HomeMy WebLinkAboutALL AMERICAN ASPHALT (2)Recording Requested By,
And When Recorded Mail To:
Cleric of the Council, City of Santa Ana
20 Civic Center Plaza, P.O. Box 1988
Santa Ana, CA 92702
Recorded in Official Records, Orange County
Hugh Nguyen, Clerk -Recorder
NO FEE
*$ R 0 0 0 8 1 4 5 7 2 2$
201600005722110:46 am 02110116
217 413 N12 1
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THIS SPACE FOR COUNTY RECORDERS USE ONLY
a
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 CHESTNUT AVE. CLASS II BIKEWAY FROM STANDARD TO GRAND
a AVE CHESTNUT AVE. REHABILITATION FROM BROADWAY TO MAIN ST AND
w ALLEY IMPROVEMENTS under contract entered into on 9/16/2014 with ALL AMERICAN
Co
w ASPHALT on which contract FIDELITY AND DEPOSIT COMPANY OF MARYLAND is
o surety. The property on which such work improvement was placed is in the City of Santa Ana,
w F CoLmty of Orange, State of California, and described as Project No. 13-6796, 14-6813, 14-6803
o w located at: CHESTNUT AVE. The work improvement on said property was accepted as
completed on 2/5/2016.
oW
Y O A, A MUNICIPAL CORPORATION
y
v Dated: 2 10 _ 1 � Princ' al Civil Engineer- Tyrone Chesanek
ATITLE
iK-----•-------------------------------------------------------------------------------------
oa
x VERIFICATION
I, the undersigned, say: I 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 on �� �/ 2�� at Santa Ana, California
r6`"vC'7
(Signature of individuals easing that the
contents of Notice of Completion are tore.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN (10) DAYS AFTER COMPLETION
REQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
SEPTEMBER 16, 2014
TITLE:
CONTRACT AWARD TO ALL AMERICAN
ASPHALT FOR CONSTRUCTION OF A
CLASS II BIKEWAY AND ALLEY/STREET
IMPROVEMENTS (PROJECTS 136786,
146813, & 146803)
CITY MANAGEFO
CLERK OF COUNCIL USE ONLY:
ter As Recommended 023
❑ As Amended
❑ Ordinance on 1a' Reading
❑ Ordinance on 2"d Reading
❑ Implementing Resolution
❑ Set Public Hearing For
CONTINUED TO
FILE NUMBER
1. Award a contract to All American Asphalt, the lowest responsible bidder, in accordance with the
Base Bid, in the amount of $631,573, for construction of the Chestnut Avenue Class II Bikeway
from Standard Avenue to Grand Avenue; Alley Improvements FY 2013-14; and Chestnut Avenue
Rehabilitation from Broadway to Main Street,
2. Approve the Cost Analysis for a total estimated project delivery cost of $757,888.
3. Authorize the City Manager to execute change orders in an amount not to exceed the total
authorized contingency of $63,157.
ENVIRONMENTAL & TRANSPORTATION ADVISORY COMMITTEE ACTION
On April 8, 2014, the Environmental & Transportation Advisory Committee (ETAC) considered tree
removals and replacements along Chestnut Avenue and Santa Fe Street. By a vote of 4 to 0 (1
absent), ETAC approved a motion for the removal of seven of the City -owned (Pine) trees and
installation of replacement trees, conditional on planting of Tabebuia Alleviate trees, the number to be
determined by City staff; and in areas that do not have enough room, one Crepe Myrtle tree may be
planted, with the possibility of co -mingling the two tree species.
The recommended action will allow the City to enter into a contract with All American Asphalt and
proceed with construction of three projects identified in the City's Capital Improvement Program, The
work includes installing a Class II bikeway on Chestnut Avenue (Project 136796), replacing pavement
within two alleys (Project 146813), and replacing pavement on a roadway segment of Chestnut
Avenue (Project 146803). Both pavement replacement projects have been identified as high priorities
in the City's Pavement Management Program. Additionally, the bike trail along Chestnut Avenue is
one of the critical missing links of the City's Golden Loop. Once completed, these improvements will
expand the City's Class II bikeway, repair existing drainage problems, enhance the ride quality of the
street, extend the life of adjacent infrastructure, and enhance the visual appearance of the street.
Contract Award to All American Asphalt for
Class II Bikeway and Alley/Street Improvements
September 16, 2014
Page 2
The improvements for the Class II Bikeway on Chestnut Avenue from Standard Avenue to Grand
Avenue include widening the roadway along the north side between Standard Avenue and Santa Fe
Street to accommodate the bikeway within the existing right-of-way. Construction of the Chestnut
bike lanes is part of the City's approved Bikeway Master Plan. This project also further develops the
City of Santa Ana Golden Loop Bikeway that will connect to the existing Class I Maple Bike Trail and
to the future Class II Bikeway on Grand Avenue. Details of the improvements include constructing
new street pavement; new concrete curbs, gutters, sidewalks, cross gutters, driveway approaches,
and curbs ramps; and installing new street trees.
The Alley Improvement project will replace asphalt roadway with concrete pavement in two alley
segments (Exhibit 1). The existing asphalt in these locations is deteriorated with numerous potholes,
excessive cracking, and evidence of pavement failure.
The street improvements on Chestnut Avenue from Broadway to Main Street have been identified as
a high priority need by the City's Pavement Management System. The pavement has deteriorated
due to weather, age, and use. Street rehabilitation will reconstruct the existing concrete pavement
and replace damaged curb, gutter, sidewalk, driveways, and ramps.
Bid procedures were followed as established by the City's Municipal Code and in adherence to the
Public Contracts Code. The Notice Inviting Bids was advertised on July 25 and 26, 2014, and bids
were opened on August 14, 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 18
Contractors requesting bidding documents 17
Bids received 5
Bids received from Santa Ana contractors 0
Bid Results Summary
Rank
Name of Firm
Location
Bid
1
All American Asphalt, Inc.
Corona
$631,573
2
Excel Paving Company
Long Beach
$671,962
3
Beador Construction Company, Inc
Corona
$695,700
4
C.S.Legacy Construction, Inc.
Pomona
$716,546
5
R.J. Noble Company
Orange
$787,769
All American Asphalt submitted the lowest responsive bid of $631,573, which is comparable to the
Engineer's Estimate of $600,085. Based on the bids received, staff recommends awarding this
contract to All American Asphalt.
Contract Award to All American Asphalt for
Class II Bikeway and Alley/Street Improvements
September 16, 2014
Page 3
STRATEGIC PLAN ALIGNMENT
Approval of this item supports the City's efforts to meet Goal #6 Community Facilities & Infrastructure,
Objective #1 (establish and maintain a Community Investment Plan for all City assets), Strategy B
(equitably maintain existing streets and associated assets in a state of good repair so they are clean,
safe, and aesthetically pleasing for all users).
ENVIRONMENTAL IMPACT
In accordance with the California Environmental Quality Act, Environmental Reviews No. 2012-37,
No. 2014-75, and No. 2014-76 have been completed and a Categorical Exemption has been filed for
Projects 136796, 146803, and 146813.
FISCAL IMPACT
The estimated total delivery cost of this project is $757,888, which includes construction, contract
administration, inspection, testing, survey, and contingencies (Exhibit 2). The following funding is
available for this project: Traffic Congestion Relief -HUT (Account 05917663-66220, Activities
13679602028, and 14681302028); Gas Tax Residential Street Improvement (Account 05817661-
66220, Activity 14680302028); Select Street Construction (Account 05917660-66220, Activity
13679603028); and, Measure M2 Local Fairshare (Account 03217662-66220, Activity 14681301028).
Edwin "William" Galve , P.E.
Interim Executive Director
Public Works Agency
EWG/ML
Exhibits: 1. Location Map
2. Cost Analysis
APPROVED AS TO FUNDS & ACCOUNTS:
Francisco Gutierrez
Executive Director
Finance & Management Services Agency
I
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ALLEY ALLEY
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ALLEY CHESTNUT AV
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PROJECT NO. 13-6796:
CHESTNUT AVENUE CLASS II BIKEWAY
FROM STANDARD AVENUE TO GRAND AVENUE
FEDERAL PROJECT NO. CM -5063(148)
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PROJECT NO. 14-6813
ALLEY IMPROVEMENT - FY 13/14
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CHESTNUT AVENUE CHESTNUT OVEN
PROJECT NO. 14-6803:
CHESTNUT AVENUE REHABILITATION
FROM BROADWAY TO MAIN STREET
SANTA ANA PROJECT NO. 13-6796: CHESTNUT AVENUE CLASS II BIKEWAY FROM
CITY COUNCIL STANDARD AVENUE TO GRAND AVENUE FEDERAL PROJECT NO. CM -5063(148)
PVV A AGENDA DATE PROJECT NO. 14-6813; ALLEY IMPROVEMENT - FY 13/14
LmSEPTEMBER 16,2014
PUBLIC WORKS AGENCY PROJECT N0.14-6803 CHESTNUT AVENUE REHABILITATION FROM BROADWAY
TO MAIN STREET
PAGE 1 OF 1
COST ANALYSIS
Construction Contract
Contract Administration
Inspection and Testing
Survey Staking
Contingencies
$631,573
$22,106
$28,421
$12,631
$63,157
TOTAL ESTIMATED CONSTRUCTION COSTS $757,888
EXHIBIT 2
MEMORANDUM
To: File
From Norma Mitre -Ramirez, Sr. Deputy Clerk
Date: November 17, 2014
Subject: PROJECT NUMBERS 136796, 146813, & 146803
Emailed PWA/Construction staff to inform them that the proof of publication and the
Engineer's Estimate was not provided for the item mentioned below that went to council on
September 16, 2014.
PROJECTS/CHANGE ORDERS
Councilmember Martinez, thanked staff for bringing matter forward.
Councilmember Reyna, requested a report on how much of the contingency is used after the
project is completed.
MOTION:
1) Award a contract to All American Asphalt, the lowest responsible bidder, in accordance
with the Base Bid, in an amount of $631,573, for construction of the Chestnut Avenue
Class II Bikeway from Standard Avenue to Grand Avenue; Alley Improvements FY 2013-
14; and Chestnut Avenue Rehabilitation from Broadway to Main Street.
2) Approve the Cost Analysis for a total estimated project delivery cost of $757,888.
3) Authorize the City Manager to execute change orders in an amount not to
exceed the total authorized contingency of $63,157.
MOTION: Martinez SECOND: Pulido
VOTE: AYES: Amezcua, Benavides, Martinez, Pulido, Reyna, Sarmiento,
Tinajero (7)
NOES: None (0)
ABSTAIN: None (0)
ABSENT: None (0)
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MAYOR
Miguel A. Pulido
MAYOR PR07LM
901 Tinajoe
COVNOII„MEMBER9
Angelica Amezcda
P. David Banavldes
Michele Martinez
Roman Rayne
Vlnoanl F, Sarmlento
August 5, 2014
ADDENDUM Na, CN µ
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
90 Clvle Carder. Plow M-36 + P..o. Box 7668 M-36
Santa Ana, California @2702
!62010161 mar
CITY MANAGCR
David Cavazos
CITY ATTORNEY
Sanfa. R, Carvah)
CLERK OF THE COUNCIL
Marla D, Hulwr
SUBJECT; PROJECT NO& 13-6706,14-6813,14-68034 CHESTNUT AVE, CLASS Il BIKEWAY
FROM STANDARD AVE. TO GRAND AVE.; CMW5063(148), ALLEY IM'PRO'VEMENT.
FY 13114 AND CHESTNUT AVE, REHABILITATION FROM BROADWAY TO MAIN
STREET
The following changes and clarifications have been made to Specifications for the subject project;
Specitacatieps
1. Appendix G: Replace entire Appendix G with the attached Appendix C3.
All other terms and conditions remain the same.
FOR THE CITY F SANT/ NA
u, 1—
Engineer .Engineer
SWA ANA CITY COUNCIL
Man[ A. Pi,IIOR Bal ilneJdro Vintlan0.5rnilenA0 ^ Mcne4rManineg. 1 Angelica Anlezcua P. Wd aetm*aaa Pan,dn n�ri+a
M'"' Mugpr Pte T -I ovwd Q W.M 1 Wnrd 2 j Waid 3 � Wnrd 4 1 WONI6
GlF.JLd9NT8doti_a2,p61$SIIl74!LP.(�bilni�,ds'r.4rJaaPlQLin�snnl_on,rg l idyzunlnt�itkdNa:W�rr.:w1"rk j IMJllkd514i�SanN:8aa1KA. f. PB nfi Qn2Usanlaanae�+ �I �dAe.�""-43.9an�d9
CITY OF SANTA ANA
Project No, 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main Street
PROPOSAL & CONTRACT AGREEMENT
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: h11 /Mild o n en &A.. U
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
1. Clearing and Grubbing (Project 13- LS 1 $ (J4bo -- —%I g ey b0 •--
TO BE INCLUDED IN AID PACKAGE:
BE 1 of 27
6796)
2.
Unclassified Excavation .
CY
1,680
$taq -
$ B 5 o -
3.
PCC Pavement Removal
CY
370
$ "j -
$gip ---
4.
Remove Excess Dirt
CY
75
$-5111-5 -
5.
AC Pavement
TN
1,360
$
$-W390C) -6
Crushed Aggregate Base
TN
200
$ (451-
$ 090 -
7.
Cold Mill
SF
2,000
$
$ 0 (,)OOO
S.
Grind PCC
LF
20
$ T] -
$ 1 5 L{ l7 `-
9.
Construct PCC Curb Ramp
SF
990
$ 10-
$ �(3 ) -
10.
Construct PCC Driveway Approach
SF
1,000
$
$8C)f, �y -
(T=6")
11.
Construct PCC Curb and Gutter (Type
LF
720
$__.�"=—
A-2-6)
12,
Construct PCC Curb (B-1)
LF
150
$ IJ
13,
Construct PCC Alley
CY
270
$__JJ lq-�
$ 51 -7 6 -
14.
Construct PCC Cross Gutter
SF
1,350
s-10
( 15.
Construct PCC Sidewalk
SF
5,000
$
$ �(10
---.
TO BE INCLUDED IN AID PACKAGE:
BE 1 of 27
of'_�..
(14 "'
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main Street
PROPOSAL & CONTRACT AGREEMENT
BID PROPOSAL, continued
Item # Bid Item Unit Quantity Unit Price
Amount
16. Furnish and Install Parkway Culvert
EA
2
$ -10 --
$. (49 00
Type "B" per C.S.A Std. Plan No. 319
17. Traffic Signal Modification at
LS
1
$50400
$ Q4400 —
Standard Ave. & Chestnut Ave.
(Project 13-6796)
18. Furnish and Install Fire Hydrant per
EA
1
$ 8,200 --
$ 8 ZO —
C.S,A. Std. Plan No, 1405
19, Funish and Install 1" Water Service
EA
13
$ 3,665 "
$ 5V505 —
and Meter per C.S.A. Std. Plan No.
1401
2D, Root Shave
EA
1
$ 2Ca
$
21. Furnish and Install 24" Box Crape
EA
10
's 4 213 '
52,50—
s-5-1,50—
Myrtle
Myrtle (White)
22. Furnish and Install 24" Box Tabebui
EA
12
(Pink Trumpet).
23. Furnish and Install Sewer Clean Out
EA
3
$ H .l C)
$ t q E t) r
V�s —
24, Adjust Existing Miscellaneous Utility
EA
1
$
100—
$ 1100—
and cover to Finish Grade
and
25. Adjust Water Valve Frame and cover
EA
1
$ 5,00—
$-5-00—
00'-"tc
to Finished Grade
26. Furnish and Install New Water Valve
EA
8
$ Q00 —
$L^( "
Frame and Cover to Finished Grade
27. Furnish and Install %z" Thick by 8"
LF
39
$
$ 0�2U 2 —
Wide Polyfoam
wly
TO BE INCLUDED IN BID PACKAGE
BP 2 of 27
Yui
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main Street
PROPOSAL & CONTRACT AGREEMENT
BID PROPOSAL, continued
28. Adjust Pull Box to Finished Grade EA 3 $ 4 T2 — $ { 4 S 4✓ '-
29. Remove Concrete Collar and Fill Plug EA 1 $ 4 600 _ $ L/ boo --
Drain with Concrete
30.
Traffic Loop Detector (Type E)
EA
18
$ 1 BTI
$399,
31.
Bicycle/Vehicle Loop Detector (Type-
EA
17
$ 2 20 "
$ C)
D circular)
32,
Bicycle Loop Detector (Type Q)
EA
3
$-!310—
105-
$ -705-
33.
33.
Signing and Striping -Project 13-6796
LS
1
$ 1 ,1 2bo—$ E LI ,7_ 8o '--
34.
Signing and Striping -Project 14-6813
LS
1
$ l05DG._
$ k Goo —
35.
Construction Sign
EA
4
s_ 1 00 —
$ 4 Y 00 --
36.
Railroad Requirement
LS
1
iLm
5000
(Project 13-6796)
$CJI
TOTAL BID-----------------------------
^.._
PROJECT NO., TITLE & LIMITS BIDDER
Firm
All Antr>r
Address
/,?878
Phone 951-794-700
Fax 95571.73-71oYto
Email
�IA w S Aa Iia MSPfA(;��$Q�L1`f.Carr
BIDDER I
Signature_...
r1D1WK,-,
i, 4.SIBP 3 of 27 TOBEINCLUDED AGE
CITY OF SANTA ANA
i% ProJ ect No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
�F's
�'
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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; ''/z% of the bid, or $10,000,
whichever is greater
- Buildings, parks, or other projects: Vz% of the bid
BIDDER proposes to subcontract certain portions of the work to the firms listed below:
NAME 6j C 1h S' tar $1 C mY1
NAME
LOCATION A 1'1 q i,e 9 C A
LOCATION
PHONE :1 - to ?, 0 O I
PHONE
TYPE OF WORK VV -e Y- $ 00
- TYPE OF WORK(19
$
NAME E Q iP La n C[ C Q )? -e
NAME
LOCATION F69 y Ca 1 '1 y PA JJ•P e/
CALOCATION
PHONE "] )Q - q ko -� '- Lf to 15
PHONE
TYPE OF WORK I E$-1Lq•—
TYPE OF WORK
$
NAME C oa l i f. P rn" • t n g i t) CC 1'
J tJ14AME
LOCATION ((d FU e)2 }• e. C,(-1
LOCATION
PHONE 016- G I (0 - 1j,
PHONE
_
TYPE OF WORK @ leC Y I CO $ 5 6 9 VS
- TYPE OF WORK
$
NAME ..V4f,NAME
LOCATION
LOCATION
PHONE .21q- q q-1 - ()q 03
PHONE
TYPE OF WORK C `0 b$ ID -25 O -
TYPE OF WORK
$
NAME
NAME
LOCATION 1�c� Q�
_
LOCATION
f
PHONE g ()g .., % to 03_5 6
PHONE
TYPE OF WORK.SIVIM a 5 'I 1 �i 13 "'
_
TYPE OF WORKM
$
Na e o Films rah �id
ignatureofBIDDE
II
n%yw 19JAd t 6Ck PrtsldtnT
TO BE INCLUDED
IN BID PACKAGE
BP 4 of 27
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class Il Bikeway from Standard Avenue to . J Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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'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.
Name of Firm 1411 N6i rr A n yr "L n 14- —
Signal
BIDD
Title
(if an
TO BE INCLUDED IN BID PACKAGE
BP 5 of 27
CITY OF SANTA ANA
(t+'
Jil�� Project No. 13-676: Chestnut Avenue Class TI Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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.)
Awarded to
on the basis of lowest responsible and re onsive
bidder in the amount of
l34 013
ATTEST.
r
CLERK OF THE COUNCIL
APPROVED AS XQ FORAM:
ACTION OF COUNCIL:
Date �q20
BP 6 of 27
FOR THE, CITY OF SANTA ANA:
WORKS AGENCY
TO BE INCLUDED IN BID PACKAGE
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14--6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main Street
(THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS
PROPOSAL SHALL ALSO CONS77TUTE AN ENDORSEMENT AND
EXECUTION OF THOSE CERTIFICATIONS WHICH ARE A PART OF THIS
PROPOSAL)
EQIJAL EMPLOYMENT OPPORTUNITY CERTIFICATION
The
pepesed sirEraeter hereby certifies
that he has has not participated in a previous contract or subcontract subject to the equal
opportunity clauses, as required by Executive Orders 10925, 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 requirements.
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, O.S. Department of Labor,
TO BF. INCLUDED IN BID PACKAGE
BP 7 of 27
CITY OF SANTA ANA
t_ Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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 tinder 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 riles, regulations, and orders of the Secretary of Labor, or pursuant thereto,
and will permit access to his/her books, rccords, and accounts by the administering agency and the
Secretary of Labor for purposes of investigation, to ascertain compliance with such riles, 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 Hiles, 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 8 of 27
CITY OF SANTA ANA
Qk
"i Project No, 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FX 13/14
Project No, 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main Street
PROPOSAL AND CONTRACT AGREEMENT
CERTIFICATION OF NONDISCRIMINATION BX 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.
Signed
Title
Firm
Date
TO BE INCLUDED IN BID PACKAGE
BP 9 of 27
CITv OF SANTA ANA
,;- Project No, 13-6796: Chestnut Avenue Class II Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14.6813: Alley Improvement -FY 13/14
Project No, 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main Street
Ea
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
tinder California Labor Code Section 3300, unless the hired employee(s) is (arc) 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 cavy 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.
Signec
Title
Firm 911 fto rtYI l4kpLeetAt
Date 0g) 14
TO BE INCLUDED IN BILI PACKAGE
BP 10 of 27
CITY OF SANTA ANA
Project No, 13-6796: Chestnut Avenue Class II Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley luiprovement-FY 1.3/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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.
2.
3.
1
Address of Owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
Name and Address of owner,
Name and Telephone Number
Contract Amount
Name and Address of owner.
person familiar with project,
Type of Work
Name and Telephone Number of person familiar with project.
Contract Amount
Type of Work
Date Completed,
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 I l of 27
IQ 11-1
PAs'r WORK REFERENCES
Department of TraasporwiQn
3521 V� University Or
Irvine
., CA. 92612
Contract; DRtPharrQ949)2704686
City of Santa Claritel
23920 Valencia Blvd
Santa Clarita CA 91355
Contact: Bill Whitlatch,, (661) 259-209
LACbPW
900SE'fanonlAve
Alhambra, CA 91903
Contact; I -lector Hernandez, (626) 458 219.1
Dup4rtftie4tof TratisporLation
2023 Chlopigd.Alve,4.. B-6
Riverside,CAV2307
Contact; MichatFC]benq (00:00-6017
ROLAO 74, Contract No, 12-01,6404
CouirutAmount: $1,134,057
Cornpleted: 5/2013
20102 Uvw1ay & Slurty'Seal Prograrn
Contract Aftnouqt; $5,995j00.0
Start! gd0L2.
Completed; 5/2013
Contract AmouhV z$2,077,1000
Start; 9/2012
Complocd: 121,201.3
Route 74; Contract No, 08-0119504
Contract Amount- $3,450,622
start: 6/2012
Completed,: 01201.3
01yoff"aguna Hills (Niywide Pavojiient Rehabilitation
24035 Bl Toro Rd Contract Ammnt; $1,778,169
Laguma.Hills, CA 92653 Start: 8/2012
Contact: Kenneth Ro.lenfield',(949) 707-2650 Completed: 9f2012
Couaty"of Rive-,mide Trinisportatioll
3525, J41h St
Riverside, CA 9250.1
Contact! Trai Nguyen, (05 1) 9'61 rv5161
City of Awn
213 E FoQthill BIV.,d
Azoa,cA 9.1762
Cliflitina 0gict, (626) t 12,5254
(Afthan.Springs Road,
Contract Amount; $1,69-5,108
-Start-, 7/2013
Complotod: MOD
Paviament Management improvements
Cputract.Anwunt; $990,000
Start: S/17/1:2
Completed, 1/18/13
"2012"
PAST �VQRK RErERENCES
City of Beverly Hills
345 Foothill Road
Bevi3rly Hi Usi CA 90210
Contact: Juan Martinez, (3 IQ) 2,85-2$21
City of Costa N40aa
77, Fair Drivo
CMA Mesa, (A 92623
Contact: Thomas 13pinks, (714) 7545222
City of Perris:
1.70 Wilkerson Avenue,,Ste, D
Porris, CA 9,2570
Contact, Cfitis SIVIdo, (951),943-36.04
City oft haF.0int
332.`82 Golden Lantern
Daria PQf.nt, CA 92629
C011tAct: Matt Sill8coti, (949) 248-3574
Cityof Long Beach
313 W, Ocean slv&' 10 Floor
Long Bvqh, CA 90$02
Contact: :Chunk Rgirioy, (562),570-66.34
OtYOFSahta Ana
20 Civic Center Plaza
Santa Ana, CA 92701
Contact: Rdward Torres, (714) 6475018
City of Fountain Valley
1000 Slater: -Avenue
FOUntttin Val -.Joy, 92108
COntect° Alex Salazar, (1114) 393-4516,
20.10-2011 Street Resurfacing Project
ContructAnnount; $Z,SOq,oftoo
,Start: 6/1/2011
Completed: 4/30/2012
2010-2011:Citywide3troetRtoh4bil'tation
Contract .1. .
Amount: $2,77s,000,00
Start: 7/1/201 .1
Ctrnpleted: 2/29/2011
Foss FieldParking Vxpausion
Contract Amouut. $1901.000; , go.
Start; I/l/20,12
CUMPIcted: 201,2'w
Pacific Conm Highway & Niguel
Shores
CcrntractAmount: $676,676.00
Start: 12/1/2011
Completed: .,5(30(2011
Willow Street Improvements
Contract Ah7puart; $661,661.00
Start: 1.211/2011
Completed; 6/30/2012
Bristol Street widening
Coritrao,t Amount: $8,313,754,60
Start:.5/:142009
Completed:: R16/2012
Edinger Avenue lrnprovumcnts
Contract Amount; $422,422,00
Start: 5/1/2012
Completed, 8/1/2-M
"2011„
PASTWORK REFERENCES
City of Compton
2.05 South Willowbibck Avenue
Compton, CA 90220
Cont44, Loujunna Mitchell, (310) 761-1437
County of San Bernardino
325 E. TV'M 'Street
San Bemardino, CA 92415
Contact Franklin Luna, (909.)387-7920
County llf Riverside
2950 Washington street
,Riverside, CA 92504
Contact, David Hylkeina,,(951) 850-6075
City of Stanton
7800 Klltella Avenue
Stanton, CA 90680.3162
Cdntaot; Qualls Lq, (714) 890-4234
City of Long Heath
333 West 00ah Blvd., I& 1'Iocr
Long Beach, CA 90802
Contact: Chuck Ramey, (562) 570-6634
City of Paramount
1.6400 Colorado Boulevatd
Paranaount,VA 90723-5012
Contact: Len Gorecki, (362) 220-21111
City 0-Haptington,13cach
2000 main SIte.celt
FlUntinatorl Beach, CA 92648
Contod; Dave Vorone, (714) 375-8471
Northwood Avenue Reconstruction
ContractAinount. $IjI50,0100.00
$text: 10/18/2010
Completed: 5/4/201'I
Cajoa Blvd,
C044*1.Amounf: $561,000.0,0
Stasi: 3/1,1/2,011
Complotod, 4/8011
De Luz. RoadRehabilitation
Contract Amount,, $740,000,00
Start! 4'/ZSv20i I
Completed: 5/,23/201.1
2010/2011 Citywide Rcoonstructicaj
Contract Alboamt: $322,322.00
Start; 3/1/2011
Completed: 4/30/201 I
A411041 Contract Street Acconstruption
ContractAmouriv $3o433j415.00
Smit; vvzolo
Completed: Still Ori-Uoing
Neighborhood Street Pcstufac:ing
Contract Amount: $89%909;00
�.Stag 1111/2.0:10.
Cothpleted: 3/30/20I I
Slater Avenue Lmpravements
Contract Amount $1,926,341.00
Start; a/1/20I0:
Complete& 2130/2011
DepaAment of Transportation Route 91 Project
464 W, Fourth Street C'Ontrartknaount; $5,732,812,00
San BernardinoyCA 92410-1400 Start 3/1120i0
Contact: ImadAbuOarWoh,(951)277.8599 Completed: 3/3012011
CITY OF SANTA ANA
Project No. 1.3-6796: Chestnut Avenue Class II Bikeway fxom Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley hnprovement-FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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 [t}1 f
Firm C/SYI F
Date
TO BE INCLUDED IN BID PACKAGE
BP 12 of 27
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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
4111 _ 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
Rob..+h din Uq t V
State of California /
County of R'iVPrrsicE,
Subscribed and sworn to (or affirmed) before me on this 0 day of hl�L, 201d', by
R6be j- , proved to me on the basis of satisfactory evidence to be the person(s) who
appeared before me.
DON NATHORNE
Commission # 2067768
i •+' Notary Pubile • California
Riverside County
klComm. Ex fres Jun 7, 2016
Notary Public Signature Notary Public Seal
TO BE INCLUDED IN (IID PACKAGE
BP 13 of 27
CITY OF SANTA ANA
x Project No. 13-6796: Chestnut Avenue Class 11 Bikeway fi-om Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Improvement -FY 13/14
Project No. 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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 shad 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 1 f SII -c'
Title n�>rt �rv+AI II. VIrD Prtltd6vl�
Firm
Date
12
TO HE INCLUDED 1N HID PACKAGE
BP 14 of 27
CITY OF SANTA ANA
1-11 Project No. 13-6796: Chestnut Avenue Class .11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
Project 14-6813: Alley Irnprovement-PY 13/14
Project No, 14-6803: Chestnut Avenue Rehabilitation from Broadway to Main 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:
Business Address:
Telephone: 95-1 - 7-g%- 74Po6
State Contractor's License No. and
Class: a?,(¢7073 i, C -Oa
Expira" "
Date:
Signed
Title:
TO BE INCLUDED IN BID PACKAGE
BP 15 of 27
CITU OF SANTA ANA
Project No. 13.6796
Cliestnut Avenue Class 11 Bikeway from Standard Avenue to Grand Avenue; CM -5063
PR POSAL AND CONTRACT AGREEMENT
FEDERAL REQUIREMENTS FOR FEDERAL -AID
GENE RAL—Tv wait Inei t prolm6odwillbe fin ntcedinwhole or in pattwith
Feicm fids anddaefxeallofl�saues rilesad eg 4 osporadpt lby
the Federal Gomnane nt and applicable to wait finned in whole or in pat wdi
Faiaalfitr6wMtpplyb9uchwodc,Tlx"Rnxlt edCaneactAnvmaasFo�al
Aid Castucd on Conttucts, "Farm FHWA 1273, ate ins luded n this Section 14.
W mrmr in said t WaW contact poveoas refaa= are made to "SHA
Canuad ng o�Cer" "SHA n� lent erg r ea;" a' and V=otive of the
SNA,'sunt&wceashAbeconstruedtonman'n*)W'asdcfuxdinSection
1-1,18ofdeeStardmdSpwifx at ons.
PERFORMANCE OF PREVIOUS CONrRACr - In addition to the
p vdaxs in Section Il, `7Vondwaninaga "mad Scetlaa VB b
A%igrhng the Contact,,' of the requited contact pmvi cu% lie
canplS'wititlhe fallowing
The BIDDER shall execute the CERTIFICATION WMI
THE I ERPOItMANCB OF PREVIOUS CXl
0
SUBCONTRACTS SUB.IECF TT.) THE EQUAL
R
CLAUSE ANDTHEFILINGOFREQUIREDREPOR
the
prq�al. No request for subletting o assigning mry pwtia of
in
axcessof$Ig000wRbcoosideteawdalNeprovisionsfSccti
Wofthe
14uw coitact provisions unless surin tegteat is
' by the
NON -COLLUSION PROVISIONS - Tl e ]n in dils section are
/amwtn
NsfaFaTaal id.Svemlaryprojas.
Title 23, United States Cot 112, mesas a emditdcxn ptecect�n D,
appmvul by the Fedcral Himin of dw camact fa the wait thateaclnBIDDERfileaswanedby,a'rnbelnalfo�tarpcason,fum,
ssac oda a calxxa a tt oxmact s o Ix awe ded artily ng tint
such pmscxr, fimn, associatihas rpt, either d'necdy a induealy,
entael into any ageancued in any collusion a otherwise Kaden any
ac"Iirnattamtoffe.oamddmgunonixtiouwwthesubmitedbid A
Cam d make tlne etaroollavit statement roquaed by Sce&n 112 as a
28,U5C,See.1746,
PARTICIPATION BY DISADVANTAGED HUSINIf.SS
CNIERPI215CSIN Y7NIRAdI'INE-Pat26 Ti fe4l,CaleofFalen
1LegJadanssupplies ihtsFeeletalticlpoject i'erfinantsecdansofsnidCodeatu
PROJECTS
(This form need not b fitted in ifall joint venture firms an, minority
owned.)
2.Ad sofjoinventure�
/3hone numberofjointventure
4. Identify die firms whichcomprise thejoirtventure. (The DBE
partner must complete Schedule A)
a. Describe the role of the DBE fine in thisjoint venture.
b. Describe very briefly the experience and business qualifications of
each non-MBEjoint venture:,
S. Nanueofthejointventure's business
6. Provide a copy of tltejoint venture agreement.
7. What is the claimedpanentageofDBEownership?
8, Ownership ofjoint venture: (This need not be felled in if described
in ihcjointventure 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
BP 16 of 27
"
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class Il Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
PROPOSAL AND CONTRACT AGREEMENT
9.Conhnlofardpatici ationmdaisoartta^t.Idwtifybyname,mee,
sLN and "fun" Umse irulivic", (aid their titles) w�alvkle
for day -today nwagcnnent and Policy claisbn rmg,
brit not IimiW to, those widen rxime re�asmbdity fa
b. Mw%,ementdecisions, sochas:
L Estimating
2. Ma kfing:
3.Hningand ofmanaganent
4. Rudiasing ofnmajof items orstgrpkies
c. ' iamofMdopaations
EM
On this _ day of 20_, We me appeared (name)
to me posanlly (mown, whp,Al5&ui,ig duty sworn, did excca.rte the
foregoing affidavit ,at did sane drat he or dwt vas fM)ely at4 a wd by (Name of fern)
Note: If, atter filing this Schedule B and before frac completion of the NOW
joint wnttue'swork ondmeconnactcovenadbyftsmgulation,tmis Carr
any significant change in dte umfamaron submitted, tw joint verian
mtat inform the grantee, eidx dructly or througlm the puma 1seall
c onNmKor ifdmcjointventtue is asubco naaaor, per,,
AAkaM
"M& undetsigt>ed swear tat die foregoing staterrenls ate
cxxmea and inektxle all material intamatiat neccmry to khrify and
cDplam fine temps and operation of ow joint w nhua and dr mtamdad
participation by ewh joint venkm in the tadetaakumg Fatlxx, tae
UxIcrsipw covenant and a@w b provide to grantee cement,
corTlete and acwtate information reMd'mg adaf joint venture
work and the paNment dmaefae and any proposed changes in any of
the joint vendee aaarganenls and to pemtit the arch ad
amnination of be hooks, remands, and files of dr joint ve'naue, by
and"icd gxesantatives of the grantee or dw Federal fiudnng
age y. Any material misrcpccndton will be grounds for
tamuvating any axrrraa which may be awm lod and far initiating
actionamderFedaaforStaelawscamcemingfalumsiatemc n '
Altadrme nt
EluMA-FM
W-97
Canty
affidavit ad did so as his or her fice act aid deed.
�� w JL)rav
On this _ day of 20, before me appcated
to me pasardly known, who being sworn, slid excenw dme
foregoing affidavit and slid sante drat he or she Was properly audmdad by (Name of firm)
to execute dw al lklavit ari dd so as his or her fret act anti deed
Canmissionwies
1SC4
BP 17 of 27
TO BE INCLUDED IN BID PACKAGE
CALIFORNIA JURAT
State of California
County of Riverside
CDDNNAr
ommission # 2067766
z ;.� Notary Publlc • California n
z Riverside County
' My Comm. Ez Iras Jun 7, 2076 J
Piece Notary Seal Above
Subscribed and sworn to (or affirmed) before
me on this 8th day August, 2014
Date Month
By (1) Robert Bradley
Name of Signer
Proved to me on the basis of satisfactory evidence
be the person who appeared before me (.) (,)
(and
Signature h-14-n� j4vt-�'�
Signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove
valuable to person relying on the document and could prevent
fraudulent removal and reattachment of this form to another document.
Further Description of Any Attached Document
Title or Type of Document:
Proposal and Contract Agreement
Dated: 8/8/14
Page: 17
Signer(s) Other Than Named Above:
CITY OF SANTA ANA
(11 11 "l� PROPOSAL AND CONTRACT AGREEMENT
aC
Project No. 13-6796
Chestnut Avenue Class Il Bikeway from Standard Avenue to Grand Avenue; CM -5063(148)
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 yeas;
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.
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 tlris Proposal on the signature portion thereof shall
also constitute signature of this Certification.
Name of BIDDER Gey
Signature ofBIDDE a_e
Date �^'zlul, �ica^1"�t�k�
FED.8-22-88 /�`�---
TO BE INCLUDED IN BID PACKAGE
BP 18 of 27
on
�33}
3
Exhibit 15-G2 Local Agency Bidder DBE Information (Construction Contracts)
(Inclusive of all DBEs at bid proposal)
p NOTE: PLEASE REFER TO INSTRUCTIONS ON APPENDIX H
AGENCY: &A. LOCATION: SW& ACA„
PROJECT DESCRIPTION; PROJECT NO. 13-6796: Chestnut Avenue Class 11 Bikewnv from Standard Avcnue to Grand Aycnrc: CM -5063(1481
TOTAL FEDERAL CONTRACT AMOUNT; $ 327.000
BID DATE: L liq
BIDDER'SNAME;_ I ('(/,{'1 /y'yk& 7'
CONTRACT ITEM OF WORK AND DESCRIPTION Cort,No,0fDBE
ITEM NO. OR SERVICES TO BE AND EXPIRATION
SUBCONTRACTED OR MATERIALS DATE
0 BE PROVIDED
NAME OF DBEs DOLLAR AMOUNT
iMust be certified on the date bids DEE
arc opened - include DBE address
and phone number
, �n
2
�1 *r '
cd¢.�7 4-133$ 92.
For Local Agency to Complete:
Local Agency Contract Number:
Federal Aid Project Number:
Federal Share:
Tocol Claimed $54,1925.
Participation
I %
Contract Award Date:
Local Agency certifies that all information is complete and accurate.
Print Marne. Signaturo Date
Local Agency Representnfive
Aroa Code) Tele hone Number:
ahwoB CLQrRCI �
Signaturel'Didder
951-7310-7160
Date Sif�' 1l (Area Code) Tel. No.
Leant Agency Ridder- DUE Infenntien (Rev 3109)
For Caltrans Review:
Print Name Signature _ Date
Cnitrans District Local Assistance Engineer
Distribution; (1) Copy —Fax or seen a copy to the Caltrans Distdel Local Assistance Engineer (DLAE) within 15 days of award. Failure to
send a copy to the DLAE within 15 days ofaward may result in de -obligation of funds for this project.
(2) Copy -- Include in award package to Caltrans District Local A.ssisomee
(3) Original — Local ngency Ines
. �sY
TO BE INCLUDED IN BID PACKAGE
BP 19 of 27
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
FROFOSAL A., ND CONTRACT AGR
fi[ MENT
NO LOB NG
CERTIFICATION FOR FEDERAL AID CONTRACTS
The prospective participant certifies, by signing and submitting this bid or proposal, to the best
of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influence or attempting to influence an officer or employee of
Congress, or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment or modification of any Federal contract, grant, 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 certi'fica'tion is a material representation of fact upon which reliance was ,placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to
file the required certification shall be subject to a civil penalty of not less than $10,000 and not more
than $100,000 for each such failure.
The prospective participant also agrees by submitting his or her bid or proposal that he or she
shall require that the language of this certification be included in all lower tier subcontracts, which
exceed $100,000 and that all such sub -recipients shall certify and disclose accordingly.
taw®'1�1�/y2.�✓ � _------�---
BIDDEN' Signature?b6*+&VP[Lit rst Rlh+
Firm
Date�T���
• Standard Form LLL may be obtained from Cal lmn$ and FHWA offices.
TO BE INCLUDED IN BID PACKAGE
BP 20 of 27
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class II Bikeway from Standard Avenue to
¢t,r Grand Avenue; CM -5063(148)
PROPOSAL AND CONTRACT AGREEMENT
DISCLOSURE OF LOBBYING ACTIVI'T'IES
CmmMetn. thio f.. n fn d;,Aue !Qbb j—..rvdvl i;.. n...--1 r,71 Tic r+ 119q
1. Type of Federal Action
2. Status of Federal Action
3. Report Type
❑ a. Contract
❑ a, Bid/offer/application
't a1
b. Great
b. initial award
aterial change
c, Corporate Agreement
c, post -award
/Faterialm
d. Ban
Change onlye.
Loan Guarantee
quarter_
f, Loan Insurance
date of last re rt
4. Name and Address of Reporting Entity
5. If Reporting Entity' o, 4 is Subawadee, Enter Name and
Address of Prime:
❑ Prime ❑ Subwarriee
Tier___ _,lflaiown
Con sional District, ;mown
Co ssional District, i '/mown
6. Federal Department/Agency:
7.17 ral Program Name/Description
CFDA Number, If applicable
B. Federal Action Number, iflmown
9. Award Amount, iflmown
10, a. Name and Address of Lobbying Entity
b. individual Performing Services (oideeiig cei6acsya.V ,,tfirotnNo.
(0thiird tzb"WA)%M9
tor)
attach Cantinuation
Sheet(s) if necessary)
11. Amount of Payment (check all ds apply): 13, Type of Payment (check all that apply)
$ ❑ A ❑ Planned ❑ a. retainer '.
_ ❑ b. one-time fee
12. Foma of Payment (check all at apply): ❑ c. commission
❑ a. cash �❑ d. contingent fee
❑ b, in-kind; s fy: nature ❑ e. deferred
value ❑ f other, s e6i
14. BriefDescription of ervices Performed or to be performed and Dates) of Service, includurg officer(s), employce(s), or member(s) contacted, for
Payment indicated in i m 11:
(attach Coratim n on Sheet s) i 'recess''
15, Coutinuatio Sheets attached: Yes No
16.1afaamtiom laeughUvsfanrisaukdwdbylide3IUSCSedion
1352,7his'ofkrUtryingactiwtiesisatmk'r'wlrel'Bticnaffr'ctupar
Signature .m
dmk el' waspindbydrtierabrnewhn0'eftmwiclmwasnmdeerenLted
iTh..'Ilis kanesralrte pmsuantto3lU.S,C1352,Thisirilamadarwdlbo
PritaName
reported dreCongre�seniararra,,ymdwrllbeavailableforpublichTection
Any wfiaralo6ethemgmeddckxa wlrhsbottoacvlpaayof
Title�/L YISIQdh
nale8sdran$10,000adnatmaed 100,0001breerluarhfailua
Tel hone No, SSI" 7 - WeDU Date �I
Fedml I wOnly
IAuihn zed fur o al Rcp ucl on
Standw]F( nn—LLL
TO BE INCMiWD IN-B1v PACKAGE
BP 21 of 27
CITY OF SANTA ANA
rx�,.:_
S". Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISION Form
FHWA-12731
The undersigned, is submitting this proposal for performing by contract the work required by these bird
documents, agrees to comply with the required Federal Contract Provision (Form FHWA-1273) as
shown in the appendix of the special provisions of this project.
Signed
Title
Firm
Date
TO BE INCLUDED IN BID PACKAGE
BP 22 of 27
CITY ON SANTA ANA
Project No. 13-6796: Chestnut Avenue Class 11 Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
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 influencing or attempting to influence an officer or employee of ally 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 fiends have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any Federal agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form -LLL*, "Disclosure of Lobbying Activities" in accordance
with its instructions.
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification
shatl 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 lie or slip shall require that
the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all
such sub -reel' i ras s all certify and disclose accordingly,
BID E Signature Ro�-{
B � � E� _ I/► i (A t til
t CV1—mnir_t S CA ifb 11I�LL�
Firm
��►y
Datil
s,�
�1.,t�itkattt;Wt..'f�'J?i`d(?µ'¢d�,��i _..�� �1t��!.1i �li��*;x�iftl°� a gRi4yiK't"t�ttfrsNy�YeT,.� a r k. nNia
TO BE INCLUDED IN BID PACKAGE
BP 23 of 27
CITY OF SANTA ANA
Project No, 13-6796: Chestnut Avenue Class II Bikeway fi•om Standard Avenue to
Grand Avenue; CM -5063(148)
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQTJIREMENTS
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
Firth
Date
TO BE INCLUDED IN BID PACKAGE
BP 24 of 27
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class li Bikeway front Standard Avenue to
Grand Avenue; CM -5063(148)
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
30 University. The term "BIDDER" is understood to include any partner, member, officer, director,
responsible managing officer, or responsible managing employee thereof, as referred to in Section
10285.1,
Note
Signe<
Title
Firm
Date
i�
The BIDDER must place a check mark after "has" or "has not" in one of the blank spaces
provided. The above Statement is part of the Proposal. Signing this Proposal on the signature
portion thereof shall also constitute signature of this Statement. BIDDERS are cautioned that
malting a false certification may subject the certifier to criminal prosecution.
BP 25 of 27
TO 13E INCLUDED IN BID PACKAGE
g,"t • CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class II Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
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.
4Ni.e l+4
TO BE INCLUDED IN BID PACKAGE
BP 26 of 27
CITY OF SANTA ANA
Project No. 13-6796: Chestnut Avenue Class Il Bikeway from Standard Avenue to
Grand Avenue; CM -5063(148)
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.
Signe(
Title
Firm
Date
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 to
criminal prosecution.
TO BF INCLUDED IN BID PACKAGE
BP 27 of 27
D Fidelity and Deposit Company of Maryland
Home Office: P.O. Box 1227. Baltimore, MD 21203-1227
BID BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, ALL AMERICAN ASPHALT BOND NO. 085 97 423
, as Principal, (hereinafter called the "Principal'),
and FIDELITY AND DEPOSIT COMPANY OF MARYLAND
P.O. Box 1227, Baltimore, Maryland 21203, a corporation duly organized under the laws of the State of Maryland, as
Surety, (hereinafter called the "Surety"), are held and firmly bound unto City of Santa Ana
as Obligee, (hereinafter called the "Obligee"), in the sum of TEN PERCENT OF THE TOTAL BID PRICE IN --------
Dollars ($ 10% OF TOTAL BID PRICE )Jor the payment of which sum well and truly to be made, the said Principal
and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally,
firmly by these presents.
WHEREAS, the Principal has submitted a bid for Project No. 13-6796 — Chestnut Avenue Class 11 Bikeway
from Standard Ave. to Grand Ave.; CM -5063(148), Project No. 14-6813 — Alley Improvement— FY 13/14,
No. 14-6803 — Chestnut Avenue Rehabilitation From Broadway to Main Street.
Bid Date: Auaust 14. 2014
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract
with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding
or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt
payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to enter
into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the 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 perform the work covered by said bid, then this obligation shall be null and void, otherwise
to remain in full force and effect.
Signed and sealed this 31st day of duly A D 2014
R. Paiamo, Notary Public 6Yitness
ALL AMERICAN ASPHALT_ (SEAL)
y P tncrpat
7erf Pcra ltr� =ANYOFMARYLAND
elgk
FIDELITY AND DEPOSIT CO
,Surety
By.57 fi'*'E6.r.yQo �cio .....�.._ (SEAL)
Rebecca Haas -Bates Attorney -in -Fact
Printed in cooperation wish the American Ins ti tutc of Architects (AIA) by Fidelity and Deposit Company of Maryland . Fidelity and Deposit(, oropany of
Maryland vouohas that the language in the document contbmis exactly to the language used in AIA Dooumcat Ad 10, February 1970 Edition
131 D7000OZZ0701f
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
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/sheA#ey executed the same in
his/herFthelr authorized capacity4es), and that by his/4er4heir
signature(s) on the instrument the person(s), or the entity upon behalf
DONNA THORNS' of which the person(&) acted, executed the instrument,
Commission # 2067766 fd
® Notary Public • California z I certify under PENALTY OF PERJURY under the laws of the State of
Rlverslde County n California that the forgoing paragraph is true and correct.
M Comm. Expires Jun 7, 2018
WITNESS my handand official seal.l./
Signature k_6 ° ��
Place Notary Seal Above signature of Notary Public
OPTIONAL
Though the information below is not required by law, it may prove valuable to person relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document Bid Bo11d
Document Date: 7/31/14 Number of Pages: One 1)
Signer(s) Other Than Named Above: Fidelity and Deposit Company of Maryland
Signer's Name: Robert Bradley
if Individual
xCorporate Officer —Title(s): Vice -President
o Partner L c Limited o General
❑ Attorney in Fact OEM
u Trustee
o Other:
Top of thumb here
Signet's Name:
in Individual
❑ Corporate Officer—Title(s):
o Partner I-1 o Limited o General r,-
❑ Attorney in Fact
lop of thumb here
o Trustee
❑ Other:
Signer is Representing:
Signer is Representing
C,6 RfOR ,. ALL-PURPM J,, rT 'i I bO 9L.A
CIVIL •D
u
State of California
County of Orange
On 7/3t/2014 before me, R. Paras
Date
personally appeared Rebecca Haas -Bates
R.PARAMO
°�- Commission B 2035890
Notary Public - California i
Orange County
4 Comm. Exrliras Au 5 207
Place Notary Seal Above
_Notary Public _
Here insert Name and Title of the Officer
Name(s) of Signers)
who proved to me on the basis of satisfactory
evidence to be the persona whose name(&) is/are
subscribed to the within Instrument and acknowledged
to me that 4e/she/Pm7 executed the same in
h l/her/their authorized capacity(ies), and that by
Hs/her/*air signaturets) on the instrument the
person*,, or the entity upon behalf of which the
person( acted, executed the Instrument.
I certify under PENALTY OF PERJURY under the laws
of tl}el�"a-t at the foregoing paragraph
i rue and correct. (
ITNES5 my hand a offie' eat
OPTIONAL.
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Bid Bond Document Date: 7/31/2014
Number of Pages O11e (1) Signer(s) Other Than Named Above: All American Asphalt
Capacity(les) Claimed by Signer(s)
Signer's Name: _ Rebecca Haas -Bates
Corporate Officer -- Title(s):
❑ Partner — F1 Limited ❑ General
t:] Individual ElAttorney in Fact
J Trustee ❑ Guardian or Conservator
Other:
Signer Is Representing:
Fidelity and Deposit Company of Maryland
Signer's Name:
C7 Corporate Officer — Title(s):
❑ Partner— [ Limited IH General
❑ Individual C Attorney in Fact
F.] Trustee ❑ Guardian or Conservator
u Other: _
Signer Is Representing:
0 2013 National Notary Association o www.NationalNotary.org o 1 -800 -US NOTARY (1-800-876-6827) Item #5907
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys -in -Fact The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile miner and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and [lie attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990.
RESOLVED; "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though instantly affixed.
IN TESTIM W IEREOF, 1 have here into subscribed my name and affixed the corporate seals of the said Companies,
this'dey of , 201. -
teem J 86AL
Geoffrey Delisio, Vice President
MEMORANDUM
To:
David Cavazos
City Manager
Fred Mousavipour, Executive Director
From: Public Works Agency
Date: January 22, 2015
Project Nos. 13-6796,14-6813 & 14-6803; Chestnut Avenue Class II Bikewayifim SIndard
Avenue to Grand Avenue; Alley Improvement FY 13/14; Chestnut AvenuerFAOabitttation
from Broadway to Main
Subject: Change Order No. 1
_e
CONTRACTOR: All American Asphalt
P.O. Box 2229 7> --
Corona, CA 92878-2229
PROJECT DESCRIPTION: Chestnut Avenue Class II Bikeway from Standard Avenue to Grand Avenue (Project
136796); Alley Improvement FY 13/14 (Project 146813); Chestnut Avenue
Rehabilitation from Broadway to Main (Project 146803)
CHANGE ORDER NUMBER:
ACCOUNTING UNIT -ACCOUNT -ACTIVITY NUMBER:
JUSTIFICATION
EXTRA WORK AT AGREED PRICE
CHANGE ORDER AMOUNT: $ 88,794.00*
05917663-66220-14680301028
1. The Chestnut Avenue rehabilitation project, from Broadway to Main Street was identified
as a high priority for restoration on the City's Pavement Management System. The
existing concrete pavement deteriorated due to weather, age, and usage. Originally, the
project would reconstruct concrete pavement with new asphalt concrete pavement and
replace damaged curb, gutter, sidewalk, driveways, and ramps. However, in order to
preserve and restore the historical appearance of the neighborhood, the Heninger Park
Neighborhood Association collaborated with city staff to find solutions to preserve the
concrete streets in their neighborhood. Hence, the contractor was directed to change the
scope of work to instead perform localized concrete replacement as noted on PCO No. 1,
per the new agreed unit prices noted below. Cost is subject to the final quantity of work
performed.
Project 13-6796, 14-6813 & 14-6803
Request for Approval of Change Order No. 1
January 22, 2015
Page 2 of 3
EXTRA WORK AT AGREED UNIT PRICES
CONTRACT COST SUMMARY
Amount
Total Amount % of Contract
Preliminary
$631,573
Estimated
Item #
Item
Unit
Quantity
Unit Price
Amount
Change Order #1
$88,794.00
Increase 14.06%
Adjusted Contract Total
37.
Remove 6 -inch of PCC
CY
127*
$223.00
$28,321.00
Concrete per PCO No. 1
39.
Place concrete pavement
CY
127*
$419.00
$53,213.00
High -early 3 day PCC mix
With dowels per PCO No. 1
40.
Apply Sika -Flex flex crack
LF
1500*
$4.84
$7,260.00
And joint seal per PCO No. 1
Estimated
Total
$88,794.00
ORIGINAL CONTRACT BID ITEMS QUANTITY
ADJUSTMENTS
Preliminary
Estimated
Item #
Item
Unit
Quantity
Unit Price
Amount
2.
PCC pavement removal
CY
(370)
$74.00
($27,380.00)
4.
Remove excess dirt
CY
(75)
$77.00
($ 5,775.00)
5.
AC pavement
TN
(900)
$76.00
($68,400.00)
Estimated
Total
($101,555.00)
*Final cost will
be paid per final quantities of actual
work
on this project.
CONTRACT COST SUMMARY
Amount
Total Amount % of Contract
Original Contract Total
$631,573
Previous Change Orders
$-0-
0.00%
Adjusted Contract Quantities
-$101,555.00
Decrease -16.08%
Change Order #1
$88,794.00
Increase 14.06%
Adjusted Contract Total
$618,812.00
Project 13-6796, 14-6813 & 14-_ ,3
Request for Approval of Change Order No. 1
January 22, 2015
Page 3 of 3
SCHEDULEIMPACT
Increase contract time by 20 working days for delays associated with this change order.
APPROVED AS TO FUNDS AND ACCOUNTS:
Fred Mo savipour, Executive Director Francisco Gutierrez, Executive Director
Public Works Agency _ Finance & Management Services Agency
- K:Construction/Projects/13-6796/8.Change Orders/B/CO #01/13-6796 MEM RFA CCO#01
CI _ V X SANTA ANA
PUBLIC WORKS AGENCY
CONTRACT CHANGE ORDER
Project Number Project Nos. 13-6796,14-6813 & 14-6803; Chestnut Avenue Class Change Order Number 1
II Bikeway from Standard Avenue to Grand Avenue; Alley
Improvement FY 13/14; Chestnut Avenue Rehabilitation from
Broadway to Main
To All American Asphalt
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 UNTILAPPROVED 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 UNIT PRICES
New Bid Item:
Description:
Est.Qty
U/M
Unit Price
Est. Total
37,
Remove 6 -inch of PCC
127*
CY
$223.00
$28,321.00
Concrete per PCO No. 1
39.
Place Concrete pavement
127*
CY
$419.00
$53,213.00
High -early 3 -day PCC mix
with dowels per PCO No. 1
40.
Apply Sika -Flex
1,500*
LF
$4.84
$7,260.00
Flex Crack and joint seal
per PCO No. 1
Estimated Total
$88,794.00
Note(*)=The quantities
are an estimate; contractor will be paid for actual quantity of work completed.
ORIGINAL CONTRACT
BID ITEMS QUANTITY ADJUSTMENTS
Item #
Contract Bid Item
Quantity
U/M
Unit Price
Total
Adiustment
3.
PCC pavement removal
(370)
CY
$74.00
($27,380.00)
4.
Remove excess dirt
(75)
CY
$77.00
($ 5,775.00)
5.
AC Pavement
(900)
TN
$76.00
($68,400.00)
Total
($101,555.00)
Page 1 of 2
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
i
CONTRACT CHANGE ORDER
Project Number Project Nos. 13-6796,14-6813 & 14-6803; Chestnut Avenue Class II Change Order Number
Bikeway from Standard Avenue to Grand Avenue; Alley
Improvement FY 13/14; Chestnut Avenue Rehabilitation from
Broadway to Main
To All American Asphalt
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
1 I UU1IiNansauon ootn 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
$ 88,794.00
By reason of this order the CONTRACT TIME completion will be adjusted as follows: 20 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.
m
f 22 • t5 Contractor
All American
recommended by
Date
Approved by �� /� r t kl�� &e b � Date
CIT�'MANAGER -----�� — {t—(—,-✓
Page 2 of 2