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HomeMy WebLinkAboutSANDWOOD ENTERPRISES, INC. - 2016ij ��t>�I tau t itct_r.t A -2016 -153 CONTRACTOR AGREEMENT THIS AGREEMENT is made and entered into this 1st day of July, 2016, by and between Sandwood Enterprises, Inc., a California Corporation (hereinafter "Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City "). RECITALS A. The City desires to retain a contractor having special skill and knowledge in the field of demolition and clearing of single family dwellings. v B. Contractor represents that Contractor is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: i 1. SCOPE OF SERVICES Contractor shall perform those services as set forth in Exhibit A to this Agreement. The scope of services shall be in compliance with Proposal Submitted in response to the City's Request for Proposal, attached hereto as Exhibit B. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services, the rates and charges identified in Exhibit C. The total sum to be expended under this Agreement shall not exceed $36,000 during the term of this Agreement. The project budget allows for contingency /additional funds, supported by adequately documented approved change orders, in the amount of $9,000.00, to ensure project completion, for a potential total amount not to exceed $45,000. b. Payment by City shall be made upon completion of the scope of services. City shall retain ten percent (10 %) from the payment. The retain amount shall be paid to the Contractor thirty -five (35) days after completion of the scope of service. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate 30 days after the notice to proceed provided to Contractor by City, unless terminated earlier in accordance with Section 16, below. The term of this Agreement may be extended upon a writing executed by the City Manager and the City Attorney. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, at seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, 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 being performed are 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. 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. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer - employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non - exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ( "Documents & Data "). Contractor shall require all subcontractors to agree in writing that City is granted a non - exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the aggregate. Contractor shall supply City with a fully executed additional insured endorsement in substantially the form attached hereto as Exhibit D upon execution of this Agreement. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self- insurance. Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. [Section reserved] e. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 8. INDEMNIFICATION Contractor agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the direct or indirect operations of the Contractor or its contractors, subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's Services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and /or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and /or agent of the other party is covered by this Agreement. The foregoing obligations of non -use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M -30) P.O. Box 1988 Santa Ana, CA 92702 -1988 Fax 714- 647 -6956 With courtesy copies to: Executive Director — City of Santa Ana 20 Civic Center Plaza (M -) 111109191 : and To Contractor: Santa Ana, California 92702 Fax 714- 647- City Attorney City of Santa Ana 20 Civic Center Plaza (M -29) P.O. Box 1988 Santa Ana, California 92702 Fax 714- 647 -6515 Jason Vos Sandwood Enterprises, Inc. 2424 N. Batavia Orange, CA 92865 714 - 637 -2032 Fax 714 - 637 -5378 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty -four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 14. EACLUSIVITi AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, training, utilization, promotion, termination or other employment related activities. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 18. JURISDICTION - VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. To protect the public interest and ensure the integrity of Federal programs, City may only conduct business with responsible persons and may not make any award or permit any award to any party which is debarred or suspended or is otherwise excluded from or ineligible for participation in Federal assistance programs under Executive Order 12549, "Debarment and Suspension ". See also 24 CFR 570.609. Contractor must review and sign Exhibit E "Debarment ", which is attached hereto and incorporated herein by this reference. Contractor shall be in good standing, without suspension by the California Secretary of State, Franchise Tax Board and Internal Revenue Service. Any change in the corporate status or suspension of Contractor shall be reported immediately to City. 21. MISCELLANEOUS PROVISIONS Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. ��f IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: MARIA D. HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA City Ald By: _ Ryan RECOMMENDED FOR APPROVAL: OBERT CORTEZ Special Assistant to the City Manager Community Development Agency CITY TA ANA DAVID AVAZOS City Manager Jason Vos Tax ID S — 33 G %a 2 / ev EXHIBIT A SCOPE OF SERVICES EXHIBIT A — SCOPE OF WORK PROJECT NAME: Demolition of Three Single - Family Dwellings PROJECT LOCATION: 710, 714 and 720 E. 6'h Street, Santa Ana, CA 92701 OWNER: City of Santa Ana Contact: Ray Urette (714) 667.2256 GENERAL CONDITIONS 1. CONTRACTOR is responsible for obtaining all required permits. Permits fees will be paid by the City of Santa Ana. 2. CONTRACTOR is responsible for contact Dig Alert prior to commencing the demolition. 3. CONTRACTOR shall comply with all applicable SCAQMD Rules and Regulations. 4. CONTRACTOR shall execute the work In accordance with the safety provisions of applicable laws and the building codes including but not limited to Title 8, CCR Section 1529.Asbestos and 1532.1.Lead. 5. CONTRACTOR shall be responsible for any damages to property and /or Injuries to persons as a result of their execution of the work. 6. CONTRACTOR shall protect all surrounding material, equipment, furnishings from damage during the course of the work. CONTRACTOR shall (at their own time and expense) repair and /or replace any materials; equipment and furnishings that are damaged as a result of their execution of the work. 7. CONTRACTOR Is responsible for obtaining any required permits and for paying any required fees. EQUIPMENT EMISSIONS STANDARDS CONTRACTOR is responsible for ensuring that all on -site construction equipment meets EPA Tier 2 or higher emissions standards according to the following: All off -road diesel - powered construction equipment greater than 50 hp shall meet Tier 2 off -road emissions standards. In addition, all construction equipment shall be outfitted with best available control technology (" BACT ") devices certified by the California Air Resources Board ( °CARB "), Any emissions control device used by the CONTRACTOR shall achieve emissions reductions that are no less than what could be achieved by a Level 2 or Level 3 diesel emissions control strategy for similarly sized engine as defined by CARB regulations. HAZARDOUS MATERIALS CONTRACTOR is responsible for thoroughly examining the lead and asbestos attached as Attachment Al and Attachment A2. CONTRACTOR assumes full responsibility for compliance with all federal, state and local regulations regarding the removal and disposal of all hazardous materials. SIGNATURE DATE must be signed and included in the proposal. Proposals that do not contain this document will be ,d non - responsive and rejected. 5 1121 Ib City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 8 RECYCLING Construction and demolition waste is the largest source of trash in the United States. CONTRACTOR is responsible for recycling materials including (but not limited to) wood, lumber, steel, all metal, concrete and masonry. GRADING CONTRACTOR is responsible for grading the site so that it is relatively level and so that it drains away from adjacent properties and public sidewalks. UTILITIES Utilities shall be properly capped at the property line and inspected by the City's Building Department, 710 E. 61h Street APN #: 398 - 334 -03 Lot Size: 50' wide by 125' deep (6,250 SF) Description: Single Family Residence (Approx. 1,366 SF) Detached Two -Car Garage (Approx. 500 SF) CONTRACTOR shall furnish all labor, material and equipment to demolish and remove the dwelling and detached garage; all flatwork, landscaping and fencing except as noted below. Item includes the removal of all foundations and footings, and all underground utilities to the property line. CONTRACTOR shall preserve the chain link fencing and gate located along the north property line and the chain link fencing located along the west property line. 714 E. 6`' Street APN #: 398 - 334 -04 Lot Size: 50' wide by 125' deep (6,250 SF) Description: Single Family Residence (Approx. 913 SF) Detached Single -Car Garage (Approx. 200 SF) SALVAGE - PRIOR TO DEMOLITION In accordance with the Settlement Agreement, dated April 18, 2011, by and between the City of Santa Ana and the Friends of Lacy Historic Neighborhood, an architectural inspection of the property was performed by the Santa Ana Historical Preservation Society, The following items were identified for salvage: picture rail (throughout), window and door hardware (throughout), walled -in pocket door, and the window weights. CONTRATOR is responsible for carefully removing and preserving all of the items described above prior to demolition. CONTRACTOR'S SIGNATURE f5 Z I� DATE A must be signed and included in the proposal. Proposals that do not contain this document will be )red non - responsive and rejected. City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 9 CONTRACTOR shall furnish all labor, material and equipment to demolish and remove the dwelling and detached garage; all flatwork, landscaping, block walls and fencing except as noted below. Item includes the removal of all foundations and footings, and all underground utilities. CONTRACTOR shall preserve the chain link fencing and the gate located along the north property. 720 E. 6t" Street APN #: 398 - 334 -05 Lot Size: 50' wide by 125' deep (6,250 SF) Description: Single Family Residence (Approx. 1050 SF) California Basement Detached Single -Car Garage (Approx. 325 SF) SALVAGE - PRIOR TO DEMOLITION In accordance with the Settlement Agreement, dated April 18, 2011, by and between the City of Santa Ana and the Friends of Lacy Historic Neighborhood, an architectural inspection of the property was performed by the Santa Ana Historical Preservation Society. The following items were Identified for salvage: two (2) exterior doors, floor registers, pocket doors and casing, picture rail (throughout), window and door hardware (throughout), dining room built -in, 5 -panel door and hardware, three (3) front porch pillars, and the window weights. The Santa Ana Historical will be given an opportunity to revisit the property to verify the items for salvage. CONTRATOR is responsible for carefully removing and preserving all of the items described above prior to demolition. CONTRACTOR shall furnish all labor, material and equipment to demolish and remove the dwelling and detached garage; all flatwork, landscaping, block walls and fencing except as noted below. Item includes the removal of all foundations and footings, and all underground utilities. CONTRACTOR shall preserve the chain link fencing and the gate located along the north property and the chain link fencing and gate located along the east property line. S SIGNATURE DATE -T Ii.,IIC' must be signed and included in the proposal. Proposals that do not contain this document will be ?d non - responsive and rejected. A City Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 10 EXHIBIT B — PHOTOGRAPHS 710 E. 6'" Street 714 E. 6 °i Street City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 11 720 E. 6" Street City of Santa Ana Request for Proposals— Demolition of Three Single•Family Dwellings Page 12 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 limited to, the following: employment, upgrading, demotions, or transfer; 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 has a collective bargaining agreements or other contract . or understanding, a notice 4o be provided advising the said labor union or workers' representative 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 complies 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 order 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 the Contractor's non - compliance with the non-discrimination 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/ services contracts in accordance with procedures authorized In Executive Orders 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, M5, 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 such litigation to protect the Interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1039, and as amended, no discrimination shall be made In the employment of persons because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any Contractor violating this Section Is subject to all the penalties imposed for a violation of the Chapter. This document must be completed and included in the proposal. Proposals that do not contain this document will be considered non - responsive and rejected. City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 13 I hereby assert that the proposal my firm submitted for the above - referenced services was prepared with the knowledge that this project Is subject to the prevailing wage provisions of the California Labor Code, as determined by the Director of Industrial Relations of the State of California, and that it Is also subject to the prevailing wage provisions of the Davis -Bacon Act, as determined by the United States Department of Labor. In the event that there is a conflict between the state and federal prevailing wage determination, the higher of the two rage rates must be paid. If awarded the contract for this work, I will be required to prepare and maintain all documentation necessary to comply with the prevailing wage requirements of the California Labor Code and the United States Department of Labor. Signature: Printed Name: -) \J Title: , 4 Date: �-- 12-- I J6 Firm: avr� t��c rC� v'� C� 3, State Contractor's License No. And Class; of � 6b Expiration Date: 7I 3 M — This document must be completed and included in the proposal. Proposals that do not contain this document will be considered non- responsive and rejected. City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 14 _ BIDDER does not propose to subcontract the work. BIDDER proposes to subcontract certain portions of the work to the individuals / firms listed below: NAME: S,, o TYPE OF WORK: .a ADDRESS: 1 L : N" LICENSE #: —11 p 1— � PHONE s1 8', �Cary \105 Q V "SAS, Name of Individual / Firm Submitting Bid Printed Name/ Title Date This document must be completed and included in the proposal. Proposals that do not contain this document will be considered non - responsive and rejected, City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 15 I_. 0�.i.ev\(:..f ( V�2rGl Ca CAS [\GC.Ibc\ I .�7e� ��( L,,\Oo e_ Y� City of Santa Ana Request for Proposals — Demolition of Three Single- Family Dwellings (�5— f List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included In the scope of the proposal specifications, Attach additional pages If required for additional references. The City reserves the right to contact each of the references listed for additional Information regarding your firm's qualifications. Reference No, t Customer Name: C,.(� (> � , t �� .� Contract Individual: Address; tl`PhoneNumber: �- R2R32. Facsimile Number: Contract Amount: Year: -L, Description of supplies, equipment, or services provided: Reference No, 2 Customer Name: C -V-V _ tt Contract Individual: 7 _ Address: _� t�.1r Phone Number; Facsimile Number: Contract Amount: 1 2�1 � 7 Year: n�,2C) ° Description of supplies, equipment, or services provided: " �)­ r 1 ,1 � �_ V� T: 1 Reference No. 3 Customer Name: _C_ Contract Individual: Address: 13L-b -v�`, 0 -ksncJ Phone Number: Lty f,g�_ 14g1 � D rrr4e 012 Facsimile Number: Contract Amount: - t o oc — Year: 1�2 O I .S Description of supplies, equipment, or services provided: f� l \ D_� This document must be completed and included in the proposal. Proposals that do not contain this document Ugll be considered non responsive and rejected City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 16 Each proposal shall contain a project schedule showing the proposed timeline from beginning to end. Said schedule must be signed by the offeror. Include printed name, title and date. Proposals that do not contain a project schedule wjtl be considered non responsive and rejected cS City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 17 NON - COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA: In accordance with Title 23 United State Code Section 112 and Public Contract Code 7106 the PROPOSER declares that this 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 PROPOSER has not directly or indirectly induced or solicited any other PROPOSER to put in a false or sham bid, and has not directly or Indirectly colluded conspired, connived or agreed with any PROPOSER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the PROPOSER has not In any manner, directly or Indirectly, sought by agreement, communication or conference with anyone to fix the bid price of the PROPOSER or any PROPOSER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other PROPOSER, 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 contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company associations, 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. PROPOSERS are cautioned that making a false certification may subject the certifier to criminal prosecution. State of California County of _ fig_ Subscribed and sworn to (or affirmed) before me on this �_ day of K � 20_1_�o , by A S�/o s proved to me on the basis of satisfactory evidence to the person(s) who appeared before me. Notary Public Signature Notary Public Seal This document must be completed and included in rile proposal. Proposals that do not contain this document will be considered non - responsive and rejected. - - -- -- —��. _ -._ City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 19 y .s �; Comm. tl2lAlpiS F ,� I spy ., ; � Notary 9ublk Califamda ,� �� Orongm County CmNSn.6�[vaa 1arr59, lade This document must be completed and included in rile proposal. Proposals that do not contain this document will be considered non - responsive and rejected. - - -- -- —��. _ -._ City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 19 ATTACHMENT Al - ASBESTOS & LEAD REPORTS S� tcg5 SGti,Va ,C�cA City of Santa Ana Request for Proposals — Demolition of Three Single- Family Dwellings Page 20 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 •iiP'fF �Z.Cia^d'.S`iT�yd^.r`Sd Y`fis:.?rz.r mr_ �c1> ii�aS^, EC. �S". Li^. f' S.. ��; S. sfsS, i�.. C. Se: di ".�s�"S,�fs:Ps:C.�Cs:(�.2:!Rro� 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 Mateo ) On _ May 2, 2016 before me, _ Soy Wong Notary Public Date Here Insert Name and Title of the Officer personally appeared David K. Mahler Names) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same In his /her /their authorized capaclty(ies), and that by his /her /their signature(s) on the Instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. SOY WONG Commission # 2051554 g Notary Public • California z Signature y_ San Mateo County Signat reofNo •''r My Comm. Expires Dec 12, 2017 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: Signer(s) Document Date: Other Than Narned Above: Capacity(ies) Claimed by Signer(s) Signer's Name: 0 Corporate Officer — Title(s):, • Partner — 0 Limited 0 General •individual 0 Attorney in Fact • Trustee 0 Guardian or Conservator 0 Other: Signer Is Representing: v_ Signer's Name: 0 Corporate Officer — Title(s): 0 Partner — 0 Limited 0 General • Individual 0 Attorney In Fact • Trustee 0 Guardian or Conservator 0 Other: Signer Is Representing �F:e'ZR°G�Gvti'�'L?:- GAT' �: GCL: 44G�C' 2, i. T�' L,Z- ,C4'4C�{i6'rG':'�SC�"'e.�v. G w'• SG` S: F. Q,. T.' CL' 4: �'. Z% C(,' 4�:< 4L "i4"�L'C>'i,ZUe- L�Cv4�:t.'FLe ©2014 National Notary Association • www.NationalNotary.org 1. 800 -US NOTARY (1 -800- 876 -6827) Item #5907 'D -C V 149 PHILADELPHIA INDEMNITY INSURANCE COMPANY 23181, Asapos Rd., Suite 100 Bala Cynwyd, PA 19094 -0950 Power of Attorney KNOW ALL, PERSONS BY THESE. PRrSENTS: That PHILADELPHIA INDENINITV INSURANCE COMPANY pile Cumpany), a corporation orgonlzed and existing under the laws of the Commmlwealill of Pennsylvania, does hereby constitute and appoint David I,-, D•uml mW Quvid K YFd ter of Drl ml Group Inc Its true and lawful Attomeydn -fact with full Authority to execute on its behalf bands, undertakings, recogm . and. other contracts oAlahle nity and wl Grouobligatory in Inn nature thereof, issued in the course of its business and to bind the Company thereby, In ml amount riot to exceed ;,000 (100. This Power of Attorney is granted and is signed and sealed by facsf llile under and by the authority of the following Resolution adopted by tiie Board ol'Directors of PI [ILADELPI -IIA INDEMNITY INSURANCE COMPANY at a meeting duly called the I " day of July, 2011, RESOLVED: Thot the Board of Directors hereby authorizes the President or any Vice President of the Cotilpany to: (1) Appoint ARonvy(s) in Fact and authorize the Atlorncy(s) in Fact to execute on behalf or the Company bonds and undertakings, contracts of Indemnity And other writings obligatory In its nature thereof and to adnell the soul of the Company thereto; end (2) to remove, at any lino, any such Attorney -In -Fait and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such orliccrs and the seal of the Company may he offset to any such Power of Attorney or certl Rcata relating thereto by facsimile, andany such Power of Attorney so executed and certified by facsimile signatures and faosfmile said shalt be valid and biding upon the Company in the future with the respect to Any bond or uodertaking to which it is attached. IN TESTIMONY WI IEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO REAFFIXED By ITS AUTHORIZED OFFICE'lIILS 10ro DAY OF JUNE 2013. (Sell) Robert D. O' Leary JL, President & CEO Philadelphia Induvnnity Insurance Company On this 1011 day ol'June 2013, before me cattle the individual who executed the pr"Wing fnsinmlclt', . to tore personally known, and being by me duly sworn said that [to is (lie thane t described and authorized officer or the 11111 LAD EL III ID\ IND EaMNI rY INSURANCE, C;OMPANY;.tbat the sell[ aMucd to said instrument Is the Corporate seal of said Company; that the said Corporate Seal rind ills signature were dilly atTxed. [ammo Y41m ' 1 e045111MIA rmnae sea Khftly h ftfto, Amory Wbl, iOwtt nano Ywp.Manlppku/fnirry .else act.la, Iola xG'flE4FnarM'Un CN 11ll.m (Notary Seal) Notary Public: residing al: My commission expires: W, m Bala Cvnwvd PA. N] cember 18 2016 I, Edward Sayago, Corporate Secretary of PHILADELPLIIA INDF.MNi-rY INSURANCE COMPANY, do herby ceruly that the foregoing resolution of the Board of Directors and this Prover ofA[torney issued pursuant thereto on thu I Pon day Of June 20[3 true mid correct laid Are still fn full force and effect. I do flu tiler certify that Robert D. O'Leary Jr., who executed the Prover of Atorney as President, was on the date of execution of the attached Power o r Attorney the duly elected President of Pf IIL.ADELPI 4A INDEMNITY INSURANCE COMPANY, In 'I estimony Whereof have s Iscribed my nine and nl'Ifsort the facsimile seal of Cecil Company this Bdday ol`���( !3 < Edward Sayago, Corporate Secretary ['H [LADELPHIA IND6 VINITI INStiRANOFI CON (PAN11 e) PHILADELPHIA INSURANCE COMPANIES BID OR PROPOSAL BOND KNOW ALL MEN RY THESC PRESENT S, That wu. Sandwood Enterprises, Inc. or Orange, CA - (hereinafter called the Principal) as Principal, and PHILADELPHIA INDENINrrY INSURANCE COMPANY, with its principal office at One Utila Plaza, Suite 100 in the city of Bata Cynwyd, Pennsylvania (hereiiloner called the Surety), as Surnty, are Geld and firmly bound unto City of Santa Ana or Santa Ana, CA (hereinafter culled the Obligee). In the point sum of Ten percent of total amount bid DolJara$ 10Y(r ,_ lawf4l money of the United 'Stites_ for ells paymant 6rwlrilh sum well and truly to be made, we bind ourselves, kn r heirs, esecutocs, adminhannors, successors, and assigns. THE CONDITION OF THIS OBLIGATION IS SUCFI, that tgherens, the Principal has submitted the accompanying bid dated May 12, 2016 Ibr RFP 16 -058 - Demolition of Three Single- Family Dwellings NOW. THEREFORE. if the Obligco shall make any award according to the leans uhsaid bid and the Principal shall cta, Into it contract will said Obligee in accordance with the terms of'said bid and give bond lbr the faithill performance (hereof Within the time specirred; or Iran time is speeitiecl within thirty days litter the date orsaid mvrvth or irdm Principal shrill, it (he case of failure so to do, indcinnily the Obligee against any foss the obligac may suflbr directly arising by reason of such failure, not exceeding the penally of this bond, then this obligation shat[ be null mid vgid: otherwisu to retrain in fill[ lane and virtue. Signed, sealed and dated: May 2. 2016 By Sandwood Enterprises, Inc. A IYFJE4 NRY NSURA.NCt cokHPA; iv David K. MahlerCttorney - m - Firer Z' z 0 w w Q u. p w r a C/} �I v 1' s m-W C Lu ro Ei � � z G � Rwm SSo'o ol t C) w +nhjaA. Z c � d .0 ro m° c`n b w 0 4 �1 F U °L H N •� c� 0 a V' cc .a c m r�V � d is U .0 ro m° c`n b w 0 4 �1 F U °L H N •� RR�ff a m � W = � •;= � C wn .0 ro m° c`n b w 0 4 �1 F U z c < \ \ # � : A � k w � F * Ufa \f\ ƒ. = 2 =/A \ \ \} 6 \)2 \ %f \ @ / IX / \\ / ƒ� q { ) x \ � _ �/ f$ �\ \ \ \ \{ rti! / { \\ &! {} ƒ, /° q» ) . \ : } ƒ k { / 2 wq LL LL O LU ton Moe t5 9 C: 0 0 cn Al T geEA li- co 0 LU ro .,:7uj LL �ra N 2 .9 U) C w D Z �'o 0 0 C6 cm � u- W UJI.2 0 U -Lu 16 cz 5 9 dye ca t5 9 C: 0 0 cn Al T geEA li- co 0 LU ro .,:7uj t5 9 C: 0 0 cn Al T geEA li- co 0 LU ro CW (n < C6 cm u- W 0) 0 U CN o t5 9 C: 0 0 cn Al T geEA li- co 0 LU ro 00MI : RFP PROPOSAL REQUEST FOR PROPOSALS RFP 16 -058 DEMOLITION OF THREE SINGLE - FAMILY DWELLINGS CITY OF SANTA ANA 20 Civic Center Plaza Santa Ana, CA 92701 Ray Llretta Senior Residential Construction Specialist (714) 667.2256 Office (714) 667 -2225 Fax rllrettgEn anta -ana ore KEY RFP DATES Issue Date: April 12, 2016 Mandatory Job Walk; April 25, 2016 Deadline to Submit BFI's: April 28, 2016 Response Posted on City Website: May 2, 2016 Proposal Due Date: May 12, 2016 Projected Award Date: June 21, 2016 N City of Santa Ana Request for Proposals — Demolition of Three Single - Family Dwellings Page 1 0 NOTICE INVITING PROPOSALS NOTICE IS HEREBY GIVEN that proposals will be received from qualified firms to demolish three single- family dwellings located at 710, 714 and 720 E. 6�h Street in the City of Santa Ana. Responses to the Request for Proposals (RFP) will be accepted until May 12, 2016 at 4:00 PM. If further Information is required, contact Ray Lirette at (714) 667 -2256 or rliretteOsanta -ana org. MAILED, DELIVERED BY WAND or COURIERED proposals will be accepted as follows: City of Santa Ana Community Development Agency (6th Floor) Attention: Ray Lirette 20 Civic Center Plaza, M -25 Santa Ana, CA 52701 It Is the responsibility of the proposer to see that any proposals submitted shall have sufficient time to be received by the City of Santa Ana prior to the proposal due date and time. Questions regarding this Request for Proposals shall be made In writing via e -mail to Ray Lirette at rlirette @santa - ana.org. The receiving time at the Front Desk of the City of Santa Ana, Community Development Agency, 20 Civic Center Plaza, Santa Ana CA 52701 will be the governing time for acceptability of proposals. Late Proposals will NOT be considered and will be returned to proposer unopened. Telegraphic, electronic and facsimile proposals will not be accepted. ONLY SEALED RFP RESPONSES ARE ACCEPTABLE DO LNOT E- MAIL.RFP RESPONSES DO NOT FAX RFP RESPONSES City of Santa Ana Request for Proposals— Demolition of Three Single - Family Dwellings Page 2 tT CITY OF SANTA ANA REQUEST FOR PROPOSALS DEMOLITION OF THREE SINGLE - FAMILY DWELLINGS 1 Introduction PAGE 2 Scope of Work 4 4 3 License Requirements 4 4 Insurance Requirements 4 5 Bid Bond 4 6 Performance Bond 5 7 Non - Discrimination / Equal Em to ment Opportunity 5 8 HUD Section 3 — Employment Opportunitl es for Santa Ana Residents 5 9 State and Federal Prevallinq Wage 5 10 mandatory ,lob Walk 5 11 Re guests for Information 6 12 1 List of Personnel / Subcontractors 5 13 References 6 14 Project Schedule 6 15 Pro poser's Statement/ Fee Schedule 6 15 Criteria for Selection 6 17 Proposal Rejection 6 18 --Acceptance and Notification 6 19 Public Records 7 20 Protests 7 EXHIBITS PAGE A Scope of Work 8-10 B Photographs 11 -12 C Certification of Non - Discrimination / Equal Emplo ment O ortunit 13 D Prevailing Wage Acknowledgement 14 E List of Personnel / Subcontractors 15 F References 18 G _ Pro'eot Schedule 17 H I Pro poser's Statement/ Fee Schedule 18 I Non - Collusion Affidavit 19 ATTACHMENTS Qty of Santa Ana Request for Proposals — Demolition of Three Single- ramlly Dwellings Page 3 CITY OF SANTA ANA REQUEST FOR PROPOSALS DEMOLITION OF THREE SINGLE - FAMILY DWELLINGS 1. INTRODUCTION The City of Santa Ana is seeking a qualified demolition contractor to demolish three single - family dwellings located at 710, 714 and 720 E. 61h Street in the City of Santa Ana. Work includes the removal of lead and asbestos containing materials. 2. SCOPE OF WORK The Scope of Work, attached as Exhibit A, must be signed and returned with the proposal. Proposals that do not contain the signed Scone of Work will be considered non - responsive and rejected LICENSE REQUIREMENTS California Contractor's License— Proposers must possess a valid California Contractor's License in the classification of C -21; Asbestos Certificate and be DOSH registered. Evidence of said license and certificate shall be included In the proposal Proposals that do not contain this information will be considered non - responsive and rejected City of Santa Ana Business License The awarded individual or firm shall obtain a City of Santa Ana Business License within 10 business days of the date of the notification of award. Failure to obtain said license within the time prescribed above will be cause for cancellation of the award and selection of another qualified individual or fjrm 4. INSURANCE REQUIREMENTS Insurance certificates evidence Insurance certificates evidencing the coverage described below shall be included in the proposal. Proposals that do not contain this information will be considered non- responslve and re'e1 cted. • Commercial General Liability Insurance with a combined single limit of $1,000,000 per occurrence. Successful bidder is required to add the City of Santa Ana as additional insured on a standard Commercial General Liability Policy during the course of construction (see Attachment 3). • Worker's Comnensation Insurance with statutory limits of not less than $1,000,000 per accident. • Business Automobile Liability Insurance with a combined single limit of not less than $1,000,000 per occurrence. 5. BID BOND Each proposal shall be accompanied by a bid bond issued by a corporate surety, for an amount not less than ten percent (10 %) of the aggregate of the bid as a guarantee that the bidder will enter into the proposed contract if the same is awarded to the bidder, Said bid bond shall be valid for 90 days from the bid closing date. The sjgnature of the bidder on the bid bond must be notarized Proposals that do not contain a proper bid bond will be considered non - responsive and rejected City of Santa Ana Request for Proposals — Demolition of Three Single - Family Page 4 6. PERFORMANCE BOND Prior to execution of the Contract, the awarded individual or firm shall submit a performance bond Issued by a corporate surety properly licensed to do business in the State of California. The slpnature of the bfdd, er on the aerformance bond must be notarized Failure to comply with this reaulrement withle 5 business days of the Late of the notice of award will be cause for cancellation of the award and selection of another auallfie d individual or firm 7. NONDISCRIMINATION/ EQUAL EMPLOYMENT OPPORTUNITY The City is an affirmative action employer. Respondents shall not discriminate In their employment with regard to race, color, religion, sex, or national origin. Qualified firms Including small businesses and businesses owned by women, minorities and disabled persons are encouraged to submit proposals, The Certification of Non - Discrimination / Equal Employment Opportunity (Exhibit B) must be completed and included in the proposal. Proposals that do not contain this document will be considered non - responsive and releeted 8. HUD SECTION 3 - EMPLOYMENT OPPORTUNITIES FOR SANTA ANA RESIDENTS This project is federally funded and subject to Section 3, a provision of the Housing and Urban Development (HUD) Act of 1968 that helps foster local economic development, neighborhood economic development, and Individual self - sufficiency. To the greatest extent possible, contractor shall solicit and advertise employment opportunities to Santa Ana residents. The City shall Inform the Contractor of areas to publicize recruitment opportunities, such as work centers and community centers. Such effort and procedure will be provided to the City for review. 9. STATE AND FEDERAL PREVAILING WAGE This project is subject to the prevailing wage provisions of the California Labor Code, as determined by the Director of Industrial Relations of the State of California. It is also subject to the prevailing wage provisions of the Davis -Bacon Act, as determined by the United States Department of Labor. When both state and federal wage laws apply, the higher of the two wage rates must be paid. A copy of the state and federal wage determinations are provided as Attachment 2. The selected firm will be required to prepare and maintain all documentation necessary to comply with the requirements the California Labor Code and the United States Department of Labor. The Prevailing Wage Acknowledgement (Exhibit C) must be completed and included in the proposal. Proposals that do not contain this document will be considered non - responsive and rejected, 10. MANDATORY JOB WALK The City will conduct a job walk on April 25, 2016 at 10:00 AM. Please meet at 710 E. 6°i Street, Santa Ana, CA 92701. Respondents must attend the job walk and sign the attendance sheet. Proposals submitted by respondents that failed to attend the job walk and 6fan the attendance sheet will be reacted 11. REQUESTS FOR INFORMATION Requests for information (RFis) will be accepted beginning April 28, 2016 at 't 2:00 PM and ending May 2, 2016 at 3:00 PM. Please email your requests to Ray Urette at rlirette a s nta -ana orq. All RFIs will be posted on the City's website at the same location as the RFP. 12. LIST OF PERSONNEL/ SUBCONTRACTORS Each proposal shall include a list of all personnel that will be directly providing the servigea;jncluding their experience, licenses and certificates, The attached List of Personnel / Subcontractor it I>) must be City of Santa Ana -- -- —' Request for Proposals– Demolition of Three Single-Family Dwellings Page 5 completed and Included in the proposal. Proposals that do not contain this document will be considered non- responsive and relected 13. REFERENCES Each proposal shall contain a minimum of three (3) references (name, title, address and phone number) of whom the Agency may contact to verify services rendered or currently being provided. Public agency referrals are Involving similar projects are preferable. The attached References (Exhibit E) must be completed and included In the bid. Proposals that do not contain this document or bids containlnp Information that is subseguently proven false wilt be considered non - responsive and relected 14. PROJECTSCHEDULE Each proposal shall contain a Project Schedule (Exhibit F) showing the proposed timeline from beginning to end. Proposals that do not contain this document will be conslderedpon- responsive and rejected 15. PROPOSER'S STATEMENT i FEE SCHEDULE The Proposer's Statement / Fee Schedule (Exhibit G) must be completed and included In the proposal. Proposais that do not contain this document will be considered non responsive and erected 16. CRITERIA FOR SELECTION An evaluatlon team composed of City staff will review the proposals, All proposals that contain all of the required documents and are received prior to the deadline date and time will be fully considered and rated by the evaluation team based on the following criteria: Qualifications and Experience of Personnel - 30 Points • Fee — 4.0 Points • Time Allocated to Services —15 Points • Client References— 15 Points 17, PROPOSAL REJECTION The City reserves the right to reject any or all proposals and is not liable for pre - contractual expenses. Pre - contractual expenses are defined as expenses incurred by the offeror In: (a) preparing the proposal in response to this RFP; (b) submitting that proposal to the Agency; (c) negotiating with the Agency in any manner related to this proposal; or (d) any other expenses incurred by offeror prior to date of award, if any, of the contract. Offeror shall not include any such expenses as part of the bid in response to this RFP. 18. ACCEPTANCE AND NOTIFICATION Fallowing approval by City Council, the Agency will notify the successful individual or firm by mail of award and requested to furnish the appropriate Insurance certificates and a performance bond. The insurance certificates and performance bond must be submitted to the Agency no later than 15 business days after the notice of award. Failure to comply with this requirement may be cause for cancellation of the award. After the Agency receives and approves the certificates of insurance and performance bond the Agency and successful bidder will execute an agreement. City of Santa Ana Request for Proposals._ Demolition of Three Single - Family Dwellings Page 6 19. PUBLIC RECORDS All responses to the RFP shall become property of the City, and proposals will become public record after award of contract. Proposer information identified as proprietary information shall be maintained confidential, to the extent allowed under the California Public Records Act. 20. PROTESTS Proposers with concerns or rebuttal of any staff determination of non- responslveness or non - responsibility may submit, in writing within five (5) business days, to the Project Manager, any concerns regarding the RFP process or staff determination. Such writing shall be considered by the City Manager or his designated representative, and may be acted upon within five (5) business days. If no action Is taken within such time, there shall be no change to the staff determination. The exercise by Proposer of Its right to submit written concerns shall be a condition precedent to seeking judicial review of any award of a contract hereunder. City of Santa Ana Request for Proposals— Demolition of Three Single- Family Dwellings Page 7 EXHIBIT C FEE SCHEDULE (OR) RATES AND CHARGES Certification - I certify that 1 have read, understand and agree to the terms and conditions of this Request for Proposals and I am familiar with all the existing conditions and limitations that may impact work. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. y Total cost includes all labor, material, tools, equipment, supervision, overhead and profit. "lk( -t- h X03-2 -.n c v r�v c " v; 1, llcl- tc31— �� 1R' ^F- Y-) OF COMPANY cunnic Anm FAV nn �nnceo This document must be completed and included in the proposal. Proposals that do not contain will be considered non - responsive and rejected. City of Santa Ana Request for Proposals - Demolition of Three Single - Family pwellings Page IS T F 720Street y Total cost includes all labor, material, tools, equipment, supervision, overhead and profit. "lk( -t- h X03-2 -.n c v r�v c " v; 1, llcl- tc31— �� 1R' ^F- Y-) OF COMPANY cunnic Anm FAV nn �nnceo This document must be completed and included in the proposal. Proposals that do not contain will be considered non - responsive and rejected. City of Santa Ana Request for Proposals - Demolition of Three Single - Family pwellings Page IS EXHIBIT D ADDITIONAL INSURED ENDORSEMENT FOR COMMERCIAL GENERAL LIABILITY POLICY Insurance Company This endorsement modifies such insurance as is afforded by the provisions of Policy # relating to the following; 1. The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees, agents, volunteers and representatives are named as additional insureds ( "additional insureds ") with regard to liability and defense of suits arising from the operations and uses performed by or on behalf of the named insured. 2. With respect to claims arising out of the operations and uses performed by or on behalf of the named insured, such insurance as is afforded by this policy is primary and is not additional to or contributing with any other insurance carried by or for the benefit of the additional insureds. 3. This insurance applies separately to each insured against whom claim is made or suit is brought except with respect to the company's limits of liability. The inclusion of any person or organization as an insured shall not affect any right which such person or organization would have as a claimant if not so included. 4. With respect to the additional insureds, this insurance shall not be cancelled, or materially reduced in coverage or limits except after thirty (30) days written notice has been given to the City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701. (Completion of the following, including countersignature, is required to make this endorsement effective.) Effective Policy # _ Issued to this endorsement form as a part of Named Insured Countersigned by Authorized Representative EXHIBIT E DEBARMENT Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were published as Part VII of the May 26,1988 Federal Register (pages I9160- 19211). (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION - Attached) (1) The prospective recipient of federal assistance funds certifies, by submission of this proposal, that neither it not its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (2) Where the prospective recipient of federal assistance funds is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal, Name and Title of Authorized Date EXHIBIT E Page 1 of 2 INSTRUCTIONS FOR CERTIFICATION By signing and submitting this proposal, the prospective recipient of federal assistance funds is providing the certification as set out below, 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later detennined that the prospective recipient of federal assistance fiords knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the Department of Labor (DOL) may pursue available remedies, including suspension and/or debarment. 3. The prospective recipient of federal assistance funds shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective recipient of federal assistance fiends learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The terms 'covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations. 5. The prospective recipient of federal assistance fiends agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the DOL. 6. The prospective recipient of federal assistance funds further• agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and vohmtary exclusion - Lower Tier Covered Transactions," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and fiequency by which it determines the eligibility of its principals. Each participant may, but is not required to check the List of Parties Excluded fiom Procurement or Non Procurement Programs. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The lunowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings, Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the DOL may pursue available remedies, including suspension and /or debarment, EXHIBIT E Page 2 of 2 2►c4OR6° CERTIFICATE OF LIABILITY INSURANCE 1i DATE(YY) 6/100 /201/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Brenda Durham NAME: Little & Smith Inc. 202 Church Street PHONE 70)428-3308 �� No)- (770)429 -8305 - DDRESS: MAIL bdurham @littleandsmith.com A P. O. Box 1089 INSURERS AFFORDING COVERAGE NAICH INSURER A:SeCi National Ins.Co. Marietta GA 30061 INSURED HR Outsourcing Hol LLC L /C /F din INSURER B: EACH OCCURRENCE Sandwood Enterprises, Inc. INSURER C: DAMAGE I U RENTED PREMISES Ea occurrence) DBA Orange County Sandbagger INSURER D: MED EXP (Any one person) 1588 Atkinson Road Ste 201 INSURER E: Lawrenceville GA 30043 1 INSURER F: CUVERAGES CERTIFICATE NUMBER:2015 /2016 Orance Countv RFVISIf1N MI IMPUPi THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OFINSURANCE ADDL SUER POLICYNUMBER POLICY EFF MMDD POLICY EXP MMIDDIYYYY LIMITS Santa Ana, CA 92701 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR EACH OCCURRENCE $ DAMAGE I U RENTED PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER POLICV[:] PRO- HOD GENERAL AGGREGATE $ PRODUCTS - COMP /OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Pereccident ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAI -MADE DED RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY- YIN ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? [N] NIA SWC1098315- ORANGE COUNTY 12/31/2015 12/31/2016 X STATUTE �RH E, L. EACH ACCIDENT $ 1,000 00 EL. DISEASE - EA EMPLOYE $ 1,000 000 (Mandatory In NH) If yes, describe under EL DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional RRReem(ar/kksss Schedule, �may ybb)e attached if more space Is required) / /A9 CERTIFICATE HOLDER r.AKII I I ATInM © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 t2n14nn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa An THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Sonia Carvalho /City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. Administrative Services Division AUTHORIZED REPRESENTATIVE Community Development Agency 20 Civic Center Plaza, M -25 Santa Ana, CA 92701 Eugene Northcutt /KEC © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 t2n14nn FICATE OF LIABILITY INSURANCE DATE(MMIDD/YYY(I THIS CERTIFICATE IS ISSUED AS A MATI ER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVEL OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURA4CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND T IE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is ar NAL INSURED, the poilcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Carl tin policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorsem t(a). PRODUCER 800 287 3467 760 630 5222 NAME: RON BELL INSURANCE SERVICE LLC RON BELL INSURANCE SERVICE PHONE 1 800 287 3467 n c Na: 760 630 5222 PO BOX 278 o Hess: RONBELINS@AOL.COM INSURED 7146372000 7146375378 SANDWOOD ENTERPRISES INC D8 ORANGE COL 2424 BATAVIA AN IMRPR- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUI HEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PER AIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POL IES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OFINSURANCE AD POLICY NUMBER P YEFF MMIDDIITYY OLI EXP MMIDDIYYYY LIMITS J COMMERCIAL GENERAL LIABILITY EACHOCCURRENNCCEE $1000000_ PREMI E Eeo nca 5100000 A CLAIMS -MADE D1 OCCUR MED EXP (An one pereon) 85000 MP00004002005 04117120016 04/1712017 PERSONAL &ACV INJURY s 1 OOOy00O,_ GEN'L AGGREGATE LI MIT APPLIES PER: GENERALAOGREGATE $2.000000 PRODUCTS - COMPIOPAGG $2000000 POLICY M JEOT LOC S OTHER; – C INED GLELIMI'r AUTOMOBILE LIABILITY ecdtleni BODILY INJURY(Porpereon) $ ANY AUTO BODILY INJURY (Per eccidpnl) $ ALL OWNED SCHEDULED ,' _ AUTOS AUTOG NAON4VINED PROPCRTY MAGE " "- HIRED AUTOa UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAWS-MADE 5 DED RETENTIONS PCR OTH- WORKERS COMPENSATION UTE E ._ E:L EACH $ AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERMECUTIVE _ACCIDENT E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? F7 N/ (Mandatory in' NH) If yyes describe under DESCRIPTION OF OPERATIONS below _^ OISEASE•POLICYLIMIT $ E.L. -- -- --SEAS 6 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES ACORD 101, Additional Remarks Sohedulo, maybe attached if more space is required) PER THE ATTACHED ENDORSEMENTS INCLUDING LIABILITY AND DEFENSE THE CERTIFICATE HOLDER IS AN ADDi HONAL INSURED ARISING FROM THE OPERATION ANS USES PERFORMED B OR BEHALF OF THE NAMED INSURED. PRIMARY AND NON CONTRIBUTORY APPLIES AND IS NOT ADDITIONAL TO ANY OTHER INSURANCE CARRIED BY GR FOR THE BENEFIT OF THE ADDITIONAL INSURED, 10 DAYS NOTICE FOR NONPAYMENT AND 30 DAYS FOR ALL OTHER. ITS OFFICERS, EMPL( REPRESENTATIVES PO BOX 1988 SANTA ANA, CA 92702 AND ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 8E DELIVERED IN ACCORDANS.E.WtTH THE POLICY PROVISIONS. ACORD 25 (2014101) �he ACORD name and logo are registered marks of ACORD t I. F 'P S 4.i a! a. a i ^. -• p ♦ it. :..Q' '6 � fT-Tii :T re Sa b ! !' a_F 'a: 6 6 ✓M 1� p "i _: :___ �{e.r. tt� - a' 4.i a! a. a i ^. -• p ♦ it. :..Q' '6 � fT-Tii :T re al 1� p "i ek -.. a' p .:. 'YS R P t f• Rt f f4N iti X IF +.F - Lei 44 � 1 _ -a.F F #� .f i i :. a6 k 4. 3 '. .fi yA p F! t I -rt f_F:. .7: Y Fi a.Y t e • k � a � 1 . � � ,�q _ #, p: D.. p�y �.' _ _ -�p a F.' a _ _ F- p_ _ >O< Cf i ' a �:k !Y. s!' '. I,. i'i ♦ sJ.i 4sa t Q k - tM ♦ :,F is as :- -.f r .'a s a:. aC'. a. r. is :. it p"aa; f!+ � I g. F'rad4r t8 wh%h, afte distribution or sale by ) Such irsspedons, adjustirnerts, testa or seovicito as the vendor t0s Weed to you; have been lager as a odnrginer, pal d or relabeled or need or "Mcilent of any rule or normally undeitakss tdineke iR ntjw thing or sub rot W or for the, van- - uww Cdaisi of buelin$sa, in Onnec- Lion Wth the dWdbRion, or aa% dShe vor or h. "Bodily IhIU y' Or" out of the sane hag periY ainag8" sriaing r+ca of the vends trx produ ' ihie 6iauraritti . net Wtlt eery induced its own We or ory Owons or those of its be per€on of organlxai%rr, trom vfitm you h =irodysuch praaycts, orany ingteeitnt, park employees or anyo half- Fbw ever, tNW: arse aetir� on its luskan does not aPply of rontwourl entering Ir>m. ar rtapanying �r lhing such pmducts. (9) The emotion cat>fa ned in sub• paragraphs id. or .;or POLICYNUMBER; MP00( 04002005 COMMERCIAL. GENERAL LIABILITY III) 0020101093 THIS ENDORSE MENT CHANGES THE POLICY» PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS (FORM B) Thos ondomement modifies Jr oars proAded under the fallowing. COMMERCIAL t3M LIABILITY COVERAGE PART ame of Person or rrrltant om A premium charge may it D associated with this form, Primary insurance Applies The issuance of this form a Person ar Organization is it is agreed t utsurance is as afforded by this pol- subJerAto company guldef as and approval. try ne she additional insured shown stied primary insuran , and say other insurance main• tarn the ad nal ihsurod(s) shall be exaass and oon.00 cry, but only as respects any claim, lose or liability arising out of the named insured(s) or its subsea - tractors, tractors, and only if such claim, loss or liability is deter= rained to be solely the negligence or respomsI Ay of the named insured. IV M is amended to include as an insured the person or organization shown in the Sched' arising out ofyourongning Operations; performed for #hat Insured. CG 20 10 10 03 {PrmryPt4 Copyright, Insurance Services Office, Inc., 1992 Page t of t CERTIFICATE OF LIABILITY INSURANCE DATE 06/20D2016) n6 /2o /zole PRODUCER STATE FARM INSURANCE - Jeff Biddle, AGENT 503 S GLASSELL STREET ORANGE, CA 92866 X THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Sandwood Ent Inc. DBA Orange County Sandbagger 2424 N Batavia Street Orange, Ca 92865 INSURER& State Farm Mutual Auto Insurance Company 25178 LTR INSURER B: TYPE OF INSURANCE INSURERC: DATE MMIDD INSURER D: LIMITS INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADVL DATETHERBOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN employees and Volunteers. POLIO EFFECTIVE POLICY EXPIRATION IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U PON TH E INSURER, ITS AGENTS OR LTR IMD TYPE OF INSURANCE POLICYNUMBER DATE MMIDD DATE (MMI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Eao maIw $ COMMERCIAL GENERAL LIABILITY MED EXP Aw one arson $ CLAIMS MADE I-IOCCUR PERSONAL S ADV INJURY S GENERAL AGGREGATE S GEJLAGGREiATEUMTAIPUESPER: PROOUCTS•COMP,OPAGG S P- 'Y POLICY JECRO T A x gUTOMOBILE LIABILITY ANY AUTO 132 9265- D28 -75K 04 -28 -16 04 -28 -17 COMBINED SINGLE LIMIT (Ea ac dent) $ 1,000,000 X ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY (Per j9Y500) BODILY INJURY (Perac6dont) $ X X HIREDAUTOS NON- OWNEDAUTOS PROPERTY DAMAGE (Per amodent) $ GARAGE LIASRITY AUTO ONLY - EAACCIDENT $ OTHER THAN EAACC S ANYAUTO AUTO ONLY_ AGO E EXOESSIOMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE S OCCUR F7CI-AIMS MADE E $ DEDUCTIBLE I RETENTION b WORKERS COMPENSATION AND EMPLOYERS'LIABILITY I WC STATU- OTH- TCRY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETORAPRTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? Nyas,de9PRO PROVISIONS SPECIAL PROVISIONS below EL DISEASE - EAEMPLOYEE E EL DISEASE- PQLICY LIMIT Is OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVIS S Job description: All Operations CERTIFICATE HOLDER CANCELLATION City Of Santa And SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION its elected and appointed officials, offocers, DATETHERBOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN employees and Volunteers. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Engineering Department IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U PON TH E INSURER, ITS AGENTS OR 20 Civic Center Plaza REPRESENTATIVES. Santa Ana, CA 92701 AUTOO WED REPRESENTATIVE Jeff Biddle, AGENT AQQKU 25 (2001105) 1 e reg is ra Ion notices ind 7ca7eqmersFI IF marks Uy MET respec IVe OWnerS c 1 52849 OS-13-2007 All rights reserved