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HomeMy WebLinkAboutPALP INC. DBA EXCEL PAVING COMPANY (6)a w U o w U P U ?z ow a? o? ? V wo ?p Wo? ai Recording Requested By, And When Recorded Mail To: Clerk of the Council, City of Santa Ana 20 Civic Center Plaza, P.O. Box 1988 Santa Ana, CA 92702 Recorded in Official Records, Orange County Hugh Nguyen, Clerk-Recorder VIII IIIIII III VIII VIII IIII VIII VIII VIII VIII VIII VIII IIII III IIII NO FEE * $ R 0 0 0 5 8 3 0 1 4 3 $ 2013000270354 8:23 am 05106113 82 417 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 G 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 construction of JEROME PARK SECURITY LIGHTING PARKING LOT AC WALKWAY & FENCING IMPROVEMENTS under contract entered into on JULY 2, 2013, with EXCEL PAVING COMPANY, on which contract FEDERAL INSURANCE COMPANY is surety. The property on which such work improvement was placed is in the City of Santa Ana, County of Orange, State of California, and described as Project Nos. 12-7527, 12-7528, 12-7529, & 12- 7530 located at: MCFADDEN AVENUE & CENTER STREET. The work improvement on said property was accepted as completed on APRIL 26. 2013. A CORPORATION Dated: City Engineer TITLE VERIFICATION I, the undersigned, say: I am the City 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. (Signat ute of mdeviduafs,eanng that the contents of Notice or Completion are tnue.) Executed on at Santa Ana, Californi GG THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN (10) DAYS AFTER COMPLETION CLERK OF COUNCIL USE ONLY: JULY 2, 2012 TITLE: CONTRACT AWARD FOR JEROME PARK IMPROVEMENTS: (PROJECT NOS. 127527, 127528, 127529, 127530) NON GENERAL FUND CITY MANAGER RECOMMENDED ACTION APPROVED ? ?-?'? As Recommended Io?3? 0 As Amended 0 Ordinance on ?s< Reading 0 Ordinance on 2"d Reading ? Implementing Resolution 0 Set Public Hearing For_ CONTINUED TO FILE NUMBER Award a contract to Excel Paving Company, Inc., the lowest responsible bidder, in accordance with the bid quantity prices in the amount of $738,173 for construction of the Jerome Park Improvements. 2. Approve a funding analysis with a total estimated construction cost of $958,613_ DISCUSSION Jerome Park is located between McFadden and Monte Vista Avenues. Amenities include the Jerome Center, the Southwest Senior Center, a swimming pool, ball fields, handball courts, playground equipment, picnic areas, restrooms and walkways- The portion of the park south of Monte Vista Elementary and east of Center Street has experienced an increase in activities and is in need of improvements to better serve the community- The improvements include upgraded lighting, replacement of vinyl fencing, walkway repairs, slurry seal of the south parking lot, striping and signage, ADA curb ramps, and new ornamental fencing and gates along the City and School boundary line. The fencing improvements are per the City's joint use agreement with Santa Ana Unified School District. The Notice Inviting Bids was advertised on May 20 and 21 , 2012, with outreach efforts made to 19 Santa Ana contractors. Bids were opened on June 6, 2012. A summary of the bid notices and bid results follows: Contractors requesting bidding documents: 25 Santa Ana contractors receiving notices: 19 Total bids received: 3 Bids received from Santa Ana contractors: 1 Contract Award for Jerome Park Improvements July 2, 2012 Page 2 NAME OF RESPONSIVE BIDDER 1. Excel Paving Company, Inc_ 2. United Paving, Inc_ 3. Hondo Company, Inc. CITY BASE BID AMOUNT Long Beach $738,173.00 La Mirada $767,187.00 Santa Ana $783,382.00 A total of three bids were received and all were deemed responsive. The bid documents require the contractor to be selected based on the lowest base bid. The lowest base bid was submitted by Excel Paving Company, Inc_ for $738,133. ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended action is exempt from further review. Categorical Exemption Environmental Review No. 2011-76 has been filed for this project. In addition, a Certification of Categorical Exemption and a 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 $959,573 for the project (Exhibit 2). Funds are available in the Community Development Block Grant Fund (accounting unit 13518783-66220) APPROVED AS TO FUNDS AND ACCOUNTS: -Raul Godin II Executive ector Public Work Agency / ?sr Francisco Gutter ?s?, Executive Director Finance & Management Services Agency --df? Gerard Mouet Executi Director Parks, Recreation, & Community Services Agency RG/KW Nancy T. E ards Interim Exe tive Director Community Development Agency Exhibits: 1 . Project Location Map 2. Funding Analysis l__7._.._.T,._.._..T..__ T- I 0 Z O 0 P MONTE VISTA ELEMENTARY? o? I? w Z, U ? - ? JEROME ? RK c C' _, EXHIBIT 1 S A N T A ANA `."^? ? rv+La.. ? rL.. •`^'-' r-?.,r? _ JEROME PARK IMPROVBuIENTS P W A AGEf? (PROJECT No. 127527) sECURITf LK31-fTINC3 ? ? JULY 22012 (PROJECT NO. 127528) PARKING LOT PUBLIC ?owKS AGENCY (PROJECT NO. 127530) AC WALKWAY _. r--.._.._..__ .. ___S--=?.T.__..T.._._.T.._._.T-_T.._?.._._.T_.._-? ------ __? - J `l L.? n ?? i i J c?--; /N ORANG /2 0W ? CO 3 G o z v PAGE 1 OF 1 , Exhibit 2 FUNDING ANALYSIS PROJECT NOS. 127527, 127528, 127529, 127530 JEROME PARK IMPROVEMENTS Construction Contract Contract Administration Inspection and Testing Survey Staking Contingencies $ 738,173 $44,288 $54, 360 $1 1 ,072 $1 10, 720 TOTAL ESTIMATED CONSTRUCTION COSTS $958,613 :;; ,,_.:..? ??t T. F l A .....?'.=;?fr'. c:-:'rr;vt i?:?A? <.?,1t??pW=G 'R.F(!,?ka? ary ?'1 tee... ? y ?? V7 m F i.?Yv.?' n • !I?s i,'• ? S ':'?1 } f?^? ? . ? .. ?a .r i1 .. ^ t ? 4 .? 7 ,.. -} i _: ? ? u i "c?" ? +4T %'^ ..kh ?.. a Ly ?? .. o g ? 3 4 7 t? 5 ' av _.p : ? r q e.. ? .. .m> Y .. c ,..> F ? t {t8]a. j ,? ?? _ ? $ S 1• ?I? THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Teleptwne (714) 796-7000 /Fax (714) 796-6059 PROOF OF PUBLICATION (2015.5 C.C.P.) State of California ) County or ORANGE ) ss Notice Type: BID -NOTICE INVITING BIDS money, and thN IM rate o1 Atl DaSCrip[io n: wags Ior eadr oan or gyps Jerome Park Improvements er crock or mechanic mployetl ura« INS mnlracl mall Da as specnad und« lhs anent dstertrdrugona o1 the Dspartrrwnt of Labor a CNS#: 231 7973 apace rw cuing sla mp only Racal year. TNa ro t Ma a apaclRc voal o/ u perosrrtega atoll apply 1o Ms antlrs met of eerir p cl. TM UDBE mmmitmenl form Ezhibit 1SGt rroy ba eubMlted silk the bid proposal. M Ihs UDBE loan Is Rol Nerrrinad with the Nd, 1ne apparem bw bide«. ihs second low bidder, era Me third tow bidder moat mmdete and submit the brm m Ne Clty. TM Form muss M rocslyed by IM Ciry later Ihen the bms spa cigetl ,n the Fed«al Itl:ypLliq awls o/ d SpeohrJtulons rmiahed pon al Ns Pubic :y oountar. F4el 1 am a citizen of the United Stales and a resident of the Slate of CaliTOmia: I am wnsre a rsoapan?y wrdsb Mlwe.n over the age of eighteen years, and not a party to or interested in the above Federal era Slats proyail'ep entitled matter. 1 am the prinGpal clerk of the printer and Publisher Of the THE wage ?u• the Vglrer o?sre two prevaiting W t.s REGISTER, a news paper published in the English language In the cit of y shah apply. E h ia SANTA ANA, count of ORANGE, and ad'ud ed a news a 9 Y J 9 P Par Of eneral ac e atoll be ma m sc circulatbn as defined by the laws of the Stale of CaliTOmia by the Superior oshrafs NnM neck psy.Ne m IM clry or s.ne Court of the County of ORANGE, Slate of CallTOmia, under data 1 7 /? 9/1905 /v+e? or bltl bona Issued by e , Case No. A21046. That the notice, of whiU+ the annexed Is a rlnled c P opy, has mrporaee surary, for an amount not leas than ten bean pubiished in each regular and entire issue of said newspaper and not In permnt (+oxj or li+a any supplement thereof on Iha fdbwing dates. to-wit: e00regale or IM Na, es e gasranlee N.t the eloOER .rill enl> inb lhs proposed mnlrset it the mms is awardetl u him. TM •lgrulure I the Bg)DER n tM bb bond moat M . wtadraa_ Tne Cny Gpun JI reaervee the right m reject ..,y or N 05/20/20 ? 2. OS/2 x/20 t 2 b1tl° The wccesaNl BIDDER rAra1 mwaa a obtain a lid r?timrnle Claa A Cp\[racmi a priOf b Ma achadulstl swab dale of Nls Executed on: OSY2?/2012 At SANTA ANA, California I certify (or declare) under penalty or perjury 1ha[.!i correct. /1 is [rue and work to be r [Na cpnv« Ibe regWn on 3 0! the h must the ?rolscr? -?erome Park Checks acs no longer a spied Addentle will be issued by email b tMSa who reoeiyed CDs dlreWy lrom IM Public work. AgeecY DO NOT GALL fs11RCNA51NG ONggN REGARDING PUBLK: WORKS AGEMCY PROJEGTE. arzo. v2vt2 cNS-aa+yvTall THE RE615fER 11111111 IIII IIIII IIIII IIIII IIIII INII IIIII IIIII IIIII IIIII IIIII IIIU IIII IIII yt A 0 0 0 0 0 2 6 6 4 15 8 7 +r MAVOR Miguel A. Pulido MAYOR PRO TEM Claudia C. Alvarez COUNCILMEMHERS David Benavides Carlos Buster mante Michele Martinez Vincent F. Sanniento Sal Tinajero May 31 , 2012 ADDENDUM No. ONE _.`- -???'? ? CITY OF SANTA ANA PUBLIC WORKS AGENCY P.O. Hox '1988, M-36 Santa Ana, California 92702 INTERIM CITY MANAGER Paul Watte rs CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D.HUizar SUBJECT: PROJECT 12-7527 - JEROME PARK SECURITY LIGHTING IMPROVEMENT PROJECT 12-7528 - JEROME PARK PARKING LOT IMPROVEMENT PROJECT 12-7529 - JEROME PARK AC WALKWAY IMPROVEMENT PROJECT 12-7530 - JEROME PARK FENCING IMPROVEMENT The following changes have been made to Plans and Specifications for the subject project: Plans 1. Sheets 4 of 9 (FE1 ), 8 of 9 (E1) and 9 of 9 (E2): Replace with the attached: Sheets 4 of 9 (FE1 ADDENDUM ONE), 8 of 9 (E1 ADDENDUM ONE) and 9 of 9 (E2 ADDENDUM ONE) Saecifications 2. Pages BP-1 thru BP-3 of 37 Bid items: Replace with the attached: BP-1, BP-2 and BP-3 of 37 3. 2.00 Soecial Provisions -Construction Ornamental Steel Fence: Page 23 Replace with the attached: Page 23. 4. 2.00 Soecial Provisions -Tree Trimming: Page 25 Replace with the attached: Page 25. All other terms and conditions remain the same. FOR THE CITY OF SANTA ANA nn_>? Souri Amirani Interim City Engineer CITY OF SANTA ANA ADDENDUM NO. ONE PROJECT 12-7527 - JEROME PARK SECURITY LIGHTING IMPROVEMENT PROJECT 12-7528 - JEROME PARK PARKING LOT IMPROVEMENT PROJECT 12-7529 - JEROME PARK AC WALKWAY IMPROVEMENT PROJECT 12-7530 - JEROME PARK FENCING IMPROVEMENT PROPOSAL &c CONTRACT AGREEMENT BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: I?? €??I..a? REQUIREMENT: The undersigned declares that he/she has carefully examined the location of the proposed work, that he/she has examined the Plans and Specifications and read the accompanying instruction to BIDDERS, and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any), specifications and special provisions, for the unit price(s) or lump sum(s) set forth in the following schedule: Item # Bid Item Unit Quantit Unit Price Amount Project 12-7527 (Security Lighting) 3'? 3C?? 3?91 3?- " 1. Security Lighting 1- LS I Qip$?_k8?•aT_$?-?-?--°--?? Project 127528 Parking Lot Improvement 2. Unclassified Ex. * CY 60 $ Is , ? $ ( ? ? -- 3. PCC Curb Type B- 1 LF 70 $ '30? $ 21 OC1 4. PCC Ramp SF 550 $ ?1 $ ?Q)'17 5. REAS Slurry Type II GAL 735 $ 37. ' $ 'L, IqS ?7 Gt7Q 6_ Signing and Striping LS 1 $ $ ?OdO-- 7. Recycled Plastic Wheel Stops EA 55 $_(p3, ? _ $ 3?{(?? 8. Regal Mist Plant (5 gal) * EA 1,500 $ (Q,-? $ 27 Q,0 -" 9- Gold Medallion Tree ? EA 18 $ '?Q ?_ $-??O ? 10. Brisbane Box * EA 12 $ ??,? $- _3_S?_`{r?_ TO BF, INCLUDED IN 13ID PACKAGE BP 1 of37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL 8r CONTRACT AGRI=EMFNT BID PROPOSAL, continued Item # Bid Item Unit Qua 11. Landscaping LS 1 12. Irrigation LS 1 ] 3. Landscaping and Irrigation LS 1 Maintenance 14. Remove Trees in Parkway (between EA sidewalk and parking lot) Proj ect 127529 AC Walkway Improvements 15. AC Pavement * TN 16. Cold Mill * SF 17. Decomposed Granite * TN 18. Root Shave LS Project 127530 Fencing Improvement 19. Furnish and Install 8' Ornamental LF Fence (include footing) 20. Construct PCC Mow Strip LF 21. Furnish 8c Install Double Swing Gate EA (with accessories for chain lock) 22. Furnish and Install Pedestrian Gate EA (with panic door hardware, pads, and lever locking devises) 23. Remove and Dispose Existing Fence LS Fabric for New Chain Link Vinyl- coated and Remove Existing Fence and Posts for New Ornamental Fencing 24. Remove and Dispose Existing Fence LF (include fabric, posts, and Footing) 6 ADDENDUM NO. ONE y Unit Price Amount $ 2?-?1U0? $ 'L'2a1Vp - 570 $ 113 ? $ (D-(?-110? 21,000 $ O.SS $ \\S SUS 7 $ 320. - $ 22`-1 v 1 $ !oG Go - $ (04100 620 $ l32' $ ? ? 0y? 620 $ 21- bo --- $-_?3c2 2 $_ `-?U00? $--?52? 1 $ 5530_ $ S S30 1 $ 123c?t?- w?'4-?cJV _'__ 875 $ 8 ' $ ?lC?b TO BE INCLUDED [N I3ID PACKAGE BP 2 of 37 CITY OF SANTA ANA ADDENDUM NO. ONE PROJF_CT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantity Unit Price Amount 25. Furnish 8r Install Chain Link Fence SF 11,290 $ `?, $ ?S (IaQ ' Black Vinyl-Coated 26. Furnish 8r Install 8' Chain Link Post * EA 5 27. Furnish and Sleeve 2' Post Onto EA 60 $ (p?. ? $ ?,1 Existing Post 28. Furnish 8t Install Bottom Bars * LF 1,100 $ S .?% $ (pQ?' 29. Scrape, Clean, and Paint Chain Link LS 1 $ \(a( $ ((ZLX30 Fence, Posts, and Bars ,3b l_ v , c4 TOTAL BID-------------------------------------------------- ---------------------------- $ -tai 14i1 eq2 -' * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to " the 25%" limit as stated in Section 3-2 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, a nd the Agency reserves the right to increase or decrease the quantity of this item accordingly. t This bid item is considered a Specialty Item per Sect ion 2-3.2 ofthe Standard Specifications- PROJECT 12-7527 - JEROME PARK SECURITY BIDDER LIGHTING IMPROVEMENT Firm. PROJECT 12-7528 - JEROME PARK PARKING PikLP !NC. DBA EXCEL PAVING COMPANY LOT IMPROVEMENT 2230 LEMON AVENUE Address LUNG BEACH, CA 90806 PROJECT 12-7529 - JEROME PARK AC WALKWAY IMPROVEMENT Phone (562) 599-5841 PROJECT 12-7530 JEROME PARK FENCING IMPROVEMENT Fax FAX (562) 591-11485 Email C-) v? rc-_ tCn .(1. TU1/ ^0j v BIDDER Signature TO 13E INCLUDED IN BID PACKAGE. BP 3 of 37 i_ F. m10wri, 10 RESIDENT CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California COUnty of i r,S AngQl ec _.__ ____ On ?UN - 6 2??2 before me, L. Phil_li is, No tar Public l --?------ - - - - __ _ _ _ __ __ -' - --- _ -- -- - - (lierc +nsert tarot and UUe of tlx Dill cat ) personally appeared C . P . sr who proved !o me on [he basis of satisfactory evidence to be lice persons whose nanie? is/? subscribed to the within instrument and acknowledged to me that hr:/sktsJxt?cexecuted the carne in hislfo?Etkxeis authorized capacity(??s,?, and that by his/It?3lx?g signature( on the instrument the personO, or tilt entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State ofCalifornia that the foregoing paragraph is true and correct. ,,, ?y C F HILLIPS t+ 1, t COM'vt #1C+?1?75F3 r+ WI"I'NESS m hand and official seal. (,?"'`-_?? NctarYF'ubl -taiiforn?9 y ?,:{},,.?? x LOS ANC LIE at:Ollt'1'Y ? ?C$y? My Corn m, Cep ut' +\:^ 7 ? 2(712 j( (N Diary Seal) - - ?v?h,w..-,.c -c. ,... _. ,.. ..?::;+, S:?etza?e?f Notary Publ+c v ADDITIONAL OPTIONAi, INFORMATION [NSTRLJCT[ONS FOR COMPLETING "hHIS I=OR_M Ca!- in mw/ contain verbiage uactly ar DESCRIPTION OP Tl3E A"iTACHED DOCUMENT (Title or description oC attached documenQ (Title or description of attached doe+uneot continued) Number of Pages __._ Document llate__ ____ _. _. (Additio r+al infonnatio n) CAPACITY CLAIMCD )3Y "i'HE SIGNI'.I2 C7 Cndividual (s) C7 Corporate OIl-icer (Title) [ 7 Partner(s) L7 Attorney-in-Fact [? "h[tIS CCC(S? CJ Other Any acknow/edgmeru ca,rg>Ie red to tjorn al3,e?s nb ova in the notary tech on or a separate acknowledgmeN jorm murr be properly completed oztd attached fo that document 77,e oNy uception is ij a doevmenl u fo 6e recorded or?tside of Calijo -nia /n such instances, airy a/tern?ive ackrovledgmenrl verbiage rss may be printed on such a docwneN sa long ar the verbiage daes nor require the notary to do something [haf it i!legd jot a notary in California (i. e. cerrifyfng the authorized capacity of the signer)- Pfease check ilia doc-umenf carejullyjo? proper notarial wording altd attach (lilt form ijregvired_ State and County information must be ilia State and County where the doeumenl sigr:cr(s) personally appeared be Co re Ute notary public for acknowledgment. Lyate oC notarization must be Ure date Uml Ux signer(s) lxrso natty appeared which must alw be Ute same date Ute aclutowlcd gment (s co mpl eled. "nc? notary public muss pruu his or her name t>_s it appears wiU+in his or her cornntission followed by a corrune and Uten your title (notary Public). Print U+e name(s) of document signer(s) who Ix nonally appear al the tune of m>Inrilalinn Indirnte the correct singular or plur.+l Co nos by crossing o(T in eolrert fo rn+s (i. e. 1wJShcllhey- is /ere) or circling the correct forms. Failure to Corr telly indicate this i nlommtion may Icad to rcj cction of docu meat recording 'i?hc no UUy seal impress ion must tx clear and Photo graphically rep rod+wibl c. Impression must not co}?cr text or Tinos. 1C seal impression snuulgcs, re-seal if n suffi ci C,nt area permits, olhcnvisc co mplc+c a dill ?rcnt ack no.vl cctgnrcnl form. Sign nrtue of the. notary public mull match the sigi+++ure on file. wiUl the olllec. of the county clerk. Additional in(urnuuion is not rryuirntl but mould help to ensure this mknowledgment is not misusod or attached to :. dUTerent document. indicate title or t1'Ix of aline lied dexunwnt, nundxr of pages arul dale Indic:ne the capac ity claimed by the signal If Ute clnlrnod ealw city is a curlxxale ofh?ccr, indicate the title (i. c. CIiU, c'Pl), ticcrcuu}') - tic+-uioh' anach this document to Ute signed dex'.unx+nt 2 C?8 Vcrs ion C'.A1'A v1210A7 ROO-N73-9ftG5 wwtv_N Diary ('.lassos tom CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT LIST OF SUS-CONTRACTORS Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: - Streets, highways including bridge projects; ''/z% of the bid or $10,000, whichever is greater - Buildings, parks, or other projects: ''/z% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: NAME [?J?,(Uji SC'P Co, LOCATION ??i?vlty?,?n ??ji? PHONE TYPE OF WORK ? $ ?Qj2,? NAME ? c, LOCATION PHONE TYPE RK ? l thl . $ NAME C.? - LOCATION ?k'I,?/? ?. PHONE 3y 'l TYPE OF WORK (? rt$ -?'O S'S1) NAME 'Q... LOCATION ' v? PHONE 5 \ TYPE OF WORK $ ? NAME l1P (i LOCATION PHONE (QZ,(Q lO l33 ???'• l?.D??1 TYPE OF WORK ?L D??J.e.? $ 2?5-111p Name of Firm u rt 'ng Bid Signature of BIDDER ?_ p_ ??;nyy;; PRESI'JE?`i r NAME A-l_lwnQy?? fCnl.? LOCATION <<? ?? Q_Q?? PHONE Z TYPE OF WORK L(!? $ NAME ?? LOCATION '. PHONE TYPE OF WORK NAME .1-- (? rya.. ? LOCATION PHONE ? a at0 TYPE OF WOR $ D ??x NAME 1P(i1Arelhn¢.t...! (.l3 Lti.?J-1yC?(' LOCATION M t??. L thna PHONE \y 2 ??l l TYPE OF WOR ? S $ 9_? 45Go ? ?? NAME LOCATION PHONE TYPE OF WORK BP 4 of 37 TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA PROJECT 12-7s27, 12-7s28, 12-7s29, 12-7s30 PROPOSAL 8c 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 are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. All terms contained in the Specifications, the Certification of Non-Discrimination by Contractors, and the Workers' Compensation Insurance Certificate are to be incorporated by reference into this Agreement and are made s??ig6 mart of this bid. ?CCEL PA\i7i?!d'a CO?PAltl?/ Name of Firm Signature of ??, BIDDER Title ?-?`• ?f%DS+Y (if an individual, so state) TO BE INCLUDED IN BID PACKAGE BP s of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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.) Q111r ? Brown President and Chisf Executive dRoK P14?P: Il?'C•I2?li ? Curtis P. Brown III Vioe President and Chief Operating OAicar r George R. McRas Yoe President CORPORA710N Awarded tot ???? ??,- ?? • On the basis of bwest responsible ai responsive bidder in the amount of $ ?"3 8/'7"3 ACTION OF COUNCIL: Date ? 20 ATTEST: ®/ /? / CLERK OF THE COUNCIL APPROVED AS TO FORM: CITY ATTORNEY ACCEPTED FOR THE CITY OF SANTA ANA: EX TIVE DIRE TO PUBLIC WORKS A CY BP 6 of 37 TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 (THE BIDDER :S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXEC UTION OF THOSE CERTIFICATIONS WHICH ARE A PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION ??Li? iltiG.??A The BIDDER ?3tG?3L PA?'al'atii GORJIPAPlY proposed subcontractor ,hereby certifies that he has ? has not ,participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11 114, or 1 1246, and that, where required, he has filed with the Joint Reporting Coin inittee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal E?nployinent Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (4l CFR 60-1.7(b) (1)), and must be submitted by BIDDERS and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1 .5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed Prune 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, LJ.S. Department of Labor. TO BE INCLUDED IN BID PACKAGE BP 7 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: I . The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for e?nploy?nent, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 1 1246 of September 24, ] 965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 1 1246 of September 24, 1.965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law_ TO BE INCLUDED IN BID PACKAGE BP 8 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR (continued) 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor nay request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, No discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed ??", ??__ _J Title ';. ?. '?f3C??tE?d, r"e•;+,?.?IC?R¢T lyf?E.?'. It?l?.?8 Firm ??C!_ i'??"3k"?? C®nlA?l?19( Date 11IN - R ?M? TO BE INCLUDED 1N BID PACKAGE BP 9 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT WORKERS' COMPENSATION INSURANCE CERTIFICATION As required by California Labor Code Section 1860 and 1861, the Contractor certifies as follows: I ain aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this contract. If I, as the Contractor, now or at any time during the course of this agreement, qualify as an employer under California Labor Code Section 3300, unless the hired employee(s) is (are) persons excluded by said Labor Code, I shall furnish the City of Santa Ana with an insurance certificate from my workers' compensation insurance carrier certifying that I carry such insurance 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. ?p Signed ?-_T . ? „__ J ^e"", '"^s'3'601C?, r'?i°,? ,;ICEpQT Title Firm l???l. 1'64°v+"??+?? ?()$°??d1!'?( Date TO BE INCLUDED IN BID PACKAGE BP 1 O of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT REFERENCES The following are the names, addresses, and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two years. 1. 2. (?? ''(?,??,Q Wll?dr ?.A'? l?t? \ V ?vu] QA.?. ? 1A"?d VINJ ?a- \nd .?ddre?? f o?o? ??? ??? Name and Telephone Number of person fa iliar w th pro' ct. Contract Amount Type of Work Date Completed 3 - ??? lAN1(?, P?c?(.!? 333 ?C?.W'?) me and Addres of owner. 1JVl h? ?.L?11d.6?K1i? ??L? SZO [Q ?(o?i Naive and Telephone Number ofperson f ?niliar with project- 1 (Q b'S 320 ?.?.v? Z ? ??a.lo 3 ? 20 L 1 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDD?ER-i^ntends to procure insurance and bonds. X20 ?l'ar?t s ?.re? ?, .?cc.. 2,0? ? ? y' ? ?o Gt (g?a? ?syo c>?-?.O TO BE INCLUDED IN BID PACKAGE BP l ] of 37 Name and l ele one Number of erson familiar wi project. 1 'l 6?1 ? l? \?ou? S S ? 01 ? 30 ? ? ? Contract Amount Type of Work DD-a? ompleted CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding en?ploy?nent of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall: 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the e?nploy?nent and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council. Signed ( ?-r' _ ?`?t.?r-/ Title Firm ?'-??`? ?k'.???? ? ???+4{?64?°' Date n i ni _ TO BE INCLUDED IN BID PACKAGE BP 12 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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 1 12 and Public Contract Code 71.06 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, coin?nunication, 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 f(a`lse?ce`rt?ification may subject the certifier to criminal prosecution. Signed ?\ 1 ?-Z..r?v--? P? ?F>'14Y'J ?2®?c-ir??T? State of California County of?E? Subscribed and sworn to (or affirmed) before me on thisV\??61Od?ay of 20 by I'•P• PROWl?I ,proved to me on the basis of satisfad o?'?ry evidence to be the person(s) who appeared before me. _ ?.r C. PHILLIPS "' _ COMM. if1809758 y 4 Notary PublicCelltornle ? LOS ANGELES COUNTY ? My Camm, Espirs Aug. 16, 2012 Notary Publi 'gnature Notary Public Seal C. Phillips, Notary Public TO BE INCLUDED IN BID PACKAGE BP 1 3 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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 give up any part of the compensation to which he/she is otherwise entitled. Signed ?`"??%?-,? ? Title e'?? OG? Firm 'f_?E PGeF'I;ztla ('t?E?PAIfi( Date I I I N- 6 2012 TO BE INCLUDED IN BID PACKAGE BP 14 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT CONTRACTOR'S LICENSING STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that the following is true and correct. Contractor's Name: +"?'+?? ''•ivV• d-iaA i=,?°.C'tL PAVWG C(IMPANY Business Address: l?1VG BEACH, CA 90806 Telephone: State Contractor's License No. and STATE SIC. 688G59 "A- Class: Expiration Date: ?j/- 7j\-'L?1? Signed: C ?. ??> ^.,?!". !?al„CJ'A?F?+, ?TE lGi'-.DQT Title: ^e"''. ??I=a3'?+l?t?1,'°?°a~SICLPl1f TO BE INCLUDED IN BID PACKAGE BY 1 5 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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. 1701 u (Section 3). The purpose of Section 3 is to ensure that einployinent 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 ] 35. TO BE INCLUDF_D [N BID PACKAGE BP 16 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMEN"f SECTION 3 -CONTRACT CLAUSE continued E. The Contractor will certify that any vacant e?nploy?nent positions, including training positions, that are 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 HUD's regulations in 24 CPR 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 Act (25 U.S.C. 450e) also applies to the work to be performed under this contract. Section 7(b) 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 award of contracts and subcontracts shall be given to Indian organizations and Indian-owned Economic Enterprises. Parties to this contract that are subject to the provisions of Section 3 and Section 7 (b) agree to comply with Section 3 to the inaxi?num 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 area in which the project is located (Orange County). A public housing resident is defined by regulations as Section 3 resident, regardless 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, minimum goal for each project is 30%. TO BE INCLUDED IN BID PACKAGE BP ] 7 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT SECTION 3 -CONTRACT CLAUSE continued The Contractor/Sub-contractor/Service Provider by the signature affixed hereto declares 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. C? ? art Sign?atu{re y? / - u c?e ,?.e ? . 4? \ G ? ? Cam/ Signature 't;<o ?"_ Tl''a t14??d? i?a'rE?f: ?ss$T Print Name and Title MICHELE E_ DRAKULICFIF ASST SECRETARY Print Name and Title Signature Print Name and Title JUN - 6 X012 Date TO BE INCLUDED IN BID PACKAGE BP 18 of 37 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles On J?JN - 6 2??2 before me, C. Philligs_._ Notary Pub1 i c (lien Wert name and UUe o(thc ofT?cer) personally appeared C_P_Brnwn anti Mirhr,la F ?rak.rliri-r who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) it9tare subscribed to the within insttvment and acknowledged to me that #aeia#vef2hey executed the same in l?is>dsor/their authorized capacity(ies), and that by r/their signature(s) on the instrument the person<s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ?_?.._, .•a. . ---?--?? WITNESS m hand and official seal. c. F HII Limos t ?9r ?. COMM iY FiC19ISLt n Y ':L.y ? y, Notary Pub?lr-?".a lllroYnl3 ? - ? '? ?` LOS ANGFI E o OO?INYY ?- (iJOtary Scaq ?": My Comm. FxC vr?s 4ug 10 9C717.? .St g1L?r'' O NOtAly PUbIIC Pi ?°"'°' ADDI'T'IONAL OPTIONAL, INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or dac?iption oC ascot had document) (Title or description of attached doeunreot wrttinued) Number of Pages Document Date (Additional vtforrtration) CAPACITY CLAIMED BY THE SIGNER O Individual (s) O Corporate Officer Ptl7*n C.f(S) C7 Attorney-in-Fact O Trustee(s) O Other INSTRUCTIONS FOR COMPLETING THIS FORM Airy ocblow/edgrrreru conlp/ered in C_u/(fornio ores! contain rerbirge esoctry as appears obese v the rotary atetron or o teparofe ocbrow/edgrnerrt jarnr moat De property colnpJered and attached to that docvmenr. The orJy rsceptfon is If a docwnerv i.r ro be recorded orrLride of Calijo.•rrio_ /n such Jrutmrcu, awry drernavive acaarow/edgmerY verbiage os may be printed on such a dacwnent ao Tang as the verbJage does nor require the rotary to do aawrerh/r{g that 4 I/Iegd jar o notary In Ca/ijorrria (i. e. cerr(1`yfng the ara/rorized ea)paclry of the signer). Pleo_re check the docvmeN careful/y jar prcaper notarid wording acrd avrach Urla jrxrn !/required • Stale and County information mtut be the State end County wtrere the document signer(s) personally appeared before the notary public-lot acknowledgment • Date of notarization must be the date that the signer(s) pusonally appeared which must also be the same date the acknowledgment u completed. • The notary public must print his or her name as it appears within hLs or hot commission followed by a cornrru and then your title (notary public). • Print the name(s) of docurrxnt signers) who personally appear st the time of notarization. • Indicate the cortect singular or plural forms by crossing oR incort+ect forme (i. e. hdshe/Utey;- u /ere) or circling the cortecl fo nos. Failure to correctly indicate this information rosy lead to rejection of document recording. • lie notary seal impression must be clear and photographically reproducible. ?npress ion must not cover text or lines. If seal impression smudges, re-seal if a salt cient arcs permits, otherwise complete a difTerent ackrwwledgment form. • Signature of Ure notary public must match the signature on file with the office n( Ute county clerk. ?• Additional information is not required but could help to eruurc this acknowledgment is no[ misused or attached to a dUTrtent document. Indite le title or type of attached document, number of pages and dale. ?t Indicate the capacity claimed by the signer. If the cleirmed capacity is a co rlwra le offwer, indicate the title (i.e. CEO, CPO, Socretary ). • Sec urcly attach [his Aocumont to the signal dcx:ument 2008 Version C'AYA vl2.1 U.07 800-873-9665 www Notsu yClassc_s cam CITY OF SANTA ANA ??. PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROJECTS GENERAL-The Work herein p uposod will be firmed n whole or in pat with (This form need not be filled in if all joint venture firms are minority Federal fund,, and therefore all ofthe 4ah it- riles arid regulations promulgied by owned.) the Federal Government and applicable to Work financed in whole or in pert with Federal funds will apply to such work. The "Required Contract Provisions, Federal-- 1. Naive of joint venture Aid Canstrrrtion Contracts, "Form FHWA 1273, are included in this Section 14. Wlhernowir- in said required contact prwisicrts references ere made to "SHA Confinctnhg officer," "SHA r®dait engineer," or `drnhonzPd representative ofthe 2. Address ofjoin venture SHA," suds referents shall be construed to nnean `9'7lglneer°' as defined it Section 1-1.18 ofthe Siadad Spadfiratiors PERFORMANCE OF PREVIOUS CONTRACT' - In addition to the 3. Phone number ofjoint venture provisions in Section II, "Nodisaihh'v-nation," ad Section VII, "4ibleitino or Assigning the Contract" of the required oor>tiact povisiors, the Cormactor shall oattply with the follow g: q Identify the fimhs which comprise the joint venture. (The DBE partner must complete Schedule A) The BIDDER shall exeaum the CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS located in the a. Describe the role ofthe DBE firm in this joint venture. proposal. No request for subletting or assigning any potion ofthe eortract in excess of$10,000 wiII be oornidered underthe prwisior is ofSectiart VII ofthe mq med contract provisions unless such request is accompanied by the CERTIFICATION re fcrredto above,exearmd by theproposed sutmoor>dactor. b. Describe very briefly the experience and business qualifications of NON{)OIai1SION PROVISIONS -The provisory in this section are each non-MBE joint venture: applicable to all contracts except contracts for Feda-al Aid Secondary projects. Tide 23, United Staffs Code, Section 112, requires as a condition precedent to 5. Nature ofthe joint venture's business approval by the Federal Highway Adnninisti-atix of the cordact for this work that each BIDDER file a swo n statement executed by, or on beha lf of; the person, ferny ' .? ? a association,, or mtporahm to who n such contract is to be awarded, certifying dhat such person, ftln, association, or corporation has not, either directly or irt-directly, 6. Provide a copy of the joint venture agreement. entered into any agreenx2rrt participated in any collusion or otherwise taken any actionnesiraintoffeeconghelidvebidding inconnection with thesubmitiedbid.A 7. What is the claimed percentage of DBE ownership? form tD shake the notrmllusion affidavit slate nett requited by Section 112 as a certification trader penalty ofperjury rather dxi n as a swan stalerneit as permitted by 28, USC, Sec. 1746, is included in the proposal. PARTICIPATION BY DISADVANTAGED BUSINESS 8. Ownership ofjoint venture: (This need not be filled in if described ENTERPRISES IN SUBCONTRACTING -Part 26, Tide 49, CodeofFedeial in the joint venture agreement, provided by question (6). a Profit and loss sharing Regulations supplies to this Federal aid project. Pertinent sections of said Code ere b. Capital contributions, irxcogxraledinpattorinitser'mtetywithinodxrsedionsofdnesespecialProvisions. including equipment. Sdiedrde B - I nfonrration for Determining Joint Venture Eligibility. c. Other applicable ownership interests Attachment Exhibit A- FRI 8m-97 TO BE INCLUDED IN BID PACKAGE BP 19 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CON"TRACT AGREEMENT 9. Cattrol ofartd participation irr tliis oa?m-act Idattify by rrmie, race, sex, and "firm" tlrose rtrdividuaLs (avrd they titles) who ere tesportsible for day?o-day nrar?rgsna? and poly deci9on rnalcing,vtc4dvtg, Na,ne but not lunimd tq those with prune respor>SStbility for. a Financial dec?siats Sigrra6 b. Martaganar[ decisiats, such as: 1. Esdn?ine 2. Malcetirrg and sales 3. Hiring and firing ofrnar?err>a-rt 4. R ?rasvrg ofrn?"rja? itatis or supplies c. Supervision offield opaatiats Note: Ii; offer filing this Sc}tedule B arrd before the aornpktion ofthe joint verthrre's worts on the cortttxt covered by this regulamott, tttae is arty significarrt d rartge in the inforrr?on submittec), the jortrt venhue must inform the grarrh? eitlta- directly or through the prune mnUacYOr ifihe joint vattrde is a stdxailtathx. ??iaFzvil "llte tatdasigtted swr?r that the foregoing SIaIa'na'ILS are correct and include all tnaDYaial infatnalion rteoessaty ft identify and explain the terms and opaafion of otrc joint venture and ttte irttatded participation by each joirrt va rh>r? in the tardatakirrg FtuU?ra-, the widersigned oovenan[ aril agree to provide to grantee ewrait, complete and aoct><•ale information regarding actual joitrt venit,ue work and the payment therefore and arty prgx?ssed changes in any of the joint venhue arrangen>er-tts and to permit the audit and exarnirtation of the books, records, and files of the joint venLue, by autha-ized relxr-..?serttatives of the gnu-ttee or the Federal firnding agency. Arty ntataial mistepresentafia? will be grotntds for terminating arty mrthad which tray be awarded and for initiating action wider Federal a State laws atrtoetning false slaQanertLs " Atladurtent Cxltdtil A- F f22 8-07-97 Name TiUetl Dale 17? Slate of Courriy of On this dory of 20? before me appeaed (rtat-rre) ib tme palatally IQ1pWn, who, beirrg drily sworr>, did exeaile the fuegourg affidavit aortd did stale that he a she was properly aw}taiarl by (Name of fir•__. to execute the affidavit and did so as his or her free act and deed Notary Public Comrnicsion expires [Seal] lya? Staff of Cowriy of On this _ day of 24 before me appeared (Name) to me persatally latown, who bevrg sworn, did execrr? the foregoing aiffidavit and did s4te that he a she was properly attthaized by ?Nante of fine) to execl.r? the affidavit amd did so as his or her flee ad and decd. NoAa<y Public Commission et?ites [Seal] BP 20 of 37 Name ofFUrn Sigrraaitre Name "IStle TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA PROPOSAL AND CONTRACT AGREEMENT PROJECT 12-7527, 12-7528, 12-7529, 12-7530 TI"I'LE 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; leas 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 ofllcial misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space C v_ 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. `, C? Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. ?S,I?R a?4'G.I? Name of BIDDE???`" ?????? ?????? Signature of BIDDER FED.8-22-88 Date??tni ? oo,? ? _ F . BROW t?F ?.r?r - qtr- P R E S I !7 E. a TO BE TNCLUDED IN BID PACKAGE BP 21 of 37 Exhibit 15-G1 Local Agency Bidder UDBE Commitment (Construction Contracts) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F AGENCY: Cite of Sanla Ana LOCATION: Jerome Park PROJECT UB:SC'RII'l"ION: PROJL.C"1? NO. 12-7527 Jero me Park Se curity Liehtine Improvemcr!! p 2 f0"1"AL PE DEKAI. CONTR AC"I' AMOUNT: $ -I ?O ' ? ? .7 r9O -f BID I>A"I'E: ?j_/??? L r i_k f/?iC.. r?tjf?4_= '?AVI 1 '- ?' ?? 1 /G C?/?p? ?a3i3ril AV NUS ? ' ' BIDDER'S NAME: ?ilG? 'PA•1//? CpYYlPlctilJl i ? 9 ?J = y7 L ?( H' O ? ?y -1 CA 'ON"f RAC"1' UDBIS GOAL O I ? ? SOS : • O 'ONI?KAC''1' ITL'-M OP WORK ANl> DESCRIPTION en. No. of UDBE NAME OP UUBL's DOLLAR AMOUNT ITEM NQ_ R SEKVICES TO BE ND EXPIRATION Must be certified on the date bids UDBE 'UBCONTRACTEll OR MATERIALS DA"i'E re opened -include UDBE address i0 BE PROVIDED nd hone number _ 00 - -____ ...._- _ LLllnWll•!1 _ N -C? Ull 1 - OZTT>? N N\•i 1.+4- P ?l IOZ(o - SIO - 1 3 S- $ t S QSGkp S o 0 ' t&1Y2. uS 4t ? V 71 -9 - i For Local Agency to Complete: Total Claimed $}, ??5??•OO Local Agency Contract Number: Participation Federal Aid Project Number: Federal Share: .. y?% .ontracL Award Datc. Local Agency certifies [hat all in lonnation is complete and ace ura[e- . ? y,_ _ ? ? I PRESIDENT Print Name Signature Date - Signature of Bidder Local Agency Representative JUN _ ? ???? ?J?7Zj S?-5Qd7 (A ea C d )T l h N b r o e e e one um er: For Caltrans Review: Date (Area Code) "fel. No. Pnni Name Signature Date Caltrans DISLn Ct I.OCaI Assistance Engineer Local Agency 73 id der- UD131i Commitment (Rev 3/09) D?stn buL On_ (1) Copy -Pax or scan a copy Lo the Caltrans Distn ct Local Assistance Engineer (DLAE) within 7 5 days of award. Failure to send a copy to the DLAE within 15 days of award may result in de-obligation of funds for this project. (2) Copy -- Include in award package to Caltrans District Local Assistance (3) Original -Local agency tiles TO BE INCLU?)?D IN BID PACKAGE BP 22 of 37 Exhibit 15-G2 Local Agency Bidder DBE Information (Construction Contracts) (Inclusive of all DBEs including the UDBEs listed at bid proposal) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F ? !•l?e Q' GENCY: City of Santa Ana I OCA"I-ION: >erome Park ?' . 1w ? - ' PROJEC 1 UESCRIP"ZION: PROIE-C"F NO. 12-75271 P' k Sect ? 1 ? I t' 1 nn n e t?''-'?V(j ?LA? C?F?uf °??'/l?/(?• ?„ ? ?Mp? OTAL. PEDIRA1. CON"I'KA CL AMOUNT: $ _? H??? I 13 ? __ ?? BID DATE: [¢ ?O[¢?[Z BIDDER'S NAME: GX C.-cl? P?V[/y? ?tl• ?• 1 ?1 ONTRACI' I"I'EM OP WORK AND DESCRIPTION ert. No. of DBE NAMG OI' DBEs DOLLAR AMOUNT ITEM NO. R SERV ICES "f0 BG ND EXPIRA"PION Mus[ be certified on the date bids DBE 'UBCO NTRACTGD OR MATEI2IA LS 1>A"I74 re opened -include DBE address ?O BE PROVIDED nd hone number __- 1 - _ _ _.__ ? ?J1L?? FOPd? plant-ESS - o L C 't? ?,s 1 - Fr tk..i -7 6° taus rll M q- G.4 i For Local Agency to Complete: "Total Claimed ? $3yy?3 Local A enc Contract Number P i i i _ g y art c pat on Federal Aid Project Number Federal Share: , LL,,__ TAP % ontract Award Dale: Local Agency cerG Pies that all information is complete and accurate. - ++ ? ? ????? Print Name Signature Date Signature of Bidder Local Agency Representative (Area Code) Tele hone N b .IUR - 7 2012 css21 ss?-sIIas um er_ For Caltrans Review: Date (Area Code) Tel_ No_ Print Name Signature llate Caltran9 Dislri Cl Local Ass is Ca nee Engineer Local Agency J3idder-DBE Inform anon (Rev 3/09) U is[n but?on: (1) Copy -Fax or scan a copy w the Caltrans District Local AssisLa nee Engineer (DEAF) within 15 days of award. Failure to send a copy to the ULA L' within 1 5 days of award may result in de-obligation of funds for this proj ect_ (2) Copy -- Include in award package to Caltrans Districx Local Ass islance (3) Original -Local agency (Sles TO BE INCLUDED IN BID PACKAGE BP 23 of 37 Exhibit 1 5-G 1 Local Agency Bidder UDBE Commitment (Construction Contracts) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F ' r GI?NCY: City ol Santa Ana LOCATION: Jerome Park ?;? ?? -lCp ?s sL, q ? ?p%? ??' PROJFC'f DI?SCRIPI'LON: PROJEC'"I' NO 7528 J 12 P i k i ?d? ' erome . - ur : Par ne Lot lniprovement ? ! ??? I'O"PA 1. ITDERAL CON"TRACT AMOU N7?: $ ?3?J !7'Tl • ?? ? /S/ ?`F/V?/C?/?,q? ? 6ID DATfi: ?O ????1 '?Rr._ ??°?q _ ? ???'?5' s7p ?/ /??, BIDDER'S NAM1?;: ?.Jr P /?/ ?jfY)'/p '?°'sy ONTRACf UDBE GOAL: ? ?? ? O 'ONlRAC7? ffl'iM OP WORK ANI> UESCRIP'f10N 'c rt. No. of UDB1 NAMC OI= UDBEs DOLLAR AMOUNI? ITEM NO. R SERVICES TO BE ND EXPIRATION Must be certified on the date bids UDBE SUBCONTRACTED OR MAl?1:RIA LS DA"I?I-; re opened -include UDBG address _ f0 BH PROVIDP,D nd hone number ? -t RtGtL_- L G 312-77 8 ? •O . - _ -- - - -_ _ _ _ _- -- -n.l????_- -- ---- - _ q N - 3S T - 3 L ? - t'R.R? / 5 Kt4.7o r8 -? Y - S/SZ . ybt For Local Agency to Complete: Total Claimed $ 3yySZ3 00 Local A cnc Contract Number: g' Y Participation Federal Aid Project Number Federal Share: ?? 'ontract Award Date: Local Agency ce rGfies [ha[ all information is complete and accurate. "_ B? ?? r?R?S1DEA7T Print Namc Signature Date Signature of Bidder Local Agency I2epresenta live (Area Code)Telc hone N mbe 11t,1 q ?1q '?UlV -? LO1L f????5"?-?41 u r: For Caltrans Review: Date (Arta Code) Tel. No. Print Namc Signature Date Caltrans District Local Assisla nee Engineer Locx?l Agency Bidder -UDBG Com miiment Q2ev 3/09) utsin ounon: t t) copy - rax or scan a copy to me canrtns utstn ct Local Assrs[anec I;ngmeer (ULA L-) wrthm 7 5 days of award. Pail ure to send a copy to the DLAE witliin I S days of award may result in dc-obligation of funds for this project. (2) Copy -- Include in award pnckage Lo Caltrans Distract Locai Assistance (3) Original -Local agency 191 es TO BE INCLUDED 1N BID PACKAGE BP 24 of 37 Exhibit 1 5-G2 Local Agency Bidder DBE Information (Construction Contracts) (Inclusive of all DBEs including the UDBEs listed at bid proposal) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F GHNCY: _4'ity oC Sa mta Ana I.OCA"PION: Jerome Park '? ?' °W9_ '{ • '"ff Q? J Nye ?C r PROJECT UL-SC'I21 P'1'ION: 1'KOJ EC''I' NO. 12-7528 J • o ' P' k Parl:?ne I t I pro c t ?'(s ?1?+ --- Cd t ?? ?? . -y? `? 07 AL I?LDLRAL CONTRACT AMOUNT: $ ? ?l gJ I-7 3 - ?? 1?L'? G+?'f "?CO,C? ??'???F i ? BtD DArr : (o?Olol/Z ?w'j ?'?=?ri? _ ? ,p,? , .??y?}' r !? BIDDER'S NAME_ ?X? ??}•V?I? ?Q]'Y/PAyNC? ONl"12ACT ITEM OF WORK AND DISC'KI P'IION 'ert. No. of DBE NAME OP DBL-s DOLLAR AMOUNT Il'EM NO_ li SERVICES T'O BG ND EXPIRATION Must he certified on the date bids DBE U BCONTRACTED OR MATIiR IA LS DATE re opened -include DBE address 'O BE PROVIDED nd hone number t ? CA - to - g - ?i - Ti GT ? SFr7 °jO 4t SsZ t45 }a-A,(? ,4- -7 1 - 9 - 'f I For Local Agency to Complete: Total Claimed O6 $ 3`i`(sZ3 Local A enc Contract Number: g Y P i i i _ art c pat on Federal Aid Project Number. ?? Federal Share: % ontract Award Date: Local Agency certifies that all information is complete and accurate. ? J F; B ? p?,,jl ; ? ??cc?r-?cs;-•. Print Name Signature Date Signature of Bidder Local Agency Representative tt,,?? r? .??IV - B ?0?2 (Area Code "Pete hone Number_ ?JFJ ELI :79?-08-x.9 For Caltrans Review: llatc (Area Code) Tel. No. Print Name Signature ? Dale Caltrans District Local ASSISta nee 1-:ngincer Local Agency bidder- DBI Information (Rev 3/09) D?sin UUt?on_ (1) Copy- Fax or scan a copy Co The Caltrans llisirict Local Assistance Engineer (DLAE) within 75 days of award. Failure to send a copy to the DLAE within 15 days of award may result in dc-obligation oC funds for Chis project. (2) Copy -- In cluck in award packo gc to Caltrans llistri ct Local Assistance (3) Original-Local agency tiles TO BE INCLUDED IN BID PACKAGE BP 25 of 37 Frd?l?t([ fin i a Pro EyhB i r„eer i n8 I nc626 8 ?(? 06/06/2012 13:52 X105 P .?-1/001 CALIFORNIA Fl20FEl5S???[?..?, ?N`GINEERING PHONE: (626) 810-1338 929 OTTERBEIN AVE LINiT L- FAX: (626) 810-1322 LA PUENTE, CA174E ' 12-206 LIC. #793907, A 8t C-10 ; 8(a) Certified Email: van@cpengineeringinc.com CERTIFIED DBE/LIDBE/SBE CT-03 1277 BID SYNC S1?II3E # 1171220 EXPIRE 07-0 I -20 13 PROJECT NAME: JEROM? PK IMPROVEMENTS PROJECT No: 12-7527 TO 30 CITY, STATE: SANTA ANA, CA BIB DATE: 6/6/2012 B1D TIME: 2 PM 'f f-jE".7f?"'?"BYS'CJBiI'tI`Z?S?F£C.?7rF'I?,/T270NS (F.5`rJ'?4Lf'I7rF.S; iZT?D ?P1R_O(£'OS`E r0 7'`Ll??7.57f`L'IfE Li"1?I30?IZ_%11/Z'7? .`N2C`F SS/"S?R`Y7"0 00MPL?E'ZrE (L'7fE ?F"CJ r?.!!"rGilrn?? rrrtr(.. ?. ? ....... ......... `R7/TL /"17VZD rEQ'(JI?P?YfF7V'Z' NOTr.: i?XCLUI7tiS I30ND I'R T'MI71M; tILL, PI?'RMITS SIC:NAGT--;, I.gN13 CLUSUKI=S, WAll12; ANI? e1NY TNSPI?CT1C?N I-'13F,S. TI?ILMS? DU1: <k. PA YAL3LF, 7N 3U T>AVS UPON C'OMPLR'1'IUN; I_S°o 1??1UNT1iLY 1NTPd2 HS'1? WfLl. APP7_,y 'I'H H'I2T;Ah"CG I2 EXCEL PAVING Fax # (562) 591-7485 Attn: Estimating Re: Jerome Park/SANTA ANA Kato Landscape, Inc. proposes to install landscape and Irrigation for the a mount as follows: ITEM # DESCRIPTION ? UNIT UNIT PRICE TOTAL 8 Regal Mist: Sg 1500 ea $ 13.75 $ 20,625.00 9 Gold Medallion: 24b 18 ea $ 220.00 $ 3,960.00 10 Brisbane Box: 24b 12 ea $ 225.00 $ 2,700.00 11 Landscaping 1 LS $ 6,000.00 $ 6,000.00 12 Irrigation System 1 LS $ 17,000.00 $ 17,000.00 13 Maintenance: 60-day 1 LS $ 900.00 $ 900.00 17 Decomposed Granite: 7 ton $ 175.00 $ 1,225.00 TOTAL $ 52,410.00 Add Alternate: Install Topsoil (up to 18" depth only) 275 cu yd $ 27.50 $ 7,562.50 Conditions: J * Accept a debris free grade ±.10 * Demo, Removal, Clear and Grub by others " Excavation of AC / soil and disposal by others * No import, or export of soil unless stipulated In proposal * Grading by others * Connect to existing irrigation mainline * Connect to existing irrigation controller * Final AC patch works by others * No hardscape work, or by others * Repair damage landscape & irrigation due to construction by others * Protection of existing plant materials or landscape by others * No addendum noted * Traffic control and surveying by others * Site furnishing by others * Quote is based on sheet # 5-7 only * Sanitation facilities, storage, yard space and security to be provided by others * Quote is valid for 60 days after bid date * Contractor License # 806122 Should you have any further questions, please let us know. Exhibit 1 5-G 1 Local Agency Bidder UDBE Commitment (Construction Contracts) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F -. r, ,. GIiNC Y. 4 itv of Santa Ana LOCATION: Jerome Park '-' s ?' a- P120JIiC 1 UESCRIP'1'ION ' ?? : PROJFC I NO. 12-75i o m AC ?alkwav Improve t ?e ???????? ? I? 3 O '4(/ ? t,m,4 FjL, IOTA 1. FEDERAL CON7"RAC."1 AMOUN7"' $ 1 ?'hr L ? ? q? I31DDI-R'S NAME: ?C? p/+-?//? a?'?-,p? ./?/? o 'ONTRACT UU131c CiOA L: ?•??] !? 'ON"I"KAC"T 1"TEM OP WORK AND llESCKIPTION ert. No_ oCUDI3E NAME OF UD6L-'s DOLLAR AMOUNT 1"TEM NO. K SERVICES TO BE ND EXPIRATION Must be certified on the date bids UDBE SCJ [3CONTRAC'TL-D OR MATERIALS DATE re opened -include UDI36 address TO I3E PROVIDE-D nd hone number C?L.?G R.aCitC--- IN Cr RC-1 LA- / S-77Gp U -810- l Fl $- l3 I,A?pSCitOE S L t? LT 4Fr a o0 5 wrl -I _ 9h 3 - For Local Agency to Complete: Total Claimed 00 $ ?u? fC7? ? Local Agency Contract Number Participation • 1 ? -7 ? Federal Aid Project Number: Federal Share' ?? a/o Contract Award Date: Local Agency certifies that all in COnnaGon is complete and accurate. ? ?- P, ?R?Wf? ?RESIrJEh?T Print Name Signature Date Signature oT Bidder Local Agency Representative lUN _rry 2UlL !! L L Area Code) Tele hone N mbe ?JGL?S?P?SB?t u r For Caltrans Review: Date (Area Code) Tel. No. Print Name Signature Date Caltrans District Local Assistance Engineer Local Agency Bidder- UDB7 ? Com mit?nent (lieu 3/09) )istributionc (I) Copy- 1'ax or scan a copy to the Cal[raos District Local Assistance Engineer (DEAF) within 15 days of award_ Failure to send a copy to the DLAE within 15 days of award may result in de-obligation of funds for this prof cet. (2) Copy -- htclude in award package to Caltrans DistricC Local Assistance (3) Original -Local agency files TO BL INCLUDED IN SID PACKAGE BP 26 of 37 Exhibit 15-G2 Local Agency Bidder DBE Information (Construction Contracts) (Inclusive of all DBEs including the UDBEs listed at bid proposal) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F C L NCY- Cih? of Santa Ana LOCH"f10N: Jerome Park ?" is'+/s? Lr? r alk .v 1 p o ? '?'' ?VU ? Q ? }' P I I 7 C ?? ?? ????c 1-1 ? pp "'17jg O I'AL FI` D I?RAI' CONTRACT AMOI N"f' $ i? H Z' ? Q ?.` ? ?P°(?An " y? .' BID llA7 E: (Q. /O? , [Z ,97 r? BIDDER'S NAME' 1?? ??? N? W„'rA? l ONTIZAC'."1" ITEM 01= WORK ANU DESCRIPTION 'ert. No. of UBF_ NAME OP DBEs UOI_LAR AMOUNT ITEM NO. R SER VICES 'I'O BE ND EXPIRATION Must be certit icd on the date bids DBE SUBCONTRACTED OR MA"fCRIAl_S DATE reopened -include DBE address O BE PROVIDF_D rid hone number 1 '?'?R+ - t-l GT 31 c IA r?? eo LA- P G.4 bz(o - SIO - 8- I..ikr? ¢?1 ? C $ c? _ vo 8 7 For Local Agency to Complete: Total Claimed $ 3 3 °° ` / S Local Agency Contract Number P i i i . Y ' ? . art c pat on Federal Aid Project Number- Federal Share: /? !? % ontract Award Date: -.-_ -____. Local Agency certif5es that all information is complete and accurate. __ _ /? - ? P. BREW F. / F f tf ?RESID?.7? Print Name SignaWre Dale Signature of Bidder Local Agency Representative JUN - 7 2012 (Area Code) Tele hone Number: rss2) s9?-sII4? For Caltrans Review: Date (Area Code) Tel. No. Print Name Signature Datc CalLra ns District LOCaI A5Si5tanee Eng mecr Local Agency I3iddcr- DBC In fomiatio?? (Rev 3/09) u?stn bunon_ (I) Copy-Pax or scan a copy to the Caltrans District Local Assistance Engineer (DEAF') within ] 5 days of award- Fail urc to send a copy to the DLAE within 1 S days of awartl may result in de-obligation of funds for This project. (2) Copy -Include in award package [o Caltrans District Local Assistance (3) Original -Local agency rtes TO I3E INCLUDED 1N BID PACKAGE BP 27 of 37 Exhibit 15-G1 Local Agency Bidder UDBE Commitment (Construction Contracts) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F ya` ` G INCY: C rtv of Santa Ana I OCATION: Jerome Park - " ?y PROJEC I' UI SCRIPIION P1201HC I NO_ 1? 7530 Jerome Park Pe n cin?,Improvement C''Y??'?, ??(e?L' ?_. e 6 o G 1'OIA1. 1'L-DL:RAL CONTRACT AMOUNT: $ , 7t6 11-]3 _ ?F?C P?p'/ ? /v`?, ?.?i?r A ?? , ? y+ BID DA-fl??p?Q?,/Z •?? ??? t'f?'??'? ? ?''JJ /??? 6IDDER'S NAMI?: ?.XL?GC?]?/?VI 1•? ?-{Y Y(P?I'AIVI ON"f RACI" l1DBIi CiOA L: s-7? o?p ONl"RAC"f 1'1'EM OF WORK AND DESCRIPTION ert. No- ofUDBE NAME OF IJDBES DOLLAR AMOU N'f 1"fEM NO. R SERVICES TO BE ND EXPIRA"f10N Must be certified on the date bids UDBE IJBCONTRACTED OR MATERIALS DATE re opened -include UDBE address O BE PROVIDED nd hone number 1 G - t •1-f)..? CT 3 hc.-? Fd¢NtA P¢atF?sslor! Z oO __ 9Z4 CA Z!o - 81 _ 3 - G 87 00 82 ST_ v wlfA 7 rl For Local Agency to Complete: Local A enc Co t ct N b c d l $ 3`i?! =iZ3.°O g y n ra um er: Part pation i Federal Aid Project Number: Federal Share- ?? ontract Award Datc: Local Agency certifies that all information is complete and accurate. ? ??. ? RoW 1{ 'FESIDE?tT Print Name Signature Dale Signa Wre of Bidder Local Agency I2epresenta Live q ?UN - ?Q?? . p ?J?j2? sg3-5Q4 y A d l C T h N b rea o e e e one um er For Caltrans Review: Date (Area eoae> Tel_ Nn. Print Name Signature Date Caltrans DI$[rlCt local Assistance Engineer Local Agency Bidder - UDI3IZ ComminuenL (Rev 3/09) Distnbubon: (1) Copy - Yax or scan a copy m Che Caltrans District Local Assistance L-ngineer (DEAF) within 1 5 days of award- Failure to sand a copy to the ULAE within 1 5 days of award may result 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 QE INCLUDED IN BID PACKAGE BP 28 of 37 Exhibit 1 5-G2 Local Agency Bidder DBE Information (Construction Contracts) (Inclusive of all DBEs including the UDBEs listed at bid proposal) NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX F GENCY: C?i1v of Santa Ana 1_OCAIION: Jerome Park ? ?t???? `?/'If' ?'?? ' ?? PROJECT llESCR1I'"PION: PROJLCI" NO. 1 2-7530 J • o P E tt -- J ? arl: F ?rlg bnn o ? t t?"Alj? ??' V'??? ?C?? ? ? I"O"I"AI_ I?L-DERAL CON7"RACK AMOU N'f: $ -J 3?, l? ?j . ?? ???? !' ?? A?iP?(y'/?+ q' MIS '?? BID D TE ( D? /? Z ?? , ~?? • A : p ! Q v,y BIDDER'S NAME: ?C7CG?'L- PA"VI l??1 G?QYyl P?1 .ONTRAC"I' ITEM OP WORK AND DISC RIP"PION .art. No. of DBl: AMI4 OF DBls DOLLAR AMOUNT ITEM NO. K SERVIC'F:S l"O BF Nll EJC PIRATION Must be certified on the date bids BE SUBCONTRACTED OR MA7"ERIA L.S DATE ? re opened -include DBE address 'O BL' PROV IDI:D rid hone number ? E L6L?1 - CT 3 cq- A P® 2g5-J7 ,ee 6. ? E71{?{ ? n!E-e Ls1- - Slo • 13 & S- L DSCJ?-P>E - IR-¢I /I=I t o+? C 't f? IL o 8 -1 00 8"Z ST- 3-4[0l For Local Agency to Complete: Total Claimed $ 3yy 5Z3 °° Local Agency Contract Number P rti i G • . a c pa on Federal Aid Project Number: Federal Share: ``-- HCP ontrac[ Award Date_ Local Agency certifies that all information is complete and accu rate. /' -- P_ 9ROW48 ? ?? l'F.ESIDE?IT I . Print Name Signature Date Signature of Bidder Local Agency Representative 11A,11 ?I 11J - ? ZUl2 ' iV (JbL 1 59?-oi341 (Area Code) Tele hone Number: For Caltrans Review: Date (Area coae> Tel. No. Print Name Signature Datc CalCra nS District LOCaI ASSis Lance Engineer Local Agenry 6i?der- DI3E ]reformation (Rev 3/09) in sin ouu on: ? ? ? ?.opy -- rax or scan a copy to ine Caltrans IJ?sln ct Local Assistance Engineer (DLA E) within 1 5 days of award. Failure [o send a copy to the DI,A F: within 1 S days of award may result in de-obligation of funds for this project. (2) Copy -Include in award package to Caltrans District Local Assistance (3) Original -Local agency f71es TO BE INCLUDED IN BID PACKAGE BP 29 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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 awarding of any Federal contract, the making of any Federal grant, the snaking of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriate funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub-recipients shall certify and disclose accordingly. ??? BIDDER's Signa ure Firm JUN - 6 2012 Date • Standard I=onn LLL may be obtained from Caltrans and PHWA offices- TO BE INCLUDED IN BID PACKAGE BP 30 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT DISCLOSURE OF LOBBYING ACTIVITIES Com fete this form to disclose lobb in activities ursuant to 31 U S C 1352 1 . Type of Federal Action 2. Status of Federal Action 3. Report Type: ?] a. Contract ? a. Bid/other/application ? a. initial b. Grant b. initial award b. material change c. Corporate Agreement c, post-award d. Ban For Material Change only: e. Loan Guarantee Year quarter f. Loan Insurance date of last re rt 4. Name and Address of Reporting Entity 5. If Reporting En[ity in No. 4 is Subawardee, Enter Name and p'?rime Q Subwardee x Address of Prime: ? ALP 9PJC. ?f3A EXCEL f'AV?iVG C MPANY Tier , lrknon?t?Z?C LEMOM AVENUE Con ressional District, i knob BEACH, CA 90806 Con essional District, i known G. Federal Deparnnent/Agency: 7. Federal Program Name/Description CFDA Number, If a livable 8. Federal Action Number, irknotvn 9. Award Amount, i1'knrnrn 10. a Name and Address of Lobbying Entity b. Individual Performing Services (rrr/irfavg ?t3rsijcL?iPrsfirxvr Na C?irrfi?i fr>t ?m,?1r? MI) ??) (Ic>sl?rnnelnsliraiae, M/) attach Continuation Shee s ifnecess 1 1. Amount of Payment (check all that apply): ] 3. Type of Payment (check all that apply) $ Q Actual ? Planned ? a. retainer Q b. one-time fee 12. Fonn of Payment (check all that apply): Q c. commission Q a. cash ? d. contingent fee ? b. in-kind; specify: nature Q e. defer-ed value Q f. other, s ci 14. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or member(s) contacted, for Payment indicated in item 1 1: a[[ach Continziat[on Sheets [ necessar ) 15. Continuation Sheets attached: Q Yes o 16. Infanttation reques4?d th?ntrgl-t this form is atrti?tai?d by TNe 3 ] USC Section 1352. This disclostue ofktblrying activities is arna?ialtepresatlatiott offactupon Signature??. --._.-- wl-uchrelianoewasplaoedbythetierabovewhentttehar?.-tia?wasmadeorat?red into. 'This discbstae is regtr;tc.d putst.Ettrtto 31 U.S.C.1352. This infomtaHon will be E?C`?* Print Name v . ?' .. ? ?i (.? ? ie" , ? t _ tc?x>,ted to Hie Cortgtss setni?annttal ly and will be available for public inspection. Atry petsott who fails to file Hie requin3d disclostue shall be subjectto a civil penalty of Title not lessilran$10,OOOandnotnxxethan$100,000for®chsuchfailtae. 7'ele hone No. X562) 59$-5847 Date JUN - 6 20 Federal USa Only: Authorvxd for Local Reproduction ScvidaM F'onn - LLL. TO BE INCLUDED IN BID PACKAGE BP 3 1 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS (Form FH WA-1 2731 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 03Ai?'. CMIG_f7Bd4 Firm ?,?F? ®.? cwt .,? !'?'+ RPdlN,#rl Date TO BE INCLUDED IN BID PACKAGE BP 32 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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 knowledge and belief; that: (I) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal Agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, ainendn?ent, or modification of an Federal contract, grant, loan, or cooperative agreement. (2) If any funds other Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL*, "Disclosure of Lobbying Activities" in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub-recipients shall certj?ify and disclose accordingly. ?` }? R?_?? C'a!e', 9!.siil'tAlf~r, ?'i°.?.."`..tE??@T BIDDER Signature ` t ??.??? t'?? {? Firm JUN - 6 2012 Date *Standard Porno LLL. may be obtained from Gal trans or FIIWA offices: ' TO BE INCLUDED IN BID PACKAGE BP 33 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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 C ?. _?_? Title Firm ?X£o?? F?/?1a?a?aP1? C?N??dlR!°d Date 'TO BE INCLUDED 1N BID PACKAGE BP 34 oi' 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 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 ofperjury under the laws of the State of California that the BIDDER has has not been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1 101, with any public entity, as defined in Public Contract Code Section 1 100, including the Regents of the University of California or the Trustees of the California State University. The term "BIDDER" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. Note: The BIDDER must place a check mark after "has" or "has not" in one of the blank. spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed C Title a.'r' 4F;J`?111.1y "?'?-::dC?1RT Firm W'$@-? I",?:?f+.. .. ,... ?. i P; -xy re.4k Date JUN - 6 2012 TO BE INCLUDED IN t3ID PACKAGE BP 35 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes No ?? If the answer is yes, explain the circumstances in the following space. TO BE INCLUDED IN B[D PACKAGE BP 36 of 37 CITY OF SANTA ANA PROJECT 12-7527, 12-7528, 12-7529, 12-7530 PROPOSAL_ AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10232 STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board. Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed ?? Title ?'.?LP. ii?PC.l?A Finn ??& i?l? `Cl'?-? ??51??4?1( Date I I I N - 6 TO BE INCLUDED IN BID PACKAGE BP 37 of 37 Bond No_ Bid BOA BID BOND "Ibe American 7??:++.te orf Architects, AIA Document No. A31 O (February, 1970 Edition) KNOW ALL 1VIEN BY 'THESE PRESENTS, that we PALP Inc. dba Excel Paving Company as Principal hereina8er called the Principal, sad Federal Insurance Company a corporation duly org?izred under the laws ofthc state of Indiana as Surety, hen;inatTer called the Surety, are held and firmly bound u?o City of Santa Ana aS Obligee, hereinafter Called the Obligee, ill the S111ri of Ten percent of the total amount of the bid Dollars (S ? o% ), for the payment of which sum weII and truly to be made, the said Principe! and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, loaitly and severally, firmly by these presents. WFIEREA$, the Pnncrpal has submitted a bid for Jerome Park Security Lighting, Parking Lot, AC Walkway and Fencing _?(1 2-7527) NOW, 'II?RF?ORE, if the Obligee stall aooep?t the bid of the Principal and the Principal shall eater into a Contrac.-t 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 ConRiact Documents wish good and sufficie? surety for the faithfiil performance of such Coattacx and for the prompt payment of labor and material fiunishcd in the prosecution thereof, or in the event of the failure of the Principal to ewer such Co?ract and give such bond or bands, if the Principal shall pay to the Obligee the diiTerence 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 in perform the Work covered by said bid, thm this obligation shall be cull and void, otherwise to mmain in full force and e?ect_ Signed and sealed this 29th day of May 2o'I z PALP Inc. dba Excel Paving Company Witness P??1 (Seal) By: ???/e . ? . ?'.f;;.:)'9M?x, i'.t+?Si '?? Namtlritle Witness Federal Insurance Company /? ?y (Seal) ?? Dou s A. Rapp I ,gttomcy-iitFact ORSC 21328 (3/9'7) ACKNOWLEDGMENT State of California County of Orange ) On 05/29/2012 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(al) whose name( islafe subscribed to the within instrument and acknowledged to me that he%h?fthey executed the same in his/#?efF4herr authorized capacity(icsy, and that by hisair signature(y1) on the instrument the person(), or the entity upon behalf of which the person() acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. 0:4?ky COMM. * 1822117 ? NOTARY PBUGCALIFORNIA ORANGE COUNTY N Corms E?pires NOV 10, 2012 Signature a ??.o? •?? .?,??w?w'??? (Seal) Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY _?..?? Pacific Indemnity Company Warren, NJ 07059 Know All by These Presents, Thai FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, Cali?ornia------------------------------------------------- each as their true and lawful Attomey- in- Fact to execute under such designation in their names and [o affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds antl undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any instruments amending or altering the same, and consents to the modification or alteration oT any instrument referred to in said bonds or obligations. In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested the{se/presents a?nd?a?ffix?/e/d/?Nei?r cor//pJorate seals?on this 16th day of December, 2011 . /?iv?t-?zA Lam[. C?/L-i+ -A?i O i / `-- ( / Kenneth C. Wende ,Assistant Secretary ? .Norris, Jr., Vice President STATE OF NEW JERSEY County of Somerset ss. ?n th15 16th day of December, 2011 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY. the companies which executed the foregoing Power of Attomey, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say That he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attomey are such wrporate seals and were thereto affixed by authority of the By- Laws of said Companies; and that he signed said Power pf Attomey as Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Nonis, Jr., and knows him to be Vice President of said Companies; and that the signature of David B. Norris, Jr., subscribed to said Power of Attorney is in [he genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By- Laws and in deponent's presence. .Notarial seal KATHERINE J. ADELAAR ,? , ?? NOTARY PUBLIC OF NEW JFkSF? L ? ?? (? ? ?OZ1'? Nom, 2316695 -AyTG_ P ?`?O CofnfniWon Expires July ib, 2Oi4 ?? Notary Public bE1Ff JET CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY_ "All powers of attorney }or and on behalf of the Company may and shall be executed in the name antl on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, ?oin[ly with the Seuetary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any Assistant Vice Presitlent, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings antl other writings obligatory In the nature thereof, antl any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' 1, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies') tlo hereby certiry that (i) the foregoing extract o(the By- Laws of the Companies is Vue and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorizetl by the U. S. Treasury Departmertt: further, Fetleral and Vigilant are licensed in Puerto Rico and the U. S. Virgin Islands, and Federal is licensed in American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island: and (iii) the foregoing Power of Attomey is true, correct and in full force and effect. Given under my nand and seals of said Companies at Warren, NJ this 29th tlay of May, 20'I 2. a _?- r;• _ ? ??a r 4YOIANI' Y ra M6W p0.,tr Kenneth C. We el, Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903- 3656 e-mail: sure chubb.com Forrn 15-1 O- 02256- U (Ed. 5- 03) CONSENT CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of I t s AngP h o c --__ On SUN - 6 Z??2 ___ before me, personally appeared C . P . s C. Phillips, Notate Public _,. -?- (1{ere rnsert tame and UUC of Ut< olTice+) who proved !o me on the basis of satisfactory evidence to be Uie pcrson{? whose nalne? is/aoe subscribed to ttte within instrument and acknowledged to me that hels}tgacexecuted the same in hisfh?[dxeir authorized capacity(?gc,?, and that by his/Ft?zfah@ig signature( on the instrument the person(), or tlic entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJiJRY under the laws of the State of California that the foregoing paragraph is true and correct. ?, ?_ , ?_ L PHI LIPS 1( :? t?"l' CaMM R1 J71 .r3 n WITNESS my hand and official seal. "-_? + x`,f, ?/ c pry nubs <; +115 ornlrJ ? "t?.*?? Iyy?' LO.7 ANG I r C`fJ LIMI Y ?. f'?" i`Z My Cclmm C..plre?. nu . ,, "Uil (Notary Seal) r+o?..c?:._ .,°+v_?T ?, •, Sigpa (Notary Public ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM d Cd fo io mu_rr con[oin verbiage esactty as DESC12iPTION OF THE ATTACHED DOCUMENT or description ('r iUe or description of attached document continued) Number of Pages _ __,_ Document Date ___. (Additional utfo nna[io n) Arty acknow/edgmerrt comp/ere rn + rn appear., above in the rwtary .re crion or a .separate acknowledgmcN form must be /xoperly completed and attached to lhot do<TUmenl. 77re oNy e-?ceprion !s ij a doevmeN i.r to be recorded onr.ri de of Calijo-nia /n to ch inrtancea, airy a/ternmive ack„owledgrrervt verbi age as ,na)' be prirVed on such a docwnent so /ong os the verbiage doer not require the notary !a do something [hot is i/lega/ for a notary in CaltjorNa (i. t. cerhfjn ng the authorized capacity of the trgnerf_ Please check .the document carejWly for protxr notarial wording arsd attach thv form ijrequir¢d Stare and County information must be the State and County where the docurne nl signer(s) ir_rson ally appcnrcxf ha Co rc the notary public for acknowledgment. Dale oC no Wrizttlion must be the dart ttal U+e signer(s) I>crso natty eppcarcd which nutst alw rte Ute same date the acknowledgment Is completed. The notary public must pritu his or her name as it appears wiUtin his or her cornmiss ion followed by a co nano and Uten your title (notary public). • Pratt Ute name(s) of document signer(s) who Ixrsunally appear at the time of notnrvntion - CAPACITY CLAIMED BY -hHE SIGNER Indic;n tc Ute uxrcel singul,u or plural f6?nis by ct oss ing, o1T in co acct forms (i. c. ha's hehhey; Ls /are) or urcling the eorrcel forms. Failure to correctly indicate this [? Intllvld?a( (S? info nrmlion may Icad to rcJ cc:UOn oC ctocumcnl rcconfing.? [] COrpOrate ?frlCer 'ihe notary seal impression muss be clear and photographically rcproduublc. lmprr_ss ion must not cover Inxl or lines. I( seal intpress ion snwdgcs, re-sail iCn _. _.._ ___. __ -_. _- ___. _ su(TScicnl area pcnnits, olhcnvisc co ntpl etc :. dillen'n( ack no wlcctgmcnl form. (Title) • ti ign noire of the. notary public motif match the s?gn,tl are on Ille. wil1? the oil ice o [_ ? PaI"hlei(ti? the county clerk. ' [? AtlOriley-111-Filet Additional u+fi,n nation is not rcyuirt•.d but could help to cusurc this L? ?hrUSt0C?5) nek no wl nlgntent +s not misused or attach ed lu n diflmenl document •:• Ludicale title ur t}'Ix. of aline hcd dU`unxn t, nundx:r of pages utd crate [ J Ut11er _ _ _. - :- Indicate the cn parity cl ai rated by the. signe+ 11 Utc dnimed cnlweilq is a -- cor{xa'a lc ofllcct, indicato the tiUc (i c Cli(+, t-I't), Scct essay) - ----- .S teal rl?? ;Mach this docu meal In Ute signed drxum+'.n1 2(K1R Vcsion ('.1 I':? vl? 10 M 800-873-98G5 www Notar vClasscs cam PAl_P, INC. DE3A EXCEL RAVING COMPANY A GENERAL EN(31Nfl-.RING c'(?fV"IlZi\<'"lY)R S I-ATI L.1('I-NS1 N< ?,,ti,SnG??;A (502) 599-588 1 I 1'AX (502) 591-7,1,45 C.P. Brown, President 30+ ye?irs experience working ior. other general contractors with the past 32 years being self employed in own general engineering contracting business. - ?CUMBENCY AND SIGNATURE CERTIFICATE OF PAL P, iNC. The undersigned, Marcia S. Muter, being the duly elected and Incumbsnt Secretary of Palp, Inc.. dba Excel Paving Company, a California corporation (the "Corporation''), hereby certifies that the persons named below are, on and as date hereof, the duty qualified, elected and acting OBicers of the Corporation holding the office set forth opposite their namd below, such officers being aut}ior{zed to sign' in the name of and on behalf of the Corporation. Curtis P. Brown President and Chief Executive 4:YMcer Curtis P. Brown iii Vice President and Chief Opers+Hng Officer- Bruce E. Fla" Vice President and Chief Financial Officer Gorge R. McRae Via President Marcia S. Muter Secretary Michele F~ Dral un h Assistant Secretary of the da a set forEtb be1oRRREOF, the undersigned has executed this Certificate Date: January 27, 2010 CIA S. MILLER, S veta Bonding Agent: Rapp Surety Services 120 Vantis Ave, Suite 300 Aliso Viejo, Ca 92656 DOuglas A. Rapp Office: (949) 540-6770 Fax: (949) 540-6771 Contact: Surety: Federal Insurance CompenY C? ??? ?ePartrrterrt iga Street 23rd Fk),or F 00rio Los Angeles CA 90017 P.O. Box 30127 Los Angeles CA 90030-0 1 2 7 Insurance Caller: The W ooditch Company One Park Plaza Suite 400 Irvine CA 92614 Contact: William W ooditch Office; (949) 553-9800 Fax: (949) 553-0670 r'rtl ? Ic)l15 JOr3 RF.1=1 RI:N( ? .ti rr=, General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: David Cook Phone: 562/599-5841 Ext. 239 Fax: 562/591-7485 C`c?ntriclc,r's Nnn?r Pr?lp Inc. 1?I3;? [:xcc:l r';cvin? C?c, Project Name: Slauson Ave./SR-90 Impvts. Project Description: On ramp &- off ramp widening on SR90, Traffic Mitigation Added left turn on Slauson Signalization & Signing & Storm Drain Impvts Location: Slauson Ave_ @ SR90 Culver City, Los Angeles Construction Value: $2, 1 36,269.00 Date of Completion: 4/09 Owner Infornation: Playa Capitol Company LLC Contact: Cliff Ritz Phone: 310/448-4678 Fax: 310/822-5336 9ondlnp Agent: Rafe Surety Services 23461 South Points Drive Suns 345 Laguna Hills CA 92ti53 Ortice: (949) 457-1090 Fax: (949) 457-1070 Contact: DCuplas A. Rapp Surety: Federal Insurance Company CIO Surety, i)eperb ent Figueroa Stmt 801 Floor Los Angeles CA 90017 P.O. Box 30127 Los Angeles CA 90030-0127 Insurance Carrier: The W oodltCh Company One Park Plaza Suite 400 Irvine CA 92614 Contact: W11Nam Wooditch Office: (949) 553-9800 Fax: (949) 553-0670 PRI?VIC?US JOE3 REFEF2f_NC'ES tt2 Contractor's N:amc: Palp Inc. Df3A Excel Pavin > 6 Cu. Project Name: Slauson Ave./SR-90 Impvts. Project Description: On ramp & off ramp widening on SR90, Traffic Mitigation Added left turn on Slauson Signalization 8c Signing & Storm Drain Impvts. Location: Slauson Ave. @ SR90 Culver City, Los Angeles Construction Value: $2,136,269.00 Date of Completion: 4/09 General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: David Cook Phone: 562/599-5841 Ext. 239 Fax: 562/591-7485 Owner Information: Playa Capitol Company LLC Contact: Cliff Ritz Phone: 310/448-4678 Fax: 310/822-5336 1'K1 ?'I<>t i.? _it tl3 12I?1 E121{NC'I:? r;-t V C,ontlr<uty C'ontractor's Narlie: 1'alp Inc. I )liA lxccl 1'avin Project Name: Alameda Street Project Description: Redesign Of Arterial Streets and Storm Drain Impvts. Location: Intersection of Alameda Street and N. Spring St., L.A. Construction Value: $3,197,043.00 Date of Completion: 1 1 /09 General Contractor Information: Palp Inc. DBA Excel Paving Company Contact: Bruce Fla" Phone: 562/599-5841 Fax: 562/591 -7485 Owner Information Contact: Steve Chen Phone: 213/485-4516 Fax: City of Los Angeles 213/485-4838 P121i\'IUl ?? JOIi 121:F1{RIiNC'liS r1 (, C'ontractor's Nance: Pale lnc. llf3f\ Excel Paving ('ompany Project Narne: Pier E Berths F24-326 Project Description: Asphalt Utility Removals, Grade, New Asphalt Paving and New Concrete RTG Runways, Storm Drain Impvts., Sewer and Water Location: Pier E, Long Beach, CA Construction Value: $5,251,800.00 Date of Completion: I/08 General Contractor Information: Palp [nc. DBA Excel Paving Co. Contact: Bruce Flatt Phone: 562/599-584 1 Fax: 562/591 -7485 Owner Information Contact: Phone: Fax: The Port of Long Beach Gary Cardemone 562/590-41 72 562/901-1732 1']Z1?VIOl l? _I<>1? IZ1?1 f 1Zl N('I?S ti8 (?untnlclor'.ti Name: Palp Inc:. llE3A L?;c?•1 P.?vinK Project Name: North Maclay Ave. Project Description: Street Beautification and Jmprovement of North Maclay Avenue Location: North Maclay Ave. from 1?' Street to Eighth Street Construction Value: $3,682,624.00 Date of Completion: 7/08 General Contractor Information: Palp Inc. DBA Excel Paving Co. Contact: Bruce Flatt Phone: 562/599-5841 Fax: 562/591-7485 Owner Information Contact: Phone: Fax City of San Fernando Ron Ruiz 81 8/898-1237 81 8/361 -6728 Job # 4240 4242 4508 4567 4598 4611 4639 4649 4681 4692 4703 4728 4735 4748 4751 4761 4762 4780 4791 4793 4796 4797 4798 4802 4808 4809 4811 4813 4815 4818 4824 4825 4829 4832 4834 4835 4838 4840 4841 4842 4845 4847 4849 4850 4851 4854 4855 WORK EXPERIENCE 11-30-11 OPEN JOBS Project Description PROJECT NAME CALTRANS LINCOLN:07-1660U4 CHA NDLE R/LANKERSHIM: C108099 ALVARA DO TRANSIT CORRIDOR: LANKERSHIMNARIOUS IOC:LA CHEVIOT HILLS:LA C113689 USC ST IMPROVEMENT:LOS ANGELES 4 INTERSECTIONS:LB & LKWD SUNNYMEAD BLVD: MORENO VALLEY ARBORVITAE ST.:L.A. C-115478 CENTINELALA TIJERA/LA CIENEGA: AIRCARRIER RAMP: LB ARPRT R6777 WILSHIRE/BEVERLY:BEVERLY HILLS PIER G RAILYARD:POLB HD-7565 90TH ST EAST PALMDALE:LA CO PW CEDARS SINAI MC :LOS ANGELES 2ND ST. REHAB: LONG BCH R-6846 BROADWAY/3RD:LONG BEACH BELLFLOW ERNICTORY:ADE LANTO KATELLNLEX BASE LOS ALAMITOS NO AIR CARRIER RAMP LB R-6858 MOODYNLY VIEW STORM DRN:CYPRS CITYWIDE AC REHAB: LAGUNA HILLS THOUS OAKS/LWRNC7TLR:THOUS OKS PIER G (I.T.S.):LONG BEACH ANDRE AV RDWY IMPRV:LOMITA TUSTIN ST/MEATS:ORANGE USC NO SCI BLDG: LOS ANGELES LB WTR DPT VAR LOC:LB WD 18-10 WESTMINSTER BLVD.HARGIS PARAMOUNT BLVD: LONG BEACH EUCLID/GARDEN GR BLVD:GARDN GR APPIAN WAY IMPRV:LNG BCH R6889 SHORELINE DR-FLTIRON.: LONG BCH 15TH ST, PCL:LANCASTER SUNNY HILLS H/S. FULLERTON UHSD GETTY CENTER-HATHAWAY:CENT CTY FY 2010/11 ST. REHAB:SIMI VLY PARK AVE ST SCAPE: SAN FERNANDO ANNUAL RDWY RESURF: DANA POINT PKG LOT-SUNSET:WEST HOLLYWOOD ROSE BOWL: PASADENA LAX-UNDRGRND CONST:LOS ANGELES PKG LOT WILSHIRE TEMPLE:LA SOKA UNIV PKG LOT: ALISO VIEJO YWCA OFFSITE IMPRV-OLIVE: LA ARCADIA H/S (BALI):ARCADIA FIBER OPTIC SIGNAL SYS:GRDN GR CALTRANS CITY OF LOS ANGELES-DPW LA COMMUNITY REDEVELOPMENT AGY LA COMMUNITY REDEVELOPMENT AGY CITY OF LOS ANGELES-DPW UNIVERSITY OF SOUTHERN CALIF_ THE BOEING COMPANY C/O MORENO VALLEY CITY OF LOS ANGELES-DPW PLAYA CAPITAL CO CITY OF LONG BEACH TISHMAN CONSTRUCTION CORP. PORT OF LONG BEACH LOS ANGELES COUNTY DEPARTMENT HATHAWAY DINWIDDIE CONSTRUCTIO CITY OF LONG BEACH C.T.& F. INC. BALI CONSTRUCTION J.I. GARCIA CONSTRUCTION CITY OF LONG BEACH CITY OF CYPRESS CITY OF LAGUNA HILLS C/O THOUSAND OAKS LT.S. CITY OF LOMITA CITY OF ORANGE HATHAWAY DINWIDDIE CONSTRUCTIO LONG BEACH WATER DEPARTMENT HARGIS & ASSOCIATES CAL-CARTAGE CITY OF GARDEN GROVE CITY OF LONG BEACH FLATIRON ELECTRIC GROUP, INC. PCL CONSTRUCTION SERVICES FULLERTON UNION HIGH SCHL DIST HATHAWAY DINWIDDIE CONSTRUCTIO CITY OF SIMI VALLEY CITY OF SAN FERNANDO CITY OF DANA POINT CITY OF WEST HOLLYWOOD PCL CONSTRUCTION SERVICES UNDERGROUND CONSTRUCTION CAMBRIDGE CONST MGMNT, INC. MCCARTHY PACIFIC DIVISION PCL CONSTRUCTION SERVICES BALI CONSTRUCTION FISK/POWERCO ELECTRIC EST- FINAL % WORK WORK CONTRACT COMPL. BACKLOG 13,485,340 99.4% 84,228 5,421 ,529 100.0 2,308,556 97.6% 54,489 1,409,980 99.8% 2,729 943,818 100.0 2.344924 99.8% 5,779 1,356,388 100.0% 2,670,000 95.1% 131,070 2,109,066 96.3% 77,251 1 0.0% 1 5,577,032 97.1% 163,318 784,800 100.0% 35,261,195 78.9% 7,429,662 1,471,155 100.0% 1,116,679 100.0% 509 1,822,864 100.0% 74,277 100,0% 187,382 100.0% 493,077 1000% 4,171,203 96.4% 150,139 2,077,539 100.0% 1,533,303 99.9% 933 3,058,015 99.2% 24,273 99,990 100.0% 5,236 1,358,418 100.0% 1 ,411 ,370 100.0% 385,659 999% 485 1,500,000 66.1% 508,995 3,489 0.0% 3,489 97,526 98.2% 1,743 991,701 98.9% 10,752 690,821 100.0% 188,373 0.6% 187,214 5,309 100.0% 1,913 608,360 97.7% 14,113 56,690 23.3% 43,481 658,000 97.5% 16,254 735,126 100.0% 1,553,063 100.0% 122,257 99.8% 202 55,297 92.7% 4,039 37,950 0.0% 37,950 270,830 992% 2,098 358,087 99.9% 295 105,042 78.7% 22,362 3,750 100.0% 195,022 99.7% 499 Job # 4856 4858 4859 4860 4862 4863 4864 4865 4867 4868 4869 4870 4872 4873 4875 4876 4878 4879 4880 4881 4882 4883 4884 4885 4886 4887 4888 4889 4890 4891 4892 WORK EXPERIENCE 11-30-?? OPEN JOBS Project Description OCEAN PARK BLVD SANTA MONICA FAIRMONT AVE:GLE NDALE CERRITOS AVE IMPRV.SIGNAL HILL VLY REGION HS:GRNDA HL C119370 SL MAINT FY12 PHP.SAN CLEMNTE KAISER SUNSET BLVD LOS ANGELES AC TRENCH PTCH-EDGE DEV:LB ARP REDONO AVE POST OFFICE LNG BCH 11 PAVEMENT PII.CULVER CITY STORM DRN/IMPRV: MISSION VIEJO COLLEGE PARK EAST SEAL BEACH VAR LOC PVNG/SW RR: SNTA MONICA BISON/CALIF ST (BALI) IRVINE NEW DOCK ST T.1.:LONG BEACH MEDIAN-LKWD BLVD/ASHWORTH:LKWD USC CAMPUS LOS ANGELES NAVY GOLF COURSE:CYPRES SB7C03 US ARMY ENGR-POLB:LONG BEACH THOUSAND OAKS BLVD:AGOURA HILL GETTY CENTER. CENTURY CITY HUMPHREYS ELEM SCH: LOS ANGELES PKG -STEWART ST..SANTA MONICA USC: LOS ANGELES GAGE MIDDLE SCHOOL.HUNTNGTN PK SOUTHEAST MIDDL SCHOOL:SO GATE SUNSET BLVD: LOS ANGELES WHITE MIDDLE SCHOOL: CARSON NARBONNE H/S:HARBOR CITY CAHUENGA BLVD: L. A. E6000935 MIRA COSTA H/S.MANHATTAN BEACH SCHOOLWOOD SLOPE R/R: LA HABRA PROJECT NAME CITY OF SANTA MONICA ELECTRO CONSTRUCTION CITY OF SIGNAL HILL CITY OF LOS ANGELES-DPW CITY OF SAN CLEMENTE PCL CONSTRUCTION SERVICES EDGE DEVELOPMENT INC. MANSFIELD GAS EQUIP. SYSTEMS CITY OF CULVER CITY CITY OF MISSION VIEJO CHARLES KING COMPANY CITY OF SANTA MONICA BALI CONSTRUCTION W.W. STEPHENSON CO., INC. LINCOLN PACIFIC BUILDERS HATHAWAY DINWIDDIE CONSTRUCTIO NAVY REGION SOUTHWEST, MWR MANSON CONSTRUCTION CO. SWINERTON BUILDERS HATHAWAY DINWIDDIE CONSTRUCTIO SUTTLES PLUMBING HATHAWAY DINWIDDIE CONSTRUCTIO B & I EQUIPMENT B & I EQUIPMENT B & I EQUIPMENT HATHAWAY DINWIDDIE CONSTRUCTIO B & I EQUIPMENT B & I EQUIPMENT CITY OF LOS ANGELES-DPW BERNARDS BUILDERS CITY OF LA HABRA EST. FINAL ? WORK WORK CONTRACT COMPL. BACKLOG 226,614 91 1% 20,158 4,036,207 1 0 % 3,997,752 27,111 56.9% 11,680 215,270 99.6% 774 690,272 93.7% 43,552 14,217 100.0% 2,023 66,709 99.8% 125 1,395 1000% 659,788 98.2% 11,930 394,022 98.90/1 4,441 298,232 29% 289,687 5,063,488 6.4% 4,737,523 8,300 0.0% 8,300 25,394 99.6% 113 6,122 100.0% 5,623 100.0% 121 7,999 84.1% 1,276 105,883 93.5% 43,517 3,595 98.5% 54 84,327 8.3% 77,319 2,195 100.0% 215,610 03% 214,958 1,995 0,0% 1,995 10,625 100,0% 6,095 46.9% 3,235 27,307 39,1% 17,491 4,895 998% 12 6,995 0.0% 6,995 1,897,067 0.6% 1,885,689 330,292 0.0% 330,292 88,699 0.0% 88,699 Job # 4042 4093 4245 4302 4324 4328 4329 4330 4370 4526 4549 4573 4597 4613 4651 4661 4673 4684 4690 4695 4711 4712 4713 4718 4721 4722 4725 4726 4730 4731 4733 4736 4741 4742 4745 4746 4752 4756 4757 4758 4759 4764 4767 4770 4773 4775 WORK EXPERIENCE Project Description TUDOR-ANESTWD REPL 945760.01 TRANSIT HUB-SAN FERN VLYiLA LINNIE CANAL COURT: C108109 VERMONT AVE-- E.LA # C-109146 USC, FIGUEROA & JEFFERSON HIGHLAND AVE. ..-L.A. 109718 SUNSET BLVD. C109716-1 HARBOR GATEWAY: L.A. C-109717 ALAMEDA ST NO SPRG ST C110421 LAKEWOOD BLVD PH 2:DOWNEY RAMIREZ CANYON:MALIBU 06821 ATHERTON STRM DRAIN:LB R-6732 WILSHIRE/FAIRFAX: LOS ANGELES STORM DRAIN POLL/DUST:POLB7328 BALBOANICTORY BLVD:LOS ANGELE BIKE ROUTE LONG BEACH R-6762 EQUIP RENTAL/BCH MAINT:LNG BCH 08-09 OVRLY/SEALSNTA CLARITA BNSF-POLA: BNSF R/R NO STATE COLLEGE-LOT E:FULRTON CONSTITUTION AVE.: LOS ANGELES SAN DIMAS BL:SAN DIMAS 2009-04 ELECTRIC AVE STRM DRN:SEAL BCH WATERFRONT ST.: PLAYA VISTA KAISER NORMANDIE: HARBOR CITY HARBOR & YACHT:REDONDO BEACH CRESENT HGTS/GARDENA:SIGNAL HL KAISER WALNUT: PASADENA VARIOUS LOCATIONS :7 CITIES SIERRA AVE.:FONTANA ANNUAL MJR PAVEMENT R/R:TUSTIN BNSF WAS HINGTONAND IANA:VERNON RES RD WAY REHAB: FOUNTAIN VLY ARTERIAL OVERLAY PROJ:WESTLAKE HARBOR BLVD RECON.FULLERTON COLLEGE WAY:POMONA LAGUNA ALLEY REHAB: LAGUNA BCH VAR SITES BIKE TRAIL:LONG BCH VARIOUS LOCS:PLAYA VISTA/L.A. VICTORIA GOLF PKG LOT: CNTY LA E. FRANCIS AVE ONTARIO VAR -WEST LK/AGOURA HLS:WL/AHL PV DR NORTH:ROLLING HILLS EST VARIOUS LOC:TOR,EL SEG,MB,RB MARGUERITE PKWY: MISSION VIEJO HAWTHORNE HS STRM DRN:CVHSD 1 ? -30-? ? CLOSED JOBS PROJECT NAME TUTOR SALIBA PERINI, JV LOS ANGELES COUNTY DEPARTMENT LOS ANGELES COUNTY DEPARTMENT LOS ANGELES COUNTY DEPARTMENT UNIVERSITY OF SOUTHERN CALIF. L.A.000NTY DEPT_ PUBLIC WORKS L.A_0OUNTY DEPT. PUBLIC WORKS L A_COUNTY DEPT. PUBLIC WORKS CITY OF LOS ANGELES CITY OF DOWNEY TORRES CONSTRUCTION CITY OF LONG BEACH MATT CONSTRUCTION CO. PORT OF LONG BEACH CITY OF LOS ANGELES CITY OF LONG BEACH CITY OF LONG BEACH CITY OF SANTA CLARITA BURLINGTON NORTHERN SANTA FE BALI CONSTRUCTION TOTAL TEAM CONSTRUCTION CITY OF SAN DIMAS CITY OF SEAL BEACH PLAYA CAPITAL CO KAISER FOUNDATION HEALTH PLAN BRUTOCO ENG CITY OF SIGNAL HILL KAISER FOUNDATION HEALTH PLAN CORRPRO COMPANIES MCCARTHY PACIFIC DIVISION CITY OF TUSTIN BURLINGTON NORTHERN SANTA FE CITY OF FOUNTAIN VALLEY CITY OF WESTLAKE VILLAGE CITY OF FULLERTON BALI CONSTRUCTION CITY OF LAGUNA BEACH THE BOEING COMPANY PLAYA CAPITAL CO V ICO, LLC PATRIOT ENVIRONMENTAL SERVICES CITY OF WESTLAKE VILLAGE ROLLING HILLS ESTATES CORRPRO COMPANIES CITY OF MISSION VIEJO CENTINELA VALLEY UHSD FINAL CONTRACT AMOUNT 2,419,610 1 ,472,097 364,772 1,392.670 1,584,799 3,449,309 2,088,405 2,743,863 2,799,012 2,451,680 395,836 1,618,888 1,125,815 4,417,616 1,123,831 241,807 69,175 5,244,663 69,993 15,785 43,050 1,990,521 1,763,106 96,060 202,978 20,017 257,930 219,461 71,651 49,291 1,168,138 24,185 1,598,588 473,049 896,794 4,740 961,367 27,814 19,758 309,105 7,919 2,047,859 387,869 111,093 783,814 352,000 Job # I779 4776 4777 4781 4782 4784 4785 4786 4787 4789 4792 4794 4795 4799 4800 4801 4803 4804 4805 4806 4807 4810 4812 4814 4816 4817 4819 4820 4821 4822 4823 4826 4828 4830 4831 4833 4836 4837 4839 4843 4844 4846 4852 4853 4857 4861 4866 4871 4874 4877 WORK EXPERIENCE Project Description VARIOUS LOCATIONS EL MOFJTE VARIOUS LOCATIO NS HUNTNGTN BCH 17TH ST. SANTA MONICA.HC OLSEN MULTI LOCATIONS .LAGUNA BEACH VARIOUS STS Z-2 to HABRA HGTS LIVE OAK ST.CUDAHY (LAUSD) ASHLAND & STH.SIMI VALLEY BLAST FENCE:BGP AIRPORT OLD WOMAN SPRNGS RD YUCCA VLY CROSS CREEK RD.'. MALIBU DE NEVE DR LOS ANGELES SHADYCROFT AVE.. TORRANCE CLARK/CARSON.LONG BEACH POTRERO GRANDE DR MONTEREY PRK DEMILLE MS WATERLINE: LBUSD BELL AVE. A & B.BELL (LAUSD) EL SEGUNDO: MATHEW & STEWART TERMINAL C-JW AIRPORT.BALI 6TH ST/AMHERST: POMONA PEYTON DR REHAB CHINO HILLS ST ANDREWS(RESC ROOTR: TORRANCE ALEXANDRIA ST: HUNTINGTON BEACH R/R ASPHALT-RR YARD:LONG BEACH SANTIAGO SUBSTN:LONG BEACH NORMANDIE/190TH: LOS ANGELES 12TH/LOCUST, LNG BCH.CHLS KING REDLANDS AVE: WESTMINSTER FOOTHILL SERVICE CNTR. FONTANA LINDA VISTA AVE: PASADENA BNSF WASH/INDIANA: VERNON STREET CUT REPAIR ALHAMBRA BEV BLVD-HATH/DIN: BEV HILLS VENTURA/COLDWATER: STUDIO CITY BOLSA AVE, HARGIS: WESTMINSTER VAR LOC-HARGIS.COSTA MESA SO ALMONT ST-MOE PL BEVERLY HL HIGH PLA/IRGINIA.SANTA MONICA 1500 LOMITA BL WILMINGTON HOLLYWOOD WAY BUR-GLEN-PAS ARP DEL AMO/SANTA FE LONG BEACH ESPLANADE ST.: REDONDO BEACH POPPY ST.-LONG BEACH PAGE ST IMPROVEMNTS: BUENA PARK BEDFORD DR BEVERLY HILLS FT MCARTHUR.SAN PEDRO DON JULIAN E/S:LA PUENTE.BUSD MAGNOLIA/TALBERT: FOUNTAIN VLY WEST BASIN MUNI WTR DIS CARSON VARIOUS STS: COSTA MESA HARBOR/ADAMS:COSTA MESA 11-30-11 CLOSED JOBS PROJECT NAME CITY OF EL MONTE CITY OF HUNTINGTOhI BEACH H.C. OLSEN CONSTRUCTION CITY OF LACUNA BEACH LA HABRA HEIGHTS A & B CONSTRUCTION, INC. CHARLES KING COMPANY BURBANK/GLENDALE/PASADENA PATRIOT ENVIRONMENTAL SERVICES MARMOL RADZINER & ASSOCIATES PCL CONSTRUCTION SERVICES THOMAS JESUKIEWWICZ BALI CONSTRUCTION PATRIOT ENVIRONMENTAL SERVICES LONG BEACH UNIFIED SCHOOL DIST A & B CONSTRUCTION, INC. MATTHEW & STEWART COMPANY INC BALI CONSTRUCTION DINWIDDIE CONSTRUCTION COMPANY CITY OF CHINO HILLS RESCUE ROOTER HARGIS & ASSOCIATES H & H ENGINEERING AMERICAN INTEGRATED SERVICES AVOCET ENVIRONMENTAL CHARLES KING COMPANY CHARLES KING COMPANY PATRIOT ENVIRONMENTAL SERVICES CHARLES KING COMPANY BURLINGTON NORTHERN SANTA FE CITY OF ALHAMBRA HATHAWAY DINWIDDIE CONSTRUCTIO MOE PLUMBING HARGIS & ASSOCIATES HARGIS & ASSOCIATES MOE PLUMBING BALI CONSTRUCTION CAL-CARTAGE BURBANK/GLENDALE/PASADENA CHARLES KING COMPANY RESCUE ROOTER CHARLES KING COMPANY CITY OF BUENA PARK MOE PLUMBING ADVANCED ELECTRICAL TECH BASSETT UNIFIED SCHOOL DIST HARGIS & ASSOCIATES WEST BASIN MUNI WATER DISTRICT HARGIS & ASSOCIATES HARGIS & ASSOCIATES FINAL CONTRACT AMOUNT 868279 539,509 32,974 944,936 445,978 25,080 21,515 591,152 8,610 31,841 7,088 6,295 22,404 7,399 378,238 1 3,850 5,949 41,628 124,224 1,585 6,243 360,812 4,492 2,324 3,950 2,995 2,915 7,137 643,232 73,022 5,647 1,390 6,754 9,250 2,800 7,350 68,532 59,477 6,483 3,600 6,400 198,352 1,700 6,030 7,194 14,872 23,982 6,149 6,639 WORK EXPERIENCE 11 0-10 CLOSED JOBS Job a Project O?scrlPtlon PROJECT NAME Final 4769 LOMITA YD-CALCARTAGE:WILMNGTON Contract 4 266 CENTINELA AVE: C-108597 CAL-CARTAGE Amount 4689 W VIA ACOSTA:MpLITEBELLO CITY OF LOS ANGELES 13 731 4652 L4 AIR FORCE BASE: CITY OF MONTEBELLO 2,946,389 4658 LA PALMA AVE.:ANAHEIM RM'4 LAND CONSTRUCTION 5 4734 CENTINELA:OWP LOS ANGELES PCL CONSTRUCTION SERVICES 18.462 18,462 4655 ARTESIA PILAR IMPRV:SANTA ANA DEPT. WA S POWER 737,839 4662 VARIOUS SITES:COMPTON US SANTA ANACITY OF , 49,239 D 4 710 IMPERIAL HWY-BREA GATEWAY COMPTON UNIFIED SCHOOL DIST 2 1 719 : WATT 4743 FAIR OAKS/BANK ST:SO PA WATT COMPANIES 1 27,1 42 SADENA 4778 VERMONT ST.:HOLLYWOoD CHRISTOPHER R M OR INC 76,110 4408 HOLLYWp WY BRBNK AIRPORT LON ELECTRO CONSTRUCTION ,203 A2977 4640 BERTH 73/BERTH 191:POLA BURBANK/GLENO ALE/PASADENA 1.5w '? 4643 PLAYA VISTA-CAMPUS CAP PAVING YPACIFIC 1 .3 3 4656 RTE 23/118:SIMI VALLEY PLAYA AYA CA CAPI TAL CO 82 18,682 4675 TAXIWAY C,D, & G:BUR-GLEN-AIR C. A. ??U??N, INC. 432,878 4697 BUR/GLEN.PASA AIRPORT:BURBA BURBANKlGLEND ?A?DE 31.998 NK 4719 TECH PL BUS SHELTR IB:WATT CO A BURBAN K/GLENDALE/PASADEN 3,469,876 , 4,750 LONG BEACH AIRPORT:BOEING WATT COMPANIES 52,580 4753 BURBANKAIRPORT:BURBANK THE BOEING COMPANY 76,023 4669 HARBOR PLZA/QNS WAY:POLB 7430 BURBANK/GLENO ALE/PASADENA 30.223 54 4685 IMPERIAL HWY:OR CO 12-OJ090 PST OF LAG BEACH ,247 4 4621 MISC. AC REPAIRS:DANA POINT CALTRANS - ORANGE COUNTY 743,816 4425 1ST 8 SPRING:LA-55797 CITY OF DANA POINT 1 224 881 4620 EAST LA H/S:LOS ANGELES TUTOR SALIBA PERINI, JV 111,748 4670 6TH & COLORADO:SANTA MONI TUCKER ENG 252,935 CA 4676 BNSF-WASH/INDIANA:VERNON C. A. RASMUSSEN, INC. 209,161 4677 DWP 1 ST ST. TRUNK LINE:LOS A BURLINGTON NORTHERN SANTA FE 17,534 N 4680 KAISER-IRIS AVEWORENO VALLEY SAGE CONSTRUCTION 916,740 1 4686 MARYMOUNT WS:LOS ANGELES KAISER FOUNDATION HEALTH PLAN 55,681 5 4693 OAK HART HS:OAK PARK W.S. KLEM CONTRACTORS 38,412 4702 KAISER CANTERA ST:PANORAMA C. A. RASMUSSEN, INC. 151,249 5 CTY 4708 CONC P-IT-HOBART YD:BNSF KAISER FOUNDATION HEALTH PLAN 4 344 4715 MGM DR, HATHAWAY:LOS ANG BURLINGTON NORTHERN SANTA FE 32 2 ,980 1 ELES 4716 PIER G-CONNOLLY-PAC: LONG B HATHAWAY DINWIDDIE CONSTRUCTIO 61,170 EACH 4717 CANAL AVE. -COWELCO:LONG BEACH CONNOLLY-PACIFIC 25,875 86 354 4724 BNSF WASH/IND:VERNON COWELCO STEEL FABRICATORS , 4729 MAYTIME LANE:CULVER CITY BURLINGTON NORTHERN SANTA FE 181,100 1 : 4732 LOMITA BLVD:WILMINGTON WESTERN STATES FIRE PROTECTION 33,890 4738 HEDON CIR/GERMAIN:CAMARIL JOHNSON CONTROLS, INC. 6,175 18 LO 4739 VIA DEL MONTE:RANCHO PV CHARLES KING COMPANY 843 8 4744 USC CAMPUS:HATH/DIN LA CORRPRO COMPANIES ,700 1 HATHAWAY DINWIDDIE CONSTRUCTIO .250 2,158 s,'•s,' C:Aw's? ?N ? -iN R[? _?RONA r.??tiL?T ?:l_?NSIRUCTUlV 17,300 4749 FRANKLIN AVE NU HOLLYWOCH) ALLIANCE RESIDENTIAL 36,025 47"-1 iMOAPWAI AVE. l C1NG E31-ACII CIIARLLSi KING COMPANY 36,000 Job p 4755 4 760 4763 4766 4768 4772 4774 4165 4534 4632 4678 4683 4737 4765 4502 4552 4605 4623 4553 4585 4628 WORK EXPERIENCE 11-30-10 CLOSED JOBS Protect D&scription PROJECT NAME VERMONT 8 PCH:HRBOR CITY N. GLENDALE BLVD LOS ANGELES GE TTY CENTER:CENTURY CITY DRIFTWOOD ST:MARINA DEL REY MARINA DEL REY:CORRPRO 2161 GONDAR AV:LB(PRIVATE RES KATE LLA/BLOOMFIELD:C KING ORNG EL TORO RD:LAKE FOREST 7TH & CATALINA:LOS ANGELES W. 6TH ST:LOS ANGELES CERRITOS/ORANGE SEWER.CYPRESS BROADWAY STRM:REDONDO BEACH VARIOUS CONC. R/R:DANA POINT ORANGEWOOD AVE-:CYPRESS WEST CHAPMAN SEWER:GG7805 JOHN WAYNE AIRPORT:CO OF ORG MWD WATERLINE-BEV HILLS/LA VAR SO IMP CANDLBERRY:SEAL BCH PACIFIC COAST HWY:DANA POINT PAVEMENTREHAB:WESTLAKE VILLAG LIMECREST DR-LACDWP:CO OF LA Final Contract Amount 30.538 6,411 6,182 4,497 1,850 5.850 6.8W 11,763,683 73,954 460.258 502,688 100,489 99.548 16,433 1,967,738 1,464,867 421,629 1,625,310 6,033,387 2,125,350 219,845 PROJECT NAME ARB INC. CITY WORKS MANAGEMENT, INC. HATHAWAY DINWIDDIE CONSTRUCTIO MARMOL RADZINER 8 ASSOCIATES CORRPRO COMPANIES JACK SIMMONS CHARLES KING COMPANY CITY OF LAKE FOREST HENSEL PHELPS CONSTRUCTION CO. MATT CONSTRUCTION CO- CITY OF CYPRESS CITY OF REDONDO BEACH CITY OF DANA POINT CITY OF CYPRESS GARDEN GROVE SANI DIST JOHN WAYNE AIRPORT RUDOLPH 8 SLETTEN, INC. CITY OF SEAL BEACH CITY OF DANA POINT- CITY OF WESTLAKE VILLAGE LOS ANGELES COUNTY DEPARTMENT 4649 SUNNYMEAD BLVD MORE NU VALLE r 4 651 BALBOAWVICTORY BLVD LOS ANGELE C-/O MORENO VALLEY 7.582.,173 74 796 CITY OF LOS ANGELES E5-4-.--4 652 LA AIR FORCE BASE 1.073.578 70 4% RMA LAND CONSTRUCTION 318. t 4655 ARTESIA PILAR IMPRV SANTA ANA 1 SANTA 100 0% 8.462 - SANTA ANA. CITY OF 2.157 7. 79 1000% WORK EXPERIENCE 11-30-09 OPEN JOBS Job aq Project Doscrlptlon PROJECT NAME EST. FINAL CONTRACT WORK WORK 46 56 RTE 23/118:SIMI VALLEY COMPL. BACKLOG 4E56 LA 23/11 SIEIM C. A. RASMUSSEN, INC. 31,998 100.0% 4661 BIKE ROUTE LONG BEACH R-6762 PCL CONSTRUCTION SERVICES 726,300 100° CITY OF LONG BEACH .06 4662 VARIOUS SITES:COMPTON USD 277.703 59.4% 112 63? 4669 COMPTON UNIFIED SCHOOL DIST 127,142 HARBOR PLZA/QNS WAY:POLB 7430 PORT OF LONG BEACH 195.1% 4670 6TH & COLORADO:SANTA MONICA 717, 34 95.1% 36,084 4673 EQUIP RENTAL/BCH MAINT:LNG BCH C. SEN, INC. 17,534 CITY Y OF OF LONG BEACH 100.0% 4675 TAXIWAY C.D. & G:BUR-GLEN-AIR 69.175 100.0% 4676 BNSF-WASH/INDIANA:VERNON BURBANK/GLENDALE/PASADENA 3,469,876 BURLINGTON NORTHERN SANTA FE 1000% 4677 DWP 1ST ST. TRUNK LINE:LOS AN 916,740 99.2% 6,965 4678 SAGE CONSTRUCTION 155,681 CERRITOS/ORANGE SEWER:CYPRESS CITY OF CYPRESS 100.0% 4679 HANSCOM/PETERSON AVE.:SO. PASA CITY OF SOUTH PASADENA ?2• 157-3% 4680 KAISER-IRIS AVE:MORENO VALLEY 1386 681 KAISER FOUNDATION HEALTH PLAN 57.3% Sgt 518 4681 ARBOR VITAE ST.:LA C-115478 CITY OF LOS ANGELES 538.412 16.7% 1.513 4683 BROADWAY STRM:REDONDO BEACH -DPW 1.929,687 CITY OF REDONDO BEACH 16.8% 1,605,491 489 468.1 08-09 OVRLAY/SEAL; SANTA CLARA CITY OF SANTA CLARITA 100,122 98.8% 1, 178 468-5 IMPERIAL HWY: 5,231,122 OR CO 12-0,10904 CALTRANS - 98.0% 103,372 4686 MARYMOUNT H/S:LOS ANGELES ORANGE COUNTY 1,215,217 100.0% 4689 W VIA ACOSTA:MONTEBELLO W.S. KLEM CONTRACTORS 150.000 CITY OF MONTEBELLO 100. % 4690 BNSF-POLA:BNSF R/R 534,654 0 98.6 .7% 7,459 BURLINGTON NORTHERN SANTA FE 71,000 ° 4692 CENTINELALA TIJERA/LA CIENEGA: PLAYA CAPITAL CO 0.7'6 70,529 4693 OAK HART HS:OAK PARK 1,242,662 0.7% 1,233,915 C. A. RASMUSSEN, INC. 54,344 4695 NO STATE COLLEGE-LOT E:FULRTON BALI CONSTRUCTION 100.0% 4697 BUR/GLEN.PASA AIRPORT:BURBANK BURBANK/GLENDALE/PASADENA 15.785 107.8% 4698 HARBOR PLAZA BLVD:LONG BEACH 52,580 TUCKER ENG 175,000 207 7% 48,486 4699 KAISER-BELLFLOWER BLVD:DOWNEY KAISER FOUNDATION 17,816 .7% 138,738 4700 IMPERIAL HWY ST IMPRV:LYNWOOD 117 816 CITY OF LYNWOOD 0.0% 117,816 4702 KAISER CANTERA ST:PANORAMA CTY KAISER FOUNDATION HEALTH x'965 481% 482,779 4703 AIRCARRIER RAMP:LB ARPRT R6777 PLAN 32,980 CITY OF LONG BEACH 95'1% 2,239 4705 WASHINGTON BLVD:CULVER CITY 4,674,935 0.7% 4,643,710 4707 CITY OF CULVER CITY 489,536 ° GRAVES AVENUE:000NTY OF LA LOS ANGELES COUNTY DEPARTMENT 63 2 % 155,065 4708 CONC P-IT-HOBART YD:BNSF 386,000 3.2% 373,575 4709 BURLINGTON NORTHERN SANTA FE 161,000 ° RES ST REPAIR PH VI:SANTA ANA SANTA ANA, CITY OF 2 62.5% 56,536 4710 IMPERIAL HWY-BREA GATEWAY:WATT ,913,200 2.5% 2,841,056 4711 WATT COMPANIES 76,110 CONSTITUTION AVE.:LOSANGELES 100 1% TOTAL TEAM CONSTRUCTION 4712 SAN DIMAS BLSAN DIMAS 2009-04 CITY OF SAN DIMAS 329'980 9 6% 329,622 4713 ELECTRIC AVE STRM DRN:SEAL BCH CITY OF SEAL BEACH 1,827,282 19 1,469,287 1,653,458 1.00°,% 6 1,637.637 WORK EXPERIENCE Job # ProJact Dascriptlon N. LU5 .4NC>E ? l -30-Og CLOSED JOBS Arno unf CITY OF LUS ANGELES-DPW LOS ANGELES COUNTY DEPARTMENT 807, 100 PORT OF LONG BEACH 299.025 CITY OF PASADENA 23.552.507 HATHAWAY DINWIDDIE CONSTRUCTIO 38.130 MOTORCYCLE SYSTEMS 6,745 BIGGE CRANE 8 RIGGING CO. 5 CITY OF LONG BEACH 6'77225 TESTA CONSTRUCTION 5'000 PLAYA CAPITAL CO 1.000 CITY OF LA PUENTE 2.755,6 PLAYA CAPITAL CO 396'099 9 CSI ELECTRIC CONSTRUCTION 594.014 LOS ANGELES UNIFIED SCHOOL 14,982 PREMIER WEST 733'279 TORRES CONSTRUCTION 22 LOS ANGELES UNIFIED SCHOOL 13,892 LONG BEACH UNIFIED SCHOOL DIST COMPTON UNIFIED SCHOOL DIST 541,572 R.E. SCHAEFER, INC. 837,133 LONG BEACH UNIFIED SCHOOL DIST 7 710 LA CO FED OF LABOR AFL-CIO 1,074,447 PATRIOT ENVIRONMENTAL SERVICES 8388 MT. SAN ANTONIO COLLEGE 8.447 LOS ANGELES COUNTY SANITATION 910,385 LONG BEACH TRANSIT 2.453,930 CITY OF MOORPARK 2 MT. SAN ANTONIO COLLEGE 3,167,306 CAL-CARTAGE 224,919 CONNOLLY-PACIFIC 18'509 PENNER PARTITIONS 174,979 DYNALECTRIC 15.895 LONG BEACH TRANSIT CITY OF BELL 147'364 CITY OF INGLEWOOD 74,614 CHARLES PANKOW BUILDERS. 548,259 CITY OF SIGNAL HILL 224,715 UNIVERSITY OF CALIF-IRVINE 146,744 REDONDO BEACH U.S.D. 907,704 ALCORN FENCE 72,219 ELECTRO CONSTRUCTION 476,412 PCL CONSTRUCTION SERVICES 2 698 BALI CONSTRUCTION 129,395 BALI CONSTRUCTION 16,876 15.536 3843 LAURE L GY N PROJECT NAME Flnal Contract LL ;-> 4103 HOLLAND CANAL CO LA 43-08 PH 3 CONT YD EXP PIER H07050 4650 SPEED HUMPS-VAR LOC PASADENA 4653 GE TTY CENTER:LOS ANGELES 4672 5901 77H ST VA HOSP:LONG BEACH 4682 AVALON ST WILMINGTON 4706 P-LOT @ SHORELINE DR:LONG BF-AC 4714 FLORENCE AVE WALNUT PARK:TESTA 4340 SLAUSON AVE. 0 SR-90 CULVER 4416 STIMSON AVE.# 07,851 LA PUENTE 4442 SEPULVEDA BLVD. 2007.3001 4497 CALIFORNIA BLVD.:PASADENA 4535 SHENANDOAH E/S:LAUSD 0810124 4568 NUEVA VISTA E/S:BELL 4578 PACOIMA MIDDLE SCH:PACOIMA 4588 EAGLE ROCK WS:LAUSD 0810277 4593 LOWELL EL SCH:LONG BCH USD 4599 VARIOUS SITES:COMPTON USD 4600 ANCHORAGE RD:LONG BEACH 4606 PERRY LINDSEY ACADEMY:LONG BCH 4642 WOOD BLVD:LA CO AFL-CIO 4704 WASHINGTON ST:SANTA ANA 4129 NO. SCIENCE BLDG. MT.SAC 4466 LA CO SANI DIST:SITE IMPRV 4490 VARIOUS LOC:LB TRANSIT 4492 TIERRA REJADA R012ND ST:MORPRK 4515 MT. SAC PAY LOT B MOD 4531 CAL CARTAGE:WILMINGTON 4545 BERTHS 261-267:CON-PACIFIC 4558 LA PALMA AVE.:ANAHEIM 4559 BERTH 302-305:PORT OF LA 4572 VARIOUS LOCATIONS:LONG BEACH 4577 SLAUSON OVERPASS:BELL 4582 2007-08 ST IMPRV:INGLEWOOD 4587 COLUMBUS ELEM SCH:GLENDALE 4591 LAS BRISAS ST:SIGNAL HILL 4594 FIRE LANE UCI:IRVINE 4604 MADISON ELEM. SCH: REDONDO BCH 4609 JUVENILE HALL:ORANGE 4627 SHEILA ST.:COMMERCE 4829 WASHINGTON BLVD:MARINA DEL REY 4633 WEST/BALL.ANAHEIM 4635 JOHN WAYNE AIRPORT BALI a?•!'_ !.'i ,..'-i i,1M1 _.7 ;. ?11__,iMlr, C,1 Li. 4661 34TIFi ST USC LOS ANGELES UNIVER5111 Of- SCIUTHERN CALIF 466.8 SULPHUR PR/SISAR SANTA PAULA C. A RASMUSSEN. INC 4611 R SI/FIGUEROA KAISER WILMINGTN KAISER PERMANENTE (USE) WORK EXPERIENCE 11-30-09 CLOSED JOBS Job # Pr-)act Description PROJECT NAME 4674 OLDEN ST.:SYLMAR TUTOR SALIBA PERINI. JV 4687 RIVERSIDE DR/10TH ST:CHINO CHARLES KING COMPANY 4688 12TH & BROADWAY LOS ANGELES MLADEN BUNTICH 4694 KAISER VERMONT AVE.HARBOR CITY KAISER PERMANENTE (USE) 4696 ALVARADO/SANTA YNEZ:LOS ANGELE TUCKER ENG 4701 VENIZIA/LINCOLN:LOS ANGELES WORLD OIL 4211 VARIOUS INTERSECTIONS: LONG BCH C.T.& F. INC. 4295 CULVER BLV/VISTA DEL MAR: PLAYA CAPITAL CO 4319 REDONDO AVE:LONG BEACH R-6681 CITY OF LONG BEACH 4339 VARS LOC., C/O LNG BCH R6703 CITY OF LONG BEACH 4434 IMPERIAL HWY:DOWNEY#55 585 CITY OF DOWNEY 4443 INGLEWOOD AVE-:RB 40420-40302 CITY OF REDONDO BEACH 4454 UCHRVINE HENSEL PHELPS CONSTRUCTION CO. 4522 BELMONT PIER PLA7-A:LB R66W CITY OF LONG BEACH 4541 CAMINO REAL/182ND ST:REDONDO CITY OF REDONDO BEACH 4569 MIDWAY/39TH PL.LONG BEACH SAFEWAY INC.-VONS SUB DIVISION 4584 VARIOUS LOCATIONS:SANTA ANA SANTA ANA, CITY OF 45W 7TH ST-:LONG BEACH R-6722 CITY OF LONG BEACH 4126 UNIVERSITY AVE.:RIVERSIDE CITY OF RIVERSIDE 4483 BOB HOPE AIRPRT:BURBANK E06-53 BURBANK/GLENDALE/PASADENA 4524 VERDUGOBARRINGTON:GLENDALE CITY OF GLENDALE 4596 MAT ARRESTING SYS:BURBANK ARPI BUR BAN K/GLENDALE /PASADENA 4608 TAXIWAY DELTA:LONG BEACH R6757 - CITY OF LONG BEACH 4619 SO REGION ELEM SCH #7:LAUSD LOS ANGELES UNIFIED SCHOOL 4845 USC-SCH CIN ARTS: LOS ANGELES HATHAWAY DINWIDDIE CONSTRUCTIC 4481 CERRITOS/EL RITO AVE.:GLENDALE CITY OF GLENDALE 1 1 S 134.E-?O3 16.824 8,450 Final Contract Amount 36.7 ? O 7,597 8.200 1,200 9,296 3,190 306,515 1,601,0f>0 221,979 1,353,277 2,427.816 540,525 58,853 514,419 444,555 6,353 3,570,920 1,782,650 2,431 ,003 13,177,103 585,432 3,642,247 816,228 415,720 19,130 1,197,065 44 ?J KAISER t._4NTAFL4 ;i7 {'ANCX?A MA KAISER FOl1NDATIUN HEAL TFi dal qN 4502 WEST CHAPMAN SEWER GG7805 GARDEN GROVE S4N1 DIST 4505 TOPANGA 8 VICT(?RY WEt; >"F IELD WE S7FIELD DESIGN 8 CONSTRUCTIU WORK EXPERIENCE 1 ? -30-08 OPEN JOBS Job if Protect l?ascrlptlon 4507 N BRAND BLVD:GLENDALE 4508 ALVARADO TRANSIT CORRIDOR. 4515 MT SAC PAY LOT B MOD 4516 TUSTIN AVE/1ST ST:MCCARTHY 4522 BELMONT PIER PLAZA:LB R6660 4523 KAISER:BALDWIN PARK 4524 VERDUGO/BARRINGTO{J:GLENDALE 4526 LAKEWOOD BLVD PH 2:DOWNEY 4530 VARIOUS IOCATIONS:CULVER CITY 4531 CAL CARTAGE: WILMINGTON 4534 7TH d CATAL.INA:LOS ANGELES 4535 SHENANDOAH E/S:LAUSD 0810124 4541 CAMINO REAU182ND ST:REDONDO 4545 BERTHS 261-267:CON?ACIFIC 4548 KAISER.:HARBOR CITY 4549 RAMIREZ CAANYON:MALIBU 06821 4552 JOHN WAYNE AIRPORT:CO OF ORG 4553 PACIFIC COAST HWY:DANA POINT 4558 LA PALMA AVE.:ANAHEIM 4559 BERTH 302-305:PORT OF LA 4566 CLEVELAND HS:RESEDA 4567 LANKERSHIM/VARIOUS LOC:LA 4568 NUEVA VISTA E1S:BELL 4569 MIDWAY/39TH PL-LONG BEACH 4571 AVE. 45/FIGUEROA:HIGHLAND PARK 4572 VARIOUS LOCATIONS:LONG BEACH 4573 ATHERTON STRM DRAIN:LB R-6732 4574 SOUTHER WGARFIELD:SOUTH GATE 4577 SLAUSON OVERPASS:BELL 4578 PACOIMA MIDDLE SCH:PACOIMA 4582 2007-08 ST IMPRV:INGLEWOOD 4583 OLYMPIGCENTINELA:SANTA MONICA 4584 VARIOUS LOCATIONS:SANTA ANA 4585 PAVEMENT REHAB:WESTLAKE VILLAG 4586 7TH ST.:LONG BEACH R-6722 4587 COLUMBUS ELEM SCH:GLENDALE 4588 EAGLE ROCK H/S_LAUSD 0810277 4590 07-08 ROYAL AVE:SIMI SV08-02 4591 LAS BRISAS ST:SIGNAL HILL 4592 07/08 MADERA RD:SIMI SV08-OS PROJECT NAME HA7HAWAY DINWIDDIE CONSTRUCTIO LA COMMUNITY REDEVELOPMENT AGY MT. SAN ANTONIO COLLEGE MCCARTHY PACIFIC DIVISION CITY OF LONG BEACH KAISER PERMANENTE (USE) CITY OF GLENDALE cITY of DOWNEY CITY OF CULVER CITY CAL-CARTAGE HENSEL PHELPS CONSTRUCTION CO. LOS ANGELES UNIFIED SCHOOL cITY of REDONOO BEACI-I CONNOLLY4'ACIFIC KAISER FOUNDATION TORRES CONSTRUCTION JOHN WAYNE AIRPORT CITY of DANA POINT PENNER PARTITIONS DYNALECTRIC LOS ANGELES UNIFIED SCHOOL LA COMMUNITY REDEVELOPMENTAGY PREMIER WEST SAFE WAY INC.-VONS SUB DIVISION BUNTICH PACIFIC JT VENTURE LONG BEACH TRANSIT CITY OF LONG BEACH MLADEN BUNTICH CITY OF BELL TORRES CONSTRUCTION CITY OF INGLEWOOD BAYLEY CONSTRUCTION SANTA ANA, CITY OF CITY OF WESTLAKE VILLAGE CITY OF LONG BEACH CHARLES PANKOW BUILDERS. LOS ANGELES UNIFIED SCHOOL CITY OF SIMI VALLEY CITY OF SIGNAL HILL CITY OF SIMI VALLEY 8 1 999 IU 1 % 1,967.739 1C0A% 2.598,409 93 6% EST. FINAL CONTRACT 21 7,460 2, 140,870 224,919 233,937 514,419 339,000 617,495 2,047,150 801,667 18,500 73,954 744.408 444.555 174, 979 58.500 400.835 1.538.269 5,792,241 15, 895 35.000 1,304,212 1,143,779 206,362 6,353 76,100 147,364 1,318,294 27, 300 74,614 13, 892 548,259 1,961,558 3,564,725 2,125,397 1,713,347 225,945 1,145,847 1 , 791,856 142,749 711,585 WORK COMPL. 97.2% 72.2% 100.0% 100.0% 100.0% 71.3% 98.5% 92.2% 100.0% 71.1% 100.0% 99.8% 98.8% 99.9% 85.7% 99.5% 89.3% 49.3% 100.0% 3.5% 90.4% 5.5% 100-0% 100-0% 100.0% 52.1 % 89.5% 100.0°.6 100.0% 96.1 % 100.0% 99.2% 99.896 100.0 °i6 99.9 °,6 95.0 °?6 86.8 °?6 93.6 % 97.5°,6 100.0 °,6 6S 167 WORM BACKLC 6.( 594„ s7,a 9, 2: 159,9- 5,3` 1,58 5, 53 S 8,35: 1,991 164,E 1 2,938,2!6, 33,773 124, 921 1, 080, 360 70,535 138,165 541 15,497 6,24 1 929 11,3'19 151,754 113,799 3,597 4643 PLAYA VISTA-CAMPUS CAP PAVING PLAYA CAPITAL CU 4645 USG-SCH CIN ARTS:LOS ANGELES 338.600 1 0% -q ? 4646 HATHAWAY DINWIDDIE CONSTRUCTIO 3 CALIFORNIA BLVD. -PASADENA 19,130 194% 1• ' 4647 WOODS AVE SEWER:FULLERTON HATHAWAY DINWIDDIE CONSTRUCTIO 37,426 0 % CITY OF FULLERTON . 3 - 4648 BANDINI BLVD:BNSFNERNON URLINGTON NORTHERN SANTA FE 1,090,322 8 0.8% 1 1.087 454,993 0.096 454 . ....E ., ..._ :t. i.. .,, ,.. ??.. .. _.,. .. 44Jv UESOTO AVE CHAISWOT-2TH MLAl1i N twr4l WORK EXPERIENCE 11 -30-08 CLOSED JOBS Job # Project Description PROJECT NAME 4440 226TH ST./CLARETTA:H,gW GRDNS 4444 ALLEN AVE ST/STRM DRN: #,3210 4415 RAYMOND ST.:PASADENA 4448 MARYMOUNT HIGH SCHOOL:L A. 4450 ST. IMPRV:LYNW000 05-5261 4451 OVERLAY SLURRY SEAL 06-07 4452 4082-4092 GLENCOE:L.A. 4453 ST IMPROVEMENT 06-07:INGLEWOOD 4456 EL DORADO E/S:SYLMAR 4457 ACCESS RD REPAIR:LA F000001046 4461 CDR 233 UPGRADE: FCCOO01023 4462 VIRGINIA ST:EL SEGUNDO 4463 MODULAR SITE:EL CAMINO COLL 4464 WASHINGTON/GRANDE :BF46013 4465 CANTARA ST:KAISER F02597017-00 4467 VALLEYHEART DR:SHERMAN OAKS 4469 HALDEMAN RDAUSTIC CYN HOA 4470 LATIMER RD:RUSTIC CYN HOA 4471 ANAHEIM ST.:LONG BEACH 07-019 4474 LOOP RD 1MRV:IRVINE 4475 6TH & PCH:BOVIS 4477 WEST LA COLLEGE:LACC #70331 4479 UNION AVE/BEVERLY BLVD.:L.A. 4480 EAST OLIVE AVE:BURBANK 4484 UNIVERSITY HIGH SH:LOS ANGELES 4486 BLUFF CREEK DR:PLAY VISTA 4489 BUR/PAS/GLEN AIRPORT E07-11 4491 WESTFIELD DESIGN CENTER 4493 FREEDOM DRIVE:CALABAS 07-08-04 4494 SPAZIER AVE.:BURBANK 4495 PORT OF LONG BEACH:RYAN CO. 4496 POLICE SHOOTING RANGE:LAGUNA 4498 VAGABOND: MONTEREY PARK 4500 CAMPUS AVE/ARTISAN WAY:PLA VST 4501 GAGE AVE.:BELL 4503 GRANADA HILLS E/S:TORRES CONST 4504 BERENDO MIDDLE SCHOOL:TORRES 4506 LAKE FOREST (VARIOUS): ORANGE 4509 KAISER ROSCOE BLVD: PANORAMA CY 4510 LIGGIT E/S:TORRES CITY OF HAWAIIAN GARDENS CIiY OF GLENDALE DAM ON CONSTRUCTION COMPANY W.S. KLEM CONTRACTORS CITY OF LYNWOOD CITY OF SANTA CLARITA WEST BUILDERS CITY OF INGLEWOOD LOS ANGELES UNIFIED SCHOOL LOS ANGELES COUNTY DEPARTMENT L.A.000NTY DEPT. PUBLIC WORKS CITY OF EL SEGUNDO EL CAMINO COMMUNITY COLL DIST BURLINGTON NORTHERN SANTA FE KAISER FOUNDATION ST. FRANCIS DE SALES RUSTIC CANYON HOME OWNERS ASSO RUSTIC CANYON HOME OWNERS ASSO LONG BEACH TRANSIT HATHAWAY DINWIDDIE CONSTRUCTIO BOVIS LEND LEASE, INC. L.A. COMMUNITY COLLEGE SNYDER LANGSTON CITY OF BURBANK TORRES CONSTRUCTION COLICH & SONS BURBANK/GLENDALE/PASADENA WESTFIELD DESIGN & CONSTRUCTIO CITY OF CALABASAS ENVIRONMENTAL QUALITY MGMNT THE RYAN CO. CITY OF LAGUNA BEACH CITY OF MONTEREY PARK CSI ELECTRIC CONSTRUCTION CITY OF BELL TORRES CONSTRUCTION TORRES CONSTRUCTION ORANGE COUNTY KAISER FOUNDATION TORRES CONSTRUCTION 9.437 Final Contract Amount 92, 1 55 279,890 25, 1 55 855,482 766, 795 5,54D3.565 309,434 479,793 794.632 499,954 374,942 92.774 147,800 1,122,915 106,97a 135,875 58,395 66.500 244,032 2, 996,158 10,886 186,054 55,297 313,656 88,537 207,56o 380,925 29,118 82,619 25,977 16,091 51,837 89,325 4 , 200 25,375 50,496 207,053 32,744 100,937 84,479 99W vVILSHIRE BLVD BEV HI .. LL 5 ;., r .- .'-t !•r, ,_r, ., I : 4 C-0 I SHEILA 8 INDIANA COMMERCE IoMA S 035 i .. 4602 CALSTATE NORTHRIDGE ELECTRO CONSTRUCTION 3.189 4610 SEPULVEDA BLVD LONG BEACH 1ATHAwgy DINWIDDIE CONSTRUCTIO 8.7a4 4614 LOMITABLVD:WILMING70 B 8 D CONTRUCTION 9,386 N ELECTRO CONSTRUCTION 8.939 WORK EXPERIENCE 1 3,486 1-30-08 CLOSED JOBS Job # Protect Description PROJECT NAME Final Contract 4617 SEPULVEDA BL (HARBOR):LONG BCH Amount 4622 D 6 E YARD CROSSINGS CO B 8 D CONTRUCTION 4634 : MMERCE SPRINKER FITTERS UA LOCA LOS ANGELES JUNCTION RAILWAY 16,600 4644 L 709 LOS ANGELES SPRINKLERS FITTERS LOCAL 709 44,041 4042q GAYLEY AVE : WESTWOOD HATHAWAY DINWIDDIE CONSTRUCTIO 27,448 TUTOR SALIBA PERINI, JV 47,068 728,533 MEMORANDUM Paul Walters To: City Manager Date: January 4, 2013 Raul Godinez II, Executive Director From: Public Works Agency Project 12-7527 Jerome Park Improvements Subject: Change Order No. 1 Contractor: Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 Project Description: Jerome Park Improvements ' Change Order Number: 1 Accounting Unit-Account-Activity Number: 13518783 -12753001028 Original Contract: $ 738,173 % of Original Amount of This Change Order: $ 7,256 0.9% Previously Approved Change Orders: $ -0- 0.0% Total Change Orders: $ 7,256 0.9% REASONS FOR CHANGE Jerome Park is located between McFadden and Monte Vista Avenues. Amenities include the Jerome Center, the Southwest Senior Center, a swimming pool, ball fields, handball courts, playground equipment, picnic areas, restrooms and walkways. The portion of the park south of Monte Vista Elementary and east of Center Street has experienced an increase in activities and is in need of improvements to better serve the community. A contract was awarded to Excel Paving Company on July 2, 2012 for the improvements which include: upgraded lighting; replacement of vinyl fencing; walkway repairs; slurry seal of the south parking lot; ADA curb ramps; and new ornamental fencing and gates along the City and School boundary line. The fencing improvements are per the City's joint use agreement with Santa Ana Unified School District. Project 12-7527 Request for Approval of Change Order No. 1 January 4, 2013 Page 2 of 2 During the design phase, the Santa Ana Unified School District (S.A.U.S.D.) requested a 12-foot double swing gate be installed to allow access for S.A.U.S.D.'s maintenance equipment. After the fence was installed S.A.U.S.D. discovered that the 12-foot gate was not wide enough for the large self-propelled lawn mower used at this site. Consequently S.A.U.S.D. has requested that the gate opening be widened to 16-feet to accommodate their mowing equipment. To mitigate the cost it was agreed to remove one six-foot gate, relocate the end post, and install a new 10' wide gate increasing the gate opening to 16' wide. This cost compensates the contractor for: removing and salvaging the 6' wide gate and posts; manufacturing and installing the new10' gate, post and latches; and modifying the mow curb. Agreed Price $ 7,256 APPROVED AS TO FUNDS AND ACCOUNTS: ?0 ? - Rut Godinez Il, Execu ' Director Pu lic Works Agency Francisco Gutierrez, Executive Director _A Finance and Management Services Agency K:\construction\projects\12-7527\MEM RFA CCO #01 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 12-7527; Jerome Park Improvements Change Order Number 1 To Excel Paving Company Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICES 1. Remove one 6' wrought iron gate and post, install new post, 10' gate, and mow curb at entrance to Monte Vista school per City of Santa Ana PCO #02 dated 11/27/2012 AGREED COST = $ 7,256.00 Page 1 of 2 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project Nos. 12-7527; Jerome Park Improvements Change Order Number 1 To Excel Paving Company Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this final change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this final change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this final change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this final change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ - - - - - INCREASE $7,256.00 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Twenty Five (25) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work al ? e specified, and will accept as full payment therefor the prices shown above. / } Accepted, Date Contractor CCel Paving, Inc. By v . v Title Y ?t,7f Approval recommended bv"1 UBLIC WORKS A ggNCY Approved by CITY MANAGER DIRECTOR Date ) 'P W `r Date a l-5113 Page 2 of 2 MEMORANDUM Kevin O'Rourke To: Interim City Manager Raul Godinez II, Executive Director From: Public Works Agency Project 12-7527 Jerome Park Improvements Subject: Change Order No. 2 Contractor: Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 Date: April 18, 2013 Project Description: Jerome Park Improvements Change Order Number: 2 Total This Change Order $ 26,241.81 Accounting Unit-Activity Number: 13518783 - 12752701028 JUSTIFICATION Jerome Park is located between McFadden and Monte Vista Avenues. Amenities include the Jerome Center, the Southwest Senior Center, a swimming pool, ball fields, handball courts, playground equipment, picnic areas, restrooms and walkways. The portion of the park south of Monte Vista Elementary and east of Center Street has experienced an increase in activities and was in need of improvements to better serve the community. A contract was awarded to Excel Paving Company on July 2, 2012 for the improvements which included: upgraded lighting; replacement of vinyl fencing; walkway repairs; slurry seal of the south parking lot; ADA curb ramps; and new ornamental fencing and gates along the City and School boundary line. 1. Adjacent to the basketball courts there are non-functioning light poles and fixtures whose function has been superseded by the new park lighting installed under the scope of this project. The Parks, Recreation and Community Services Agency (PRCSA) requested that these poles and fixtures be removed. This compensates the contractor for all costs related to the removal and disposal of the existing poles and fixtures adjacent to the basketball courts per City of Santa Ana PCO #03 dated 11/28/2012. AGREED COST = $ 2,141.61 Project 12-7527 Request for Approval of Change Order No. 2 February 12, 2013 Page 2 of 3 2. Under the scope of this project, the new LED walkway and parking lot lights are to be controlled by a photocell and time clock. The existing ballfield and security lights are controlled by an existing remote Musco® controller. PRCCA has requested that the new lighting also be controlled by the Musco® controller. This compensates the contractor for all labor and materials to install conduit, wiring, and make the connections to enable the new lighting circuits to be controlled through the existing Musco® control cabinet per City of Santa Ana PCO #03 dated 11/28/2012. AGREED COST = $ 3,747.81 3. The contract documents call for the low voltage irrigation valve control wiring to be installed in the same pullboxes as the line voltage wiring for the park lighting. After construction, PRSCA requested that the low voltage wiring be removed from the shared pullboxes and installed, via the direct bury method, to the existing controller. This compensates the contractor for all labor, equipment and materials to remove the existing low voltage irrigation control wiring from the line voltage pullboxes and install the control wiring, via direct bury method, from the valve location to the existing irrigation controller located in electrical room per City of Santa Ana PCO #03 dated 11/28/2012. AGREED COST = $ 5,428.97 4. After completion of the walkway lighting portion of the project, PRSCA requested that additional lighting be provided for the basketball courts. There are existing, non-functioning lights in the basketball court area, however, it was determined that the existing fixtures are obsolete and needed to be replaced. Additionally the location of the existing conduit for the lights is unknown. Therefore, it is recommended to replace the lights with new energy efficient LED lights. This compensates the contractor to: remove and dispose of the existing non- functioning light fixtures in the basketball court; modify the existing poles to accept new lights; provide and install eight new LED light fixtures; locate and intercept the existing conduit and install new wiring from the new basketball court lights to the existing Musco® controller per City of Santa Ana PCO #03 dated 11/28/2012. AGREED COST = $ 14,923.42 CONTRACT COST SUMMARY Original Contract Total $738,173 Amount % of Contract Previously Approved Change Order $7,256.00 Increase 0.9% This Change Order 26,241.81 Increase 3.5% ge Order to date $33,497.81 Adjusted Contract Total $771,670.81 4.5% KAconstructioMprojects\12-752ACO #02\MEM RFA CCO #02 Project 12-7527 Request for Approval of Change Order No. 2 February 12, 2013 Page 3 of 3 SCHEDULEBMPACT The LED fixtures have a four to six week lead time. The contract time will be extended by 53 days to allow the contractor time to procure the materials and perform the work included in this change order. The revised completion date will be March 20, 2013. APPROVED AS TO FUNDS AND ACCOUNTS: Raul Godinez II, Exe ive Director Gerardo Mouet, Ex cutive Director Parks, Recreation and Community Services Agency ve Francisco Gutierrez, Executive Director and Management Services Agency Public Works Agency Finance K:\construction\projects\12-752TC0 #02\MEM RFA CCO #02 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 12-7527; Jerome Park Improvements Change Order Number 2 To Excel Pavina Corri Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICES Remove and dispose of the existing non-functioning light poles and fixtures adjacent to the basketball courts per City of Santa Ana PCO #03 dated 11/28/2012. AGREED COST = $ 2,141.61 2. Install conduits, wiring and make the connections to enable the new lighting circuits to be controlled through the existing Musco° control cabinet per City of Santa Ana PCO #03 dated 11/28/2012. AGREED COST = $ 3,747.81 3. Remove the existing low voltage irrigation control wiring from the line voltage conduit and install, via direct bury method, from the valve location to the existing irrigation controller located in electrical room per City of Santa Ana PCO #03 dated 11/28/2012. AGREED COST = $ 5,428.97 4. Remove the existing non-functioning light fixtures in the basketball court, modify the existing poles to accept new lights and install eight new LED light fixtures. Locate and intercept the existing conduit and install new wiring from the new basketball court lights to the existing Musco°controller per City of Santa Ana PCO #03 in basketball court area. AGREED COST = $ 14,923.42 Page 1 of 2 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project Nos. 12-7527; Jerome Park Improvements Change Order Number 2 To Excel Paving Company Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ - - - - - INCREASE $ 26,241.81 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Fifty Three (53) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the press sh wn above. Accepted, Date •z tt i3Contractor Excel Paving, Inc. By Title c+ Approval recommended by P Date JT Approved by Date CI MANAr;FR -- _?3 ?- Page 2 of 2