HomeMy WebLinkAbout23C - PROJ - MARRISON PARKING LOTREQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
DECEMBER 1, 2015
TITLE:
AWARD CONTRACT FOR CONSTRUCTION
OF MORRISON PARK PARKING LOT
IMPROVEMENTS (PROJECT NO. 15 -6456)
(STRATEGIC PLAN NO. 6,, 1B)
CITY MANAGE
1:7xrii7� IT, I:-ul [a]4r7e[r3
CLERK OF COUNCIL USE ONLY:
APPROVED
❑ As Recommended
❑ As Amended
❑ Ordinance on 1" Reading
❑ Ordinance on 2"tl Reading
❑ Implementing Resolution
❑ Set Public Hearing For
CONTINUED TO
FILE NUMBER
Award a contract to Roadway Engineering & Contracting Inc., the lowest responsible bidder,
in accordance with the bid in the amount of $171,306.00 for the construction of the Morrison
Park Low Impact Development parking lot improvements, subject to nonsubstantive changes
approved by the City Manager and City Attorney.
2. Approve the Project Cost Analysis for a total estimated project delivery cost of $248,393.80.
3. Authorize the City Manager to execute change orders in an amount not to exceed the total
authorized contingency of $51,391.80.
DISCUSSION
The recommended actions support the City's efforts to improve the Morrison Park parking lot
pavement by installing absorbent pavers, and incorporating a bioretention system that includes
drought - tolerant landscaping. in addition to the pervious pavers and the drought - tolerant
landscaping, the entire parking lot will be reconstructed to include new asphalt pavement, parking
lot striping, and other ADA enhancements. Once completed, these improvements will be
aesthetically pleasing and will reduce the amount of water run -off that enters the storm drain
system.
A Notice Inviting Bids was advertised on September 28 and 29, 2015, and bids were opened on
October 21, 2015. The following is a summary of the bid invitations made and the bids received:
23C -1
Contract Award for Construction of Morrison
Park Parking Lot Improvements
December 1, 2015
Page 2
Contractor Participation Data
Santa Ana contractors receiving notices
16
Contractors requesting bidding documents
19
Bids received
14
Bids received from Santa Ana contractors
1
Bid Results Summary
RANK
BIDDER'S NAME
LOCATION
BID
1
Roadway Engineering & Contracting Inc.
Mira Loma
$171,306.00
2
All American Asphalt
Corona
$171,460.00
3
Horizons Construction Co. Int'I Inc.
Orange
$186,480.64
4
Sully - Miller Contracting Company
Brea
$187,838.50
5
Vido Samarzich Inc.
Alta Loma
$189,270.00
6
Hillcrest Contracting Inc.
Corona
$199,400.50
7
Excel Paving Company
Long Beach
$204,537.00
8
R -JS General Construction
Riverside
$213,168.50
9
C.S. Legacy Construction, Inc.
Pomona
$224,224.00
10
Hardy & Harper, Inc.
Santa Ana
$248,000.00
11
KASA Construction Inc.
Chino
$253,872.00
12
EBS General Engineering Inc.
Corona
$283,390.00
13
Los Angeles Engineering, Inc.
Covina
$305,530.00
14
Minako American Corporation
Gardena
$526,875.00
A total of 14 bids were received and all were deemed responsive. Roadway Engineering &
Contracting Inc. submitted the lowest responsive bid in the amount of $171,306.00, which is
14.35 percent lower than the engineer's estimate of $200,000. Therefore, staff recommends
award of this contract to Roadway Engineering & Contracting Inc.
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).
23C -2
Contract Award for Construction of Morrison
Park Parking Lot Improvements
December 1, 2015
Page 3
ENVIRONMENTAL IMPACT
In accordance with the California Environmental Quality Act, the recommended actions are
exempt from further review. Categorical Exemption Environmental Review No. 2013 -91 was filed
for these projects.
FISCAL IMPACT
The Project Cost Analysis estimates a total project delivery cost of $248,393.80, which includes
the construction contract, construction administration and inspection, and contingencies (Exhibit
2). Funds are budgeted in the Proposition 40 Fund (Account No. 16417640 - 66220, Project 15-
6456) and the NPDES Fund (Account No. 05717640- 66220, Project 15 -6456) for expenditure in
Fiscal Year 2015 -16.
WA�.
F ej Mousavipour
Executive Director
Public Works Agency
FM /EWG/TC /MO
Exhibits: 1. Location Map
2. Cost Analysis
3. Construction Contract
APPROVED AS TO FUNDS AND ACCOUNTS:
Francisco Gutierrez
Executive Director
Finance & Management Services Agency
23C -3
23C -4
0
0
0
U)
WEST ORANGE RD
ORRIGON AVE
Ml'--.MORv '-N
5HERW IN
ti
SANTA ANA PROJECT 15-6456
CITY COUWIL
P W A AGEWA DAM MORR" PARK UD MPROVEMENTS
DECOASER, a,2A1s 2801 W. WESTWOOD AVE
EXHIBIT 1
23C-5
wl
MK;M;E
23C -6
COST ANALYSIS
PROJECT NO. 15 -6456: MORRISON PARK PARKING LOT IMPROVEMENTS
Construction Contract
$ 171,306.00
Contract Administration
$ 9,709.00
Inspection and Testing
$ 13,361.00
Survey
$ 2,626.00
Contingencies
$ 51,391.80
TOTAL ESTIMATED CONSTRUCTION COSTS
$ 248,393.80
EXHIBIT 2
23C -7
23C -8
CITY OF SANTA ANA
APPENDIX B: Construction Contract
PROJECT NO. 15 -6456
MORRISON PARI£ PARKING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
This CONSTRUCTION CONTRACT is made and entered into this 1st day of December, 2015, by
and between the CITY OF SANTA ANA, CALIFORNIA, a charter city and municipal corporation
organized and existing under the Constitution and laws of the State of California, hereinafter
referred to as "CITY" and Roadway Engineering & Contracting Inc., 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 mariner and to the
satisfaction of the City Engineer of the CITY, the Morrison Park Parking Lot Low Impact
Development (LID) Improvements, 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.
2. 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 the 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 sum total amount not to exceed $171,306.00, as set forth and
identified in the BID PROPOSAL, which is attached hereto and 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 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.
Page 1 of 3
2ftwhladipit 3
CITY OF SANTA ANA
APPENDIX B: Construction Contract
PROJECT NO. 15 -6456
MORRISON PARK PARKING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
4. CONTRACTOR agrees to complete the Work of Improvement within the time specified in the
Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A ") including
commencing constriction within the timeframe therein specified after issuance of a Notice to
Proceed.
5. The CONTRACTOR will pay, and will require all subcontractors 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 Hwldred Percent (100 %) of the Contract price, to guarantee
the faithful performance of the work ( Perfornance Bond), and one in the amount of One
Hundred Percent (100 %) 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 the final Contract price or $1,000,
whichever is greater (Warranty Bond).
CONTRACTOR shall, upon project completion as a condition of project acceptance, Rimish 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.
8. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability
Insurance and Worker's Compensation Insurance as outlined in the General Provisions, to be
approved by the CITY. //
Page 2 of 3
23C -10
CITY OF SANTA ANA
APPENDIX B: Construction Contract
PROJECT NO, I5 -6456
MORRISON PARI£ PARTING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day
and year first above written,
ATTEST:
MARIA D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
_13
Chief Assistant City Attorney
CITY OF SANTA ANA
DAVID CAVAZOS
City Manager
RECOMMENDED FOR APPROVAL:
Fred Mousavipour, P.E.
Executive Director, Public Works Agency
CONTRACTOR:
Roadway Engineering & Contracting Inc.
By: _
Title:
Page 3 of 3
23C -11
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 15 -6456
MORRISON PART{ PARKING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: Roadway Engineering & Contracting Inc,
REQUIREMENT:
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 sunl(s) set forth in the
following schedule:
Item
Description
Qty
Unit
Unit Price
Amount
I
Mobilization
1
LS
$ �1 7 �)
1'rrvE�C�1V
$ x t ,�l
trXr�t�Jdt
2
Unclassified Excavation*
223
CY
$ yp/tAp
j V
$ ^rye �ry C t�
L! d
4
4" AC over compacted subgrade*
328
IN
$
$ 1t
L7
5
_6
Permeable Pavers*
2,51.5
SF
$
$
6" PCC Curb*
31 S
LP
$
$
, �
7
Cobble Swale*
20
LF
$ /4�
$''
1
8
12" PCC Band*
134
LF
$ mq
j
$ ,. ,�
1
9
4" PCC Sidewalk*
465
SF
$ .7
$
10
Bioretention BMP
1
LS
$ 0
$ 0
I l
Parkway Culvert
2
EA
$ V$
3700
12
Driveway Approach
560
SF
$
rr
$
Z
13
Signago & Striping
I
LS
$
$ !3�
14
Interpretive Sign
I
LS
$
o
$
15
Landscaping
1
LS
$ 1 -
$
16
hrigaton
i
L3
$
$
17
90 -Day Irrigation & Landscape
Maintenance Period
1
LS
$
$^
al
ME
23C -12
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 15 -6456
MORRISON PARK PARKING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
Item
Description
Qty
Unit
Unit Price
Amount
TOTAL SASE BID/
71 V6 Q
ADD ALTERNATE BID NO. I — ADD PERMEABLE PAVERS IN EAST PARKING
BAY
I
Deduct 4" AC Pavement over compacted
sub rade*
-77
TN
$-_--
''
$-- '..
t
2
Permeable Pavers*
2,550
SF
$
'
$ —000
3
12 "PCCBand*
134
LF
$ar
$ 3//
TOTAL ADD ALTERNATE BID NO. I
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).
* The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to
the "25 %" limit as stated in Section 3 -2 of the Standard Specifications. The actual amount for this
item will be dictated by the actual quantity used, and the Agency reserves the right to increase or
decrease the quantity of this item accordingly.
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)
working 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 $375.
Name of Firm fterlway ngineerincg & canlroctiny 1tle'-,
Signature of BIDDER
Title Eric Alvarez —
I
23C -13
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 15-6456
MORRISON PARK PARIONG LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
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 Set-vice 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 702 8.15 of the California Business and Professions Code, the
undersigned certifies under penalty of perjury that the foregoing is true and correct.
Name of Firm Roadway Engineering & Contracting inc,
Signature of BIDDER
Title Erlo Mom
-
(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 naives of President,
Secretary, Treasurer and Manager, thereof.)
BP -3
23C -14
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 15 -6456
MORRISON PARK PARKING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
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: Roidway Enalneering A Contracting inc.
Business Address: 10247 Bellegnive Ave, 5t% 12Z ; Mira Loma, CA 91752
Business E -Mail
Address: E 9 C (2OA'DWA' EtS - ;sc AF—C— 'A%QkCi.CxDio t
Telephone: 51. 360.0834
State Contractor's License No. and
Class: 874044 A
License
Expiration
Date:
State Dept. of Industrial Relations (DIR)
Registration No.: (Ut30i3 ;' q
State Dept. of Industrial Relations (DIR)
Registration Expiration Date: (0
Signed:
Title: Eric Altrar 2
BP -4
23C -15
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 15 -6456
MORRISON PARK PARKING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
OWNERSHIP AFFIDAVIT
STATE OR CALIFORNIA )
COUNTY OF ORANGE ) SS:
CITY OF SANTA ANA )
Eric Alvarez , being duty sworn, deposes and says:
[]INDIVIDUAL That he /she is the party making the foregoing proposal:
❑ PARTNERSHIP That he /she is member of the co- partnership firm designated as:
and who has been Brad is duly vested with the authority to mule and execute instruments
for the co- partnership by:
who constitute the other members of the co- partnership.
WORPOI2AT[ON That rte is oC: resident of Rcsaftay Engineering & Clontr til7g trio.
a corporation which is making the foregoing proposal:
❑ JOINT VENTURE That lie is of:
one of the parties making the foregoing proposal as a joint venture, and the helshb 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
collusion to secure any advantage against the City of Santa Ana or any person interested in the
proposed contract, for hi nTself or any other person.
Signature of Bi do ri0 �'arf�idAtlt
Subscribed and sworn to before me this day of 20 —
Signature of officer Administering Oath (Notary Public)
BP -6
23C -16
23C -17
JURAT
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 Riverside
Subscribed and sworn to (or affirmed) before me on this 21th day of October
2015 by Eric Alvarez - President of Roadway Engineering
proved to me on the basis of satisfactory evidence to be the person(s) who appeared
before me.
SOCORRO ALVAREZ
�OmmIa510fl # 2()88001
`z - s Notary Public - California
''
San Bernardino County r
Comm. Ex Tres Apr 27,
2018
Signature U (Seal)
OPTIONAL INFORMATION INSTRUCTIONS
The wowing afaliJumts completedfn Califomfa after January 1, 2013 must be fn the Porm
as setPodh within this Jurat Thera am no exceptions. If o Jurat to be completed does not
fallow this farm, the notary mustcomectile verbiage by using ajuratslamp containing the
correct wording of attaching a separate jurat form such as this one with does contain the
proper wording, In addition, the notary must require an oath or affirmation from the
DESCRIPTION OF THE ATTACHED DOCUMENT document signer regarding the truthfulness of the contents of the document. The
Ownership Affidavit document must be signed AFTER the oath or afrmadar. lithe document was pmvlously
ID
signed, it mustbe m4tinedin front of the nobsypublic during thejmatprocess,
(Title or description of attached document)
• State and county information must be the state and county where the
IT& or description of attached document continued) document signer(s) personally appeared before the notary public.
- • Date of notarization must be the date the signer(s) personally
appeared which must also be the same date the jurat process is
10/21(15 completed.
Numbefof Pages Document Date • Print the name(s) of the document signer(s) who personally appear at
- the time of notarization.
• Signature of the notary public must match the signature on file with the
Additional information Was of the county clerk.
• The notary seal Impression must be Gear and photographically
- reproducible. Impression must not covertext or lines. If seal Impression
smudges, re -seal if a sufficient area permits, otherwise complete a
different jurat form.
Additional information Is not required but could help
to ensure this jurat Is not misused or attached to a
different document.
+° Indicate title or type of attached document, number of
pages and dale.
• Securely attach this document to the signed document with a staple.
2015 Version www.NoteiyC]asses.com 000 -87 &0885
23C -17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 15 -6456
MORRISON PARK PARKING LOT
LOW IMPACT DEVELOPMENT (LID) IMPROVEMENTS
BID BOND
KNOW ALL PRESENT that,
Roadway Engineering & Contracting Inc. , as BIDDER, and
Philadelphia Indemnity Insurance Company , as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of _
Ten percent of amount bid Dollars ($ IQ% ), 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
_-19th day of - -,_ October 2015 .
BIDDER* Roadway Engineering & Contracting, Inc.
SURETY* Philddorphia Indemnity Insurance Company
259 S. Lake Ave. Suite 360 Pasadena CA 91101 Phone: (626)639 -1321
Alliant Insurance Services,,, Inc. 735 to
Subscribed and sworn to before me
20_
Signature:
Notary Public in and for the County of
Drive,
200, San Bernardino, CAI 92408 Phone: Ida 9)886 -9861
y of
, State of
*Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address,
and telephone member dfauthorized representative.
BP -7
23C -18
PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
[An t a ry public or other officer corrlpieting this ce tificate verifiea 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 Riverside )
On 10/21/15 before me, Socorro Alvarez
ere need name and title of e o car
personally appeared, Eric Alvarez
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
I&she /they executed the same in ' her /their authorized capacity(ies), and that by
R t her /their signature(s) on the instrument the person(e), or the entity upon behalf of
w ich the personl 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.
SOCORRO ALVARE2 �
WITNESS my hand and official seal, Cnmmisslons206300 9
-* Notary Public • California
San Bernardino County
M� Comm.EExpirenn Ap`2oi8 t
Signature 1 (Seal)
DESCRIPTION OF THE ATTACHED DOCUMENT
Bid Bond
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages— Document Date 10/19/15
CAPACITY CLAIMED BY THE SIGNER
CJ Individual (s)
O Corporate Officer
President Secretary, Treasurer
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
L7 Trustee(s)
❑ Other
2015 Version www.NotaryClaeses.corn 800.873.9865
:)N INSTRUCTIONS FOR COMPLETING TITISFORM
Thlsjornt emmplles uiith nnren[Callfmoia slndutes regnrdnug nofary mm•dhtg tune
if created, should be completed and attached to the dacauuerrt. Acknolvedgeara ftvm
other stares may he cmnpl &red far docranents being sent to that state so long as the
warding rues vat require the California notary to violate Calybrnia natary lath.
• State and Comity information must be the State and County where the document
signers) personally appeared before the notary public for acknowledgment,
• Date of notarization must be the dare that the signers) personally appeared which
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• ASin the cornets) of document signer(s) who personally appear at the time of
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Impression must not cover text orlinrs. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment farm,
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Additional infomration is not required but could help to ensure this
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Indicate tithe or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
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• Secondly attach this document m the signed document with a staple.
23C -19
CALIFORNIA ALL- PURPOSE ACKNOWLEDGEMENT
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 `
S5.
County of San Bernardino /)
On October 19. 2015 before me, Cynthia J. Young, Notary Public
Name and Title of Officer (e.g., "Jane Doe, Nolary Public")
personally appeared Pamela McCarthy
Narrate) of Slgner(s)
l CYNTHIA J. YOUNG
Commission # 1982442
Fir ,f j,/q Na ary Public- Callfornu z
�,� San Bernardino County n
�.,,„ Y,s„CCo Expires Jul 15, 2016
who proved to me on the basis of satisfactory evidence
to be the person whose name is subscribed to the
within instrument and acknowledged to me that she
executed the same in her authorized capacity,
and that by her signature on the instrument the
person, or the entity upon behalf of which the person
acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of
the State of California that the foregoing paragraph is
true and correct
WITNE,S my hand and offid I seal.
Signal got NalatOulalo
OPTIONAL
Though the information below Is not required by lam, it may prove valuable to persons 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: _
Document Date: Number of Pages:
Signer(s) Other Than Named Above: _
Capacity(ies) Claimed by Signer(s)
Signer's Nam
❑ Individual
❑ Corporate Officer
Title
❑ Partner -- ❑ Limited ® General
❑ Attorney -in -Fact
❑ Trustee
❑ Guardian or Conservator
Other:
Signer is Representing:
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1984
PHILADELPHIA INDEMNITY INSURANCE COMPANY
231 St. Asaph's Rd., Suite WE
Ball Cymvyd, PA 19004 -0930
Power ol'.Attorney
KNOW ALL PERSONS BY THESE PRESENTS: That PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and
existing under the laws of the CommomvealCh of Pennsylvania, does hereby constitute and appoint JAY P. FREEMAN, PAMELA MCCARTHY, CYNTHIA J.
YOUNG AND LAURIE B_ DRUCK OF ALLIANT INSURANCE SERVICES, INC., its into and Irl Attorney-no-tact with fall authority to Monte On its behalf
bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the course of its business and to bind the
Company thereby, in an amount not to exceed .4'25 000,000.00.
This Power of ARorney is granted and is signed and sealed by facsimile under and by the authority of the Following Resolution adopted by Cite Board of Directors of
PHILADELPHIA INDEMNITY INSURANCE COMPANY ata meeting duly called the I" day of July, 2011.
RESOLVED: That [he Board of Directors hereby authorizes the President or any Vice President of the
Company to: (1) Appoint Attorney(s) in Fact and authorize the Adornoy(s) in Fact to
execute on behalf of the Company bonds and undertakings, contracts of indemnity and
other writings obligatory in Elie nature thereof and to attach the seal of the Company
thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revolve the
authority given. And, be it
FURTHER
RESOLVED: That the sigmaure$ of such officers and the soul of the Company may be affixed to any
such Power of Attorney or certificate relating thereto by facsimile, and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shall be
valid and biding upon the Company in the future with the respect to any build or
undertaking to which it is attached.
IN TEISTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INS'T'RUMENT 0 BE SIGNED AND
ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 10"' DAY OF JUNE 2013.
h'.M10.1
1927
(Seal)
Robert D. O'Leary Jr., President & CEO
Philadelphia Indemnity Insurance Company
On this 10"' day of hue 2013, before me came the individual who executed the preceding instrument, to me I Nryonally known, and bei ig by me dulyawoni said that he
is the therein described and authorized officer orthe PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the
Corporate seal of said Company, that the said Corporate Seal and his signature were duly affixed.
ONMALTHOPPENNSYLVATIM
NoMAOI StyI
KeneMy A NE.tleskl, Ngiery Pu611c
loannSAa'1NP R1nw4NMr/4wnY
M iwvtl3ra. ri ra 0ec W, 206
Nuteaywarnvunr.e�FOCUna, F vacs Notary Public:
residing at: Bala Cvnwyd. PA
(Notary Seal)
My commission expirest December 13. 2016
I, Edward Savona, Corporate Secretary of P] ITADELPHIA INDEMNITY fNSURANCE COMPANY, do herby certiry that the foregoing resolution of the Board of
Directors and this Power of Atorney issued pursuant ChereCC on this I0T" day of June 2013 into and correct and are still in full force and effect. I do further certify that
Robert D. O'Learv.fr, who executed the Power of Attorney as President, was on the date ofexacutiou oFthe attached Power o['Attorney the duly elected President of
PHILADELPNIAINDENINITY INSURANCE COMPANY_
hi Testinrniy Whcreof I have subscribed my name and affixed the hn sirmle seal ofeach Company this ( 7 day- o42C*L 'o�-20 %
< s ✓'c f Edward Savage, Corporate Secretary
PHILADELPHIA INDEMNITY INSURANCE COMPANY
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