HomeMy WebLinkAboutNPG, INC. Recording Requested By, Recorded in Official Records, Orange County
And When Recorded Mail To: Hugh Nguyen, Clerk-Recorder
Clerk of the Council,City of Santa Ana IIII II ` IIIII II II III III I1I III IIII II I III NO FEE
20 Civic Center Plaza,P.O.Box 1988 I I II
Santa Ana,CA 92702 * $ R 0 0 0 9 1 8 8 8 2 1 $
20170001429401:40 pm 04/10117
227 409 N12 1
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
THIS SPACE FOR COUNTY RECORDERS USE ONLY
NOTICE OF +COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana,
California, 92701, is the owner of the property hereinafter described, that said owner has caused
construction of SANTIAGO BIKE TRAIL RESURFACING under contract entered into on
v o NOVEMBER 15 2016, with NPG, INC., on which contract DEVELOPERS SURETY AND
x w INDEMNITY COMPANY is surety. The property on which such work improvement was
'40o placed is in the City of Santa Ana, County of Orange, State of California, and described as
c w Project No. 16-2667 located at: SANTIAGO BIKE TRAIL. The work improvement on said
Q property was accepted as completed on MARCH 24, 2017.
.a
0
vCITY OF SAN NA, A MUNICIPAL CORPORATION
F
z Q Dated: ' l Princi Civil Engineer-Tyrone Chesanek
a
TITLE
p� ------------------------------------- ,-----------------------`-----------------------------
VERIFICATION
1, the undersigned, say: I am the City Engineer - Edwin"William" Galvez of the City of Santa
Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of
the property therein described; I make this verification on behalf of said corporation by
authorization of the City Council of the City of Santa Ana; I have read said notice and know the
contents thereof; and I declare under penalty of perjury that the facts therein stated are true.
Executed on r`' ( , at Santa Ana, California
(Signature of individua swearing that the
contents of Notice of Completion are true.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECT NO, 16-2667
SANTIAGO BIKE TRAIL RESURFACING
NPG Job #: 16593
Exhibit 3
This CONSTRUCTION CONTRACT is made and entered into this 150' day of November, 2016
, by and between the CITY OF SA'NT'A ANA, CA11FORNIA, 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 NPO Inc., hereinafter referred to as "CONTRACTOR".
WITNESSETH:
The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as
follows:
1. 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 maturer and to
the satisfaction of the City Engineer of the CITY, the Santiago Bike Trail Resurfacing
Project, hereinafter referred to as the "Work of hnprovement" 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 Constriction and which include the following:
• Notice Inviting Bids
• Infounation to Bidders
• Bid Proposal
• Bid Bond
• Contract Form
• Contract Bonds
• General Provisions
• Special Provisions
• Technical Provisions and 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 stun total amount not to exceed $66.472,00 — Six}y-six Thousand
Four Hundred Seventy-two Dollars and no cents, as set forth and identified in the BID
PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A."
Page I of 3
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECT NO. 16-2667
SANTIAGO BIKE TRAIL RESURFACING
The BID PROPOSAL contains a schedule of unit price(s) or lamp 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,
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 construction 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 Hundred Percent (100%) of the Contract price, to guarantee
the faithful performance of the work (Performance 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.
7. CONTRACTOR shall, prior to the release of the performance and payment bonds or the
retention payment, furnish a warranty performance and payment bond (Warranty Bond).
Said Warranty Bond shall also be required as a condition of project acceptance. For projects
up to $500,000, the Warranty Bond amount shall be the greater of $10,000 or 20% of the
final contract price. For projects above $500,000, the Warranty Bond amount shall be the
greater of $100,000 or 10% of the final contract price.
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
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECT NO, 16-2667
SANTIAGO BIKE TRAIL RESURFACING
IN WITNESS WHEREOF, the Parties hereto have executed this Construction Contract on the
day and year first above written.
ATTEST:
9 1 MARIA D, HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
BY
Jolo Funk
Assistant City Attorney
CITY OF SANTA ANA:
DAVID CAVAZ6S _ ✓
City Manager
RECOMMENDED FOR APPROVAL:
Page of 3
Director, Public Works Agency
Jeff N
President
STATE OF
COUNTY OF
California
Riverside
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
)SS certificate is attached, and not the truthfulness,
accuracy, or validity of that document.
On 12/7/16 before me, Carol Marie Stone , Notary Public, personally appeared
who proved to me on the basis of satisfactory evidence to be the personfs) whose nameW is/afe subscribed to the within
instrument and acknowledged to me that he/sheIthey executed the same in his/henViek authorized capacityHes} and that
by his/ heY''he' signature(s) on the instrument the personal, or the entity upon behalf of which the personko acted,
executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand
and official seal.
Signature M
CaroT Marie Stone * Notary Public
CAROL MARIE STONE
Notary Public - California
`a -r Riverside County z
Z Commission # 2154181 n
This area for official notarial seal
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying on the
documents.
INDIVIDUAL
CORPORATE OFFICER(S) TITLE(S)
0 PARTNER(S) ❑ LIMITED ❑
0 ATTORNEY-IN-FACT
TRUSTEE(S)
0 GUARDIAN/CONSERVATOR
0 OTHER Manager
SIGNER IS REP TING:
of Person or Entity Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW
TITLE OR TYPE OF DOCUMENT: City of Santa Ana Contract for Santiago Bike Trail, Contract
NUMBER OF PAGES N/A DATE OF DOCUMENT N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/A
CITY OF SANTA ANA
PROPOSAL
PROSECTNO,: 16-2667 Exhibit A
SANTIAGO BIKE TRAIL RESURFACING
ADDENDUM ONE
111) PROPQ_aL,
TO; CITY COUNCIL. OF THE CITY OF SANTA ANA
FROM; NPG, 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 sum(s) set forth in the
following solredule,
SANTIAGO B1I0 TRAIL
BASF BID:
Item
Description
Quantity
Unit
Uuit Price
Amount
1
Mobilization) Domobilization (No more
I
LS
$ 2,442.00
$ 2,442.00
than 5% total bid)
*.2
Unclassified Excavation
5
CY
$ 546.00
$ 2,730,00
10
'PN
$
$
1,353.00
13,530.00
*4
Pmulsioa,-Aggregate Slatry Seal (Type Il)
28
PLT
$
--
896.00
25,088.00
5
Advertising Const reololl Sig ns
2
EA
$ 1,353,00
$ 2,706.00
*6
Root Shave
2
EA
$ 1,378.00
$ 2,756.00
L*7
Crack Sealing
500 ---LF
$
$
4.08
2,040.00
TOT.AI, BASF BID $ 51,2.92.00
ADD ALTERNATE ONE BID;
*8Siguing and Strlpiug (Waterbased Pint) L$ $13,524.00 $ 13,524,00
P-1 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,; 16-2667
SANTIAGO BIKE TRAIT, RESURFACING
ADDENDUM ONE
TOTAL ADD ALTERNATE ONE �BIDV 13,524. A
ADD AT,TF.PNATR TWn um.
Exhibit A
Ilene
Description
Quantity
Unit
Unit Price
Amount
*9
Siguiug axtd Striping (Thermoplastic)
1
LS
-$19,044,00
19,044.000
$
19,044,00
TOTAL ADD ALTERNATE TWO IIID$ 19,044,00
ADD ALTERNATI± THREE BID,
X10 Concrete (PCC) Sidewalk ('1'=47) 480 SF
24.85 % 11,928.00
TOTAL ADD ALTERNATE THREE AID $ 11,928.00
ADD ALTERNATE "FOUR AID:
X11 ACPaveruant 120 TN $�
242.90 29,148.00
TOTAL ADD ALTERNATE FOUR BID $ 29,148,00
D ALTERNATE IIVE AID:
2 2 x 4 -Redwoodd Ilaader (A Needed) 150 LF
$11.04 $ 1,656,00
�_... 1
TOTAL ADD ALTERNATE FIFE BI.D $ 1,656.00
P-2 0fP-17
CIT]' OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
ADDENDUM ONE
Exhibit A
TOTAL ADD ALTERNATE ONE BID
3,524.00 ^ T
TOTAL ADD ALTERNATE TWO BID
19,044.00
TOTAL ADD ALTERNATE THREE BID
11,928.00
TOTAL ADD ALTERNATE FOUR BID
8
29,148.00
TOTAL ADD ALTERNATE FIVE BID
$
1,656.00
TOTAL BASE BID
51,292.00
The lowest responsible bidder shall be selected based on the BASE BID Amount, 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, "I'his bid item shall not be
Subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual
aniouut 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.
T1MF I"bK CONFECTION OF IMPROVEMENTS AND LUIDt1 ED DAMAGES
The undersigned bidder hereby proposes to conaplete the Work for the total base bid amount
shown above, within Thirty-five, 35 work ys lifter the commencement date stated in the
Notice to Proceed,
The bidder also proposes to commence construction of the Work within ten. (10) days after
issuance of a Notice to Proceed, and to continue in a diligent and workman -tike manner without
interruption, and to complete the construction thereof within the time speci fled above.
The liquidated damages amount; i ieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shalllio 0 per calendar clay,
Nanta of Firm NPG, Inc.
Signature of BIDDER fident Title Tuff Nelson,Pr
(If an ittdividual, se state: If a. firm or co -partnership, statethe fret nanie and give the names of
all individual co-partners composing the firm. If a corporation, state legal name of corporation,
and naves of ]'resident, Secretary, Treasurer and Manager, thereof.)
NPG, Inc. - Corporation
Jeff Nelson, President
F-3 of P-17 Sharon Nelson, CPO
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RES URFAC.ING
ADDENDUM ONE
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: NPG, 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 sum(s) set forth in the
following schedule:
SANTIAGO BIKE TRAIL
BASE BID:
Item
Desciiption
Quantity
Untt
Unit Price
Amount
I
Mobilization/ Demobilization (No more
1
LS
$ 2,442.00
$ 2,442.00
than 5% total bid)
*2
Unclassified Excavation
5
CX
$ 546.00
$ 2,730.00
*3
AC Pavement
10
TN
$
$
1,353.00
13,530.00
*4
Emulsion -Aggregate Slurry Seal (Type II)
_ 28
EL`1'
$
$
896.00
25,088.00
5
Advertising Construction Signs
2
EA
$ 1,353.00
$ 2,706.00
*6
Root Shave
2
EA
$ 1,378.00
$ 2,756.00
*7
Crack Sealing
500
LF
$
$
4.08
2,040.00
TOTAL BASF, BID
$ 51,292.00
ADD ALTERNATE ONE BID:
*8
Signing and Striping (Water based Punt)
LS
$
$
F
i
13,524.00
13,524.00
P-1 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
ADDENDUM ONE
TOTAL ADD ALTERNATE ONE BID $ 13,524.00
ADD AT,TERNATF. TWO RID!
Item Description
Quantity
Unit
Unit Price
Amount
*9 Signing and Striping (Thermoplastic)
1
LS
$19,04400
$ 19,044.00
TOTAL ADD ALTERNATE TWO BID $ 19,044.00
ADD ALTERNATE THREE BID:
*10
Concrete (PCC) Sidewalk (T=4")
480
SF
$
$
24.85
11,928.00
TOTAL ADD ALTERNATE THREE BID $ 11,928.00
ADD ALTERNATE FOUR BID:
*I1
AC Pavement
120
TN
$
$
242.90
29,148.00
TOTAL ADD ALTERNATE FOUR BID $ 29,148.00
ADD ALTERNATE FIVE BID:
* 12
2 x 4 Redwood Header (As Needed)
150
LP'
$
$
11.04
1,656.00
TOTAL ADD ALTERNATE FIVE BID $ 1,656.00
P-2 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
ADDENDUM ONE
TOTAL ADD ALTERNATE ONE BID
$
13,524.00
TOTAL ADD ALTERNATE TWO BID
$
19,044.00
TOTAL ADD ALTERNATE THREE BID
$
11,928.00
TOTAL ADD ALTERNATE FOUR BID
$
29,148.00
TOTAL ADD ALTERNATE FIVE BID
$
1,656.00
TOTAL BASE BID
$
51,292.00
The lowest responsible bidder shall be selected based on the BASE BID Amount. 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 Thirty-five (35) working after the commencement date stated in the
Notice to Proceed.
The bidder also proposes to commence construction of the Work within ten (10) days after
issuance of a Notice to Proceed, and to continue in a diligent and worlman-like manner without
interruption, and to complete the construction thereof within the time specified above,
The liquidated damages arnount, ' ieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shallbe 0 per calendar clay.
?dame of Firm NPG, Inc.
Signature of BIDDER
Title Jeff Nelson, Pr ident
(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 firvn. If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof.)
NPG, Inc. - Corporation
Jeff Nelson, President
P-3 of P-17 Sharon Nelson, CFO
CITY OF SANTA ANA
PROPOSAL
PROTECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
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 Cleric 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 cither delivered to BIDDER or deposited
with the United States Postal Service properly addressed to the BIDDER with the correct postage
affixed thereto.
BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she
will furnish AGENCY all required bonds and certificate of liability insurance within ten (10)
business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof
accompanying this proposal shall become the property of the AGENCY and shall be considered
as payment of damages due to the delay and other causes suffered by AGENCY because of the
Failure to furnish the necessary bonds and because it is distinctly agreed that the proof of
damages actually suffered is difficult to ascertain; otherwise said fiords, check, drafts, or
BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned.
BIDDER understands that a bid is required for the entire work, the estimated quantities set forth
in the bid schedule are solely for the purpose of comparing bids, and that final compensation
under the contract will be based upon the actual quantities of work satisfactorily completed. The
BIDDER also certifies that the bid is a balanced bid.
In accordance with Section 7028.15 of the California Business and Professions Code, the
undersigned certifies tinder penalty of perjury that the foregoing is true and correct.
Name of Firm NPG, Inc.
Signature of BIDDER
Title Jeff Nelson, President
(If an individual, so state. If a firm or co -partnership, state the firm name and give the names of
all individual co-partners composing the firm, If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof.)
P-4 of P-17
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
STATE OF California )SS certificate is attached, and not the truthfulness,
COUNTY OF Riverside ) accuracy, or validity of that document.
On before me, Carol Marie Stone Notary Public, personally appeared
Jeff S. Nelson
who proved to me on the basis of satisfactory evidence to be the personal whose names) is/are subscribed to the within
instrument and acknowledged to me that he/sheltttey executed the same in his/her/their authorized capacity0es), and that
by his/ "them signature(s) on the instrument theerson
p (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.
CAROL
MARIE STONE
WITNESS my hand and official seal. CARCL MARIE BTCNE
Notary Public • California
Signature--ARiverside County
CXrol Marie Stone * Notary Pu lic Commission # 2154181
%MY Comm. Expires Mav 22.2020
This area for official notarial seal.
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons r on the
documents.
INDIVIDUAL
CORPORATE OFFICER(S) TITLES)
PARTNER(S) ❑ LIMITED
0 ATTORNEY-IN-FACT
0 TRUSTEE(S)
0 GUARDIAN/CONSERVATOR
0 OTHER Manager
SIGNER IS
of Person or Entity Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW
TITLE OR TYPE OF DOCUMENT: Oo ft S '�VY�QX 1
NUMBER OF PAGES N/A DATE OF DOCUMENT N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/A
CITE' OF SANTA ANA
PROPOSAL
PROJECT NO,: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
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 Naine: NPG, Inc.
Business Address: PO Box 1515, Perris, CA 92572
Business E -Mail Address: cstone@npgasphalt.com
Telephone: (951) 940-0200
State Contractor's License No, and Class: A, B, C-12; 664779
License Expiration Date: 2/28/17
State Dept, of Industrial Relations (DIR)
Registration No.:
State Dept, of
Registration Er
Signed:
Title: Jeff-l�elson, President
1000002457
(DIR) 6/30/17
P-5 of P-17
CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
STATE OF California )SS
COUNTY OF Riverside )
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.
On 6 L� before me, Carol Marie Stone , Notary Public, personally appeared
who proved to me on the basis of satisfactory evidence to be the personjs) whose name(&) Ware subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/he4their authorized capacity(1e6); and that
by his/ her/zrtc�"""e' signature(&) on the instrument the person(&), or the entity upon behalf of which the personal 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 han and official seal. CAROL-----
�AROLL MA't E STONE
Notary Public • California
Signature Q.J g� Riverside County
Carol Marie Stone * Notary Public z Commission # 2154181
M Cog, ii iron Ma 22, 2020
r a r c a not ria sea .
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to perso ging on the
documents.
INDIVIDUAL
CORPORATE OFFICER(S) TITLE(S)
0 PARTNER(S) ❑ LIMITED
0 ATTORNEY-IN-FACT
TRUSTEE(S)
0 GUARDIAN/CONSERVATO
OTHER Manager
SIGNER IS R
of Person or Entity Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW
TITLE OR TYPE OF DOCUMENT:
NUMBER OF PAGES N/A DATE OF DOCUMENT
SIGNER(S) OTHER THAN NAMED ABOVE N/A
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT
Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well
as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"),
which require the payment of prevailing wage rates and the performance of other requirements
on "public works" and "maintenance" projects. Since the services are being performed as part of
an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws,
and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such
Prevailing Wage Laws.
City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at
the commencement of this Agreement. Contractor shall make copies of the prevailing rates of
per diem wages for each craft, classification or type of worker needed to execute the services
available to interested parties upon request, and shall post copies at the Contractor's principal
place of business and at the project site.
Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees
and agents free and harmless from any claim or liability arising out of any failure or alleged
failure to comply with the Prevailing Wage Laws.
The undersigned certifies that the foregoing is true and correct.
Narne of Finn NPG, Inc.
Signature of BIDDER
Title Jeff Nelso
(if an individual, so
P-6 of P-17
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
STATE OF California )SS certificate is attached, and not the truthfulness,
COUNTY OF Riverside ) accuracy, or validity of that document.
On O�� `Q before me, Carol Marie Stone Notary Public, personally appeared
Jeff S. Nelson
who proved to me on the basis of satisfactory evidence to be the persons) whose names) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/4e4their authorized capacity0es} and that
by his/ her/their signatureW on the instrument the personf&), or the entity upon behalf of which the person(s) acted,
executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal. CAR IE STONE
Notary Public - California
Signature
fi' (1J +� Riverside County 2
Carol Marie Stone * Notary Public Commission # 2154181
My Comm. Expires May 22, 2020
This area for official notarial seal.
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons
documents.
INDIVIDUAL
CORPORATE OFFICER(S) TITLE(S)
PARTNER(S) ❑ LIMITED ❑
ATTORNEY-IN-FACT
El TRUSTEE(S)
GUARDIAN/CONSERVATOR
0 OTHER Manager
SIGNER IS REP TING:
ame of Person or Entity
Name of Person or
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW
TITLE OR TYPE OF DOCUMENT:
NUMBER OF PAGES N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/A
CITE' OF SANTA ANA
PROPOSAL
PROJECT NO.; 16-2667
SANTIAGO BIKE TRAIL RESURFACING
OWNERSHIP AFFIDAVIT
STATE. OP CALIFORNIA
)
COUNTY OF ORANGE
) SS:
CITY OF S0440POOirtr
Perris )
Teff Nelson , being duly sworn, deposes and says:
❑ INDIVIDUAL
That he/she is the party making the foregoing proposal: ,,,,.•"
❑ PARTNERSHIP
That he/she is a member of the co -partnership firm designated
and who has been and is duly vest the authority to make and execute instruments
for the co -partnership by: „,11-'
avh6 constitute the other members of the co -partnership.
CORPORATION
That he is of'.
NPG, Inc.
a corporation which is making the foregoing proposal:
❑ JOINT VENTURE
That he is of:
one of die parties making the fc
been mid is duty vested with the
parties making said bid wllo are
,oeaal ii; a joint venture, and the he/she has
execute instruments for an an behalf of the
that such a bid is genuine and not collusive or sham, and has not in any manner sought by
collusig to secure any addvar��against the City of Santa Ana or any person interested in the
propg e contraj�va
t, for hir f or any other person.
Jeff Nelson, President
Subscribed and sworn to before me this
of
Signature of officer Administering Oath (NKary Public)
P-7 of P-17
co
Jurat
A notary public or other officer completing this
State of California cei'tfcate vedfles only the identity of the
individual who signed the docurnent to which this
County of Riverside SS certificate is attached„ and not the truthfulness,
accuracy', or vandity of that document
Subscribed and sworn to (or affirmed) before me on this '�V day ofSDC )4- 01Uq , by
Day Month Year
to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
WITNESS my hand and official seal.
Normy Prrhda SYgrunrrra—Cnro]Mnr le Slmre
CAROL MARIE STONE
Notary Public • California
=� ajb'.,#hfgg,;1p,,C�9unty
z Commission # 2154181
��M Comm. Ez wires Mav 22, 2020
proved
CITY OF SANTA ANA BOND #N/A
PROPOSAL PREMIUM: NIL
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
C � Ceti
KNOW ALL PRESENT that,
MPG, INC. _ , as BIDDER, and
DEVELOPERS SURETY AND INDEMNITY 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 ($� 10� ), which is ten percent (10%)
of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of
which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these
presents.
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 �lfal s, and seal this
30TH day of AUGUST 12016, / 1
BIDDER*
NPG, INC. BY:
1354 JET WAY
PERRIS, CA 92572 ffS. elsonPresident
SURETY*
DEVELOPERS SURETY AND INDEMNITY COMPANY BY:1 / _
500 S. KRAEMER BLVD., SUITE 300 CHARLES . FLAKE, ATTORNEY-IN-FACT
BREA, CA 92821 _
(714) 784=5660
Subscribed and sworn to before me _ this day of
20
Signature:
Notary Public in and for the County of , State of
* Provide BIDDER/ SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
AUTHORIZED REPRESENTATIVE:
CULBERTSON INSURANCE SERVICES, INC.
5500 E. SANTA ANA CANYON RD., SUITE 201
ANAHEIM, CA 92807
(714) 921-0530
CHARLES L. FLAKE, PRESIDENT
P-8 of P-17
Jurat
A notary public or ether officer completing this
State of California certificate venlles only the identity of the
individual Who signed the document to which this
Comity of Riverside SS certificate is attached, and not the truthfulness,
accuracv, or validity of that document.
Subscribed and sworn to (or affirmed) before me on this 3 ��day of x-')� .2DA by
Day Month Year
to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
WITNESS my hand and official seal.
R
Notm y RiAdc S�bnramre—Cnrol Mmie Stwre
For: �A � ac fA
CAROL MARIE STONE
Notary Public • California
Q'My
Riverside Countyz"'jGo�lssloe.*r2154181
Comm. Ep ires May 22. 2020
proved
CALIFORNIA JURAT WITH AFFIANT STATEMENT
Cid See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1
State of California
County of ORANGE
1..,+ti.n..,�.r'v_n..A..n..q...n..h..Ja.h..+y..,M1..ry,
L.EXIE SHERWOOD lP
ee •.4y,;,:, COMM. # 2031782
NOTARY PUBLIC -CALIFORNIA 0j
ORANGE COUNTY
Comm. Exp. JULY 27, 2017
Signature of Document Signer No. 2 (If any)
Subscribed and sworn to (or affirmed) before me on this
30TH day of AUGUST _'2016 by
Data Month Year
(1) CHARLES L. FLAKE
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.) (,)
(and
(2)
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person whoappeared bef re me.)
Signature I�cGUDa
Signal re of Notary Public
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law, it may prove _
valuable to persons relying on the document and could prevent WON
fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here
Further Description of Any Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signers) Other Than Named Above:
02007 National Notary Association, 9350 De Soto Ave., P.O. Box 2402• ChlUavorth, CA 9131&2402•w NationalNotaryoig Item85910 Reorder: Call Toll -Free 1-800-876-6827
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINF. CA92623 (649) 263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
'""Jan Moran, David L, Culbertson, Charles L. Flake,. Richard A. Coon, Lexie Sherwood, Spencer Flake, jointly or severally"*
as their true and lawful Attornoy(s)-iro Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of surety.
ship gluing and granting unto sold Aftorney(s)-inFact full power and authority to do and to perform every act necessary, requisite or proper to be done In connection therewith as each of
said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attomey(s)-in-Fact, pursuant to mese presents,
are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008.
RESOLVED, that a combination of any wo of the Chairman of the Board, the President, Executive Vice -President, Senior Vice-Prosident or any Vice President of the
corporations be, and that each M them hereby is, authorized to execute this Power of Attorney, qualifying the aQomey(s) named In the Power of Attorney to execute, on behalf of the
corporations, bonds, underakings and contracts of suretyship; and that the Secretary or any Assistant Schooley of either of the corporations bo, and each of mem hereby is, authorized
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers maybe affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such
Power of Attorney or cenlfcate bearing such faoslasts signatures shall be valid and binding conn the. corporations when so affixed and in the future with respect to any hoed, undertaking
or contract ofsuretyship to which It is attached.'
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
(heir faspactivs off cars and attested by their respective Secretary or Assistant Secretary [[its November 21, 2013.
By GT✓la!/, OZC __ ,,,;�Kt„sNoi,1o�n� r0cfno,
pANvg
paniel Young,Sen//tor Vice-Praeidont s 46"(6.6p0Ag1',,.dA -11
OOT h;c
By: !!���="'-"...... ____.__°u' t i A 3 8 - Mark J. Lansdon Vice -President syi%,sq"�'x -
State of California ..01.,e'
Comity of Orange
On ____.........__Navembar2l 2013._., .........,_ before me,__ ............. ......... ......_,__ Atltonio Alyarade Notary
Data Here Insert Name and Title of the Officer
personally appeared Daniel Young and Mark J. Lansdon
Names) of Signore)
who proved to me on the basis of satisfactory evidence to be file persons) whose namo(s) islare aubscrihed to
_ the within instrument and acknowledged to me that hefOurtihey executed the same 61 hlslherhimirsurnmized
depoclry(iea), and that by hiamerlthelr signature(s) on the Instrument the personte), or the entity upon behalf of
ANTONIOALVARADO which the persons) acted, executed the Instrument.
comm. # 2td33.a certify under PENALTY OF PERJURY under the laws aftha Stale of California that the foregoing Paragraph is
all1'8WNtlfil;IC CAilPolil + true and correct.
(�hNt C,C)I,INYY
..ppf1 pgyLronxri. explre»Aug. 3017
al WITNESS my hand and official seal.
Place Notary Seal Above Signature
Antonio Alvarado, Notary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
cedffy that the foregoing Power ofAttorney remains In full Tome and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards cr0irisques of
said corporations set forth In the Power ofAttorney am in force as of the date of this Corrode -
This Certificate is executed in the City of Irvine, California. this 3 0th day of August , 2016, -
Cassis d Borrisfore; Assistant Secretary
.IO.7380{Rev.11113)
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIDE TRAIL RESURFACING
LIST OF SUB -CONTRACTORS
Section 4100 et, seq. of the Public Contract Code requires listing of all subcontractors with the bid for all
subcontract work exceeding the following amount:
o Streets, highways including bridge projects: Ya% of the bid or $10,000, whichever is greater
o Buildings, parks, or other prgj ects: '/2% of the bid
Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State
Department of Industrial Relations (DIR).
BIDDER proposes to subcontract certain portions of the work to the firms listed below:
Name All American Asphalt
License #/Exp,
267073,2/28/17
DIR Reg.#/Exp.
1000001051,6/30/17
Location
Corona, CA
Phone (951) 736-7600
Phone (909)884-7170
Type Of Work
Slurry Seal
Amount$
$13,972.00
Name _
License #/Exp.
DTR Reg. #/Exp.
License
Location.
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License # _
Location
Phone
Type Ul' lYgrk
Amount $/
of Bidder Jeff Nelson, President
Name Cal Stripe
License #./Exp.
685387.1/31/18
DIR Reg.#/Exp.
1000001100,6/30/17
Location
Colton, CA
Phone (909)884-7170
Type Of Work
Striping
Amount $
_
Dependant on Alternate Selected
1: $ 7,000.00
Name
2 $ 10,000.00
License #/Exp.
DIR Reg. #/Exp.
License #
Location
Phone
Type Of Work
Amount $
Name
License
DIR Reg, #/Exp.
License #
Location
Phone
Type Of Work
Amount $
P-9 of P-17
CITY OF SANTA ANA
PROPOSAL,
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
REFERENCES
The following are the names, addresses, and telephone numbers for THREE public agencies for
which the BIDDER has performed similar work within the past three years.
County of San Diego, Parks & Rec, 4477 Pacific Coast Hwy, San Diego, CA 92110
Name and Address of Owner.
Casey Wear, (619) 688-3336
Name and Telephone Number of person familiar with project.
$47,680.00 State Beach Parking Lot 7/25/16
Contract Amount Type of Work Date Completed
2. City of San Bernardino, 234 S. Mountain View, San Bernardino, CA 92418
Name and Address of owner.
Ed Kelley, (909) 384-504
Name and Telephone Nun
$166,962.75
Contract Amount
person
ect.
On Call Street Repair 7/18/16
Type of Work Date Completed
3, County of Riverside, 3133 Mission Inn Ave, Riverside, CA 92507
Name and Address of owner.
Gregory Claflin,(951) 955-7988
Name and Telephone Number of person familiar with project.
$ 79,900.00 Road Repairs 6/22/16
Contract Amount Type of Work
Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds.
Developers Surety & Indemnity Company of California, (949)263-3300
17771 Cowan Ave, #100, Irvine, CA 92614
Culbertson Insurance Services, (714)921-0530
5500 E. Santa Ana Canyon Road, #201, Anaheim, CA 92807
P-10 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.; 16-2667
SANTIAGO BIDE TRAIL RESURFACING
ADDITIONAL REFERENCES
The following are the names, addresses, mid telephone numbers for THREE public agencies for
which the BIDDER or Subcontractor has performed similar work in the past 5 years.
1. University of California, Riverside, 3401 Watkins Drive, Riverside, CA 92521
Name and Address of Owner.
Drew Hecht, (951) 990-8307
Name and Telephone Number of person familiar with project.
$99,057.47 Asphalt Repairs, Lot 21 7/28/16
Contract Amorrnt Type of Work Date Completed
2, Rancho California Water District, PO Box 9017, Temecula, CA 92589
Name and Address of owner.
Tim Carlisle, (951) 296-6900
Name and Telephone Number of person familiar with project.
340,303.75 Asphalt Repairs 3/18/14
Contract Amount Type of Work Date Completed
3, University of California, Irvine, 200 Public Services Blvd, Irvine, CA 92697
Name and Address of owner.
Rick Azavala,(949)824-0023
Name and Telephone Number of person familiar with project.
$95,800.00 Street Repairs 10/30/15
Contract Amount Type of Worlc
Date Completed
The following are the names, addresses, and telephone numbers of all brokers and srueties from
whom BIDDER intends to procure insurance and bonds.
Developers Surety & Indemnity Company of California, (949)263-3300
17771 Cowan Ave, #100, Irvine, CA 92614
Culbertson Insurance Services, (714)921-0530
5500 E. Santa Ana Canyon Road, #201, Anaheim, CA 92807
P-11 of P-17
L IpColo
..
ASPHALT
2016 Public Works References
County of San Diego, Parks & Recreation
Contact:
Casey Wear
4477 Pacific Coast Highway
Start:
04/01/16
San Diego, CA 92110
Finish:
07/25/16
(619) 688-3336
Amount:
$ 47,680.00
Project: Cardiff State Beach
City of San Bernardino
Contact:
Ed Kelley
234 S. Mt. View
Start:
09/29/15
San Bernardino, CA 92418
Finish:
07/18/16
(909) 384-5045
Amount:
$ 166,962.75
Project: On Call Street Repairs
University of California, Riverside
Contact:
Drew Hecht
3401 Watkins Drive
Start:
06/09/16
Riverside, CA 92521
Finish:
07/28/15
(951) 990-83007
Amount:
$ 99,057.47
Project: Lot 21 Repairs
Rancho California Water District
Contact:
Tim Carlisle
PO Box 9017
Start:
02/24/16
Temecula, CA 92589
Finish:
04/11/16
(951) 296-6900
Amount:
$ 8,185.00
Project: Washington Avenue Manholes
County of Riverside
Contact:
Gregory Claflin
3133 Mission Inn Ave
Start:
05/12/16
Riverside, CA 92507
Finish:
06/22/16
(951) 955-7988
Amount:
$ 79,900.00
Project: Ben Clark Training Center
2015 Public Works References
County of San Bernardino
Contact:
JessSaldana
825 E. V Street, #207
Start:
08/18/15
San Bernardino, CA 92415
Finish:
10/01/15
(909) 338-2140
Amount:
$ 271,149.00
Project: North Drive & SH 189, Crestline, CA
City of San Bernardino
Contact:
Ed Kelley
234 S. Mt. View
Start:
08/25/15
San Bernardino, CA 92418
Finish:
06/03/16
(909) 384-5045
Amount:
$ 372,223.27
Project: Cajon Blvd Street Improvements
University of California, Irvine
Contact:
Rick Azavala
200 Public Services Blvd
Start:
09/18/15
Irvine, CA 92697
Finish:
10/30/15
(949) 824-0023
Amount:
$ 95,800.00
Project: Anteater Drive Improvements
City of Lake Elsinore
Contact:
Miz Beltran
130 S. Main Street
Start:
10/22/15
Lake Elsinore, CA 92530
Finish:
02/09/16
(951) 674-3124
Amount:
$ 15,266.25
Project: Annual Crack Seal & Pothole Repairs
County of Riverside
Contact:
Joe Angelone
PO Box 1605
Start:
10/11/15
Riverside, CA 92502
Finish:
02/16/16
(951) 955-7989
Amount:
$ 49,700.48
Project: Eddie Dee Smith Senior Center
Improvement
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and
Public Contract Code Section 7106)
In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the
BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed
person, partnership, company, association, organization, or corporation; that the bid is genuine
and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited
any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded,
conspired, comlived or agreed with any BIDDER or anyone else to put in a shah bid, or that
anyone shall refrain frorn bidding; that the BIDDER has not in any manner, directly or indirectly,
sought by agreement, communication, or conference with anyone to fix the bid price of the
BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of
that of any other BIDDER, or to secure any advantage against the public body awarding the
contract of anyone interested in the proposed contract; that all statements contained in the bid are
tare; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price
or any breakdown thereof, or the contents thereof, or divulged information or data relative
thereto, or paid, and will not pay, any fee to any corporation, partnership, company association,
organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham
bid. /%
Note: The abo7 Nc -collusion Affidavit is part of the Proposal. Signing this Proposal
on the signatFe p9ttion thereof shall also constitute signature of this Non -collusion
Affidavit.�DD S are rtioned that making a false certification may subject the
certifier to rrm' ,1 yr euti n,
Signed
President
State of California
County of Riverside
Subscribed and sworn to (or affrrnned)
proved to
person(s) who appeared before nne
E on this day of
the basis of satisfactory
Notary Public Signature Notary Public Seal
P-12 of P-17
20_, by
evidence to be the
Jurat
A. notary public or other officer completing this
State of California certificate ver"riles only the ldenftty of the
individual who s[gned the document to which this
County of Riverside 3S certificate is attached, and not the truthfulness,
accuracv, or valldlty of that document-
---?%
) �l-da ofPVQO�� as\S, by
Subscribed and sworn to or affirmed before me on this y
Day Montle Year
to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
WITNESS my hand and official seal.
Nmmy Pu6Ne Signa/ure —Cmol Admie Slnna
For: NM-- l mlu,5,kOy-)
CMARIE STONE -1
NotaryaryPublic • California
I%FM
Riverside CountyC aj�q,�n9� 2154181
oda T,i[resMa 22,2020
proved
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
NON-DISCRIMINATION CERTIFICATE
The undersigned contractor or corporate officer, during the performance of this contract, certifies
as follows:
The Contractor shall not discriminate against any employee or applicant for employrnent
because of race, color, religion, sex, or national origin. The Contractor shalt take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment without, regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to, the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The Contractor
agrees to post in conspicuous places, available to employees and applicants for employment,
notices to be provided setting forth the provisions of this nondiscrimination clause.
2. The Contractor shall, in all solicitations or advertisements for employees placed by or on
behalf of the Contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, or national origin.
3. The Contractor shall send to each labor union or representative of workers with which he/she
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor union or workers' representatives of the Contractor's
commitments under this section, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
5. The Contractor shall furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his/her books, records, and, accounts by the
administering agency and the Secretary of Labor for purposes of investigation, to ascertain
compliance with such rules, regulations, and orders.
6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, the contract may be canceled,
terminated, or, suspended in whole or in part and the Contractor may be declared ineligible
for fo ther Government contracts or federally assisted construction contracts in accordance
with procedures authorized in Execution Order 11246 of September 24, 1965, and such other
sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of
September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as
otherwise provided by law.
P-13 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 162667
SANTIAGO BIDE TRAIL RESURFACING
The Contractor shall include the portion of the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (7) in every subcontract or purchase order
unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to
Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be
binding upon each subcontract or purchase order as the administering agency may direct as
means of enforcing such provisions, including sanctions for noncompliance; provided,
however, that in the event the Contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction by the administering
agency, the Contractor may request that the United States enter into such litigation to protect
the interests of the United. States.
8. Pursuant to California Labor Code Section 1735, as added, by Chapter 643 Stats. 1939, and as
amended, no discrimination shall be made in the employment of persons upon public works
because of race, religious creed, color, national origin, ancestry, physical handicaps, mental
condition, marital yus, or sex of such persons, except as provided in Section 1420, and any
contractor of pu fiic orks violating this Section is subject to all the penalties imposed for a
violation cf thX ter,
Signed:
Title:
Finn: NPG, Inc.
Date: 8/31/16
P-14 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.; 16-2667
SANTIAGO BIKE TRAIL RESURFACING
STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS
The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor
Code regarding employment of apprentices, and understands that contractors on contracts
exceeding $30,000 or 20 working days shall:
Apply to the joint apprenticeship committee administering the apprenticeship standards of
the craft or trade in the area of the site of the public work for a certificate approving the
contractor under the apprenticeship standards for the employment and training of apprentices
in the area or industry affected.
2. Employ the number of apprentices or the ratio of apprentices to jomneymen stipulated in the
apprenticeship standards,
3. Contribute to the fund or fields in each craft or trade in which he/she employs journeymen or
apprentices on tft
lie work, in the same amount or upon the same basis and in the same
manner as the ontraetors, except contractors not signatory to the trust agreement shall
pay a Ince amoe ifornia Apprenticeship Council.
Signed: r
Title: Jeff Neson, President
Firm: NPG, Inc.
Date: 8/31/16
P-15 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIDE TRAIL RESURFACING
STATEMENT REGARDING "ANTI -KICKBACK" REQUIREMENTS
The undersigned is submitting this proposal for performing by contract the work required by
these bid documents, agrees to comply with the Copeland "Anti -Kickback" Act (18 USC 74) as
supplemented in the De ent of Labor regulations (29 CFR, Part 3), This act provides that
each contractor or sub on ctor shall be prohibited from inducing, by any means, any person
employed in the conyy5�� I ct' n or repair of public work, to give tip any part of the compensation to
which he/she is othrwis entitled.
Signed: I I z I -
Title: Jeff Nelson, President
Firm: NPG, Inc.
Date: 8/31/16
P-16 of P-17
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2667
SANTIAGO BIKE TRAIL RESURFACING
PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE
In conformance with Public Contract Code Section 10162, the BIDDER shall complete,
under penalty of perjury, the following questionnaire:
Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a
proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented
from bidding on, or completing a federal, state, or local govenmlent project because of a
violation of law or a safety regulation?
Yes No V
If the answer is yes, explain the circumstances in the following space.
P-17 of P-17
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Vicente Sarmonm
COUNCILMEMBERS
Angelica Amazcua
P. David Benavides
Michele Martinez
Roman Reyna
Sal Tinaf ero
August 29, 2016
CITY OF SANTA ANA
20 Civic Center Plaza • P.O. Box 1988 M-36
Santa Ana, California. 92702
(714)847-6013
www.Slja ana.org
ADDENDUM ONE
SUBJECT: PROJECT NO. 16-2667: SANTIAGO BIKE TRAIL RESURFACING
CITY MANAGER
David Cavazos
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Hulzar
The following changes/clarifications have been made to the specifications of the subject project:
1. 7-12 ADVERTISING
Page 155; 3RD Paragraph
Payment for project signs shall be included in other items of work involved and no additional
payment shall be allowed therefore.
REPLACE WITH:
Payment for project signs shall be at the contract unit price in Bid Item No. 5.
2. DEFINITION OF BID ITEMS
Page 1 of 3, Bid Item No. 3- Asphalt Concrete (AC) Pavement
Payment for Asphalt Concrete shall be at the contract unit price bid per extra long ton listed
in the Bid Proposal, and shall include full compensation for doing all work, including
furnishing all materials, labor, equipment, tools and incidentals as required and no additional
compensation will be allowed therefore.
1 74awT604TIT 11110
Payment for Asphalt Concrete shall be at the contract unit price bid per ton listed in the Bid
Proposal, and shall include full compensation for doing all work, including furnishing all
materials, labor, equipment, tools and incidentals as required and no additional
compensation will be allowed therefore.
1 of 3
SANTA ANA CITY COUNCIL
Miguel A. Pulido Vicente &I m wto MicheleAngelica Amauao P David Gena ides Renwn Reyna Sal Is.".
t Mayor Pro Tem Wardi we'd � � WaId3 I Y2rda I Naedh I WardG
m uu Itdn(asanta m wQg t vseYmlar o}.IS . AdiiR j$_°� =_X j ,4a A.LS'� lJ�'6 {II?ynPgyf (A .f 1A. ;.um. +*.evnaf' vxaurs;.a'.T Stlaniero(iuSpntnagm,411
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Vicente Sarmiento
COUNCILMEMSERS
Angelica Amezcua
P. David Benavidea
Michele Martinez
Roman Reyna
Sal Tlnalaro
CITY OF SAMA ANA
20 Civic Center Plaza e P.O. Box 1988 M-36
Santa Ana, California 92702
(714)64"7.5013
AW—W SA
CITY MANAGER
David Cavazos
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Marla D. Huizar
DEFINITION OF BID ITEMS
Page 2 of 3, Bid Item No. 4 -- Emulsion -Aggregate Slurry (Type II -CSS -1h -EAS)
Payment for Emulsion -Aggregate Slurry (Type 11 -CSS -1 h -EAS), shall be at the contract unit
price bid per ton listed in the Bid Proposal, and shall include full compensation for doing all
work, including furnishing all materials, labor, equipment, tools, and incidentals as required
and no additional compensation will be allowed therefore.
REPLACE WITH:
Payment for Emulsion -Aggregate Slurry (Type II -CSS -1 h -EAS), shalt be at the contract unit
price bid per extra long ton listed in the Bid Proposal, and shall include full compensation for
doing all work, including furnishing all materials, labor, equipment, tools, and incidentals as
required and no additional compensation will be allowed therefore,
4. DEFINITION OF BID ITEMS
Page 2 of 3, Bid item No. 7 — Crack Sealing
Payment for Crack Sealing shall be at the contract lump sum bid listed in the Bid Proposal,
and shall include full compensation for furnishing all materials, labor, equipment, tools, and
Incidentals as required and no additional compensation will be allowed therefore.
REPLACE WITH:
Payment for Crack Sealing shall be at the contract lump sum unit price bid linear feet listed
in the Bid Proposal, and shall include full compensation for furnishing all materials, labor,
equipment, tools, and incidentals as required and no additional compensation will be
allowed therefore.
Page 2 of 3, Bid Item No. 8 — Signing & Striping (Oil Based Paint)
Payment for Signing & Striping with oil base paint shall be at the contract lump sum bid
listed in the Bid Proposal, and shall include full compensation for furnishing all materials,
labor, equipment, tools, disposal of all removed materials, and incidentals as required and
no additional compensation will be allowed therefore.
2 of
SANTA ANA CITY COUNCIL
Miguel A Polido viwnlea.m [. WholeM14dtlrr.+s Mgellea Amesua P. OoNd Uo,,.hrs Romen Reyna Sal nnapro
Mayor Maya,P Tem.Werd9 WSM2 Wale Ward4 ftmS I Ward6
mpuli,sen vze,mlunrorasarvh5-aaae ',rtYax nnxaara ore aamezr,m tlCenavldez
___._ zzn a-3 I rrek: zanta..}!ia.o,R i stlg,der Wa,dte-ana.gy
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Vicente sarmiento
COUNCILMEMBERS
Angelica Ammon
P. Daviel Benavides
Michele Martinez
Roman Reyna
Sal Tinaiero
REPLACE WITH:
C171 -"T -'OF SANTA ANA
20 Civic Center Plaza ® P.O. Bax 1988 M-36
Santa Ana, California 92702
(714)647-5013
VAAian41-ana.0r9
Page 2 of 3, Bid Item No. 8 -- Signing & Striping (Water Based Paint)
CITY MANAGER
David Cavazos
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Marla D, Hulzar
Payment for Signing & Striping with water base paint shall be at the contract lump sum bid
listed in the Bid Proposal, and shall include full compensation for furnishing all materials,
labor, equipment, tools, disposal of all removed materials, and incidentals as required and
no additional compensation will be allowed therefore.
ATTACHEMENTS,
Bid Proposal — 3 pages (P-1 to P-3 of P-17)
Mandatory Job Walk attending sheet —1 page
FOR THE CITY OF SANTA ANA
}.
f d—w-7tr iIIiam ez, P. E.
City Engineer
3of3
Sal Tina)ern
'Nord 6
3lkmfCPA5GJ4Pnid Ynn.om
I
SANTA ANA CITY COUNCIL
Mpol A.P raha
Vhovz,W savwwta
Michele Vdao`aa
Angelica Amevsua l P. David RenaWdasl
Roman Reyna
May.,
NAyW Pier Tgm, Ward t
Word 2
Werd 3 Wn,d 4
Wel rd s
�PYLdo sunt'. p�-Szssrn»irm¢u£6sahrvx
my
m' Somoom'Lg, ^3 °�sR
nmecunRJsa Raa�;.og {Ibanaridn3RSsnmpanx cwrz
I I
n
!�]�xtln 401
\
\
\
§
-
`
J
fA»
3
9
:>2
°
�
\
�
}
/
\
(
/
`
6
z
\
f
/�<
$
^
\
«
\
\
\
§
`�.�°"� CERTIFICATE OF LIABILITY INSURANCE
DATE
iINSR McII
/121201YY)
01/12/2015 '
RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
F93,ELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
ENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
ANT; If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
e holder in lie
Crosby Insurance, Inc
8181 E. Kaiser Blvd
Anaheim H
Hills, CA 92808
John Sheffield
CONT
NAMEACT John Sheffield
PHONE
714-221-5255
(AIC Na Extl' No No714-221-5210
_
DRE
D
ASS: ADDRESS
_
cusTOMERIon NPGCO-J
INSURER(S) AFFORDING COVERAGE NgICd
INSURERA:lronshore Special Ins Co
_
INSURED &GraNPG, Inc., aka: Nelson Paving
Produdi g, Goldstar Asphalt cts
INSURER R: General Ins Co of America
INSURER C: Liberty Ins Underwriters
P.O. Box 1515
INSURER D:ICW Group
Perris, CA 92572
INSURER E : F
PERSONALBApV INJURY
INSURER F:
--
a.�rt i Irw,v I t rvunl rstrc: REVISION NUMBER:
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 RFFN RI'm lcFn nY PAIn cl Alnnc
!LTR
TYPE OF INSURANCE
iINSR McII
POLICY NUMBER
POLICY Err
F MMIDD/YYY
POLICY EXP
MMIODIYYYY
LIMITS
A
G ENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
II
!CLAIMS -MAGE J. jOCCUR
—,,
I
IAGS0058702
11/15/2015111/15/2016
!EACH OCCURRENCE
5 1,000,000
RNTED
DAMAGE T%.E
PREMISES occurrence
$ 50,000
MED EXP (Any one person)
$ $,OOO
PERSONALBApV INJURY
S 1,000,000
--
GENERAL AGGREGATE
s 2,000,00
- ..
GEML AGGREGATE LIMIT APPLIES PER:
Ra- LOU
POLICV R PIFC
AUTOMOBILE LIABILITY
I x I ANY AUTO
ALL OWNED Autos
_ SCHEDULED AUTOS
X HIRED AUTOS
NON -OWNED AUTOS
;_X Hired Phys Darn
UMBRELLA LIAR L� OCCUR
X EXCESS LIAR
_X CLAIMS -MADE!
—I
B(Ea
I
.,
I
I
j
I 1
1100002437206
24 -CC -206754-9
(INCL PHYSICAL DAMAGE
$50,000 MAXIMUM LIMIT
F 11/15/2015.
F
I
N115/2015
I
11/15/2016
I
11/1512016.
LPRODUCTs- COMP/OP AGO
$ 2,000,000
I COMBINED SINGLE LIMIT
accident)
$
$ 1,000,000
I BODILY INJURY(P., person)
_
3
BO0I LYINUURY(Par accideni)I
I
$
PROPERTYDAMAGE
(PER ACCIDENT)
3
Comprehensive
15 $1,000 de
FCollision
EACH OCCURRENCE
-
$ $1,000 de
$ 5,000,00
AGGREGATE
$ 5,000,000
__.
I
FDEDUCTIBLE
RETENTION
5
(EQUIPMENT
iFROM
WORKERS PLOYERCOMPENSATION I
YIN I
AND ROPRIEERS'LIRTNEFY
ANY PROPRIETORI EXCLUDED'
O Mandatory in km EXCLUDED? ❑ ,NIA
(MantlatoryinNH) I
If yes, describe under
DESCRIPTION OFOPERATIONS below
RENTED
OTHERS
I
WVE5028828 01
24 -CC -103652-1
01(01/2016101/01/201]IF
11/15/201511
I—
FEL
it 15120161
IDed
X I WCSTATU- 0TH-'
TQ YLIMITG. ER
EACH ACCIDENT
_EL DISEASE - Eq EMPLOYEE
_
$ 1,000,00
$ 1,000,00
_
DISEASE -POLICY LIMIT 3 1,000,000
Limit 500,000
1,000
ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
If cancelled for non-payment of premium only 10 days notice will be given,
reyqired by written contract, Additional Insured (General and Auto
lability) Primary and Non -Contributing (General Liability) and Waiver of
ubro aiion (General and Auto Liability and Workers Compensation) can apply.
ew t',�o nstruction exclusion apply. Excess Policyfollows Orm.
CERTIFICATE HOLDER CANCELLATION
FORINFO
For Information Purposes Only
-specific certificates can be
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Issued upon request-
AUTHORIZED REPRESENTATIVE
J.%
C0 1988-2009 ACORD CORPORATION. All rights reserved.
CORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
®
¢
c
N
O
\m�m
V
•. i
F•
CF
I'H•
O•
m
OT
N
`VT
C)
W
9
Qi•
�+
m
r
c
o
o
m
�
o
O
d J
0
Q
m
x
w
9.
N
/q
o
VI
•
J
Q
Cn
m
BOND 11380800P
CITY OF SANTA ANA PREMIUM $1,329
BONDS
PROJECT NO.: 16-2667
SANTIAGO BIKE RESURFACING
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS that NPG, INC.
as CONTRACTOR, and DEVELOPERS SURETY AND INDEMNITY COMPANY
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of
SIXTY SIX THOUSAND FOUR HUNDRED SEVENTY-TWO AND NO/100 Dollars
($ 66, 472.00 ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
NOVEMBER 15. 2016 for PROJECT NO. 16-2667; SANTIAGO BIKE RESURFACING ,
if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work
of Improvement to be done under said Contract Agreement in the manner and time specified
therein, then this obligation shall be null and void, otherwise it shall remain in full force and
effect in favor of AGENCY; provided that any alterations in the obligations or time for
completion made pursuant to the terms of the contract documents shall not in any way release
either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by
SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles an#s, and seal this
17TH day of
CONTRACTOR*
SURETY*
NOVEMBER 12016
PERRIS, CA 92572 (951) 940-0200
Subscribed and swom to before me,
20
Signature:
this day of
Notary Public in and for the County of State of ,
Rate of premium on this bond is $ 20.00 per thousand.
Total amount of premium charge is $ 1,329 . To be filled in by Surety
*Provide CONTRACTOR I ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
AUTHORIZED REPRESENTATIVE:
CULBERTSON INSURANCE SERVICES, INC.
5500 E. SANTA ANA CANYON RD., #201
ANAHEIM, CA 92807 (714) 921-0530
SPENCER FLAKE, VICE PRESIDENT
I of 3
FACT
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
STATE OF California )SS certificate is attached, and not the truthfulness,
COUNTY OF Riverside ) accuracy, or validity of that document.
On 12/7/16 before me, Carol Marie Stone , Notary Public, personally appeared
who proved to me on the basis of satisfactory evidence to be the persons) whose names) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/the r authorized capacity()es} and that
by his/-her/their signature(&) on the instrument the person{&), or the entity upon behalf of which the person(O acted,
executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal CAROL MARIE STONE
•r
Notary Public • California
Signature/ i Riverside County ZZ
Carol Marie Stone * Notary Public z Commission # 2154181
My Comm. Expires May 22, 2020
This area for official notarial seal.
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons relying o he
documents.
0 INDIVIDUAL
0 CORPORATE OFFICER(S) TITLE(S)
0 PARTNER(S) ❑ LIMITED ENERAL
0 ATTORNEY-IN-FACT
0 TRUSTEE(S)
L GUARDIAN/CO
OR
0 OTHE- ger
SIGNER 1S REPRESENTING:
Name of Person or Entity Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW
TITLE OR TYPE OF DOCUMENT: City of Santa Ana Contract for Santiago Bike Trail, Performance Bond
NUMBER OF PAGES N/A DATE OF DOCUMENT N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/A
CALIFORNIA JURAT WITH AFFIANT STATEMENT
LM See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1
State of California
County of ORANGE
LEXIES EH RWOOD
v _3'.?•. COMM. ff 2031782
(D o"" . NOTARY PUBLIC ®CALIFORNIA ORA ECOUNTY n
Comm. Exp. JULY 27, 2017
v
Signature of Document Signer No. 2 (if any)
Subscribed and sworn to (or affirmed) before me on this
17TH day of NOVEMBER 20 16 , by
Date Month Year
(1) SPENCER FLAKE
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.) (,)
(and
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signature l �i LGty-egeeC
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law, it may prove
valuable to persons relying on the document and could prevent M.
.13,
fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here
Further Description of Any Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
02007 National Notary Association, 9350 De Soto Ave., P.O. Box 2402 •Chatsvmft. CA 91313-2402• w .NationalNotary.org Item #5910 Reorder: Call Toll -Free 1.800.8766827
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 18725, IRVINE, CA 92623, (949) 263-3306
KNOWALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoinC
"'Jan Moran, David I Culbertson, Charles I Flake,, Richard A. Coon, Lexie Sherwood, Spencer Flake, jointly or severally`*'
as their true and lawful Aftomey(s)-inPact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of surety-
ship gluing and granting unto said Ahorney(s}in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as each of
said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the alas of said ARomey(shin-Fact, pursuant to mese presents,
are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the fallowing resolutions adapted by the respective Boards of Effectors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, agentive as of January 1st, 2008,
RESOLVED that a combination of ally Me of the Chairman of the Board, the President. Executive Vice Prasiden4 Senior Vice -President or any Vice President of the
corporations be, and that each of them hereby is, authorized to execute this Power ofAttamoy, qualifying the altemoy(s) named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized
to affect the execution of any such Power of Attorney; -
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any cafficale marling thereto by facsimile, and any such
Power of Attorney or conifrste, bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURELY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA [lava severally caused these presents to be signed by
their respective officers and attested by their respective Saoratary orAseistent Secretary this November 21, 2013.
Also u,.
By ANp
Ado " roof,
1,
g ant ye SJR,"OdLrl of �iy UwOTBy_._._10 Tbh
Mad; J. Lansdon, Vice•President �o°•.+. ti
State of California
County of Orange
Dn—____ Novamber2l 2013 , before me, __, -_.. _..,.,,.,,.,. Arftonio_Alvaiado NQtaary Public__,___ .....__. _.._ -
Date Here inset Name and Title of the Officer
personally appeared �- Daniel Yougg and Nark J. Lansdon
Name(e) of Signer(s)
who proved to one on the basis of satisfactory evidence to be the peraoo(s) whose name(s) islare subscribed to
the within instrument and acknowledged to me that he/sheAhoy executed the same In hislherltheir authorized
oapacity(ios), and that by hisrhorlihair signatures) on the instrument the porson(s), or the entity open behalf of
AN�yT�ONIO ALWMhARADO which the sardonic) acted, executed the instrument
5� W Lf. # GMFO i certify under PENALTY OF PERJURY under the laws chins State of California that no foregahg paragraph Is
�.YiARVHUEt{�I(%C,AUFISI$N9A
CRAN09COUNVY hue and carmct. -^^r,,
GPJ7xmm�,sxoomA Bk$,MNIr 11
WITNESS my hand and official seal.
Place Notary Seal Above Signature
Antonio Alvarado, Notary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
codify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards or Directors of
said wrporah'cns set forth in the Power of Atfornoy aro in force as cf the date of this Certificate. -
This Certlfiwle is executed in the City of [Nino, California, this 17th dayof November, 2015 -
By bar-y'i.(r_ _ .................__— " `�"^��-'
Cassle,l. Borrisfor distant Secretary
.IE,13001Rev.11l73)
CITY OF SANTA ANA
BONDS
PROJECT NO.: 16-2667
SANTIAGO BIKE RESURFACING
PAYMENT BOND
BOND 11380800P
PREMIUM: INCLUDED
IN PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS that NPG, INC.
as CONTRACTOR, and DEVELOPERS SURETY AND INDEMNITY COMPANY
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business wider the laws of the State of California, as SURETY, are held and firmly bound wrto
the City of Santa Ana, as AGENCY, in the penal sum of
SIXTY SIX THOUSAND FOUR HUNDRED SEVENTY-TWO AND NO/100 Dollars
($ 66, 472.00 ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
NOVEMBER 15, 2016 for PROJECT NO. 16-2667• SANTIAGO BIKE RESURFACING
if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in
the performance of the Work of Improvement to be done under said Contract Agreement, or fails
to submit amounts due under the State Unemployment Insurance Act with respect to said labor,
SURETY will pay for the same in an amount not exceeding the sum set forth above, which
amount shall insure to the benefit of all persons entitled to file claims under the State Code of
Civil Procedures; provided that any alterations in the work to be done, materials to be furnished,
or time for completion made pursuant to the terms of the contract documents shall not in any
way release either CONTRACTOR or SURETY, and notice of said alterations is hereby waived
by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hand and seal this
17TH day of NOVEMBER _'2016
CONTRACTOR*
SURETY*
1354 JET WAY
PERRIS, CA 92572
INDEMNITY COMPANY
S. KRAEMER BLVD., 11300 BY:
IN -FACT
Subscribed and sworn to before me,
20
Signature:
Notary Public in and for the County of
State of
this day of
Rate of premium on this bond is $ 20.00 per thousand.
Total amount of premium charge is $ 1,329 . To be filled in by Surety
*Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative
AUTHORIZED REPRESENTATIVE: CULBERTSON INSURANCE SERVICES, INC.
5500 E. SANTA ANA CANYON RD., 11201, ANAHEIM, CA 92807, (714) 921-0530
SPENCER FLAKE, VICE PRESIDENT
2of3
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
STATE OF California )SS certificate is attached, and not the truthfulness,
COUNTY OF Riverside ) accuracy, or validity of that document.
On 12/7/16 before me, Carol Marie Stone , Notary Public, personally appeared
who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) Ware subscribed to the within
instrument and acknowledged to me that he/shy executed the same in hisf4erAker authorized capacity(-ies , and that
by his/hpr4" signatures) on the instrument the person(o, or the entity upon behalf of which the person(s) acted,
executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the
foregoing paragraph is true and correct.
WITNESS my handnd official seal.
Signature
Caro Marie Stone * Notary Public
CAROL MARIE STONE
Notary Public - California
" i - Riverside County Z
Z Commission # 2154181
My Comm. Expires May 22, 2020
This area for official notarial seal
OPTIONAL SECTION
CAPACITY CLAIMED BY SIGNER
Though statute does not require the Notary to fill in the data below, doing so may prove invaluable to persons
documents.
0 INDIVIDUAL
CORPORATE OFFICER(S) TITLE(S)
PARTNER(S) ❑ LIMITED
ATTORNEY-IN-FACT
TRUSTEE(S)
GUARDIAN/CONSERVATOR
OTHER Manager
SIGNER IS REPR NTING:
Name of Person or Entity
Name of Person or Entity
OPTIONAL SECTION
Though the data requested here is not required by law, it could prevent fraudulent reattachment of this form.
THIS CERTIFICATE MUST BE ATTACHED TO THE DOCUMENT DESCRIBED BELOW
TITLE OR TYPE OF DOCUMENT: City of Santa Ana Contract for Santiago Bike Trail, Payment Bond
NUMBER OF PAGES N/A DATE OF DOCUMENT N/A
SIGNER(S) OTHER THAN NAMED ABOVE N/A
CALIFORNIA JURAT WITH AFFIANT STATEMENT
[I See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1
State of California
County of ORANGE
m
fDS
U •, 1wr' -1782 E
0 .","a. ALIFORNIA G7
"�NTY 27, 2017
Signature of Document Signer No.2 (if any)
Subscribed and sworn to (or affirmed) before me on this
17TH day of NOVEMBER _20 16 , by
Data Month Year
(1) SPENCER FLARE
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me (.) (,)
(and
Name of Signer
proved to me on the basis of satisfactory evidence
to be the person who appeared before me.)
Signatures aL7�o�
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law, it may prove
valuable to persons relying on the document and could prevent We
fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here
Further Description of Any Attached Document
Title or Type of Document
Document Date: Number of Pages:
Signers) Other Than Named Above:
02007 National Notary Association• 9350 De Soto Ave., P.O. Box 2402 1 Chatsworth, CA 91313-2402• www.NationaiNotary.org Item #5910 Reorder: Call Toll -Free 1.800-876.6827
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINE, CA92523 (049) 263-3300
KNOW ALI. BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint.
"*"Jan Moran, David L. Culbertson, Charles L. Flake,_ Richard A, Coon, Lexie Sherwood, Spencer Flake, jointly or severally`*'
as their true and lawful Attomoy(d-ln-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts N surety
ship giving and granting unto said Adcansy(s)-in Fact full power and authority to do and to perforin every act necessary, requisite or proper to be done in connection therewith as each of
slid oorporatlons could do, but reserving to each of said corporations full power of subefitudon slid revocation, and all of the ants of sold ARorneY(a)an-Fact, pursuant to these presents,
are hereby ratified and confirmed.
This Power efAitorney Is grommed and is signed by facsimile under and by authority of the following resokdiona adapted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January let, 2008,
RESOLVED. that a combination of any two of the chairman of the Board, the President, Executive Vico-President, Senior Vice -President or any Vice President of the
corporafions be, and that each of them hereby Is, authorized M execute this Power of Attorney, qualifying the attomey(s) named in the Power ofAhorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations bo, and each of mem hereby is, authentr d
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such
Power of Attorney or cerllficate bearing such facsimile signatures shall be valid and b'mding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or Contrast of Swohollip to which ills attached.'
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary ot-Assishant Secretary (his November 21, 2013.
o�"KY hNby PANy
DAOlal Youn `Senior Vica-President . . .... " N�6`'"• bM OT
wz C10 Va,p „Za OGT.5 mOr
T
By !/....... _ :..... 4cy: 1990 ?pea' W 1867 e,
Mark J, Lansdon, Vice -President
State of California
County of Orange
On___.._...__Navemt,er212013,,,,.......... _ before Ile ._...... _........_....... ... Antonio Alvarado, „Notary Public_,__,
Dale Hero Insert Name and Title of the Officer
personally appeared Daniel Young and Mark J. Lansdon
Name(s) of Signer(s)
Place Notary Seal Above
who proved to me on the basis of satisfactory evidence to be the petson(s) whose re me(s) eare suldoehed to
the within Instrument and acknowledged to me that halshe/they executed the same in hisTerllholr authorized
uapaclty(ies), and that by his/horArnar sig vatim(s) on the instrument the perennial, or the entity upon behalf of
which the resents) acted, executed the instrument,
I carry under PENALTY OF PERJURY under the laws orthe State of California that the foregoing paragraph Is
true and correct,
WITNESS my hand and official seat64�
Signature
_ Antonio Alvarado, Notary Public
CERTIFICATE
The undersigned, as Someday, or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
codify that the foregoing Power ofAttomey remains in full force and has not been rowked and, furthermore, that the provisions of the resolutions of the respective Boards ofDirootord of
sold corporallons set drop in the Power of Attorney are in force as of the date of this Certiflcale,
This Cedificate, is executed in Iho City of Irvine, California, this 17th dayof November, 2016'
' Cassie,l. Barrister , sistanl Secretary
.ID,1300(Rov.11l13)
§%
.
=\g..
J
2=£®
j\\\\
%j/«....
§\/\
\oz
\ C14