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Home My WebLink AboutROY ALLAN SLURRY SEAL, INC. 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 Nguyen, Clerk-Recorder Santa Ana,CA 92702 II I I Ill 11�11 11 111 1111 11111 11 1111 I IIIII II NO FEE * $ R 0 0 0 7 1 8 0 7 6 2 $ * 2014000554183 8:58 am 12/23114 62 d15 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 "-Q�.iy 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 LOCAL SLURRY SEAL 2012-13 under contract entered into on JUNE 17, M 2014, with ROY ALLEN SLURRY SEAL, INC., on which contract CONTRACTORS a � x w BONDING AND INSURANCE COMPANY is surety. The property on which such work oimprovement was placed is in the City of Santa Ana, County of Orange, State of California, and o z described as Project No, 13-6787 located at: VARIOUS LOCATIONS. The work improvement A z on said property was accepted as completed on DECEMBER 12, 2014. CITY OF A A A, ?MU ICIPAL CORPORATION ION by zDated: !�� Z City En ineer 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. Executed one 7i 20 , at Santa Ana, California (Signature of individual swearing that the contents of Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: JUNE 17, 2014 TITLE: CONTRACT AWARD FOR LOCAL STREETS RESURFACING USING TIRE RUBBER MODIFIED SLURRY (PROJECT 136787) JJ CITY MANAGPR RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVED JUN 1 7 2014 E As Recommended CROS ❑ As Amended ❑ Ordinance on 151 Reading ❑ Ordinance on 2otl Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO FILE NUMBER 1. Award a contract to the lowest responsible bidder, Roy Allan Slurry Seal, Inc., in accordance with the Base Bid and Alternate A, totaling $961,074.50, for construction of the Local Streets Resurfacing using Tire Rubber Modified Slurry. 2. Approve the Cost Analysis for a total estimated project delivery cost of $1,300,000 (Exhibit 1). DISCUSSION The City has made a significant investment to rehabilitate local streets over the last ten years, and therefore a top priority Is to maintain and protect that investment. The City's Pavement Management Program effectively strategizes short and long -term maintenance schedules to maximize performance of the entire street pavement network, including identifying preventative maintenance improvements (Exhibit 2). The application of a surface slurry seal to streets every seven to ten years will ensure a continued high level of service. Historically, a conventional slurry seal has been used. Rubberized slurry seals offer superior performance over conventional slurry by providing a more flexible surface that resists cracking while also benefiting the environment by repurposing recycled tires. There are several rubberized slurry products available, including Tire Rubber Modified Slurry Seal (TRMSS) and Rubberized Emulsion Aggregate Slurry (REAS). Both provide similar wear and aesthetic characteristics. In an effort to compare the performance of each of these products, two projects are recommended for award on June 17, 2014. Both products are industry proven applications for street maintenance. Based on the bids received, staff recommends award of TRMSS for this contract. Contract Award for Local Streets Resurfacing Using Tire Rubber Modified Slurry June 17, 2014 Page 2 Bid procedures have been followed as established by the City's Municipal Code and in adherence to the Public Contracts Code, The Notice Inviting Bids was advertised on April 25 and 28, 2014, and bids were opened on May 15, 2014. The following is a summary of the bid invitations mailed and received, and the bid results: Contractor Participation Data Santa Ana contractors receiving notices 6 _ Contractors requesting bidding documents 11 Bids received w 3 Bids received from Santa Ana contractors 0 Bid Results Summary RANK BIDDER'S NAME LOCATION BID 1 Roy Allan Slurry Seal, Inc. Santa Fe Springs 2 Pavement Coatings Company Jurupa Valley _$961,074.50 $1,020,435.50 3 All American Asphalt Corona $1,517,517.00 A total of 3 bids were received and deemed responsive, with Roy Allan Slurry Seal, Inc., submitting the lowest responsive bid. The bid amount of $961,074.50 is 12.6 percent under the Engineer's Estimate of $1,100,000. I��1�lli�]�h�l- ��1►1R1i4f7_�1 In accordance with the California Environmental Quality Act, the recommended actions are exempt from further review. Categorical Exemption Environmental Review No. 2014 -49 was filed for this project. FISCAL IMPACT The estimated total delivery cost of this project is $1,300,000, which includes construction administration, inspection, testing, survey and contingencies (Exhibit 1). Funding is available in the Gas Tax Residential Street Improvement Fund (Account 05817661- 66220). APPROVED AS TO FUNDS AND ACCOUNTS: Edwin "William" Ga z, P.E. Francisco Gutierrez �� p Interim Executive Director Executive Director Public Works Agency Finance & Management Services Agency EWG /ET Exhibit 1: Cost Analysis 2: Local Streets Resurfacing using TRMSS Location Map & List Contract Award for Local Streets Resurfacing Using Tire Rubber Modified Slurry June 17, 2014 Exhibit 1 COST ANALYSIS PROJECT 13 -6787 LOCAL STREETS TRMSS SLURRY Construction Contract $961,074.50 Contract Administration $66,710.60 Inspection and Testing $80,000.00 Contingencies $192,214.90 TOTAL ESTIMATEb CONSTRUCTION COSTS $1,300,000.00 THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796 -7000 / Fax (714) 796 -6059 PROOF OF PUBLICATION (2015.5 C'C' P') State of California ) County of ORANGE ) ss. Notice Type: BID - NOTICE INVITING BIDS Ad Descripliow Local Street Slurry Seal FY 12M3 I am a citizen of the United Slates and a resident of the State of California; I am . over the ago of eighteen years, and not a pulp, 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 SANTAANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the Stale of California by the Superior Court of the County of ORANGE, Slate of California, under dale 11/1011005, Case No. A21046. That the notice, of which the annexed is a printed copy, has been published in each regular and entire Issue of said newspaper and not In any supplement thereof on the following dates, to -wit: 04/25/.2014,04/28 /2014 Executed on; 04/28/2014 At SANTA ANA, California I certify (or declare) under penalty of perjury that the foregoing Is true and correct. 19 .�- Sign ure npaaa ter piing stomp only CNS #: 2615056 * A 0 0 0 0 0 3 4 0 4 3 5 7 Name From To 18TH ST ENGLISH ST ALONA ST 18TH ST TOWNER ST E/0 TOWNER ST 18TH ST W/O LINCOLN AV LINCOLN AV 19TH ST W/O ENGLISH ST ALONA ST 19TH ST BRISTOL ST LOUISE ST 19TH ST TOWNER ST FLOWER ST 19TH ST LINCOLN AV SANTIAGO ST 20TH ST ENGLISH ST ALONA ST 20TH ST TOWNER ST OLIVE ST 20TH ST W/O VALENCIA ST LINCOLN AV 21ST ST WJO ENGLISH ST BRISTOL ST 21ST ST BAKER ST OLIVE ST 21ST ST SANTIAGO ST LINCOLN AV 22ND ST W/0 ALONA ST TAMY LN 221\1D ST BRISTOL ST BAKER ST 22ND ST SPURGEON ST FRENCH ST ACACIA PL PARK LN JONQUIL RD ALONA ST 17TH ST RIVIERA DR ASPEN ST LARCHMONT AV LINCOLN AV AVALON AV ALONA ST TAMY LN AVALON AV SANTIAGO ST LINCOLN AV BAKER ST 17TH ST N/O RIVIERA DR BEECHWOOD ST LARCHMONTAV LINCOLN AV BORCHARD AV SULLIVAN ST CENTER ST BROOK ST W/O WESTERN AV WISTERIA PL BUFFALO AV TOWNER ST OLIVE ST BUFFALO AV SPURGEON ST E/O SPURGEON ST BUFFALO AV VALENCIA ST LINCOLN AV CAN DIS AV 21ST ST 22ND ST CATALINA AV SANTIAGO ST LINCOLN AV CHERRY ST LARCHMONT AV LINCOLN AV CIVIC CENTER DR SANTIAGO ST CUSTER ST CUBBON ST RA ITT ST GRAHAM LN CUSTER ST STAFFORD ST N/O WASHINGTON AV EDGEWOOD RD BUSH ST SANTIAGO ST EDNA DR ALONA ST JODY AV ELDER AV SULLIVAN ST CENTER ST ELM ST ALONA ST FOREST AV ELM ST HESPERIAN ST BRISTOL ST ENGLISH ST 17TH ST 20TH ST FOREST AV 21ST ST RIVIERA DR FOREST CIR IHIGHLAND ST N/O HIGHLAND ST EXHIBIT 2B CONTRACT AWARD FOR LOCAL STREETS RESURFACING USING TIRE RUBBER MODIFIED SLURRY (PROJECT NO.: 136787) Page 1 of 2 Name From To FREEMAN ST 21ST ST BUFFALO AV FRENCH ST S/O 22ND ST 22ND ST GRAHAM LN MCFADDEN AV CUBBON ST GRAHAM LN WISTERIA PL HIGHLAND ST GROVEMONT ST SANTIAGO ST LINCOLN AV HESPERIAN ST 21ST ST SANTA CLARA AV HESPERIAN ST MARION WY RIVIERA DR HIGHLAND ST W/O WESTERN AV GRAHAM LN JOANA DR LARCHMONT AV LINCOLN AV JODY AV 21ST ST 22ND ST JONQUIL RD ACACIA PL PARK LN LA VERNE AV SULLIVAN ST CENTER ST LARCHMONTAV SANTA CLARA AV GROVEMONTST LOGAN ST SANTA ANA BLVD N/0 WASHINGTON AV LOUISE ST 19TH ST 22ND ST MARION WY W/0 ALONA ST HESPERIAN ST OLIVE LN SANTA CLARA AV RIVIERA DR OLIVE ST 21STST BUFFALO AV PACIFIC AV S/O 21ST ST SANTA CLARA AV PACIFIC AV MARION WY RIVIERA DR PARK LN FLOWER ST JONQUIL RD POINSETTIA ST S/O 20TH ST 20TH ST POPLAR ST 21ST ST RIVIERA DR RIVIERA DR BAKER ST FLOWER ST ROSEWOOD AV 21ST ST RIVIERA DR RUTH CIR TOWNER ST W/O TOWNER ST SANTA CLARA AV W/O ALONA ST BRISTOL ST SANTA CLARA AV BRISTOL ST FLOWER ST SANTA CLARA AV FLOWER ST GREENLEAF ST SPRUCE ST 21ST ST SANTA CLARA AV SPRUCE ST MARION WY RIVIERA DR STAFFORD ST CUSTER ST LINCOLN AV TAMY LN S/O 21ST ST SANTA CLARA AV TOWNER ST 17TH ST RIVIERA DR VALENCIA ST S/O 20TH ST N/O BUFFALO AV WASHINGTON AV SANTIAGO ST LINCOLN AV WESTERN AV CUBBON ST BROOK ST WESTERN AV WISTERIA PL HIGHLAND ST WESTWOOD AV 21ST ST RIVIERA DR WILSHIRE AV SULLIVAN ST CLARA ST WISTERIA PL RAITTST GRAHAM LN EXHIBIT 2B CONTRACT AWARD FOR LOCAL STREETS RESURFACING USING TIRE RUBBER MODIFIED SLURRY (PROJECT NO.: 1367 87) Page 2 of 2 MAYOR Miguel A. Pulido MAYOR PRO TEM Sal TlnaJoro COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele Martinez Roman Reyna Vincent F. Sarmiento May 6, 2014 ADDENDUM No. ONE S'fA" f��aj� PUBLIC WORKS AGENCY P.O. Box 1988 M -36 Santa Ana, California 92702 www Santa- ana.om CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar SUBJECT: PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 The following change has been made to the Specifications for the subject project: Specifications 1. Page BP 3 of 14: Replace with the attached page BP 3 of 14. All other terms and conditions remain the same. FOR THE CITY, OF SANTA ANA Taig Higgins, P.E. Acting City Engineer SANTA ANA CITY COUNCIL, Miguel A, Polido Sal Tinajero Vincent E Saarlenlo Michele Martinez AN6.Ameaaua RDavid eeoavidas Roman Rayne Mayor Mayor Pro Tem,WaM6 I Ward Werd2 3 al WaM4 Ward MPulldo(sants -anaoM aoroma 1 VSarmientonsanta- anaoo MMartl- M,0.sana- ana,oro AAmezWl DaenavdearcbmNaana qN RReZardsanta ana cry MAYOR Miguel A. Pulido MAYOR PRO TEM Sal Tinajero COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele Martinez Roman Reyna Vincent F. Sarmiento May 14, 2014 ADDENDUM No. TWO s PUBLIC WORKS AGENCY P.O. Box 1988 M -36 Santa Ana, California 92702 w .santa- ana.oro CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria. D. Hulzar SUBJECT: PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 The following change has been made to the Specifications for the subject project: Specifications 1. Page BP 1 of 14: Replace with the attached page BP 1 of 14. All other terms and conditions remain the same. FOR THE CJTY OF SANTA ANA Taig Higgins, P.E. Acting City Engineer SANTA ANA CI rY COUNCIL Miguel A. Pulldo I Sal'Uhroon, I Vincent F. Sarmiento MCI Mararn Angelica Amezma P. David Benavides I Roman Rena Mayor I Mayer Pro Tem, Ward6 I ward Ward c Ward Ward MP uldofesnnta -anaom MMartnezdsentgmm, am AAmezW(aaaiuom Daenavitle� I RRevna0<saata -ane am MAYOR CITY MANAGER Miguel A. Pulldo David Cavazos MAYOR PRO TEM Sal Tlhajero CITY ATTORNEY Sonia R. Carvalho COUNCIL MEMBERS CLERK OF THE COUNCIL Angelica Amezcua ,.,y,,az,� Maria D. Hulzar P. David Banavldes Michele Martinez Roman A. Rayne Vincent R Sarmlenlo CITY OF SANTA ANA FILED PLANNING & BUILDING AGENCY MAY 16 2p14 20 Civic Center Plaza (M -20) P.O. BOX 1988 . Santa Ana, California 92702 (714) 657 -2700 • Fax (714) 97 &1461 ORANGE COUNTY CLERK• ECOfttlER DEPARTMENT vnwi.santa- ana.org BY, DEPUTY NOTICE OF EXEMPTION�`� _T From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK From: City of Santa Ana County of Orange Planning & Building Agency P.O. Box 238 20 Civic Center Plaza M -20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Local Slurry 12113 Date of Approval: 06/17/2014 ProjectNumber(s): PWA- 2014 - 588 -CIP Project Location: -SCE ') City: Santa Ana County: Orange ER Number: ER- 2014 -49 Project Description: Work Includes applying slurry seal material to surface of roadway Applicant Name: Kenny Nguyen , City of Santa Ana Applicant Address: Ross Annex, 20 Civic Center Plaza, 3rd Floor M -36 SANTA ANA, CA 92702 Name of Public Agency Approving Project: City Council Name of Person or Agency Carrying Out Project: Nguyen, Kenny Exempt Status: ❑ Ministerial (Sec, 15268) ❑ Declared Emergency (Sec. 15269 (a)) ❑ Emergency Project (Sec. 15269 (b through e)) ❑ General Rule (Sec. 15061(b)(3)1(5)) ❑ Statutory Exemption: m Categorical Exemption: 15301(c) Reason(s) Why Project Is Exempt From CEQA. 15301 (c) - existing roadway City Contact: Sean Thomas Signature: ` -� Title: POSTED E® MAY 16 20% ORANGE COUNTY CLERK ERDEPARTMENT BY: �/�' DEPUTY Recorded In Official Records, Orange c66ty "off" e Uyenl i� -ii riepe��iwo NO FEE + R R 0 0 0 6 7 0 1 7 6 20148500043611:37 am 05/16/14 214 304 z01 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 Telephone: (714) 647 -5555 Assistant Engineer Date: SANTA ANA CITY COUNCIL 5/15/2014 Miguel A. Pulldo Sal Tinajero . Vincent R Sarmlento Miohela Martinez Angelica Amezcua P. David Benavidea Roman Royno Mayor Mayor Pro Tam, Wards 1 Ward Ward Ward Wad4 Ward MFMW_ Q0eaBt kEp@yWs3lualeroasanlo-anac MSermlenlaaftMtaAAn -.Qg, MMadhPjRd W_,ana°ra z ua(�¢@gje nna.ora; ❑BanaVldg Banta -anaor {pg¢yTt g,@_,laa aorn Project 13.6787 Local Street Slurry Seal 2012 -13 MAY 16 2014 ORANGE COUNTY CLERK -RECUR 'a UEPARTMrNi Name From To 18TH ST ENGLISH ST ALONAST 18TH ST TOWNER ST END 18TH ST LINCOLN AV END 19TH ST ENGLISH ST END 19TH ST ALONA ST ENGLISH ST 19TH ST BRISTOL ST GREENBRIER ST 19TH ST GREEN BRIER ST LOUISE ST 19TH ST TOWNER ST OLIVE ST 19TH ST OLIVE ST FLOWER ST 19TH ST LINCOLN AV SANTIAGO ST 20TH ST ENGLISH ST ALONA ST 20TH ST OLIVE ST TOWNER ST 20TH ST VALENCIA ST END 20TH ST POINSETTIA ST VALENCIA ST 20TH ST SANTIAGO ST POINSETTIA ST 20TH ST LINCOLN AV SANTIAGO ST 21ST ST END ALONA ST EST ST ALONA ST JODY AV 21STST JODY AV CANDIS AV 21STST CANDIS AV TAMY LN 21STST TAMY LN FOREST AV 21STST FOREST AV SPRUCEST 21ST ST SPRUCEST PACIFIC AV 21STST PACIFIC AV POPLAR ST 21STST POPLAR ST HESPERIAN ST 21STST HESPERIAN ST BRISTOL ST 21ST ST BAKER ST ROSEWOOD AV 21ST ST ROSEWOOD AV WESTWOOD AV 21ST ST WESTWOOD AV TOWNER ST 21ST ST TOWNER ST FREEMAN ST 21ST ST FREEMAN ST OLIVE ST 21STST SANTIAGO ST LINCOLN AV 22ND ST ALONA ST END 22ND ST J ODY AV ALONA ST 22ND ST CANDIS AV JODY AV 22ND ST TAMY LN CANDIS AV 22ND ST BRISTOL ST GREENBRIER ST 22ND ST GREENBRIER ST LOUISE ST 22ND ST LOUISE ST BAKER ST 22ND ST SPURGEON ST FRENCH ST ACACIA PL JONQUIL RD PARKIN ALONA ST 18TH ST 17TH ST ALONA ST 19TH ST 118TH ST ALONA ST 120TH ST 19TH ST DEPUrY Page 1 of s MAY 16 2014 ORANGE COUNTY CLERK CO ER DEPARTMENT BY: DEPUTY Project 13 -6787 Local Street Slurry Seal 2012 -13 MAY 16 2094 Name From TO ORANGe COUNTY CLERK-RECORD ALONA ST 21ST ST 20TH ST ay ALONA ST EDNA DR 21ST ST ALOHA ST 22NDST EDNA DR ALOHA ST 22ND ST 22ND ST ALONA ST AVALON AV 22ND ST ALONA ST SANTA CLARA AV AVALON AV ALONA ST MARION WY SANTA CLARA AV ALOHA ST ELM ST MARION WY ALONA ST RIVIERA DR ELM ST ASPEN ST LARCHMONTAV LINCOLN AV AVALON AV ALONA ST TAMY LN AVALON AV SANTIAGO ST LINCOLN AV BAKERST 17TH ST 18TH ST BAKERST 18TH ST 21ST ST BAKERST 21ST ST 22ND ST BAKERST 22NDST SANTA CLARA AV BAKERST SANTA CLARA AV RIVIERA DR BAKERST RIVIERA DR END BEECHWOOD ST LARCHMONTAV LINCOLN AV BORCHARD AV CENTER ST SULLIVAN ST BROOK ST END WESTERN AV BROOK ST WESTERN AV WISTERIA PL BUFFALO AV FREEMAN ST TOWNER ST BUFFALO AV OLIVE ST FREEMAN ST BUFFALO AV SPURGEON ST END BUFFALO AV VALENCIA ST POINSETTIA ST BUFFALO AV POINSETTIA ST SANTIAGO ST BUFFALO AV LINCOLN AV SANTIAGO ST CANDIS AV 21ST ST 22ND ST CATALINAAV LINCOLN AV SANTIAGO ST CHERRYST LARCHMONTAV LINCOLN AV CIVIC CENTER DR SANTIAGO ST OUSTER ST CUBBON ST WESTERN AV RAITT ST CUBBON ST PACIFIC AV WESTERN AV CUBBON ST GRAHAM LN PACIFICAV CUSTER ST WASHINGTON AV STAPPORD ST CUSTERST WASHINGTON AV END EDGEWOOD RD BUSH ST SPURGEON ST EDGEWOOD RD SPURGEON ST FRENCH ST EDGEWOOD RD FRENCH ST FRENCH ST EDGEWOOD RD FRENCH ST VALENCIA ST EDGEWOOD RD VALENCIA ST POINSETTIA ST EDGEWOOD RD POINSETTIA ST SANTIAGO ST EDNA DR IODY AV ALOHA ST Page 2 of 5 MAY 16 2094 R DE ?ART6 10 I MpurY ORANGE COUNTY CLERK•REC RDERDEPARTMENT BY: DEPUTY FILED Project 13 -6787 Local Street Slurry Seal 2012 -13 MAY 16 2014 Name From TO A PANGF COUNTY CLERK-RECORDEf ELDER AV SULLIVAN ST CENTER ST ELM ST FOREST AV ALONA ST ELM ST END HESPERIAN ST ENGLISH ST 17TH ST 18TH ST ENGLISH ST 18TH ST 19TH ST ENGLISH ST 19TH ST 20TH ST FORESTAV 21ST ST SANTA CLARA AV FORESTAV SANTA CLARA AV MARION WY FORESTAV MARION WY ELM ST FORESTAV ELM ST RIVIERA DR FOREST CIR HIGHLAND ST END FREEMAN ST BUFFALO AV 21ST ST FRENCH ST 22ND ST END GRAHAM LN MCFADDEN AV CUBBON ST GRAHAM LN HIGHLAND ST WISTERIA PL GROVEMONTST LARCHMONTAV SANTIAGO ST GROVEMONTST LINCOLN AV LARCHMONTAV HESPERIAN ST 21ST ST SANTA CLARA AV HESPERIAN ST MARION WY ELM ST HESPERIAN ST ELM ST RIVIERA DR HIGHLAND ST END WESTERN AV HIGHLAND ST WESTERN AV FOREST CIR HIGHLAND ST FOREST CIR PACIFICAV HIGHLAND ST PACIPIC AV GRAHAM LN JOANADR LARCHMONTAV LINCOLN AV JODY AV EDNA DR 21ST ST JODY AV 22ND ST EDNA DR JONQUIL RD PARK LN ACACIA PL LA VERNE AV SULLIVAN ST CENTER ST LARCHMONTAV SANTA CLARA AV ASPEN ST LARCHMONTAV ASPEN ST BEECHWOODST LARCHMONTAV BEECHWOODST CHERRYST LARCHMONTAV CHERRYST JOANADR LARCHMONTAV JOANAOR GROVEMONTST LOGAN ST STAFFORD ST SANTA ANA BLVD LOGAN ST WASHINGTON AV STAFFORD ST LOGAN ST WASHINGTON AV END LOUISE ST 22ND ST 19TH ST MARION WY END ALONA ST MARION WY ALONAST FORESTAY MARION WY FORESTAV SPRUCEST MARION WY SPRUCEST PACIFICAV MARION WY PACIFICAV POPLAR ST MARION WY POPLAR ST HESPERIAN ST DEPARITAFRI DEPUTY O Page 3 of S MAY 16 2014 ORANGE COUNTY CLERK •RECD DER DEPARTMENT By.'" // FILED Project 13 -6787 Local Street Slurry Seal 2012 -13 MAY 16 2014 Name From To ORANGE COUNTY CL OLIVE LN RIVIERA DR SANTA CLARA V OLIVE ST 21ST ST BUFFALO AV It PACIFIC AV END 21ST ST PACIFIC AV 21ST ST SANTA CLARA AV PACIFIC AV MARION WY RIVIERA DR PARK LN FLOWER ST ACACIA PL PARK LN ACACIA PL JONQUIL RD POINSETTIA ST END 20TH ST POPLAR ST SANTA CLARA AV 21ST ST POPLAR ST MARION WY SANTA CLARA AV POPLAR ST RIVIERA DR MARION WY RIVIERA DR BAKER ST ROSEWOOD AV RIVIERA DR ROSEWOOD AV WESTWOODAV RIVIERA DR WESTWOODAV TOWNERST RIVIERA DR TOWNERST LOWELL LN RIVIERA DR LOWELL LN OLIVE LN RIVIERA DR OLIVE LN FLOWER ST ROSEWOOD AV 21ST ST SANTA CLARA AV ROSEWOOD AV SANTA CLARA AV RIVIERA DR RUTH CIR TOWNER ST END SANTA CLARA AV END ALONAST SANTA CLARA AV ALONA ST TAMY LN SANTA CLARA AV TAMY LN FOREST AV SANTA CLARA AV FORESTAV SPRUCEST SANTA CLARA AV SPRUCEST PACIFIC AV SANTA CLARA AV PACIFIC AV POPLAR ST SANTA CLARA AV POPLAR ST HESPERIAN ST SANTA CLARA AV HESPERIAN ST BRISTOL ST SANTA CLARA AV BRISTOL ST LOUISE ST SANTA CLARA AV LOUISE ST BAKER ST SANTA CLARA AV BAKER ST ROSEWOOD AV SANTA CLARA AV ROSEWOOD AV WESTWOOD AV SANTA CLARA AV WESTWOODAV TOWNERST SANTA CLARA AV TOWNERST LOWELL LN SANTA CLARA AV LOWELL LN OLIVE LN SANTA CLARA AV OLIVE LN FLOWER ST SANTA CLARA AV FLOWER ST HELIOTROPE DR SANTA CLARA AV HELIOTROPE DR GREENLEAF ST SPRUCEST SANTA CLARA AV 21ST ST SPRUCEST RIVIERA DR MARION WY STAFFORD ST CUSTERST LOGAN ST STAFFORD ST LOGAN ST LINCOLN AV TAMY LN 21ST ST END TAMY LN 122ND ST In 21ST ST Page a of s MAY 16 2014 )GR DEPARTMENT o DEPUTY ORANGE COUNTY CLERK.RE.ORDER DEPARTMENT DY: _T'DEPUTY FILED Project 13.6787 MAY 16 2014 Local Street Slurry Seal 2012.13 ORANGE COUN'i 1' CLERK fcECQ,6iDER DEPARTMEN7 Name From To TAMY LN AVALON AV 22ND ST TAMY LN SANTA CLARA AV AVALON AV TOWNER ST 17TH ST 18TH ST TOWNER ST 18TH ST 19TH ST TOWNER ST 19TH ST 20TH ST TOWNER ST 20TH ST 21STST TOW NER ST 21ST ST BUFFALO AV TOWNER ST BUFFALO AV SANTA CLARA AV TOWNER ST SANTA CLARA AV RIVIERA DR VALENCIA ST END 20TH ST VALENCIA ST 20TH ST 22ND ST VALENCIA ST 22ND ST BUFFALO AV VALENCIA ST BUFFALO AV END WASHINGTON AV CUSTER ST SANTIAGO ST WASHINGTON AV LOGAN ST CUSTER ST WASHINGTON AV LINCOLN AV LOGAN ST WESTERN AV CUBBON ST BROOK ST WESTERN AV WISTERIA PL HIGHLAND ST WESTWOOD AV SANTA CLARA AV 21ST ST WESTWOOD AV RIVIERA DR SANTA CLARA AV WILSHIRE AV SULLIVAN ST GOLDEN WEST AV WILSHIRE AV GOLDEN WEST AV CLARA ST WISTERIA PL WESTERN AV RA11 T ST WISTERIA PL BROOK ST WESTERN AV I WISTERIA PL PACIFICAV BROOK ST WISTERIA PL GRAHAM LN PACIFICAV ■ ` �; DEPUTY Page 5 of 5 MAY 16 2014 ORANGE COUNTY CLERK-RECONDER DEPARTMENT BY: � DEPUTY State of California - Deparh,,. nt of Fish and Wildlife 2014 ENVIRONMENTAL FILING FEE CASH RECEIPT DFW 753.5a (Rev. 09/13) A RECEIPT# 1r l e v., d17 7tf tY ,rte PR J-2CT A LI ANT Checl< I la A-11 app opnote cox):-- ❑. Local Public Agency ❑ School District ❑ Other Special District ❑ State Agency__ ❑ Pfivate L.ntity ChIECKAPPLICA6LE FEES: _ -- -- ❑ Environmental impact Report (EIR) $3,029.75 $ Mitigated /Negative Declaration(MND)(ND) $2,181.25 $ ❑ Application Fee Water Diversion (State Water Resources Control Board only) $850.00 $ _ ❑, Projects Subject to Certified Regulatory Programs (CRP) $1,030.25 $ County Administrative Pee $50.00 $ Project that is exempt from fees _ Notice of Exempllon (attach) - CDFW No Effect Determination (attach) ❑ Other _ $ PAYMENT METHOD: L] Cash ❑ Cmdlt ❑ Check ❑ Other TOTAIRECEIVED S WHITE - PROJECTNPPLICANT YELLOW- CDPWIAea PINK- LEADAGENCY G01DENR6D- G0DNIYGLERK MAY 14 2014 CITY OF SANTA ANA ADDENDUM NO. TWO PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: 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 COSA STD. Plan No. 1125 -C, Detail 1. Mobilization LS 1 $� U(''v�r� $- . � v 2. Traffic Control LS 1 3,300 $ 3 )t o 0 3. Unclassified Excavation* CY 1,100 $ A. }000 4. AC Pavement* TN 2,100 $lil,•J $rJ2'e�Yf� 5. Crack Sealing* GAL 600 $ $ 3MO 6. Install White Turn Lane Line per LF 100 $ 2.10 $ 2.20,OD COSA STD. Plan No. 112513-1, Detail ..2.. 7. Install Double Yellow Line per COSA LF 1,400 $ STD. Plan No. 112513-1, Detail "4" S. Install Yellow Center Line per COSA LF 10,150 $ STD. Plan No. 112513-2, Detail "6" 9. Install Double Yellow RPM Line per LF 400 $ S-3c) $ i00 COSA STD. Plan No. 1125 -C, Detail ..L, 10. Install 12" Wide Line LF 3,300 $ 1I ,g s $j(�{ 11. Remove Striping LF 15,300 $ ;So $' ?4 " O tVO 12. Install Legend EA 140 $ °71. -50 $ 1 d i 01 13. Remove Legend EA 160 $ 3MO {{ $ %?Q TO BE INCLUDED IN BID PACKAGE BP1of14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued Item # Bid Item Unit Quantity Unit Price Amount 14. Furnish and Install Traffic Loop EA 24 $ � .� j 15. Temporary Construction Sign EA 5 $ 16. Protection of Surface Utility Frames LS 1 $ Wi ?00 and Covers TOTALBASE BID------------------------------------------------------------------------ - - - - -- $ ALTERNATE A 17A. Tire Rubber Modified Slurry Seal ELT 2,300 (TRMSS) Type 2* TOTAL ALTERNATE A BID---------------------------------------------------------- - - -- - -- $��1,, L #G) ALTERNATES 17B. Rubberized Emulsion Aggregate TN 2,200 $ $ Slurry (REAS) Seal Type 2* TOTAL ALTERNATE B BID-------------------------------------------------- ------- -- - - - - -- S TO BE INCLUDED IN BID PACKAGE BP2of14 MAY 6, 2014 CITY OF SANTA ANA ADDENDUM NO. ONE PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued TOTAL BASE + ALTERNATE A BID------------------------------------------------ - - - - -- $ TOTAL BASE + ALTERNATE B BID------------------------------------------------ - - - - -- S The City has determined that either Tire Rubber Modified Slurry Seal (TRMSS) or Rubber Emulsion Aggregate Slurry (REAS) Seal are satisfactory slurry seal methods. Therefore, the lowest responsible bidder will be selected based on the lowest of either method of slurry seal. Bidders may bid on either method or both methods. * 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. PROJECT NO. 13 -6787: BIDDER LOCAL STREET SLURRY SEAL 2012 -13 Firm z T Address C'tr. 4G(.'1.L1 Phone 3 (i1 -31-3 Fax f/ Email �L; tlr�0' �°V+- CxJ��1PC*�.S�tiFt�2�•�(9H.. BIDDER Signature TO BE INCLUDED IN BID PACKAGE BP3of14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 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; '/2% of the bid or $10,000, whichever is greater - Buildings, parks, or other projects: '/2% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: NAME aLi..Z ,r) (Ac k' LOCATION Cj�Rin S + wu CIA PHONE ) TYPE OF WORK $ NAME C u�+ 01 LOCATION PHONE (9 ()g� 3 (f —1170 TYPE OF WORK �� r ,OKj r�i, $ " •.4 ; NAME Al W"6WQ�w�iZ�t - haa�' LOCATION ( C a �i 1" S'I v�a�ti PHONE Cl ' 8 TYPE OF WORI $33DAU,V0 1,12UMV 0 LOCATION _ PHONE TYPE OF WORK NAME LOCATION _ PHONE ILI Ifkj LOCATION PHONE TYPE OF WORK NAME LOCATION _ PHONE TYPE OF WORK NAME LOCATION _ PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK $ j TYPE OF WORK r ROA N n of Firm Submitting Bid / nature of BIDDER TO BE INCLUDED IN BID PACKAGE BP4of14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 PROPOSAL _& CONTRACT AGREEMENT BIDDER'S STATEMENT BIDDER understands and agrees that this written proposal (or any part thereof specifically designated and accepted by the City of Santa Ana, hereinafter AGENCY) shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he /she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and AGENCY'S legal holidays), or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. All terms contained in the Specifications, the Certification of Non- Discrimination by Contractors, and the Workers' Compensation Insurance Certificate are to be incorporated by reference into this Agreement and are made specifically as part of this bid. e� `p t Name of Firm tom..., A ' llCa �,.. \1tA L�✓i�l C6,.. I i1. Signature of BIDDER A l k L-° 0^ � c Title V eQ_._ (if an individual, so TO BE INCLUDED IN BID PACKAGE BP5of14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT continued (If a firm or co- partnership, state the firrn 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.) Awarded toiSino QDD�, �.� TION OF COUNCIL: on the basis of to st responsible and sponsive bidder in the amount of $ 1, Qgg 0m 60 ate '� 20 ZX ATTEST: CLERK OF THE COUNCIL ACCEPTED FOR THE I Y OF SANTA ANA: EXECUTIVE DIRECTOR PUBLIC WORDS AGENCY BP6of14 TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 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 imion 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 riles, 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 invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. TO BE INCLUDED IN BID PACKAGE BP 7 of 1.4 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 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 violating this Section is subject to all the penalties imposed for a violation of the Chapter. Title U 9 Cam+ \ VY - \ i Firm Date C TO BE INCLUDED IN BID PACKAGE BP8of14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 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 instuance 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. M .� L. .y Vim_ Title Firm Date' 1 TO BE INCLUDED IN BID PACKAGE BP9of14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 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. / q y�/ 1. Gi'1 q a k^ t at�"�1 2-01 Mcr`y,, We, a &, ML r tae ( � Name Ad Address of Owner. I ey Name and Telephone Number of per on fami iar with project. Contract Amount �_ d Type f Work Date Completed 1 c� 2. l h-4 O i` 1r E j� Y/Vt, LJV -I & Name hod Address of owner. ;;rte qpp, (`?I(f) Name and Telephone Number of person familiar with project., Contract Amount Ty6e of Work Date Completed 3. _L" Name y IN 1.11 L UJIIPI1 LUU The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. I -�r TO BE INCLUDED IN BID PACKAGE BP 10 of 14 J' 'w CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 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 c4A LkLNj,, , c Title Firm Date I t I TO BE INCLUDED IN BID PACI{AGE BP 11 of 14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 PROPOSAL AND CONTRACT AGREEMENT NON - COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non - collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Non - collusion Affidavit. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed L� V ✓�/` -- -_ State of California County of Subscribed and sworn to (or affirmed) before me on this day of 1 20 , by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Notary Public Signature Notary Public Seal TO BE INCLUDED IN BID PACKAGE BP 12 of 14 State of California County of LN L______ Subscribed and sworn to (or affirmed) before me on this _ A � 4\ day of N G� _ 20-14 4 _ _, by Lawrence Allan proved t6 me on the basis of satisfactory evidence to be the persons) who appeared before me. oU b ANN MARIE ALLAN 9 COMM. # 1939903 (7 ®® p NOTARY PUBLIC • CALIFORNIAN c� ORANGE COUNTY n m COMM. EXPIRES JULY 3, 2015 (Seal) Signature i titz . ` � (01_" CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING "ANTI- KICKBACK" REOUIREMENTS 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 11AAKA blic work, to give up any part of the compensation to which he /she is otherwise entitled. Signed , C_ —. Title Firm Date TO BE INCLUDED IN BID PACKAGE BP 13 of 14 CITY OF SANTA ANA PROJECT NO. 13 -6787: LOCAL STREET SLURRY SEAL 2012 -13 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: Business Address: Telephone: 9 be U AA State Contractor's License No. and Class: Expiration ry Date: Signed: Title: TO BE INCLUDED IN BID PACKAGE BP 14 of 14 AIA DOCUMENT A310nA - 2010 BID BOND Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name, legal status and address): Roy Allan Slurry Seal, Inc. 11922 Bloomfield Ave., Santa Pe Springs, CA 90670 OWNER (Name, legal status and address): City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA 92701 BOND AMOUNT: Ten percent (10 %) of the total amount of the bid PROJECT: (Name, location or address, and project number, if any) Local Street Slurry Seal 2012 -13; Project No. 13 -6787 SURETY (Name, legal status and principa /place of business): Philadelphia Indemnity Insurance Company 251 S. Lake Ave., Suite 360, Pasadena, CA 91101 The Contractor and Surety are bound to the Owner in the amount set forth above, for the payment of which the Contractor and Surety bind themselves, their heirs, executors, administrators, successors and assigns, jointly and severally, as provided herein. The conditions of this Bond are such that if the Owner accepts the bid of the Contractor within the time specified in the bid documents, or within such time period as may be agreed to by the Owner and Contractor, and the Contractor either (1) enters into a contract with the Owner in accordance with the terms of such bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents, with a surety admitted in the jurisdiction of the Project and otherwise acceptable to the Owner, for the faithful performance of such Contract and for the prompt payment of labor and material furnished In the prosecution thereof; or (2) pays to the Owner the difference, not to exceed the amount of this Bond, between the amount specified in said bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. The Surety hereby waives any notice of an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of notice by the Surety shall not apply to any extension exceeding sixty (60) days in the aggregate beyond the time for acceptance of bids specified in the bid documents, and the Owner and Contractor shall obtain the Surety's consent for an extension beyond sixty (60) days. If this Bond is issued in connection with a subcontractor's bid to a Contractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. Printed in cooperation with the American Institute of Architects (AIA) The language in this document conforms to the language used in AIA Document A310 -- 2010. When this Bond has been furnished to comply with a statutory or other legal requirement In the location of the Project, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. Signed and sealed this 7th (Wtness) (Witness) day of May, 2014. Roy Allan Slurry Seal, Inc. (Principal) (Corporate Seal) (Title) �.e116 -K.... ��'.c�� °�.✓1✓,� Philadelphia Indemnity Insurance Company (Surety) 1( ](Corporate Seal) (Attomey -in -Fact) Linda D. Coats Printed in cooperation with the American Institute of Arch /teas (AIA) The language In this document conronns to the language used in AIA Document A310 w- 2010. ACKNOWLEDGMENT State of Califogrnia County of On i n �?�t `L�ll before me, /-\V \f\-M f ig `. �1G1Y1 F 1�6'ttt l (insert name and title of the officer) personally appeared tee ?Sly \C \'C,.4 who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that by his /her /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. WITNESS my hand and official seal. =ANN RIE ALLAN # 1939903 IC • CALIrORN1A E CouNTy l7 (, 'L� �. Z--� Seal s JULY 3 2015 d' Signature ��i1�.�,�ii �,i . ( ) e e e e ee e e e e ee e ee e e ee e e ee e ee e ee e eee ee eee eee ee ee eee e CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT State of California County of O On ht1 "l �. J I�(' before me, Summer L. Reyes, Notary Public (insert name and title of the officer) personally appeared Linda D. Coats who proved to me on the basis of satisfactory evidence to be the person(o whose names) is /arc subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ics), and that by his /her /their signatures) 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. WITNESS my hand and official seal. Signature SUMMER . REYES Cornmission L# 1986627 Notary Public • California z Orange County n My Comm. Expires Jul 29, 2076' 1446 PHILADELPHIA INDEMNITY INSURANCE COMPANY 231 St. Asaph's Rd, Suite 100 Bala Cynwyd, PA 19004 -0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint: Linda D. Coats and Matthew J. Coats of Coats Surety Insurance Services, Inc. Its true and lawful Attorney(s) in fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indenhnily and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed $25,000,000.00 This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the 1" day of July, 2011. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to; (1) Appoint Attorney(s) in Fact ahhd authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and biding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 7T " DAY OF FEBRUARY 2013. 's,Q�'•.•,�a esnutFt�q (Seal) etr o� Robert D. O'Leary Jr., President & CEO Philadelphia Indemnity Insurance Company On this 7 "i day of February 2013, before me came the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. Bala Cad, PA March 22 2016 I, Craig P. Keller, Executive Vice President, Chief Financial Officer and Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto are true and correct and are still in full force and effect. I do further certify that Robert D. O'Leary Jr., who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my nine and affixed the facsimile seal of each Company this �1 V \ day of MAH 20 _ 1 'S, Craig P. Keller, Executive Vice President, Chief Financial Officer & Secretary #sr c a q;f ^ . 'Z I PHILADELPHIA INDEMNITY INSURANCE COMPANY nom+' .927 m� �+s fiw n -_ e