcablo to matmtol supply, enumeedng, ormcllledumi service contracts. In addid(K he contractor and al a tacontmclorsmuslcoroly with the following policies: Executive Order I t246, 41 CFR 60, 29 CFR 1625.1627, T09 23 USC Section 140, the Rehabilitation Act of 1973, as amended (29 USC 791). Title VI of the CNN Rights Act of 1964, as amended, and related regulations Including 49 CFR Pans 21, 26 and 27; and 23 CFR Pants 200, 230, and 633, The conbaclorand ell subcmtmctas mustmmply with: the mqukemants of the Equal Opportunity Clause In 41 CFR 60 1.4(b) aid, for IN corebuction ceabocis ancemiig $10,000, Ina Standard Federal Equal Employment Opportunity Ca Drudbn Contact SPedlcalors In 41 CFR 604.3. NOW The US Department of Labe has exclusive oulihorgy to deblmine compliance wan Examtlm Order 11246 end he policies d the Secretary of Labor Including 41 CFR 60, and 29 CFR 1625-1627. The contracting agency and the FHWA have the eutlamlly and the mWoeblNy to ensure complanco will, Title 23 USC Section 140, the Rehabilitation Act of 1973, as amended (29 USC 794), and Tit@ M d the Chit Rights Ad of 1954, as amended, and Mated regutdaus Imlur ng 49 CFR Nkrts 21. 26 and 27; and 23 CFR Pads 200, 230, and 633, The folbwbg pmvlstm Is adopted fron 23 CFR 230, Appendu A, wllh appropriate fMMons to coniorm to the U.S. D(parhnent of Lab% (US DOL) and FHWA requkanenis, 1. Equal EmploymenlOpportunlly: Equal empbymwt oppoluuly (EEO) requirements nor to disaintkete and to lake I ffenative D OW to assure equal opportunity as sot lath under leas, exemUw orders, rules, regulators (26 CFR 35, 29 CFR 16X 29 CFR 1625-1627, 41 CFR 60 and 49 CFR 27) and orders of the Secretary of Labor as modified by the Provisions presabod heroin. and Imposed pumuad to 23 US.C. 140 shin eonslilute the EEO and specik dlkmalNe scion standards for the contractors pojocl actMlw under P-19 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) this conusd. Tiro provisions of the Americans with Dtanb4dfas Add 199g (42 U.SC. 12101 et seq.} vet forth umnr 2a CFR 35 and 29 CFR 1630 are incorporated by mforence In Ws contract. In the onicutbn of this codr=L the contractor agrees to comply wib the following minimum spodic requirement ad"Zos of EEO-. a The contractor will vodr will the contracting agency and the Federal Government to ensure that d has made every goodfailb effort lopfovido equal opponunty with respect to no of Ile forms and candidaps of onploymonl and in their review Of activitlas under the contract. b. The contractor will accept as is operating po$cytha forbwing stelomonl: 1l Is the policy of dhb Company to assure that apteene we employed, and (hilt omployaes as lrootetl during anploymonl, without regard b Ihai race, fdigion, sax, color, retbiunarigln, age a disability. Stich action slat include: enpbymont. upgmdilg, dernolbn, of Imnsler, mauhmentof rovuitmenl advadisirg: layoff or rumination: rates af pay or other formsolcompansatbn: and sanction W training, ncludingappmnlicmhp,pmappmmkmhp, endtw"4ha- pb training.' 2. EEO Officer. The contmctorwilldesignateand make Imam to the contracting officers an EEO Offcer who wd have the msponsibilly nor and must be capable of offodivdy administering and promoting an active EEO program anti who must be assigned adequmo Authority and responsibility fo do so. 3. Olswraination of Policy: AN mombors of lho contactors staff who am authorized to him, supervise pmmome and discharge employees, a who recommendsoch action, or who am wbstoritepy imelved In wchadroA will be made fully cogntzont of, and will implement, the canlradofs EEO policy and contractual responsibilities to provide EEO in each gmdo anddassihwtbnolompbymenl. Toonwretrmilembove agreement "rill be met, the folwving actions cell be taken as a minimum: a. (vabdic meolbgs of supervisory and Personnel office employow will be conducted before Imo Stan of work end [hen Out less often than "cc every six months, at whichIN me the contactors EEO poicyand is inplonlonlalfvn TWIN be revtaved end explained. ThemaeingsvWlbeconabctedby the EEO Officer. b. AJI new supuv4srry err pnaonnal office amployees we be given a llprougIt Indoctrination by the EEO Officer, cowering AN mapraspects of the cenbadorsEEO atlpatienswdlan thirty days following tha"r ropadng for duty with the contractor c. AN personnel who are angagod in direct recr limont for the project cell be instructed by Iho EEO OWxor in the corifacfor's pmcodtims for besting and hiring ntnovil and women. d MlIcOS unit posters Acting forth he cenlrafar's EEO policy will be placed In areas madpy Accessible to amployaos. applicants for employment and potential amplayees e, The amuadors EEO policy and the procedures to implement such policy We be brougtt to the attention of employers by means of meetings. employee handbooks, or other appropriate means. 4. Reaultmanr, When Advertising for employees, the cha ralor wig Include In all adverilsomaats for employees the notation: 'An EqualOppodeniy Employer.* Al well eMamsenenb wit be paced c publications having a large circulation among minorities and women in the am from which the ptojuclwork force would neurally bo derived. a. The contactorwil,unimpedudedby a vald bargaining agreement, conduct systematic and diced reauhmonl through public and private ampoyno lateral soorraslk*tooeeldgmlgbdmirodiesandwomen To meet this requirwont the contactorwit ldeNBy spumes of pofondal minodlygroup elryloyeos, and astatlLSh vdh such idwilied sources precoduras vvhomby minority and minon Applicants may be referred to the conlmctortar employment oorsldoratkxw b. In tha tivenl the mnimctor hos a void ba��BgoNMg egmemontpmvidng for oxdisive hiring hall mf1 rrms. the wnhndor is e*c ded to absorve Iho provlalons of Ifni agroewnt to Ile exlml tint the system meet$ Ulu contractors canplancowgh EEO contract provisions Where inpbmealadon d such an agreement has the affect of discdminafng against minorities or women, a obpgates the contractor to din VIA same, avh impiemonlrlionvldeles Federal nondiscrimination provisons. a The contractor vWl oreaumgo its present amployoosto refermincAris and women as appikents fa ampcymant. InbrmAtbn and procedures with regard to referring such applicants WE be discussed vWlh employees. 5. Parsomd Actions: Wages, awing caMAbns, and empbyao benefits shall be established and adailnislered, and pommfld actions of every type including hiring. upgrading, pronmlbn, tmnsru, domoton layoff, and umnichi shill be taken wplhoulregard to race, cola, rallgicri, sax, rallonal odgin,ageordsab4rty. Thu following procadums shop bo fdlowod: a The contractor Mill conduct periodic inspections of project silos te insure that wading condllbrs and employee facAhos do not Indento discriminatory Imatment of project silo personnel, b. The oonlmdorwlllperbdically evaluate ume spread of vvagos pail will* each classification to dotermno any avidunce of diaaininstary wage practices. C. The contractor veil periodically review selected pasonrul actions in depth to determine whoher them Is ovldonce at disalmbmgon. Whom ovidancols found. pleconiradorwil pronlpgy WkecuradNa Action. Irlho mviow indfcmos that Ito discrimination may exlond beyond he actions mWoone. such caredive action shall include all elected persons. it The contedor vest prrmpdy, invasignie all complains, of Alleged disainnalbn made to the contractor In connection with is obligations undor this conlracl. will atempl to reserve Such complaints. and vAi take appropriate comalive Action vvitdn o masonabb lino. i lip nvoslpalbn Indicates thalthe disofnhnllon may affect persons other than the complainant, Such camcllve action shag include such other persons. Upon conplotnn of each investigation, the contractor cell nioml Mary cortlAdlnanl of sot Of Ihai ManaS Of appeal, &Training and Promotion: a. The oortlrador wall Asdsl lnlocaling, qualifying, are Inaensirg the skill d ninorilm end w m who am P-20 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) applicants for employment a current employees. Such a➢orts should be aimed at developing fug journey level statue a quoyeas in the type of lade a job ctassifution involved. b. Coreiaent wide Ne contractar'6 wok (omerequdrements and as permissible order Federal and Stale regulations, the 000ador $hill make full use of training programs, l.o„ apprenticeship, old on-140401, kniniog progmmsfof the googlrtphkol area of contract poifommrae. b the event a special provision for training is provided under this conliecl, lids subparagraph oval be superseded as indcaled in the apedblprovision. Thecontacdogagencymayroserve training positions for persons who mcerve wagam as sislance In accordance with 23 U.S.0 140(a). c. The contractor wdladviso employees and applicants for enpbymad of available training programs and entrance requirements for each. d Tie obnracbr vAP pedod"calyrevlev der uainbg and promotion potential of empbyoes vote we minorities and women and we eneoun ge eligible employees b npply tot each training and promotion T, Unions: It the contractor raise In whole or in pad upon unions N a soom of employees, the conimclorwa use goof faith strafe, b obtain the ooapemtbn of such unions to increase Opportunities (a minonles and womert. Actions by the contractor, either directly or through a conhadoes association acting so agent, wel include the procedural; set forth below: a. The contractor we use ad (ebb efforts b develop in Coopers lien with the uni joint gaining programs aimed lonvard qualifying more minevigas and woman for mentors* In the unions and Increasing the skills of minofts and women so that they may quay for highar paying employment. b. The contractorwgd use good faith elfala to incorporate an EEO douse into each union agreement to the end lhatsuch union wg be oorlraduagy bound b afar applicants W t U moan" to then race. color, religion, sax, national Wigs, age a disablgy, c. The contractor is to obtain Information as to the referral Practices ad poficloa d the labor onion except that to the extent such information is within the exclusive possession of the lallwarion andsuchiabor union refuses tofumish such information to the contractor, he contractor Mal an coniy to the contracting agom and shag sit fodh what efforts have been leads to obtain such infomnallon d in the event the union Is unable to provide the oontrector with a reasonable crowd rafernas within the tuna gas ad forth in ]be co➢80M bargaining agreement, the contractor evil, ["In independent racrulbra nl efforts, fig theempbyment vacancieswthoul regard to new, color, re➢gion, sex, national origin, age a disability, making ful of is to obtain qualified ands qualirable minorities red women. The failure of a union to PtoYWO sufficlont referrals (awn though 0 is ub➢galed to lxaide exclusive referrals under the loans of a collective bargaining agmernent) does not reeve the contactaflorn the mqukanents of this paragraph, in the eves the unionrelonal practice prowls the conbacta from meeting the obligations pursuant b Execullve Order 11246. eeameMed, and these special goovisfona, such contractor shag immediately roily the contradingagency. & Reasonable Accommodation for Applicants r Employees with Disabilities: The conlractamust be famia with Pat requirements for and campy with the Americans wills Disabilities Act and as rules and regulations established there under. Enployoamusl provide reasonable aocanmodsdon in all employment activities unless to do an would case an undue hardship, 9. Selection of Subcontractors, Prow rem re ofMatedsls antl Leasing of Eat Wpm set: The contractor shall not disc tints on ire grounds of race, cola, migion, sex, national origin age a disability In the sdecfon and retention of subcontractors, including proaummenl olmoleriats and learns of equipment. The contactor stoma lake all necessary and reasonable steps to ensure noldised mbation in the adniniskalion of this contact. a. The centractor stag poly all potential subealraeiosand suppliers and assure of their EEO abligafons under this contact. b. The contactor will use goad fei , efforts b ensure subcontractor coal planes with their EEO obligations. 10. Assurance Required by 49 CFR 26,13(b): a The requkementsol 49 CFR No H and the Stela oOT's U.S. DOT -approve" DUE program am incorporated by reference. b. The contractaasubcontsctorshall not daninninate on the bests d race, color, naional origin, or sex In the paldrmanceof Mscentad.. Thecoraaclorslaicanyout appacabb requirements of 49 CFR Pad 26 in tla award and admkatrationo(DOTassatadoonuses. Falurebylto contracta tocany at Ihesa requirements Ian male" breach of this contract, whidn may result in the lamina➢on of this contact a such other ranady as (to widenedhng agency deems agprclable, 11, Records and Reports: The contactor shall keep such records as necessary to document compliance with the EEO requiaments. Such records abet be retained for a period of OWN yaaaloiowbg the date of the anal payment to the contractor for of contact work and stag be available at reasonable (Yeas and placasfalnapection by authorized ropresentalvas of the contracting agency aid it* FFWA a. The records kept by the contractor shall document the following; (1) The number and work hours ofminoNy and run• minally group members and vxxnen employed in each work class li anion on the protect (2) The peogreas and efforts being made in cooperation with unions, vAhm applkable, to Increase empoymem oppedonides for minorities and women and (3) The pmgreas and efforts being made in locating, hiring. training, qualifying, and Wgmding mieridas and wanes; to The convectors and suboonuaclerswel submit an annual report to the contracting agency each July for the duration of the poject, indkadng the number of minority, women, and nonmbodly group employees cunenlly engaged to each mirk dasoynedon required by the contract work. This Infom mien Is to be reported on rot E F W .110 . The safang data should represent the project work face on load in el a any pad of the Iasi payroll period preceding the end ofJuly. If nrlta job training is being required by special provision the contractor P-21 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) was to required b tolled and repot tracing data The ompbymont data should rofled he work fomo on board during all or any pan oflhe last payroll pabd preceding the end of Jay. II. NONSEGREGATED FACILITIES This provision is applicable to at! Fadem"id construction eadraets and tool related oonsWdion subcollfedsol $1 O'No or mom. The contractormust onsum that Wclflios provided for employees am pnividad in such a mercer that sagrogalbn on the basis of race, ootor, ralgion, sex, ornstional origin cannot result. Theconlrectormay natharrequms suchsagragaled use by written a anal policies nor tolerate such use by employee custom The cordmdon's obligation oxlmds further to ensure that its employees am ad assigned topodomt their wevicee at any location. under the contractors central, whom the fatties am sagagolod. The [am tackles' includes wading mono, work areas, restaurants and other sating areas, WO clocks. 1"mooms, washrooms, brier rooms, and other storage or dressing atom, parking Ids, drinking loi ntains, recreation a entertainment owes. Iranspalagon, and housing provided for employees. Thocontadorsholiprovldasoparsto Or sirgb•osor mslmems and necessary dressing or sleeping areas to assum privacy between sexes IV. DAM "ACON AND RELATED ACT PROVISIONS This sodbO is app5Mble to at Fodamldd cunsUucgon projects mccedng $2,000 and to a1 related subcontracts and lovwr•Yer suticon48tls (regardless of subcoouad s;:o). The requirements apply tool prajocts baled within the right -or wayofa Medway that Is fmcionaly desst`mdas Fsdama W highway. This excludes roadways functionally dasediod as local roads or rum] minor collectors, which are exempt. Contracting agamns may end to aFpy these requiranxmts to otheraiijects. The following previsions am from tip U.S. DopOrYnanl of Laborfegdetlon , in2g CFR 6.5 Canted provisions and rdaled mate re vAh minor mvbIons to donformto the FHWA. 1273 (What and FHWA pmgran requiromanis. 1. Mlnimum wages a. All laborers and mechanics employed a wading upon the site of the work wit be paid unconditionally and not less often then onto a wook, and wlhout subsequent deduction or rebels on any account (oxcopt such payroll doductias as am pomhiled by rogulilions Issued by the Secrotary of Labor underline Copeland Ad (29 CFR pad 3)), the ful amarnt of wages and bona tole fni ge benolis (or cash equivalents thereof) due d time of payment computed at reles not less than (hose contained in the wage determination of Iho Secretory of tabor whch is attached hereto and made a part heron(, mganlloss of any contractual rolalbnshlp which may be alleged b axis] between the contractor aM such laborers and mechanics, Coddbutbns mado orcosb reasonably mlidprated (a born Ito fringe thenefils under section 1(b)(2) of the Davis -Sawn Act on behalf of labaans ormadanim aro consdomd wages paid tosuch laborers a mechanics, subject to lie previsions of paragraph I d, of this sodion; also, rogulacontdbulhro made ofwsts incurred far mere than a moldy period (but not lass oftan than quartay) under pans, foods, aprograms which cover the pmlcunrwoekiy period, ere doomed to be consWclivey made of muraid during such woody period. Such laborers and mechanics shal be paid aim appropriate wage rate and Ingo bmofb an the wage dotofminabon for Ire classification of work actually performed wilhoul regard to skit except as provided in 29 CFR 5.5(aX4), Laborers or muchanbe podorming York in Mao than ono dasslkafon may be conpensaled at he rate spincili for each classification for the time actually waked therein: provided. That the employers payml meads occumloy ad felt he time spool in eachdasegcagon in which wank is perronned. The vago date rrnnallin (including any additional dasslicaton and Wage rates conformed mderparagepb 1.L of this section) and the Davis -Bacon poster (WH-I321) shal ba posted at all Items by the contractor and its subcaivacbrs at he site of the work in a prominent and accosabb place whom it can be sally seen by the workers. b (1) The contracting officer dial,equimthat say class of laborers or mechaucs, including helpers, which is nolfidedn the wage dolerminotinn and which is to be employed under he contract shot be ofassiged in conformance %Ali the wage dolmincatlon. The contracting officer drat app®ve an additional ndassficagon and wage rate and Ingo berofts therefore only whon No following criteria have been mot: (i) The wok to be pedonmed by the dasslieelm requested is not patamod by a cNssificalon in the wago determination; and (Y) The dasdf"Icil is OI&zod in fie wren by the construction industry, and (u) The proposed wage moo. including my bona fide fringe bonelb, bean a masorobb relationship to the wage rates contained in the wage defemiinalion (2) If the contractor and the faborers and maclenics In be employed in the classification (it mown), or that representatives, and the contracting Officer ague on Ire dassAlCation and wage rde (Including the amourt designated for fringe banops where, aptempiate), a ropal of he action taken Jed be sent by ha contracting olksr to the Adminishdor of the Wage and Hour DMsion, Employment Standards Administration, U.S. Department of Labor, Washirglon, DC 20210. The Admldstrator, or an authorized mprasadat". Will approve, malt', ordisapprove ovary addlmai classdlcalbn action within 30 days of racoipl and so advise the contracing officer or will notify the mnlmcifng ofboer within he 30Aay period that additional Inv is reassert. (3) In the event the contractor, tie laboras of mochanis to be employed in The classifica Ion or their mprisadallves, and the contracting Officer do not agree on he proposed classification and wage rate (ndudig the amount "noted for fringe bonofts. whom appropriate), he codfactiti officer dal refer Ito questions. inducing lie views of all interested parties and he recommendation of the contracting oflca, to he Wage and Hour Admi nistrebr for debrmimtion. The Wage and HourAdminishater, or an auhorized Mpms ildhm. will Issue a ddenminabon within 30days o(fewpl and so advise Ibe aodracting ollcof or P-22 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) wall Polly the codractng decor within the 30 day period Ind additional tone Is rerassay. (4) Thewage rate (including fringe benefits whuro appropriate) determined pursuant to paragraphs I.b.(2) a l.b.(3) of Ihls section, shell be paid Joao workers paregatilg work In the dosaificalbn under Ilia contract from the first day on which work is patterned In the cbssilkatbn. c. W henevOr tie Minimum wage role prescribed in the contract fora class of irbonors ormechanim brdudaa a huge baneffAsMsh Is not expressed on On hourly cols, the contractor shell either pay the benefit So slated in tfo wage detarmnaSon or shall pay aroiher bona fide Irngo berafit or an hourly cash equivalent thereof. d If the contractor does rot make pnymentsto a trustee or Offer 111411 person, Ihe contractor maycoreWer as part of the wages of my nbaor or mechanic the amount of any oosb renewably anticipated In Providing bore fide fringe benefits under a plan or program, Provided. That Ile Smmnry of Labor has found, upon the written request of (he ooatmdor, that the applicable standards of the Davis -Bacon Ad hero been mat- The Sacrotary of labor may require (he contractor to set aside In a separate account assets for the meeting of obligations under the plan err pragran. 2. Wllhholdng Tho contracting agency shal upon Is own action or upon w+(gm request oran outerhzed representative offho Deparment of Labor, withheld "cause in be withheld from the contractor under this contract, a any other Federal contract with We Sabra privo contractor, nary other federally, assisted contract subject to Davis -Sawn providing wage requirements, which Is hold by the sumo prime Gartland", so mud) of the accrued payments Or advances as may be considered necessary lopay laborers and mechanics, Including appontkas, heiress. and helpers, employed bythe wilifadof a any subcontraclnr the full amount of wages req uffed by the contract n the event of failure to pay any laborer air mechanic, Including any appn ikq tmnoo, or helper, employed "working on he Ste of the work. at"part of he wages required by the contract, the "trading agency may, armor wMon notice to the contrada, toko such action as may be necessary In cause the Suspension of say further payment, advrnoa, "guarantee of funds u ill suchvddatlom have chased. 3. Payrolls andbasic records a. PaynAls and bask cwmds rdoWg thomfo stol be maintained by d)e contractor during the course of the work and Preserved for a period of Ihroo yeas thereafter far no labwors and mechanics work nil at the Ste of to work. Such recede shall contain the name, address, and social saw sy number of eachsuch worker, his or herconectcassifoatbn, heady mtee olwagos paid (including miss OF contributions "Goals anticipated for bona fide fringe benefits "cash equivalents thereof of the types described In sadden I(bX2)(8) of the Davis -Sewn Act), daily and weekly nurtborof hours waked, dedrelimsmade and actual wages paid. Whenever the Secretary Of Labor has found under 29 CFR 5.5(aj(i XIv) Ind the wages of any laborer "mechanic Include the amount of any costs masonablyantdpated In providing benefits under a plan or program described In soclion I(bj(2)(B) of he Davis Bacon Act. the contractor shot and lain records which show Unit (he cornmemeat to provide such bahef is Is enrercoablo, that the plan or program IS finultldy rsspmsltlo, and that (be gram IM been cognmernicalod In willing to the whor W modonirs affected, and moons wti i shhaw the costs anticipated or Ile actual oast incurred in providing such berOldS, Cmtmlam empkying apprentices or Palmas under approved Programs shall makhlm willing evidence of he registration at appfenloaship proof grins and coristcakkn of baling programs, the regisballm of Ito apportions and trainers, and Ilia ratna and wage rates prescribed (n the applicable programs. b.(I ) The coatracta shall s)bms waeldy, for each weak in which any contract work Is Performed a oopy of at Payrolls to Ihoosntadng agency. Thepsymllasubndledshotsaloul accurately and completely all of the Infomntion mquked late maintained mdef 29 CFR 5.5(aX3XI), except awl fill sodal security numbers and lame addresses shall not be Included on weekly tongnildle ]reload the pavmlfs shelf only good In an kdihidualy Idanitying ncm f" each amplcyfo a.g. , ran last four CHIPS of the employee's Social security number), The required weekly payroll Information may be submpled In any form desired. Optional Form WH-347 is evadable INNS puposefrom the Wage and Hour OFrislon Web sited hltfthWww.dotgovbsW*tdHomhsMh34Arekehm or its cuooasecr site. The Prkn i Walmcbrfs resPOPsafefa the svbmissfonof copies of Payrolls by all subcontractors. Coatadofe and subcontractors Shall maintain Ilia full social socusy number and current address, of each covered worker, and shall proido them upon mqued lothecortrading agency for transmission to the State DOT, the FHWA athe Wage and Hour DNsion of the DepaNnanlof Latiorfor purposes of an InrosUgotifn Of audit of compliance won prevailing wago fequkemanls. (its rot ovblAko of the soclon for aprime oonbador to require a subcoffmdoris provide addresses and social seafdlynumbors tollm prime contractor for Is uvn roads, wghad woolly submission to he contracting agency- (2) Each Payol submitted shall be acoompaded by a 'Statement Of complanoff- signed by the canyad rot subcontract" a his or bar agentVro pays Of supervises the Payment of he parsoria employed under the ceramic and shall ceddy the following- 0) That the payml for the Palma period contains the Information required to be Provided under§5.5 (ax3)01)of Regulations. 29 CFR pat 5 the appropriate Idormallon Is being maintained under §S.S (a)(3)(I) of Regulations, 29 CFR part 5, and that such information Is oward and complete; (it) That each aboror" machank pnc]udng each halter, appenUm. and hntnoo) employed an the contract during the payoffod Ines hem paid the fill woaldy wages earned VA oedt rebate, either dkocty orhdkeeiy, all did he deductions have been mado either directly or ndkectiy from the fudwages named, oiler than Permissible deductions as set forth In Regulations, 29 CFR pad 3; (i) That each taborer ur mechanic has bow pan not Ion than the appl(cadewage rates and fringe banofds of cash equivalents f" the classification of work porfonned, m specified n the applicable wage determination incorporated into he meted. P-23 of P-52 CITY Or SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) (3) The weepy submission of a property executed cedtlodbn set forth on the reverser side of Oplbnal Fomn WH-347 shall eats(y the requirement fa submission of the "Stammers Of Canpllonmd' mgdred by pamgmph S.b,(t) of this Section. (4) Ths futslfiragon of any of the above certgcalbns may subject the contractor or subcontractor to CIAI or alminal pmaecutlorowdef section 1001 of 119610 and section 231 Of title 31 Of the UlYted Slates Code. c. The contractor a subcontractor shag make the mounds required under paragraph 3.a. ofthis Mellon available for Inspection. copyNmg, ortromodpilon by aulhadred represenmtiversof the co rtmclag agency, the Slate DOT, the FHWA, orthe Department Of Labor, and shag pennp ouch mpresenldlVOS to nloriiaw employees OWN Nodding Yours on the job, If the contractor or subcontractor falls to submll the required Monde Or to make Than avaiable, the FHWA may, after val tea notice to the contract", the contacting agency or the State DOT, lake such action as my be necessary to counts the suspension of any rWhor peymenL advance, a gusranteeoffunds, Furthermore, fdkre to submit are mqu.rad records upon request or to make such records avaitade may be grounds for drtammnlactlon pursuant to 29 CFR 5.12. 4. Apprentices and trainees e. Apprentices (xogs" of the USDOL), Appmniceslad W pefmllled to work at less then the pmdelarograd rate for the work they performed when they we employed pursuant to and kWNiduaay reglelered Ina bore fide apprortionshlp program registered with the U.S. Department of Labor. Employment and Training Admnlskdton, Office of Approntk:aaHp Tramng, Enployor and Labor S orvkrs, orwffh a State Apprenticeship Agencyreoogdrsd by the office, m If a person Is employed In his a herlirst 90 days of probationary employment as an apprentice In Such an apprenWeshlp pmpam, who IS flat Indivkludy registered In the pmppram' but who lies bean clogged by the 001ce cf Aoordulloeew, novices or a Slate apppprrorpprriatpe) to be epglble nor The allowable Milo ofapp i nices to journeymen on the )ob Site In any crag classilicallon step not be greater than the ratio Permitted to the contractor its to the antra work force under the regisered program. Any worker listed on a ppyrcti at an apprentice wage rate, who is not registered of olhorwfae employed es slated above, shag be paid not loss Man the applicabe wage rate on the wage dommil a tan for the chsslfratkm ofwork actually pedommd, In addition, any apprentice performing work on the job site in excess of the mile pamstod under the a gelarad program shag be paid not less stun ice applicable wage rate an the wagedeloannation for the work actually performed Where a codredor Is porfonnng construction on a project In a lacadly other then list In which its program is registered, the rogas and wage MISS(dgaesssd In percentages of the)onmeyman's hourly rate) spedged In Iha coomda" e a subconbeclor,s mgistered program shall be obsarvad Every apprentice mud be paid at act loss than the rate specpiod In the registered program for the appronlda's level of expressed as a percentage tithe )omneymen hourly rate specgted In the applicable wage dotomthatbn. Apprenticed shop be paid rage benagls Inaccadancowah the provisions of the appronllceshp program. If the eppmn5ceship program does not specify fringe bandits, apprentices mull bar paid the fail amount of fringe bondps Ilslod on the %Vo datmmnatnrr fur the appik able classification. II the Admirsstrator deiermims that a different practice prawns for the eppllcabin apprentice daeaAcalbn, fringes shell be paid n accordance with fired determination, In the evenllla Office of Apprimlooship Training, Employer and Labor SOMiDes, or a Stele Apprenticeship Agency recognized by Iha OOba, W IW(ays approval of an apprersksshp program His contractor will no longer e permitted to dgke approollcm at loss Ihonlhe app7kaHe peddaadmal rate for the work; performed and an acceptable program Is appraad. b. Trainees(pmgmms of the USDOL). Eirceptas provided In 29 CFR 5.10, Iminees will not be pa"Mad to wok at INS than the predetermined rota fa the work performed unless they era employed pumuanl to end Indtvldually registered n a program which has received pion approval, evidenced by formal ca"I iconon by the US. Department of Labor, Employment and Tmining Administration. The Milo of trelcoes to pomayman on Iha jab site shall not be gmalor than pa"Ifted under the plan approved by the Employment and Training AdmLMstmlbn Every hanao must be paid at rot less than (be rate specified in era approved program fa The trainee's level of pmgress, expressed as a percentage of the jeanoyman howdy rate spedflod in the oppilooble wage ddsnmlnatbn. Tmlknow shall be paid singe tatoot is In accordance with the provlskms of the Imk%O pmgmm, g the baime program does ad monlon fringe bandits, [mimes that be pail the fill onieunlof fringe bamfits listed on Ihowago determination unless ice Administrator of the Wage and Hour DIVISon determines thal there Is an appoodceshp program assoatelod with the camepdnliing daMmnndllan watch eprovides qless than efull Igo benefits Ia apprertllces. Any employee Haled on the payroll at a trdnoe MIS who Is not registered and podicipatlrg in a training pan approved by Ira Employment and Training Adatnlstralkn shag be pull not loss than the applicable wage rate on the wage ddemmlria0m fa the classlf calnn of work actually performed. In addition, any barmen performing work on ice job site In excess of to ratio pefndltod under the registered program shag be paid rot less than the apppca le wage rate on tho wage delormlrollon for the work actually performed. In the avers the Employment and Tinning Admoistratoo withdraws approval of a training program, the oonbador will no longer be permitted to utltTo banses at less gran the opplicablo predetermined role far the work performed unit an acceptable program is approved. c, Egral employment opportunity, The Winston Of apprentices, Iraneas and journeymen under ids part shop be In conbrmllyy with the equal employment oppahmity requirements of ExacuNve Order 11245, as amended, and 29 CFR pad 30. P-24 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: I8-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) it Apprenlms and Trainees (rogram of the U.S. DDT). Apprentices and tairus working under alpremkeship and skin wining programs which hue been certified by he Secretary of Transportation m promoting EEO in oonnactbn will, Federal -aid highway construction p ogrems ere not subjod to the requkoments of paragraph 4 of this Section N. The simghl tkno hourly M90 rates for apPmmces and tminms under ouch programs w91 be mlobfishad b/ he polletfor programs. The ratio of apprentices and Indrou to lmrmymen Shelf not be greater Ion polmfitad by the tortns or he pnnkunr pmgmm. S. Compliance with Copeland Act requirements. The wdradorshab comply with the ruV4trements of 29 CFR pod 3, which are klmgsoralod by reference to this codmct S. Subcoramcts. The mahacbr or Subcontractor Out kesed Form FHWA-1273 in on/ subcontracts and aboroquko The Subconmdors to include Fonn FHWA-1273 in, enYbwerber Subcontracts. Iho pNmo contractor shell bin responsible (cc Ian compliance by any subcouradoror lower liar sulticurninicioi with of 0recontract clauses In 29CFR 55. 7. Contract nomination; dobarmonl. A breach of he contract clmus In 29 CFR S5 may be grounds for termInabn of the o mrect neM (or dobamtenl m n mntanbr and o s Wcwbraclor arc prwlded In 29 CFR 6.12. 6. Compliance with Davis -Dawn and Roland Act requirement& Al rulings and Interpretations of he Davis Down end Related Acts contained in 29 CFR parts 1, 3, and 5 am heroin incorporated by reference in Ihfs contact. a. Disputes concarnIng labor Stand ends. Disputes adsktg out of are lobar standarde provisions of this contract shall not be subject b the goneml dspdas ckuam d Wbcmt t=L Such deputes ahal be resolved In accordnnco with he procedures of No Department of Labor set forth In 29 CFR parts 5, S, and 7. Disputes wittin the meaning of this clause idum disputes batmen tin contractor (or my of is subcmtractore) min the contmctktg agency, the U.S. Department of Labor, a the employees or Our mpmsentdivos. 10. Cart lkcatlrn of algfbi My. a By entering Into this contract, W conractorcerldfos I lot rather It (hot he a she) nor any person err firm who Van Interest In ho wncadars Ilan te a parson orfkm krefigibto to be awarded Government contends by vklw of soctbn 3(a) of the Davis-Sumn Ad or 29 CFR 5.12(OX 1). b. No part of this contract Shall be submntrmted to my pa son or On Ineligible for award of a Governnentconimet by viduo of auction 3(a) of the Davis -Sawn Act or 29 CFR 6,12(aX 1), c. The penalty fa me" MISS slarennents Is Proscribed In the U.S. Criminal Coda, iS U.S.C. 1001. V. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The following louses apply to any fodad old construction malted In an amaant In exacass of $100,000 and a Wjaclto tie O"Mum pmv¢ims of No Contract Work Flours and Sally Standards Act TFnsedanses shall be imaded in addlien to the clauses required by 29 CFR 5.5(a) a 29 CFR 4.9 As land In this paragraph, the lorms Inbaas and mechanics Include watchmen and guards. 1.0vallmarogWrarmnls, Nocmbodororstbwnindor contracting for any pad of he contract wont which may require Or Involve the ompbymoral of laborers or mmhenksshell requko or Fennell mysuch laborer or mechanic In ary workweek to which he or sin Is employed on such work to work In ucess d forty hers In such waneveek uuass such laborer or medlama mwlve9 mnpea i alko al a cob not less than one and one -hob linos the busk redo of pay for all hours workod In es ss of fatty tours In such wadmeok. 2. Wolaean; tiablifty for unpaid wages; Rquklated damages- In he avant of arty violation of the douse sot fault in pomgraph (I.) of this section, he wntractorand any subwaniclor responsible thombr shall be bible for the imam wagesin addition, such mntmda and subcontractor shol be liable to the Unwed Stalm (in the case dwork dam under contract [of the Disrbl d Columbia or a tomlory, to such Dis lid or touch territory). for liquidated damages. Such liquidated danagos steal be computed with ISspoof to each individuOf laborer or maehantc. Including watchman and guards, employed In violation Of The demo Sol forth In parsgmplh (I.) of this suction. In the sum of SI0 for each catendor day at which Such Individual was required or pomllled b work In eneea of the standard workweek of buy boas without payment of Uu overtime wages requital by the clams $Of h In paragraph (1.) of this section. 3. Withholding for unpaid wages and Iguidalod damagos. The FHWA a the contacting agency shel upon its awn action or upon wrillon request of an auihorned reproscrI of the Department of Labor sithinld or muse lobo withhold, from and moneys payable an mcoutt of work performed by the oodrada or subcontractor under any suehcmlrad or any other Federal contract wdh the sane pdme contractor, or any atliur fadomihhassisnd contract Subject to the Contract Work Hour and Safely Standards Ad, wfidt Is hold by the sumo Prim contractor, such sumo as my be dolemlkmd to be nmmentry to mibty any latifts d Such contractor subcontractor for unpaid wages and liquidated damages as Provided In ho clause Sol Neill In paragraph (2.) d this section. 4-Subcontracts. Thoeenbactororwbwntfaclasholbwrt In any Subcontracts the clauses Sol (a It in paragraph If.) through (4.) of the section and also a douse, requiring the subcontractors to indude thus clauses In any lower Her Subcontracts. The prime contrmlorshal be fmpershle for complonce by any Subcontrecbr or lower Iof subcontractor with the dauses set foil h in paragraphs (1.) through (4.) of this soclion. P-25 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) VI. SUBLETTING OR ASSIGNING THE CONTRACT This provision Is appicable to all Federalab construction contracts on the National Highway System. 1, The callrodor shot perform wall its own orgnnbatbn contract %York amconling to rot loss than 30 percent or a omelet percentage 9 specified elsewhere in the contract) of the tolaloriginal contract prim. excluding any spaclo ty items designated by the contracting agency. Specialty immorally be performed by subcontract and the amount of any such spoc Inky isms ponfomred may be deducted from the total original contract price before computing The wountof%wrk required to be performed by the contractors awe orgontzollon (23 CFR 635,116). a. The farm'perbnn work with is won arganlcalbry refers to %Yorkers employed or based by he pima contractor, and eguipnere nl "led or nlod prime by lie pre contractor, 4h a withoutopaatols. Such tam does rot include employees or equipment of a subconlmcbr or lower tior Subconntrodor, agents of the prime contractor. or any other ossignoa. The War; may Include payments fa the moss d hkbg based employees flour an employee liaising rim meeting all relevant Federal and Steteraguiately requirements. Lensed employees may only be Included in this term if tha p done contmclor mods tll of the folowIng coadlaone, (1) the prime contractor maintains weird ovar she supervision of theday-today activities of the based employees; (2) the prime conttmctorre mains rosponaltlofor the quality of ono work oflhe Inasad employees: (3) the prime contractor relates ag power to accept or exclude adivkluaf employees from work on lire pr*cl: and (4) Ie pdmo codfoctor mmeifs oaknateiy mspomlbla for the payment of predetermined n7**num wages, the sutmissbnofpoyfols,sstommtsof complianco erd all other Federal mgdabry requirements, b.'Spodaay gems' $hall be consisted b be limited to work that mqukes highly specTat zed knowledge, atAIN as. or equipment a atordnsrgy o"Illade in the type of contracting organ wtbns qualified and ospacted to bid or propose on the contract as a whole and In general am to tea laniled to m(nor compionsnls of the awrsll contract. 2 The contreclemounl upon which the mquiemorim set fork In pamgmph (1) of Sa W VI is computed lndudes the rest of material and manalactured produas whkir state be pumbawdorpmdmodbykillcontmci runderthecontfwt provldons. 3. TM contractor shall furnish (o) a competentsuporkllondonl or supervisorwho Is employed by he firm, two full authority to died performance of the work he aaortlanco with he contract requiements, and s h charge of all conelrudksiopersttons (regardlws of who pofofms Io wwrkl and (b) such other of is own organizational resources (supervision, monagoment, and engineering soMcos) as the commcting ofgcadolemnines is necessary to assure the perfoma ance ofthe contract. 4, No portion of the Contract shag be sublet, assigned a dhenvso disposed of onopt %vah le %oaten Corsed of The contracting oticer, or authorized roprnsotalNe, ad such consent when given shag not be constmod to mi he contractor carry responsibility for the WISmant of he contract Wdhen consent will be given orty ono ire contracting agency has assured that each subcontract is evidenced in wetting and that it oameas all parkeent provsions and requiromonts of he prime contract. 5. The 3W. self•podomtarrw requiomant d paragraph (1) is nol septic sells to design. build control; is; howwwr, conlmctirg agencies may establish their own soB-por[of manco requirements. VI. SAFETY: ACCIDENT PREVENTION T h I is p r o v e si a s i s applicable toall Faderaleld caislnuctlon conlmcis and Is all related subwnlracts. 1. In the performance d this contranthecmira:ta shall comply with all applicable Federal, Smile. and "lam governing m i ety, heath, and sanitation (23 CFR 635). The contmctm a hal prwde ag mieguenis, mfetydevkes and pmtedNe equynmodanl tdw anyolhernoodod actfonsos g debmdnes, or na the of ntmding ollkef may delarmine, table reasonably necessary to protect ills Ile and haaah of employees on the Job and the safety of the public one to Protect Property In a mclbn with the polormanco of he work cowed by he contract 2. 1 is a condition of the conlrect, and shall be made a corxtNon of each aubowlmd. witch he contractor onters Into Pursuant to fits contract, thal the ooalredor and any subcontractor srolloaf parmil any employee, in performance of the contract to work in surroundings a under conditions wtidi we unsanitary, hazoldous or dangerous (obsder healthier safety, as determined undarconstrecdan safety and hoalm standards (29CFR 1926)pronugated by the Seoatay of Labor, in aocordence with Soctkun 107 of Ihm corearacl Work (burs and Safety Standards Act(40 U.S.C. 3704). 3. Pursuers to 29 CFR 1926.3. it is a coodtion of Its contract that the Secretary, of Labor or authorized repesentouvm Meant, shag low right of entry to any site d contract parhtmance to bspaClar Investigate the matter compliance with the coretrudbn solely and health standards and to arry, out the dalba of he Secretary under Socfon 107 of the Contract Work Horss and Safely Stanteds Acl(40 U.&C.3704). VI 1. FALSE STATEMENTS CONCERNING H IGHWAY PROJECTS This provision Is applicable to all Federal -aid construction Contracts and b dlreiatod snlboarllreda Inorderto am re high quaity and durable construction in confomily with approved plans and specifications and ahigtl degree of reliability on staNmods and represontatos made by engineers. contractors, suppliers, and workers an Federal. aid highway proocls. HIS essential that all porsons concomod with the projoctpedorm lheirfurcliona as coreluly, thoroughly, and honestly as possible . Witul fasllicatdon, disloribn, or misrepresentation with respect to any facts related lathe project Is a violation of Federal law. To prevent any misunderstanding regarding he Seriousness of these and similar acts, Form FliWA•1022 shop be posted on each Federal"0 highway pvwt (23 CFR WS)in awe ormore places whom t Is modify ay Holkilo to al persons conaerred with the prgtect, 1e1.).S.C, 1020readsasfolaws: P-26 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 'Wtindvnr, being an oflcer, agent, oremploym of the United States, or of my State or Tentory, or whoever, whether a person, association. In, or corporation, knowingly makes any false statement, false representation, orfalse report as b the charaaar, qua9y, quantlly,a Cast ofhhe material used OF to be usetl, a the quandly orqually of Ihework pedomied or to be Pertained. or he met thereof in connectort wih the submission of plena, maps, specllkalbns, contracts, propels of construction Oct any highway or related project submitted for approval to he Secretory of Transportation; or Whoever knowingly makes any false statement, false representation, (also report or false claim with respect to (e Chmider, quafty, quantity, or cost of any wok partitioned a to be Pedorned, or materials furnished or to be furnished, in correction with the construction of any highway or related Project approved by the 3eaataryof Transpoestion; or Whoever knowingly makes any false stalamenl orfmse to presentation as to material fact In any statement, cwi fimle, or report submitted Pursuant to pmvidons of the Fedardakl Bonds Oct approved July 1, 1916, (39 Stal. 355). as amended and suppemmled; Shad be Road under this fills a fmp is Wed not men han 5 Years or bcth." OL IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT This Prooddm Is applicable to ON Faderalaid combuction Contracts Ord b all related subcontracts. By submission of his bidlpmpostel or Ito execufim or this contract, or subcomrd, as appropriate, the bidder, proposer, FederLaid construction contractor, or subcoandfor, as appropriate, will be deemed to have stipulated as follows. 1. That ate person who Is orwdl he utiOted in the Pe f rewire of this contract is net PmWOd from daceldng an award due to a viola8on of Sedan 508 of he Clean Water Act or Section 306 of he Clean Air Act. 2. That he contactor agrees b include or cause to be included the aquienleols of pomgmph (i) of this Section X in every subcontract, and further agrees b lake such action as he oontrscting agency my dial as a means of enlacing suchrequiemenla. X. CE RTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION This provision is appkable, to at FedealaM constrdim contacts, dedgn•b id contracts, subcontracts, imaralar oubcontreds, purchase "don. lease agreements, consultant controls orany other covered transaclm requiring FHWA approved Of that is estimated to coal S25,000 or mom — as defined In 2CFR Pads 180 and 1200, I. Instructions lor Certification — Flat Tier Participants: a By signing and submitting this proposal, he prospective feel tier participant Is providing the certification eel out below. b. The InabiTly of a person to provide he certification set oul below Ail not necessady result in denial of participation In this covered trareacthm. The prospective ksl nor Participant shag submi an expatiation of why I cannot provide the certification set or1 below. The cedMicalon or explanation will be corretdefed in camadtbn with the depmmenl oragencys determination whether to enter Into this trensed'gn. However, failure of the prospective firm lie(penlfoipanl to fumish a cerg8calon wan expenation del disqualify Ouch a person from participation In this transaction. c. The codification in this clause is a material representation of fact upon which ralieme was placed when the contracting agency deleanked to enter into this turns action. If it is later determined Unit he prospective partkdpant knowingly rendered an monition cans imtion, In addition to other remedies available to be Federal Government. he contracting agency may terminate this hmraadion for cause ofdafaua. d. The prospect" first IW parficpmt shad provide Immediate written MOO& to the contracting agency to wtem this proposed Is submitted If any bite the prospective first fiat participant lama Ind b ca ficallon was motmo swhen submitted "has become amo eas by mason of changad circumstances. e. The terms 'cwerod irortsedhon" "ddrrred," `suspemled,"neliglbla,"`perticpant,"parson' Vdnoipd` and'boluntarty excluded; as used in Ills clause, am defined In 2 CFR Parts 180 and 1200. 'Flel Tier Covered TrmisadlerN' colds tomiy oalared trai eattlmbahwdl a grandee or subgnntm of Federal furls and a participant (such as he prima or genre( asrdrac0. 'Lower Tle(Covered Trsnsadiorq" refer b any adorned trenracg nmidara Flat Tqr C0leted Trmeadlm (such der aubCbdrnda). 'Flat Tier Participant. deters to the ponl ipaflt who has entered Into a covered transaction Win a grantee or subgmntee Of Federal Male ouch as the ovine Of general caritrackr). 'Lower Tier PantapOre MUM any participant who has mrbred Into a covered transaction with a Fist Tier Participant a other Lower Tier Partldpants, (such as suboadrectom and suppiesm). f. The pmspodive het tier perfidPera agrees by submadng ids proposal that, should the proposed covered transaction be entered into, 0 that not knowingly enter Into any lower tier commit transaction With a pamort who is debarred. suspended, declared ineligible, a voluntadly tocluded koa participation in this eoverd moseclion, unless authorized by lie deparkned oragency enledng into (his lrmsaction gg The prospective first (in( parmiant further agaes by oWmtko this Proposal Ind It wil Include the clause t)ged 'Cafffeallon Regarding Delimited. Suspension, Inelghlly and Voluntary ExefuslonLowar Tier Covered Transactions," provided by the department a contracting agency, entering Into this covered transaction, without modification, in all lower flat covered transactions and in all soiicilatorm for lower Ida covered transactions exceeding the $25,000 threshold. h. A padkdporil in a covered trmsaclm may rely upon a cortlmhion of a prospective participant in a lower tier covered transaction hat is not debased, suspandad, inallgiXe, or voluntarily excluded from he covered transaction unless X knowsthdthecandkalonisenonsous. Apstthdpantls raponsib O for ensuing that its Principals we not suspended, debsrtad, orotharwise Ineligible to participate in covered earsaclons. To vedfy the eliUM(y of is prbwjpals, as wdl as lie *11001y of any lower tier proapediva padicipents, each padkApanimay, M!f is not requked lo, check he Exduded Panes List System wetraile fhIgL1Avww,.Wls.now which s camplod by ltie General Stakes Admnialralio n, P-27 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL, INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) t. aolhing contained In the foregoing shall be constued to require the eslablis mend of a system of records to order to rendet Ingood loth the codification required by this douse The knowledge and idormotion of the prospective participant Is net required b exceed that which Is nermaty reasoned by a prudent person In the ordinary couroe of business dealings. I. Except for transactions ad Braked under pamgmplh (Q of these instructions, If a participant in a covemd transaction knowingly enters into a lower tier covered harhsuchen with a person who Is suspended, debarred, Insights, or voluntarily excluded from participation In this lrensedlon, in addition to other remedies mailable to the Federal Government, the department or agency my terminate this transaction for cause or default. 2, Certification Regarding Debarment, Suspension, Inallglbi ily and Voluntary Exclusion —Flnt Tier Participants: a. The prospecOm fast tier participant caniTms to be hest or is knowledge and hoped, that ll and as principals: (1) Am ral presently debarred, suspended, proposed for debarmenl, declared Inefigibe, orvobnterily excluded from Participating In cased Imnsecttans by any Federal department or agency; (2) Hive rot within a lmea-yoa period preceding this proposal beenconvicted of or had a civil judgment rendered against them forcorun sslon of fraud or acriminal offense in connecion, with obtaldrg, attempting to obtain, or performing a public, (Federal, Stale or bull ham when orcontmd under e pubic tomesction; vioation of Federal or Sale antitrust stahAes a commission of embeaaman4 theft, forgery, bribery, feisfxrahon or destrucfun of records, making false slamenls, orreceiving slow property, (0) Are not immunity Indicted foror otherwise ainaaey or ctdty charged by a governmental arsity (Federal, Stale or foeal) with commission of any of the dfanses emrmseled in paragraph (a)(2) of this confliction; and (4) Have nit within a Imee-year period preceding this epplcelbNpropossl had one a more public aamdctans (Federal. State or "cal) terminated for cause or defeat[. b Where the pm"cltve porudpenl s unable to caniy to any of the statements in this cadiicatan, such prospective participant shall allach an explanation to this proposal. 2. Instrudionsfor CertiBsal,can . Lower Tier ParliclPanls (Applicable be all subcontracts, purchase orders and other lower liar hansactone requiring prior FHWA approval or estimated locos S2S,000 ornmea - 2 CFR Parts 180 and 1200) a By signing and submiting the proposal, the prospective lower tier is providing Ile certification sel our below. b Tbecenl6calion In this clause is a material represemelmn of fad upon which milance was Owed when this transaction wwes onared Into. 0 a s later determined that the prospective lower her participant knowingly rendered an erroneous carificaton, in addition loother remadiesavalatle tolhe Fademl CorommsH, she daFOMhps, w ogency with which Ins transaction origumled may pursue available remedies, including suspension andlor debarment. c. The Prospacrvelowof tiarpabdpanl $hat prwide uninsdin ewritten police to the parson In which this pcposal Is submitted If at ary We the prospective lower liar parodparil Items her Its certification was arroneous by reasonof changed circumstances. d. The terms'cwered Imnsaclan, 'debstred; 'suspended,"aelgale; 'partcpsnl�person; 'principal,' ard'vdunlaly excluded; as used in [his cause, we defined in 2 CFR Pads 180 and 1200. You miry correct the person to which this proposal is submilted for assistance In obtaining a copy ollhoae regddans. Fiat Tier Covered Trpmectors' mrars to any covalent transaction between a granlee a subgmnlee of Federal funds ant a participant each as the Rime or owwal aremcy, 'Lower Tier Cwemd Transactions' refers to any covered transaction under a First Tier Covered Transaction (such as subcontracts). 'FYSI TlerParticpmt' refers to the participant who has entered into a covered transaction with agredee or subgranlee of Federal funds (su cli as the game "general connector). lower Per Parliciper it'rerent any participant who has entered Into a covered hersection with a Fear Tier Pslicpanl of other Lower Tar Participants (such as aubcorsractors and suppliers). e. The prospective lower liar participant agrees by Wbmafirg Ins proposal that, should the proposed covered transaction be entered into, It shall an[ knowingly enter into any lower tier covered transaction with a person who Is debarred, suspeaJed, declared Ineligible. "wluuarey excluded from Puagcipalan in this covered hamsaction, unless authorised by the department or agency with which the transaction origaalad. f. The prospective laver liar participant twiner "gees by submitting this proposal that IIwAI Include Ora clause rated 'Certicaton Regarding Determine, Suspension, IneYgibity and Volunlary Exclusion -Lower Tier Covered Transaction," without modification. in all lower tar covered Imnsedions and In at sdidlmiams for lower ear covered imneacgons exceeding the 528,1)(M)treshold g. A pudiripum as covered hansaclion may rely upon a carificaion of a prospective participant In slower liercwered lmnwftn theirs not debarred, suspended inaigba, or volur iy excluded Item the covered transaction unless It knows that the certification is evonews. A participant is resporeba Iorerwring tiro its principals aro not suspended, debarred, or olhervese Ineigble to Participate In covered transactions. To wdy the efgbcaly of its a" pals, as wet as Ilte e%itiily of any lower gar prospective parlaipanls, each Inalk pantmay, but is not required to, check If* Excluded Pantos List System webaae (jfgg;[r Wy ng)g,ggv,(), which )a compiled by the General Services Administration. h. Homing contained in the Warning shall be construed to require establishment of a system of records In order to fender in goodfailh the codification required by this douse. The knowledge and Intonation or participant is not required to exceed that Witch is reproof, possessed by a pmdem person in Ole ordinary Bourse or business dealings. I. Except for Imrsactions authorized under paragraph a of Ihcae instructors, if a paraiparil in a 00vared lmosectan knowingly enters alo a laws list covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded Iron paisipaion to INS transaction, In addition to other remedies weiatte laths Federal Govemmers, the P-28 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) department or agency with which Oils Imnsocim originated may pursue am8ablo mnndios. Including susponslon andito debarment Cerlllcallm Regarding DobamwM, Suspension, Ineligibility and Voluntary Exclusion -tower Tier Participants: 1. The pmspadbe Wwg Ilorpofacipaat corgfne, by submission of this pwpusal, UM nolher it not is pdrelpnis Is pmsongy debaaod, susponded. poposod fordebomsont. doclnmd Inulgblo, a voluntarily excluded from pnrlldpalinO In covered transactions by any Federal depadmotil a effoncy. 2. Whore IhoWospoclim lower ON pa Ong Is unable to cerlly to nary N Inc slatommis in this coNimibn such prospWWO Podldpmt Mail Much fo explanation to his proposal. XL CERTIFICATION REGARDING USE OF CONTRACT FUNDS FOR LOBBYING This provision is applicablo to all Fateratroid construction coobncts and to all related subcontracts which exceed $10000(49 CFR 20) 1. The pmspocllvo pulcpanl cD Wos, by signing and submitting this bid or proposal, to ma best of his or Inn kwwledge ant hell of, that: a. Na Federal appropriated funds have bam paid orwll be paid, liver on bohalfol the undersigned, to ary person for NOuonchg or allanptina toinlivaao an offhgf or ompteyao a any Federal agahuy, a Member of Confirms, to officer or employee of Congress, or an employee of a Mamba of Congress in cmnecllm „ on the Molding of my Federal contract, the me" crony Fodaralgrarl. Ihemefdng of any Fodeml Icon, the ontorig kilo of my coopormwo ogroanom, coil the extension, continuation, mcexel, anenament or modfpationof any Federal contract, grant, tom, or cooparauw mgmomaa. b. If any funds other than Fetleml appropriated funds have been paid or will be pad to any person for Imumdngor attempting to in luenco an officer or employee of any Federal agency, a Mombor of Conamss, an ofrRa err employee of Congress, or an employee of a Mamba of Congress In comocuon with this Federal cooked. grant, lam, or cooperative agmomari, the urdomignod shol compWo an submit Standard Fame LLL, "Disclosure Form to Repro Lobbying.' In accordance with Its Instructions. 2. This codlkalbn Is a material mpmsuntalon of fact upon which mlanco we placed when Oils Imnmclim was mode a uttered into. Submission ofthl9 cedli'.Olbn is a premgdegp for making a Offering into Nis transaction Imposed by 31 U.S.C. IM Any person wholails b fie No required codification; shag be autjecltoe NA penalty of net lase than 54000 and not ma, than S100,000 fa each such failure. 3. The pmspectivo participant also agrees by submitting is NO prop000l gat Oic participant still require that coo luoguage of this certification be included In al I bswr Ina subcoftmcls, which exceed $100.0110 and that of each radplefis shol codify foul disclose aaordingly. P-29 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) ATTACHMENT A- EMPLOYMENT AND MATERIALS O. Tlocorafaclashallickdo lhupnovislonsol Seclorai PREFERENCE FOR APPALACHIANDEVELOPMENT Ilmugh4 of this Attachment A In ovary submnlmciforml; HIGHWAY SYSTEM OR APPALACHIAN LOCAL ACCESS which is, ormosonady maybe. donoason-seework. ROAD CONTRACTS This pmvlsmn Is applicable to at Fademl-aid projects hi Berl order the Appalachan Regional Development Act of e9S5, I. Wring the pafo manes of this contract, the contractor undertaking lodowwk vfikhis, arreosonebly may be, dare m onapo work, shot 00 prafaaace to qualified Pomona who regularly realde h he labor area as designated by the DOL whemin tho contractwork is situated, or Iho subregion, "the Appalachian counties or the Stole wherein the mdrod wok is situated. except: a. To the eNanl (tot quegfiod persona regularly residing in the arse am M available. b. Fa the reasonable roods of the conbactor to nnploy supervisory or specially experienced Personnel necessary to assure an of Want execution of ho commd work_ c. For the obligation d ono wrimdor to oler employment to pmwfd a former employees as ha malt of a IoMul calective baganrg mnhacL provided thallhe rumberof nauesdent paeans empmyed under grlc subpaagaph (lie) shad rwt axceod 20 pomonlef lhs tololmmba of ompbyoos omptoyod bylha contractor on Ihecordmd nark, excepl m pmvmed in subp®mgraph (4) boluw 2. The "tract" "I place a job order lwlh fheState labEmployment Sor4aNnd+after our) the ales equked t m Iho the WAVrers. mmork. (bos ait Mar ompoyeelGyaos ed to perform Ind dassrlwork,N)No numb a vompleyeportc mrlm each dassi9calbn, (cJ the data on w/hkh lire peAcipant mtmalos such ompoyoos I be requited, ad(dj any other Pa WonI mfomnadon,Mau ad by the State Employment Service to complain the 0 order form. The job order may m placed %An the state Employment SoNka In writing a try telephone, 11 during the course of he contract work, the infatuation submlmd by fins contractor m the originaljob erdef 15 subsmnfalty modified. thapaitripant shot prontpgy Golly Me State Employment Service. 3. The contmaor shot give fill commdemfiah o at qualified lib applicants wilfmd lohm by the State Empfoymal SaNce. The mntmclorisnol required Ingram employmerdto ay )Cb oppllmnts who, minis oplmaL nfo hit qualiied to pedomi the classification of work required, 4.1f, wehm onewaek folowmg he placing d a jab hider by Iho oomraclor wMl lho Slate Employment Serrlco, the Slate Employment Service is unable to mfor any qualified job applicants to theconhactor, or less than the number requested, the Stale Employment Service will fonmm a carllicate to the conhactorindicalig he unavailability of applicants. Such certificate shot be made a port of the corimaofsponnumarl project i mras. Uponmceyt oohs coNficolo, the contmclormay employ persons who do not normally msdo In the labor am to 111 positions covered by the cwl4mlo, notvndhslanding he pruv"m of subparagraph (Ic) above. 5. The pmvlsbm d 23 CFRB33,207(e) aiwv he contracting agency, to Previte a mntrachsl prdorence for the use of minaret resource materials native to the Appalachia region P-30 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Eleenor Belco Electric, Inc. proposed subcontractor hereby certifies that he has X , has not _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, be has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signed Title Firm Eleenor Belco Electric. Inc. Date P-31 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EQUAL, PMPJ OYMFNT QPPORTUNITY CEUffICATION The bidder proposed subcontractor ` { FhJ' NL 1 (1 t{ Av _ e6i�P hereby certifies that he has has not —, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a. Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note; The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $1.0,000 or under are exempt.) Currently, Standard Form 100 (EEO -I) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CPR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signed Title rSL 3 i(2 t47 h T Firm Date P-31 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder proposed subcontractor erior Pavement Markings Inc, hereby certifies that he has -_V, has not _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signed Title Darren Veltz, C.F.O. Firm Superior Pavement Markings Inc. Date 11/15/2021 P-31 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has _ , has not X been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. Note: The bidder must place a check mark after "has" or "has not" in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed Title Vice Firm Elccnoc Belco Electric, Inc. Date John P-32 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PUBLIC CONTRACT CODE SECTION 10232 STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board. Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed Title Firm Eleenor Belco Electric, Inc. Date 11/8/2021 P-33 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) TITLE 49, CODE OF FEDERAL REGULATION, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder's responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signed .John Wong Title Vice Firm Elecnor Belco Electric, Inc. Date 11/8/2021 P-34 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) NON -LOBBYING CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influence or attempting to influence an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriate funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub -recipients shall certify and disclose accordingly. Signed Title Vice Firm Elecnor Belco Electric. Inc. Date 11/8/2021 Standard Form LLL may be obtained from Caltrans and FHWA offices. P-35 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) DISCLOSURE OF LOBBYING ACTIVITIES DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to d[sclose lobbying activities purs am to 31 ILS.C. 1352 f5 revarsa f r m,N:n h.m— A:crL.c— 1.Typeo ederaf Action: 2- Status of Federal Potion:-��_--3-Report Type: ct Llb. bidinitll ffr,award5liraaor initial b. grant b. materia. al Range c, coopera agreement C. post -award For Material Change Only d- ban year qu e- ban guarani dale of last report f. loan inwmrae 4. Name and Address offteparting Entity: 5- N Reporting Entity in No. 4 is a Suba rdee, Entr Name El price ❑ 4 and Address of Print: Trer Kkfpown: Congressional Distdat. fr4rmwn: Conmessional District. mown: 6. Federal DepartmeMfAgen y,: 7. Federal Program N Description. CFDA Number, T ficeble- 5. Federal Action Number, yafrawm: 19. cl Amo R rTMfrum: S 1 O. a. Name and Address of Lobbybrg Entity b- IMiv s Performing Services (indoding addmns if (ifinrTvidua1. fast name. festframe. M0: f Mo. rga ) (! name tnarrre. 4N): [aroar (:anMoran .Rr-IlLA, lfnc� f 1. Amount of Payment (check aJJ that apply): 13. Type of Payment (the a4 dwt afWYY S ❑ act ua ❑ pavrr ❑ a rutrwx ❑ 6alnLnalYa Elc conversion 12- Form of Payment (chock all Nat appryk ❑ a own ❑ daarrhrgrdar ❑ a. imam "dly: names, ❑ a. d,furad value ❑ r. obrrr. sp"W: 14. Brief Description of Services rmed rrr to be Performed and Dates) of Service, inducting empioyee(s), or Nerrrbef(s) faetM, for Payment Indicated in tlean 7f: afbm CarNnadmn 9rx a S.Fi[lA afrtvp 15. Continuation S s SF-LLI.A attached: YM 16.� ••+• 0.r,.....a.v.v,. a. ar uac r. SignaWre- ,Y2 frY wsi. iugxe.nr �..V.Y w�bsrrf .r•.,w.r.. n..pye.r a......sv.�e...nw Name: J ht Wopg Ttle: Vice P esi ent .. �va.e�wa rmaa .a..�.v.�vmema Telephone No.. 909- -5470 p Da>e: l l/8/202] Felt Use Only: Aile4saprlaca RepgdNabn Sdn4dm Fnrrrr 111 lily. ]+Y! P-36 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) INSTRUCTIONS FOR COMPLETION OF SF-LL, DISCLOSURE OF LOBBYING ACTIVITIES INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES Tn6 B6pbnWe 11air1 than W smlpmeRby Teeep«tllig ErNy, wleaxxwWrfaaee«pg r ftwm Rdpm,attlae InlUanan«fxNpt«a mVereO F,,,m, aLam, Qamateratrn»¢mapR4taening, pmaiatt to Weal us-c aYL tT t152 Tic mlq«a btm¢Rqupenly ear pdYlrenlIX ageeemernm mace Prymentb MybUByingennly br Iracen=g« aMnptrl9b anluence an Moen« empoyeeer any agenay, a u«merm cw ren6. an amc« Or mrpnyeea uw S;O eenvem IsMaMemlPereTCglg[dsn mnnectOn¢tutaCOVerc4 Fetlerz9altlb aaceeneat&,IJ.OonRnLLl1tN bibrbhauplm InftlmMbnn tic gtaw an Te'bml I6 If00¢(yslh CompYRac Items Otat appyt« OOnf bee Initla nrn] 310 mYefal aOT9e mpar Re21 m ire lmptetrerRteg gubancu prLlWetl q'Jle Omne at MNtageRLm<dM BrukJet ArdCaUgvl IIOOInuttln. I. p9UIN ene qpe of m4PM1V FetfEYal aben n)r v1Ytl1IORRyIMJ XpNly 16 aeGbr has Oeert5fE1RV Ip nlnnenoe ttoe dEOPTe Ma InnsM FeOerdl aabn s. bemlN ale eaaw «toe colam Feaetal adm 3. battery tlae apPspnaeaa✓Jncatlon rnlh¢npon RiM6aralwwrep«teaeer)gartu�in3(IungEN tnellttonnauonpreVnrBry 2poMU.eMer Bc 16Ya11R quDLEf b'arta11f12 dla+lge 011lnee. F}ller RIeUXeIIP 81e1MtQ1eN«Ny WdTmetlfYp«f q Then tQOpmn6JMnty bf erK WVtlLMF¢OMy dLb011. a. F.nfer nffi Ode naene.a0ieG5,dry.5taleala lq tom«tllelepa&JBrMry. IrbnuOeCmgerarmalla6MCL ISMmaalt. oleo itle appaptuletla66inOYvt «n» repavrgMTynataew�lalam a ¢, «eapeacb oe, a pmre«steaFaoreopemLlaentRyTe uv«tllaeumaanleeey-. BIeIrcN stlaavottlre e<tIK pemre ¢M Ici ter.9uaaaaTLSlnnhl$ Ian am n«iimlie0 m srmopnaaoi6, etAlgan¢ annaOnVal AYar06 user gouty 5. R Rre «gnlZdOinlning Te n±p«t In ItOR 4 aw_Ckc �IpauaNee'iMn enYr RM NI ndtM. a]my6, aN. +� an0 Lp co¢e of nee Plime F¢ONa1 r Pp tndVlecangrMYVIYlll6U'd.nk., a. Enter tlfe nameN tlM PQ�NId¢raryiluYeglrle aaaeaalr6Yl OptmnlNlem lllaane atleaa Me«gaYUUmalkVe6nelvoagengnane,R lnoan. For eaanpe.0"nmentormansp«tlton. unnea SW[8 Cba61 Gua1t T. £nhrtic FenaY.prgja0name«6esvtplbn lM Inc mltleOFe@mladsT pe^Jlt ty Rbvart ran« Te NI Caialege Federal OmtaRC MraJafoe dcFoa)mnea Rrgmnh. mcperauYe ageanaty loan. ana �nan uamtnmems. n. d=rbeY sae nvN dpPapuh Faalril IpalmpllgnlTtmPr avavaeror nfe FeOFral scion melnRCOln then I {e.g, RequesIRw 1 Wposal {RFPi mine] YIM:nw br BW {IiM) flr . giml annaYtCenl¢flt relPdll( Me OOnoa]I. grant. Or bat a w rumoef, Me appt}lllun1prmo6.Y d'Ab« .amber 3Ydjrw_vooy Ire FUOMN agenryl Indrie Ptenleb. e.9..'RFP-0cADOpt' 9. ftri CCYQRO Tessa aabn sa0e Tere Ilac tle01 an aFaR «loan ramwllertq Rle Patera agdwt, enTrme FeaeFd al%aeN b! Te aWdmlOdlV fbllifltlnCllbr Rle pl'nle MntY tlMOMet aen16 V S fa. WP EnIef Te IIOI, le, alOtese, dly, state aln alp Dale«the bMyng Mtty erga9e0 bl RcrtpaTg erNNlnentlnm InlV_marentluenre Raemerea fe�Fl scat]. {a) 9na Te NI evra¢dtlle Inatlata[el pemamTy 6eerteq artOltgpe RO alOe66 nMaaRllvn t6{a1 Fs�r taa Kane. Flrtl Name. am Mlmelr®I{MI} 11. Enterpaeaen¢allal can{:«I6apmpatp«rAasonapyezpeGetlmbepagMbOxesMatappy 1pmC)to Teloob)tngEne ieWnlnummeale MVNnn nM Pi7iAAlt 11a6 oMn m.'tle {atlu0f?«Nell pu maM(panreppl. CIIeR Y o0ae6Rut ap{sy 1I N¢ ¢ d rNhna Utinge RpOlt, entlY fie wnallanvE amolTa clpa)menl mace a planned b be male. 12 Cn!Ca 1lY aP(Jcpnahpoa{!6} 171ferlt al D06:61nat apply. R P7)ml«n16 mane VROeQIdn IMIMCMtIMn10rI,6peCRy 1h2 n.Nlf±allC valtxr( be nary paymem. I3. CreeR Te al%aWlVle twa(e6y Cicfd ai Dales Tat apply. RRRIer spedN Illlee. la. Ptmfoeaspealb MPrOP LIMY WOOw[l Rc62VRY.ONl IMIOMe SMOnl II PeROm OM= oeeiparaf MWlbuROMYth dlle{s)Rf anOagis) f terfSlal..]dune ae Sw Me �ry and platen aWuq, r m erne Rme z n In ss I ar Cmta l ntw eci «IIW I6. MMtiy IIIe FeOeoa mrcsa{67 « empaye6{6) ccntannl6t«Inc doper{sl. empa)ee{67. «MemEefls7 or eonge6s tlrat acre oontaelea. 15. Cneck ¢nepC Or Out a sFiTLA' uaticfn sneea6)¢aRaden. W The uaafpng Omtlal Nun Ngn aM Rate Me rant, SIMi IYNIer name. We. m,, Vieptwrm nNrlGer. AtcalnV bate PapetlwnReaumonwol m analOM.rbperarai ame6gartW b re6POna b a mll6etl011 (n IfnLfer6atlm1Tp66It Rlspayc a uanOON® CorUfvl MTLPf TM 1680018 oorlRoi nlmee tmf tU¢ InnNnvtl6n taelfun ¢ OMB faa 63G6-nD6S fVbe tepurtlng tuhvl b N5 co6.9m Of Nnllrlabn K eemmlhnb 03 a6emge3a mlllWpegmeOe. Tduarlg Mee nN renendgIIVNu6isreadning txInalt eWcwrOr gatfPrin9sea mama Ofaf aleaaOf nLt+aeq aMrlllrpl uj feNHNIgat mMISOof n.WMe sera mmael¢ntwo Bu Beet Pape eNlfteO«anydlcla6peAmfltle aww"j tl Mwmatlon. TWdtf3 etagge6u«¢ Tr minCfV3 Tic dram, b Uc OIBce tY Maugementan0 &bget Papmwet ReOUcualPm7ea pp}tp-0Oe6). WudMtJtal. OC aa5a]- P-37 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6919 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS (DBE AND NON -DBE) — PART I PART The bidder shall list all subcontractors (both DBE and non -DBE) in accordance with Section 2-1.054 of the Standard Specifications and per Title 49, Section 26.11 of the Code of Federal Regulations. This listing is required in addition to listing DBE Subcontractors elsewhere in the proposal. Photocopy this form for additional firms. Local Assistance Procedures Manual Exhibit 12-6 Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 1 As of March 1, 2015 Contractors (and sub-eonlmetors) wishing to bid on public works contracts shall he registered with die State Division of industrial Relations and certilied to bid on Public Works contracts. Please register ar. htlpS://ww .dif.ea.gov/Public-worksIContractor•Registrationhlntl fit accordance with Title 49, Section 26A 1 of the Code afFederal Regulations, and Section 4104 of the Public Contract Code of the Spite of California, as amended, ate following information is required for each subcontractor who will perform work amounting to more than one half of one percent (0.596) of the Total Qme W or S 10,000 (whichever is greater). Photocopy this farm for additional firms. Federal Project Number: I-1$1PG5063(1 $9) Subcontractor Name and Location Line Hem It Description Subcontract Amount Percentage of Bid Item Sub. contracted contractor License Number USE (Y/N) DBEcart Number Annual Gross Receipts Dal Reg Number Name Sl gPlf�� ✓I C1'1 / D ` / 77006 AlL-i<55 <$I million City, Stale: Gy�ftSS� G/}QOd j0 rrelllan $to IS million na Aee of Rrm-: s. Name: / i yf r ) 'f FI 'f (7/ 1 / i91 I ,!i I l• �I ��/I%t�i p(Q d l 513�'1 D / A <$1 million LV u4Y City, State. S�A /'t in f-9�� Z� e$5 mllllon (0�•Vb �Z <5n Milan <$15 million Age of Firm' 3 yrs. Name: __. ❑ <$l million City, State: <S5 million Ll <$10 mllllon ❑ <$15 milllon eof Firm: rs. Name; ❑ <$Smflllon My, State: CT <$5 million 10 mllllon <515 million of Firm: vrs. Name: LI <$1 milli City, State: <$5 million on <$10 milllon c$35 milllon eofm: yrs. Name: <$I million City, Stale. $5 Mlllan <$lo mllllon <$15mllllon eof Firm: S. Pace I of 2 laninw v 2019 P-43 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS(DBE AND NON -DBE) — PART II PART H The bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this project. This is required for compliance with Title 49, Section 26 of the Code of Federal Regulations. Photocopy this form for additional firms. Local Assistance Procedures Alanual Exhibit 12-B Bidder's List of Subcontractors (DBE and NON -DBE) Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 2 In accordance with Title 49, Section 26 of the Code of Federal Regulations, Ilse Bidder shall list all subcontractor who provided a quote or bid but were not selected to Participate as a subcontractor on this project. Photocopy this furor for additional firms. Federal Project Number: $SIPf -5063 f I R9�_ Subcontractor Name and Location tine Item & Description Subcontract Amount Percentage of Rid Item Sub- contracted Contractor ttcenae Number DOE (Y/N) DRECert Number Annual Gross Receipts WIL Reg Number Name: <$1 milllan e$5 million City, State: <$10 million <$15 million A eaffino: yrs. Name: ❑ <$1 million ❑ <$Smilllon City,State: <$10 million <515 million e of Firm six. Name: El 1$1 Million 5- million City, Stare: ❑ bl0 million ❑ <$Is million e of Firm: yrs. Name: ❑ <$l million t❑ <$S million City, State: ❑ <$10 million L.J 415m1111on Ageof Firm: yrs. Name ❑ <ji milllan < 5 milllan City, State: <510 million Li <$15 milli Age of Firm: yrs. Name: <$1 million <$5 million city, State: <$10 million EF 41 —million e of Firm yrs. Distribution: 1) Drlginal-local Agency File 2) Copy-DLAE w/Award Package Page 2 of 2 .Ianuary 2019 P-44 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PROMPT PAYMENT OF FUNDS WITHHELD TO SUBCONTRACTORS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: The agency shall hold retainage from the prime contractor and shall make prompt and regular incremental acceptances of portions, as determined by the agency, of the contract work, and pay retainage to the prime contractor based on these acceptances. The prime contractor, or subcontractor, shall return all monies withheld in retention from a subcontractor within 30 days after receiving payment for work satisfactorily completed and accepted including incremental acceptances of portions of the contract work by the agency. Federal law (49CFR26.29) requires that any delay or postponement of payment over 30 days may take place only for good cause and with the agency's prior written approval. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor, deficient subcontract performance, or noncompliance by a subcontractor. Signed Title Finn Eleenor Belco Electric, Inc. Date 11/8/2021 P-45 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EXHIBIT 16-B —SUBCONTRACTING REQUEST Local Assistance Procedures Manual Exhibit 16-8 CONTRACrORNAME CXNTY ROUTE Elecnor Belco Electric, Inc. San Bernardino BUs1NESSADDRE55 CONTRACTNUMBER 14320 Albers Way CICYANDSTATF. ZJp CADS FEDERALNUMBER Chino, CA 917I0 HSIPL-5063(19 )a A. SUBCONTRACTOR B. Bwfnm C.PERCENTAGEOF D. SUBLFTED E.CERTIFIED F. DESCRIBE WORK G. DOLLAR AMOUNT (Name, Bvslness Address, Phone) NOMBER(s) BID ITEM AT BID TIME DBE WHEN LESS THAN BASEDONTHEBID SUBCONTRACTED 100% OF WORK IS AMOUNT SUBCONTRACTED Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ 1 certify that: • The Standard Provisions for labor set forth in the contract apply to the subcontracted work. • If applicable, Form FHWA-1273 of the Special Provisions has been inserted in the subcontracts and should be. incorporated in any lower -tier subcontract. Written contracts have been executed for the above noted 1 t/8/2021 This section is to compl fd3 by lha resident engineer. 1. Total of bid it r�i\it+Mfb/J < 2. Contractor mus perfo own forces (line I X contract mq. %) $ 3. Bid items previously subcontracted (taken from previously approved 16-B) $ 4. Bid items subcontracted (this request) $ 5. 'Total bid items subcontracted (line 3 plus 4) 6. Balance of work contractor to perform (line 1 minus 5) $ _-.. -- Approved RESIDENT ENGINEERS SIGNATURE DA11 Copy Distribution: Original -Contractor Copy- Resident Engineer Copy. OBEO-smallbisinessadvonte4donlrneov or fax to (916) 324-1949 Page 1 of 2 January 2018 P-46 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) Local Assistance Procedures Manual Exhibit 16-B Subcontracting Request INSTRUCTIONS FOR COMPLETINGSUBCONTRACTING REQUEST FORM All first -tier subcontractors must be included on a subcontractor request. Before subcontracting work starts, the contractor will submit an original CEM-1201 for approval according to the Standard Specifications. After approval, the RE returns the original to the contractor and complete the remaining distribution as listed on the bottomof the form. D. If subcontractor was listed at bid time per the Fair Practices Act, check yes, otherwise check no. E. If subcontractor is a certified DBE contractor, check yes, otherwise check no. F arid. G. When a portion of an item is subcontracted, describe the portion and show the percentage of the bid item and value. G. When an entire item is subcontracted, show the full bid item value. THIS FORM IS NOT TO BE USED FOR SUBSTITUTIONS OF SUBCONTRACTORS AND UDBE, DVBE OR SMALL BUSINESS ENTITIES. Page 2 of 2 January 2018 P-47 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) DIFFERING SITE CONDITIONS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: a. Contractor's Notification Promptly notify the Agency's Engineer if you find either of the following conditions: 1. Physical conditions differing materially from either of the following: • Contract documents • Job site examination 2. Physical conditions of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent in the work provided for in the Contract Include details explaining the information you relied on and the material differences you discovered. If you fail to promptly notify the Engineer, you waive the differing site condition claim for the period between your discovery of the differing site condition and your notification to the Engineer. If you disturb the site after discovery and before the Engineer's investigation, you waive the differing site condition claim. b. Engineer's Investigation and Decision Upon your notification, the Engineer investigates job site conditions and: 1. Notifies you whether to resume affected work 2. Decides whether the condition differs materially and is cause for an adjustment of time, payment, or both Signed Title Firm Elecnor Belco Electric, Inc. Date 11/8/2021 P-48 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQUIREMENTS FOR STEEL OR MANUFACTURED PRODUCTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the "Buy America" requirements of Section 165 of the Surface Transportation Assistance Act of 1982 and as shown in the special provisions of this project. Signed Title Vice Firm Elecnor Belco Electric, Inc. Date 11/8/2021 P-49 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) NEPA COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the Categorical Exemption/Categorical Exclusion Determination Form including and not limited to the National Environmental Policy Act (NEPA) requirements and environmental commitments found in the appendix of the Contract Documents of this proj..t Signed Title Firm Date 11/8/2021 Elecnor Belco Electric P-50 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) TMP COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the Traffic Management Plan (TMP) commitments found in the appendix of %Contract Documents of this project. Signed Title Vice Pre i, Firm Elecnor Bi Date 11/8/2021 John P-51 of P-52 Recorded In Official Records, Orange county Hugh Nguyen, Clerk -Recorder IIII IIIIIIIIIIII��IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII NO FEE n * $ R 0 0 0 9 5 2 0 1 2 5 $ 201785000897 11:25 am 08/28/17 355 304 Z01 0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00 ^1 v MAYOR Miguel A. Pulido D' ( MAYOR PRO TEM Michele Martinez COUNCIL MEMBERS "'� - " 6 P. David Benavides Vicente Sanniento Jose Solorio ,1 Sal Tinajero I� l U Juan Villages CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza (M-20) P.O. BOX 1988. Santa Ana, California 92702 (714) 667-2700 • Fax (714) 973-1461 w .santa-ana.org NOTICE OF EXEMPTION ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK From: City of Santa Ana County of Orange Planning & Building Agency P.O. Box 238 20 Civic Center Plaza M-20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Traffic Signal at Main Street and 15th S Date of Approval: 04/28/2017 ProjectNumber(s): PWA-2017-1344-CITY Project Location: 1 CityWide (Partial) City: Santa Ana County: Orange ER Number: ER-2017-100 Project Description: The construction will include the installation of new trffic signal poles, foundations, conduits, sign equipment and minor concrete work on sidewalk. Applicant Name: Zdenek Kekula, City of Santa Ana Public Works Agency Applicant Address: 20 Civic Center Plaza M-43 SANTA ANA, CA 92702 Name of Public Agency Approving Project: City Council Name of Person or Agency Carrying Out Project: Kekula, Zdenek Exempt Status: ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) ❑ Emergency Project (Sec. 15269 (b through e)) ❑ General Rule (Sec. 15061(b)(3)/(5)) ❑ Statutory Exemption: Q Categorical Exemption: 15301(b) Reason(s) Why Project is Exempt From CEQA: 15301(b) consists of repair/maintenance of existing public facilities. AUG 2 8 2017 ORANGE COUNTY CLERK • CORD R DEPARTMENT BY. DEPUTY POSTED AUG 2 8 2017 HUGHNGUYEN,CLERK• CORDER SY: UTY City Contact: Zdenek Kekula Telephone: (714) 647-5605 Signature: `�� L Title: 41- a,, O Em s Date: �, --2- t — I 7 SANTA ANA CITY COUNCIL Miguel A. Pulido Michele Martinez Vincente Sarmiento Jose Solorio P. David Benavides Juan Villegas Sal Tinajero Mayor Mayor Pro Tern, Ward 2 Ward Ward Ward Ward Ward moulidaOsanta-ana.om mimartinezralsanta-ana.ora vsarmiento(&santa-ana.ora isolorio(o),santa-ana org dbenavides0santa-ana ora ivilleoas(o)santa-ana.orostinaieroRsanta-anaorg The Orange County Register 1771 S. Lewis Street Anaheim, CA 92805 714-796-2209 5211379 CNSB / CNSB-ACCOMMODATIONS 915E1ST ST ORDER EXPEDITING LOS ANGELES, CA 90012-4060 FILE NO. CNS-3522928 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, l J} 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: 10126/2021,11/0212021 I certify (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: November 02, 2021. Signature PROOF OF PUBLICATION r e s 6ectiva "In aCGOrdWlae with fhe provl• sions of the Cali- forala Labor Code, prevalling wage rates up - Legal No. 0011496164 *A000005867074* UPL1915i16 DAILY JOURNAL CORPORATION CALIFORNIA NEWSPAPER SERVICE BUREAU P.O. Box 54026 LOS ANGELES CALIFORNIA 90054-0026 PHONE: (213) 229-6300 FAX (213) 229-6481 FEDERAL TAX ID:95-4133299 Ordered by: MAURICIO CASTANEDA SANTA ANA/PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA 4TH FL ROSS ANNEX SANTA ANA, CA 92702 USA LEGAL ADVERTISING INVOICE Invoice Number Date B3522928 11/4I2021 Customer Account Number 1124127912 Customer Payment Reference Pro ect No. 18.6918 Maurldo Cas Special Project For payment processing, please forward to: page 1 of 1 DINA MELGAR SANTAANA/PUBLIC WORKS AGENCY PO BOX 1988 M-21 SANTA ANA, CA 92702 USA DUE UPON RECEIPT Type Order No Description Amount Invoice B3622928 PROJECT NO. 18-6918 - MAIN ST & 15TFI TRAFFIC SIGNAL BID NOTICE INVITING BIDS 87040 ORANGE COUNTY REGISTER 10/20,11102202 1,200.00 $ 5.00 * 1 Cols * 120 Lines * 2 inserts 1,200.00 To pay online, go to adtech,dailyjournal,com/payment 1 � C Accounting Unit: 1 14717611 Account Number: 66220 Activity Number(s) (where applicable): 18691801027 Account Category (optional): Agreement Number: Amount Authorized: $1,200 Project Manager's Name & Ext.: Zed Kekula x5606 dJ\ W � PLEASE PROCESS FOR PAYMENT IMMEDIATELY. 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Also, please detach and return this portion of the 11/4/2021 B3522928 1124127912 Invoice with your payment, For account support, III IIII (IIII IIOIIII�III�IIII IIIIIII ����II IIII IIII please email: anthonyjutierre2@dallyJournal.corn or call: 2132295584, * A 0 0 0 0 0 5 8 6 8 7 3 2 Government Advertising - Division 1124 Amount Due 1,200.00 DAILY JOURNAL CORPORATION DINA MELGAR CALIFORNIA NEWSPAPER SERVICE BUREAU SANTA ANA/PUBLIC WORKS AGENCY ATTN: ACCOUNTS RECEIVABLE PO BOX 1988 M-21 PO BOX 54026 LOS ANGELES, CA 90064-0026 SANTA ANA, CA 92702 USA aP 8 a&ave$$ve,.rv88assee oe �^„�„nsns$s�sasa�aamssss ............................ . - ash„ n�l2FF�F88v�S���A7e'S5 ?e ......................... �» m$9gH 888 a 8 e8va" '8'a'88aea'dwd8 x8x .................. �€e.o �SCulaeRB^fie �.'e: =„i�Se. 8 A_ "'S88a ... '$'888a" AF�pB„eda'efS��R:$v a^^ ((e3 $y ss ........................... �S$88858851�eae$o$e u w ... $ . .e ...... . . £38� 9n$8SRS88ae`n 89$$e Rag n_ a@eE sm " »»«««.«.».»»..».«»« «»».. - - as;=aa $$assaaa R S 8 e-yo SrF 8888 8888`88 ee'e8888F'a 8e88:8`ia Z. No n=3 0,l]8e8m0- pp i°9......,..... 8@m . . . . . . . . . . . . . W ^ �cV888S8o „^$o„$� $5888.oe , P„ � S S,$B.�e$8�«9.S �FJmBRm,,$oe u M 2, 4s E�`BaFRmmgm'7� 2 —. Oo -o o. 8$ a a a a e w g ooo o g o 'e a o o �8 �4d8$$8F� save.»«.«.....»....»»».».««.. st a--- .�nesan�mo�`m�a�a��maoo.o. e� ..ww.wwwwwww»»w»ww w-... `8'aa 0 a 0 0 a`$$0. $$88a d8 Ss�d^-o I mS$ �iSmao e88 m.........................w sSS888S88a.R88go s$$$%S8 oomSS�N.RoAIX�geep�S88S. 8. S.9S ru GI n` n ry w 9 a wn �p;9993933,'�,S w3,'�,'�9a::9U9933== e E Az MAY ;3 1 LUZ3 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 18-6918; h Change Order Number 1 Main St and 15 St Traffic Signal Installation [HSIP 5063(189)] To Belco Electric Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by EXTRA WORK AT AGREED PRICE PUBLIC WORKS 1. Furnish and install new Type III-CF dual metered cabinet service pedestal in lieu of Type II -BD dual metered cabinet service pedestal per PCO#1. Agreed price: $2,690.76 2. Field condition was very sandy. Vacuum all the sand out and filled with 1 sack slurry per time and material. Agreed price: $9,278.05 3. Field condition was unstable. Auger and pour foundation at poles #1 & 2 per Agreed price: time and material. $8,728.37 4. Increased material costs for traffic signal poles due to the volatility of steel Agreed price: markets and supply shortages. $6,877.31 TOTAL AGREED PRICE = $27,574.49 Page 1 of 2 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 18-6918; Change Order Number Main St and 15th St Traffic Signal Installation [HSIP 5063(189)] To Elecnor Belco Electric Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation set forth in this change order comprises the total amount due to contractor for the scope of work authorized herein based on estimated quantities. The total final amount due for this change order will be based on actual quantities of work performed per the described and itemized listing of work that this change order is based upon. Compensation for work performed by this change order shall cover all costs including work by Contractor, all Subcontractors, and all Suppliers. 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 $ 27,574.49 By reason of this order the CONTRACT TIME completion will be adjusted as follows Twenty (20) working days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date 7/23 Contractor Elecnor Belco Electric Inc. By I Title (� Alberto Garcia President/CEO l Approval recommended by Date PUBLIC WORKS AGENCYEXECUTIVE DIRECTOR Approved by `=G �— _ Date _ ala&r CITY MANAGER Nage 2 of 2