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Home My WebLink AboutPALP INC. DBA EXCEL PAVING COMPANY Recording Requested By, And When Recorded Mail To: Clerk of the Council,City of Santa Ana Recorded in Official Records, Orange County }' 20 Civic Center Plaza,P.O.Box 1988 Hugh l Nguyen, guyen,IIICIlll,)e rkI�-1R��eIlcii ord'er Santa Ana,CA 92702 11 I[E III!11 NO FEE R 0 0 0 8 0 8 8 2 4 8 $ * 201600001793011:32 am 01114116 217 413 NJ 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTICE OF COMPLETION 4' 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 GRAND AVENUE WIDENING FROM FIRST STREET TO FOURTH U o STREET AND GRAND AVENUE STORM DRAIN FROM FIRST STREET TO FOURTH STREET under contract entered into on JUNE 17, 2014, with PALP. INC. DBA EXCEL o PAVING COMPANY, on which contract FEDERAL INSURANCE COMPANY is surety. c z The property on which such work improvement was placed is in the City of Santa Ana, County A z of Orange, State of California, and described as PROJECT NOS. 08-1732 & 12-6604 located at. GRAND AVENUE FROM FIRST STREET TO FOURTH STREET The work improvement on said property was accepted as completed on DECEMBER 31,2015 . � o z CITY OF , A MUNICIPAL CORPORATION zd by �� q 1b Q nL. Dated: / Principal CL Engineer-Tyrone Chesanek a TITLE ------------------------------------------------------------------------------------------- VERIFICATION I, the undersigned, say: 1 am the City Engineer - Edwin "William" Galves of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof, and I declare under penalty of perjury that the facts therein stated are true. Executed oJayl(.w '2�� at Santa Ana, Califomia (Signature of individual swearing that the contents or Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(I U)DAYS AFTER COMPLETION REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: JUNE 17, 2014 TITLE: CONTRACT AWARD FOR GRAND AVENUE IMPROVEMENTS AND WIDENING FROM FIRST STREET TO FOURTH STREET AND GRAND AVENUE STORM DRAIN FROM FIRST STREET TO FOURTH STREET (PROJECT NOS. 081732 & 126604) CITY MANAGER RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVED JUN 7 2014ff As Recommended 34 ❑ As Amended ❑ Ordinance on I" Reading ❑ Ordinance on 2ntl Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO FILE NUMBER Award a contract to Excel Paving Company, the lowest responsible bidder, in accordance with unit bid prices, totaling $3,179,058.24, for the construction of the Grand Avenue Widening from First Street to Fourth Street and Grand Avenue Storm Drain from First Street to Fourth Street. 2. Approve the Cost Analysis for a total estimated project delivery cost of $3,933,432.39. 3. Authorize a payment to Southern California Edison not to exceed $49,400 as payment for the installation of new street lights on Grand Avenue from First Street to Fourth Street. DISCUSSION The recommended action will allow the City to proceed with construction of the Grand Avenue Roadway Improvements and Storm Drain from First Street to Fourth Street. Grand Avenue from First Street to Fourth Street will be widened to a total of six lanes (three lanes in each direction) to be consistent with the City of Santa Ana General Plan Circulation Element and the County of Orange Master Plan of Arterial Highways. The proposed project would also include Class 2 bike lanes, landscaped parkways, sidewalks, bus turnouts, raised landscaped median, new streetlights, and the relocation of existing utilities along the project segment. The City's Drainage Master Plan identifies the need for an additional storm drain mainline on Grand Avenue north of the Santa Ana/Santa Fe Channel. The storm drain, constructed as part of the Grand Avenue roadway improvements, will provide additional drainage capacity to minimize the potential for flooding in this area. A Notice Inviting Bids was advertised on March 28 and 29, 2014, and bids were opened on April 23, 2014. The following is a summary of the bid invitations mailed and received, and the bid results: Contract Award for Grand Avenue Improvements and Widening Project Nos. 08-1732 and 12-6604 June 17, 2014 Page 2 Contractor Participation Data Santa Ana contractors receiving notices 19 Contractors requesting bidding documents 19 Bids received 6 Bids received from Santa Ana contractors 0 Bid Results Summary RANK BIDDERS NAME LOCATION BID AMOUNT 1 Excel Paving Company Long Beach $3,179,058 2 All American Asphalt Corona $3,288,899 3 Griffith Company Oceanside $3,296,064 4 Los Angeles Engineering Covina $3,449,501 5 R.J. Noble Orange $3,654,407 6 The Sun Group Costa Mesa $4,518,433 A total of six bids were received and all were deemed responsive. The Excel Paving Company bid amount of $3,179,058 is 2.5% over the Engineer's estimate of $3,100,000. ENVIRONMENTAL IMPACT Categorical Exemption Environmental Review No. 2014-41 has been filed for the Grand Avenue Storm Drain project, while a Final Environmental Impact Report (State Clearinghouse #1998051068) was previously prepared in October 2002 for the Grand Avenue Widening project and adopted by City Council on November 18, 2002 under Resolution No. 2002-096. Additionally, in accordance with the National Environmental Policy Act, an Environmental Assessment with Finding of No Significant Impact was previously prepared in August 2011 for the Grand Avenue Widening project and approved by the California Department of Transportation on September 1, 2011. FISCAL IMPACT The estimated total delivery cost of this project is $3,933,432.39, which includes construction administration, inspection, testing, survey and contingencies (Exhibit 1). Funds for the Grand Avenue Widening project are available in the following accounts: Gas Tax Fund (Account 05917663-66220), Measure M Fund (Accounts 03217660-66220 and 03217662-66220). Funds for the Grand Avenue Storm Drain project are available in the Drainage Assessment Fee Fund (Accounts 22417660-66220, 22517660-66220, and 22617660-66220). Contract Award for Grand Avenue Improvements and Widening Project Nos. 08-1732 and 12-6604 June 17, 2014 Page 3 Edwin "William" alvez Interim Executive Director Public Works Agency EWG/KW Exhibit 1: Cost Analysis 2: Grand Avenue Widening Location Map APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutierrez Executive Director Finance & Management Services Agency Contract Award for Grand Avenue Improvements and Widening Project Nos. 08-1732 and 12-6604 June 17, 2014 Page 4 Exhibit 1 COST ANALYSIS CONTRACT AWARD FOR GRAND AVENUE WIDENING FROM FIRST STREET TO FOURTH STREET AND GRAND AVENUE STORM DRAIN FROM FIRST STREET TO FOURTH STREET (PROJECT NOS. 081732 & 126604) Construction Contract Contract Administration Inspection and Testing Survey Staking Southern California Edison Streetlights Contingencies $3,179,058.24 $103,207.00 $208,654.00 $6,160.00 $49,400.00 $386,953.15 TOTAL ESTIMATED CONSTRUCTION COSTS $3,933,432.39 Contract Award for Grand Avenue Improvements and Widening Project Nos. 08-1732 and 12-6604 June 17, 2014 Page 5 LJ � - -r= INTS) oil� LEGEND -I'RCJECT LIMTS FOURTH STREET 11.11.1-J SECOND 'STREET F)RST STREET SANTA ANA SACT AWARD FOR GRAND AVENUE W ■ �? �y�( ■ A FROM FM SnM:7 TO FOURM STREET +uu c uxxa w R[9 AND GRANDTTRAIN JUE 17, 204 FROM FFT $TFEEO SWEET (PROJECT NOW OW82 AND 126604) LEGEND -I'RCJECT LIMTS FOURTH STREET 11.11.1-J SECOND 'STREET F)RST STREET SANTA ANA SACT AWARD FOR GRAND AVENUE W ■ �? �y�( ■ A FROM FM SnM:7 TO FOURM STREET +uu c uxxa w R[9 AND GRANDTTRAIN JUE 17, 204 FROM FFT $TFEEO SWEET (PROJECT NOW OW82 AND 126604) THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 706.7000 / Fax (714) 796-6059 PROOF OF PUBLICATION (2015.5 C,C.R) State of CallrorNla ) County of ORANGE ) ss Notice Type: BID- NOTICE INVITING BIDS Ad Description: Grand Ave Widening -1 at to 4th I am a citizen of the United States and a resident of the State of California; I am over the age of eighteen years, and not a party to or interested In the above entitled matter, I am the principal Clerk of the printer and publisher of the THE REGISTER, a newspaper published in the English language In the city of SANTA ANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the State of California by the Superlor Court of the County of ORANGE, State of California, under date 11/19/1905, Case No. A21046. That the notice, of which the annexed Is a printed copy, has been published In each regular and entire issue of sold newspaper and not In any supplement thereof on the following dates, to -wit: 04/04/2014,04/0712014 Executed on: 0410712014 At SANTA ANA, California I certify (or declare) under penalty of perjury that the foregoing Is true and correct. - . Signature TMs space for riling stamp only CNS#: 2607339 (worx mgolges excavation, no hear man the shoo clearing and grubbingp, gBolfted In the Federal asphalt Controls pavepe,, Construction of Requirement of Apptndix G the Special ProVlelorts. concrete oil"' ppullgg sidewalks, of Subellution of flannel for Wnealahel! access ramps driveway approaches, al any monlos withheld by the City of Santa Ana to ensure bunpada adjustment of snrtace ullllllga landeaaplpyy performance la allowed in occordanctl With the PanicIrri9a0on, Installation of tail Contract Code, detector loops, tlafdc at nal Compials 610alranl0 eats of modlflaallop, sign ng, the Plans an S—pedggegans sltlpping, no hing, will be furnished upon Iltelallallon of roIntel.tl application at the Publla Con pipe and PVC pipe, and cane uallon al Cahotels Works Agency counter Firer Floor, 20 Clvlo Center Maze, catch bIt Ins.) Rue§ Annex, Santa Ana, Notice Ia hereby given Oullfornic, 92701.1sene end BIDDEfl9 that this patent Is Specifications am available funded in Reglonei 6udace In pohabfa document Thinspodall on Program (RSI'P mnI ihel Ihn named IPBF) an a compact disk (CU) only. There to no ,and rale a�wa9es for eadt Pmd char gq foY the Plane and 0! IV PB of Wark oY IOeCnanC aCCC 1CChIll an CD. PWA be 'Ity Council maervas hl to rated any or all represent BIDDEN Sante Ane hes or Annual Daniellllty of Cos. To Yaquesl a 00 by mall, the Contractor must submit an shag named to earma"Olonm-we.grg9 phd cies in. rMovrlrg fancies Company name, mailing shelter, phone numba0 FedEx ecoount, and small ethical heeding: Ca Raqueel far r,prole d neo <pralecl names. Checks are no longer accepted, Addenda will be leaned by small to those who received CDs Wholly from the DO Publle NOT AgencyALL PURCHASING DIVISION REGARDING PUBLIC WORKS AGENCY PROJECTS, 4/4, 4,7/14 CND -26073390 THE REGISTER I III III II II II IIII II II I IIII II I III II * A 0 0 0 0 0 3 3 8 4 1 8 4 MAYOR Miguel A. Pulido MAYOR PRO TEM Sal Tinejero COUNCILMEMBERS Vincent F. Sarmlento Michele Martinez Angelica Amezcue P. David Benavides Roman A. Reyna April 30, 2014 ADDENDUM No. ONE CITY OF SANTA ANA PUBLIC WORKS AGENCY M36 20 Civic Center Plaza . P.O. Box 1988 Santa Ana, California 92702 INTERIM CITY MANAGER Kevin O'Rourke CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D.Hulzar SUBJECT: PROJECT NO. 08-1732; GRAND AVENUE WIDENING 1ST TO 4TH & PROJECT NO. 12-6604. GRAND AVENUE STORM DRAIN 1ST TO 4TH The following changes and clarifications have been made to Specifications for the subject projects: Clarification 1. Page 72, Section 7.02: Project Phasing and Lane Requirements The intent of the traffic control phasing requirement is to allow the contractor to phase the project as needed to facilitate the construction plan, as long as the lane requirements are met for the entire project. Revision 1. Pages vii, Notice Inviting Bids, paragraph 1. The Bid date shall be 2:00 p.m. Friday, May 2, 2014. All other terms and conditions remain the same. FOR THE C 4TY OF SANTA ANA Taig Higgins, P.E. Acting City Engineer MAYOR Miguel A. Pulldo MAYOR PRO TEM Sal Tlnajero COUNCIL MEMBERS Angelico Amezcua P. David Senavldes Michele Martinez Roman A. Rayne Vincent F. Sarmlento CITY OF SANTA ANA CITY MANAGER David Cavazos CIN ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Made D. Hulxer POSTED PLANNING S BUILDING AGENCY 20 Civic Center Plaza (M-20) MAY 0 2 2014 P.O, SOX 1988 -Santa Ana, California 92702 (714) 007.2700 r Fax (714) 973.1401 RANOE COUNTY CLERK -RECO ER UDPARTMENT www.senta-ans.org NOTICE OF EXEMPTION BY. DEPUTY From the Requirements of the California Environmental Quality Act (CEQA) To; COUNTY CLERK From: City of Santa Ana County of Orange Planning & Building Agency P.O, Box 238 20 Civic Center Plaza M-20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Grand Ave S.D. - RR Xing to 4t Date of Approval: 06/03/2014 ProjectNumber(s): PWA -2014 -517 -CITY Project Location: 1 CityWide (Partial) City: Santa Ana County. Orange ER Number: ER -2014-41 Project Description: Work includes new parallel storm drain pipe to minimize the potential for flooding in this area. Applicant Name: Applicant Address: Monica Suter, City of Santa Ana City of Santa Ana, 20 Civic Center Plaza SANTA ANA, CA 92702 kJRAN49O0Wrvq.sI*RP0OR>ERBSF MENT Name of Public Agency Approving Project: City Council FILED MAY 0 2 20% Name of Person or Agency Carrying Out Project: Suter, Monica BY:DEPUTY Recorded in Official Records, nge County Exampt status: Hu h Nguyen, Clerk -Recorder ❑ Ministerial (Sec. 15268) IIIII I IIIIJII II NOFSE❑ Declared Emergency (Sec. 15269 (a)) I I E3 Emergency Project (Sec. 15269 (b through e)) RIIIII t ❑ General Rule (Sec. 15061(b)(3)/(5)) 20148500036510:24 am 05/02/14 ❑ Statutory Exemption: 214 304 201 0 Categorical Exemption: 15301 (c) 0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00 Reason(s) Why Project is Exempt From CEQA: 15301 (c) Storm drain Improvement Is being done within the exisiting street. City Contact: Sean Thomas Signature: �� ""- Title: Telephone: (714) 647.5655 Assistant Engineer Date: SANTA ANA CITY COUNCIL 5/212014 Mlgual A. Pulido Sal Tinalem Vincent F. Sarmlento Michele Martinez Angelica Amezcua P. David aenavides Roman Rayne Mayer Mayor Pro Tem, Ward a Ward Ward Ward Ward Wards MPUlidafineani.an&or Deonavidest@Aenta-ananm $Raynansante.ana.am State of California - Department of Fish and Wildlife 2014 ENVIRONMENTAL FILING FEE CASH RECEIPT bFW 7595a (Rev. 00113)40925 I2—q ( Y 5 9I=F IN49'gI1rYlnAre nr.r nr, •r-r.n.- ..,.... ...�..�. STAT' OFF ARll! rD (r l' �f (f Local Public Agency ❑ Sohool District LIOther Special District ❑ State Agant] cy Private Flit Iv CIIECKAPPL.ICABLE FEES; - -------.- Environmental Impact Report (EIR) 43.029.75 .G Mitigated/Negative Declaration (MND)(ND) 'd"2, it31.25 S __ ❑ Application Fee Water Diversion (State Water Resources Control board only) $950.00 S B Projects Subject to Certified Regulatory Programs (CRP) bi 030.25 ;J [� County Administrative Fee $5000 $ ❑ Project that is exempt from foes ❑ Notice of Exemption (attach) ❑ CDFW No Effect Determination (attach) ❑ Othel' ._____ PAYMENT IJIETHOD: ❑ Cash ❑ Credit SIGNATURE. Check ❑ Other 9 TCTAL RECEIVED 'TITLE 4VHITG PR6JEC I'FP(OCANT YE1-L0W-CmWIA55 PINK-LEADAGENCY GOLDENRoof - c ouN; Y clt:Rl< CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL TO: CITY COUNCIL OF THE CITY OFA ANA PAI FROM: CM PAVING CO 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, specifications and special provisions, for the unit price(s) or lump sum(s) set forth in the following schedule: Item # Bid Item unit Quantity Unit Price Amount PROJECT NO. 08-1732 Al. Clearing and Grubbing A2. Unclassified Excavation A3. AC Pavement A4. PCC Bus Pad A5. PCC Cross Gutter A6. PCC Curb Ramp AT PCC Driveway Approach A8. PCC Sidewalk (4") A9. PCC Median Hardscape (Stamped Concrete) A10. PCC Curb and Gutter (Type A-2-6) All. PCC Curb and Gutter (Type A-2-8) Al2. PCC Curb (Type B1) LS 1 $ q2W0 — $ 42.000 — CY 5,000 $ q;j- $ 2GS-000 — TN 5,600 $ -73.,50 $ SF 3,800 3,800 $ 10,' ® $ SF 3,200 $ 1-90 SF 2,100 $ 0-15- •ISSF SF 600 $ 10.7-9 $ (pjSC?- SF 12,300 $ 6 $ 13BOO — SF 2,000 $ $ oS $ *300 — LF 30 $ ��j• 2� $ ilcll' S6 LF 1,100 $ A $ 2$&oC0 LF 1,700 $ 1(o• ZZ�- $ 2162j TO BE INCLUDED IN BID PACKAGE BP 1 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantity Unit Price Amount PROJECT NO. 08-1732, continued A13. Adjust Manhole Frame and Cover to EA 2 $ 13 7 0 — $ 2--740— 74O— Finished Finished Grade A14. Furnish and Install Survey Monument EA 1 $ 332— $ 37'z - A15. Furnish and Install Water Meter Box EA 4 $ (0 -q — $ 2.516 Frame and Cover A16. Furnish and Install Water Valve EA 12 $ 12-9— $ %Sef B Frame and Cover A17. Construct Fire Hydrant Assembly EA 3 $ 9I IDO— $ 83 0D — A18. Construct 1" Water Service EA 1 $ 3100 ® $ 3-7b0 — A19. Construction Sign EA 6 $ 1 100 — $ 6600— 600—A20. A20. SWPPP (Risk Level 2) LS 1 $ S3000— $ 33 oo 0 — A21. Signing and Striping LS 1 $ 60x00 — $ 60000— A22. Traffic Signal Modification at Grand LS 1 $ 2Z7DO0 ' $ Z2"p00�— Ave & First St A23. Traffic Signal Modification at Grand LS 1 $ *060 - $x(0000 Ave & Fourth St A24. CCTV and IP Communication System LS 1 $ Wo6 _ $ 9ro O — at Grand Ave & First St A25. CCTV and IP Communication System LS 1 $ WO" $ I (P 0 I — at Grand Ave & Fourth St (Includes Equipment at TMC) A26. 2" PVC Conduit LF 700 $ $ P-42,� A27. 3" PVC Conduit LF 500 $ ZO — $ b 00 0 — TO BE INCLUDED IN BID PACKAGE BP2of31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantitv Unit Price Amount PROJECT NO. 08-1732, continued A28. 4" PVC Conduit A29. 12PR #22 Signal Interconnect Cable A30. 25PR #22 Signal Interconnect Cable A31. 6 Strand SMFO Cable A32. 48 Strand SMFO Cable A33. No. 6 Pullbox A34. Large Christy Pullbox A35. PLP Coyote PUP Splice Closure & Splicing A36. Corning Fiber Optic Splice Closure A37. Fusion Splice 1 Strand SMFO A38. Traffic Loop Detector (Caltrans Type E) A39. BicycleNehicle Loop Detector (Type D Circular) A40. Bicycle Loop Detector (Type Q) A41. 24" Box Tree A42. 1 Gallon Shrub A43. 5 Gallon Shrub A44. Dry Streambed LF 2,100 $ 1;2- $ q0uo - LF 300 $ 2' q ® $ 32,-0- 2DLF LF 2,000 $ 2.16 $ sl0o LF 1,500 $ 1-7,o $ 1500- 500-LF LF 1,600 $ -- Lf $ 36g o EA 20 $3 - $ 11660 - IObbEA EA 3 $ $ 2 -32S - EA 4 $ SBb _ $ 357 Y - 3167 - EA 3 $ 13 2- v $_ ce'a EA 198 $ 3-06 $ -lig v EA 86 $ $ 1106 - EA 36 $ $ EA 2 $ �'1 �� B- $ l 1 ® - EA 40 $ $ 26600— EA 70 $ -1-10 $ !M- EA EA 630 $ 0 $ 6 1 - SF 920 $. q -SO $ Qi7110 - BP 3 of 31 TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantity Unit Price Amount PROJECT NO. 08-1732, continued A45. Landscaping (excluding Trees, LS 1 $ mou — $--goo — Shrubs, & Dry Streambed) A46. Irrigation System LS 1 $ $ WOO— a boo—A47. A47.Landscaping & Irrigation Maintenance LS 1 $ 0 ®" $ 4 q b Period (60 Working Days) A48. CIP Liner Pipe LF 300 $ $ 0(0 g00 — A49. Sewer Bypass Pumping LS 1 $ I $ 2y 5'— A50. Construction Survey Staking LS 1 $ B Z000 $ (2,000- Z®00'PROJECT PROJECTNO. 08-1732 SUBTOTAL------------------------------------------------------- $ OW Q V C -1q TO BE INCLUDED IN BID PACKAGE BP 4 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantity Unit Price Amount PROJECT NO. 12-6604, continued B1. Mobilization and Demobilization LS 1 $ %JZd00 - $ 7.00— (5% max) B2. Clearing and Grubbing LS 1 $ 3 008 - $ 3 Y00 B3. BMP Implementation LS 1 $ bgj 0 Q o $ 3qb 0 � B4. Trenching, Shoring, & Bracing LS 1 $ vo o - $ 7 go00 — B5. Supports for Conduits Across LS 1 $ qLf obo ^$ w1vo ?— Trenches B6. Removal of 24" RCP LF 235 $ 50- $ 70,�-b B7. Removal of 27" RCP LF 12 $ 12-1 $ 145'7-- B8. Removal of PCC Catch Basin EA 3 $ 2200- $ bt{®0 B9. Utility Relocation (12" Water Line) LS 1 $ gz000 - $ g7,000 B10. AC Pavement TN 990 $ 00' $ 792,06 13I1. Furnish and Install 24" RCP (2000-D) LF 183 $ V N-' $ 3336 -- B12. Furnish and Install 27" RCP (2000-D) LF 4 $ 4200 - $11J6 B13. Furnish and Install 78" RCP (2000-D) LF 932 $ 15-0- $ (9Qg00® - B 14. Furnish and Install Reinforced EA 4 $-200D - $ 0490- 490oConcrete ConcreteCollar (PCC .Tunction Structure) B15. Furnish and Install PCC Manhole EA 2 $ t oboo - $2,0600- Z060D-0t)0 0t) 0 - B 16. Furnish and Install Cast -in -Place EA 1 $ $ Transition Structure (Double RCP to C{P� Double RCP) TO BE INCLUDED IN BID PACKAGE BP 5 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantity Unit Price Amount PROJECT NO. 12-6604, continued B17. Furnish and Install Cast -in -Place EA 1 $ 000 - Transition Structure (Double RCP to Single RCB and Single RCP) B18. Furnish and Install PCC Catch Basin — EA 1 $ HS -19 r $ 1401 "W'=21' (Type B) B 19. Furnish and Install PCC Catch Basin — EA 2 $ "] 6Q� — $ 11=F00 — "W"=10' (Type B) B20. Street Tree Box Filtration Unit EA 1 $ bq" Db _ $ %( S06— (MWS 4-8-L Curb Inlet) B21. Furnish and Install Catch Basin Inserts EA 3 $ 160o — $ �®0 B22. Storm Drain TV Inspection LF 2,238 $ •1� $ B23. Pothole Unmarred Utilities EA 10 $ rw ?ibS- $ (Allowance) PROJECT NO. 12-6604 SUBTOTAL-------------------------------------------------------- $ �� } 0 q({ (p • S6 TO BE INCLUDED IN BID PACKAGE BP6of31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued //�� PROJECT NO. 08-1732 SUBTOTAL-------------------------------------------------------- $ �qqifi'�� PROJECT NO. 12-6604 SUBTOTAL -------------------------------------------------------- $ TOTALBID-------------------------------------------------------------------------------------- $ 3 7 6q •m The lowest responsible bidder shall be selected based on the low Total Bid. The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. T This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. PROJECT NO. 08-1732: BIDDER GRAND AVENUE WIDENING Firm FROM FIRST STREET TO FOURTH STREETemIC braa e=:re°L pati6iC% I41fl dPW PROJECT NO. 12-6604: uGN0' BFAV , 0A 0030:6: GRAND AVENUE STORM DRAIN Address FROM FIRST STREET TO FOURTH STREET Phone (5ugm-5841 Fax FAX (562) 5917465 Email wQ �uP.1G/I-, P YG qb e� BIDDER tuu.x Signature C. F, ° r'. 0 n,[€ ' F,PEUP,EI1T TO BE INCLUDED IN BID PACKAGE BP7of31 1et6Y1)-xyV0_rV.1WRI Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT LIST OF SUB -CONTRACTORS Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: Streets, highways including bridge projects; 't/a% of the bid or $10,000, whichever is greater - Buildings, parks, or other projects: ''/a% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: NAME L® E"I- 6raNAME &r —o. gtc LOCATION a (t, 1 w OCATION TYPE OF NAME PAUeniv edam• ftfRpe LOCATION/!/ (Y$ PHONE TYPE OF WORK $ ll DOD' + NAME LOCATION " PHONE °1 '• 2-10-'nRIP TYPE OF WORK f4eir $ 1-11 Gne4efe f`/� krj =�1P1- A PHONE q61-011, 1-113 TYPE OF WORK ro"o- $ yDWO " NAME (S,0'k CO n LOCATION 411-^ 41 PHONE Try Y11 °2-32.3 nPALP� MME OF WORK � +wQ ✓ $ 0 EXCEL MANG COMPANY /nr'nal Name of Firm Submittil�gi ' Signature of BIDDER (I', S MYN'', MESEIIENT TYPE OF WORK*0 $ 711060 NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK $ TO BE INCLUDED IN BID PACKAGE BP8of31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL & CONTRACT AGREEMENT BIDDER'S STATEMENT BIDDER understands and agrees that this written proposal (or any part thereof specifically designated and accepted by the City of Santa Ana, hereinafter AGENCY) shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and AGENCY'S legal holidays), or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'" bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. All terms contained in the Specifications, the Certification of Non -Discrimination by Contractors, and the Workers' Compensation Insurance Certificate are to be incorporated by reference into this Agreement and are made specifically as part of this bid. Name of Firm PALP 1° Signature of BIDDER /t ` uw✓ Title 1_' R P'wo r, �,w'a u' x (if an individual, so state) . TO BE INCLUDED IN BID PACKAGE BP 9 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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.) Curtis P. Brown president and Chief Executive officer PAX MV- Curtis p. Brown ill Vice President and Chief operating officer ®e�-� r8"7Cg-�,-F1rRt Vleb president and Chief Financial Officer Marcia S. Miller Secretary Michele nt 4errataN Awarded for 0 ywri z on the basis of lowest responsibl and resp6nsive 0 ACTION OF COUNCIL: bidder in the amount of $ Oil. OF "y Date �(Oi �� 20 ATTEST: CLERK OF THE COUNCIL APPROVED AS FORM: ACCEPTED F E CITY OF SANTA ANA: CITJ ATTO EXECUTIVE DIRECTOR PUBLIC WORKS AGENCY TO BE INCLUDED IN BID PACKAGE BP 10 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENT AND EXECUTION OF THOSE CERTIFICATIONS WHICHARE A PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION 'ALP INCSNA The BIDDER VEL PAVING COMPA X proposed subcontractor , hereby certifies that he has -V—/ has not _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirement: Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by BIDDERS and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed Prime Contractors and Subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. TO BE INCLUDED IN BID PACI{AGE BP 11 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/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 11246 of September 24, 1965, and such other sanctions may be imposed and remedies involved as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. TO BE INCLUDED IN BID PACKAGE BP 12 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR (continued) 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, No discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violatin, this Section is subject to all the penalties imposed for a violation of the Chapter. Signed ` Title G. P. 9'9;'E PRESAMII Firm FP INCABA EM EL PAM 6 (MAN Y Date TO BE INCLUDED IN BID PACKAGE BP 1.3 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT WORKERS' COMPENSATION INSURANCE CERTIFICATION As required by California Labor Code Section 1860 and 1861, the Contractor certifies as follows: I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self-insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this contract. If I, as the Contractor, now or at any time during the course of this agreement, qualify as an employer under California Labor Code Section 3300, unless the hired employee(s) is (are) persons excluded by said Labor Code, I shall furnish the City of Santa Ana with an insurance certificate from my workers' compensation insurance carrier certifying that I 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. Signed Title fop, BRO11,,11N, PPEUCEPIT RAW INCAM Firm , kC9M,%4V Date iv(ti' 2�1 TO BE INCLUDED IN BID PACKAGE BP 14 of 31. CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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. PJ 3. ame and Address of Owner. Name �and Telephone Number " 05_' Contract Amount Name , nd Address of owner. Contract Amount with project. Type Type of Work ect. u `d. ate Completed I Ll 24 Q Date omp1C eted Name and Address of owner. l STc-ys 010 qpm) 124 'S(O2. Name and Telephone Number of erson familiar with project. I ' l03 Go).- C� &M 12/200 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. TO BE INCLUDED IN BID PACKAGE BP 15 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall: 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council. Signed Title Ci P- g?C YN" PRES UtT 1 �? �, Finn M ,WA NG 69MPAW Date -- :' 21714 TO BE INCLUDED IN BID PACKAGE BP 16 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to an, corporation, partnership, company association, organization, bid depository, or to any member or ager 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 malting a false certification may subject the certifier to criminal prosecution. Signed State of California County of LOS ANGELE3 G.P4 2aRVXH, PFt D 4139&T Ii Nk Subscribed and sworn to (or affirmed) before me on thip ', " s ' day of 20 1 by C.P. BROWN— proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. _ C. PHILLIPS AC4MY MI• i#1996177 N NOCaYY_FyLOS ANCrI.ES CON! (7 MyComm. Expires OcL 2�J, 2f1A6 Notary Pub q Signature Notary Public Seal 0: Phillips, Notary Public TO BE INCLUDED IN BID PACKAGE BP 17 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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 C.P, 111I;JWN, PREVENT PAM IM Firm P."•B PA1 M.3 rMAMMY Date tv:AV = :£ 7014 TO BE INCLUDED IN BID PACKAGE BP 18 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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: PoNiNg 4 F Business Address: P S 1,t:P BMJ d�'1a�� E r Telephone: (Su) 599-5641 State Contractor's License No. and STATE- LIC. 698659'A' Class: Expiration Dater Signed: Title: C . Rt3'4P„'sl -0CENt” TO BE INCLUDED IN BID PACKAGE BP 19 of 31 CITY OF SANTA ANA v Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROJECTS t•'�' � � " 1Y :. 1 ( L:1 II 1" 111 1 , :1 1 • 1 ' 1' 1 :1 I - : I.♦ I� 11i" 1"• 1 I'�Y. Ilh .. 11 - +II ♦ 11 I Y:11 �. ISI .II ru.I6 rl I 1:111 :f11' i11 Y. ,1 1 IIYIY PERFORMANCE OF PREVIOUS CONTRACT - In addium to & provisions in Section 11, `No mn nalion ' and Setian VII, `Suble ft o Assigning lbe Canhnct," of die required crnrtrxt provisions, the Cort uctor shall comply wi h4ie following The BIDDER shad eceade fie CERTIFICATION WITH REGARD TO 1I4E PERFORMANCE OF PREVIOUS CONTRACTS OR SIIBOONIRACTS SUBIFCT TO THE EQUAL OPPORTUNITY CLAUSE AND TFIEHUNG OF REQUIRED REPORTS bated in the proposal. No request for subletting or assigning ariypation oftbe oat -act in u"ss of $10,000 wall be oamdaW mck r doe provisions of Secfim VII of the required coact Provisions unless such request is aoronape nied by the CERTIFTCATIONrefeuedioabove, ©cecued bythe pupose d abom>actcr NON -COLLUSION PROVISIONS - The provisiom in flus section are applicable to all conhads except contracts forFodu al Aid Seoorxlaryprujeds. Tide 23, United States Gd, Section 112, requites as a coalition p medent to approval by the FoJ aal. ITWyV Adin nisttator of tine contact for this wak dirt each BIDDER de a swanstatementexewtedby,oronbehalfcf;the person,firm, association, or coipaalmn to whom such contact is to be awarded, catifying drat swli person, fine, association, or capoinhor has A eilner directly or indwady, mired inm my ageen=4 partcipaW in any collusion or cimmre palm any adiorinneshamtoffreecompeitmbiddngmocnerecionwdid aftnidedbidA faro to make the nmcollusioi affidavit slatenxart required by Section 112 as a certficationund apanallyofpajuryradm dnanasaswornslatawfasperni¢edby AUSC,Sec 1746,isiohuleclinflrpdgpnosrl- PARTICIPATION BY DISADVANTAGED BUSINESS ENTERPRNESINSOBCON RACUNG-Pmt26,Tide49,CodeofFedsal Reguladans 9apphes to this Fodaid-wdpnnject Peduart sados of said Code are incorporWinpartorinits,arth tywMbofliasecdcoofflierespecWprovisions. Sch MeB-InfamadonforD&m mgJointVat=Edgrbilky. Atlacbment EKhibftA-FR1 8-07-97 BP 20 of 31 (This fommneed not be filled in if alljoint venture firms areminority owned) 1. Name of joint venture 2. Address of join venture 3. Phone number ofjointventure 4. Identify the firms which comprise thejoint venture. (The DBE partner mast complete Schedule A) a. Describe the role of the DBE firm in this jointventure. b. Describe verybriefly the experience and business qualifications of each non-MBEjoint venture: 5. Nature oflhejointventure's business 6. Provide acopyofthejointventureagreement 7. What is the claimed percentage ofDBE ownership? 8. Ownership ofjointventure: (This need notbe filled in if described in the joint venture agreement, provided by question (6). a. Profit and loss sharing b. Capital contributions, including equipment. c. Other applicable ownership interests TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT 9. Conbol ofandpadicipafioniabs oortact. Ides tifybyr une,race, sex, and"fiarf'thoseindividuals (andtlieirtitles)who wresponsible for day-to-day maziage Hent and policy dee mi malting, mloding, NameofFirm Nmwof mn butnotlnnitedto,bosewdiprimerespw biliryfor a. F nanaaldocisions Sigr>Ttae Signator b. Management decisions, such as. 1. Estimating 2. Marlcctingand sales 3. Hiring and firingofmmnager exit 4. Pwnbasing ofimajor items cr supplies c Supe visionoffieldcpe alions Note: if atter fdnngth s Schedule B andbefore& completionofthe jointventute'swotkrnilhecot*adcoveredby4usregula604flieaeis any significant change inflie information submitted, the jointvenb" must inform fire grantee, eiffier directly or tlnwgh the prime wit ador if diejoint ventre is a subcontractor. Affidrnm `°Bre un&mgned swear that the foregoing statements are coned and include all materialinfom bon necessary toiden*and explain flee terms and opmatimofour jonrtventwe and the intended patficipnficn by eachjoint venturer in the mdatalang Further, the undersigned covenant ard agree to provide to grantee caauirt complete and accurate infomnation regarding actual joint ventre work and the pa}nnenttherefore and any proposed dear ges in any of the joint venture amangamanls and to pennit the audit and examination of the books, records, and files of the joint ventre, by authorized representatives of the grantee or the Federal funding agcmcy Any material misrepresenhntimi will be gmwids for teminating any contact which inay be awarded and for initiating adonuuderFederalorStatelawscaxemingfalsesWernerts ' Adacbment ExbnbRA FR2 807-97 Name Name Title Title Date Date Date Sdteof Cowriyof On flys _ day of20 before me appeaned (rani to me personally 1=w4who, being duly sworn, did exw,1- ftforegoing affidavit and did state that I& or she was properly aufliarieed by (Name �z to execute flie affid avit and did soa s hi s or b er frce ad vil dead NotatyPublic Commissiona pees [Sa] State On this _ day of 20� before me appearo to me personally lmown, who being sworn, slid exeaile th foregoing affidavit and did slate that he or she was pmpmiy aufli ived by (Name of Jim NotaryPublic Commissionexpires [seal] BP 21 of 31 executethe affidavitanddidso ashis orlerfimactanddeed. TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The BIDDER under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space M Exceptions will not necessarily result in denial of award, but will be considered in determining BIDDERS responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. P p� INC. MA EXCEL PafiI&Pf1l COMPANY Name of BIDDER Signature of BIDDERr �2 uti Date MiAti - E ')i& FED.8-22-88 "" TO BE INCLUDED IN BID PACKAGE BP 22 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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: (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 malting of any Federal grant, the malting of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of 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 malting or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her 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. 51 �� Ca P. I31a.F'.uiV'��JT BIDDER's Signature Firm Date • standard Form LLL may be obtained from Caltrans and FHWA offices TO BE INCLUDED IN BID PACKAGE BP 24 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT DISCLOSURE OF LOBBYING ACTIVITIES Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 1. Type of Federal Action 2. Status of Federal Action 3. Report Type: IN a. Contract a. Bid/offer/application ® a. initial b. Grant b. initial award b. material change c. Corporate Agreement c, post -award d. Ban For Material Change only: e. Loan Guarantee Year _ quarter E Loan Insurance date of last report 4. Name and Address of Reporting Entity 5. If Reporting Entity in No. 4 is Subawardee, EnterNatne and Address of Prime: Prime ElSubwardee Tierffknawn%`' r r res hl i+�rYl- Corilgessional District, i known - i'- • — - a d, ;o¢ ° ti Congressional Dist4 f known 6. Federal Department/Agency: 7. Federal Program Name/Description CFDANumber, Ifapplicable 8. Federal Action Number, iflcnawn 9. Award Amount, flinawn 10. a. Name and Address of Lobbying Entity b. Individual Performing Services (ux3ading ad,+egsich au#omNo J00 (i/�Ia�veenQfasatYlG (lcstrxrm4firstnan�M� attach Continuation Sheets if necessary) 11. Amount of Payment (check all that apply): 13. Type of Payment (check all that apply) $ ❑ Actual ❑ Planned ❑ a. retainer ❑ b. one -tune fee ❑ c. commission 12. Fonn of Payment (check all that apply): ❑ a. cash ❑ d. contingent fee ❑ b. in-kind; specify: nature ❑ e. deferred value ❑ E other, specify 14. Brief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), or members) contacted, for Payment indicated in item 11: attach Continuation Sheets i cess 15. Continuation Sheet(s) attached: ❑ Yes o 16.hilbirationmquesledthnugli UsfonnisauhmimdbyT&31USC Sedan vaL 1352. ThsdiscbmoflobbyingadivifiesisamataWtgxesmbr onoffadupon Signature whichwliatwwasplwcdl) &t herabovewhm&,tmwlionwasmadeormkwd r {s CY° into.'IhsdscicsmismgimedAnakfftb3lUS.C1352 Timsinfonnabonwllbe Print Name repoit dto4teCongtasssemi-aotnk*"wAbeavailableforp hcneon Atrypemnwhofailstofilethetequitrddisclostnslta4besu oamacivdpenaltyof Title wtlm km $10,000 aadnotrmie4m $100,000fcreackisurhf iii ,A Tel hone No. Date FBda2lUseGnly: Aul'horizedfml-ocalRepmductiou Standard Form—LLL TO BE INCLUDED IN BID PACKAGE BP 25 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS (Form FHWA-1273) The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the required Federal Contract Provision (Form FHWA-1273) as shown in the appendix of the special provisions of this project. Signed Title CoPlaRVAN, PREESgDENT PALL INUM Firm E15CE RAMMOT MUPA Date M"A"' __ 20", TO BE INCLUDED IN BID PACKAGE BP 26 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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: (1) No Federal appropriated fluids have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal Agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, grant, loan, or cooperative agreement. (2) If any funds other Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL*, "Disclosure of Lobbying Activities" in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transactio was made or entered into. Submission of this certification is a prerequisite for malting or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub-reci ients shall certify and disclose accordingly. BIDDER Signature �-1 Finn G.FSP,C+a`!H,1'1'd'w-=ENr Date r,'i R *Standard Form LLL may be obtained from Caltrans or FHWA offices. TO BE INCLUDED IN BID PACKAGE BP 27 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQUIREMENTS FOR STEEL OR MANUFACTURED PRODUCTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the " Buy America" requirements of Section 165 of the Surface Transportation Assistance Act of 1982 and as shown in the special provisions of this project. Signed Title AO MUSA Firm EXCEL PAYNE CO PA Date MIIA+ s 1,11e1 TO BE INCLUDED IN BID PACKAGE BP 28 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the BIDDER hereby declares under penalty of perjury under the laws of the State of California that the BIDDER has® , has not__V/been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term 'BIDDER" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employe, thereof, as referred to in Section 10285.1. Note: The BIDDER must place a check marls after "has" or "has not" in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed Title EALP INS. Firm ��tK".twp m,mmr Pam Date t+lll`, ` - ,1 7014 TO BE INCLUDED IN BID PACKAGE BP 29 of 31 CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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 BID PACKAGE BP 30 of 31. CITY OF SANTA ANA Project No. 08-1732: Grand Avenue Widening from First Street to Fourth Street Project No. 12-6604: Grand Avenue Storm Drain from First Street to Fourth Street 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 malting a false certification may subject the certifier t� criminal prosecution. Signed Title F"ALP 1G. Firm 1 CE1_ MUMS COMPAW Date W',,' -, l 1014 TO BE INCLUDED IN BID PACKAGE BP 31 of 31 Bid Bond BID BOND The American Institute of Architects, AIA Document No. A310 (February, 1970 Edition) KNOW ALL MEN BY THESE PRESENTS, that we PALP Inc. dba Excel Paving Company as Principal hereinafter called the Principal, and Federal Insurance Company a corporation duly orggaW=d under the laws ofthe state of Indiana as Surety, hereinafter called the Surety, are held and fimily bound unto City of Santa Ana as Obligee, hereinafter called the Obligee, in the sum of Ten percent of the total amount of the bid Dollars ($ 9 o% ), for the payment of which sum well and truly to be made, the said Principal and, the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Grand Avenue NOW,1WREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithfirl performance of such Contract and for the prompt payment of labor and material fitmished in the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perforin the Work covered by said bid, then this obligation shall be mill and void, otherwise to remain in fidl force and effect. Signed and sealed this ORSC 21328 (5/97) 22nd day of April , 2094 PALP Inc. dba Excel Paving Company Wit0eSS Principal () By: Name/Tide C-FIMININII M`I;°$r"MIr Federal Insurance Company BY:(%e� Surety (seal) %! l Witness ' 00491as Rapp Attorney -in -Fact ACKNOWLEDGMENT State of California County of Orange on 04/22/2014 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(,d) whose name($) isAw.& subscribed to the within instrument and acknowledged to me that he/44644ey executed the same in his/4&&44& authorized capacity(*es , and that by hisAsr4he+r signature(y) on the instrument the person(B), or the entity upon behalf of which the person(g) 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. oF, E taPe��1AgA P�SfJbd _ � ; ��,� � PVt17ARYPlIFlLI�•CALIFgHNIp � Signature r (Seal) ca`^"N"' MYCpRtM,FMP,NpV19,2o96 Chubb POWER Federal Insurance Company OF Vigilant Insurance Company Surety ATTORNEY Pacific Indemnity Company GNUBB Know All by These Presents, That FEDERAL INSURANCE COMPANY, an I COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wiscor appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California ----- Attn: Surety Department 15 Mountain View Road Warren, NJ 07059 Ina corporation, VIGILANT INSURANCE corporation, do each hereby constitute and each as their We and lawful Attorney- in- Fact to execute under such designation In their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and 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 of 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 these presents and affixed their corporate seals on this 16th day or December, 2011. Kenneth C. Wendel, Assistant Secretary f .Norris, Jr., Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December, 2011 before me, a Notary Public of New Jersey, personally came Kenneth Cr 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 Attorney, 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 Attorney are such corporate seals and were thereto affixed by authority of the By. Laws of said Companies; and that he signed said Power of Attomey as Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, 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 the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By - Laws and in deponent's presence. .NOWdaI Seal KATHERINE J. ADELAAR �d J. AOF NOTARY PUBLIC OF NEW JFRSF)f F �0(PRP No, 2916685 PD��\Gk' Cornrniuion Expireli lb, 2014 g Notary Public NE6'd JET CERTIFICATION Extract from the By- Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary 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 President, any Secretary, any Assistant Secretary and the seal of the. Company may be affixed by famimlle 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 and other writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facslmlle signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and'certihetl 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." I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY (the "Companies") do hereby certify that (i) the foregoing extract of the By- Laws of the Companies is true 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 authorized by the U.S. Treasury Department; further, Federal 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 (Ili) the foregoing Power of Attorney is true, correct and in full force and effect. Given under my hand and seals of said Companies at Warren, NJ this 22nd day of April, 2014. 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) 13656 e-mail: surety@ohubb.com Form 15-10- 02256- U (Ed. 5- 03) CONSENT CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of Los Angeles OniJ','° x. before me, C. Phillips, Notary Public (Nero insert name and true of the of m) personally appeared C. P. Brown who proved to me on the basis of satisfactory evidence to be the personal whose nameW is/ne subscribed to the within instrument and acknowledged to me that heh;ha6ffiWexecuted the same in his/ rAbeir authorized capacityQ@O, and that by his/ wzft € signature(a) on the instrument the person(g), 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.- /' (:. PHILLIPS � {,��*,�r. COMM. tt199£•,177 n tf "'� ° Nnrary Public Ca6rfornia rt WITNESS my h d and official seal. �x, Los ANa;FLes coutvTv �� ... `�G�� My Comm. FxPires Oct. 29, 2016{ Si fNotary Public (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document cautioned) Number of Pages _ Document Date (Additional intervention) CAPACITY CLAIMED EY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Tide) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other __,.,, 2008 Version CAPA v12 10.0,7 800 873,9865 worw.NotaryClasses corn _ _ INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in Callrernio must mnmin verbiage tsactly as appears above in the nomry section or a separate acknowledgmentform must be properly completed aha attached to that document. The only exception is if a document is to be recorded mtside ofCalffon,la in such intranets, any alternative acknowledgment verbiage as may be printed on such a document so long as the verbiage does not require the notary to do something tlar is diegal for a notary in California (t.e, cerVMng the authorized capacity of the signer). Please check the document earelidly for proper notarial wording and attach this form irrequ red • State and County information must be am State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signers) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her acme as it appears within his or her commission followed by a comma and then your title (notary public). • Print the naw(s) of document signers) who personally appear at the time of notarization. • indicate the correct singular or plural forms by crossing off incorrect forms (i.e. Wshe/fhey,— is lore ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording., • The notary seal impression must be clear and photographically reproducible. impression most not cover test or lines. If send impression smudges, reseal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public must match the signature on file with the office of the twwuy clerk. r'- Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attaphed document, number of pages and dale. to indicate the capacity claimed by the signer. If the olatmgd capacity is a corporate officer, indicate the due (l.e. CEO, CFO, Secretary). • Securely attach this document to the signed document MEMORANDUM To: David Cavazos City Manager Date: February 23?S'I'P 16 AM P: 02 Fred Mousavipour, Executive Director CITY OF i ^ (a I/� ANA From: Public Works Agency CLERK O Iy,lt(f r Project Nos. 08-1732, 12-6604 Grand Ave Widening From 1 st Street to 4th Street & Grand Ave Storm Drain: Subject: Change Order No. 1 CONTRACTOR PALP, Inc. DBA Excel Paving Company 2230 Lemon Avenue Long Beach, CA 90806 PROJECT DESCRIPTION: 08-1732; Grand Ave Widening from 18t Street to 4th Street, 12-6604; Grand Ave Storm Drain from 1sT Street to 4T" Street CHANGE ORDER NUMBER: CHANGE ORDER AMOUNT: $ 129,590.64 ACCOUNTING UNIT -ACCOUNT -ACTIVITY NUMBER: 99117950-66220-08173207028 03217662-66220-08173209028 22417660-66220-12660401028 22517660-66220-12660402028 22617660-66220-12660403028 JUSTIFICATION EXTRA WORK AT AGREED PRICE The widening requires replacing the existing streetlights along Grand Avenue with eight new streetlights. When the project was initially designed several years ago, it was the City's position that the new streetlights should be installed and owned by Southern California Edison (SCE). However since then, the City has started the process to purchase SCE owned streetlights and paying SCE to install and own them is counterintuitive. Consequently, it is logical for the City to obtain a refund from SCE and install and own the streetlights under this contract. (PCO #06) AGREED PRICE $50,025.90 2. The contract documents call for a new 68 LF of 24" RCP and 8' deep catch basin for lateral "C" on the northwest corner of Grand & First Street. After the contractor completed his potholing operations, five underground utilities were discovered that were not shown on the profile. These utilities necessitated a redesign of the lateral and catch basin. The new proposed profile increases the depth of the catch basin to 10', increased the overall depth of the 24" RCP, and added a concrete collar and a new junction structure with a cast -in- place reinforced concrete box. (PCO #11) AGREED PRICE $53,560.00 Project 08-1732 Request for Approval of Change Order No. 1 February 23, 2015 Page 2 of 3 3. The contract documents call for the installation of new Contech Triton Inserts at each of the three proposed catch basin to filter storm water run-off. These units have proven to be maintenance intensive and ineffective at reducing storm run-off pollution. The City's NPDES program currently installs United Storm Water (USW) automatic retractable screens (ARS) and connector pipe screens (CPS) at all catch basins. This change order would install the new AWS devices in lieu of those detailed in the contract documents. (PCO #02) AGREED PRICE $9,357.23 EXTRA WORK AT TIME & MATERIAL 4. While installing the 12" PVC water main, the contractor encountered an AT&T duct bank that was not shown on plan and is in the pipe zone. A vertical offset in the 12" water main will need to be constructed to go under the duct bank. The vertical offset will be constructed per City Standard 14136 and was done on a time and materials basis. (PCO #09) FINAL COST $16,647.51 ACCOUNTING UNIT COST ANALYSIS CCO Item Number Accounting Unit Accounting Unit Costs Total Amount 99117950-66220-08173207028 $25,012.95 03217662-66220-08173209028 $25,012.95 1 22417660-66220-12660401028 $0.00 $50,025.90 22517660-66220-12660402028 $0.00 22617660-66220-12660403028 $0.00 99117950-66220-08173207028 $0.00 03217662-66220-08173209028 $0.00 2 22417660-66220-12660401028 $26,935.92 $53,560.00 22517660-66220-12660402028 $8,207.17 22617660-66220-12660403028 $18,416.91 99117950-66220-08173207028 $0.00 03217662-66220-08173209028 $0.00 3 22417660-66220-12660401028 $4,705.86 $9,357.23 22517660-66220-12660402028 $1,433.84 22617660-66220-12660403028 $3,217.54 99117950-66220-08173207028 $0.00 03217662-66220-08173209028 $0.00 4 22417660-66220-12660401028 $8,372.22 $16,647.51 22517660-66220-12660402028 $2,550.95 22617660-66220-12660403028 $5,724.34 Total $129,590.64 Project 08-1732 Request for Approval of Change Order No. 1 February 23, 2015 Page 3 of 3 CONTRACT COST SUMMARY Amount Authorized bvCitv Council Construction Contract Construction Contingency Amount $ 3,179,058.24 $ 386,953.15 % of Contract 12.17% Previous Approved COs $ - Increase 0.00% Change Order#1 $ 129,590.64 Increase 4.08% Total Change Orders to Date $ 129,590.64 Increase 4.08% Adjusted Contract Total $ 3,308,648.88 SCHEDULE IMPACT Increase contract time by 85 working days. Public Works Agency APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutierrez, Executive Director Finance & Management Services Agency PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 08-1732: Grand Ave. Widening & Storm Drain From let to 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 15 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 PRICE 1. Install streetlight conduit, pullboxes and foundations, and install City provided streetlight service pedestal with foundation, poles and luminaires per streetlight plan BA01 dated 1/9/2015. (PCO #06) AGREED PRICE $50,025.90 2. Construct 24" RCP and cast -in-place reinforced concrete box on storm drain lateral "C per revised detail dated 12/16/14. (PCO #011) AGREED PRICE $53,560.00 3. Provide and install new United Storm Water (USW) automatic retractable screens (ARS) and connector pipe screens (CPS) at the three catch basins in lieu of the Contech Triton Inserts shown on plan. (PCO #02) AGREED PRICE $9,357.23 EXTRA WORK AT TIME & MATERIAL 4. Construct 12" vertical offset in the 12" water main per City Standard 14138 at STA 10+14 on a time and materials basis. (PCO #09) FINAL COST $16,647.51 Page 1 of 3 0 PUBLIC WORKS AGENCY � CONTRACT CHANGE ORDER (9) Project Number 08-1732: Grand Ave. Widening & Storm Drain From 15f to Change Order Number 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 $ 129,590.64 By reason of this order the CONTRACT TIME completion will be adjusted as follows: 85 working days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date -jaB 'j 6 11;, Contractor Excel By C e —� n Approval recommended by / 'A ` / I M I '-\� Date P VLICWO SAGENCYEXECOTIVE DIRECTOR Approved by / �\—/ JW ®C.+ Date II fit' MAt�P��. Page 2 of 3 CITYMANAGER Page 3 of 3 MEMORANDUM To: From: Subject: David Cavazos City Manager Date: April 20, 2015 Fred Mousavipour, Executive Director Public Works Agency Project Nos. 08-1732, 12-6604 Grand Ave Widening From 1St Street to 4th Street & Grand Ave Storm D(4tr : - Change Order No. 2 CONTRACTOR PALP, Inc. DBA Excel Paving Company t , 2230 Lemon Avenue Long Beach, CA 90806 PROJECT DESCRIPTION: 08-1732; Grand Ave Widening from 15t Street to 4th Street, 12-6604; Grand Ave Storm Drain from IST Street to 4T" Street CHANGE ORDER NUMBER: 2 ACCOUNTING UNIT -ACCOUNT -ACTIVITY NUMBER: JUSTIFICATION EXTRA WORK AT AGREED PRICE CHANGE ORDER AMOUNT: $ 31,155.38 99117950-66220-08173207028 03217662-66220-08173209028 22417660-66220-12660401028 22517660-66220-12660402028 22617660-66220-12660403028 1. On the contract documents for the 78" RCP storm drain, the plans show construct a cast - in -place transition structure at STA 34+75 between the existing 84" RCP and the proposed 78" RCP. On March 12, 2015 revised sheets QA02 and DD02 were issued. The revisions call to eliminate the transition structure and extend the 78" RCP 64 LF and construct a junction structure at the intersection of the existing 48" RCP. This change will reduce the volume of storm water into the 84" RCP, which currently is exceeding its designed capacity. All work will be constructed per revised sheets QA02 and DD02 dated March 12, 2015. (PGO #15) AGREED COST = $ 98,440.00 EXTRA WORK AT TIME & MATERIAL 2. The contract documents call to reuse an existing 3" conduit on the northwest corner of 4th St. and Grand Ave. for traffic signal control cables. The existing conduit condition is not suitable for reuse. This change order calls to install a new 4" PVC conduit in lieu of reusing existing 3 conduit shown on plan, as directed in PCO #13. FINAL COST = $ 1,715.38 Project 08-1732 Bequest for Approval of Change Order No. 2 April 20, 2015 Page 2 of 3 ORIGINAL CONTRACT BID ITEM QUANTITY ADJUSTMENTS B17 Furnish and Install Cast -in -Place EA Transition Structure (Double RCP to Single RCB and Single RCP) ACCOUNTING UNIT COST ANALYSIS (1.00) ($ 69,000.00) tl/ CCO Item Number Accounting Unit Accounting Unit Costs Total Amount 99117950-66220-08173207028 $0.00 03217662-66220-08173209028 $0.00 1 22417660-66220-12660401028 $49,506.57 $98,440.00 22517660-66220-12660402028 $15,084.28 22617660-66220-12660403028 $33,849.15 99117950-66220-08173207028 $857.69 03217662-66220-08173209028 $857.69 2 22417660-66220-12660401028 $0.00 $1,715.38 22517660-66220-12660402028 $0.00 22617660-66220-12660403028 $0.00 99117950-66220-08173207028 $0.00 03217662-66220-08173209028 $0.00 B17 22417660-66220-12660401028 -$34,700.87 -$69,000.00 22517660-66220-12660402028 -$10,573.09 22617660-66220-12660403028 1 -$23,726.04 Net Increase $31,155.38 Project 08-1732 Request for Approval of Change Order No. 2 April 20, 2015 Page 3 of 3 CONTRACT COST SUMMARY Amount Authorized by City Council Amount % of Contract Construction Contract $3,179,058.24 Construction Contingency $ 386,953.15 12.17% Previous Approved COs $ 129,590.64 Increase 4.08% Change Order#2 $ 31,155.38 Increase 0.98% Total Change Orders to Date $ 160,746.02 Increase 5.06% Adjusted Contract Total SCHEDULEIMPACT Increase contract time by 7 working days. 4 ( A � V " V-�� - Fred M u avipour, Executive Director Public Works Agency $ 3,339,804.26 APPROVED AS TO FUNDS AND ACCOUNTS: icy C��4�t a Francisco Gutierrez, Executive Direct6�1,�s Finance & Management Services Agency Cf r >( OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 08-1732: Grand Ave. Widening & Storm Drain From 1St to Change order Number 2 4th 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 EXTRA WORK AT AGREED PRICE PUBLIC WORKS AGENCY 1. Extend the 78" RCP 64 LF, construct a junction structure at the intersection of the existing 48" RCP and eliminate the transition structure at STA 34+75 per revised sheets QA02 and DD02 dated March 12, 2015. AGREED COST = $ 98,440.00 EXTRA WORK AT TIME & MATERIAL 2. Install 4" PVC conduit in lieu of reusing existing 3" conduit shown on plan as directed in PCO #13. ORIGINAL CONTRACT BID ITEM QUANTITY ADJUSTMENTS B17 Furnish and Install Cast -in -Place EA (1.00) Transition Structure (Double RCP to Single RCB and Single RCP) CHANGE ORDER COST SUMMARY Increase $100,155.38 Decrease ($69,000.00) Net Increase to Contract $31,155.38 Page 1 of 2 FINAL COST $ 1,715.38 ($ 69,000.00) PUBLIC WORKS AGENCY (9) CONTRACT CHANGE ORDER Project Number 08-1732: Grand Ave. Widening & Storm Drain From 181 to Change Order Number 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 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 1}IIS CHANGE ORDER: DECREASE $ - _ _ - - WCREASE $ 31 ,155.38 By reason of this order the CONTRACT TIME completion will be adjusted as follows: 7 working days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date A g p, 9A4AA(4CFR EXceI Pavin Company �. By ,/ Approval recommended by Date - ECUT! DIRECTORApproved by/ / / DateOT """�� Page 2 of 2