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ALL AMERICAN ASPHALT (CITYWIDE RESIDENTIAL STREET REPAIR - PHASE 15)
Recording Requested By, Recorded in Official Records, Orange County And When Recorded Mail To: Clerk of the Council, City of Santa Ana Renee Ramirez, Assistant Clerk-Recorder 20 Civic Center Plaza, P.O. Box 1988 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII NO FEE Santa Ana, CA 92702 * g R O O O 5 3 9 4 9 4 3 E 2012000751965 2:03 pm 12/05/12 10 413 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ?.., - TFi1S SPACE. FOR COUN"1'Y RI?CORDERS USI; ONLY 2?.i:;: '; .. __.. _ . <-' NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana, California, 92701, is the owner of the property hereinafter described, that said owner has caused e construction of CITY WIDE RESIDENTAL STREET REPAIR -PHASE XV under contract entered into on MARCH 2l. 2011, with ALL AMERICAN ASPHALT, on which contract ?O FIDELITY AND DEPOSIT COMPANY OF MARYLAND is surety. The property on which = c m ? such work improvement was placed is in the City of Santa Ana, County of Orange, State of c ? California, and described as Project No. l 1-7509 located at: VARIOUS LOCATIONS. The work c ? improvement on said property was accepted as completed on NOVEMBER 27. 2012. ? ?, 0 ? V C[ TA AN ,AMU ICIPAL CORPORATION ° by -- F- ' z Q Dated: ?` '?? .L.. Cit En i r v =? ? ? "f ITLk3 _______________________ VERIFICATION I, the undersigned, say: I am the Citv Engineer of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof; and I declare under penalty of perjury that the facts therein stated are true. Executed on?iy??/ 3? Z ??? , at Santa Ana, California (Signature of individual swe ng Ihat the contents of Notice of C'omplction are true. ) 1? "PHIS NOTICE OF COMPLE"f10N MUST BE Rf:CORDED WITHIN TEN (10) DAYS AI=TER COMPLE"i'ION REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: MARCH 21, 2011 TITLE: CONTRACT AWARD FOR CITYWIDE RESIDENTIAL STREET REPAIR - PHASE 15 (PROJECT NO. 117509) ???? CITY MANAGER RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVE?D?3 "??- ??? ?3 Q L? As Recommended ? As Amended ? Ordinance on Esc Reading Q Ordinance on 2ntl Reading 0 Implementing Resolution 0 Set Public Hearing For_ CONTINUED TO FILE NUMBER Award a contract to All American Asphalt, the lowest responsible bidder, in accordance with unit bid prices in the estimated amount of $1,051,295 for construction of Citywide Residential Street Repair -Phase 1 5. 2. Approve a funding analysis with a total estimated construction cost of $1 ,682,000. DISCUSSION This is the last phase of the City's Residential Street Repair program to repair neighborhood streets throughout the city. Segments of local streets in city neighborhoods have been identified as a high priority for rehabilitation in the City's pavement management system (Exhibit 1 ). The pavement is deteriorating due to weather, age, and heavy usage. Additionally, some of the adjacent curbs, gutters, sidewalks, cross gutters, and curb ramps are in various states of disrepair and require replacement. The project utilizes the most cost-effective, innovative, and environmentally sound technologies, including recycling of existing asphalt pavement with cement treated base reconstruction process. The project also provides for grinding asphalt, asphalt pavement overlay, and replacement of damaged concrete curbs, gutters, sidewalks, cross gutters, and curb ramps. Once completed, these improvements will enhance the ride quality, surface drainage, and appearance of the neighborhoods. The Notice Inviting Bids was advertised on February 2 and 7, 2011 and bids were opened on February 23, 2011. A summary of the bid invitations mailed, the bids received, and the bid results follows. Contract Award for Residential Street Repair -Phase 1 5 March 21, 201 1 Page 2 Santa Ana Contractors receiving notices: O Contractors requesting bidding documents: 7 Bids received: 5 Bids received from Santa Ana Contractors: 1 NAME OF RESPONSIVE BIDDER CITY BID AMOUNT 1 . All American Asphalt Corona $1,051,295 2. Hardy and Harper Santa Ana $1,161,000 3. R.J_ Noble Company Orange $1,269,855 4. Excel Paving Company Long Beach $1,308,990 5. Elite Bobcat Service, Inc. Corona $1,319,125 A total of five bids were received and all were responsive. The lowest bid was submitted by All American Asphalt for $1,051,295 which is below the Engineer's estimate of $1,063,150. ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended action is exempt from further review. Categorical Exemption Environmental Review No. 2011-20 was filed for this project. In addition, a Certification of Categorical exemption and Statutory Worksheet have been prepared in accordance with the National Environment Policy Act. FISCAL IMPACT The funding analysis shows a total estimated construction cost of $1,682,000 for the project (Exhibit 2). Funds are available in the Community Development Block Grant Fund (accounting unit 13518783-66220) and in the Public Works Account for Residential Street Repair Fund (accounting unit 05817661-66220)- APPROVED AS TO FUNDS AND ACCOUNTS: Raul Godinez II Francisco Gutierrez Executive Director Executive Director Public Works Agency Finance & Management Services Agency Nancy T_ wards Interim Exe utive Director Community Development Agency R(--/WA Exhibit 1: Project Location Map 2: Funding Analysis ? ,,? EXHIBIT 1 SANTq ANA cmr couNC?L ppp?? r75O® ? P w q , AC?NCA SATE= CITYW?E STREET REPAEi ? ?AARGH 21. 20t1 PH/?SE ? LEGEND= ? ".• FUNDING ANALYSIS PROJECT NO. 117509 CITYWIDE RESIDENTIAL STREET REPAIR PHASE 15 Construction Contract $1 ,051 ,295 Contract Administration $32,623 Inspection and Testing $80,000 Survey Staking $45,000 Contingencies $473,082 TOTAL ESTIMATED CONSTRUCTION COSTS $1.682.000 Exhibit 2 ORANGE COUNTY R E P O R T E R -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 (20"I 5.5 C.C.P.) State of California ) County of ORANGE ) ss Notice Type: BID -NOTICE INVITING BIDS Ad Description: Citywide Residential Street Repair Ph ? 5 1 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 o1 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 Califomia by the Superior Court of the County of ORANGE, State of Califomia, under date 06/20/1922, Case No_ 1 3421. That the notice, of which the annexed is a 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: OZ04/20 ? ? . 02/07/201 1 Executed on: p; At Los Angeles, I certify (or declare) under penally correct. Thls space for hung stamp ony OR #: 2037379 NOTICE INVITING BIDS NOTICE IS HEREBY GIVEN that the Ciy of Santa Ana, Califomia will receive at the Ciy Hall-Ross Annex, (M-43). 20 Civic Center Raze. Santa Ana, California 92]01, the Publle Works Apancv F rlh FI r R -f?l-T , of nor e?fore t eh?io r o?p.m. on FeGruery 23, 2011 sealetl bitls anWOr proposals for PROJECT NO. 11-]509 CITYWIDE RESIDENTIAL STREET REPAIR - PHASE 15 (Work includes removal of excavason, asphalt concrete. pulverize cement treated base, new concrete curbs. gutters, sitlewalks, tldve approaches, ADA curb ramps. atljusting uM1kty frames antl covers to grade. antl signing 8 striping) Notice is hereby given BIDDERS that this project is funded with Communiy Development Block Grant money, antl that the rate of wages for each craft or ttyype of work or mechanic employetl untler this contract shall be as specified untler [he current tle[errttina[ions of the T r Ir ntler v ere a Iscrepancy ensts [wean Federal and State prevailing wage rate. the higher of the two prevailing wage rates shall apply. Each bid shall be accompanied by cash, a cashie YS or certified check payable to the Ciy 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 bitl. as a guarantee that the BIDDER will enter Into the proposatl contract if the sartte is awarded to him. The slgreture oT the BIDDER on the bld bond must be noterizetl. The Ciy Council reserves the right to reject any or all bitls. The successful BIDDER must possess or obtain a valid Califomia Class A Contractor's prior to the scheduled award dale of this contract The Disetlventage Business Enterprise (DBE) goal for this project is 7.14%. The Underutilized Disadvantage Business Enterprise (UDBE) goal for this project is 9.]]%. These pementagas shall apply to the cost of [he snare project This information may De submittetl with your bitl proposal. If it is not, and you are the apparent low bitltler or the secontl or the third low bitltler, it must be submlttetl antl eceivetl by the administering agency no later than the time specrtietl in the Fetleral Requirement Appendix F. Substitution of securities for any monies withheld by the City of Santa Ana to ensure per/ormance is allowetl in accordance with Me Public Contract Cotle. C m t f the P n n oeq?tabons wl g?ml@ uoon aop webon to t e ubl'ie Works pence. Irst oor. 0 vle enter aza. ante na, a I ornla 92]01, o one 714 fi4]- is true and There is a $24.53 charge (non- re untlable) for these Plans and Specifications. plus a $14.42 atltlitional lee it rtlailetl. Make checks payable to the Ciy of Santa Ana. DO NOT CALL PURCHASING DIVISION REGARDING AVAILABILITY OF PLANS AND SPECIFICATIONS. 2/4, 2f]/11 OR-203]3]918 r?c??.:I v ?-J? I I??I?II III ??III ??III ??III ??III ??II? II?II ??III ?I?II I??I? ?II?? III?I III I??I FEB 1 6 2011 ? a o 0 0 0 o z o 4 ? 6 3 1 14 -7. 0 cf? N OC) d? ?? rn N CV OO N cm N .{? . Q' v t Q 0-4 =4 m Q z ri: C) QL U S a L? uz . Z Qi- I _ a rd 9c ? ? a 02/23!2011 13:10 9517394671 ALLAMERICANASPHALT PAGE 02/04 C?TY OF' SANTA, nNA PRO.IL-C'T NO. 1 1-7509 CITYWIDE RF_,SIbENTAL STREF_T REPAiR -PHASE. 15 PROPOSAL cec CONTRACT AGREEMi?NT BiD PROPOSAL TO: CITY COUNCII-. OF TT[I CITY OP SANT/1. ANA 1-RONI: I 1 ? r.?o?? rArz ,?? ? h? I-?- REQLTIRI='sMFNT: 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 acc ompanying instruction to Bi.DD1?RS, and hereby proposes to Furnish all material and do all the work required to complete the said work in accordance with said plans, spcciftcations and special provisions, for the unit price(s ) or lump sum(s) set forth in the following schedule: Item # Bid item Unit Quanti Unit Price Amount 1. Unclassified i-:xcavation* CY SOO $ zy- $12000 -- 2. Remove Excess Pulverized Material* CY 740 $ z?- $ZO? 20 - 3. AC Pavemcnt* TN 1 1 ,000 $ ?-/ _ $ `7 o YdOV - 4 Cement "i"reefed 73ase (C'f 13) include SI- 1 12 000 * ? $ . `[ C/ $ 7?{??- microcra.cking (Condition 1) - - 5 Cement Trcatcd Base (C'i'B)?nclude 5F 48 000 $ . `?D $ / /Z?iv!'?? , microcraclcing (Condition 2) 6. Portland Cement* TN l00 $ ?3 - $ ° J?C?`- 7. Cold Milling * SF 275,000 $ O `? $ zy7S?- 8. Pavement 1=abric* SY 50,000 $ . <Z $ 5`?G?d 9. Rctrove G" failed Pavement Section* Sf' 5,000 $ ?. Jl? $ ?50U - 10 Remove and Replace PCC Curb Sf 2 500 $ ? 3!? $ ZU-7S0- 1 I Remove and Replace PCC briveway SF 1.,000 " * $ ? ?? $ ??UU - (T=G ) 12 Remove and Rcpla.ce PCC Sidewalk SF 4 800 $ (p' $ ??i?OU - , 13 Remove and Replace PCC Cross SF 2,500 $ /?- $ ??,DUDp - Guttcr ]4. Remove and Replace 1'C;C Curb 8c T_,r 300 $ y5° $ ?35y? - Gutter TO BE INCLUDED TN BT17 PACi?AGE BP 1 of 29 02/23/2011 13:10 9517394671 ALLAMERICANASPHALT PAGE 03/04 CITY OT SANTA ANA PROJECT NO. 1 1-7509 C1'I'XWTDE RESTDENTi.AL STREET REPA.iR. -PHASE 1 S PROPOSAL Sc CONT.RACT AGREEM.L-"-NT BID PROI}USAir, continued Item # Bid Item Unit Qua.nt.it Unit Price Amount l 5 Remove and Replace PCC Curb LP 400 $ 2 ?- $ ? ? QUO - Type 13-1 1 G. Urind PCC* LF i 50 ?; /3 - ? / X50 - 17 Adjust Manhole Frame and Cover to EA 50 $ JeZJ?- $ Z (oZSU - Grade* T $ Furnish and install Wafer Valve EA 40 J 5. /7 ?S- $ l ? yQ0 - Frame and Cover to Grade`k 1 9. Root Shavc* EA 55 $ ? ().S- $ S ? ?S - 20. Signing and Striping- LS l $ Z?OOC) - $ ??dU? - 21 . Tic-Out and Reestablish Survey Monumcnts* EA 30 $Spv - $ X5000 _ * 'The quantity for this bid item [s shown for bid comparison only. This bid item shall not be subject to the "25%'° limit as staked in Section 3-2 o:Ft'he Standard Specifications. "I'he actual amount for this item will be dictated by the actual quantity used, and the Agency reserves L•he right to increase or ciecrcase the quantity of this item accordingly. •r This bid item is considered a Specialty item pEr Sectiotl 2-3.2 ofthe Standard Specifications. PROJECT NO. 1 1-7509 CCTY WIDE B1 D17ER RESTbENTiAL STREET RT'PAIR-PHASE 1.S Finn /IJI ?l..?rar?"?s?hal?' Address P_ia _ 13G1x 2,??y, r?o??c.?, _9 z.s?? Phone ?qr,1? X86-`7loQtJ Fa.x. ? q51? '73b -' '? !n 7 1 Email M 1 ?y?r ? O.? ?AV?lef ?tC1.n d5?j'1o1? r.??'1 BP 2 of 29 TO BF_ iNGLUI7E1? TN Bit? PACT<.AGE _ 02/23/2011 13:10 9517394671 ALLAMERICANASPHALT PAGE 04/04 BInoER Signature - CI'I'Y OF SANTA ANA ' MArzK t???-?iv,p . PRO.fECT NO. I 1-7509 CTTYWTDE RESII7ENTTAL STRI?ET REPAIR - P13ASE 15 PR POSAL ANU CONTRACT AGREEM. ENT L1ST OF SUB-CONY CTO S 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% nCthe bid or $ 10,000, whichever is greater - Buildings, parks, or other' prc?jecis: '/z"/° of the bid BTT?DER proposes to subcontract certain portions of the work to the (inns listed below: NAME OG 5?10?/1 LOCATION CY -+u ?/ PFIONI (O O TYPi? OF WORK S? hip r ' "ZZ? - NAME ? %'????/,o?/ ?-? . S^ LOCATION ? /ih . ?A PHONE ? I L/ `j `lli (BU's •7 TVPE OF WORK. YO?f"Sh¢{I/f $ S.Sol?- NAML ?DI? ???/?17i1?L" hulf??Ur//??,fi?h LOCATION G71/ PHONE ??y9-7 72Z TYPE OF WORK UJVCi ? ??$, OLDI?- NAME LOCATION PHON I TYPO OF WORK NAME LOCATION PHONE TYPE Of WORIG $ NAMi=. LOCATION PHONE TYPE OF WORK $ NAMIi LOCATION PT-ION E 7"YPE OP WORK ,T $ Name ofFit•m Submit" g raid lSlgnna?reofBlIDnER M,q,?,?, 1„?t2 v.P. NAME LOCATION PHONE. TV PE OF WORK $ NAMF_. 1_,OCATiON PFION E TYPE OF WORK $ Nn,ME LOC A'TI ON PHONE TVPE OF WORK $ TO BE INCLUDED IN BID PACKAG>; BP 3 of29 CITY OF SANTA ANA _ PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 PROPOSAL 8i 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 (1 O) 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 aze solely for the purpose of compazing 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 aze to be incorporated by reference into this Agreement and aze made specifically as part of this bid. Name of Firm A\? Arrvw'? ccrn A?solrwE-+- Signature of / BIDDER ?/_ ? ?/?? + ?o ?+?5?? ? ?? Title ??,o (if an individual, so state) TO BE INCLUDED IN BID PACKAGE BP 4 of 29 ?. CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 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.) A l l Hme? ? c?rv? H sPl?ct ?-?-Corpora-?- i oh ? ? v? ?. i °??? .-,v P ries i d ev?+ M Q r h'. .cr ? ??L?r,P- ?cf r 1 Ro1ooY? ? 1? ?? y\ C,e t'roS??,e1/Y1- Awarded tOs, ? t?-??' ? ?? ?? on the basis of M nespo?ble and PonsiMe bidder in the amount. of ACTION OF COUNCIL: Date <?//// oGg?, 20 ATTEST: ???? CLERK-DF THE C-OUNF.' APPROVED AS TO FORM: Y ATTO Y ACCEPTED FOR THE CITY OF SANTA ANA: n v EXECUTNE D C OR PUBLIC WORKS A NCY TO BE INCLUDED IN BID PACKAGE BP 5 of 29 CITY OF SANTA ANA PROJECT NO. 11-7509 CITYVITIDE RESIDENTIAL STREET REPAIR -PHASE 15 (T'HE 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 The BIDDER A 1 ? Anliovj ?A?rn?? ?-?- , proposed subcontractor _ ? ?? ,hereby certifies that he has ?, mat- ,participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 1 1 114, or 1 1246, and that, where required, he has filed with the Joint Reporting Co*?,rr,;ttee, 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 requiredby 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 aze subject to the equal opportunity clause. Contracts and subcontracts which aze exempt from. the equal opportunity clause aze set forth in 41 CFR 60-1.5. (Generally only contracts or.subcontracts of $10,000 or under aze exempt.) Currently, Standazd 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. T.O BE INCLUDED IN BID PACKAGE BP 6 of 29 CITY OF SANTA ANA -- PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 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 aze 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 regazd to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bazgaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this .section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September. 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 1 1246 of September 24,. 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 1 1246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor,' or as otherwise provided by law. TO BE INCLiTDED IN BID PACKAGE BP 7 of 29 CITY OF SANTA ANA PROJECT NO, 1 1-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR (continued) 7. The Contractor shall include the portion of the sentence immediately preceding pazagraph (1) and the provisions of pazagraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor. or vendor as a result of such direction by the administering. agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, No discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps,. mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violating __ this Section is subject to all the penalties imposed for a violation of the Chapter. Signec Title Firm ,P}11 A?ri?. ? na,n ASOLvs 1?- Date F? bru tx r`i ? l ` f? 1 1 TO BE INCLUDED IN BID PACKAGE BP 8 of 29 CITY OF SANTA ANA - PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET. REPAIR -PHASE 15 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 fiunish the City of Santa Ana with an insurance certificate from my workers' compensation insurance carrier certifying that i carry such ins»?T+ce and that the policy shall not be canceled. nor the coverage reduced except upon thirty (30) days prior written notice to the City of Santa Ana_ Signed Title Firm A l1 Annty'i c+?v? A s ?]?y?l-{- Date lC,o 1?.,? ?? ? / a 1 ?c? A. ?/ TO BE INCLUDED IN BID- PACKAGE BP 9 of 29 .? 2. 3 CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAII2 -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT REFERENCES The following, are the names, addresses, and telephone numbers for three public agencies for which BIDDER has performed similaz work within the past two yeazs. 1 ?Se?e ?-??cu??, ,ed f?ctg ? `? . Name .and Address of Owner. Name.and Telephone Number of person familiar with project. Contract::Amount Type of Work Date Completed Name and Address of owner. Name and Telephone Number of person familiar with project. _ Contract Amount Type of Work Date Completed Name and Address of owner. Name and Telephone Number of person familiaz with project. 'Contract Amount Type of Work Date Completed The following aze the names, addresses, and telephone. numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Fed ?GL?'?- ?? C.t_y?bl Qro? ? ?- (` P?i/ls.??-?' !Yl o t? l l o sn? 0? lVb Braved 61 ??d Gl,grt?ce 1r, C1k 4 la.n? Ph ?- L?1$? ti oa -a Aoo ?s?.?.r.?±?,1 Mil\?e?ny.-`? , w? cnr ?n?? P ?r?\ ? -J- i ran ? ? 5??,17 -T rG? b?-t Co K ?i c? , `?vy i v1,r /`.A 401 ? ? P1r1 ' (?i?, 1 ??a --? 1 ti z l P?r-d 1.4 ?? ?? ?c??\nyE? PQ`H?`8?rs ?i-15u?e C?v?+? Gv?e C??-y ?U\v?. VU_, ?.<.t-t? ?pp? Cj?r?v?t? C? 9a$??, 'Pn'• ?'»y? 9?7?tia?-? ???.?,?,? coMP??u? TO BE INCLUDED IN BID PACKAGE BP 1 O of 29 "2009" PAST WORK REFERENCES City of Costa Mesa 77 Fair Drive P.O. Box 1200 Costa Mesa, CA 92628-1200 Contact: Tom Banks, (714) 536-5431 Prop 1 B Street Maintenance Contract Amount: $993,993.00 Start: 7/2009 On-going -not completed yet City of Dana Point 33282 Golden Lantern Dana Point, CA 92628 Contact: Archie Rempher, (949) 248-3500 City of Beverly Hills 345 Foothill Road Beverly Hills, CA 9021 O Contact: Juan Martinez, (31 O) 285-2521 County of San Bernardino 825 East Third Street San Bernardino, CA 924 1 5-083 5 Contact: Sri Srirajan, (909)387-7935 City of Redondo Beach 415 Diamond Street Redondo Beach, CA 90277 Contact: Javier Urista, (31 O) 318-0661 City of Westlake Village 31200 Oak Crest Drive Westlake Village, CA 91361 Contact: Roxanne Hughes, (805) 653-6597 Department of Transportation 12975 Culver Blvd. Los Angeles, CA 90066 Contact: Sixto Ramin, (213) 216-4406 City of Rialto 150 South Palm Avenue Rialto, CA 92376 Contact: Eddie Chan, (909) 820-2651 Annual Roadway Resurfacing Project Contract Amount: $3,982,982.00 Start: 4/2009 On-going -not completed yet 2008-09 Street Resurfacing Contract Amount: $4,085,000.00 Start: 1/2009 Completed: 8/2009 Arrow Route Contract Amount: $1,980,000.00 Start: 2/2009 Completed: 7/2009 Public Improvement Package Contract Amount: $1,678,000.00 Start: 1 /2009 Completed: 9/2009 Joint Cities Pavement Rehab. Project Contract Amount: $1,242,241.11 Start: 6/2009 Completed: 9/2009 Route 27, Contract No. 07-2Y4904 Contract Amount: $915,511.00 Start: 6/2009 Completed: 9/2009 Route 21 O Detour Contract Amount: $1,983,548.00 Start: 6/2009 Completed: 9/2009 CC1O ? Off PAST WORK REFERENCES City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 Contact: Edwazd Torres, (714) 647-5018 Segerstrom Avenue Rehabilitation Contract Amount: $2,094,618.00 Start: 1 1 /2009 Completed: 3/30/201 O City of Chino 13220 Central Avenue Chino, CA 91790 Contact: Emani Naghmeh, (909) 464-8367 City of Costa Mesa 77 Fair Drive Costa Mesa, CA 9262 8-1 200 Contact: Thomas Banks, (714) 754-5222 City of Westminster 8200 Westminster Boulevard Westminster, CA 92683 Contact: Tuan Pham, (714) 898-3311 ext. 209 City of Paramount 16400 Colorado Avenue Paramount, CA 90723-5012 Contact: Ed Cox, (562) 908-6205 City of Cerritos 18125 Bloomfield Avenue Cerritos, CA 90703-3 1 30 Contact: Rash Syed, (562) 916-1221 City of Anaheim 200 South Anaheim Boulevazd Anaheim, CA 92805 Contact: Sean Ramsey, (714) 765-5059 City of Garden Grove 1 1222 Acacia Parkway Gazden Grove, CA 92842 Contact: (714) 741-5180 Street Rehabilitation Project FY 08/09 Contract Amount: $2,127,501.00 Start: 1 1 /2009 Completed: 5/31 /201 O Rehabilitation of Vanguard Way Contract Amount: $517,646.00 Start: 12/2009 Completed: 2/30/201 O City-wide Overlay 09-10 St. Improvement Project Contract Amount: $1,171,416.00 Start: 2/ 1 /201 O Completed: 5/30/201 O Resurfacing in Rosecrans Avenue Contract Amount: $572,209.00 Start: 1 O/ 1 /2009 Completed: 5/30/201 O Bloomfield Avenue Improvements Contract Amount: $1,103,000.00 Start: 3/1/201 O Completed: 6/20/201 O Magnolia Avenue Street Improvements Contract Amount: $868,000.00 Start: 4/ 1 /201 O Completed: 7/20/201 O Hazbor Boulevazd Street Rehabilitation Contract Amount: $919,000.00 Start: 3/1/201 O Completed: 6/30/201 O CITY OF SANTA ANA - PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiaz 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 standazds of the craft or trade in the area of the site of the public work for a certificate approving the .contractor under the apprenticeship standazds for the employment and training of apprentices in the azea or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standazds. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council. Signed Title ?zt d.l? Y Firm Ali (?,FV??v\ebr, ASGi\?ttl?- -?- Date ?'.ebrucx.r? ? ? \ + ? ? ? ? TO BE INCLUDED IN BID PACKAGE BP 11 of 29 CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL, STREET REPAIR -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT NON-COLLUSION AFFIDAVIT (Title 23 United States Code Section 1 12 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 cplluded, 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 this Non-collusion Affidavit. -BIDDERS are cautioned that making a false certification may subject the certifier to crim;nal prosecution. Signed `f? ? ??O1?LV-t $rR,c??,?liG State of California County of {?°ts;?. Subscribed and sworn to (or affirmed) before me on this o?11? day of F?,?,?, 20?, by ?-Y t3rz'.a?Eor i ,proved to me on the basis of satisfactory evidence to be the person(yr) who appeared before me? DEBBIE A. MATSEN • Commisslon # 7 775685 ? ; -m _ Notary Publla - Calllornla Rivarslde County MYC-orTm. E?Ires Nov 22, 201 1 Notary Public Signature Notary Public Seal TO BE INCLUDED IN BID PACKAGE BP 12 of 29 CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL. STREET REPAIR -PHASE 15 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 means, any person employed in the construction or repair of public work, to giA a up any part of the compensation to which he/she is otherwise entitled. Signed ©1?°nv-r ?jrcrd?e 1/ Title '?/ i?.v T'!'?S i .-1,oy?-F- Firm R11 AyY1PV il?is?? f?-?;?Ci2l-1- Date ?-e?or-?•o ?r?_c?l? sus ? 1 ? TQ BE INCLITDED 1N BID PACKAGE BP 13 of 29 CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 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 con: ect. Contractor's Name: Business Address: P. [? ?jpX 9`o12R? (`??cllct e ,A q 2. S3'?4?- ? 0'12,°1 Telephone: (q ? 1 -? `, l?-? lvdl? State Contractor's License No. and Expiration Date: Signed: Title: TO BE INCLiTDED IN BID PACKAGE BP 14 of 29 ?= a ? o? ?4 c-? ? CITY OF SANTA ANA PROJECT NO. 1 1-7509 CTI'YWIDE RESIDENTIAL STREET REPAIR -PHASE 15 PROPOSAL AND CONTRACT CLAUSES SECTION 3 -CONTRACT CLAUSES A. The work to be performed under this contract is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended, 12 U.S.C. 1701u (Section 3). The purpose of Section 3 is to ensure that employment and other economic opportunities generated by HUD assistance or HUD-assisted projects covered by Section 3, shall, to the greatest extent feasible, be directed to low- and very low-income persons, particularly persons who are recipients of HUD assistance for housing. B. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties .to this contract certify that they are under no contractual or other impediment that would prevent them from complying with the part 135 regulations. C. The contractor agrees to send to each labor organization or representative of workers with which the contractor has a collective bargaining agreement or other understanding, if any, a notice advising the labor organization. or workers' representative of the contractor's commitments under this Section 3 clause, and will. post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. D. The contractor agrees to include the Section 3 clause in every subcontract subject to compliance with regulations in 24 CFR Part 135, and agrees to take appropriate action, as provided in an applicable provision of the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations in 24 CFR Part 135. The contractor will not subcontract with any subcontractor where the contractor has notice or knowledge of that the subcontractor has been found in violation of the regulations in 24 CFR Part 135. TO BE INCLUDED IN BID PACKAGE BP 15 of 29 - CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL. STREET REPAIR.- PHASE 15 PROPOSAL AND CONTRACT AGREEMENT SECTION 3 -CONTRACT CLAUSE continued E. The Contractor will certify that any vacant employment positions, 'including training positions, that aze filled (1) after the contractor is selected, but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR Part 135 require employment opportunities to be directed, were not filled to circumvent the contractor's obligations under 24 CFR Part 135. F. Noncompliance with HiJD's regulations in 24 CFR part 35 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted contracts. G. With respect to work performed in connection with Section 3 covered Indian housing assistance, Section (7) b of the Indian Self-Determination and Education Assistance AcY (25 U.S.C. 450e) also applies to the work to be performed under this contract. Section 7(bj requires that to the greatest extent feasible (I) preference and opportunities for training and employment subcontracts shall be given to Indians, and (ii) preference in the awazd of contracts and subcontracts shall be given to Indian organizations and Indian-owned Economic Enterprises. Parties to this contract that aze subject to the provisions of Section 3 and Section 7 (b) agree to comply with Section 3 to the maximum extent feasible, but not in derogation of compliance with - Section 7(b). For the purpose of training and employment the primary Section 3 covered project area is the area in closest proximity to the actual construction work site within the U.S. Census Tract in which the project is located. It is understood that priority for employment opportunity is to be given to residents residing within the primary Section 3 area as defined. A Section 3 area resident is any lower income individual residing within the Section 3 area, whose total family income .does not exceed 80% of the median .income of the metropolitan statistical azea in which the-project is located (Orange County). A public housing resident is defined by regulations as Section 3 resident, regazdless of income. The contractor and each subcontractor certifies that they will provide, to the greatest extent feasible, opportunities for employment to lower income residents (local residents) and job opportunities in connection with projects in their neighborhoods. For fiscal year 1996-97, **,in;mum goal for each project is 30%. TO BE INCLUDED IN BID PACKAGE BP 16 of 29 CITY OF SANTA ANA. PROJECT NO. 11-7509 CITYVITIDE RESIDENTIAL STREET REPAII2 -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT SECTION 3 -CONTRACT CLAUSE continued Thee Contractor/Sub-contractor/Service Provider by the signature affixed hereto declazes under penalty of perjury: Contractor/Sub-contractor/Service Provider has read Section 3 requirements and accepts all its requirements contained therein for all of his/her operations within the City of Santa Ana. ignature Signature Signature ?C ?1orPvg- 3?rxr11 ?t Y i c? pr?i ?l -I-. Print Name and Title M !i r-?_? i? ?P1r. ? eGr ?e -?c?rr / Print Name and Title _ Ua? 'D ?i ?mor,o t P??esi clev?-}- Print Name and Title Febt?? a???i Date TO BE INCLUDED IN BID PACKAGE BP 17 of 29 CITY OF SANTA ANA PROJECT NO. 11-7509 CI'T'YWIDE RESIDEN"TIAT" STREET REPAIR -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROTECTS l?2AL - vvcak hereexpraposed wt? be fa?oed in vvhc?le or inpeR wiflz (This foam need not be Stied in if all joint venhae flxxxvs axe xrmiarity Fed®1 fimclq sod aIl of8re s nil?s and xegilalioas gt:xailga?d by owned) the Fed®1 axd applicable b vwic Soaooed m whole Q m pat wiflx Federal firms wID apply sudx wads The "Regiaed CadmcxPiwisams, Fed®1- 1. Name of jourt veut?se Aid Cm?r>c>iQx "Form FHWA 1273, ate ioc?rled m >l>s Berlin 14. Wlxenever m said xe?quIIed govigans refneacs ate male b "?3A Cca>u?mg cz?" "SETA ems" or "aid xve af'the 2. Address of join venhr[e SEI?" sudx te?axo? shell be b n? `" as defined ax Sexrim 1-1.18 c£flxe Sta?dSpevSca? ?. X1,5 ?. _ ? addidm b ibe 3. Phone xnxnmber of joint ventrae gwisims sx Secbm IS `YVao?c Sep-'um V>l; ` _ ar A?gt?g the Corrtac;' o£?e xac}a? corrisct the C? shaIl ?,"i,?? 4. Idexrlify the finis which comprise the joint ventiae. (The DBE partner xrarst complete cnl,?i„tP A) The BIDDER sbaII ewaca? the C?tTIETCA RDCsARD 'PO THE OF PREVTOL75 RACIS ? SUB7ECT TD THE EQiJ:AL CI.Ai75E AND THE FILING OF RFQi.JIl2ID ItFYC bid ibe a Describe the role of the DBE Sxm in this joixrt vexmae. -- proposal No xa4xc? fir sublel? or assig®g ary poitiaai eace$?'$10,000wiIlbec?daeduorlalhepawi?ms VII xe¢sed oootract Iawi?ons unless suds xegxe? is GFRTIFK'ATIONxef?edb above, exect?dbyflxe d b. Describe very briefly the experience and business 9ualiflcations o? Pi20VIS[O1V5 -The gwisions this section ate each non-VIBE joixxt vetlnxre- appaiml?lebaIlon?ei¢epto?HC?fQFed®lAid "ems THIe 23, IJmbd Staffs Code; Section 112, iagimrs as a cmd? gmede<Y b .Nature of the joint venture's t,,,a;.,?a appxv?ral by 8xe Fed®1 Hi?tvvay .4da of'flxe omuacx frir Ohs wosic that eachBIDDE[t Ste a sv?xm s?aY errea?d bS; or onbehaffasy the person, f?a; assoc®tiog or ccipa? b whom sudx ocotract is b be avvai? oettidyaxg that such pe®oq f?S assod?aq a< caparatim has rroS ei?a daectly Q ia-dnacfly, 6. Pro copy of the joint venhae amt et>?ed i? nay agreanea? paticip?d in any oolb?m or aflawise ial? a? acuoninxes?offieeeornpe?n?eb?ino?ectimwiflithes?eB3dbid.A 7. What isthec peicexxlageofDBEownexship? inn b xn? 1be non-ooEamm affidavit s7a?Y xegaed by SecUm 112 as a oaAific-atrmxal?pmalty c?'pajrryxa®xerdxffias a s??om s??vaYffiPear?adbS' 28,U5C,Sac 1746,isioc?xdadinlhepmposaL PARTIC?PATiUN BY D7SADVANTA® g?i 8. Ownership of joint v :('T'his treed not be Shed ax if described IIVTFd2PR15F'SIN -I'at26sT?e49,CadecfI?ed®I inihejointvexrixae PiovidedbY4vestion(?• a. Profit. and loss sharing RegttTaho? supplies b 1hs Fed®l?d project Pet?xaY sections a£said Code are b ?? ??h°ns iooo<pooledinpmtoria?er?c4ywifl>s?oflxasacsimsoT'11?e?adalgwisims ' including ?rbe?,?•B_hiloarxauonfaDe?axmir?Jo?Vem=eI]glalAy. c. C>tberapplicab? ownership ixrteresis , Afmtiax®t F.>d?rtA-Fl[21 807A7 TO BE INCLUDED IN BID PACKAGE BP 18 of 29 . CITY OF SANTA ANA _ PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 9. t.:aaYcod aI'aod m this ommacx ]de?fybyname, g'? ?S and `?' those ' (and they litlcs) who axe xespa®lale fi7r day?sday xraoa?ar? }ieY decision m?l?g, roch?d"mg hertnotlirn?idbsfl?osewith?x?e fns: a Fioancel deci?ms b. Nla>?r?tdecigons, serhas: I, F?fii _?irpo 2 Madaeuog aad sales 3. Hance azd f>??g a?rna»agen>r? 4. Peac2r?g oftisjari?xs ar supQlies - cS?pervisian?'fieldape?tiaas Nola: ?>? ? the Scbe3ile B aad be?ae the ca<npletim oflhe jauYVamae's wadc?the mn?ct covaedbythis aegilamog there is ?y ? in the ix>foasarion s?rnu?d, the joint va>hae mist iii 8?e ?>? eithe3 diiecdy err Tl?>gh 9?e ?? ooohactnrff8?e jaaY venhae is a suliorn?cgx: "Ilse amdersi?ed sv?ar that the fnn?o?rog s?6a?Ls are c?ecrt ?d ioc??de aIl n>a?al ia?m ae?y to ;der>vfy ? explem flee tuns ?d ape?on ofoea joiiY ver>hae and the iot®ded 1?a by tada,jomY va?aea in the imdettalaog. Fufl? flee . imdasBoad °°? and agee 1o parvide b gaffe at>Qe? and aocxaate inli?xadon acual jauY venhae wodc and the pay?aY flte3efue and aaygaposed ? m aay of the .lam-,t ve?e a®ogax?a>!,s ?d b pem>g the t>udit ?d e?rafatim of the booiq xmaclsy awl files of the job v?ey by a>fl?ed motives of the gc?e err the Fedes?l fib agcy. Any mil msepteser>?m w>Il be gfumds fnr tag any oaiYmct vvlech nay be awarded and »a ink actianimderFederal err ? laws oooceam?g false s?x>eols." _ ?? ?ArFR2 807A7 Name a?fFian Name ofFitm e Sigtetine Name Name Title Tale On the day of 20? befiae me appeaed (ttanE 1o me personally lanwq whq heatg duly sweat, did exea>De th affidavit atd did sfa0e that he or she was piopaiy atlt?iad by ?? of ffi? b enece? the a?davita?d did so as his orherfiae act and deed. blic Oa the _ day orF 20? befiie me appea>j fl?7ane) 1p me personaIly la?owr>, who beang swoa?, did exeaYe th isega®g a?vit a? did slaic he or she was piaperly a>ihn>a?d by (Nave ? fatr b a?davitaoddidsoashisarhe=fieeactan3dexd No?yl?ublic Cann,?im e?gues TO BE INCLUDED IN BID PACKAGE BP 19 of 29 CITY OF SANTA ANA -- PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 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. -N\?_ 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 crim;nal 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 BIDDER ?l-}- Signature ofBIDDER (tp Date ?lo-,?a?t '1?,? YiceQ?re5ida?rl- FED.8-22-88 TO BE INCZUDED IN BID PACKAGE BP 20 of 29 CITY OF SANTA ANA - PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT NONLOBBYING 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 awazding 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, load, 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 Standazd Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100;000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall .require tkiat the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such -sub-recipients shall certify and disclose accordingly. T_ B DER's Signature Rab?r-r- ?rctla??y?V i ce ?rP?1 c??l'? A? ??pp?v; n??n A SD1ns 1+ Firm ' ??br1?.a1r?L??Q1) Date • Standard Form LLL may be obtained from Calttans at?d FHWA offices. TO BE INCLiJDED IN BID PACKAGE BP 22 of 29 ' CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT DISCLOSURE OF LOBBYING ACTIVITIES C?cimnlete this fnrm to rlicrlr.ce l..i.F.?.:.... s..t:..:tie? .. ..r ?.. z i t i e n i z c? 1. Type Federal Action 2. Status of Federal Action 3. Report Type: p a rnract p a. Bid/o$er/application p a. initial b• b. initial award b. material change c- Aunt q post-award d. Ban For Material C11A ?e only: e. Loan y? f. Loan date of last 4. Name and Addr>rss of Entity 5. If Reporting Entity in No. 4 is Subawardee, Enter Name and p Prune. p Slyb Address ofPrirne: Tier , If sional District, i beown Co 'oral District, i lorolvrt 6. Federal Departrnent/Agency: 7. Federal Progarn Name/Description CFDA Number, 7f livable 8. Federal ActionNutnber, ifJaeowrt 9. Award Amount, iflaeown " 3. Name and Address of Lobbyaig b. Individual Perfornvng Services (irrhrlvg acddrss ifiufiorn]Ua ??,li'?M? ILt? (last?rm?????? ? attach Continuation if 11. Amolnt of Payment (c ?all ?ap? p 13. T Pay check all that apply) ( A ?? ?? r b. fee 12. Form of Payment (check all that applyj: p p a. ? p d contingent p b. in-lid; specify: ?tin-e p e. defeued value f. other, 14. Brief Descaiption of Services Performed or to be perfozaned and Date(s) of Service, inch ding officer(s), emplo or member(s) contacted, for Payment indicated in item 11: attach Continuation Sheets necessa 15. Continuation s attached: Yes No 16.Iab'mr?ann?les?dflmugh8asf?nisa?dby,Ti?e® 31USCSe?m 1352. Tk?d?c]o®aeof7ol?lryioga?tivitiesisans?almpre?ma?'fach?pm Si?ature whidin?oe vc?splawdby87e tierabore wltaithe hansadionvc? made Q?ed ir?i. TI>sdisdosaeisaegmedpi>rs?Yto31U.SC.1352.11risa>?r?mwitlbe Print Name Q??1?y-?- ?r ?? V xepetadio?e Cmgtess saga-am?Ilyst?dwr?be av?'lable fapulalic in?ectim ' .Anypasmwhofa>ZsbLletheroquaeddsc3oa=esl?IIbeai?ja?Ytoacavilpe®11ycrF Title ?/ 1Cf pr?Si e?PVI'? notlessTl>ati$10;000 andmtaaefl?$1Og000for®chsldifa?3ae. Te No. Date FederalLTse Only. Auiho/iaed frr 7 M 7 Reproaucuan SmMsad Fom?- l r l . TO BE INCLUDED IN BID PACKAGE BP 23 of 29 CITY OF SANTA ANA _- PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL. STREET REPAIR.- PHASE 15 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 provisions of this project. Signed Title Firm Date ?,21on?? ?r, ? all dfi) ? TO BE INCLUDED IN BID PACKAGE BP 24 of 29 A\? AmFVt mar ? ? l+ CITY OF SANTA ANA PROTECT NO. 11-7509 CITYWIDE RESIDENTIAL. STREET REPAIR -PHASE 15 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 malting of any Federal grant, the malting 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 malting 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 certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub-recipients shall certify and disclose accordingly. s R?t ?„raa??y,?ric r+?Z?d?n-F- Fj?1 ??v ? nova A QMo N- Firm Date .,..? oli TO BE INCLUDED IN BID PACKAGE BP 25 of 29 x CITY OF SANTA ANA PROTECT NO. 1 1-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 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 the "Buy America" requirements of Section 165 of the Surface Transportation Assistance Act of 1982 and as shown in the special provisions of this project- Signed Title Firm Date BP 26 of 29 TO BE INCLUDED IN BID PACKAGE _Al1 Arirrwi nor, Awlnm 1 CITY OF SANTA ANA _- PROJECT NO. 1 1-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 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 lws _ ,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, awazd of, or performance of, any public works contract, as defined in Public Contract Code Section 11 O1, 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 Signec Title Firm A1\ F?mP_VI [?v? A?olnal-? Date 1?,? lam- r? ?? \ ? czl Lh-l l TO BE INCLUDED IN BID PACKAGE BP 27 of 29 The BIDDER must place a check mazk after "has" or "has not" in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAII2 -PHASE 15 PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10162 UESTIONAIRE 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. TO BE INCLUDED IN BID PACKAGE BP 28 of 29 i ' CITY OF SANTA ANA PROJECT NO. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 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 imrr,ediately preceding two yeaz 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 aze part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. BIDDERS aze cautioned that malting a false certification may subject the certifier to criminal prosecution. Signed Title ? j pp ??ac.,] ? ,,,?} Firm A \\ Ll mPV i n?y? A S o1`1Q.1-? Date ??P Ipr?y? r. ? o'Z \ . c?f? 1 1 TO BE INCLUDED IN BID PACKAGE BP 29 of 29 o ? Fidelity and Deposit Company of Maryland <<; y Home OfFce: P.O. Boz 1227. Baltimore. MD 2 1 203-1227 ' ? BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, ALL AMERICAN ASPHALT BOND NO. 085 97 423 as Principal, (hereinafter called the "Principal"), and FIDELITY AND DEPOSIT COMPANY OF MARYLAND P.O. Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as Surety, (hereinafter caOed the "Surety"), are held and firmly bound unto City of Santa Ana as Obligee, (hereinafter called the "Obligee"), in the sum of TEN PERCENT OF THE TOTAL BID PRICE IN-------- Dollars ($ 1 O% OF TOTAL BID PRICE ), 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. 11-7509 CITYWIDE RESIDENTIAL STREET REPAIR -PHASE 15 Bid Date: February 23, 20'1'1 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 material furnished in the prosecution thereof, or in [he event of the failure of the Principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difYerence 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 perform 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 17th day of February A D 20'1'1 ALL AMERICAN ASPHALT (SEA C.) r?i J 0 J ?-ao ? ?]??? rincipa! Wrtness ? ? ? FIDELITY AND DEPOSIT COMPANY OF MARYLAND .Surety BY - - -???? (SEAL) Barbara J. Bender Witness Rebecca Haas-Bates , Attorney-in-Fncr Printed in cooperation with [he American Institute of Archi[cc[s (AIA) by Fiddiry and Deposit Company of Maryland . Fidelity and Deposit Company of Maryland vouches that the language in [he document conforms exactly to the language used in AIA Documcnt A-310, February 1970 Edition. BID70000ZZ0701f CAL?FORN?A ALL-PURPOSE ACKNOWLEDGMENT State of California County of Orange On 2-??-? ? before me, Barbara J. Bender, Notary Public Date Here Insert Nama and Tttle o/ the OHieer ' personally appeared Rebecca Haas-Bates who proved to me on the basis of satisfactory evidence to be the person(a) whose name(. is/ere subscribed to the within instrument and acknowledged to me that +re/she/they executed the same in +tia,'her/fMeir authorized capacity(ties), and that by his/herftiaeif signature(c} on the instrument the person(a}, or the entity upon behalf of which the persona} acted, executed the instrument. ?-'-_"?. BARBARA J. BENDER I certify under PENALTY OF PERJURY under the laws _ ?'„?-? *=® Commission se 1801893 of the State of California that the foregoing paragraph is ?`_i°T" Notary Public -California true and correct Orange County ? My Comm. Expires Jul 13, 2012 WITNESS m d an icial e Plata Nota seal Above Signature ry Signature o otary Publk OPT/ONAL Though the information be/ow is not required by law, it may prove valuab/a to persons relying on the document and cou/d prevent fmudu/ant removal and reattachment of this lorm to another document. Description of Attached Document Title or Type of Document: Bld Bond Document Date: 2-1 ?-? ? Number of Pages: One (1 ) Signer(s) Other Than Named Above: All American Asphalt ___ Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas-Bates O Individual -? Corporate Officer -Title(s): - C Partner - L Limited O General O Attorney in Fact u Trustee Guardian or Conservator _? Other: Signer Is Representing: __ ___ Fitlelity antl Deposit Company of Marylantl Top of thumb here Signer's Name: i 7 Individual r7 Corporate Officer -Title(s): _ O Partner - O Limited C? General C? Attorney in Fact L Trustee u Guardian or Conservator O Other: Signer Is Representing: Tap of [numb here ®2007 National Notary Associafion • 9350 De Soto Ave., P.O. Box 2402 • ChaLSworlh, CA 913132402 • www.NalbnalNOtery.org Pltem p5907 Reorder Call Toll-Free t-a00-B]6-6827 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Riverside On February 21, 201 1 before me, Debbie A. Matsen, Notary Public Dale Hera Insert Hama antl Title of the Off cer personally appeared Robert Bradley Namesy9 of Signer who proved to me on the basis of satisfactory evidence to be the person(yf) whose name(et? is/are- subscribed to the within instrument DEBBIE A. MATSEN and acknowledged t0 me that he/sHeftHeq executed the same in ,O' "'` Commission # 1775685 his/I?rRheiF- authorized capacity(i?} and that by his/4?er/Nmcir- -m Fa , s" Notary Publ! ? - Calltornla ? signature(yt) on the instrument the person(s'), or the entity upon behalf ?:°?ti,. Rlverslda county '- of which the person( acted, executed the instrument. My Comm. E?Ires Nov 22, 201 l I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my hand and official seal. Signature????? ? Q . Place Notary Seal Above ??gnature of Notary Publ?< OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond. City of Santa Ana Document Date: February 17, 201 1 Number of Pages: 1 Page Signer() other Than Named Above: Fidelity and Deposit Company of Maryland Capacity(ioe) Claimed by Signerl;? signer's Name: Robert Bradley o Individual ;? Corporate Officer -Titles,/}: Vice President o Partner - o Limited o General o Attorney in Fact o Trustee o Other: Signer is Representing: All American Asphalt Signer's Name: o Individual o Corporate Officer -Title(s): o Partner - o Limited o General o Attorney in Fact o Trustee o Other: Signer is Representing: Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by WILLIAM J. MILLS, Vice President, and GREGORY E. MURRAY, Assistant Secretary, in pursuance of authority granted by Article Vl, Section 2, of the By-Laws of said ny, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the da? tq ?ereby nominate, constitute and appoint William SYRKIN, Rebecca HAAS-BATES a????r??? f Irvine, California, EACH its true and lawful agent and Attorney-in-Fact, to mak ???? I- e?-v ? - behalf as surety, and as its act and deed: any and all bonds and undert o ?, ecu - r. or undertakings in pursuance of these presents, shall be as binding upon??i?}-?c?rr? 1 y d ? 1 ents and purposes, as if they had been duly executed and acknowled ?J ? ? y ele ompany at its office in Baltimore, Md_, in their own proper personF=???er txf ??ttI?rln??¢?s? ? . e on behalf of William SYRKIN, Rebecca HAAS-BATES, Sergio D. BECHA _d Fem-.?? itA?I? ed April 8, 2008. The said Assistant ????gfYd?s?#ie?eby certify that the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By-L s said Company, and is now in force- IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 25th day of September, A.D. 2009. ATTEST: - 'gyp DEP O,{?? .? ?? . ? ?.. ? i r 1lfD 4 ,r.?? State of Maryland 1 ss: City of Baltimore f FIDELITY AND DEPOSIT COMPANY OF MARYLAND fT? ? r , ? tL2,Li--; Xi '£1 i By: Gregory E. Murrcry Assistant Secretary William J. Mills Yice President On this 25th day of September, A.D. 2009, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came WILLIAM J. MILLS, Vice President, and GREGORY E. MURRAY, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. ??? a ?! ! !':?'o r`;' h ? ? ??? ( ?"`` ' /i/I 1? 11 Maria D. Adamski Notary Public My Commission Expires: July 8, 201 1 POA-F 0'12-0033 EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice-President, or any of the Senior Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice-Presidents, Assistant Vice-Presidents and Attorneys-in-Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations, policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortgages,... and to affix the seal of the Company thereto." CERTIFICATE I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND- - This Pow?r_of Attomey and Certificate may be signed by facsimile under and by authority of the following resolution of the -- R-card of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called ,:?n,d }field on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, this 17TH day of FEBRUARY 2011 Assistant Secretary A _?- R - r ,;, ? ,,; CITY OF SANTA ANA ?` _ PUBLIC WORKS AGENCY ?` ''1,.," ? ? 20 CIVIC CENTER PLAZA (M-36) ?"" - ? - SANTA ANA, CA 92701 TRANSMITTAL COVER SHEET DATE: February 18, 201 1 SUBJECT ADDENDUM NO.: o1VE PROJECT NO. ??-7509 REMARK PAGES MAIL S: ATTACHED: ? STATION: PLEASE REPLY VIA E-MAIL OR FAX TO: E-MAIL ADDRESS: mly@santa-ana.org PHONE N O.: 714-647-5665 M-36 mly@santa-ana.org NOTE: UPON RECEIPT OF ADDENDUM, PLEASE COMPLETE AND FAX OR SEND VIA E-MAIL TO THE CITY OF SANTA ANA ATTENTIO Mindy Ly FAX NO.: 714-647- N: 5635 I HEREBY ACKNOWLEDGE RECEIPT OF ADDENDUM NUMBER: ? PROJECT c `-}ywide "?5??en?1-ia.t ??re•.e,?- Q,?,Pczi r P??-e ?S NAME: P?o`j ?ee-t- lVo. ll--?SO? ???-?,,???+ (f ?1 l h?l+ (signature it taxe SIrAIATI IR?- PRINT NAME: Ro fi ?r .1 ,?? T DATE: I Cbru4rS/ 1S, aVLJ I"I I LE: ???{ QneE;j 1, ,-,- MAYOR Miguel A. Pulido MAYOR PRO TEM Claudia C. Alvarez COUNCILMEMBERS David Benavldes CaAos Bustemante Michele Martinez Vincent F. Sarmiento Sal Tinaiero February 17, 201 1 CITY OF SANTA ANA PUBLIC WORKS AGENCY M-36 P.O. Box 7 98B Santa Ana, Callfomla 92702 CITY MANAGER David N_ Ream CITY ATTORNEY Joseph W_ Fleh3ier CLERK OF THE COUNCIL MaAa D. F4dzer ADDENDUM No. ONE SUBJECT: PROJECT No. 77-7509: Citywide Residential Street Repair -Phase 15 The following change has been made to specifications of the subject project: Specifications 1. Page 19, Section 2.09 PULVERIZE & CEMENT-TREAT EXISTING A C BASE AND SUBGRADE. Revise the second paragraph of CEMENT APPLICATION section to read as follows: "The cement content shall be 5% (five-percent) based on the dry unit weight of the pulverized material. The dry unit weight of the pulverized material shall be determined by California Test 312 (Design and Testing of Classes A and B Cement Treated bases) Appendix L. At least 15 working days prior to beginning the pulverization and cement treat operation, the contractor shall submit cement treated mix design from core samples to the Engineer. The mix design shall be prepared under the supervision and signed by an Engineer licensed by the state of Califomia. The contractor shall determine the rate of cement content to be added to the pulverized material as part of the mix design. The Engineer may order an increase or decrease in the specified cement content when conditions warrant such action. For bidding purposes, the cement content is assumed to be 5.0 percent and dry unit weight of 130 pounds/ cubic feet." All other terms and conditions remain the same. FOR THE CITY F SANTA ANA .i' / a/' ? ? JCV? George Alvarez City Engineer - ? > -. Exhibit 15-G 1 Local Agency Bidder UDBE Commitment (Construction Contracts) N()TF:s PL?AS? REFER Tn iNSTRi7CTinN? nN THE REVERSE Si nF (?F THiS FnRM n y GENCY. l i???? ?K??}q ? Vlp LOCATION: F?I'ls<P_ I ? ?L-SI ???1 { i Q, ? ??'. ?i e_ R _ ____ -_ _ . --- -- OTAL CONTRACT AMOUNT: $ ? •, O aI ?) 2 ?I S ID DATE: ??brv rn?l_? ? ,?/?L ) IDDER'S NAME:_?1,???1r j C?V1 ?- .ONTRACT UDBE GOAL: R I ? 70 ONTRACT ITEM NO. TEM OF WORK AND DESCRIPTION R SERVICES TO BE ert. No_ of UDBE D EXPIRATION AME OF UDBEs (Mus[ be certified on the date bids OLLAR AMOUNT DBE UBCONTRACTED OR MATERIALS ATE are oprned -include UDBE address - O BE PROVIDED and hone number ? s+. ? - 1 O 4 ti Er.l oil Tr• II Y 203 D D or Local Agency to Complete: al Agency Contract Number: Participation $ 20 3 S 8 3 .9 0 ederal Aid Project Number: ederal Share: I $ cJ o/p ontract Award Date: al Agency certifies that all information is complete and accurate. Rot>?r-F ??edl?ylYic?P i 'nt Name Signature Date Signature of Bidder _ cal Agrncy Representative Area Code Tel hone Numb r / 1.?5? ?.3 LO-? 10th : e or C81tr8ns Review: Date 223/ I 1 (Area Code) Tel. No. Print Name Signature Date - Caltrans District Local Assistance Engineer Local Age>wy Bidder -UDBE Commitment (Rev 3/09) u?stnounon: l+? ropy - rax or scan a copy to the caitrans 17?stnct Local Assistance Engineer (DEAF) within 15 days of award. Failure: to "- _ smd a copy to the DLAE within 15 days of award may resu]t in de-obligation of funds for this project. (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 29 Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Financial Statements PDF's Annual Statements Quarterly Statements CA Supplements Company Complaint Company Performance 8, Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1400 AMERICAN LANE, 19TH FLOOR SCHUAMBURG, IL 60196-1056 800-382-2150 Old Company Names Effective Dat¢ bacK to top Agent For Servic¢ KAREN HARRIS C/O CORPORATION SERVICE COMPANY 2730 GATEWAY OAKS DRIVE, SUITE 100 SACRAMENTO CA 95833 back to top R¢f¢r¢nc¢ Information NAIC #: 39306 California Company ID #: 2479-4 Date Authorized in California: 01/01/1982 License Status: UNLIMITED-NORMAL Company Type: Property & Casualty State of Domicile: MARYLAND back to Lop NAIC Group List NAIL Group #: 0212 ZURICH INS GRP back to top Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY CREDIT FIRE LIABILITY Page 1 of 2 http://interactive.web.insurance.ca. gov/companyprofile/companyprofile?event=companyPr... 3/ 15/201 1 Company Profile MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION back to top © 2008 California Department of Insurance Page 2 of 2 http://interactive.web. insurance. ca. gov/companyprofile/companyprofile?event=companyPr... 3 / 15/201 1