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CHRISP COMPANY
Recording Requested By, (f 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 I II I 111I 1111111111 111I IP� I III Na FEE * $ R 0 0 0 8 1 1 8 1 0 0 $ * 201600003829710:52 am 01128/16 62 416 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1� 1� 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 NEWHOPE, CIVIC CENTER AND GRAND BIKE LANES under contract entered into on 9/1/2015, with CHRISP COMPANY, on which contract TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA is surety. The property on which such o work improvement was placed is in the City of Santa Ana, County of Orange, State of �a o z California, and described as Project No.16-6851 located at: NEWHOPE, CIVIC CENTER AND GRAND. The work improvement on said property was accepted as completed on 12/31/2015. if � a ow VCITY A,A MUNICIl'AL CORPORATION o by a Dated: `"I 1 PrincWLd Civil Engineer-T31one Chesanek A �'7 TITLE CG W Ce✓i VERIFICATION 1, 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 o K Z$ ���� , at Santa Ana, California (Signature of individual swearincthat 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: SEPTEMBER 1, 2015 TITLE: AWARD CONTRACT TO CHRISP COMPANY FOR INSTALLATION OF CLASS II BIKE LANES ON NEWHOPE, CIVIC CENTER DRIVE, AND GRAND (PROJECT 166851) {STRATEGIC PLAN NO. 6, 1B & 1G} F CITY MANAGER RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVED V-1-15 0 As Recommended �$$ 16 As Amended ❑ Ordinance on 1" Reading ❑ Ordinance on 2nd Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO FILE NUMBER Authorize the City Manager and the Clerk of the Council to execute a construction contract to Chrisp Company, the lowest responsible bidder, in accordance with the unit bid prices, totaling $166,741.60, for construction of the Newhope, Civic Center, and Grand Bike Lanes, subject to nonsubstantive changes approved by the City Manager and the City Attorney. 2. Approve the Cost Analysis for a total estimated project delivery cost of $222,715.42. DISCUSSION Approval of the recommended action will result in the installation of Class II (on -street) bike lanes on Newhope Street from First Street to McFadden Avenue, Civic Center Drive from Bristol Street to Broadway, and Grand Avenue from Twenty-first Street to Fairhaven Avenue (Exhibit 1). The proposed bike lanes are consistent with the City's Bicycle Master Plan and will extend and connect to existing and planned bike paths. Once completed, these bike lanes will improve mobility and safety of bicyclists, while also accommodating traffic flow. A Notice Inviting Bids was advertised on July 11 and July 13, 2015, and bids were opened on August 3, 2015. The following is a summary of the bid invitations mailed and received, and the bid results: Contractor Participation Data Santa Ana contractors reguesting bid documents 0 Contractors requesting bid documents 16 Bids received from Santa Ana contractors 0 Bids received 3 Award Contract to Chrisp Company for Installation of Class II Bike Lanes September 1, 2015 Page 2 Bid Results Summary RANK BIDDERS NAME LOCATION BID 1 Chrisp Company Fremont $166,741.60 2 Orange County Striping Service Inc. Orange $173,371.88 3 BC Rentals, Inc. DBA BC Traffic Specialist Orange $184,553.00 Three bids were received and deemed responsive, with Chrisp Company submitting the lowest responsive bid. Their bid in the amount of $166,741.60 is 22 percent lower than the Engineer's Estimate of $215,000. This contractor has performed similar work for other agencies, therefore staff recommends awarding a construction contract in the amount bid (Exhibit 2). 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), and Strategy G (develop and implement the City's Capital Improvement Program in coordination with the Community Investment Plan (e.g., neighborhood streets, traffic improvements, park facilities, bike master plan, etc.). ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended actions are exempt from further review. Categorical Exemption Environmental Review No. 2014-113 was filed for this project. FISCAL IMPACT The estimated total delivery cost of this project is $222,715.42, which includes construction administration, inspection, testing, survey and contingencies (Exhibit 3). Funds are budgeted in the Active Transportation Program Fund (Account No. 14817613-66220, Project 166851) for expenditure in Fiscal Year 2015-16. Executive Director Public Works Agency FM/EWG/KW Exhibits: 1. Location Map 2. Construction Contract 3. Cost Analysis APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutierrez Executive Director Finance & Management Services Agency SANTA ANA City CouncilP,� WA Agenda Date vueucwoaxs nceacvncexc. September 1, 2015 Project Nos. 16-6861 — Newhope, Civic Center and Grand Bike Lanes Exhibit 1 LANEBIKE LAP ��WhO�� Street ERI P BUFFER 4 KEY: BIKE LANE. e LLCL`ND DIKE LANE Bur-FER - THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796-7000 / Fax (714) 796.6059 (2015.5 C,C.P.) State of California ) County of ORANGE ) ss Notice Type: BID - NOTICE INVITING BIDS Ad Description: Nowhope;Clvlc Center & Grand Bike Lanes I am a citizen of the United States and a resident of the State of California; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal Clerk of the printer and publisher of the THE REGISTER, a newspaper published In the English language in the city of SANTA ANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the Slate of California by the Superior Court of the County of ORANGE, State of California, under date 11/19/1905, Case No. A21046. That the notice, of which the annexed Is a printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to -wit: 07/11/2015, 07/13/2015 Executed on, 07/13/2015 At SANTA ANA, California I certify (or declare) under penalty or perjury that the foregoing is true and correct. CNS#: 2772539 0 * A 0 0 0 0 0 3 8 1 5 5 0 6 FILED NOV 14 2014 CPO* COUNTY CLER ORDERDEPMME47 DEPUTY BY: MAYOR Miguel A, Pulido MAYOR PRO TEM Bal Tina)ero COUNCIL MEMBERS Angelloa Amezcua P. David Benavides Michele Martinez Roman A. Rayne Vincent F. Sarmiento Recorded in DfrlClal Kecorus, Vlauyc,, w". %y Huff�IIh Nguyen ,Clerk l -Recorder ffI IIII`` II IIIIyy `` IIII{4I��I�III�II��IIII1���11NI���1��VIII�II��II��IIII�II�l1���l���lllll NO FEE *$ R 0 0 0 7 o 9 5 7 0 0$ 201485001038 9;03 am 11/14/14 242 304 Z01 0.00 60.00 0.00 0,00 0.00 0.00 0.00 0.00 CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza (M-20) P.O. BOX 1988 Santa Ana, California 92702 (714) 667-2700 • Fax (114) 973.1461 www.santa-ana,org NOTICE OF EXEMPTION CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Mads 0, Hulzar 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. Bax 238 20 Civic Center Plaza M-20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Newhope-Civic Center -Grand Cie Date of Approval: 09/2712014 Project Number(s): PWA -2014 -1362 -CITY Project Location: 1 Citywide (Partial) City: Santa Ana County: Orange ER Number: ER -2014-113 Project Description: The construction will encompass striping, sandblasting, minor spot pavement rehabilitation and bicycle detection, Applicant Name: Zdenek Kekula / City of Santa Ana Applicant Address: 20 Civic Center Plaza M-43 SANTA ANA, CA 92702 Name of Public Agency Approving Project: City of Santa Ana Name of Person or Agency Carrying Out Project: Kekula, Zdenek r Exempt Status; 1 4 20i4 ❑ Ministerial (Sec. 15268) NOV ❑ Declared Emergency (Sea. 15269 (a)) HUGHNGUY LERK-RECORDER ❑ Emergency Project (Sec. 15269 (b through e)) ❑ General Rule (Sec. 15061(b)(3)/(5)) BY: DEPUTY ❑Statutory Exemption: m Categorical Exemption: 15304(h) Reason(s) Why Project is Exempt From CEQA: 15304(h) consists of minor alterations to land for the creation of bicycle lanes on existing right-of-way. City Contact: Zdenek Ke�kuula�� (� Telephone: (714) 547.5606 Signature::Z c�sm4 �°. e -F,s"nom Title: Q" • An � A Date: lea Z� l SANTA ANA CITY COUNCIL Miguel A, Pulido Sal Tinajero Vincent F. Sormlente Michele Manlnez Angollca Amozcua P. David senavldes Roman Royna Mayor Mayor Pro Tem, Ward a weal 1 Ward 2 War 3 Ward 4 Ward 5 M_,_P_uIlrJ�aenL earn BTina erolalsanta ana am Vsarmfen r(1,sanffi anaom MMart'nazfmsanl - na. rg Aa,.,w> f�aenta-ana ora D9anavltles(�san apag,[g RRevnalmsa ane.Qr9 CITY OF SANTA ANA Construction Contract PROJECT NO, 16.6851 NEWHOPE, CIVIC CENTER AND GRAND BIKE LANES This CONSTRUCTION CONTRACT is made and entered into this 2nd day of September, 2015, by and between the CITY OF SANTA ANA, CALIFORNIA, a charter city and municipal corporation organized and existing under the Constitution slid laws of the State of California, hereinafter referred to as "CITY" and CHRISP COMPANY, hereinafter referred to as "CONTRACTOR", WITNESSETH; The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows; CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Newhope, Civic Center and Grand Bike Lanes, hereinafter referred to as the "Work of Improvement", identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council, 1 The complete Construction Contract consists of the "Contract Documents," as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Project Plans • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in Cha Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the Work of Improvement the stmn total amount not to exceed $166,741.60, as set forth and identified in the BID PROPOSAL, which is attached hereto anis incorporated herein as Exhibit "A", The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to Page '1 of CITY OF SANTA ANA Construction Contract PROJECT NO, 1&6851 NEWHOPE, CIVIC CENTER AND GRAND BIKE LANES increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. 4, CONTRACTOR. agrees to oomplete the Work of Improvement within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5, The CONTRACTOR will pay, mid will require all suboontractors to pay, all employees on the Work of Improvement a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6, CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithfttl performance of the work (Performance Bond), and one in the amount of One Hundred Percent (100°tl%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond), This Contract shall not become effective until such bonds are supplied to and approved by the CITY, CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond equal to at least ten (10%) percent of Lie final Contract ,price or $1,000, whichever is greater (Warranty Bond). CONTRACTOR shall, upon project completion as a condition of project acceptance, furnish a Warranty Payment and Performance bond to be approved by the CITY, in the amount of Twenty -Five Percent (25%) of the Contract price, to warrant the work done under said Contract Agreement against material or quality defects for a period of one year after acceptance by the AGENCY, CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in Cho General Provisions, to be approved by the CITY, // Page 2 of 3 CITY OF SANTA ANA Construction Contract PROJECT NO. 16-6851 NEWHOPE, CIVIC CENTER AND GRAND BIKE LANES IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: �.. llIv-XAa. MARIA D. I'.i7IZAR Clerk of the Coturoil APPROVED AS TO FORM: SONIA R. CARVALHO City Art r ey BY m J s Sandoval hief Assistant City Attorney F.W.H M. I � DAVID CAVAZOS City Manager RECOMMENDED FOR APPROVAL,: )rks Agency iCO 'RACTOR: risp�C�omp�any� B Title: VP of Business Development Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 iP2i4f:.f��f'.Aige[R�CeY'rS'{'v31i^.Z-il',�il't4'>;;i5'L�Si�^.[�eLYit�`.CC'ti2Ci5'�a�lY`.bY'O.f'SdNri \itS.25{Y6\2 Y5'C,4`C3('Z'241'�lS.l A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Alameda On 8/13/15 beforelne, KayUkes - Notar Public Date Here Insert Name and Title of the Officer personally appeared David L. Morris Name(s) of Signers) who proved to Ine on the basis of satisfactory evidence to be the person() whose name(A) is/are subscribed to the within Instrument and acknowledged to me that he/sheAthey executed the same In hlsAhe#ft;ie!r authorized capacity(es), and that by his/her/their slgnatureQs) on the instrument the personts), or the entity upon behalf of which the person(o) 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. �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIItI11111111IIII1111111111A WITNESS my hand and official seal. KAY LIKES N COMM. #2095563 NOTARY PUBLIC -CALIFORNIA Signature _ ALAMEDA COUNTY S Hatt of My Comm. Exp. Jana 1, 2019 =_ �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIII� Place Notary Seal Above 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: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ios) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer -- Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual LJ Attorney In Fact ❑ Trustee 7 Guardian or Conservator IJ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual IJ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator 71 Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org ' 1 -800 -US NOTARY (1-800-876-6627) Item tf5907 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: ��iYLIS� COMPAI-� REQUIREMENT: 6 1 1 IMYNNIKA P. i BOX'11368 FPEMONT, CA. 94538-0136 The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Furnish and Install New Sign and Post 38 EA $ .716f 2 Furnish and Install New Sign 66 EA $ II J 3 CT Detail 39-6" Solid White Bike Lane Line 30,620 LF $.� Iln�¢'��� II 4 CT Detail 39A- 6" Dashed White BikeLane3,100 LF $ Z- 00 5 Install Bike Legend per Detail "A". 44 EA$ .t��r^�J RYA 6 Install Green Bike Merging Area per Detail F, 6,228 SF — A 7 Install 6" Chevron or Stripe 2,231 LF- 8 - Install Traffic Signal Loop Detector (Type "E", Type E Bike Loop, Type "Q" Modified) 132 EA $ 9 CT Detail 27A-4" Solid White Line 1,990 LF $ '��ry{p7rV V SSC 10 Remove Sign and Post 4 EA 11 Remove Sign and Post. Install New Sign and Post 5 EA $, CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes Item Description Qty Unit Unit Price Amount 12 Remove Existing Sign, Install New Sign 26 EA$ ��♦}, C' �rj{q, 13 Replace Street Name Sign 2 EA $ TOTAL BASE BID The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items (If any). TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within sixty (60) working days after the commencement date stated in the Notice to Proceed. The bidder also proposes to commence construction of the Work within ten (10) days after issuance of a Notice to Proceed, and to continue in a diligent and workman -like manner without interruption, and to complete the construction thereof within the time specified above. The liquidated damages amount in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $1,000 per calendar day. Name of Firm Signature of BIDDER cjll�� Title (if an individual, so BP -2 A CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes BIDDER'S STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement 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/her 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) business days 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, 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. The BIDDER also certifies that the bid is a balanced bid. In accordance with Section 7028.15 of the California Business and Professions Code, the undersigned certifies under penalty of perjury that the foregoing is true and correct. Name of Firm �1 (L1 Signature of BIDDER Title VI C� ��S 1 (if an individual, so state) (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.) C. !. PCOMPANY FREMONT, CA. 94538-0136 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes CONTRACTOR'S LICENSING and REGISTRATION STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all his/her subcontractors are registered with the State of California Department of Industrial Relations (DIR), and that the following is true and correct. Contractor's Name: AeI�� �pyyt SPS Business Address: 3 5-0 (0460o.D EaAD REMz . 6� 3� Business E -Mail Address: Dmo1 NS corn Telephone: 510. 6s6•z�,Na State Contractor's License No. and Class: 3 r% y �,Qd H C/5/ C -3Z License Expiration Date: State Dept. of Industrial Relations (DIR) Registration No.: 1 0000003D b State Dept. of In Signed: al Relations (DIR) Date: Title: V I GE .S I oFat'rx— 3Dd�o CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct. Name of Firm Signature of BIC Title —\[GE, `(r2�5IDF41 , (if an individual, so state) BP -5 CHRISP COMPANY BOX 1368 494538-0136 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes OWNERSHIP AFFIDAVIT P. • BOX 1368 MWONT, CA. 94538-0136 STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA IA I I b L i�6OI2 aNS , being duly sworn, deposes and says: ❑ INDIVIDUAL That he/she is the party making the foregoing proposal:. ❑ PARTNERSHIP That he/she is a member of the co -partnership firm designated as: and who has been and is duly vested with the authority to make and execute instruments for the co -partnership by: who constitute the other members of the co -partnership. CORPORATION That he is of: F] JOINT VENTURE a corporation which is making the foregoing proposal: That he Is of: one of the parties making the foregoing proposal as a joint venture, and the he/she has been and is duly vested with the authority to execute instruments for an on behalf of the parties making said bid who are: that such a bid is genuine and not collusive or sham, and has not in any manner sought by co ion to secure any advantage against the City of Santa Ana or any person interested in the ropo ed contract, for himself or any other person. Signature of Bidder Subscribed and sworn to before me this 30•ru day of J"`I 20 15 Signa officer Administering Oath (Notary Public) BP -6 KELLY ILAR Commission N 2069819 z mm Notary Public - California Alameda County 1)1 Comm. Expires Me 2, 2018 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes KNOW ALL PRESENT that, Chrisp Company , as BIDDER, and Travelers Casualty and Surety Company of America , as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of Ten Percent (10%) of the Total * Dollars ($ 10% ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. *Amount Bid --- THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 30th',- day of July 2015. BIDDER* Chrisp Company, 43650 Osgood Road Fremont, CA 94539` (510) 656-2840 Tammie Allison, Controller - 43650 Osgood Road, Fremont, CA 94539 (510) 656-2840 SURETY* Travelers Casualty and Surety Company of America 100 California Street,�San Francisco, CA 94111 (415) 732-1423 Betty L. T( Subscribed n -Fact -1255 Battery St #450, San Francisco, CA 94111 (415) 391-1500 rn to before me _, 20_ Signature: *See Attached Loose CA All -Purpose Acknowledgment Notary Public in and for the County of ,State of this _ day of *Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. BP -7 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Francisco On July 30. 2015 before me, K. Zerounian, Notary Public Date Here Insert Name and Title of the Officer personally appeared L. Tolentino Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(e) whose name(s� is/are subscribed to the within instrument and acknowledged to me that 40/she/they. executed the same in Ne/her/t#eir authorized capacity(+es), and that by b+s/her/the F signature(s} on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. K. ZEROUNIAN Commission # 2029311 Z : "d' Notary Public - California z Z ° San Francisco County My Conlin . F.x iras I 29, 2tl17 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. tLVA1101_x.X9 Signature Place Notary Seal Above 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: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator F-1 Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 POWER OF ATTORNEY TRAVELERS J� Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Patti Fire and Marine Insurance Company St. Paul Guardian Insurance Company Attorney -In Fact No. 229166 St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Certificate No. 006289646 RNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Susan Hecker, Maureen O'Connell, Robert Wrixon, Brian F. Cooper, M. Moody, Betty L, Tolentino, Janet C. Rojo, Virginia L. Black, K. Zerounian, and Kevin Re of the City of San Francisco , State of California , their true and lawful Attorney(s)-in-Pact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of March 2015 Farmington Casualty Company Fidelity and Guaranty Insurance Company. Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company 12th St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company e1.$L��14Y�Jy mRnu,nifiw,. 0�."'f G9 Jp XSyggy �,jq�i *r n o ��#'A"bo� nconraamfa I Ptonvagn r''onvonnrrym9 eP cgSv,u Ar�4\ytYNy tveZ o 1977 MR RD a a B N0. r l\ q�"• �a • . a':. o' w CONN. o' CeN R a flRh, L ••-a� a r'NM 4yl ANt State of Connecticut City of Hartford as. L By: ....� Robert L. Raney, , enica Vice Pu,sident On this the 12th day of Match 2015 , before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vire President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, SL Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. Tl7 In Witness Whereof, I hereunto set my hand and official seal My Commission expires the 30th day of June, 2016. n p��Ip� 58440-8-12 Printed in U.S.A. `t'i U;_k e Marie C. Telreault, Notary Public THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER P This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in frill fore and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recogi izances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional mclertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revolve the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in wilting mid a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, my Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Tireasuier, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or do duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, my Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity mid Guaranty Company do hereby certify that the above and foregoing is a Mie and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revolted. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 30 th day of July 2(15 Kevin E.. Hughes, Assistant Secr tary pn6unEj .QS7iT� it 4°sNy CA Whr"Mr9APOR4iE0 �O tssa o 1977 I la .�_ HnatN. mmmamn9'1951 aA 1 couN.avx, a"f3S8AL;y '�sCNH y �.. �a°vv d.Yl NI To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.naveletsbond.com. Please refer to the Attorney -In -Fact number, the above-named individuals and the details of the bond to which the power is attached. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 CYm .m. .fm�La. C^..mC/c�f!"/��'�Cmf� •.m ,m•.mS. J�..m .mf/' f21. .4T.. •.ca ,m'.a /� .�L. L�.m�•.avm� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of t -f t4Mee49r /) On } 11I 15- before me, Sei'(AnS4 1A12 Date�� �Herq Insert Name and Title of tAe personally appeared d _ kn M i e All is P) Name(s) of who proved to me on the basis of satisfactory evidence to be the person(s) whose name(@) ishwe subscribed to the within instrument and acknowledged to me that 44e/sheAhrey executed the same in bis/her/4I•& authorized capacity #"), and that by hWher/N*iwsignature(ej on the instrument the person(4 or the entity upon behalf of which the person(4acted, executed the instrument. �uuoonaouunnonununnunmm�mm�umunnnnnnnnnnm�i� a KAY UKES COMM. #2095563 NOTARY PUBLIC• CALIFORNIA ALAMEDA COUNTY =_ My Comm. Exp. Jan. 1, 2019 Ipnnmunnunnnnnmunnnpunnnnnnnnunuuuunnnununnu� 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 Sig i tune of I o ary Place Notary Seal Above 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: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes KNOW ALL PRESENT that, , as BIDDER, and , as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of Dollars ($ ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this day of 20_. .IM SURETY* Subscribed and sworn to before me ,20—. Signature Notary Public in and for the County of State of this day of *Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. BP -7 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes 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: o Streets, highways including bridge projects: %% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name _ License #/Exp DIR Reg.#/Exp. Location Phone _ Type Of Work Amount $ g® NameAty1eSQ1 License #/Exp. U) 06 DIR Reg. #/Exp.If)bnbn 116 11) 7-al6 License # Location Phone "71 �is Type Of Work g� �• �� Amount $ Name License #/Exp. DIR Reg.#/Exp. License # Location Phone Type Of Work Amount Signature of Bidder Name ,,,License #/Exp. I. aReg. #/Exp. Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg.#/Exp. License # _ Location _ Phone Type Of Work Amount $ i• ,FLT License #/Exp. DIR Reg.#/Exp. License # _ Location Phone _ Type Of Work Amount $ CHRISP HZEMx94538-0136 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which BIDDER has performed similar work within the past three years. 1. 2. 0 Name and Address of Owner. Name and Telephone Number of person familiar with project. Contract Amount Name and Address of (� IT pe of VQU Name and Telephone Number of person familiar with project. Contract Amount Name and Address of owner Type of Work Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed 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. TN✓URANCE - AaTouz J. GALLAGHEFL ( ??s) 958- Sz,?3 Jr;tirj2Fca A88A-r-E 3 97 M7. DIAfto BLVD ;a3609 LAF� eA Y4549 QowDS - AitTRua.T. GM-LAGHro2 ( 415) 391- 1500 7iEVSW RE 1255 RA-TTEPLY 71 ¢460 SAN F<Artca5C0 CA 9,1111 BP -9 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed striping, signage and loop detection in the past 5 years. 1. Name and Address of Owner. Name and Telephone Number of person f imiliar ipyo ct. Contract Amount ) fly, f ork Date Completed 2. ICE 41 Name and Address of owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed Name and Address of owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. BP -10 VJ Irl - C) N U C ^L W 4-- a) LL Q E 0 �0. VJ pL i N � C O � � L l0 M V 01 N V OJ V M �O V T O � T fD T OJ I� M U ro 0 U c � > rn c - o N O w c m m o O M E rn u 3 m m Z C7 U v Q m m g r LL O m a ro U y 4. U K S m (� g 0 O m o U � U m m > O U Y N U J 0 C m N OJ FO y0. C K c N N L L � z � a � N � D) C � C Y C O G O Y@ Y O 01 C Y ro N Y S V 3 `m m o m �- E E aci a o E o O E E E m E y E m �� f L `m O F z F N 1 �L- N N F .0 �- `m m � c7 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes CHRISP COMPANY P. O. BOX 1363 I' EMONT, CA. 94538-0136 NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) 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 Signed \� )CO -r" °` - State of California County of ALAMCDA Subscribed and sworn to (or affirmed) before me on this 30'Mday of Ju�-Y 20_5 by DAVID L MaR.azs , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me LKELLY R AGUILAR Commission * 2066619 9 Lary Po®Ilc • California Public Signature Notary Public Seal Alameda County MComm, Expires Ma 2, 2016+ BP -11 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance BP -12 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes 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. 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 of such persons, except as provided in Section 1420, and any contractor of public works viola in his Section is subject to all the penalties imposed for a violation of the Chapter. Signed: Title: V I (-F-I jz SI 17EN� Firm: 0402 ( S-1' (aoMq),tnry Date: I / t 5 BP -13 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes 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 all y a like amount to the California Apprenticeship Council. Signed: C Title: \II Cfii: CCI L�j �r Firm: (A(LkST cpw2syll"-� Date: BP -14 CHRISP COMPANY P. 0. BOX 1368 FREMONT, CA. 94538-85136 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes 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-I(ickback" Act (18 USC 74) as supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or subcontractor shall be prohibited from inducing, by any means, any person employed in the construction or repair of public work, to give up any part of the compensation to which he/she is otherwise entitled. Signed: ��i )1 / ��,_ti,�—� V �nh V\ �/ Title: Lf— I KF -51 —Q IT F, Firm: C -4g-1 S? CDM Atj4 i Date: W 30120/ S BP -15 CHRISP COMPANY P. O. BOX 1368 FREMONT, CA. 5451'3mC136 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-6851 Newhope, Civic Center and Grand Bike Lanes PUBLIC CONTRACT CODE SECTION 10162 QUESTIONAIRE 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. CHRISP COMPANY P. O. BOX 1.368 i-? rMONT, Com.. 94538-0136 BP -16 Bond No. 106301834 Premium: $1,859.00 Attachment B KNOW ALL MEN BY TFIESE PRESENTS THAT: WHEREAS, The City of Santa Ana, State of California, and Chrism Com (hereinafter designated as "Principal') have entered into an agreement whereby Principal agrees to install and complete certain designated public improvements, which said agreement, dated September 2 2015 Project No. 16-6851; Newhope, Civic Center and Grand Bike Lanes, entitled "_Federal Project No. ATPL 50631 is hereby referred to and made a part hereof; and WHEREAS, said Principal is required under the terms of said agreement to famish a Bond fox Faftlaftil Performance of said agreement. NOW, `II*'.REFORE, we, the Principal and ._Travelers Casualty and Surety Company of America as Surety, are held and firmly bound unto the City of Santa Ana (hereinafter called "City"), in the penal sum of One Hundred Sixty Six Thousand Seven Hundred * DOLLARS ($_166,741-60 --- _) lawful money of the United States, for the payment of which sum well and truly to be made, we bind oursolvcs, our heirs, successors, executors and administrators, jointly and severally, firmly by these presents. *Forty One and 601100 The contrition of this obligation is such that if the above bounded Principal, his or its heirs, executors, administrators, snocessors or assimts, shall in all things stand to and abide by, and well and bury keep and perform the covenants, renditions and provisions in the send agreement and any alteration thened made as therein provided, on his or their part, to be kept and performed at die time and in the manner therein specified, and in all respects according to their true intent and meaning and shall indemnify and save boniness City, its officers, agents and employees, as therein stipulated, then this obligation shall become null and void; otherwise it shall be and remain in full force and effect, As part of Ute obligation secured hereby and in addition to the face amount sl=ified therefor, there shall be included costs and reasonable experses and fees, including reasonable attorney's fees, incurred by City in successfully enforcing such obligation, all to be taxed as costs and 'included in any judgnwnl rendered, 0— tv^ NU \ l l The Surety hereby stipulates and agrees that no change. extension of iime, alteration or addition to the terms of the agreement or to the work to be performed thereunder or the specifications accompanying the sante shall in anywise affect its obligations oa this Bond, and it does hereby waive notice of arty such change, extension of tirne, alteration or addition to the terms of the agreement or to the work or to the specifications. IN WITNESS WHEREOF, this instrantent has been duly executed by the Principal and Surety above earned, on September 2, 2015 PRINCIPAL: (Type Company Name) Chrisp Company m By. , VP of Operations SURETY: (Type Company Name) (Attach acknowledgernents of both Principal and Surety signatures) APPROVED AS TO FORM: Jn Ai. Funk, Assistant City Attorney. 6/02 Travelers Casualty and Surety Company of America Till : Aetty L. Tolentino, Attorney -In -Fact By Title: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Francisco On September 2 2015 before me, Date personally appeared K. Zerounian. Notary Public Here Insert Name and Title of the Officer L. Tolentino Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(&) whose name(s) is/ars subscribed to the within instrument and acknowledged to me that he/she/they-executed the same in 4B/her/t4& authorized capacity(ies), and that by hos/her/their signature(e} on the instrument the person(a), or the entity upon behalf of which the person(&) acted, executed the instrument, K. ZEROUNIAN Commission # 2029311 #Mg Notary Public - California aBan Francisco County 1Commm. Expires Jun 29, 2017 r I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS Signature Place Notary Seal Above 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: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator F-1 Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator F-1 Other: Signer Is Representing: ©2014 National Notary Association - www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 POWER OF ATTORNEY TRAVELERSJp Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 229166 Certificate No. 006289672 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc, is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Susan Hecker, Maureen O'Connell, Robert Wrixon, Brian F. Cooper, M. Moody, Betty L. Tolentino, Janet C. Rojo, Virginia L. Black, K. Zerounian, and Kevin Re of the City of San Frath isco , State of California , their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal aid acknowledge any and all bonds, recognizances, conditional undertakings mrd other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of March 2015 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St, Paul Fire and Marine Insurance Company St, Paul Guardian Insurance Company 12th St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company pLSUA�t y4�it Va[�9fi Q���M..�NSLq\ y+'.'i,x5py"y♦ eeo nit' SEAL xnrrmi y n 1977 g , mcewronateo £ — tC 6 P,. nrvo nW°x'�rr� Gz' PPOry ". .� HPNrFOaa, ujFnFYr0aa 3 1�' ' w CONN, lCaNN/R o m State of Connecticut City of Hartford ss. By: Robert L. Raney,, en or Vice President On this the 12th day of March 2015 before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., SL Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, SL Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. p,T!'> tee' �' /� In Witness Whereof, I hereunto set my hand and official seal. �pTAl1y\ e uw l.: My Commission expires the 30th clay of June, 2016. O p��Ip/r Marie C. Teri Notary Public 58440-8-12 Printed in U.S.A. BORDER WARhP-_N THIS POWER OF ATTORNEY IS INVALID WITHOUT THV _9 BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St, Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty aid Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretory or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recogntizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided than each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid aid binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Atmmeys-in-Pact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Maine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity mid Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Compranics, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 2nd day of September , 20 15 Kevin E. Hughes, Assistant Secr tory CI.EU.P(J 08 p117Y 1_1 JYO�,�,{''^rYsza'+ru'wt€sm_!W._._! i xaaFaso,rNmrd 77s;�9ff19S4',SSRx,+^'p'WO9ts slh d"" AN To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www,travelersbond,com, Please refer to the Attorney -In -Fact number, the above-named individuals and the details of the bond to which the power is attached. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 .r..r�.r�rar�s�,�c,Eric,rrecz��a��c,�crwarngrrc�m„<r�erecr.�rxas.r�.rnhr,,� rrc� A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which this certificate Is attached, and not the truthfulness, accuracy, 01 validity of that documont. State of California County of Alameda On 9/03/15 Date personally appeared before me, Kay Ukes - Notary Public Here Insert Name and Title of the Officer Tammie Allison Name(s) of Signers) who proved to me on the basis of satisfactory evidence to be the person(;) whose name(o is/ars subscribed to the within instrument and acknowledged to me that he/she/t+3ey executed the same in His/her/#Heir authorized capacityees), and that by-”/her/their signatureO on the instrument the person(, or the entity upon behalf of which the person($) acted, executed the Instrument. �unnnnnnnnnnnaunnannnxnnmaxnnnnnnnnnuxxunnmM Place Notary Seal Above 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 igna ure of Notary PubU 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: Document Date: Number of Pages: Signor(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: — LJ Corporate Officer — Title(s): ❑ Partner — ❑ Limited LJ General ❑ Individual ❑ Attorney in Fact ❑ Trustee Cl Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: LJ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual LJ Attorney in Fact LJ Trustee CI Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association - www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Itern 0907 KAY UKES ' i N COM. #209SS63 LL NOTARYPMUOLIC-CALIFORNIA ALAMEDA COUNTY My Comm. Exp. Jan. 1, 2019 �IIINNNIIIIIIII 111111 I I II III II IIIIIIIIIIIIIIIIII IIIIIIII II II II IInIIIN11H111111III� Place Notary Seal Above 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 igna ure of Notary PubU 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: Document Date: Number of Pages: Signor(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: — LJ Corporate Officer — Title(s): ❑ Partner — ❑ Limited LJ General ❑ Individual ❑ Attorney in Fact ❑ Trustee Cl Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: LJ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual LJ Attorney in Fact LJ Trustee CI Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association - www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Itern 0907 CALIFORNIA AL,LPURPOSE ACKNOWLEDGMENT CIVIL CODE § 1109 5� rangy rrm caK > rrmsr�ssxIW :es, -emrn "A A notary public or other officer comploting this certificate verifies only the Identity of the indlVidual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California CoLlntyof Alameda On 9/03/15 before me, Kay Ukes - Notary Public Date Nene Insert Name and 'Title of the Officer personally appeared Roger Weisbord Name(s) of Signers) who proved to me on the basis of satisfactory evidence to be the person(§) whose name(A) is/are subscribed to the within instrument and acknowledged to me that he/efts/Ntey executed the same in hisNne4Qie4rauthorized capacity(ies), and that by his/hoathak slgnature{s) on the instrument the person(5), or the entity upon behalf of which the person(It) acted, executed the instrument. �Inmunnnnnnnnnnnrunnnnumm�nunnnnnunnnnoonnnms KAY UKES L COMM. #2095563 NOTARY PUBLIC -CALIFORNIA ALAMEDACOUNTY =_ My Comm. Exp. Jan. 1, 2019 M �IIIIIII IIIIIiIII 11 IIII II II IIII II IIII IIIIIIII IIIIIIIIII II Il 1111111 lalllll IIIIIiII III IIS 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 igr ature of Notary /a Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of fire document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(fes) Claimed by Signer(s) Signor's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual U Attorney in Fact ❑ Trustee n Guardian or Conservator I I Other: Signer Is Representing: Signer's Name: U Corporate Officer -- Title(s): U Partner — U Limited ❑ General ❑ Individual U Attorney in Fact LI Trustee n Guardian or Conservator F Other: Signer Is Representing: 02014 National Notary Association - www,NatlotialNotary.org • 1 -800 -US NOTARY (1-800-876.6827) Item 115907 Bond No. 106301831 Premium Incl, in Performance Bond Attachment A CONTRACTOR'S PAYMENT BOND KNOW ALI... MEN BY THESE, PRESENTS, THAT: WHEREAS, the City of Santa Ana, State of California, and Chris (hereinafter designated as "Principal") have entered into an agreement whereby Principal agrees to install and complete certain designated public improvements, which said agreement, dated September 2, 2015 Project No. 16.6051; Newhope, Civic Center and Grand Bike Lanes, entitled " Federal ProjectX. ATP L 5063(166) is hereby referred to and made a part hereof; and WHEREAS, under the terms of said agreement, Principal is required before entering upon the performance of the work, to file a good and sufficient Contractor's Payment Bond with the City of Santa Ana to secure the claims to which reference is made in Title 3, (commencing with Section 9000) of Part 6 of Division 4 of the Civil Code of the State of California, NOW THEREFORE, said Principal and the undersigned as corporate Surety, are held firmly bound unto the CITY OF SANTA ANA, and all contractors, subcontractors, laborers, materialmcn and other persons employed in the performance of the aforesaid agreement and referred to in the aforesaid Civil Code, in the sum of One Hundred Sixty Six Thousand Seven * DOLLARS ($ 166,741_.60 = ), for materials furnished or labor thereon of any kind, orfor amounts due under the Unemployment Insurance Act with respect to such work or labor or for any amounts required to be deducted, withheld and paid over to the Franchise fax Board from the wages of employees of the Principal and his subcontractors pursuant to Section 18806 of the Revenue and Taxation Code, with respect to such work and labor; that said Surety will pay the same in an amount not exceeding the amount hereinabove set forth, and also in case suit is brought upon this Bond, will pay, in addition to the face amount thereof, costs and reasonable expenses and fees, including reasonable attorney's fees, incurred by the City in successfully enforcing such obligation, to be awarded and fixed by the court, and to be taxed as costs and to be included in the judgment therein rendered. *Hundred Forty One and 60/100 IT IS HEREBY EXPRESSLY STIPULATED AND AGREED that this Bond shall inure to the benefit of any and all persons, companies and corporations entitled to file claims Title 3, (commencing with Section 9000) of Part 6 of Division 4 of the Civil Code, so as to give a right of action to them or their assigns in any suit brought upon this Bond. Should the condition of this bond be fully performed, then this obligation shall become null and void, otherwise it shall be and remain in full force and effect. 1 The Surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of said agreement or the specifications accompanying the same shall in any manner affect its obligations on this Bond, and it does hereby waive notice of any such change, extension, alteration or addition. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named, on September 2 }9 2015 PRINCIPAL: SURETY: (Type Company Name) (Type Company Name) Chrisp Company r Travelers Casualty and Surety Company of Amer' By _Y By. ----- T"Roderwe ontroller Title: e ty L. Tolentino, Attorney -In -Fact By: By: — — ---- TP of Operations Title: (Attach Acknowledgements of both Principal and Surety signatures) APPROVED AS TO FORM; ity �Ai.rnk, Assistant tforney Payment Bond - P.W. (except subdivisions) 02/13 2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of San Fran On September 2 2015 before me, Date personally appeared K. Zerounian. Notary Public Here Insert Name and Title of the Officer L. Tolentino Name(s) of Signers) who proved to me on the basis of satisfactory evidence to be the person(e) whose name(s) is/are subscribed to the within instrument and acknowledged to me that to she/ttaey executed the same in hie/her/their authorized capacity(iee), and that by his/her/their signatures} on the instrument the person(a), or the entity upon behalf of which the persons) acted, executed the instrument. K�ZERROUNIA i Commission # 2029311 Notary Public - California San Francisco County My Comm. Expires Jun 29, 2017+ I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my seal. Public Place Notary Seal Above 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: _ _ Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator F-1 nthAr' Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: _ Signer Is Representing: .`s•✓ke=Lu;"��:�:ALRh*xv�ek�i'�z^�✓av�.�.E��e'__ .. � _ - ' 02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 POWER OF ATTORNEY TRAVELERS J� Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company Attorney -In Fact No. 229166 St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Certificate No. 006289673 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, SL Paul Mercury Insurance Company, Travelers Casualty and Surety Company, 'Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Susan Hecker, Maureen O'Connell, Robert Wrixon, Brian F. Cooper, M. Moody, Betty L. Tolentino, Janet C. Rojo, Virginia L. Black, K. Zerounian, and Kevin Re of the City of San Francisco , State of California , their true gid lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizaices, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions orproceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 12th day of March 2015 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company 09N'021t'�'� Y �,••••�true a�PN fa:tAf', 1977 — , €a; -._ ; aaauoao.: �'s^ N �~O•'Pocors. fsss ry ° o yyr o,SERL,'al o° State of Connecticut City of Hartford as. By: Robert L. Raney, , enior Vice President On this the 12th day of March 2015 before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the proposes therein contained by signing on behalf of the corparunions by himself as a duly authorized officer. p,TtTT In Witness Whereof, I hereunto set my hand and official seal. � My Commission expires the 30th day of Tune, 2016. O iDueu* 58440-8-12 Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID aura C . tta� Marie C. Teneault, Notary Pablie This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards to Directors of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in fall force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chapman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys -in -Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may pr'escr'ibe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional Undertaking shall be valid mid binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, mud the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate beating such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc„ St, Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this 2nd day of September 20 15 t // Kevin E. Hughes, Assistant Secr troy onsunr w ev"$"L"aba"';+ o�n^N.!NSr,� ;iixs�g9 aryv nxos Wp�� y p3' "b n s$ �'rmPoP.41E0 �donrosaie jmplrAevoNarpvnl+•Y•� �ts•ex o 1977 [ i .z: rot 8 aamwno, n+mrom,§ 3x 1951¢ SE 0.L;1of a'vfyvcccoV0 Wo �a� SµBRL;p , >s a!�+64'r`••> 'SWA ,,p To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the above-named individuals and the details of the bond to which the power is attached. CALIFORNIA ALL-PURPOSE ACKNOWLEDOMENT CIVIL CODE § 1189 �,ares>xrarzr ra:�:c�nrearrrrix.�u�ua�err.�cas—ccac>�Trr;f�c,��aM�cz-r.��.crbccre�z;e�� A notary public or other officer completing this certificate verifies only the identity of the individual who signed the deeUrnont to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Alameda On 9/03/15 Date personally appeared _ before me, Kay Likes - Notary Public Here Insert Name and Title of the Officer Tammie Allison Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(O§) whose narne(f)) Is/ars subscribed to the within instrument and acknowledged to me that he/sheA+W executed the same in Ms/herAh& authorized capaclty(les), and that by-his/her/their signature(fi) on the instrument the person(l6), or the entity upon behalf of which the person(0) acted, executed the Instrument. �IIIIIIIIIIIIIIIIIIIIIHIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllll� KAY UKES 2 COMM. #2095563 A LL NOTARY PUBUC•CAUFORNIA N e ALAMEDACOUNTY 9 i My Comm. Exp. Jan. 1, 2019 COMM, Place Notary Seat Above 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 e ign ure o Prr� i `No^ 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: Document Date: Number of Pages: Signsr(s) Other Than Named Above: Capacity(fes) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited CI General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: LJ Corporate Officer — Title(s): n Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee Ll Guardian or Conservator ❑ Other: Signer Is Representing: L4�C�_sG''`Li3�'VQ-4��J`L�4_-G��Fe431J3F1Y'ISt.SSL'A`G'C�3'�f3'd4ilJF:4"P,r3�?�'�J�a�_'b�V�4`.�'4"��IS`�n�rrtizG�L?'�YJ ©2014 National Notary Association - www.Nat!onaiNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item 115907 CALIFORNIA. ALL-PURPOSE ACKNOWLEDGMENT CIVIL COBE § 1169 �cx�zxc:<rsrsrrsrRx.,-x;�rrrmssao.�.�i�cr,�.nacre.�.nerrcirs-st>r�.rrn.<,rrrcoarcecrarse��zx6 n,;r,:-cxr� .rna,rsra A notary public or other officer completing this certificate verifies only the Identity of the Individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document, - State of California County of Alameda on 9/03/15 _ before me, Kay Ukes - Notary Public Date Here insert Name and Title of the Officer personally appeared Roger Weisbord Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person($) whose name(4) is/are subscribed to the within instrument and acknowledged to me that he%heAthey executed the same in hlsAhefAttaefsauthorized capacity(!es), and that by his/herythefr signature(t) on the instrument the person(5), or the entity upon behalf of which the person($) acted, executed the instrument. �Innnnnnunnnnunmamnnuunnnunnumnnnnnumuunnon. KAY UKES COMM. 462095563 NOTARY PUBLIC- CALIFORNIA ALAMEDA COUNTY MY Comm. Exit. Jan. 1, 2019 �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIII 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 off total seal. 77 Signature�� fgn ture of Notary Peib ' , Place Notary Seal Above 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: Number of Pages: _e Document Date: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): U Partner — U Limited U General U Individual U Attorney in Fact U Trustee n Guardian or Conservator I.J Other: Signer Is Representing: Signer's Name: U Corporate Officer — Title(s): U Partner — U Limited U General U Individual U Attorney In Fact U Trustee U Guardian or Conservator I1 Other: Signer Is Representing: ©2014 National Notary Association - www.NationalNotary.org • 1.800 -US NOTARY (1-800-876-6827) Item 115907