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TERNO, INC.
Recording Requoted B'v. And 441ten Recorded Mail To: Clerk of dte Couneil, City of Santa Ana 20 Ci?ic Cena?r Plaza. P.O, Baz 1983 Santa Ana. (:A 92?0? R Tom ecorded in OMcial Records, Orange County UY, Clerk-Recorder NO FEE 20110003415912:05 pm 0)118111 1041BN12 1 o,oo o,oo o.oo a.oo o.oo o,oo o,oa o.oo SPACE FOR COCVTY RECURDP.IIS lSE ONLI' THIS tl, NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN that the undersignev City of Santa Ana, California, a municipal corporation, with the address of City Hall, 20 Civic Center PIa7a, Santa Ana, California, 9? i01, is the owner of the property hereinafter described, that said owner has caused construction of _TRAFFIC SIGNAL INSTALLATION AT HAZARD & ROSITA E'0 GATES; TRAFFIC SIGNAL MODIFICATION AT MCFADDEN AND NEW HOPE under contract entered into on APRIL S, ?U 101 with TERNO INC,, on which contract FIDELITY AND DEPOSIT COMPANY OF hIARYLAKD is surely. The properly on which such taork improvement was placed is in the City of Santa Ana, County of Orange, Slate ofCalifomia, and described as Project No.08-501_3 located a1:VARIOUS LOCATIONS. The work improvement on said property was accepted as completed on JULY 8, 2011. CITY OF SANT, TINA, A h9U\I('ll'1 l COkPO Af [ON Doled: City Engineer TrrrF: ------------------------------------------------------------------------------------------- VERIF[CAT[01? I, the undersigned, say. I am the City Engineer of the City of Sonia Ana, California: I ezccuted the foregoing Notice of Completion acting on behalf of the o+vner of the properly therein described; I make Ibis veriGeaiion on behalf oP'said corporation by aulhori?alion of the Cit4Council of the City of Santa Ana; I have read said notice and know the contents ihereot; and I declare under penalty of perjury shat the facts lherein staled are true, Cxecutc?l nn al Santa Ana, California Itii?lwe of ind iJaal swearing Ihal the :a?nlenL+of Noliw ul Grmpicriiio arc Imu.l 'PHIS N011CE DF CUS?PLETIOM1' h1U3T 8E RECORDf U It'ITIIIN'f[N (1111 DAYS AF'i8R COMIPLfTIUN REQUEST COUNCIL FOR ACTION CITY COUNCIL MEETING DATE: APRIL 5, 2010 TITLE: CONTRACT AWARD FOR TRAFFIC SIGNAL INSTALLATIONS AND MODIFICATION AT THREE LOCATIONS (PROJECT NOS. 085018, 085019 AND 085020) v CITY MANAGER RECOMMENDED ACTION L~ CLERK OF COUNCIL USE ONLY: APPROVED 04/05/2010 [~As Recommended ~~ ~~ t ^ As Amended ^ Ordinance on 1St Reading ^ Ordinance on 2"d Reading ^ Implementing Resolution ^ Set Public Hearing For CONTINUED TO FILE NUMBER 1. Award a contract to Terno, Inc., the lowest responsible bidder, in accordance with unit bid prices in the estimated amount of $478,196 for construction of traffic signal installations and modification at three locations. 2. Approve a Funding Analysis with a total estimated construction cost of $597,700. DISCUSSION This project provides for traffic signal installations on Hazard Avenue at Rosita Street and east of Gates Street, and traffic signal modification on McFadden Avenue at Newhope Street (Exhibit 1). Once completed these signal improvements will increase safety of motorists and pedestrians at these locations. The Notice Inviting Bids was advertised on February 1 and 3, 2010, and bids were opened on March 3, 2010. A summary of the bid invitations mailed, the bids received, and the bid results follows. Santa Ana Contractors receiving notices: 22 Contractors requesting bidding documents: 18 Bids received: 10 Bids received from Santa Ana Contractors: 0 • Contract Award For Traffic Signal Installations and Modification at Three Locations April 5, 2010 Page 2 NAME OF RESPONSIVE BIDDER CITY BID AMOUNT 1. Terno, Inc. La Mirada $478,196 2. Steiny and Company, Inc. Baldwin Park $489,755 3. C.T. & F, Inc. Bell Gardens $499,998 4. California Professional Engineering S. EI Monte $503,433 5. KDC, Inc. dba Dynalectric Los Alamitos $505,299 6. International Line Builders, Inc. Riverside $509,561 7. PTM General Engineering Services, Inc. Riverside $520,520 8. Christopher R. Morales, Inc. San Dimas $549,580 9. Lincoln Pacific Builders, Inc. Baldwin Park $558,540 10. DBX, Inc. Temecula $623,575 A total of ten bids were received and all were responsive. The lowest bid was submitted by Terno, Inc., for $478,196 which is below the Engineer's estimate of $657,825. ENVIRONMENTAL IMPACT Environmental Review Nos. 2008-08, 2008-10 and 2008-06 have been completed. Categorical Exemptions were filed for these projects pursuant to the California Environmental Quality Act. FISCAL IMPACT The funding analysis shows a total estimated construction cost of $597,700, for the project (Exhibit 2). Funds are available in the Traffic System Management Grant Fund (accounting unit 14817611- 66220). APPROVED AS TO FUNDS AND ACCOUNTS: Raul Go ez II Francisco Gutierrez Executive Director Executive Director Public Works Agency Finance & Mgmt. Services Agency RG/ET Exhibit 1: Project Location Map 2: Funding Analysis SANTA ANA CONTRACT AWARD FOR THREE TRAFFIC SIGNAL INSTALLATIONS /~ Clty COUnCII AND MODIFICATION AT THREE LOCATIONS P~ WA ~ Agenda Date (PROJECT NOS. 085018, 085019 AND 085020) PUBLIC WOHKSAGENCY April 5, 2010 ~: ~° . EXHIBIT 1 • • FUNDING ANALYSIS PROJECT NOS. 085018, 085019 and 085020 TRAFFIC SIGNAL INSTALLATIONS AND MODIFICATION AT THREE LOCATIONS Construction Contract $478,196 Contract Administration $25,000 Inspection and Testing $46,685 Contingencies $47,819 TOTAL ESTIMATED CONSTRUCTION COSTS 597 700 Exhibit 2 • ORANGE COUNTY REPORTER -SINCE 1921 600 W SANTA ANA BLVD, SANTA ANA, CA 92701 Telephone (714) 543-2027 /Fax (714) 542-6841 Dina Melgar SANTA ANA/PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA SANTA ANA, CA - 92702 PROOF OF PUBLICATION (2015.5 C.C.P.) State of California ) County of ORANGE ) ss Notice Type: BID -NOTICE INVITING BIDS Ad Description: Traffic Signal Installation & Modification I am a citizen of the United States and a resident of the State of California; 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 printer and publisher of the ORANGE COUNTY REPORTER, a newspaper published in the English language in the city of SANTA ANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the State of California by the Superior Court of the County of ORANGE, State of California, under date 06/20/1922, Case No. 13421. That the notice, of which the annexed is a printed copy, has been published in each regular and entlre issue of said newspaper and not in any supplement thereof on the following dates, t0-Wlt: 02/01 /2010, 02/03/2010 Executed on: 02/03/2010 At Los Angeles, California This space for filing stamp only OR #:1787557 NOTICE INVITING BIDS NOTICE IS HEREBY GIVEN that the City of Santa Ana, California will receive at the City Hall-Ross Annex, (M-43), 20 Civic Center Plaza, Santa Ana, California 92701, the Public Works A enc Fourth Floor~Rece tto~mst, on or a ore the hour 0 2f .00 p.m. on Thursday, February 25. 2009 sealed bids and/or proposals for: PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE 8 ROSITA ST PROJECT NO. 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE FJO GATES ST PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV 8 NEWHOPE AV (Work includes excavation, sidewalks, curb ramps, signing 8 striping, installation of new traffic signal and traffic signal modification, detector loops, signal interconnect) Notice is hereby given bidders that this project is funded with SR2S monies, and that the rate of wages for each craft or type of work or mechanic employed under this contract shall be as specified under the current determinations of the De artment of Labor as r wired under the Davis- con Act. Where a discrepancy exists between Federal and State prevailing wage rate, the higher of the two prevailing wage rates shall apply. Each bid shall be accompanied by cash, a cashier's or certified check payable to the Ciry o(Santa Ana, or bid bond issued by a corporate surety, for an amount not less than ten percent (10%) of the aggregate of the bid, as a guarantee that the bidder will enter into the proposed contract if the same is awarded to him. The signature of the Bidder on the bid bond must be notarized. The Ciry Council reserves the right to reject any or all bids. The successful Bidder must possess or cbtain a valid California Class C-10 Contractor's prior to the scheduled award date of this contract. The Disadvantage Business Enterprise (DBE) and Underutilized Disadvantage Business Enterprise (UDBE) goal for this project is $42,711 that is 3.89% of the federal funds in the project. This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or second or third low bidder, it must be submitted and received by the administering agency no later than the time specified in the federal requirements attached (Appendix F). The time for completion of this contract is 50 working days for construction from the date of the Notice to Proceed issued by the Engineer. Liquidated damages of $1000 per calendar day for construction not completed within the 50 working days from the effective date of Notice to Proceed. Substitution of securities for any monies withheld by the City of Santa Ana to ensure performance is allowed in accordance with the Public Contract Code. Com lete sets of the Plans and ea ications will be umished u on anolica0on to the ublic or s Aaencv First Floor oss Annex om lex 20 ivic enter laza -93 anta Ana ali ornia 92701. phone 714 647-5680. 1`here is a 24.53 charge non- refundable) for these Plans and Specifications, plus a minimum $14.42 additional fee if mailed. Make checks payable to the City of Santa Ana. DO NOT CALL PURCHASING DIVISION REGARDING AVAILABILITY OF PLANS AND SPECIFICATIONS 2/1, 2/3/10 OR-17875578 IN~IIII~IIIUYIIIIIIIIIIIIIIVIVI~IYIIIIIIIIRI certify (or declare) under penalty of perjury that the foregoing is true and CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. OS-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: I ~'r~~ ~~~~ ' REQUIREMENT: The undersigned declares that he/she has carefully examined the location of the proposed work, that he/she has examined the Plans and Specifications and read the accompanying instruction to BIDDERS, 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), specifications and special provisions, for the unit price(s) or lump sum(s) set forth in the following schedule: Item # Bid Item Unit Quantity Unit Price Amount Project # 08-5018 1. Traffic Signal Installation on Hazard Ave & • 2. Rosita St Signing and Striping 3. Furnish and Install Traffic Signal Loops 4. Pothole 5. Construct PCC Curb Ramp 6. Construct PCC Sidewalk (T=4') 7. Construct Parkway Culvert 8. 8" Class 200, AWWA C900, P.V.C. 9. 8" Gate Valve 10. Remove Existing Manhole Structure 1 1. 8"x6" Hot Tap with Tapping Sleeve and Valve 12. Tree removal LS LS $115 °-" $ l l 3 ~ 6~ LS LS $ $Ga~ "' $ ~~ aa. EA 20 $ /77 °-° $ '~SyO ~ EA 10 $ 357 °-° $~_"-° SF 800 $~ $ I I76a' °-° SF 250 $ ~ ~3 $~4U7 s~ LS LS $~~ ~' $ ~O~ R ~° LF 240 $~_ $~a~ ~a-' EA 1 $ $ 7 0 0 y EA 1 $ 111 $_ EA 1 $~~ °-o $ ~~z 6~ Project No: 08-5018, subtotal .................. $~~. zo r~ BP 1 of 32 TO BE INCLUDED IN BID PACKAGE • CITY OF SANTA ANA • C` PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT NO. 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT N0.08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantity Unit Price Amount Proiect # 08-5019 13. Traffic Signal Installation on Hazard Ave LS LS $l373s7 °-~ $1,3~~ °-° e/o Gates St 14. Signing and Striping LS LS $0270 ~ $~° 15. Furnish and Install Traffic Signal Loops EA 11 $ / 77 ~ $~_°-° 16. Pothole * EA 7 $-~ $-IE.L~ 17. Construct PCC Curb Ramp SF 1200 ' $~ $ <'7 5"6~? ~-° 18. Remove Existing Fire Hydrant Assembly EA 1 $ d ~ r `~°- $ a o ~r~ Includes Gate Valve 19. New Fire Hydrant Assembly Includes EA 1 $~~~ $~(~ Gate Valve and Lateral Pipe 20. Tree Removal EA 1 $ ~.~ $~7 !~,°" Project No: 08-5019, subtotal............ Proiect # 08-5020 21. Traffic Signal Modification on McFadden Ave & Newhope Ave 22. Furnish and Install Traffic Signal Loops 23. Pothole 24. Install truncated dome Project No: 08-5020, subtotal ............... Projects 08-5018, 08-5019,& 08-5020 LS LS $1<~~~ 30 EA 8 $ X77 °-° EA 8 $ T SF 50 $ ~~~ $ l7 C ~~(~ oa $ Ido35 ~ 3-° $~~ 00 $~~ S6 00 $ ago? ac $a3- 3~ Grand Total Bid-------- $~ 1 ~(,' °= *Note: 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 time and material used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. BP 2 of 32 TO BE INCLUDED IN BID PACKAGE • • CITY OF SANTA ANA • PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT N0.08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL & CONTRACT AGREEMENT BIDDER PROJECT NO. 08-5018 Firm Traffic Signal Installation On Hazard A & R it S r11U ~~ ln~ ve os a t , ~ . PROJECT NO. 08-5019 Traffic Signal Installation Address On Hazard Ave e/o Gates St ~ ~ ~ ~ PROJECT NO. 08-5020 Phone(s) ~ (q _ ~- ~~D~ ~ ~~ -~'~ ~~ Traffic Signal Modification ~-~- -~ On McFadden Ave & Newhope Ave - ~ -- Bidder Signature 't'[ ~ ~ ~ Ernn Dro ~~~ sident ~~ TO BE INCLUDED IN BID PACKAGE BP 3 of 32 • CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT NO. 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT 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: - Streets, highways including bridge projects; %z% of the bid or $10,000, whichever is greater - Buildings, parks, or other projects: %z% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: NAME ~ 4 NAME LOCATION, - ~ LOCATION PHONE .I~G~ R l3 - ~6 ~ 3 PHONE TYPE OF ~VOR ~, ~ ~ $ ~G.~a TYPE OF WORK $ NAME LOCATION • PHONE TYPE OF NAME LOCATION PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK NAME LOCATION _ PHONE TYPE OF WORK '(~x~o ,I~nC . Name of Firm Submitting Bid r~ ~~ NAME LOCATION PHONE TYPE OF WORK NAME LOCATION _ PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK TO BE INCLUDED IN BID PACKAGE BP 4 of 32 • CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL & CONTRACT AGREEMENT BIDDER'S STATEMENT BIDDER understands and agrees that this written proposal (or any part thereof specifically designated and accepted by the City of Santa Ana, hereinafter AGENCY) 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 duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and AGENCY'S legal holidays), 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, that 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. All terms contained in the Specifications, the Certification of Non-Discrimination by Contractors, and the Workers' Compensation Insurance Certificate are to be incorporated by reference into this Agreement and are made specifically as part of this bid. Name of Firm ~~rn0 t Inc Signature of Bidder Title Ti~n~hy J• E (if an individual, so state) • TO BE INCLUDED IN BID PACKAGE BP 5 of 32 • CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSTTA ST • PROJECT NO. 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT continued (If a firm or co-partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) -fQa'y~o ~ ~,~ , ~_ Awarded t~_!tiZ~ ~'?,f~~, ~_ ~ , on the basis of lowest responsible and responsive bidder in the amount of • ATTEST: CLERK OF THE COUNCIL APPROVED AS TO FORM: ACTION OF COUNCIL: Date ~~ ~ 20 i C' ACCEPTED FOR THE CITY OF SANTA ANA: i ~: ~.. ~, ; ,~ `x` ~ - ~ _. ITY ATTORNEY EXECUTIVE D TOR PUBLIC WORKS GENCY • BP 6 of 32 TO BE INCLUDED IN BID PACKAGE • CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. OS-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICH ARE A PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION C. The bidder ~~ t t~~' proposed subcontractor ,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 $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. BP 7 of 32 TO BE INCLUDED IN BID PACKAGE • CITY OF SANTA ANA • PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said • labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor maybe 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. TO BE INCLUDED IN BID PACKAGE BP 8 of 32 • CITY OF SANTA ANA • PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR (continued) 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by 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 Sectio ,~ d ontractor of public works violating this Section is • subject to all the penalties impose or a vi not-the Chapter. Signed Title Timithy J. Firm ~~r~b ~ ~ G Date ~'I~'~}1D TO BE INCLUDED IN BID PACKAGE BP 9 of 32 • CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT WORKERS' COMPENSATION INSURANCE CERTIFICATION As required by California Labor Code Section 1860 and 1861, the Contractor certifies as follows: I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this contract. If I, as the Contractor, now or at any time during the course of this agreement, qualify as an employer under California Labor Code Section 3300, unless the hired employee(s) is (are) persons excluded by said Labor Code, I shall furnish the City of Santa Ana with an insurance certificate from my workers' compensation insurance carrier certifying that I su h incur a and that the policy shall not be canceled nor the coverage reduced except upo arty riot ritten notice to the City of Santa Ana. ,,°' '" Signed • Timithy Title ,Firm ' ~ -~ D 10 Date ~'~~'~~ • TO BE INCLUDED IN BID PACKAGE BP 10 of 32 CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT REFERENCES The following are the names, addresses, and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two years. ~~ S~ ~~~ ~~ 1. Name and Address of Owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed 2. Name and Address of owner. Name and Telephone Number of person familiar with project. • Contract Amount Type of Work Date Completed 3. Name and Address of owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. `~ n~ n ~, r ~n A ~ ~~ • TO BE INCLUDED IN BID PACKAGE BP 11 of 32 • Terno, Inc. ~ La Mirada, California Experience of Bidder Project Name: New Traffic Signal Install TER O ELECTRICAL CONTRACTORS a Flatiron Construction Corp. company 15701 Heron Avenue La Mirada, California 90638-5206 Phone: 714-228-9631 Fax: 714-228-9635 www.ternoinc.com Contract Amount: $260,109.00 Date Completed: 03!06 Owner's Name: City of Anaheim Contact Person: Keith Laster Telephone Number: (714) 231-8373 Project Name: Traffic Signal tvtodifications Contract Amount: $317,450.00 Date Completed: 03/06 Owner's Name: City of Riverside Contact Person: Derek Weiss Telephone Number: (951 } 826-5366 Project Name: Tragic Signai/Strecting Ligl-tt & Fiber Optics Contract Amount: $2,165,000.00 Date Completed; Still going Owner's Name: Sequel Contracting Contact Person: Mike Mahler Telephone Number: (562)802-7227 Project Name: Truck Impacted inter. Contract Amount: $454.887.00 Date Completed: 10/06 Owner's Name: County of LA Contract Person: Tan Phan Telephone Number: (626} 458-4966 Project Name: install I'Jew T.S. Contract Amount: $171,839.00 Date completed: 6/06 Owner's Name: City of San Juan Capistrano Contact Person: Alan Oswald Telephone Number: (949} 443-6356 Project Name:. T.S Install & Mod Contract Amount: $306,157.00 Date Completed: 06/07 Owner's Name: Turner Construction Contract Person: Kent Woodhouse Telephone Number: (714) 669-7330 Page 1 of 2 A HOCHTIEF Company An Equal Opportunity Employer i TER O ELECTRICAL CONTRACTORS a Flatiron Construction Corp. company Terno, Inc. • La Mirada, California 15701 Heron Avenue La Mirada, California 90638-5206 Phone: 714-228-9631 Fax: 714-228-9635 www.ternoinc.com Experience of Bidder Project Name: Pedestrian Crosswalk Contract Amount: $252,097.00 Date Completed: 4/06 Owner's Name: West Covina Contact Person: Miguel Hernandez Telephone Number: (620) 939-8425 Project Name: T_S Modifications Contract Amount: $2,815,466.00 Owner's Name: City of Long Beach Contact Person: uaiagias iti~c Laughlin Project Name: street. Lighting Contract Amount: $319,000.00 Owner's Name: City of Culver City Contact Person: Lee Torres Project Name: Po.~:rer C!istrillution Contract Amount: $580,967.00 Owner's Name: Irvine Unified School District Contact person: SF;rncer Jordan Date Completed: 09/07 Telephone Number: (562) 570-x895 Date Completed: 09/06 Telephone Number: (310) 253-5623 Date Completed: 11/06 Telephone Number: (949} 337-5151 Project Name: Traffic 5ignaiizatian intersection improvement. Contract Amount: $1,299,417.00 Owner's Name: City of Rialto Contact Person: Emilia Ramirez Page 2 of 2 Date Completed: 01107 Telephone Number: (909) 820-2525 A HOCHTIEF Company An Equal Opportunity Employer • TER 4 ELECTRICAL CONTRACTORS a Flatiron Construction Corp, company Terno, Inc. • La Mirada, California 15701 Heron Avenue La Mirada, California 90638-5206 Phone:714-228-9631 Fax: 714-228-9635 www.ternoinc.corn Prior Work References: City of Anaheim Keith Laster 714/ 231-8373 City of Culver Cit}u Lee Torres 310/ 253-5600 City of Lang Beach Mike Sickies 562/ 57t7-0555 County of Orange John Dean 714/ 567-6300 City of Rialto Jaime Cruz 909/ 820-2532 City of Riverside Tim Cianci 909/ 232-7140 City of West Covina f~tiguel hiemandez 626J 926-4230 Kneisley-Cocita Const. Ted Neugebauer 760/ 735-6446 LA County Blaine Bolduc 626J 201-7245 Sequel Construction Tom Pack 562/ 802-7227 Sully Miller Bob Maulucci 714/ 449-2270 A HOCHTIEF Company An Equal Opportunity Employer Bond & /nsurance /nforma tion Bond Com,~any: Turner Surety & Insu~•ance Brokerage, Inc. (TSIB) Contact: Mary McKee -Surety Analyst 300 Tice Boulevard- 2°d Floor North, Suite 250 Woodcliff Lake, NJ 07677 Main: 201-644-2500 Direct: 201-644-2510 Fax: 201-644-2532 E-Mail: mrmckeentsibinc.com BBR E-Mail: SuretyRequest~tsibinc.com Insurance Company Hilb Rogal ~ I-Iobbs of Colorado (HRI-I) Contact: Linda Lease or Jason Paez 720 S. Colorado Blvd., 600N Denver, CO 80246 Phone: 303-765-3638 or 303-765-1582 Fax: 303-722-0403 E- Mail: linda.lease(a,willis.com or Jason.paez ,willis.com CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT BIDDER'S 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: 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he 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 ato t agreement shall pay a like amount to the California Apprenticeship Council. /~ • Signed Title ~~~Y O~ President Firm ~41(Yip Date ~I~~~~D r~ TO BE INCLUDED IN BID PACKAGE BP 12 of 32 CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT NON-COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any bidder or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or • to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non-collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of his Non-collusion Affidavit. Bidders are cautioned that making a false certific may 'ec ertifier to criminal prosecution. Signed and Signed Notary Seal: k c • J. Erno, President re me this ,20 Notary Public ~~Clntd uv~t ~~ TO BE INCLUDED IN BID PACKAGE BP 13 of 32 • • CALIFORNIA JURAT WITH AFFIANT STATEMENT ~J See Attached Document (Notary to cross out lines 1-6 below) ^ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Not :, SignaAtre of Documeru Signer No 7 State of Calitomia County of ~j HErdRIRUEZ Commission # 1761070 w Notary Public - California los Angeles County W1yConm. E>¢~kesAup 11,2011 Signalise of Document Sk~ner No 2 (lf arry) Subscribed and sworn to (or affirmed) before me on this 24th day of _ February 20 10 by Dam Morrth Year (t) Timithy J. Erno Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (.) (,) {and f2) , Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me.} n Signature 5" elu of Nolery Publ~ Place Notary Seal Above OPTIONAL Though the infwmafion below is not required bylaw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment Of Phis fprm to another document Top of thumb here Top of thumb here Further Description of Any Attached Documerrt me or Type of Document: Non Collusion Affidavit Document Date: Number of Pages: 1 Signer{s) Other Than Named Above: None Los Angeles ®?AO7NattonatNotary0..sa;haton•93FiDpagofoAve POHmc24t~•ChalawoM CA 91313,2402•wwwNatlaralNo~ryorg I[an155B30 Reorder.CaN~dt-Ereal-BOpS76.682T • CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSTI'A ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT BIDDER'S 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 mean ny person employed in the construction or repair of public work, to give up any part of th omp n~cs which he/she is otherwise entitled. ,, i Signed Title Timfth Firm Q,~( Date ~" ~) ~ D • • TO BE INCLUDED IN BID PACKAGE BP 14 of 32 CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT CONTRACTOR'S LICENSING STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that the following is true and correct. Contractor's Name: ~~r~o, ~-lt,- Business Address: ~S~ ~ ~ ~~ t~~ ~~~w~ (~~- (~ (~?~ Telephone: '~ ~ ~ ' ~~I' ~~~ l ~ ~X ~ ~ ~' ~~~ ' ~~ ~`.~ State Contractor's License No. and Class: ~~ ~~ Z~ ~~.~ ~ ' .~ Expiration Date: '~b I~1 ~ I ~ _~ ~>~~ • Signed: Title: T~~Y ~~~PfeSfdeitt • TO BE INCLUDED IN BID PACKAGE BP 15 of 32 • CITY OF SANTA .ANA • PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSTTA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROJECTS C,~NERAL - The w~ic heceacpcoposed vvcll be fmat~ced in whole or in pact wittc Federal funds, and iherefoce all ofihe slahmes, riles, and prorriilgated by the Federal Goveamrer~t aryl applicable tv vrodc fu~ured in whole or in pact with Federal funds wtIl apply b~ such wflrk. The `Requited Cocltract Provisias, Fede~al- Aid Cansh~ccticrc Cor~aas, `Bonn FHWA 1273, ace inchcded in this Section 14. Whams in said n~viced ca~act provisions refaares ace made >p "SHA oabractiog offioa" , SHA resider~t engmea' ; or `atilho~d c~aeser>larive of the SHA", such shaIl be corntmed 1~ mean "F~neef' as clefined in Section 1-1.18 ofihe S4ndard Specifira~aa. PERFORMANCE OF PREVIOUS CONTRACT - ]n addmcac ~ the provisi~s in Searon I>; `~Ior>di~rm>atio~" and Sectio<r VIi; "SubletSrcg or Assigning the Ca~tc-acJ;" of the requuEd oar>tiact pmvisuoris, the ConlcacAx shall comply with the following The bidder shall exea~ the CERTIFICATION WITH REGARD TOTHE PERFORMANCE OF PREVIOUS OONTRACTS OR SUBCONTRACTS S[JBJEGT TAO THE EQUAL OPPORTUMIY CLAUSE AND THE FILING' OF RF~QUIRID REPORTS orated irr the proposal No request Son sublesfing or assigning any portion of the o in exress of$10,000 wcllbe mrnidered undathepcovisiors ofSedim VIIofthe required oor~ad pcovisiots uriless suds ~~ is aoocan}~ac>bed by the CERTIFICATIONreIeQedto above, exeam~dbythepsoposedsuboai NON~OLLUSION PROVISIONS -The provisions in this section ace applicable in all oor~ except oorr~ for Federal Aid Seoor>dacy projects. T">ile 23, Ur~d Slates Code, Setfiorr 112, as a corrd~ac puoeda~t to approval by the Federal Highway Adreani~or of the oor>bad for this work that each bidder file a sworn shrlenact exeaded by, or on behalf o~ the pasor~ fmr~ assocaatior~, or ocxporation ~ whcxn such mr>tiact is &i be awacde~ oectifyu~g that such pecsoq fmn, or oaporation Iran ~ either daecdy ~' Y, entered ic~o arty agcear~, pmi>c>pated in any collision a otherwise taken any adioninioffreeoorr>peJiti~biddu~ginoora~ecJianwitlrihedbid. A form m rrral~ the rnn-colhsicn a~rvrt s cagcmad by SacUon 112 as a certifratian under per~alty ofperju<y rather than as a svwm shatana~ as pen7>tl~d by 28,LJSQ Sec.1746, is inchadedmiheptopos:il. PARTICIPATION BY NID~TORiTY BiJSiNESS ENTERPRiSIrS IN SUBCONTRACTING-Part23,Title49, CodeofFederalRegclatiors suppliesto this Federal aid project Pe~~ent sorties of said Cade are icnorpora~d inpatt or m its ecrtrtetywitlmcothersecliors ofihese speaalpaovisions. Schedule B -hcfonr~orc forDetacn~rg Joirrt Venture Y (This form need not be filled in if all joint venture firms are minority owned) 1. Nacre of joint venture 2. Address of join venture 3. Phone number of joint venture 4. Identify the firms which comprise the joint venture. (The DBE partner rrnrst complete Schedule A) a. Describe the role of the DBE fiml in this joint venture. b. Describe very briefly the experience and busira=ss qualifications of each non MBE joint venture: 5. Nature of the joint venture's business 6. Provide a copy of the joint venture ag~eernent 7. What is the claimed percentage of DBE ovvnerslcip? 8. Ownership of joint venture: (This need not be filled in if described in the joint venture agreement, provided by question (~. a. Profit and loss sharing b. Capital contributions, including equipment c. Other applicable ownership interests Atiadurrart EadubitA-FRl 8.07-)7 C7 TO BE INCLUDED IN BID PACKAGE BP 16 of 32 • CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT 9. Con~vlofa~paztic~ationumtlrisoonh-act Id~ifybyrrame,rao~ sex, and `~'mn" those indivichds (acd their tides) who ace respormble fcr day~o-daY mazragemart az~d policy d~actisian n~ mchxln~g, Name ofFiQn Name ofF~n butrrotlarrAed b~, those willrprimerespon9br7ityfi~r: a Fir>ancialdeci9ons Sigrrahae Signatrae b.Managerne~rtdecis~-s, srrchas: 1. Estimating 2.Madoetingardsales 3. Hiring and firurg ofrrraa~agerr~errt 4. Piuchasu~g ofmajor iierrs a supplies c. Supetvisionoffiekl operations • Note: I1; after f>bng this Schedule B and before the oompletiorr ofthe joutvecbrae's wvriccarthe mnh-ac~covaedbythisregrilati~ there is any srgrnfir~rt in the urn submrtled, the jaurt ~rhue must inform the grm>>ee, eid~a directly or through the prone cor~acfir ifthe jourt veimne is a submrriracba: A~fida-~t "Ihe crrrdasigped swear that the foregoucg shaha~bs are correct and inchde all material u~r necessary to ider>bfy and explain the lemis and operation ofour jourt vartrue and the umerraedperticipatiorr by each joust verbrner ur the Furtlra, the imlet~g~ed co~carrt and agree m provde to grate ~ oomplebe and aoauane utfotrrtatiott tegardu~g actual jourt varitue wvric and the paymerrt therefcae and any proposed charrges in any of the join vermue ~ and io pem><t the atdd and exanvttation of the books, records, and files of the joint verrttue, by authored relives of the grar:tee or the Fedaal finding agency. Arty material rrristion wtIl be gtotmcis fix arty mnh-act which may be awanjad and fa irtitiatirtg action order Federal ~ Shad hws concerning false shaterr~is.,, Attadurrart Eadnbit~FR2 8.0'7-97 • Name Name Title Title Date Date Date State of t:'.aurtyof On this _ day of 19_, before me appeared (name) 13o me personally lmown, who, being duly swum, did execute the foregoing a~davit and did shale that he or she was prq~edy audro~ed by (Name of flan) so as his or her flee act and deed. NotaryPublic Corrrrrissionexpues ~~ Date StaiP of Coturtyof tJrr this _ day of 19_, before me appeared (Name) to me persorraIly latown, who being swv~ did exearie the faegoutg a~davit and did starve that he a she was properly aud~o~ed by (Name of Eton) sD as his or her fife act and dead. NotaryPr~lic Con=rnssiortexpires ~~] m etceabe the a~davit and did 1o exeatle the a~davit and did TO BE INCLUDED IN BID PACKAGE BP I7 of 32 • CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT TITLE 49, CODE OF FEDERAL REGULATIONS, 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 bidders 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. Name of F Signature of Bidder FED.8-22-88 • TO BE INCLUDED IN BID PACKAGE BP 18 of 32 CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT 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 u on which reliance was laced when this P P 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~lLsu.Fh~saxlf ents shall certify and disclose accordingly. J. Erno, President Bidder's r irm~ ~1~~~~b Date • Standard Form LLL may be obtained from Caltrans and FHWA offices. • TO BE INCLUDED IN BID PACKAGE BP 25 of 32 • CITY OF SANTA ANA • ~1 I ~ "- N Ul'U, PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST . PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT DISCLOSURE OF LOBBYING ACTIVITIES Co lete this form to disclose lobb ~n activities ursuant to 31 U.S.C. 1352 1. Type of Federal Action 2. Status of Federal Action 3. Report Type: ^ a. Contract ^ a. Bid/offer/application ^ a. initial b. Grant b. initial award b. material change c. Corporate Agreement c, post-award d. Ban For Material Change only: e. Loan Guarantee Year quarter f. Loan Inswance date of last rt 4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and Address of Prime: ^ Prime ^ Subwardee Tier , If known Con essional District, tfknown Con essional District, ifknown 6. Federal Department/Agency: 7. Federal Program Name/Description CFDA Number, If licable 8. Federal Action Number, if known 9. Award Amount, if known 10. a. Name and Address of Lobbying Entity b. Individual Performing Services (mrluclarg aclc~ ifchffar~atfiamNo. c~illa~rnrt~~M~ 1~) (~.~ ~ (attach Continuation Sheet(s) if neces ) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply) $ ^ Actual ^ Plarnred ^ a. retainer ^ b. one-time fee 12. Form of Payment (check all that apply): ^ c. commission ^ a. cash ^ d. contingent fee ^ b. in-kind; specify: nature ^ e. deferred value ^ f. other, 14. Brief Description of Services Perfom~ed or to be performed and Date(s) of Service, including officer{s), employee(s), or rr~mber(s) contacted, for Payment indicated in item 11: (attach Continuation Sheet(s) i necessary) 15. Continuation Sheet(s) attached: ^ Yes ^ No 16.Irregtr~edthrotrglrthis fonnis autltc~dbyTide 31 USC Section 1352. Thisdiscloaueoflobbyi<rgaclivifgsisamalaialreatirnoffactupm Signature whidrreliatrevv~plaoedbythetiaabovewhenthehvuumadeora~aed ' Erno President ~ it~ho. Ilnsdiscbs~ueisregtmadptasiatrtto3lU.S.C.1352. This~w~lbe Print Name . repa~dtotheCa~ssseiiri-a<aa~allyaudw~beava>lablef~p~licn f/ Arrypasaiwhofar7slofiletheragtmeddisclosueshallbeUoacivrlpa~akyof Title notlessttr~ut$IO,OOOatrlmtmgethan$100,000foreaclrsu~lrfa>~e. ~ ~y, /~ Tel hone No. -~(/U~`1~~~ Date `!~ ~ ~~ Feda-alUse ~ Authorized for Local Rc~roduction Standard Form-LLL r] L TO BE INCLUDED IN BID PACKAGE BP 26 of 32 CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT NO. 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT 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 required Federal Contract Provision (Form FHWA-1273) as shown in the appendix of the special provision Signed Title President Firm '~~YYID ,,l'l~. Date ~"' (7~1~~ • • TO BE INCLUDED IN BID PACKAGE BP 27 of 32 CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST . PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her lrnowledge 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 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 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 an Federal contract, grant, loan, or cooperative agreement. (2) If any funds other Federal appropriated 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 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 proposal that he or she shall require that the language of this certific ~ includ all lower tier subcontracts, which exceed $100,000 and that all such sub- recipients shall ce ~ and ~ ac dingly. Timi#hy J. Erno, President Bidder .Q~I(YIU, ~h~ Firm ~~~-~ `~~ Date *Standard Form LLL may be obtained from Caltrans or FHWA offices. ~, TO BE IlVCLUDED IN BID PACKAGE BP 28 of 32 CITY OF SANTA ANA • PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST • PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT 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 t u nca" requirements of Section 165 of the Surface Transportation Assistance Act o 2 n in the special provisions of this project. Signed Title T~mY J~-Erno, President Firm ~p ~ ~.~~ Date ~''?~l~ 0 • • TO BE INCLUDED IN BID PACKAGE BP 29 of 32 CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT NO.OS-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST • PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT 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 '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. Bidd s are cautioned that making a false certification may subject the certifier to crim' pro Signed Title Firm President Date ~~ ~~ I ~ ~ • TO BE INCLUDED IN BID PACKAGE BP 30 of 32 CITY OF SANTA ANA PROJECT N0.08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST • PROJECT NO. 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT NO. 08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE 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 / If the answer is yes, explain the circumstances in the following space. • C, TO BE INCLUDED IN BID PACKAGE BP 31 of 32 CITY OF SANTA ANA PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT N0.08-5020: TR.AFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV PROPOSAL AND CONTRACT AGREEMENT 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 ~ ~ p,YV~b Date ~~"~ ~ 10 • TO BE INCLUDED IN BID PACKAGE BP 32 of 32 THE AME~AN INSTITUTE OF A~HITECTS Bond No. F00498 KNOW ALL MEN BY THESE PRESENTS, THAT WE Te 15701 Heron Avenue, La Mirada, CA 90638 as Principal, hereinafter called the Principal, and Travelers Casualty and Surety Company of America Construction Services One Tower Square Hartford CT 06183 a corporation duly organized under the laws of the State of AIA Document A390 Bid Bond as Surety, hereinafter called the Surety, are held and firmly bound unto City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA 92701 as Obligee, hereinafter called the Obligee, in the sum of Ten Percent of Amount Bid Dollars ($ 10% ), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Project No. 08-5018: Traffic Signal Installation on Hazard Ave. & Rosita St.; Proiect No. 08-5019: Traffic Signal Installation on Hazard Ave & E/O Gates St ~ Project No 08-5020 Traffic Signal Modification on McFadden Ave. & Newhope Ave NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to pertorm the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 23rd day of Terno. Inc. (Witness) ~`~~n+en~~rur+rluU \\e`..r~ 5l1~ `C~ ~' fiAR'xFOF-tl,t erg ~ CQNN. ~ ,°~ ~ ••.~..•-~ ~a\~ v ``~~~~ Sherryanne DePirro (Witness) ,~ Travelers Cas CT February 2010 (Seal) (Title) and Surety Company of America (Sea!) Mary R. McKee (Title) AIA DO('iiMENT A310 ~ RID BOND • AIA ~ NF,RRUARY 1970 ED. ~ THF, AMF,RK'AN INSTITUTE OF ARCHITECTS, 1735 N.Y. AVE., N.W., W'ASHING'TON, ll.C. 20006 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of Californippa I County of UPS G,u~atl~ On ~ ~ before me, - Y mate ,• ~ , personally appeared who proved to me on the basis of satisfactory evidence to be the person(/whose namet~,,is/are subscribed to the within instrument and acknowledged to me that h~e~sk~/they executed the same imhis~t5'~1'/their authorized ~~HE~ N euEZ capacit ie) and that by t~isfFjer/iheir signatur~( .) on the Commission # 1761070 rostrum the person or the entity upon behalf of -s Notary Public - Calltornla ~ which the persort(~f} acted, executed the rnstrument. Los Angeles County ~~O'n~"'~'°~A"'Att'~tt I certify under PENALTY OF PERJURY under the laws of the State of Californra that the foregoing paragraph is true and correct. WITNESS my hen and official seal. Signature Place Notary Seai Above Signatu of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons retying on fhe document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ^ Individual ^ Individual ^ Corporate Otficer -Title(s): ^ Corporate Officer -- Title(s): ^ Partner - ^ Limited ^ General _ _ ^ Partner - ^ Limited ^ General ^ Attorney in Fact ~ - ^ Attorney in Fact • ^ Trustee Top of thumb here ^ Trustee Top of thumb here ^ Guardian or Conservator ^ Guardian or Conservator ^ Other: ^ Other: Signer Is Representing: Signer Is Representing: ©2007NalionalhlotaryAssociation•9350DeSotoAve.,P.O.Box2402•Chatsworth,CA9 1 31 3-24 02•www,NalionalNotary.org Itemif5907 Reorder:CatlToll-Free1-800-8766827 CORPORATE ACKNOWLEDGMENT Form 152 STATE OF NEW JERSEY COUNTY OF BERGEN On this 23rd day of Februar , 2010, before me personally came Mary R. McKee to me known, who, being by me duly sworn, did depose and say that she/he resides Saddle Brook, NJ that she/he is the Attorney-In-Fact of Travelers Casualty and Surety Company of America the corporation described in and which executed the above instrument that she/he knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that she/he signed her/his name thereto by like order. 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'1~7T~ ~ ti ~Ca ~ 3iitu~ v ~ - -- w ~:,.s"~:~a7 Zs3 ~ 4 ~~r~~~~5 ~'trr~a~'~~3;~'?.'~ :^'sc~. ~3.. p=ct ~ _._~,_(t_Y:~ts~?,F-~.Ya.'-`_~",~i3:~:E'~'~sr 'F~#k~t o, u~..~= ~:=s.~.`~~,~~1~ ~€.=.3~z~~'.~-„?~ iA ~~.t<-~'~;,~'7~t=Yi}~~~~=i :'~-~Bf,~~Y u~-:~~~=.7G~~:ni~J i ~~T a~ rE ~ ~~t ~; ~~ 1~~:~E,=~~:=~? •~; ~,c { ~~~G ~Si"~T~"•--=_x'~'-~B:.t~;,~T-S~L'r`l-l ~,? i~T~~ ~'` ~Ii~~C~1~r~.L.G.~~'~~=+~3'k5-v: it-~t3r.:3~ 'fi:"Jr~ E,~3~.~3~.. .. ~ . $_. 1a7.s'?~ir;.~ r~`:.~v~f~_~'c3 -mss ~3~. ~ 1:~~. ~~ 'E`c ~.E' _ .f7~. w" ~ '. •< ~~- "lysF'CS~fR ~' -~. Y ~ ~7S~b.s~P :~~,~~•~ ~iC. r~ 71~J -a:~:~~- T~.nt.S ~~~~, A~s~i' F[3~ fla ~3a 3 ~;~~39 (E S ~~?;~o i ~r POWER OF ATTORNEY Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Surety Bond No. F00498 OR ProjKt No. OB-501uQ8. Traffic Signal Installatbn On Hazard Ave. A Rosita SL; Project No. Project Description: 08a~~ Signal Motlificafionstallation On Hazard Ave. 8 E/O Gates St; Project No. OB-5020: on McFadden Ave. & Newhope Ave. Principal: Terno, Inc. Obligee: City of Santa Ana KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc. is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Mary R. McKee of the City of Woodcliff Lake ,State of NJ ,their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 5th day of August, 2009. Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company r pw5u,~+'1 ~;,lr"n' ~1R>:~ o`•ti I^j.` ,'~ ~M7Y ~ •r.r°• V"f.°gi 0 19i2G o ~ ~r '.t:R ~'~~pijy ~ °~R~~~~ ~~ = cd',~~~+t~~ ~~o- e ~ ~~~ 1`~~~+e '1977 g 1851 ~ s,~ ~ sERI. ~a' ~ s~aL ~ ~~ ~s 3 00 a ;n ~~+c~ S° ~ ~ -~/ S . aM + . ~' ~ Alga' State of Connecticut By: City of Hartford ss. Geo a W. omp on, or Vice President On this the 5th day of August, 2009, before me personally appeared George W. Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal. g~~.TET My Commission expires the 30th day of June, 2011. 3 * ~ ~WuJt.. C `.~~ ~ ~'~ * Marie C. Tetreault, Notary Public This Power of Attorney is granted under andl5y the authority of the following resolutions adopt~"d by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any F~cecutive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shalt be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kori Johanson, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fdelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 23rd day of February 2010 ~-~~~--_ Kori M. Johanson, Assistant Secretary j~rsv,~t ~~ `L'am alt=JFp `*~- ~~r4s *~~MfY~~ ~sray mrgy T~ 0 y • ,V ~l ~ K V % ~~ J~ ~l~Q~/=~~~ ~ y4J ~~! SP y, ,`n ~~~ ~ i`l~ ~~~~,~ { 1977 ~ 1851 ~ ~~ ~ sE11I. o' ~.5 az~~ ~ ~ ~a 3 ~ ~ ;~ ,, r ~ ~. r ~ + '•~/. A` I,p }~~ xis r . ~ : ~~+~ ~,p To verify the authenticity of this Power of Attorney, ca// 1-800-421 3880 or contact us at www,trave%rsbondcom. P/ease refer to the Attorney-In-Fact number, the above-named individua/sand the detai/s of the bond to which the power is attached. TERNO, lnc TEI~ `~ 714228e9631ABus.u 14 22896 5 Faos38-5206 EL~ECTHIc~L CONTRACTORS CA License No. 862724 o......, To: City of Santa Ana Department of Public Services Attn: Fourth Floor Receptionist Transmittal No.: 5225-001 Transmitted: ^Attached Via: Facsimile ~E-Mail Fax Number: LETTER OF TRANSMITTAL Data: Tuesday, March 09, 2010 Contract No.: #08-5018 to 08-5020 Job No.: 5225 Subject: DBE/UDBE Forms ^X Under Separate Cover (all or some) ~US Mail ^Ovemight ^X Hand Delivered Are as follows: Shop Drawing(s) Letter(s) Sample(s) Contract Drawing(s) Specification(s) Change Order(s) Proposal Drawings) aApproval Submittal(s) Other: Required DEB/UDBE submittal forms From: Louis Perez ID No. Descri tion 6 PG BP 19 - 24 Local A en Bidder DBE/UDBE Commitment Forms 3 P Written Quotes from Grand Electric Su I 2 PG Caltrans DBE/UDBE Certification for Grand Electric Su I For Approval ^Approved Other: Remarks/Comments: THANK YOU, Kevin Stauffer Project Manager For Your Use Rejected ~As Requested For Fabrication Revise and Resubmit ^Approved as Noted cc: None cc File: Transmittal log, sent on: osrosn° 11 PAGES TO FOLLOW Local Agency der UDBE Commitment (Con~ction Contracts) r~ • GENCY:S t~ ~S~ S AN~/~ ~ ~J ~ LOCATION: PROJECT NO 08-5018: TRAFFIC SIGNAL INSTALLATION ON IIAZARD AVE & ROSITA ST ROJECT DESCRIPTION: T~ A~ ~ ~ v S ~ G, IJ w\ OTAL CONTRACT AMOUNT: $ \ "j ~, S ~ ~o ,~I b ID DATE: 3I3 ~ ~ O IDDER'S NAME: T~ 0. u O . TN c. ONTRACT UDBE GOAL: 3 . ~~ ONTRACT ITEM NO. TEM OF WORK AND DESCRIPTION R SERVICES TO BE UBCONTRACTED OR MATERIALS O BE PROVIDED ert. No. of UDBE ND EXPIRATION ATE AME OF UDBEs Must be certified on the date bids re opened -include UDBE address nd hone number OLLAR AMOUNT DBE eo\~y Co oll ~ ~Ie ~ 34 ~~ Ub-'1 - S b 2,0 00, fob For Local Agency to Complete: Local Agency Contract Number: ederal Aid Project Number: ederal Share: 9 465 Total Claimed Participation $ 2 p ~ a~. -~---~o 1 ~ % ontract Award Date: !- cal Agency certifies that all information is complete and accurate. ~~ rint Name Signature Date cal Agency Representative Signature of B}A er ~ ~ i 3 ` CO -'z Area Code) Tele hone Number: Date' (Area Code) Tel. No. or Caltrans Review: Ktc,~nwn ~, kk; ~~A Print Name Signature Date Caltrans Distract LOCaI Assistance Engineer Person to Contact (Ple se Type or Print) Local Agency Bidder -UDBE Commitment (Rev 3/09) .~mu~uuuuu. tt~ ~.uNy -ran tunucumtc~y w utc l.altrari5 U15177CI LOCaI ASS1SLanee trnglneer (LLAt',) Upon award. (2) Copy -Include in award package to Caltrans District Local Assistance (3) Original -Local agency files TO BE INCLUDED IN BID PACKAGE BP 19 of 32 Local Agency~dder DBE Information (Const~tion Contracts) • • • GENCY: ~~~ ~ qN't A ~N A LOCATION: PROJECT NO 08-5018: TRAFFIC SIGNAL INSTALLATION ON }IAZARD AVE & ROSITA ST ROJECT DESCRIPTION: T(LgSti~ ~ .. S t~ N h OTAL CONTRACT AMOUNT://$ ~~ Q . S ~ Lo . ~I D ID DATE: 3~3[ ~O IDDER'S NAME: TQ {Zu p _ 1 N ~ ONTRACT ITEM NO. TEM OF WORK AND DESCRIPTION R SERVICES TO BE UBCONTRACTED OR MATERIALS O BE PROVIDED BE Cert. No. ND EXPIRATION ATE AME OF DBEs Must be certified on the date bids re opened -include DBE address nd hone number) LLAR AMOUNT BE Q d 3t~ Oo - ? -5 0 2 p OD. (o For Local Agency to Complete: al A enc Contract Number: g Y ederal Aid Project Number: ederal Share: 7 120 Total Claimed Participation $ 2 p, gOd ~ ontract Award Date: cal Agency certifies that the DBE certification(s) has been verified and all information is complete and accurate. i `~~ - ~'~ rint Name Signature Date Signature of Bid i 3 ~3 '~ l 2.2 g ~ (0 3 1 al Agency Representative Area Code) Telephone Number: Date (Area Code) Tel. No. ` C lt R i ~ ~~ d- u.. Acd A or a rans ev ew: Print Name Signature Date Caltrans District Local Assistance Engineer Person to Contact lease Type or Print) Local Agency Bidder DBE Infomtation (Rev 3/09) Lisu ~ouuun: t i ~ ~.opy - rax or scan a copy to the ~:a~trans lltstnct Local Assistance Engineer (DEAF) within 15 days of contract execution. Failure to send a copy to the DLAE within 15 days of contract execution may result in the de-obligation of funds for this project. (2) Copy -Include in award package to Caltrans District Local Assistance (3) Original -Local agency files BP 20 of 32 TO BE INCLUDED IN BID PACKAGE Local Agency der UDBE Commitment (Conduction Contracts) • • GENCY: C \ ~ti rJ ~i ~ RtJ~ h ANA LOCATION: PROJECT NO 08-5019: TRAFFIC SIGNAL INSTALLATION ON n IIAZARD E/O GATES ST ROJECTDESCRIPTION: T(~Asr~l., J i.e„~u p. OTAL CONTRACT AMOUlNT: $ t~ ~ `~ Z , O ~ ID DATE: 3 / 3 ~ \O IDDER'SNAME: T,Q{LWO ZaaNGG / ONTRACT UDBE GOAL: 3 .7! _ \ ~/ O ONTRACT ITEM NO. TEM OF WORK AND DESCRIPTION R SERVICES TO BE SUBCONTRACTED OR MATERIALS O BE PROVIDED ert. No. of UDBE ND EXPIRATION ATE AME OF UDBEs Must be certified on the date bids re opened -include UDBE address nd hone number OLLAR AMOUNT DBE 3 0~ s C'o-,~ ll °~ a u E\e ~'R~~S 31 3 ,4 2 °l \30. p~ or Local Agency to Complete: cal Agency Contract Number: ederal Aid Project Number: ederal Share: 9 282 Total Claimed Participation $ 13D~ hp_ ~ ` ontract Award Date: "" ca] Agency certifies that al] information is complete and accurate. rint Name Signature Date Local Agency Representative Signature of B' er .-~ ~ 3 0 / \ - 'Z'Z ~j- C7~(03, Area Code) Tele hone Number: Dat (Area Code) Tel. No. or Caltrans Review: ~C,_~~ ati ~ ku ` R ~ ~ Print Name Signature Date Caltrans District Local Assistance Engineer l:.. w:L..~:.,_. Person to Contact (Pleas Type or Print) Local Agency Bidder -UDBE Commitment (Rev 3/09) .,~~~~~~~~,.,~~. t~/ wpy - rax un~ncmatery to me ~aitrans utsmct Locat Asststance Engtneer (DEAF) upon award. (2) Copy -Include in award package to Caltrans District Local Assistance (3) Original -Local agency files • TO BE INCLUDED IN BID PACKAGE BP 21 of 32 Local Agency~dder DBE Information (Const~tion Contracts) • • • GENCY: ~','Cy 0 ~ ~ t3e7~FA kt1~41 ROJECT DESCRII'TION: T n p~ ~t~ S ~~, ~ OTAL CONTRACT AMOUNT: $ \~ \ , \4 ID DATE:_ 3/~Jl~ O IDDER'S NAME: ~Q ~N O , ~ ~ ~ LOCATION: R\ 2 , O b PROJECT NO 08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD E/O GATES ST ONTRACT ITEM NO. TEM OF WORK AND DESCRIPTION R SERVICES TO BE UBCONTRACTED OR MATERIALS O BE PROVIDED BE Cert. No. ND EXPIRATION ATE AME OF DBEs Must be certified on the date bids re opened -include DBE address nd hone number) OLLAR AMOUNT BE \3 L o ~ lQ ~ ~ 3\ 3 ~1~ 3- _1Z '] - 5 (o d 3 .O For Local Agency to Complete: Local Agency Contract Number: ederal Aid Project Number: ederal Share: 6 982 Total Claimed Participation $ \ p\ \3 ~ ~ 0 ~ ~` % ontract Award Date: i~ cal Agency certifies that the DBE certification(s) has been information is complete and accurate. verified and all ~~ _ ~ b ~nt Name Signature Date Signature of Bidt1 G/ 3 3 ~ ! i.~ \ ~{ - 22 Q - q V 3 ~ al Agency Representative Area Code) Tele hone Number: Date i (Area Code) Tel. No. For C lt R i a,R. K a rans ev ew: Print Name Signature Caltrans District Local Assistance Engineer Date Person to Contact (Please T e or Print) Local Agency Bidder DBE Information (Rev 3/09) --•.. •••.~..~•.~... ~.~ ...,t,y -, an v~ a~au a wNy w uw i.aui aun L~SLnGI WCaI Hs5lSiance cnglneei (ULAts) Wlthln 1~ days of COntiact exeCUtlOn. FflllUre t0 send a copy to the DLAE within 15 days of contract execution may result in the de-obligation of funds for this project. (2) Copy -Include in award package to Caltrans District Local Assistance (3) Original -Local agency files BP 22 of 32 TO BE INCLUDED IN BID PACKAGE Local Agency der UDBE Commitment (Con~ction Contracts) • • GENCY: ~ l ~ Y O 'S 7 (~ N ~ A ~ LOCATION: PROJECT NO 08-5020: TRAFFIC SIGNAL MODIFICATION ON Ste(, ~C \ y ~ ` ~ ~ ~` MCFADDEN AVE & NEWHOPE AVE ROJECT DESCRIPTION: T OTAL CONTRACT AMOUNT: $ \ 2"i. 5 37 , 3 ~ ID DATE: 3 / 3/ ~~ IDDER'S NAME: T2 Q N''J , TN er ONTRACT UDBE GOAL: 3 . ~ \ ~I9 ONTRACT ITEM NO. TEM OF WORK AND DESCRIPTION R SERVICES TO BE SUBCONTRACTED OR MATERIALS O BE PROVIDED ert. No. of UDBE ND EXPIRATION ATE AME OF UDBEs Must be certified on the date bids re opened -include UDBE address nd hone number) OLLAR AMOUNT DBE 3 ~ 2 - ~S o 5 ~. For Local Agency to Complete: al Agency Contract Number: Total Claimed P i i i $ ~ SCt ' ederal Aid Project Number: ederal Share: 5 628 art c pat on ~% ontract Award Date: cal Agency certifies that all information is complete and accurate. 'nt Name Signature cal Agency Representative Date Signature of Bidd 3 - 22 4 - b 3 \ Area Code Tele hone Number: Date ,' (Area Code) Tel. No. / or Caltrans Review: Print Name Signature Caltrans District Local ASS15tanCe Engineer Date ~ «,~ Rn~ 1~ ~ ~ ~~ ~ Person to Contact (Please a or Print) Local Agency Bidder -UDBE Commitment (Rev 3/09) ..,,,„~u„~,,, t, ~ wpy - raa unu~cwa~eiy io me ~ aittans utsmcz t_.ocai Asststance t:ngtneer (llL.A):) upon award. (2) Copy -Include in award package to Caltrans District Local Assistance (3) Original -Local agency files • TO BE INCLUDED IN BID PACKAGE BP 23 of 32 Local Agenc~idder DBE Information (Const~ction Contracts) • • • GENCY: ~ ~ ~ ~ ~ ~ {~ w~ i1 N (~ LOCATION: PROJECT NO 08-5020: TRAFFIC SIGNAL MODIFICATION ON c MCFADDEN AVE & NEWHOPE AVE ROJECT DESCRIPTION: Tl~~ } ~ ~ ~ ~a, w (~ OTAL CONTRACT AMOUNT: $ ~ Z~I, S 3"7r 3 O r ID DATE: 3 f 3~`O IDDER'S NAME: T~ (Z,~O , TN ~, ONTRACT ITEM NO. TEM OF WORK AND DESCRIPTION R SERVICES TO BE UBCONTRACTED OR MATERIALS O BE PROVIDED BE Cert. No. ND EXPIRATION ATE AME OF DBEs Must be certified on the date bids re opened -include DBE address nd hone number) OLLAR AMOUNT BE 2\ ~ 30 OJ- -5 n S ~ or Local Agency to Complete: al Agency Contract Number: Total Claimed $ S --~ ~ ederal Aid Project Number: ederal Share: 4 234 Participation ~~ % ontract Award Date: _ al Agency certifies that the DBE certification(s) has been verified and all information is complete and accurate. rint Name Signature Date Signature of Bidd 44 3 - 2.2 L ~ ~ ro~J Local Agency Representative Area Code) Tele hone Number: Date (Area Code) Tel. No. ^ or Caltrans Review: Print Name Signature Date Caltrans District Local Assistance Engineer y{ LCD /\ri a u~ A (~1 Lv (~ Person to Contact (Please ype or Print) Local Agency Bidder DBE Infomration (Rev 3/09) .~~~~~ wuu~u. ~ ~ ~ wpy - rax ur scan a copy to me ~aitrans llistnct t.ocai Assistance lrngrneer (llLAE) within 15 days of contract execution. Failure to send a copy to the DLAE within 15 days of contract execution may result in the de-obligation of funds for this project. (2) Copy -Include in award package to Caltrans District Local Assistance (3) Original -Local agency files BP 24 of 32 TO BE INCLUDED IN BID PACKAGE f._I Grand Electric Supply, Inc. Vista, CA 92084 Mailing Address: PO BOX 1929 Tel: (800)798-5494 San Marcos, CA 92079-1929 www.grandelectricsupply.com Fax:(760)744-5982 OIJnTATTnN Customer: TERNO Project: #08-5018 Reference 030310-LS1 Date: March 3, 20 10 Line uanti Part Number Descri tion Price U/M Total 1 HAZARD & ROSITA 2 1 23-4-100-35' 3 3 IA-10' 4 1 15TS-12' 5 1 17-3-100-20--12' 6 1 15FB-12' 7 1 8' Clam on si n arm 8 3 250w h s c/o /d LLSC 9 1 T e IIB anodized alum. 10 3 RSNS 11 1 2070/332 W/TESTING CONTROLLER 12 LUMP SUM LOT $31,588.00 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 33 SUB-TO TAL: $31,588.00 TAX: 9.25 $3,079.83 FREIGHT: MISCELLANEOUS: GRAND TOTAL: $34,667.83 tluotea ray Laura as Suva 51ms, I-'resident IsimsC~grandelectricsupply com This quotation is good for 30 days Grand Electric Supply, Inc. Vista, CA 92084 Mailing Address: PO BOX 1929 Tel: (800)798-5494 San Marcos, CA 92079-1929 www.grandelectricsupply.com Fax:(760)744-5982 QUOTATION Customer: TERNO Project: #08-5019 Reference 030310-LS2 Date: March 3, 20 10 Line uanti Part Number Descri tion Price U/M Total 1 HAZARD E/0 GATES 2 1 19-3-100-25'-12' 3 2 IA-10' 4 1 15TS-12' 5 1 18-3-100-25' 6 1 15FB-12' 7 1 8' Clam on si n arm 8 2 250w h s c/o /d LLSC 9 1 T e IIB anodized alum. 10 3 RSNS 11 1 2070/332 W/TESTING CONTROLLER 12 LUMP SUM LOT $29,051.00 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 33 SUB-TO TAL: $29,051.00 TAX: 9.25 $2,832.48 FREIGHT: MISCELLANEOUS: GRAND TOTAL: $31,883.48 Quoted By Laura da Silva Sims, President IsimsCa~grandelectricsupply.com This quotation iS good for 30 days f~ ~~ Grand Electric Supply, Inc. Vista, CA 92084 Mailing Address: PO BOX 1929 Tel: (800)798-5494 San Marcos, CA 92079-1929 www.grandelectricsupply.com Fax:(760)744-5982 QUOTATION Customer: TERNO Project: #08-5020 Reference 030310-LS3 Date: March 3, 20 10 Line uanti Part Number Descri tion Price U/M Total 1 MC FADDEN & NEWHOPE 2 2 IA-10' 3 2 24-4-100-35'-12' 4 2 250w h s c/o /d LLSC 5 1 T e IIB anodized alum. 6 1 2070/332 W/TESTING CONTROLLER LUMP SUM LOT $28,372.00 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 33 SUB-TO TAL: $28,372.00 TAX: 9.25 $2,624.41 FREIGHT: MISCELLANEOUS: GRAND TOTAL: $30,996.41 (quoted By Laura da Silva Sims, President IsimsC~grandelectricsupply.com This quotation is good for 30 ddy5 Unified Certification Program Back To Qucrv Farm Search Returned 1 Records Query Criteria Firm/DBA Name: Grand Electric Supply, Inc Firm Type: DBE Firm ID 999a Firm/DBA Name GRAND ELECTRIC SUPPLY, INC. Address Line1 2430 SOUTH SANTA FE AVENUE, #510 Address Line2 Clty VISTA State CA Zip Code1 92osa Zip Code2 Mailing Address Line1 PO BOX 1929 Mailing Address Line2 Mailing City SAN MARCOS Mailing State cA Mailing Zip Code1 92079 Mailing Zip Code2 1929 Certification Type DBE EMail Isims@grandelectricsupply.com Area Code (760 ) Phone Number 744-5981 Fax Area Code (7so ) Fax Phone Number 744-5982 Agency Name DEPARTMENT OF TRANSPORTATION Counties oo; Districts oo; DBE NAICS 423610; ACDBE NAICS Page 1 of 1 Tue Mar 09 07:10:20 PST 2010 Work Codes C0600 MISC SUPPLIERS; C0686 ELECTRICAL & SIGNALS; F5060 ELECTRICAL GOODS; Licenses Gender F Ethnicity HISPANIC Firm Type DBE Back To Query Form http://www.dot.ca.gov/ucp/QuerySubmit.do 3/9/2010 y h Iii ~y MM~ 1~1 ~i d 0 0 3 O ~ N a~ p a+ \O ~ U N ~ ~ to v C E' c0 _h O ~ ~. ,~ W ~ 0. ~+ .r i N ~" ~ L' ~ ¢ F"' W ..,, r-~. H ~ H E U v' ~ N H ~~ N ~ U 'S~" ' ~' +U-~ W R O~ ~ ¢ .~ C ~ O R ~Q ~ '~+ ~Zr W t/~ o ~ ~ F ai ~ ~ ~' ~ .... x V a ~ F , rx W a, ca ~ ~ A ~ W ~ ~ W H ~, a ~ ~ a~ ~ Ha ~~ zap W z Q .~ ~ >~ a a W "' w y ~ ~ ~ U w¢ A O ~~ °' U w ti ~ U ~ ~ ~ E ~ ~ a H ~ 7 ~~ ~~ ~i W~~Q ~ zH a~ w a x, a v~ ~~ `° ~ a [,~ W ~ is v, ~ ~ •~ ~ ea Ao ~ ~ 3~ z _ ° O ° F W U~ a W ~ N LF/J F ~ ~ ~ ~ ~ ~ a ~, w o R U "O P. ~ u ~ ~~yy..~~ E ~o v~ W ;b ~ ¢ `° O z y.E ~ ,~ Q ~~~ ~. o o a x o b ~~~ ~.~ ~ z~~ ~ E`° ~ U z~~rn x y,.; W ~. wwF¢ R ^,o„ z L7pW~ • o ?~ d'~-. O e o ~ C7W~~~ ~ d o ~ ~ W °~ ~ v d ~F+ ~ .N ~1 H F" ~ N m CL N H R ,~_„ ~ M ai a}"i ~ ~ iv H ¢ W F W Sr * b WW ~~~. UQ•.,~v, ~r MAYOR Miguel A. Pulido MAYOR PRO TEM Claudia C. Alvarez COUNCILMEMBERS David Benavides Carlos Bustamante Michele Martinez Vincent F. Sarmiento Sal Tinajero February 16, 2010 ADDENDUM No. ONE ~yd %~0 ~t.,i'~F ..~I II 1 CITY OF SANTA ANA PUBLIC WORKS AGENCY M-36 P.O. Box 1988 Santa Ana, California 92702 CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Maria D. Huizar SUBJECT: PROJECT NOs. 08-5018 to 08-5020: Traffic Signal Installations on Hazard Ave & Rosita St and Hazard Ave east of Gates, and Traffic _ Signal Modification on McFadden Ave & Newhope Ave. The following changes have been made to specifications of the subject project: Specifications 1. Page vii, replace with attached page vii. 2. Appendix A, add attached City of Santa Ana Standard Plans to Appendix A. 3. Appendix E, replace with attached Appendix E. 4. Page 24, 4.00 Special Provisions-Traffic Signal, section 4.04 -Please note this section requires potholing before ordering some equipment. All other terms and conditions remain the same. FOR THE CITY OF SANTA ANA George Alvarez City Engineer . NOTICE INVITING BIDS • NOTICE IS HEREBY GIVEN that the City of Santa Ana, California will receive at the City Hall-Ross Annex, (M-43), 20 Civic Center Plaza, Santa Ana, California 92701, the Public Works Agency Fourth Floor Receptionist, on or before the hour of 2:00 p.m. on Thursday, February 25, 2009 sealed bids and/or proposals for: PROJECT NO. 08-5018: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE & ROSITA ST PROJECT N0.08-5019: TRAFFIC SIGNAL INSTALLATION ON HAZARD AVE E/O GATES ST PROJECT N0.08-5020: TRAFFICSIGNAL MODIFICATION ON MCFADDEN AV & NEWHOPE AV (Work includes excavation, sidewalks, curb ramps, signing & striping, installation of new traffic signal and traffic signal modification, detector loops, signal interconnect) Notice is hereby given bidders that this project is funded with SR2S monies, and that the rate of wages for each craft or type of work or mechanic employed under this contract shall be as specified under the current determinations of the Department of Labor as required under the Davis-Bacon Act. Where a discrepancy exists between Federal and State prevailing wage rate, the higher of the two prevailing wage rates shall apply. Each bid shall be accompanied by cash, a cashier's or certified check payable to the City of Santa Ana, or bid bond issued by a corporate surety, for an amount not less than ten percent (10%) of the aggregate of the bid, as a guarantee that the bidder will enter into the proposed contract if the same is awarded to him. THE SIGNATURE OF THE BIDDER ON THE BID BOND MUST BE NOTARIZED. The City Council reserves the right to reject any or all bids. The successful Bidder must possess or obtain a valid California Class A or C-34 (for waterline work) and Class C-10 (for traffic signal work) Contractor's license prior to the scheduled award date of this contract. The Disadvantage Business Enterprise (DBE) and Underutilized Disadvantage Business Enterprise (UDBE) goal for this project is $42,711 that is 3.89% of the federal funds in the project. This information may be submitted with your bid proposal. If it is not, and you are the apparent low bidder or second or third low bidder, it must be submitted and received by the administering agency no later than the time specified in the federal requirements attached (Appendix F). The time for completion of this contract is 50 working days for construction from the date of the Notice to Proceed issued by the Engineer. Liquidated damages of $1000 per calendar day for construction not completed within the 50 working days from the effective date of Notice to Proceed. Substitution of securities for any monies withheld by the City of Santa Ana to ensure performance is allowed in accordance with the Public Contract Code. Complete sets of the Plans and Specifications will be furnished upon application to the Public Works Agency, First Floor Ross Annex Complex 20 Civic Center Plaza M-93 Santa Ana California 92701 phone X714) 647-5680. There is a $24.53 charge (non-refundable) for these Plans and Specifications, plus a minimum $14.42 additional fee if mailed. Make checks payable to the City of Santa Ana. vii r~ ~~~ C/TY OF SANTA ANA ~~ ~ ~~ . -~-~~ . - PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA (M-36) SANTA ANA, CA 92701 TRANS AL COVER SHEET DATE: FEBRUARY 24, 2010 PROJECT SUBJECT: ADDENDUM NO.: 2 NO.: 08-5018 to 08-5020 MAIL REMARKS: PAGES ATTACHED: 7 STATION: M-43 PLEASE FAX OR EMAIL THIS PAGE ONLY TO: * FAX NO.: (714) 647- 5670 * EMAIL: ZKEKULAC~SANTA-ANA.ORG PHONE NO.: (714) 647-5606 NOTE: UPON RECEIPT OF ADDENDUM, PLEASE S/GN TH-S SHEET AND FAX OR EMAIL IT BACK TO THE CITY OF SANTA ANA ATTENTION: ZED KEKULA FAX NO.: (714) 647-5670 I HEREBY ACKNOWLEDGE RECEIPT OF ADDENDUM NUMBER: 2 PROJECT NO.: 08-6018 to 08-b020 COMPANY: ~PXV~~ ~Wfi SIGNATURE: ' PRINT NAME: DATE: ~ ~~~ TITLE• Richard Kujawa, V.P./Asst. Sec. ~' I MAYOR Miguel A. Pulido MAYOR PRO TEM Claudia C. Alvarez COUNCILMEMBERS David Benavides Carlos Bustamante Michele Martinez Vincent F. Sarmiento Sal Tinajero February 24, 2010 ADDENDUM No. TWO • ~~ w • -~1.~' CITY OF SANTA ANA PUBLIC WORKS AGENCY M-36 P.O. Box 1988 Santa Ana, California 92702 CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Maria D. Huizar SUBJECT: PROJECT NOs.08-5018 to 08-5020: Traffic Signal Installations on Hazard Ave & Rosita St and Hazard Ave east of Gates, and Traffic Signal Modification on McFadden Ave & Newhope Ave. The following clarifications have been made to specifications of the subject project: Plan & Specifications: 1. Sheet 6 of 6 runs 3 & 4 are new conduits. 2. Page vii, NOTICE INVITING BIDS, paragraph 1, replace with the following: NOTICE IS HEREBY GIVEN that the City of Santa Ana, California will receive at the City Hall-Ross Annex, (M-43), 20 Civic Center Plaza, Santa Ana, California 92701, the Public Works Agency Fourth Floor Receptionist, on or before the hour of 2:00 p.m. on Wednesday, March 3, 2009 sealed bids and/or proposals for... All other terms and conditions remain the same. FOR THE CITY OF SANTA ANA f` ~,.~,fvt ~(~~G,"LIZ George Alvarez City Engineer F~~ D JAN 0 2008 K-RECORDER f aM DA~ CLE't~ - DEPUTY MAYOR M~ 9uel A. Pulido MAYOR PRO TEM Ca f los Bustamante COU rJCILMEMBERS C ~ a udia C. Alvarez P- pavid Benavides M ~ chele Martinez V ~ n cent F. Sarmiento S a ~ Tinajero • HOSTED JAN 0 4 2008 TOM DALY,OLERK-RECORDER L y DEPUTY By '`•'~ Recorded~fficial Records, Orange County Tom Dal :rk-Recorder Illlllilllllillllllliillllllllllll!IIIIIIIIIIlIIiIIIIiIIIIIIiIIIIINo FFF ~0088500000611:40am 01104108 so g~ zD1 0.00 0.00 0.00 0.00 O.OD 0.00 0.00 O.OD ~~~/ ~~ 9fiw i :., .~ i~if! , ~'z~.__ 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 www. Santa-ana.org CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Patricia E. Healy NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) --Fee-Exemption per California Government Code Section 6103 TO: COUNTY CLERK/County of Orange FROM: City of Santa Ana P.O. Box 238 Planning & Building Agency Santa Ana, CA 92702 20 Civic Center Plaza Santa Ana, CA 92702 --PROJECT TITLE: Traffic Signal Modification at McFadden Avenue and Newhope Street DATE OF DECISION: 1/04108 PROJECT NUMBER(S): N/A ER NUMBER: ER 2008-06 PROJECT LOCATION: Citywide CITY: Santa Ana COUNTY: Orange DESCRIPTION OF THE PROJECT: The project will modify the existing traffic signal on McFadden Avenue and NeWhope Street to provide east/west left turn arrows. The construction will include replacing traffic signal poles, foundations, conduits, signal equipment and minor concrete work on sidewalk. NAME & ADDRESS OF APPLICANT: City of Santa Ana Public Works Agency, 20 Civic Center Plaza, Santa Ana, CA 92701 NAME OF PUBLIC AGENCY APPROVING PROJECT: City of Santa Ana Public Works Agency NAME OF PERSON OR AGENCY CARRYING OUT PROJECT: City of Santa Ana Public Works Agency E~CEMPT STATUS: ^ Ministerial (Sec. 15268) ^ Declared Emergency (Sec. 15269 (a) ) ^ Emergency Project (Sec. 15269(a)&(b) ) ^ General Rule (Sec. 15061(b)(3) ) ^ Statutory Exemption: State Code number ® Categorical Exemption: State class and section number:15301, Class 1 REASON(S) WHY PROJECT IS EXEMPT FROM CEQA: Project involves modification and alteration of an existing structure and related work. CITY CONTACT PERSON: Pedro Guillen TELEPHONE NO: (714) 667-2729 SIGNATURE: - DATE: ~~ ~-~` y~ TITLE; Associate Planner FiLE~ JAN ~ ~ 2008 Recorde~+ ~ Official Records, Orange County P O S T E D i cm Da erkl Recorder .Illllllilllllillllll IIIIIIILI IIIIIIII Ililillllllllllllllllll NO SEE JAN 0 4 2008 20088500001011:42am 01/04108 so ai zoo o.oo o.oo o.oo o.oo o.oo o.oo o.oo o.oo TOM DALY :RK•R CORDER 70M D~CL RK•RE~ RDER OEPUT}' ~ -°` _ fay. ~_,~_ DEPUTY %~ ~/ MAYO R Miguel A. Pulido MAYOR PRO TEM Carlos Bustamante COUNCILMEMBERS Claudia C. Alvarez P. David Benavides Michele Martinez Vincent F. Sarmiento Sal Tinajero ~.:~~~~~ CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Patricia E. Healy 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 www.santa-ana.org NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 TO: COUNTY CLERK/County of Orange FROM: City of Santa Ana P.O. Box 238 Planning & Building Agency Santa Ana, CA 92702 20 Civic Center Plaza Santa Ana, CA 92702 PROJECT TITLE: Traffic Signal at Hazard Avenue And Gates Street DATE OF DECISION: 1/04/08 PROJECT NUMBER(S): N/A ER NUMBER: ER 2008-10 PROJECT LOCATION: Citywide CITY: Santa Ana COUNTY: Orange DESCRIPTION OF THE PROJECT: The project will provide a new traffic signal at Hazard Avenue and Gates Street. The construction will include installing new traffic signal poles, foundations, conduits, signal equipment and minor concrete work on sidewalk. NAME ~ ADDRESS OF APPLICANT: City of Santa Ana Public Works Agency, 20 Civic Center Plaza, Santa Ana, CA 92701 NAME OF PUBLIC AGENCY APPROVING PROJECT: City of Santa Ana Public Works Agency NAME OF PERSON OR AGENCY CARRYING OUT PROJECT: City of Santa Ana Public Works Agency EXEMPT STATUS: ^ Ministerial (Sec. 15268) ^ Declared Emergency (Sec. 15269 (a) ) ^ Emergency Project (Sec. 15269(a)&(b) ) ^ General Rule (Sec. 15061(b)(3) ) ^ Statutory Exemption: State Code number ® Categorical Exemption: State class and section number:15303, Class 3 REASON(S) WHY PROJECT IS EXEMPT FROM CEQA: Project involves installation of a new accessory structure and related work. CITY CONTACT PERSON: Pedro Guillen TELEPHONE NO: (714) 667-2729 SIGNATURE: ~ ~ DATE: ~ ` C~ ~ `~ TITLE: Associate Planner ILE JAN 0 4 2008 TOM DALY, CLERK-R~CDROER 1y `~ DEPUI~Y MAYOR Miguel A. Pulido MAYOR PRO TEM Carlos Bustamante COUNCILMEMBERS Claudia C. Alvarez P. David Benavides Michele Martinez Vincent F. Sarmiento Sal Tinajero ~a~rE~ • JAN a a 2008 TOM DALY, CLERK•RECDRDER L~ BY ~~ ~ _ DEPUTY r~ecoroea in UTt~cial Records, Orange County Tom 'y, Clerk-Recorder 1111Ililll!I~Ilii!illllllllllllllllllllllllllllllllllllll!iIIIIIINO F~~ 2~0885~~0~081.1:41arn 01/04/08 90 81 101 o.oo o.oo o.oo o.oo o_ao o.oo o.oo o.oo A ps-Soso 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 www.santa-ana.org CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Patricia E. Healy NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption-per-California Government Code Section 6103 TO: COUNTY CLERKICounty of Orange FROM: City of Santa Ana P.O. Box 238 Planning & Building Agency Santa Ana, CA 92702 20 Civic Center Plaza Santa Ana, CA 92702 PROJECT TITLE: Traffic SignaLat Hazard Avenue And Rosita Streef DATE OF DECISION: 1/04/08 PROJECT NUMBER(S): N/A ER NUMBER: ER 2008-08 PROJECT LOCATION: Citywide CITY: Santa Ana COUNTY: Orange DESCRIPTION OF THE PROJECT: The project will provide a new traffic signal at Hazard Avenue And Rosita Street. The construction will include installing new traffic signal poles, foundations, conduits, signal equipment and minor concrete work on sidewalk. NAME ~ ADDRESS OF APPLICANT: City of Santa Ana Public Works Agency, 20 Civic Center Plaza, Santa Ana, CA 92701 NAME OF PUBLlC AGENCY APPROVING PROJECT: City of Santa Ana Public Works Agency NAME OF PERSON OR AGENCY CARRYING OUT PROJECT: City of Santa Ana Public Works Agency EXEMPT STATUS: ^ Ministerial (Sec. 15268) ^ Declared Emergency (Sec. 15269 (a) ) ^ Emergency Project (Sec. 15269(a)&(b) ) ^ General Rule (Sec. 15061(b)(3) ) ^ Statutory Exemption: State Code number ® Categorical Exemption: State class and section number:15303, Class 3 REASON(S) WHY PROJECT IS EXEMPT FROM CEQA: Project involves installation of a new accessory structure and related work. CITY CONTACT PERSON: Pedro Guillen TELEPHONE NO: (714) 667-2729 SIGNATURE: !k DATE: ~ `~~''a~ TITLE: Associate Planner ?1EN10RANDUNi Paul Walters Tn. Interim City Manager Date; July 21, 2011 Raul Godinet II, Executive Director Frnm; Public Works Agency tiubjech PROJECT NOS. 08-5018, 08.5019, AND 08.502D TRAFFIC SIGNAL INSTALLATIONS AT HAZARD AVENUE & ROSITA STREET AND HAZARD AVENUE EAST OF GATES, AND TRAFFIC SIGNAL MODIFICATION AT MCFADDEN AUE AND NEWHOPE AVENUE CHANGE ORDER N0.1 Contractor. TERNO, INC. 15701 Heron Avenue La Mirada, CA 80638.5206 Project Description: TRAFFIC SIGNAL INSTALATIONS AT THREE LOCATIONS Change Order Number: 1 Amount: $12,471,00 Account Unik Accaunf: Activity; Amount: 14811611 66220 08501801028 $5,119 14811611 66220 08501901028 $0 14811611 66220 08502001028 $7,352 Original Contract Cost: $47$196 °/o of Original Amount of The Change Order: $ 12,411.00 2.6°/0 Previously Approved $ -0- 0°/° Change Orders: Total Change Orders: $ 12,471.00 2.6°/° REASON FOR CHANGES 1, While excavating for the traffic signal pole footings al the intersection of Newhope Street and McFadden Avenue, the confraclor encountered several underground utilities what were in conflict with the pole foundations and not shown on the contract documents. The pole positions were moved to different locations, which required longer signal arms and therefore bigger poles. Prior Approval for this change order was granted on August 5, 2010. AGREED COST = $4,37D.00 Project Nos. 08-5018, 08.5019 & 08.5020 RFA Change Order No.1 July 21, 2011 Page 2 2. While relocating the water line at Hazard Avenue and Rosita Street, if was observed that the city water department was unable to shut off the wafer. Therefore, contractor had to remobilize to perrorm this work. AGREED COST = $2,131.00 3. While installing traffic signal poles al the intersection of Newhope Street and McFadden Avenue, traffic engineering requested to change pole mast arms lengths of two locations. Also, traffic engineering requested a fifteen fool laminar mast arm with a 400 waft light bulb of Hazard Avenue and Rosita SlreeL AGREED COST = $5,964.00 Raul God nez, II Executive Director Public Works Agency APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutierrez Executive Director Finance and Management Services Agency RGIODMG+O&?18 RFN C01 .? CITY OF SANTA ANA "'oa PUBLIC WORKS AGENCY ? CONITRACT CHANGE ORDER m Project NumGar 065018 TRAFFIC SIGNAL INSTALLATIONS AT THREE Cheoge Order PJam?? 1 LOCATIONS .c Temo Electrical Contractors Camraclor You are tasty tlirevfed la make iha har?o ohargas hcm Iha Pans and sp?iBalio.?s o? do Iha idlrnU? d?ai?d wwk rlol iadudad it Iha plans a?tl specfisalions oil Ihs vIrarf NOTE; THIS CHANGE ORDER IS NOT EFFECTIVE UN'Tit APPROVED BY THE CITY fkJNGI OR CIiY NRNaGER. Unless Nhar>NSesiaf¢d, mt?forr?t?l of ?lvipm?l mveroely eurhl?maasquigr0m isacluaily u?aodrio a?wao?H+II hamada!dr idlahms. Chz,?e ?e;? as?? by PUBIIC WORi(S AGENCY EXTRA WORK AT AGREED PRICE 1. Increase the length of the mast arms al Three locations, as required to accommodate the new traffic signal pole location, per PCO #4, AGREED PRICE = $4,370.00 2. Compensate the contractor to remobilize ifs water crew per PCO #?. AGREED PRICE = $2,137.00 3. Ai Poles 3 and T sho?en mast arm and relocate the signal heads and linage, and at pole 4 replace the existing 12 foot luminar are wrfh a 15 foot arm per PCO #8. AGREED PRICE = $5,964.00 Page 1 of 2 111 CITY OF SANTA ANA PUBLIC WORKS AGENCY m CONTRACT CHANGE ORDER Project Number 08-5018 TRAFFIC SIGNAL iNSTPi LATIONS AT TNREE Change Order Number 1 LOCATIONS 1c Terno Electrical Contractors Conhaelor You era hardy ???J 1o r?ka, the ha??o :haogas hom the plans and s?ilUalioaa or ou Iha rslaiog 6?dbed wofs ? ixludad is tl?a Baas aotl speciticafisas o? 1hU cmrtnd. Chaq nasiatlay PUBLIC WORKS AGENCY NOTE: THIS CHAIvGEOPDEB SNOTEEfECTIVEUNTIIR?PROI'EDBYIHECIiYCDUNCIIORCITY MAPJACER kss c9herisa s!afk miss for ?aala, o. cvuer anlysuu<TI time as eyuipmerl is a"walfy used and ao allowance 111 he made for idle lima. The compensaton both rime and cost set forth in Phis final change order comprises the fatal compensation due fhe Contractor, all Subcontractors, and all Suppliers for all work performed p? this change order, including impact on unchanged work, By signing Phis final change order, the Contractor acknowledges and agrees on behaff of himself, all Subcontractors, and all Suppliers, Thal fhe stipulated compensabon includes payment for all work contained in tltis final change order, plus all payment for interruption of schedules, ezlended field overhead, home office ouerhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this final change order constitutes full mutual accord and sa6sfacRon for all changes and work perfamTed on this project, and Thal the lime and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subconfraciors,ond 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 ezcepfion or res?+ratlon of any TOTAlCGS1THIS CHhN(if ORDER; DECREASE $ _ _ _ , _ rNCaEASE g 12,411.00 By reason of the order the CONTRACT TIkIE completion will be adjusrad as follows: Zero Days Walhaurt,9arsipnedmalrartarhaua gweaoamful crosider?la? folheclwogapro?sadacdhareby agree,ifihispa?asal Is a?rouad, Thal wewill prrn?idaall ?uipmern, iumish ail maledals, sxxpt as may ?tarnss ba aped ahwe, and padam all service macessary for?he wodc aboua specited, and 111 avicept a; t?l ?yme?;lherafuf Iffa preS Sh914a ahPde. whatsoever to file any further claim related to this project. ???? _ >, ? ca?iractor Temo Electr?cai Contractors ay ?- Tide R?ha[dIesofiero U ppG+sualre?mmar?edby ?`- -- PUt?UCW YSAGE?"VE,{ECJTIVEDRrErGrr Rpprouadty C c? cm?rrACrR Page 2 of 2 Ice Presjtle? Caro 2r In Data ?171