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VIDO SAMARZICH, INC. (MCFADDEN AVE TRANSIT SIGNAL PRIORITY PROJECT)
INSURAN;CF ON FILE WORK MAY PROCEED UNitt INSLWPl qCv Fxp[ _,, CI Y CLERK CITY OF SANTA ANA DATE: CONSTRUCTION CONTRACT v!PWA (z) PROJECT 25-6031 MiSvet marf-;ngz 01) MCFADDEN AVENUE TRANSIT SIGNAL PRIORITY PROJECT This CONSTRUCTION CONTRACT is made and entered into this I"day of July, 2025 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and Vido Samarzich, Inc. (hereinafter"CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the McFadden Avenue Transit Signal Priority Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the"Contract Documents" as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed One Million Five Hundred Seventy-Seven Thousand Six Hundred Dollars and No Cents ($1,577,600), as set forth and identified in the BID PROPOSAL,which is attached hereto and incorporated herein as Exhibit"A," and in accordance with Section 2-7.1 of the Greenbook: Standard Specifications for Public Works Construction. The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s)based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. Page 1 of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of Notice to Proceed. 5. The CONTRACTOR will pay,and will require all subcontractors to pay,all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre-hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.pd 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work(Performance Bond),and one in the amount of One Hundred Percent(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars($500,000),the Warranty Bond amount shall be the greater of Ten Thousand Dollars($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars ($500,000),the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000)or Ten Percent(I0%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions,to be approved by the CITY. 10. INDEMNIF ICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property, arising directly or indirectly from, or in any manner relating to,any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; Page 2 of 3 (iii) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier, for Work of Improvement performed on or off the project site; and (v) Any personal injury, property damage or economic loss to third persons related to and arising from the performance or nonperfonnance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF ANTA AN L. L ``- A.LVARO NUNEZ Cit C City Manager APPROVED AS TO FORM: SONIA R. CARVALHO CONTRACTOR: City Attorney Vido Samarzich, Inc. By: INellesen NAME:Vido L. Samarzich Assistant City Attorney TITLE: Vice President RECOMMENDED FOR APPROVAL: 41 OLEO ROSAS,P.E. Acting Executive Director Public Works Agency Page 3 of 3 VIDOSAM-01 F ADIAZ CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 8/11/211/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER �RMJACT HUB International Insurance Services Inc. arc°,Mo,Et):(949 553-9800 FAX No): 4695 MacArthur Court Suite#600 U AIL Newport Beach,CA 92660 INSURERS AFFORDING COVERAGE NAIC It INSURER A:The Travelers Indemnity Company of Connecticut 25682 INSURED INSURER B:The Travelers Indemnity Company of America 25666 Vido Samarzich,Inc. INsuRER c:CorePointe Insurance Company 10499 515 Cabrillo Park Dr.,Suite 315 INSURER D:Navigators Specialty In Company 36056 Santa Ana,CA 92701 INSURER E:Nautilus Insurance Company 17370 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLIICDY EXP LIMITS D POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE [�]OCCUR X X 4T-CO-A7193762-TCT-25 11112025 1/1/2026 DA AGETORENTuDn $ 300,000 PREMMED EXP(Any one arson $ 10,000 PERSONAL&ADV INJURY $ 1,000,400 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER; A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00- X ANYAUTO X X BA-A7193608-25-2S-G 11112025 11112026 BODILY INJURY Per erson $ AURRTOS ONLY AUTOSULEp BOORDILY INJURY Per accident $ RUTOS ONLY AU3NO ONLY Pe�accltlent AMAGE B X UMBRELLA LIAR M OCCUR EACH OCCURRENCE 5/0000000 EXCESS LIAB CLAIMS-MADE CUP-A7193842-25-2S 111/2025 1/1/2026 AGGREGATE 1 5,000,000 ❑E❑ X RETENTION$ 10,000 C WORKERS COMPENSATION X PER OTH- ANDEMPLOYERS'LIABILITY YIN STATUE ER CTP1003323 1/1/2025 111/2026 E.L.EACH ACCIDENT $ • ANY PROPRIETORlPARTNERlEXECUTIVE X 1,OOD,0O0 FICEWMEM EXCLUDED? NIA and story In gER NHl E.L.DISEASE-EA EMPLOYEE $ 1,000,000 IF yes describe under E,L.DISEASE-POLICY LIMIT DESS RIPTION OF OPERATIONS below 110001000 D Umbrella Liability LA25EXCZ0K6PLIC 11112025 111/2026 Each Occ.lAgg. 3,000,000 E Pollution Liability CPL2047789-10 8/812025 818/2026 See Remarks DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 1p1,Additional Remarks Schedule,may be attached If more space is required) RE:City of Santa Ana Project#25-6031;McFadden Avenue Transit Signal Priority Project, glaipwvfaualwvlwcwv City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are included as Additional Insureds as respects General Liability and Auto Liability per attached endorsements. This Insurance shall apply as Primary and Non-Contributory per attached endorsement. Waiver of Subrogation for General Liability,Auto Liability and Workers'Compensation:See Attached Endorsements. Tu Tran yfthy,qnedby Tu T, Nguyen Nguyen DA4s7-079 APPROVED By Tu Tran Nguyen at 10.44 am,—Aug fa,-2025 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Agency ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza P.O.Box 1988 AUTHORIZED REPRESENTATIVE Santa Ana,CA 92702 ACORD 25(2016103) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:VIDOSAM-01 ADIAZ3 LOC#: 1 A Oq ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED HUB International Insurance Services Inc. Vido Samarzich,Inc. 515 Cabrillo Park Dr. Suite 315 POLICY NUMBER Santa Ana,CA 927Q'i' EE PAGE 1 Orange County CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORI]25 FORM TITLE: Certificate of Liability Insurance Cancellation: *Except 10 days notice of Cancellation for non-payment of premium. *Should this policy be cancelled before the expiration date, HUB International Insurance Services, Inc.will mail 30(thirty)days written notice to those Certificate Holders which require such action per contract or agreement.* Pollution Liability limits: Occurrence$1,000,0001Aggregate$2,000,000 ACORD 101(2008101) a 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO POLICY NUMBER:BA-A7193608-25-2S-G THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE —This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HARED AUTO PHYSICAL DAMAGE — LOSS OF B. BLANKET ADDITIONAL INSURED USE— INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE -- TRANSPORTATION EXPENSES--INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS — INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS ERAGE—INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED this insurance applies and only to the extent that The following is added to Paragraph A.1., Who Is person or organization qualifies as an "insured" An Insured, of SECTION II —COVERED AUTOS under the Who Is An Insured provision contained in Section II. LIABILITY COVERAGE: Any organization you newly acquire or form dur- C. EMPLOYEE HIRED AUTO ing the policy period over which you maintain 1. The following is added to Paragraph A.1., 50% or more ownership interest and that is not Who Is An Insured, of SECTION II — COV- separately insured for Business Auto Coverage, ERED AUTOS LIABILITY COVERAGE: Coverage under this provision is afforded only un- An "employee" of yours is an "insured" while til the 180th day after you acquire or form the or- operating an "auto" hired or rented under a ganization or the end of the policy period, which- contract or agreement in an "employee's" ever is earlier, name, with your permission, while performing duties related to the conduct of your busi- B. BLANKET ADDITIONAL INSURED ness. The following is added to Paragraph c. in A.1., 2. The following replaces Paragraph b. in B.5., Who Is An Insured, of SECTION 11 -- COVERED Other Insurance, of SECTION IV — BUSI- AUTOS LIABILITY COVERAGE: NESS AUTO CONDITIONS: Any person or organization who is required under b. For Hired Auto Physical Damage Cover- a written contract or agreement between you and age, the following are deemed to be cov- that person or organization, that is signed and ered "autos"you own: executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, "property damage" occurs and that is in effect rent or borrow; and during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos (2) Any covered "auto" hired or rented by Liability Coverage, but only for damages to which your "employee" under a contract in an "employee's" name, with your CA T3 53 02 15 O 2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your busi- brought outside the United States of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver is not a Rico and Canada: covered "auto". (i) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured" against, and investigate or set- tle any such claim or "suit" and keep The following is added to Paragraph A.1., Who Is us advised of all proceedings and ac- An Insured, of SECTION II — COVERED AUTOS tions. LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- (ii) Neither you nor any other involved ing a covered "auto"you don't own, hire or borrow "insured" will make any settlement in your business or your personal affairs. without our consent. E. SUPPLEMENTARY PAYMENTS — INCREASED (iii)We may, at our discretion, participate LIMITS in defending the "insured" against, or in the settlement of, any claim or 1. The following replaces Paragraph A.2.a.(2), "suit". of SECTION II — COVERED AUTOS LIABIL- (iv)We will reimburse the "insured" for ITY COVERAGE: sums that the "insured" legally must (2) Up to $3,000 for cost of mail bonds (in- pay as damages because of "bodily cluding bonds for related traffic law viola- injury" or "property damage" to which tions) required because of an "accident" this insurance applies, that the "in- we cover. We do not have to furnish sured" pays with our consent, but these bonds. only up to the limit described in Para- 2. The following replaces Paragraph A.2.a.(4), graph C., Limits Of Insurance, of of SECTION II —COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense of the "insured" against any such F. HIRED AUTO -- LIMITED WORLDWIDE COV- "suit", but only up to and included ERAGE—INDEMNITY BASIS within the limit described in Para- The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to (5) Anywhere in the world, except any country or make such payments ends when wehave used up the applicable limit of jurisdiction while any trade sanction, em- insurance in payments for damages, bargo, or similar regulation imposed by the settlements or defense expenses. United States of America applies to and pro- hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cow and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less (c) This insurance is not a substitute for re- and that is not an "auto" you lease, hire, rent quired or compulsory insurance in any or borrow from any of your "employees", country outside the United States, its ter- partners (if you are a partnership), members ritories and possessions, Puerto Rico and (if you are a limited liability company) or Canada. members of their households, Page 2 of 4 ©2015 The Travelers indemnity Company.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL.AUTO You agree to maintain all required or (2) In or on your covered"auto". compulsory insurance in any such coun- This coverage applies only in the event of a total try up to the minimum limits required by theft of your covered"auto". local law. Your failure to comply with compulsory insurance requirements will No deductibles apply to this Personal Property not invalidate the coverage afforded by coverage. this policy, but we will only be liable to the K. AIRBAGS same extent we would have been liable The following is added to Paragraph B.3., Exclu- had you complied with the compulsory in- sions, of SECTION III — PHYSICAL DAMAGE surance requirements. COVERAGE: (d) It is understood that we are not an admit- Exclusion 3.a. does not apply to "loss" to one or ted or authorized insurer outside the more airbags in a covered "auto" you own that in- United States of America, its territories flate due to a cause other than a cause of "loss" and possessions, Puerto Rico and Can- set forth in Paragraphs A.1.b. and A.1.c., but ada. We assume no responsibility for the only: furnishing of certificates of insurance, or a. If that "auto" is a covered "auto" for Compre- for compliance in any way with the laws hensive Coverage under this policy; of other countries relating to insurance. b. The airbags are not covered under any war- G. WAIVER OF DEDUCTIBLE—GLASS ranty; and The following is added to Paragraph D., Deducti- c. The airbags were not intentionally inflated. ble, of SECTION III -- PHYSICAL DAMAGE We will pay up to a maximum of $1,000 for any COVERAGE: one "loss". No deductible for a covered "auto" will apply to L. NOTICE AND KNOWLEDGE OF ACCIDENT OR glass damage if the glass is repaired rather than LOSS replaced. The following is added to Paragraph A.2.a., of H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF SECTION IV-- BUSINESS AUTO CONDITIONS: USE—INCREASED LIMIT Your duty to give us or our authorized representa- The following replaces the last sentence of Para- tive prompt notice of the "accident" or "loss" ap- graph AA.b., Loss Of Use Expenses, of SEC- plies only when the "accident" or "loss" is known TION III—PHYSICAL DAMAGE COVERAGE: to: However, the most we will pay for any expenses (a) You (if you are an individual); for loss of use is $65 per day, to a maximum of $750 for any one "accident". (b) A partner(if you are a partnership); I. PHYSICAL DAMAGE — TRANSPORTATION (c) ember (if you are a limited liability com- pan y), EXPENSES—INCREASED LIMIT (d) An executive officer, director or insurance The following replaces the first sentence in Para- manager (if you are a corporation or other or- graph AA.a., Transportation Expenses, of ganization); or SECTION III — PHYSICAL DAMAGE COVER- (e) An "employee" authorized b y "em "p y y you to give no- AGE: tice of the"accident" or"loss". We will pay up to $50 per day to a maximum of M. BLANKET WAIVER OF SUBROGATION $1,500 for temporary transportation expense in- The following replaces Paragraph A.S., Transfer curred by you because of the total theft of a cov- Of Rights Of Recovery Against Others To Us, ered "auto" of the private passenger type. of SECTION IV — BUSINESS AUTO CONDI- J. PERSONAL PROPERTY TIONS : The following is added to Paragraph A.4., Cover- 5. Transfer Of Rights Of Recovery Against age Extensions, of SECTION 111 — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to $400 for "loss" to wearing ap- signed and executed prior to any "accident" parel and other personal property which is: or"loss", provided that the"accident" or"loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 15 O 2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Offlee,Inc.with Its permission. COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col- The following is added to Paragraph B.2., Con- lect additional premium or exercise our right of cealment, Misrepresentation, Or Fraud, of cancellation or non-renewal. SECTION IV— BUSINESS AUTO CONDITIONS; Page 4 of 4 p 2016 The Travelers Indemnity Compa ny.All rights reserved. CA T3 53 02 15 Includes copyrighted material of Insurance Services Office,Inc.with Its permission. POLICY NUMBER: 4T-CO-A7193762-TCT-25 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products-Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS (1) Any "bodily injury", "property damage" or The following is added to SECTION II --WHO IS AN "personal injury" arising out of the providing, INSURED: or failure to provide, any professional Any person or organization that you agree in a architectural, engineering or surveying written contract or agreement to include as an services, including: additional insured on this Coverage Part is an (a) The preparing, approving, or failing to insured, but only: prepare or approve, maps, shop a. With respect to liability for "bodily injury" or drawings, opinions, reports, surveys, "property damage" that occurs, or for "personal field orders or change orders, or the injury" caused by an offense that is committed, preparing, approving, or failing to subsequent to the signing of that contract or prepare or approve, drawings and agreement and while that part of the contract or specifications; and agreement is in effect; and b. If, and onlyto the extent that, such injury or (b) Supervisory, inspection, architectural or rY engineering activities, damage is caused by acts or omissions of you or your subcontractor in the performance of "your (2) Any "bodily injury" or "property damage" work" to which the written contract or agreement caused by "your work" and included in the applies. Such person or organization does not "products-completed operations hazard" qualify as an additional insured with respect to unless the written contract or agreement the independent acts or omissions of such specifically requires you to provide such person or organization. coverage for that additional insured during The insurance provided to such additional insured is the policy period. subject to the following provisions: c. The additional insured must comply with the a. If the Limits of Insurance of this Coverage Part following duties: shown in the Declarations exceed the minimum limits required by the written contract or (1) Give us written notice as soon as practicable agreement, the insurance provided to the of an "occurrence" or an offense which may additional insured will be limited to such result in a claim.To the extent possible, such minimum required limits. For the purposes of notice should include: determining whether this limitation applies, the (a) How, when and where the "occurrence" minimum limits required by the written contract or or offense took place; agreement will be considered to include the minimum limits of any Umbrella or Excess (b) The names and addresses of any injured liability coverage required for the additional persons and witnesses; and insured by that written contract or agreement. (c) The nature and location of any injury or This provision will not increase the limits of insurance described in Section III — Limits Of damage arising out of the "occurrence" Insurance. or offense. b. The insurance provided to such additional (2) If a claim is made or "suit" is brought against insured does not apply to: the additional insured: CG D2 46 0419 ©2018 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the (4) Tender the defense and indemnity of any claim or"suit" and the date received;and claim or "suit" to any provider of other (b) Notify us as soon as practicable and see insurance which would cover such additional to it that we receive written notice of the insured for a loss we cover. However, this claim or"suit" as soon as practicable. condition does not affect whether the insurance provided to such additional (3) Immediately send us copies of all legal insured is primary to other insurance papers received in connection with the claim available to such additional insured which or "suit", cooperate with us in the covers that person or organization as a investigation or settlement of the claim or named insured as described in Paragraph 4., defense against the "suit", and otherwise Other Insurance, of Section IV —Commercial comply with all policy conditions. General Liability Conditions. Page 2 of 2 ©2018 The Travelers Indemnity Company.All rights reserved. CG D2 46 04 19 COMMERCIAL GENERAL LIABILITY 4T-C O-A 7193 762-TC T-2 5 c. Method Of Sharing a. The statements in the Declarations are If all of the other insurance permits contribution accurate and complete; by equal shares, we will follow this method also. b. Those statements are based upon Under this approach each insurer contributes representations you made to us; and equal amounts until it has paid its applicable c. We have issued this policy in reliance upon limit of insurance or none of the loss remains, your representations, whichever comes first, The unintentional omission of, or unintentional error If any of the other insurance does not permit in, any information provided by you which we relied contribution by equal shares, we will contribute upon in issuing this policy will not prejudice your by limits. Under this method, each insurer's rights under this insurance. However, this provision share is based on the ratio of its applicable limit does not affect our right to collect additional of insurance to the total applicable limits of premium or to exercise our rights of cancellation or insurance of all insurers. nonrenewal in accordance with applicable insurance d. Primary And Non-Contributory Insurance If laws or regulations. Required By Written Contract 7. Separation Of Insureds If you specifically agree in a written contract or Except with respect to the Limits of Insurance, and agreement that the insurance afforded to an any rights or duties specifically assigned in this insured under this Coverage Part must apply on Coverage Part to the first Named Insured, this a primary basis, or a primary and non- insurance applies: contributory basis, this insurance is primary to a, As if each Named Insured were the only other insurance that is available to such insured Named Insured;and which covers such insured as a named insured, and we will not share with that other insurance, b. Separately to each insured against whom claim provided that: is made or"suit" is brought. (1) The "bodily injury' or"property damage"for 8• Transfer Of Rights Of Recovery Against Others which coverage is sought occurs; and To Us (2) The "personal and advertising injury" for If the insured has rights to recover all or part of any which coverage is sought is caused by an payment we have made under this Coverage Part, offense that is committed; those rights are transferred to us. The insured must subsequent to the signing of that contract or do nothing after loss to impair them. At our request, agreement by you. the insured will bring "suit" or transfer those rights to us and help us enforce them. 5. Premium Audit g, When We Do Not Renew a. We will compute all premiums for this Coverage If we decide not to renew this Coverage Part,we will Part in accordance with our rules and rates. mail or deliver to the first Named insured shown in b. Premium shown in this Coverage Part as the Declarations written notice of the nonrenewal advance premium is a deposit premium only.At not less than 30 days before the expiration date. the close of each audit period we will compute If notice is mailed, proof of mailing will be sufficient the earned premium for that period and send notice to the first Named Insured. The due date Proof of notice. for audit and retrospective premiums is the date SECTION V—DEFINITIONS shown as the due date on the bill. If the sum of 1. "Advertisement" means a notice that is broadcast or the advance and audit premiums paid for the published to the general public or specific market policy period is greater than the earned segments about your goods, products or services premium, we will return the excess to the first for the purpose of attracting customers or Named Insured. supporters. For the purposes of this definition: c. The first Named Insured must keep records of a. Notices that are published include material the information we need for premium placed on the Internet or on similar electronic computation, and send us copies at such times means of communication; and as we may request. b. Regarding websites, only that part of a website 6. Representations that is about your goods, products or services By accepting this policy,you agree: for the purposes of attracting customers or supporters is considered an advertisement, Page 16 of 21 OO 2017 The Travelers Indemnity Company.All rights reserved. CG T1 00 02 19 Includes copyrighted material of Insurance Services Office,Inc.with its permission. POLICY NUMBER: 4T-CO-A7193762-TCT-25 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, XTEND ENDORSEMENT FOR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL_GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties,and what is and is not covered. A. Who Is An Insured—Unnamed Subsidiaries C. Incidental Medical Malpractice B. Blanket Additional Insured — Governmental D. Blanket Waiver Of Subrogation Entities — Permits Or Authorizations Relating To E. Contractual Liability—Railroads Operations F. Damage To Premises Rented To You PROVISIONS a. An organization other than a partnership,joint A. WHO IS AN INSURED — UNNAMED venture or limited liability company; or SUBSIDIARIES b. A trust; The following is added to SECTION II —WHO IS as indicated in its name or the documents that AN INSURED: govern its structure. Any of your subsidiaries, other than a partnership, B. BLANKET ADDITIONAL INSURED — joint venture or limited liability company, that is GOVERNMENTAL ENTITIES -- PERMITS OR not shown as a Named Insured in the AUTHORIZATIONS RELATING TO OPERATIONS Declarations is a Named Insured if: The following is added to SECTION II -- WHO IS a, You are the sole owner of, or maintain an AN INSURED: ownership interest of more than 50% in, such subsidiary on the first day of the policy period; Any governmental entity that has issued a permit and or authorization with respect to operations b. Such subsidiary is not an insured under performed by you or on your behalf and that you similar other insurance. are required by any ordinance, law, building code or written contract or agreement to include as an No such subsidiary is an insured for"bodily injury" additional insured on this Coverage Part is an or "property damage" that occurred, or "personal insured, but only with respect to liabi lity for"bodily and advertising injury" caused by an offense injury", "property damage" or "personal and committed: advertising injury"arising out of such operations. a. Before you maintained an ownership interest The insurance provided to such governmental of more than 50% in such subsidiary; or entity does not apply to: b. After the date, if any, during the policy period a. Any "bodily injury", "property damage" or that you no longer maintain an ownership "personal and advertising injury" arising out of interest of more than 50% in such subsidiary. operations performed for the governmental For purposes of Paragraph 1, of Section II —Who entity; or Is An Insured, each such subsidiary will be b. Any "bodily injury" or "property damage" deemed to be designated in the Declarations as: included in the "products-completed operations hazard". CG D3 16 02 19 O 2017 The Travelers Indemnity Company.All rights reserved. Page I of 3 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. COMMERCIAL GENERAL LIABILITY C. INCIDENTAL MEDICAL MALPRACTICE pharmaceuticals committed by, or with the 1. The following replaces Paragraph b, of the knowledge or consent of,the insured. definition of "occurrence" in the S. The following is added to the DEFINITIONS DEFINITIONS Section: Section: b. An act or omission committed in providing "Incidental medical services" means: or failing to provide "incidental medical services", first aid or "Good Samaritan a. Medical, surgical,dental, laboratory, x-ray services" to a person, unless you are in or nursing service or treatment, advice or the business or occupation of providing instruction, or the related furnishing of professional health care services, food or beverages; or 2. The following replaces the last paragraph of b. The furnishing or dispensing of drugs or Paragraph 2.a.(1) of SECTION II — WHO IS medical, dental, or surgical supplies or AN INSURED: appliances. Unless you are in the business or occupation 6. The following is added to Paragraph 4.b„ of providing professional health care services, Excess Insurance, of SECTION IV -- Paragraphs (1)(a), (b), (c) and (d) above do COMMERCIAL GENERAL LIABILITY not apply to "bodily injury" arising out of CONDITIONS: providing or failing to provide: This insurance is excess over any valid and (a) "Incidental medical services" by any of collectible other insurance, whether primary, your "employees" who is a nurse, nurse excess, contingent or on any other basis, that assistant, emergency medical technician is available to any of your "employees" for or paramedic; or "bodily injury" that arises out of providing or (b) First aid or "Good Samaritan services" by failing to provide "incidental medical services" any of your "employees" or "volunteer to any person to the extent not subject to workers", other than an employed or Paragraph 2.a.(1) of Section II — Who Is An volunteer doctor. Any such "employees" Insured. or "volunteer workers" providing or failing D. BLANKET WAIVER OF SUBROGATION to provide first aid or "Good Samaritan services" during their work hours for you The following is added to Paragraph 8., Transfer will be deemed to be acting within the Of Rights Of Recovery Against Others To Us, scope of their employment by you or of SECTION IV — COMMERCIAL GENERAL performing duties related to the conduct LIABILITY CONDITIONS: of your business. If the insured has agreed in a contract or 3. The following replaces the last sentence of agreement to waive that insured's right of Paragraph 5. of SECTION III — LIMITS OF recovery against any person or organization, we INSURANCE: waive our right of recovery against such person or For the purposes of determining the organization, but only for payments we make applicable Each Occurrence Limit, all related because of: acts or omissions committed in providing or a, "Bodily injury" or "property damage" that failing to provide "Incidental medical occurs, or services", first aid or "Good Samaritan services" to any one person will be deemed to b. "Personal and advertising injury" caused by be one"occurrence". an offense that is committed; 4. The following exclusion is added to subsequent to the execution of the contract or Paragraph 2., Exclusions, of SECTION I — agreement. COVERAGES — COVERAGE A -- BODILY E. CONTRACTUAL LIABILITY—RAILROADS INJURY AND PROPERTY DAMAGE LIABILITY: 1. The following replaces Paragraph c. of the Sale Of Pharmaceuticals definition of "insured contract" in the "Bodily injury" or "property damage" arising DEFINITIONS Section: out of the violation of a penal statute or c. Any easement or license agreement; ordinance relating to the sale of Page 2 of 3 ©2017 The Travelers Indemnity Company.All rights reserved. CG D3 16 02 19 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. COMMERCIAL GENERAL LIABILITY 2. Paragraph f.(1) of the definition of "insured a. Any premises while rented to you or contract" in the DEFINITIONS Section is temporarily occupied by you with permission deleted. of the owner;or F. DAMAGE TO PREMISES RENTED TO YOU b. The contents of any premises while such The following replaces the definition of "premises premises is rented to you, if you rent such damage" in the DEFINITIONS Section: premises for a period of seven or fewer " �� �� �� consecutive days. Premises damage means property damage to: CG D3 16 02 19 a 2017 The Travelers Indemnity Company.All rights reserved, Page 3 Of 3 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule.(This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2%of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person or organization as required by written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 1/1/2025 Policy No, CTP1003323 Endorsement No. 0 Insured Vido Samarzich, Inc. Premium $ 77,194 Insurance Company CorePointe Insurance Company Countersigned by WC 04 03 06 (Ed. 04-84) P y` MEMORANDUM ~� To: Risk Management Analyst Date: August 14, 2025 Human Resources Department k, From: V Sean Thomas, Principle Civil Engineer Public Works Agency Subject: RISK MANAGEMENT CERTIFICATE OF INSURANCE REVIEW PROJECT NO. 25-6031: MCFADDEN AVENUE TRANSIT SIGNAL PRIORITY PROTECT The Public Works Agency's Construction Services Team has reviewed the scope of the project and can confirm that the contractor does not have a need to procure Builder's Risk Insurance, since the project does not contain a building element. Additionally, due to this exclusion for this project, we confirmed that Professional Liability Insurance (errors and omissions) is not required. Please feel free to contact me at 714-647-5655 if you have any questions. CITY OF SANTA ANA Risk Management a division of Human Resources s. Managing Risk through Awareness and Action AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE Vido L. Samarzich Vice President ' ("Representative"),attest that I am an authorized (Name and Title of vendor Representative) representative of Vido Samarzich, Inc. ("Company"), and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company, I represent and confirm the following, as relates to the agreement between Company and City of Santa Ana,agreement number 25-6031 ("Agreement")to provide Construction ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors &omissions liability insurance coverage in the performance of Services to,for,or on behalf of City of Santa Ana. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement,it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. 1X,"4 1/ 8/7/2025 Signature Date Vido L. Samarzich Print Name Vice President Title vidosam@yahoo.com Contact Information,i.e.,Telephone Number and/or Email Address Affidavit of Exemption for Professional Liability insurance 11.12.2024 CITY OF SANTA ANA ExxzgzT A PROPOSAL PROJECT NO.: 25-6031 MCFADDEN AVENIJE TRANSIT SIGNAL PRIORITY PROJECT BID PROPOSAL TO: CITY COUNCIL OF TIRE CITY OF SANTA ANA FROM: Vida Samarzlch, Inc, REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract DoCLlnletltS in its entirety and hereby proposes to furnish all material and do all the work Teguired to completc the said work in accordance with said plans (if any) and the speci fications for the unit price(s) or lump sun-1(s) set forth in the following schedUle: I Win Description Qty Unit Vnit Price Amount Furnish &Install Transit I Advertising Shelter 13 EA $ 20,000.00 260,000.00 2 25 1�A $ 6,000.00 � 150,000.00 Furnish &Install Solar Power for Transit. helters 3 Furnish& Install Transit Non- 12 EA $ 19,000.0o $ 228,000.00 Advertising Shelter 4 Furbish.& Install Steel Bench 25 EA $ 3,500.00 $ 87,500.00 (including Secure Nuts) Furnish &Install 32 Gallon Trash 5 Receptacle(Including Secure 25 EA $ 3,800.00 $ 95,000,00 Netts& Master Padlock 6 PCC; Sidewalk (T=6")* 6,800 SF $ 17.00 $ 115,600.00 7 Install Now Bus.Pad' 6,000 SF $ 42.75 $ 256,500.00 8 Remove & Salvage Existing I EA $ 4.000.00 $ 4,000.00 Shelter* Remove &Salvage Eexisting 9 Bench's 25 EA $ 750.00 $ 18,750.00 10 Remove &Salvage Existing Trash Receptacle* ,25 EA $ 300.00 $ 7 500.00 l l Furnish &Install New Water 6 EA $ 1 500.00 $ 9,000.00 Meter Frame and Cover , 12 Signing& Striping 1 LS 15,000.00 $ 15,000.00 13 Furnish and Install Solar Powered 25 TEA $ 11 000.00 $ 275,000.00 Street Light Pole and Forindation 11-1 of P-19 CITY OF SANTA ANA PROPOSAL PRQJLCT NO.: 25-6031 MCFADDEN AVENUE TRANSIT SIGNAL, PRIORITY PR0JFCI' Item Description Qty Unit Unit Price Amount 14 Pothole Street Fight Pole Location2S EA $ 1,750.00 $ 43,750.00 15 Construction Pa nit I LS $ 7,000 $ 7,000 16 Project Advertisement Sign 2 I A $ 2, 100.00 $ 5,000.00 BID ALTERNATES Item Description Qty unit Unit Pt ice Mimi( I FLirnisli and Deliver Solar � Powered Street Light Pule 5 CA $ 9,500.00 $ 47,600.00 f P-2 of P4 9 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 25-6031 MCFADDEN AVENUE TRANSIT SIGNAL PRIORITY PROJECT TOTAL BASE BID $ 1,577,600.00 TOTAL ADD ALTERNATE BID $ 1,625,100.00 The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add-alternate bid items (if any). The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the"25%"limit as stated in Section 7-3.5 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. This bid item is considered a Specialty Item per Section 3-2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown f above, within One-Hundred Twenty (120) working das after the commencement date stated in the Notice to Proceed. Upon issuance of the Notice to Proceed, Contractor shall immediately place order for long-lead time items (Street Light Poles, Tolar Bus Shelters (Ad & Non-Ad), Solar Powers, Trash Receptacles, and Benches). The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $1,650 per calendar day. Name of Firm Vido Samarzijth, Inc. Signature of BIDDER Title Vice President (If an individual, so state. If a firm or co-partnership, state the firm. name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) Corporation: Vido Samarzich, Inc. President:Vido Samarzich Vice President: Vido L. Samarzich Secretary: Monika Samarzich P-3 of P-19 i EXHIBIT 4 nr• � f 202585000394 F E.1.1 4� Aprtl3fl,202a RVOR KCUyFN C`,l!,I:?RK-IMC;OltlDER „s Dopuly ciark ORANGE COUNTY CLERK-RECORDED So- 04 1 So 12.o,2S - 03 C)ct CECIA FILING COVER SHEET THIS SPACE FOR CLERKS USE ONLY Oomplete and attach this form to each OE:QA Notice filed with the Oounty Clerk-Recorder TYPE OR PRINT CLEARLY Project Title 25-6013 MCI✓ADDEN AVENUE TSPP Check Document being Filed; Environmental Impact Report(EIR) Mitigated Negative Declaration(MNU)or Negative Declaration(ND) Ll Notice of Exemption(NOE) Other(Please fill In type): FILED IN THE OFFICE OF THE ORANGE COUNTY CLERK-RECOC213ER©N 04/30/2025 Footed 04/3012025 Removed Returned to agency on DEPUTY 428 Filing fees are due at the time n Notloo of beterinlnstion/f~xemptlon Is filed with ou r elfloe.For mare Information on filing fees and No Effect Potorminotions,please rotor to California Cede of Regulations,Title 14,section 763.6. MAYOR '.r CITY MANAGER r LAW Valerie Amezcua 9 Alvaro Nulez MAYOR PRO TEM CITY ATTORNEY Benjamin Vazquez Sonia R.Carvalho COUNCILMEMBERS L CLERK OF THE COUNCIL Phil Bacerra Jennifer L.Halt Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Viet Phan PUBLIC WORKS AGENCY 20 Civic Center Plaza(M-36) P.O.BOX 1988•Santa Ana,California 92702 (714)647-5690•Fax(714)647-5823 www.santa-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 From: City of Santa Ana County of Orange Public Works Agency P.O. Box 238 20 Civic Center Plaza (M-36) Santa Ana, CA92702 Santa Ana, CA92702 Project Title: 25-6013 McFadden Avenue TSPP Project Number(s): 25-6031 Project Location: McFadden Avenue (Harbor Blvd to Grand Ave) City: Santa Ana County: Orange ER Number: ER-2025-42 !late of Approval: 06/17/2025 Project Description: Scope of work includes relocating bus stop locations from near-side to far-side of the signalized intersections, add new bus shelters, add or upgrade lighting at bus stop locations, add new trash cans and benches, install new bus pads and signing and striping. Applicant Name: City of Santa Ana, Public Works Agency Applicant Address: 20 Civic Center Plaza M-36 Santa Ana, CA92702 Name of Public Agency Approving Project: City Council FILED Name of Agency Carrying Out Project: Public Works Agency Exempt Status: APR 3 0 2025 ❑ Ministerial (Sec. 15268) ❑ Declared Emergency(Sec. 15269 (a)) HUGH NGUY CLERK-RECORDER ❑ Emergency Project(Sec. 15269(b through e)) BY. QepUTY ❑ General Rule(Sec. 15061(b)(3)1(5)) ❑ Statutory Exemption: © Categorical Exemption: 15301(b) Reason(s)Why Project is Exempt From CEQA: 15301(b)consists of repair/maintenance of existing public facilities. City Contact: Sam rttfi Chenelia Title: Assistant Engineer Telephone: (714)647-5033 Signature: i Date: _ i! 50 1 7.S i i Stato of Callfomla-Department of Fish and Wildlife ... 2025 ENVIRONMENTAL DOCUMENT FILING FEE _ CASH RECEIPT DFW 753.5a(REV.01101125)Previously DF(3 753.5a RECEIPT NUMBER: 30-0413012025.0309 t STATE CLEARINGHOUSE NUMBER flf appllcable) SEE INSTRUCTIONS ON REVERSE.TYPE OR PRINT CLEARLY. LEADAGENCY LEAD AGENCY EMAIL DATE CITY OF SANTA ANA 0413012025 COUNTYISTATP AGENCY OF FILING DOCUMENT NUMBER ORANGE COUNTY 202565000394 PROJ ECT TI7t.E 25-60t3 MCFADDEN AVENUE T8PP PROJECT APPLICANT NAME PROJECT APPLICANT EMAIL, PHONE NUMBER CITY OF SANTA ANA,PUBLIC WORKS AGENCY (714)047-5033 PtOJECTAPPLICANTADDRESS CITY STATE ZIP CODE 20 CIVIC CENTER PLAZA M-36 SANTA ANA CA 92702 PROJECT APPLICANT(Check appropriate box) Local Public Agency © School District Q Other Speclal DIstricl []State Agency Private Entity CHUCK APPLICABLE FEES: ❑ Environmental Impact Report(EIR) $ 4,123.60 s - ❑ MitlgetedlNegative Declaration(MND)(ND) $ 2,968.75 ❑ Certilled Regulatory Program(CRP)document-paymentdue directly to CDl-W S 1,401.75 $ IM Exempt from fee ® Notice of Examption(attach) ❑ CDFW No Effect Daterminatlon(attach) ❑ Fan previously paid(attach previously issued cash receipt copy) [3 Water Right Appilcation or Petition Fee(State Water Resources Control Board only) �. 850,p0 $ ❑ County documentary handling Fee $ 50.00 $ ❑ Other $ PAYMENT METHOD; ❑ Caeh 0 Credit 0 Check I7 Other TOTAL RECEIVED 0.00 SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE X �� Mellma Gomez Deputy Clerk ORIGINAL-PROJECrAPMOAN'r COPY-CDFW1Ae0 COPY-LEAD AGENCY COPY•CODUrYCLVRK DFW75&6atRov.MUM) The Orange County Register 1920 Main St.,Suite 225 Irvine, Ca 92614 714-796-7000 5211379 CNSB/CNSB-ACCOMMODATIONS PROOF OF PUBLICATION 915 E 1ST ST ORDER EXPEDITING legal No. 0011729066 LOSANGELES, CA 90012-4060 NOTICE IS HEREBY GIVEN that the City of Santa And will receive Bids electronically via PlanatOlds on or before 2:00 pm, April 30th , 2025. For further information on how FILE N0. 391409 to register as a vendor refer to: https://www.sonta�anci.org/vendor- registrottorV Scope of work: AFFIDAVIT OF PUBLICATION Relocating bfor-stop f°thesianalized Intersections, add new bus shelters, STATE OF CALIFORNIA, locations, or upgrade Il at bus stop locations, add neww trash cans and benches, add on-board TSP SS. eoulpment on buses to pilot TSP, install new bus pads, add/upgrqde County of Orange real-time arrival information at bus stop locations, add/upgrade wayfinding signs, integrate siggnot equipment at signalized Intersections to facilitate TSP, N10,d/17/25 1 am a citizen of the United States and a resident of the CNS-3414095# ORANGE COUNTY REGISTER County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. am the principal clerk of The Orange County Register, a newspaper of general circulation, published in the city of Santa Arta, County of Orange, and which newspaper has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, under the date of November 19, 1905, Case No. A 21046, that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: 04/1 012 0 2 5,0411712025 1 certify(or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County, California, on Date:April 17, 2025. 2OAk(;� Signature UP1-121iSIM 1 o n 0 0 0 fa p CD 0 0 0 CD CD CD 0 C. 0 0 0 cm ;� 0 0 o p o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c a ID 0 0 0 0 C� c p CD 0 0 0 0 0 0 0 0 0 0 0 j F O O O O p 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O O O O O aG O" N CD Co Coo10 4] 4") O O O O d c L- Lo d' U) CD 00 co r-� r` -R vi Lo p' r= V a0 fs o r" G1 J N r N ~ co N M T N ti ao 11 x O r w W- Nt fft W Eft 64 69 % 64 6S Eft 64 69 f& Vt vt tot fft Eft 64 Vt Eft 63 m o CD Ca C) CD CD CD C) C7 o C� CJ O O CD 0 0 CD U 0 0 CD CD C7 0 C) O C] C5 o C7 C7 C3 CD O O C1f C7 0 0 C7 CD m C? 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