HomeMy WebLinkAboutEXCEL PAVING COMPANY �?d
Recording Requested By,
And When Recorded Mail To:
Clerk of the Council,City of Santa Ana Recorded in Official Records, Orange County
20 Civic Center Plaza,P.O.Box 1988 Hugh Nguyen, Clerk-Recorder
Santa Ana,CA 92702 III II IIIII II �III IIII I IIIII I ICI NO FEE
* $111H�
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2017000506506 12:57 pm 11/22117
276 417 N12 1
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II
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NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a Nf
;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
p construction BISHOP-PACIFIC SHELTON BIKE BOULEVARDS under contract entered into
on NOVEMBER 15, 2016, with EXCEL PAVING COMPANY, on which contract FEDERAL
x INSURANCE COMPANY is surety. The property on which such work improvement was
o placed is in the City of Santa Ana, County of Orange, State of California, and described as
o z Project No. 15-6848 located at: BISHOPMLLITS ST. FROM RAITT ST. TO FLOWER ST.
Z02 w PACIFIC AVE. FROM MCFADDEN AVE. TO is ST., AND SHELTON ST. FROM
oMCFADDEN AVE TO 1 ST ST. The work improvement on said property was accepted as
v completed on NOVEMBE 8,_2017.
w0
c�
z C S T A,A MUNICIPAL CORPORATION
.. Q
by
O
w 0. Dated: j Principal Civil Engineer-Tyrone Chesanek
x
TITLE
-------------------------------------------------------------------------------------------
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; nd I declare under penalty of perjury that the facts therein stated are true.
Executed on ? � , at Santa Ana, California
(Signature of indi ual swearing that the
contents of Notice of Completion are true.)
® P"WA (a)
0M? kP V
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECT NO. 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
Exhibit 3
This CONSTRUCTION CONTRACT is made and entered into this 18'h day of October, 2016,
by and between the CITY OF SANTA ANA, CALIFORNIA, a charter city and municipal
corporation organized and existing under the Constitution and laws of the State of California,
hereinafter referred to as "CITY" and Excel Paving Conrpanv, hereinafter referred to as
"CONTRACTOR".
The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as
follows:
1. CONTRACTOR agrees to perform all the work acid furnish all the materials at its own cost
and expense necessary to construct and complete in a good and workmanlike manner and to
the satisfaction of the City Engineer of the CITY, the Bishop Pacific Shelton Bike Blvds
Project, hereinafter referred to as the "Work of Improvement" identified in and in accordance
with the Contract Documents prepared by the City's Public Works Agency and approved by
the City Council.
2. The complete Construction Contract consists of the "Contract Documents" as defined by the
Standard Specifications for Public Works Construction and which include the following:
• Notice Inviting Bids
• Information to Bidders
• Bid Proposal
• Bid Bond
• Contract Forni
• 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.
CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the
Work of Improvement the sum total amount not to exceed $876,111.00 — Eight Hundred
Seventy -Six Thousand One Hundred Eleven 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. 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on
approximate quantities only, and the City does not expressly or by implication agree that the
actual amount of work will correspond therewith, but reservos 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, fiunish 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. 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the
day and year first above written.
ATTEST:
74 �%
MRIP, D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHQ
City Attorney
4ief
andovalAssistant City Attorney
CITYOF SANTA ANA:
D VID CAVAZOS
City Manager
RECOMMENDED FOR APPROVAL:
Director, Public Works Agency
CONTRACTOR:
Page 3 of 3
(_4
C.P Brown
President
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed die document to
which this certificate is attached, and not the truthfulness, accuracy, or validity of that document
State of California
County of Los Angeles
On I `A, w— before me, A. Henderson, Notary Public Notary Public,
(Here insert name and fitle of the officer)
personally appeared C. P. Brown
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/ax subscribed to
the within instrument and acknowledged to me that he/sX/they executed the same in his/h*tlkr authorized
capacity(ies), and that by his/h)4/tlXr signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERI JRY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
A. A60&"" i
ignature of Notary Public
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages _ Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
1] Individual (s)
0 Corporate Officer
(Title)
❑ Partner(s)
Attorney -in -Fact
® Trustee(s)
❑ Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
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Impression must not cover text or lines. If seal impression smudges, me seal. if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
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Additional information is not required but could help to ensure this
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Indicate title or type of attached document, number of pages and date.
Y Indicate the capacity claimed by the signer. If the claimed capacity is a
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• Securely attach this document to the signed document
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A.HENOERSON
COMM. ii2170176Notary
%my
Public -California
LOS ANGELES COUNTY a
Comm. Expires Oct 31, 2020
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages _ Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
1] Individual (s)
0 Corporate Officer
(Title)
❑ Partner(s)
Attorney -in -Fact
® Trustee(s)
❑ Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. certifying the authorized capacity of the signer). Please check the
document carefully for proper notarial wording and attach this form if required.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signers) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his or her
commission followed by a comma and then yaw title (notary public).
• Print the name(s) of document signers) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/they;- is /ere ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clew and photographically reproducible.
Impression must not cover text or lines. If seal impression smudges, me seal. if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
Y Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e, CEO, CFO, Secretary).
• Securely attach this document to the signed document
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CITY OF SANTA ANA,
PRop6SAL
PROJECT N6,:,15-048 Exhibit A
919E BLVDS
SII PROPOSAL
M CITY COUNCIL Oa~ THS CITY OF SANTA ANA
FRW&
REQVIREMENT.,
The, undersigned bidder dwlares that they have. agrof4ily examined the looirtinn, ofthe proposed
entirety work, that they have examined the Contract Driouluents in. its und hereby proposes to
funtish all nuttonlal and do all the oiie xeqWreA.f0 complete the, said work in accordance, with
said. plans (ii" any) and. the speciflpollon& for the unit:prico(s) or lurnp. surri(41 set fbTffi in the
following schedule:
TOM
D.049ription
Qty
Unit
un'
Unit Price
Amount,
1
UpolAssified Enoavatioli*
CY
1,3 SGJ
1 or -)O.
2
AC Poveinent4
19
1,100,
$
lau
-4
Crushed W�i i e ns_B
TN
36
$
Coustriial FCC Sidewalk (T=47')*
Sr
t,000
$
$
5
Construct PUE Carb Ramp*
V
4,200
3
6
Construct PCC Driveway (T=6")*
310
q,114�
LF
300
.7
4�x
8
Co et Cdrb and. Cutter
LF
2,000
S
$ 1CJ kms,
9
Construct, PCC Modified Curb(Trafflo
Sr
1,900
$
16olrzue—ida
Calor Stamped Concrete
SP
1,800
$
including rebar(THO")*
at
ivvp-
en�_,
It
cow(root PC( cro&q Cititter (Locai)*
—SF-
-1,200
$
-4434L-
12
Adjust Manhole Frame orkelCoverto, Grade
EA
7
$
1.3
AdlustWater Valve Frarre an d.Cowr to
E, A
9
$
Grade
P-1 of P-18
CITY OF SANTA ANA
PROPOSAL
PECTNQ.: 15-6848 Exhibit A
ROJ
D19T40P-P.AClKC-S4r,LT0N WKF.:BIV])S
JODI
ocrip ion
(2ty•
-wl i —t
price
14djTgt
%uipy mommeat to Grade
EA
I
'---.EA
—4
15
$
—Emnle
16
Fu[aW andInstall—Wato Valve and
EA
7—ASan2on
Cover to Gnide
tj
Water Valw
BA
.2
18
Fum* And InotallNew Watat Utter Box
EA
5
and Cover to (ing0e
19,
EA
-20
RA
I
—rl'—F—urWish
and Install 60 Cate Valve
EA
I
$
22
ReIMDYOBiro Ryc`ant and As.sotyibl.y
R&
4
'TCTaWlCandbstall
(�'Fbaco-
rl
Re& SwalO
SE25,Q
$
24
-Endia� pina-
LS
—lb
I
.—
S
25
60 Working DRys Landscaping
is
1
-7;n
2 6
�shand fiCsFalf drj,—i�o oil*
cy
62
$
$ ry
27
Signing and Striping
LS
1
$
29
Prcject Advertiseploot Sign
EA
2
$
gA.
L
p[pe(12" Diameter)
✓
P-2 of P-1 8
CITY Of SANTA ANA.
PROPOM Exhibit A
PROJEOT NO.. 15,6848
BISHOP-PACIFIC:'SHFLT0N BIKE BUDS
Items
Description
Qiy
Utdt
Unit Price
Amount
3 LoitstTuot
Type "B" Catoh`BaQiu (L�TI
k
.l
$
ihChlding;Ltfa�i i7',OS'tliep
32
RMU.0vel"Adf04#9 ACripe at7tlRept4re
1X
20
$
$
with Pvr lope cantpiete in Pipca
i
.
TOTAL BASE BID
ADD ALTERNATIVE ONE
33
UtidaWified HN@avatign*
C
75
$
$
....T34
TGonWueiPwSwewakk(t-4")*
8F
225
$
$
35
Constmet PCC Curb amp*
SF
560
$.
$.
I51'
36
Constr acI PCC Curb only. (B-1)*
LP
265
$
$
W
37
Peeompa$0 Gratiite with 8.fab1ti er*
SP
x,100
$:
11r
r
Furxaisi aM;]astalfRock'Bamldet°
LS
:L
S
$
F40
tandsaaping
r-•r
,l 0$
60 wotkkgT)aye,LundscgpAJ11K
LS
"t"
mainte,sanee -
4 ''
ov,.
TOTAL ADD ALTERNA'T'IVE ONE
TOTAL BASO BID + Anti ALTERNATIVE ONE
The lowest msponsible'bidder shall be selected based on the Total Base Bid. The City reserves
the right to award the mase Sid, ottd auq, all, or none of the add -alternate bid'itcuas. (if arty).
* The quantity for this bid item is shown for bid comparison only. This bid Item shall not be
Stibieet to the "250/0 liiitit as stated" in Section 3` 2 of the Standard Speclfieations. The actual
amount for this item will I . di Ated by the schtal quantity used,;and the Agoi}cy reserves the
right to increase or decrease the quantity of this item accordingly..
TIM, F
ER. C?MPI TION OF IMPROVE.WNTS ANi) L UIDATE.0 DA MAGES
The, undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within 8,0 _wo king_ s after the conuneneement date stated in the Notice to
Proceed, Contractor shall stagger the intersection improvement work to be in multiple phases.
P-3 ofP-1.8
CITY OF SANTA ANA
PROPOSAL Exhibit A
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVD$
Once the phase work is completed the landscaping maintetujnoe period shall start. The
contractor shall order any material in the contract documents requiring a long lead-time
immediately after the award of the contract. The lead-time for these items is included in the
total working days.
The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the
Standard Specificatio , shall be $1,750 per calendar day.
INUSA
Name of Firm EXC1El, PAVIM COMPA y
Signature of BIDDER
Title G, P. BROWN, PHEMENT
(If an individual, so state. If a firm or co -partnership, state the fit -in name and give the names of
all individual co-paxtners composing the firm.. If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof,)
P-4 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM:
REQUIREMENT:
WMA
CE KTIMG
The undersigned bidder declares that they have carefully examined the location of the proposed
work, that they have examined the Contract Documents in its entirety and hereby proposes to
furnish all material and do all the work required to complete the said work in accordance with
said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the
following schedule:
Item
P-1
Description
Qty
Unit
Unit Price
Amount
1
Unclassified Excavation*
Cy
1,350
$ y
�$✓��(�6�(�
2
AC Pavement*
TN
1,100
$
3
Crushed Miscellaneous Base (CMB)*
TN
36
$
$
a.o
aC2 Izy.r
4
Construct PCC Sidewalk (T=4")*
SF
13,000
$$
-lazo) —
5
Construct PCC Curb Ramp*
SF
4,200
$
$
6
Construct PCC Driveway (T=6")*
SF
310
$
$
7
Construct PCC Curb only (B-1)*
LF
300
`q,
$
8
Construct Curb and Gutter *
LF
2,000
$1")000.--
.
9
Construct PCC Modified Curb(Traffic
SF
1,900
$
$
Circle)*
N. (2
2 (��
134 3 ((0-.
10
Construct Color Stamped Concrete
SF
1,800
$ ac} a
$
including rebar (T=10")*
11
Construct PCC Cross Gutter (Local)*
SF
1,200
$
$
(a•
MOM f
12
Adjust Manhole Frame and Cover to Grade
EA
7
$
$
13
Adjust Water Valve Frame and Cover to
EA
9
$
$
Grade
715,—
-715,—
P-1 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
Item
Description
Qty
Unit
Unit Price
Amount
14
Adjust Survey Monument to Grade
EA
2
$
$
i
-000..1
15
Furnish and histall New Fire Hydrant
EA
4
$
$
�Ooo, —
r
16
Furnish and Install Water Valve Frame and
EA
1
$
$
Cover to Grade
o0
1�00 �
17
Abandon Water Valve
FA -2—
$
$
18
Furnish and Install New Water Meter Box
EA
5
$
$
and Cover to Grade
/ 1� i
19
Furnish and Install 12" Gate Valve
EA
2
$
$
"W,-
20
Furnish and Install 8" Gate Valve
EA
1
$
$
'
350[7.
21
Furnish and Install 6" Gate Valve
EA
1
$
$
Moo. -
—22
22
Remove Fire Hydrant and Assembly
EA
4
$
$
000
V�0'Io.
23
Furnish and Install Rock Swale*
SF
250
$
$
24
Landscaping
LS
1
$
$
25
60 Working Days Landscaping
LS
1
$
$
Maintenance
r
5-0
26
Furnish and Install Organic Soil*
CY
62
$
$
'
0 50,'
27
Sighting and Striping
LS
1
$
$
28
Project Advertisement Sign
EA
2
$
$
i
29
Construct Concrete Collar
EA
1
$
$
(1110,-.,
V.�
30
Furnish and Install Reinforced Concrete
LF
20
$
$
Pipe(12" Diameter)
11 tq,
2 0F, i
P-2 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
Item
Description
Qty
Unit
Unit Price
Amount
31
Construct Type `B" Catch Basin (L=7')
EA
1
$
$
. including Local Depression
(OtooO -
O
32
Remove Interfering AC Pipe and Replace
LF
20
$
$
with PVC Pipe complete in Place
P9
TOTAL BASE BID
$
ADD ALTERNATIVE ONE
33
Unclassified Excavation*
CY
75
$
$
C)(7.'
r�CCj»
34
Construct PCC Sidewalk (T=4")*
SF
225
$
$
35
Construct PCC Curb Ramp*
SF
960
$
$
36
Construct PCC Curb only (B-1)*
LF
265
$
$
-7
'✓ ,-
AM,
37
Decomposed Granite with Stabilizer*
SF
2,100
$
$
q•-11
MM,'
38
Furnish and Install Rock Boulder
LS
1
$
$
0 6 i
�
39
Landscaping
LS
1
$
$
0U
-100.
40
60 Working Days Landscaping
LS
1
$
$
Maintenance
I f'il'l /
U
TOTAL ADD ALTERNATIVE ONE
$��M /
TOTAL BASE BID + ADD ALTERNATIVE ONE
$
The lowest responsible bidder shall be selected based on the Total Base Bid. The City reserves
the right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any).
* The quantity for this bid item is shown for bid comparison only. This bid item shall not be
subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual
amount for this item will be dictated by the actual quantity used, and the Agency reserves the
right to increase or decrease the quantity of this item accordingly.
TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES
The undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within 80 working days after the commencement date stated in the Notice to
Proceed. Contractor shall stagger the intersection improvement work to be in multiple phases.
P-3 of P-18
Once the phase work
contractor shall order
immediately after the
total working days.
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
is completed the landscaping maintenance period shall start. The
any material in the contract documents requiring a long lead-time
award of the contract. The lead-time for these items is included in the
The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shall be $1,750 per calendar day.
PALP IU.
Name of Firm EXCEL, PAYING rOMPAMY
Signature of BIDDER
Title
C. P. gPOWN,?KWE T
(If an individual, so state. If a film 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-18
CALIFOMIIA AL4P11RPOS6 ACK NOWLBDONIENT CML CODE ¢ 1189
A rotary pulft or other officer: compiefing this certificate verifies only the identiy of the Individual who signed the
dochmherd to whim this oartfi CM is attached, and rat the uuMIness, accuracy, or validity of dWdDoument.
State of California )
County of Los Angeles )
On SEP _ fi 2016 before me, C. Phillips, Notary Public
Date Here Insert Name and Tide of the officer
personally appeared C. P. Brown
Names) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is4w
subscribed to the within instrument and acknowledged to me that he/abwAbey executed the some in
hlafti&wk authorised capaclty(iss), and that by hieitfnitrtr signature(s) on the instrument the person(s),
or the entity' ppon behalf of which the person(s) acted, executed the instrument,
- C. PHILLIPS �
Gomm. X01996177
Notary Pu;i ES Col k0 Ty w
'3•�nr� LOS ANC+F.LES COUNTY
+ MY Gomm. V" 11,6Oct. 29,2016
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
Signature
Sig re of Notary Public
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
Trice or Type of Document:
Document Date.-
Number
ate:
Number of Pages: - -,Signer(s) Other Than Named Above:
Capacitypes) Claimed by Signer(s)
Signer's Name:
❑ Qorporate Officer - Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
n Other.
Signer Is Representing
-
Signer's, Name:
O Corporate Officer Til e(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney In Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National NotaryAssociation • www.Nationo]Notary.org • 1 -800 -US NOTARY (1-800-878.6827) Item #5907
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
BIDDER'S STATEMENT
BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent
Construction Contract Agreement shall constitute the entire agreement between BIDDER and the
AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the
Council with her signature and official seal noting hereon the action of approval of the Council,
signed by the Public Works Agency Executive Director or his/her duly authorized agent, and
signed by the City Attorney, denoting his approval of the fonn of this document, and its
execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited
with the United States Postal Service properly addressed to the BIDDER with the correct postage
affixed thereto.
BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she
will furnish AGENCY all required bonds and certificate of liability insurance within ten (10)
business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof
accompanying this proposal shall become the property of the AGENCY and shall be considered
as payment of damages due to the delay and other causes suffered by AGENCY because of the
failure to furnish the necessary bonds and because it is distinctly agreed that the proof of
damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or
BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned.
BIDDER understands that a bid is required for the entire work, the estimated quantities set forth
in the bid schedule are solely for the purpose of comparing bids, and that final compensation
under the contract will be based upon the actual quantities of work satisfactorily completed. The
BIDDER also certifies that the bid is a balanced bid.
In accordance with Section 7028.15 of the California Business and Professions Code, the
undersigned certifies under penalty of perjury that the foregoing is true and correct.
Name of Finn RALP MU
OUR. P" No e0m 1w
Signature of BIDDER
Title C.P. MO's, PMESIDkNT
(If an individual, so state. If a fine 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-5 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT
The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she
and all his/her subcontractors are registered with the State of California Department of Industrial
Relations (DIR), and that the following is true and correct.
Contractor's Name: KL? lUr. DUA OXEL PAS COMPOW
r Al LEIVUH MIENUE
Business Address: LVID SEAM CA
Business E -Mail Address:
Telephone: 15531556-5641
State Contractor's License No. and Class: STATE HG. 88R6ja-pth ,n . o . o,
License Expiration Date: ej i-;�, 110 1 6
State Dept. of Industrial Relations (DIR)
Registration No.: QOUW 5131
State Dept. of Industrial Relations (DIR)
Registration Expiration Date:
Signed:
Title: G. Pe 13Raml, pamsEm
P-6 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE. BLVDS
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 perforniance 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 certkatime regoing is true and correct.
Name of Firm EXCEL, PA X90 WMPAMY
Signature of BIDDER
Title C2, SHOWN, PRESIDENT
(if an individual, so state)
P-7 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA
)
COUNTY OF ORANGE
) SS: "
CITY OF SANTA ANA
)
Notary Public-Callfarnia
G.P. "091MN
LOS ANGELES COUNTY u
being duly sworn, deposes and says:
❑ INDIVIDUAL
That he/she is the party making the foregoing proposal:
❑ PARTNERSHIP
That he/she is a member of the co -partnership firm designated as:
and who has been and is duly vested with the authority to make and execute instruments
for the co -partnership by:
1
CORPORATION
who constitute the other members of the co -partnership.
U
That he is of: PALF IMCMA
r
a corporation which is making the foregoing proposal:
❑ JOINT VENTURE
That he is of:
one of the parties making the foregoing proposal as a joint venture, and the he/she has
been and is duly vested with the authority to execute instruments for an on behalf of the
parties making said bid who are:
that such a bid is genuine and not collusive or sham, and has not in any manner sought by
collusion to secure any advantage against the City of Santa Ana or any person interested in the
proposed contract, for himself or any other person.
1
Signature of Bidder
Subscribed ands orn to before me this day of 20
V n16
Signature' f offi e Administering Oath (Notary Public)
C, PH LLIPSS
COMM. 01996177 a
Notary Public-Callfarnia
".
LOS ANGELES COUNTY u
My Comm. Expires Oat. 29, P016
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
KNOW ALL PRESENT that,
PALP Inc. dba Excel Paving Company , as BIDDER, and
Federal Insurance Company , as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of
Ten percent of the total amount of the bid Dollars (S 1o% ), which i8 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 Or THIS ODLIGATION ARE EUCH that, whorona RIDDOZ ie. about to
.%limit a hid to AGENCY for tho above orated project, if said bid is rejected, or if acid hid i.a
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 naives, titles, hands, and seal this
5th day of _ September , 2016 .
BIDDER*
SURETY*
Douglas app, Attorney in Pact
Subscribed and swom to before me
,20—,
Signature:
Notary Public in and for the County of
908-903-2000
State of
this day of
Provide RIMER/ SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
P-9 4f P-18
ACKNOWLEDGMENT
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 Orange
On September 05, 2016 before me, Debra Swanson, Notary Public
(insert name and title of the officer)
personally appeared Douglas A, Rapp
who proved to me on the basis of satisfactory evidence to be the person(It) whose names) is/are
subscribed to the within instrument and acknowledged to me that he/egeA4ay executed the same in
his/4eA14eir authorized capacity+ies), and that by hisAorg4helr signature( on the instrument the
person(a), or the entity upon behalf of which the person(e) 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.
e"`o`re oEBfTf�SWANSON
WITNESS my hand and official seal. c > CQI�LARYMP
'11
1997119 ;7
w� LIGCALIPORNNI�
tg ECOUNIYkn ° P NOV1B,2B16
Signature i4 k_r«ck� ,j,,j,ty(Seal)
Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059
cauls
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a Wisconsin corporation, do each hereby constitute and
appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo, California.,-. ........ . ..................
each as their true and lawful Attorney- Im Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or othenwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and wnsents to the modification or alteration of any instrument referred to in said bonds or obligations.
In Witness Wheraof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed their corporate seals on this 16th day of December, 2011.
Kenneth C. Wendel, Assistant Secretary DaYitrB. Norris. Jr.. Vice President l /
STATE OF NEW JERSEY
County of Somerset . as.
On this 16th day of December, 2011 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which
executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the
foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By. Laws of said Companies: and that he signed said Power of Attorney as
Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the
signature of David B. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By -
Laws and in deponent's presence.
Notarial Seal 0&1�3D,� KATHERINE I ADELAAR
NOTARY pU6uC 16 NEW JFRSFlNt•,2316605Comminton ExpirssJUly IA, 2014
Notary Public
CERTIFICATION
Extract from the By. Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY.
'All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the
President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The
signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate relating thereto appointing Assistant Secretaries or Attorneys- In. Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company
with respect to any bond or undertaking to which it is attached.°
I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the 'Companies') do hereby certify that
(i) the foregoing extract of the By- Laws of the Companies Is true and correct,
(ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed in
American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and
(iii) the foregoing Powerof Attorney is true, correct and in full force and effect.
Given under my hand and seals of said Companies at Warren, NJ this STH day of SEPTEMBER, 2016
i GL nnG�.'
Keennneth C. Weeiii el, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903-3493 Fax(908)903-3656
e-mail: surety@chubb.com
Form 15-10- 02256- U (Ed. 5- 03) CONSENT
CALIFORNIA ALL-PURPOSE ACKNOWLMGMMT CML CODE ff 1189
A notary N* or other offer carnpieting fhis catmoste vaiifin only the uffi y of the IMividual who signed the
document to which this cer88cate Is attached, and not the tni tfulness, acaaaoy, or valft of thst document.
State of Callfomia )
County,of Los Angeles )
On p _ r? s��q before me, C. Phillips, Notary Public-
Hem
ublicHere Insert Name and Tithe of the officer
personally append C. P. Brown
Names) of Som(s)
who proved to me on the basis of satisfactory evidence, to be the person(®) whose name(s) ishptatc
subscribed to the within Instrument and acloiowledged to me that hefabeflftey executed the same in
hisAw&rk authorized capacity(ies), and that by h1sAWW#x* signatures) on the instrument the person(s),
or the entity jupon behalf of which the pemon(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.
C, PHILLIPS WITNESS my hand and official seal.
y
COMM, #19961-77 n
. Notary Puhiio-calitornia 1
c LOS ANGELES COUNTY a
My Comm. Expires Oct. 29, 2016 SlgnatUre .
�Slgnkl�a of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Number of Pages: Signers) Other Than Named Above:
Capacky(fes) Claimed by Signer(a)
Signer's Name:
❑ Corporate Officer - Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
F1 other:
Signer Is Representing:—
Signer's,Name:
Q Corporate Officer ritls(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attomey in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signe Is Representing:
02014 National Notary Association • www.NationWNatary.org • 1 -800 -US NOTARY (1-880-876.6827) Item #5907
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BII{E BLVDS
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: ''/z% of the bid or $10,000, whichever is greater
o Buildings, parks, or other projects: ''/z% 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 M - FN
License #/Exp.
DIR Reg.#/Exp.
Location
�����
Phone ft -i
Type Of Work
Amount $
Name (Al
License #/Exp.
DIR Reg. #/ExI
License #
Location
Phone
Type Of Work
Amount $ B
Name 6-0
License #Ixp.
DIR Reg. #/Exp.
License #
Location
Phone
Type Of Work
Amount $ G
Name
License #/Exp.
DIR Reg. #/Exp.
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License #
Phone _
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License #
Phone _
Type Of Work
Amount $
( :�,17� G. P. AWWN
Signature of Bidder PRESIDEMT
P-10 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
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.
I. 8o RWA &A ir1 l V%t %y, PIU
Name and Addrqss
of Owner. `Lt
Nartle and Telephone Number of perso amiliar wiroject.
3.nA, ors - Ave
Contract Amount Type of Work
Date Completed
2. a])t.aUr I M t43M QAtA6AVq
Name and Address of owner.
MNUL iALPtV 4 3,®l I,z1� -1110
Name and Telephone N er of ers fain 'a with proje t.
1'1'1,'1 P�� s � � I'M
ZI20LO
Contract Amount Type of W c
Date Completed
3. C�U 1Qtj L
Name and Address of owner.
.N "Z,;tel X131 (3 712-
ame and Telephone Number of person iliar with project.
L'Aaqb 131L9. - 6-3. /-'t �Lu tr
(�I 201,
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.
ku VaAAiS Av�o-
P-11 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
ADDITIONAL REFERENCES s9. ATTACHED
The following are the names, addresses, and telephone numbers for THREE public agencies for
which the BIDDER or Subcontractor has performed similar improvement work in the past 5
years.
L
Name and Address of Owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
2.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
3.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds.
DEEEATTACMED
P-12 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and
Public Contract Code Section 7106)
In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the
BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed
person, partnership, company, association, organization, or corporation; that the bid is genuine
and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited
any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded,
conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that
anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly,
sought by agreement, communication, or conference with anyone to fix the bid price of the
BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of
that of any other BIDDER, or to secure any advantage against the public body awarding the
contract of anyone interested in the proposed contract; that all statements contained in the bid are
true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price
or any breakdown thereof, or the contents thereof, or divulged information or data relative
thereto, or paid, and will not pay, any fee to any corporation, partnership, company association,
organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham
bid.
Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal
on the signature portion thereof shall also constitute signature of this Non -collusion
Affidavit. BIDDERS are cautioned that making a false certification may subject the
certifier to criminal prosecution.
Signed
State of California
County of
i�as
Subscribed and sworn to (or affirmed) before me on this day of , 20 , by
, proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me
Notary Public Signature
Notary Public Seal
P-13 of P-18
CALJFOREIA ALL44MWM ACKNOWLffMOMET ICML MODE § 1189
A notary public or other offm coniPleling this certificate verifies only the Identity of the hxMuai who signed the
docarnerhtto which this oertgioate Is 09011e1:11, and not the lnahfuMess accuracy, or wilidity of that document.
State of California
Courayof Los Angeles
SFE' . tai
On before me, C. Phillips, Notary Public
Date Here Insert Name and 1itfe of the 011Fcer'
personally appeared C. P. Brown
Hames) of Signer(s)
who proved to me on the basis of satisfactory evidence- to be the person(* whose nanle(s) ishatec
subscribed to the within instrument and aclknowledged to me that he/aba bey executed the some In
hisftigNalir authorised capacity(ies), and that by hisAft t eir signature(e) on the instrumerrt the person(s),
or the entity Moon behalf of which the person(s) acted, executed the instrument.
C. PHILLIPS
COMM. #9.996177 m
?^:F Notary Public -California a
605 ANGELES COUNTY 1
My Comm, Expires Oct. 29, 2016
Place Notary Seal Above
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
Is true and correct.
WITNESS my hand and official seal.
Signature .
bigite of Notary Public
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 of Type of Document:
Number of Pages: Signer(s)
Document Date:
Other Than Named Above:
Capacity(fes) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer s Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
F1 Other:
Signer Is Representing-
Signees.Name:
17 Corporate Officer -. Tfile(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02014 National Notary Association • www.NationalNotary.org • 1 -800 -US NOTARY (1-800-878.8027) Item #5907
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
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 employment
because of race, color, religion, sex, or national origin. The Contractor shall take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment without, regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to, the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The Contractor
agrees to post in conspicuous places, available to employees and applicants for employment,
notices to be provided setting forth the provisions of this nondiscrimination clause.
2. The Contractor shall, in all solicitations or advertisements for employees placed by or on
behalf of the Contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, or national origin.
3. The Contractor shall send to each labor union or representative of workers with which he/she
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor union or workers' representatives of the Contractor's
commitments under this section, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
5. The Contractor shall furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his/her books, records, and accounts by the
administering agency and the Secretary of Labor for purposes of investigation, to ascertain
compliance with such rules, regulations, and orders.
6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, the contract may be canceled,
terminated, or suspended in whole or in part and the Contractor may be declared ineligible
for further Government contracts or federally assisted construction contracts in accordance
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-14 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
The Contractor shall include the portion of the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (7) in every subcontract or purchase order
unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to
Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be
binding upon each subcontract or purchase order as the administering agency may direct as
means of enforcing such provisions, including sanctions for noncompliance; provided,
however, that in the event the Contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction by the administering
agency, the Contractor may request that the United States enter into such litigation to protect
the interests of the United States.
8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as
amended, no discrimination shall be made in the employment of persons upon public works
because of race, religious creed, color, national origin, ancestry, physical handicaps, mental
condition, marital status, or sex of such persons, except as provided in Section 1420, and any
contractor of public works violating this Section is subject to all the penalties imposed for a
violation of the Chapter.
Signed: %"; l) ILIA -)
Title:
aP" DROWN, PRESIDENT
FAM d
Firm: ICER., MANG COMPA '
Date:
P-15 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
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:
I. Apply to the joint apprenticeship committee administering the apprenticeship standards of
the craft or trade in the area of the site of the public work for a certificate approving the
contractor under the apprenticeship standards for the employment and training of apprentices
in the area or industry affected.
2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the
apprenticeship standards.
3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or
apprentices on the public work, in the same amount or upon the same basis and in the same
manner as the other contractors, except contractors not signatory to the trust agreement shall
pay a like amount to the California Apprenticeship Council.
Signed: (an"t1 u�
C,K BROWN, PRESIDENT
Title:
PAUP IMS.
Firm: EMU PAYING f RARMY
Date:
P-16 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
STATEMENT REGARDING "ANTI -KICKBACK" REQUIREMENTS
The undersigned is submitting this proposal for performing by contract the work required by
these bid documents, agrees to comply with the Copeland "Anti -Kickback" Act (18 USC 74) as
supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that
each contractor or subcontractor shall be prohibited from inducing, by any means, any person
employed in the construction or repair of public work, to give up any part of the compensation to
which he/she is otherwise entitled.
Signed: (' LL L tie
Title: G. P. BROWN, PRESIDENT
Firm: WEL PAVING COAWAY
Date:
P-17 of P-18
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 15-6848
BISHOP-PACIFIC-SHELTON BIKE BLVDS
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 government project because of a
violation of law or a safety regulation?
Yes No
If the answer is yes, explain the circumstances in the following space.
P-18 of P-18
" PALP, INC. DBA P.O. BOX 16405
EXCEL PAVING COMPANY LONG BEACH, CA 90806-5195841
A GENERAL ENGINEERING CONTRACTOR FAX (562) 591-7485
STATE LICENSE NO. 688659A
C.P.Brown,President 30+ years experience working for other general
contractors with the past 35+ years being self
employed in own general engineering contracting
business.
VALro INU. U MAPO. BOK 1140:
EXCEL PAVING COMPANY LONG BEAChi, cA 90 19l
A GENERAL ENGINEERWG COMRA41?(il<iFAX(
(562) 599A41
. 51.1
STATE L4CENSE NQ;6866S9A FAX (562) 9 161
f
RESOLUTION DECLARM OFRCERS.OF
PALP; INC. DBA EXCEL PAVING COT17PAtVY
Ile undersigned, Curtis P. Brown, as the sole shareholder and the sole member of
The Board of Directors of PALP; lido; a Corporation organized under The General
Corporation Law of California, does by this written consent take the.fopowing action and
adopt the following resolutions:
Resolved, the following Officers Off k Corporation am hereby elected to serve in
the offices set forth atter their respecaive names bCtive as ofoxec u ion Hereof with their
respective terms to continue until their successors are duly elected and qualified.
Curtis P. Brown, r. President and Ch iefExecutive Officer
Curtis P. Brown ffi Vice President and.Chief Operating Officer
BruceE. Flatt Vice President and Chief Financial Officer
Marcia S. Miller Secretary
Michele E. Drakulich Assistant Secretary
The consent is executed pursuant to Section 307(B) and 603 of the Corporation
Code of the State of California and the, By: Laws of this Corporation, Bch authorize the
taking of action by The Board of Directors and Shareholders by unanimous consent
without a meeting.
Dated! May 13, 2013
Curtis P. Brown, Jr.-Shareh der
And Sole Director
00ndlna Agent:
Opp Surety"Services
120 Ventis Ave, Suite 300
Aliso Viejo; Ca 92656
OffiC6: (949) 540-6770
Fax: ..(949) 540-6771
contact:
0009106 A. Rapp
Surety:
Federal hKpanro
Gro CW
oopwtfw
SolY
2310 � .
Los Angeles. CA 60017
P.O.. SO 80027
los,4n9eleri 90030.0127
Insurance Carder:
Contact:
The WcOdltch Cohipank
One Park Plaza
$0118 400
Irvine CA 82614
1Mlllam Wooditch
Offlve (049) 853•.9800
Fax: (949) 663'-0670.
I
PREVIOUS JOB REFFAENCES, €t3
Contractor's Naive_ Palp Inc. DBA Ekeel Paving:Co,
Project Name: Santa•Monica;Transit Parkway Project
Project Description: Underground; Retaining Walls, Fwy; Oh Ramps,
A/C Pave, -Sidewalk, Curb& Gutter, Signalization,.
Landscaping, Storm Drain Impvts..Sewer, Water
And Retaining Wall
Location: From 405 Fwy. To Beverly Hills City Limit, Los Angeles
Construction Value: $34,455,152.00
Date of Completion: l 1105
General Contractor Information:
Palp Inc. DBA Excel Paving Company
Contact: Bruce Flatt . .
Phone: 562/599-5841
Fax: 562/5914485
Owner Information:
City of Los Angeles
Contact:
Carl Nelson
Phone:
213/485-4474
Fax:
213/485-4836
PREVIUIISJOB Ii.I I-IRI NCE$ MS.
Contractor's Mime: Palp Inc. bl A Excel Paving Co.
Project Name: Phawl Container Yard Expansion, Pier T
Project Description: Container .Yard Panting Lot Expansion, Storm Drain
I:nmpvts. -sewer an,d *ater
Location:
Pier T, Long Beach, CA
Construction Value:
$21,703,834.00
Date of Completion:
10/07
General Contractor Information:
Palp Inc. DBA Excel Paving Company
Contact:
Bruce Flatt
Phone:
562/599-5841
Fax:
562/591-7485
Owner Information
Contact:
Phone:
Fax:
The Port of Long Beach
Gary Cardemone
562/590-4172
562/901-1732
PRE VlObS JOB RUERI NC[ -''S N7
Contractor's Name: Palp Int:. DBA Excel Paving Co,
Project Name: Highland Avenue Widening
Project Description:; Redesign of Highland Ave. and Adjacent Streets,
And Storm Drain lmp' vts.
Location:.
Highland Ave, @ Franklin Ave., City.of Los Angeles
Construction Value:
$20754,889:00
Date of Completion:
11/09
General Contractor Information:
Palp Inc. DBA Bxcel Paving Company
Contact:
Bruce Flatt
Phone:
562/599-5841
Fax:
562/591-7485
Owner Information:
Contact:
Phone:
Fax:
City of Los Angeles
Steve Chen
213/485-4516
213/485-4838
P
EXCEL JOB 114703
Project Name:
-
!E9 RAMP'
l_oca'(ion: LONG BEACH AIRPORT
llrr ner CITY OF LONG :BEACH
t)irner Contact (name xrrd current phone number);
JEFFREY A SEDLAK 5'b2/570-2$23
Ar•chi(ecl or
Architect or Engineer Contact (n'anie and ,currenf phone number):
emonn
Construction hganager (name and current phone number),
Description of Project, Scope of Work Performed:
I MOVAT. AMY) uvT enn.. ,.m ._ __
Total 1'31ue OfConstruction (including change orders)
Original Scheduled ComPletion Date:_ 11/2011
Time Cxtensians C:ranted (number of days): N/A
AOuaI Ti
ale of Coflip letiorr: 11/2011
$5,490,564.00
EXCEL JOB #4713
Projccl Name:
t nc:rtiun:
lJtcucr:
C AVE, CITY OF SEAT.
U�� ncr ('untac'l (name and current photre n.tsimber p
DAVID SPITZ 562/4.317-2527 E
Archilecl or I-ngineer•:
13,31
1
Architect or I;-dgineer• Contact (name. and,.eurrent phone quniber):
MnricAN rrN 944/isa_7333
Construction >l•Ianager- (name and current phone number):;
DAVID -SPITZ 562/431-2527 EXT. 1331
Description of Project, Scope of Work Performed:
STORM DRAIN 1,113 LF 66'"_ RCP IN STREET + LATERAL
Total Value ofGonstruction (including change orders): $11868,473.00
(:)riginal Scheduled Completion Dater JUNE 2011
Time Extensions Granted (number of,ilays)r N.
/A
rtclu::l Date of C."nrnpletion:_ JUNE 2011
EXCEL JOB I14868
I'r'rrlc'St. N.,
!lIt" .OSO PARKWAY :STORM DRAIN IMPROVEMENTS.
Iocalion OSO PARKWAY 6 COUNTRY CLUB DRIVEi MISSION VIEJO
---------------
.__ C11'Y OF MISSION VIEJO
0wiler ('onset (notrne and cur•relit Phone nulubeu•):
RICH SCHLESINGER P,E. 949/4.70-30.7,9
Arcliitec, ur 1?nginecr: CITY OF AHSSION VIED AS
ABOVE
-Archilee't nr• FAlgineer Contact (name and current phone number):
C:onstrucfioh Tanager (name and current phone,nuntber):
CITY OF MISSION VIEJO AS ABOVE.
Description of Project, Scope of Work. Performed:.
UPGRADE STORM DRAIN SYSTEM BY INSTALLING A FILLER BOX INTO A
NEW S:Tolima nDA.T,a , T,,:.
'total Value of Construction (including change orders.):�994 19? nn
t7rigi11a1 Scheduled Completion Date: DECEMBER ,2011.
d i.me Is'x'ell sions C,ranled .(number of daysl: NONE
Aclual D) jfe uf'('orr]hlcgitjn: NOVEMBER 2011
EXCEL JOB ,+4798
STREET REHABILITATION PROJECT THOUSAND OAKS
I'rvrject Name: LAWRENCE DRIVE AND TELLER ROAD BLVD.
Lui;iliirn:. _
r lir aer:. THOUSAND OAKS
..__CITY Or THOUSAND OAKS
(h"[ cr• Cmilacl (n:rnre and current phone.number):
:%r'chilocl or EnEincer•: WILT.nam
Architect or engineer Contact (mime and current 00W� number):
------------
Construction .-MManager (name and current phone number);
MIKE BUSTOS Rn9/4cq_Grne
Description of Project, Scope of Work Performed:.
MAJOR REMOVE REPLACEMENT OF ASPHALT ON TH011$AND OAK'S BLVD. WITH
ARHA1 n.vpur
enu TELLER.ARHM OVERLAY � ��a�aLNG ON LAWRENCE DRIVE
Total Value of Construction (including change orders): $3,053,015.00
Original Scheduled Completion Date:. 6/1/1.1
Time Cstellsions ('*ranted (nurirber of days): N/A
*Actual oateut'(:•brnpkation: 5%19/11
EXCEL J013 a4751
Project Name: CEDAR SANAI OFPS1'TC IMPROVI
1.0valiul1 LOS ANGLLES:, •CA
(ltciter: .. CEDAR SANAI
(Acrhr ('cinlact (namtc and curt.,en( phone number):
:1lcllil'c'ct or I:nginmr: PLANNING ASSOCIATES., INC.
Architec' oi- 1'ngitleer Contact (name and current phone number):
TOM STEMNOCK 81'8/487—.6767
Construction 1Ianager (game and current phone number);
Peseription o1'Project, Scope of \Atorlc Performed:
Total Value nfConstrucHon (including change orders): $1,100,000.00
01igutal Scheduled Completion Date:. ,6/201.1
Time L4.tfejj8j(jjj'5
(1111111 rofdays): N/A
Ac(ti al. I.Date nl'(:'unl1)letion: 6/2011
EXCEL. JOB 114676
1'111Jer'1!1;rmr•; TRACK 107/IOR/114/11T d 124 IMl?ROVEM'ENTS'
1 ucaticiir: HOBART YARD.,:VERNON,_CA
BNSF RAIL6!A1'
"%+ let' >('untaarl (pante and current phone-8umber);
09 841-004.0
Architect ur I:nkineer: WILSON, 6 COMPANY
Archrte'sl Or Engineer Conlacl (name and Curren( hone
IM 909 806-8 00 p number):
C;onstrucdion Manager (name and current phone number);
KRY'LIM 909/806-8000
Description of Project, Scope of Work Perfo.rmed:
REMOVAL AND REPLACEMENT OF ASPHALT AND CONCRETE! INSTALLATION OF
NEW UTILITIES.
Total Value at Construcl'inn.(including change orders): $916, 740.00
<Jrigrn.r[,S"heduled Completion DAtc: 9/09
I'ilne L+�tensiuns C;rantec! (ntunbcr (rftl i,1 s); N/A
Actual Dante ol'Comple(ion:
9/09
5187
NB BEACH BL IMPRV:HUNTNGTN BCH
CITY OF HUNTINGTON BEACH
173,7610.6°k
172,703
5188
SAFE RTE TO SCHOOLLA PUENTE
CITY OF LA PUENTE
388,717
100.2°0
5189
PIONEER/DEL AMO GRIND/PV:LKWD
CHARLES KING COMPANY
17,514
100.0%
5190
TRENCH PATCH-KINGAVE:MAYWOOD
TAFT ELECTRIC
120,697
99.5%1
585
5191
ST IMPRV LOMITA HAWTHRN:TORRAN
MSL ELECTRIC
165,248
110.5%
5192
TRENCH PATCH SEAL BCH BUS BCH
HELIX ELECTRIC
16,643
100.0%
5193
GALE AVE IMPROV:C/O INDUSTRY
CITY OF INDUSTRY
362,616
100.0%
5194
AC PATCH GRAND AV PARCL M:L.A.
CHARLES PANKOW BUILDERS.
36,416
100.0%
5195
SEAL/STRIPE LOT MAIN JOC:S ANA
COUNTY OF ORANGEPW
24,944
100.0%
5196
AC VARIOUS 2401 PCH:LONG BEACH
CAL-CARTAGE
- 27,750
160.3%
5197
201213 ST REHAB:LAGUNA BCH
CITY OF LAGUNA BEACH
1,133,470
100.0%
5198
AC GRINDIPAVE-PAC/PCH:LONG BCH
CHARLES KING COMPANY
36,600
.100.0%
5199
AC GRIND/PAVE 6&MARINA:SEAL BC
CHARLES KING COMPANY
13,495
100.0%
5200
COLUMBIA-SUNSET/GOWER IMPR:L.A
HATHAWAY DINWIDDIE CONSTRUCTIO
1,952,558
50.9%959,458
5201
MAIN ST PKG LOTS:SANTA MONICA
CITY OF SANTA MONICA
203,084
100.5%
0
5202
GRINDIPAVE WASHAND:VERNON
BURLINGTON NORTHERN SANTA FE
126,852
99.4%
786
6203
URBAN RUNOFF GAVIOTA:LAG BCH
CITY OF LAGUNA BEACH
176,011
97.8%
3,803
5204
HERONDO/HARBOR IMPRV:RED BCH
CITY OF REDONDO BEACH
490,000*104.6%5205
GRINDIPAVE LOMITA BL:TORRANCE
GAUDENTI & SONS CORP.
271,4315207
GRIND/OVERLAY PKG LOT:VERNON
BURLINGTON NORTHERN SANTA FE
253,8545208
HERBERT EYE INST LOT:IRVINE
REGENTS OF U.C, IRVINE
471,7745209
PCC PATCH-ATLANTIC AV:LONG BCH
ADVANCED MECHANICAL
1,4405210
GRIND/PAVE-EDISON AVE:LONG BCH
J A PLACEK CONSTRUCTION
31,0505211
GRAFTON COLLEGE CNTR:YUCAIPA
BERNARDS BUILDERS
64,375
5212
AC PAVE SHEILA ST:COMMERCE
BURLINGTON NORTHERN SANTA FE
78,950
100.0°%
5214
LFT TURN LANE ALTON/HAR:IRVINE
CITY OF IRVINE
216,974
100.0°A
5215
AC PATCH PARKRIDGE AVE:NORCO
DARCO ENGINEERING
18,006
100.0°%
5216
NEW WATER LINE-TEMPLE:LONG BCH
BITECH CONSTRUCTION
212,300
99.9%
176
5217
MAPLE BIKE TR ENHAN:SANTAANA
SANTA ANA, CITY OF
256,600
100.0%
120
5218
ROSECRANS SLOPE STAB:BELLFLOWR
CITY OF BELLFLOWER
166,863
107.9%
5219
ST, WIDENING-FIRESTONE:DOWNEY
ANDREWS RANCHO DEL NORTE
471,750
51.9%
226,820
5220
NEW PKG LOT-BEVERLY DR:BEV HIL
WILCOX CONSTRUCTION INC.
26,000
99.7°%
72
5222
CABRILLO ST EXPAN:SAN PEDRO
C/O LOS ANGELES -GSD
9503
102.7%
5223
PACIFIC AV IMP R-6963:LONG BCH
CITY OF LONG BEACH
777,827
121.5%
5224
AC PATCH PIER C:LONG BEACH
C BELOW, INC.
1,400
100.0%
5225
WASHINGTON BL CORR:LOS ANGELES
CITY OF LOS ANGELES-DPW
672,388
5.2%
637,255
5226
AC PAVE-UNIVE,RS STUDIO:UNIV Cl
DARCO ENGINEERING
48,451
100.0%
5227
CONCRETE PATCH-UNIVERSAL:UNIIV
SASCO ELECTRIC
42,505
97.9%
882
5228
MTA YARD SANTA ANITA:EL MONTE
H.C. OLSEN CONSTRUCTION
6,048
100.0%
5229
PASSONS/MINES IMPR:PICO RIVERA
CITY OF PICO RIVERA
432,469
49.7%
217,477
5230
ACRHE VILLAGE@USC:LOS ANGELES
HATHAWAY DINWIDDIE CONSTRUCTIO
16,651
98.8%
204
5231
SAN GAB SITE IMPRV:LOS ANGELES
LOS ANGELES COUNTY SANITATION
982,850
21.6%
770,721
5232
POT HOLE RR-LOS COCHES:LKESIDE
C BELOW, INC.
4,325
100.0°%
5233
AC PKGSTRUCTURE:SANTA CLARITA
MCCARTHY BUILDING COMPANIES
55,832
38.9%
34,131
5234
RIR CONC-BNSF:VERNON/COMMERCE
BURLINGTON NORTHERN SANTA FE
2,873,970
89.0%
316,233
5235
HIGHLAND CROSSWALK R/R:MAN BCH
CITY OF MANHATTAN BEACH
876,654
0.6%
871,322
5236
EL MOUND AVEIMPRV:PASADENA
BITECH CONSTRUCTION
71,271
99.9%
51
5237
FIRESTONE NRR MAIN:BUENA PARK
CITY OF BUENA PARK
102,619
102.3%
5238
ACR/R EAGLE CYN RD:RIVERSIDE
METRO WATER DIST
12,200
100.0%
5239
IRV TABOR CT PKG-GSD:VENICE
C/O LOS ANGELES-GSD
414,977
101.8%
5240
ALAM PK/STRM DRN R672:LONG BCH
CITY OF LONG BEACH
1,942,351
9.8%
1,751,281
5241
AC PAVE O'NEILL DR:LADERA RNCH
SITECH CONSTRUCTION
20,665
64.6%
7,310
5242
ST IMPRV/SLURRY SEAL:BELL
CITY OF BELL
309,877
103.9%
0
5243
AC PAVE ALCOA ST.CORONA
MCCARTHY BUILDING COMPANIES
3,825
75.4°A
940
5244
CONC TRENCH MYFORD ST:TUSTIN
DARCO ENGINEERING
25,475
121.5%
5245
AC PATCH BERTH 198 POLA:POLA
W.W. STEPHENSON CO., INC.
3,162
61.8%
11209
5246
GRIND/PAVE SUNSET/SWART:L.A.
BALI CONSTRUCTION
17,705
75.4%
4,357
7!2412015
WORK EXPERIENCE 2-28-15 CLOSED JOBS
_
Job #
O
Project Description PR� JECT NAME
Final Contract
Amount
PORTOFLONGBEACH __
362029,637
_. -4735-�PIER0RAILYARD_POLBHD-7565
4824
EUCLID/GARDEN GR BLVD:GARDN GR CITY OF GARDEN GROVE—
_1,017,584
_
4968
SAFE RTE -LOS SERRANOS:CHINO HL CITY OF CHINO HILLS _ _
691,728
4994_
SAN NICOLAS DR:NEWPORT BEACH BALI CONSTRUCTION
35,725
5010
_
POLABRTH228,401-406:LONGBCH DYNALECTRIC
394,783
5054
LINCOLNIWASHINGTON E/S:LYNWOOD CHARLES PANKOW BUILDERS.
314,580
_
5062
JORDAN HS PKG LOT: LOS ANGELES SWINERTON BUILDERS _
122,000
_
5095
LOS ALAMITOS MED CNTR:LOS ALAM SNYDER LANGSTON
224,875
5103
LONGDEN SEWER REPL:TEMPLE CITY CITY OF TEMPLE CITY
440,220
5121
13.14 MINOR ST REHAB:SIMI VLY CITY OF SIMI VALLEY
370,735
_ _
5123
BEVERLY BL ST IMPRV:MONTEBELLO CITY OF MONTEBELLO
417,929
5126
GRANVIA ALTA/LUNADA BAY:PV EST CITY OF PAL68 VERGES ESTATES
74,776
5128
GRIND/PAVE REXFORD DR:BEV HILL C.S. LEGACY CONSTRUCTION, INC
53,860
5137
RIR RAMPIRAILITREE:BURBANK BURBANKIGLENDALE/PASAOB
_ 54,568
5138
HC RAMPS/CATCH BASINS:LONG BCH CITY OF LONG BEACH
i 130,168
5140
COYOTE CREEK BIKETRAIL:OPANGE COUNTY OF ORANGE -PW
..,- -
5141
GOLDEN VALLEY RD:SANTA CLARITA CITY OF SANTA CLARITA
___1,544,109
513,622
5144 IPAVE
PKG LOT-ECKHOFFST:ORANGE 1COUNTY OFORANGE-PW
498,926
5151
5154
LOS AL MED CENTER:LOS ALAMITOS SNYDER LANGSTON
WILLARD BCH PKG LO_T:SANTAA_ NA_ SANTA ANA UNIFIED SCHOOL DISTR__
415,865
776,002
5155_
VAR ST REHAB2013-1_4:CHINO CITYOFCHINO _
-PUMP
1,176,903
5157_ SWELLS
7A/713 HL CITY OF CHINO HILLS T
_88,913
5161 _TPOMONA
5162 ;BERKELEY
AVE RECON:FULLERTON —CITY OF FULLERTON .--
AVE RECONST:FULLERTO—CITY OF FULLERTON
125,855
628,541
5163
5174
_5179
5186 QAC
_------�----
5206 IGRINDRAVE
PAVEMENT REHARAGOURA HILLS CITY OF AGOURA HILLS
CONC R/R-VAR LOC:DANA POINT CITY OF DANA POINT
AC /CURBS SEASIDE BL:LONG BCH _ W,A.RASIC
GRINOIPATCH-BNSF:VERNON RAILWORKS TRACK SERVICES, INC. _
— -'- -- --
EMPIRE AVE:BURBANK BURBANKIGLENDALE/PASADENA
989,733
93,967
35,557
35,107
--....
41,940
5221
�C PATCHISEAL VIA ORO:LONG BCH —� CAM BUILDING MA INTENCE
--
-
� TOTAL
� 47,343,208
MAYOR
Miguel A. PulidD
MAYOR PRO TEM
Vicente Sarmiento
COUNCILMEMBERS
Angelica Amezcua
P. David Benavides
Michele Martinez
Roman Rayne
Sal Tiril
August 30, 2016
ADDENDUM No. ONE
CITY OF SANTA ANA
20 Civic Center Plaza M-36 - P.O. Box 1988 M-36
Santa Ana, California 92702
(714) 6474013
wmAv.santa-ana.oro
CITY MANAGER
David Cavazos
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizar
SUBJECT: PROJECT NO. 15-6848: Bishop -Pacific -Shelton Bike Boulevards
The following changes have been made to Specifications for the subject project:
Specifications
1. Section 7.00 Special Provisions: Replace with the attached Section 7.00 Special
Provisions - Water Main Improvements.
2. Section 11,03 Fire Hydrant: Delete Section 11.03 Fire Hydrant.
All other terms and conditions remain the same.
CITY OF SANTA
P.E.
City Engineer
SANTA ANA CITY COUNCIL
Miguel A. Pulitlo Mcenle saniienlo i Michele Martinez Angelica Amezwa i P. Da>d aenaodes i Roman Reyna Sal Tinajaro
Mayor f Mayor Pro Tem, Ward 1 Ward Ward Ward! 4 I Wards I Ward
MPuI'do(�sanla-enn ord VSermlenlorasonta-ane oro MMerllnezra)santa-ane oro PAmezwaiusanla-ane ora
Dr3anavidesPsantaana.,m : RRevn$ sonla-anayra STinaiersrdsanla-
nn aoro
CITY OF SANTA ANA
BONDS
PROJECT NO.: 15-6848
Bond No. 8239-74-53
W I -NU•\ t!\1
KNOW ALL MEN BY THESE PRESENTS that PALP Inc. due Excel Paving Company
as CONTRACTOR, and Federal Insurance 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 eight hundred seventy six thousand one
hundred eleven and 00/100 Dollars
($ 876.111.00 ), 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
October 18, 2016 for Bishop -Pacific -Shelton Bike Blvds
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, hands, and seal this
1st day of December '2016 ,
CONTRACTOR*
C.P. BROWN
908-903-2000
Subscribed and\,*om to before me,
20
Signature:
Notary Public in and for the County of State of
Beach CA
this ---_day of
Rate of premium on this bond is $ varies per thousand.
Total amount of premium charge is $ 4.819.00 . 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.
1 of 3
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT
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 Los Angeles
Onbefore me 1 r A. Henderson, Notary Public
�-- � ,Notary Public,
(Here insert name and title of the officer)
personally appeared C. P. Brown
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) isi`WC subscribed to
the within instrument and acknowledged to Inc that he/s,*/tl* executed the same in his/b*tlKr authorized
capacity(ies), and that by his/hyt/tlXr signature(s) on the instrument the person(s), 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.
A.NENDERSON
ITNESS my hand and official seal.(%my
COMM. a2d.TOV6 N
Notary Public -California tt
LOS ANGELES COUNTY a
Signature of Notary Fublle
(Notary Seal) Comm. Expires Oct 91, 2020
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages _ Document Date
(Additional information)
CAPACITY CLAIMED BY THE SIGNER
j] Individual (s)
�] Corporate Officer
(Title)
❑ Partner(s)
Attorney -in -Fact
❑ Trustee(s)
(] Other
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California most contain verbiage exactly as
appears above to the notary section or a separate acknowledgment form most be
properly completed and attached to that document. The only exception is if a
document is to be recorded outside o,J'Ca/ifornia. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i.e. cerefying the authorized capacity of the signer). Please check the
document carefully for proper notarial wording and attach this form f required.
• State and County information must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment,
• Date of notarization must be the date that the signers) personally appeared which
must also be the same date the acknowledgment is completed.
• The notary public must print his or her time as it appears within his or her
commission followed by a comma and then your title (notary public).
• Print the names) of document signer(s) who personally appear at the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.
he/she/they- is /are ) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
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Impression must not cover text or lines. If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk.
9 Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document.
Indicate title or type of attached document, number of pages and date.
Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indicate the title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
C 200420/5 PmLlnk Signing Serine, Inc, —AH Rights Rewired www.ThcPwLWk...—Nationwide Notary Service
ACKNOWLEDGMENT
State of California
County of Orange )
On December 01, 2016 before me, Debra Swanson, Notary Public
(insert name and title of the officer)
personally appeared Douglas A. Rapp
who proved to me on the basis of satisfactory evidence to be the person(d) whose name($) isle►®
subscribed to the within instrument and acknowledged to me that he/sWreflNey executed the same in
his/h&W*eeir authorized capacity(+,-*, and that by hisA3eN4heir signature(if) on the instrument the
person(Y), or the entity upon behalf of which the person(pr) 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.
DEBRASWANS0N RI
WITNESS'my hand and official seal. N e COMM. # 2170759 X
Cn
7 a & NOTARY PUBLOCAUFORNIA
Ix ORANGE COUNTY
{� MYCOMM E%P NOV1O, 2020 N
Signature � �E�..��;.j—��n/v�^� (Seal)
Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059
Know All by These Presents, That FEDERAL
COMPANY, a New York corporation, and PACIFIC IN
appoint Douglas A. Rapp and Timothy D. Rapp
Ina corporation, VIGILANT INSURANCE
Corporation, do each hereby constitute and
each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof (other than bail bonds) given or executed in the course of business, and any
instruments amending or altering the same, and oeneents to the modification or alteration of any Instrument referred to in said bonds or obligations.
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed their corporate seals on this 16th day of December, 2011.
Kenneth C. Wendel, Assistant Secretary , Norris, Jr., Vice President
STATE OF NEW JERSEY
County of Somerset ss.
On this 16th day of December, 2011 before me, a Notary Public of New Jersey, personally came Kenneth C, Wendel, to me
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which
executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he Is Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the
foregoing Pourer of Attorney are such corporate seals and were thereto affixed by authority of the By. Laws of said Companies; and that he signed said Power of Attorney as
Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the
signature of David B. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By -
Laws and in deponent's presence.
Notarial Seal J. A KATHERINE J, ADELAAR
NOTARY PUBLIC OF NEW JFKSFI
F aOSPR®
N0.2316685 �' �C" �`—
a� PUB�eG�' Conllniaion Expires July ah, 2014
pu Notary Public
bEVd dE1`
CERTIFICATION
Extract from the By. Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
"All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the
President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations, The
signature of such officers may be engraved, printed or lithographed. The signature of each of the following officers: Chairman, President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate relating thereto appointing Assistant Secretaries or Attorneys- in- Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company
with respect to any bond or undertaking to which it is attached.'
I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the "Companies") do hereby certify that
(i) the foregoing extract of the By- Laws of the Companies Is true and correct,
(ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed in Puerto Rico and the U.S. Virgin Islands, and Federal is licensed In
American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and
(iii) the foregoing Power of Attorney is true, correct and in full force and effect.
Given under my hand and seals of said Companies at Warren, NJ this 1st day of Decemberr, 2016
aVOIANP � h5 a 9� S't$IY ydp,�. �lni,!/N49LFl
Kenneth C. We el, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903.3656
e-mail: surety@chubbcom
Form 15-10-02256-U (Ed, 5-03) CONSENT
CITY OF SANTA ANA
BONDS
PROJECT NO.: 15-6846
Bond No. 8239-74-53
Z �1�'�1�1►YIf:i17►117
KNOW ALL MEN BY THESE PRESENTS that PALP Inc. dba Excel Paving Company
as CONTRACTOR, and Federal Insurance 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 Eight hundred seventy six thousand one
hundred eleven and 001100 Dollars
($ 876,111.00 ), 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
October 18, 2016 for Bishop -Pacific -Shelton Bike Blvds
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 terns 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, hands, and seal this
tat day of December _'20 16
2230 Lemon Avenue, Long Beach CA 90806
562-599-5841
C -P. $MOWN PRESIDENT
SURET.* Fed ral Insura Co an 15 Mountain View Rd., Warren, NJ 07059
908-903-2000
Douglas pp, Ao ey in Fact (949 -6770)
Subscribed and w rn to before me, this _,_day of
20
Signature:
Notary Public in and for the County of State of
Rate of premium on this bond is $ varies per thousand.
Total amount of premium charge is $ Ingluded in Charge for Performance Bond . 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.
2of3
ACKNOWLEDGMENT
State of California
County of Orange )
On December 01. 2016 before me, Debra Swanson, Notary Public
(insert name and title of the officer)
personally appeared uougiaS A. Kapp
who proved to me on the basis of satisfactory evidence to be the person(d) whose name($) isfare
subscribed to the within instrument and acknowledged to me that he/eheMtey executed the same in
his/heWtgeir authorized capacity(**, and that by hiss %414eir signature($) on the instrument the
person(8), 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 w pv`, �F^ DEBRASWANSONCOMM. # 2170759 X
g
NOTARY PURC-CAUFORNIA�
Q: W% ORANGE COUNTY
MY COMM, EkP. NOV 10.2020 �
Signature �.�J� �, (Seal)
Chubb I'UVVt:K Federal Insurance company Attn: surety department
OF Vigilant; Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059
Know All by These Presents, That FI
COMPANY, a New York corporation, and P
appoint Douglas A. Rapp and Timothy
Ina corporation, VIGILANT INSURANCE
corporation, do each hereby constitute and
each as their true and lawful Attorney- in- Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise, bonds and undertakings and other writings obligatory In the nature thereof (other than bail bonds) given or executed in the course of business, and any
Instruments amending or altering the some, and consents to the modification or alteration of any instrument referred to in said bonds or obligations,
In Witness Whereof, said FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affixed their corporate seals on this 16th day of December, 2011.
Kenneth C. Wendel, Assistant Secretary _ .Norris, Jc, Vice President
STATE OF NEW JERSEY
as.
County of Somerset
On this 16th day of December, 2011 before me, a Notary Public of New Jersey, personally came Kenneth C. Wendel, to me
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY, the companies which
executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL
INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the
foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By. Laws of said Companies; and that he signed said Power of Attorney as
Assistant Secretary of said Companies by like authority; and that he is acquainted with David B. Norris, Jr., and knows him to be Vice President of said Companies; and that the
signature of David B. Norris, Jr., subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris, Jr., and was thereto subscribed by authority of said By.
Laws and in deponent's presence.
Notarial Seal KATHERINE I ADELAAR
"0
NOTARY PUBUC OF NEW JPk8F1
F IOTA® s Nr,, 2316685
e� 6dYc CommiIIIIII Expirra July 16, 2014
Pp ocy Notary Public
CERTIFICATION
Extract from the By. Laws of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY:
"All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman or the
President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations. The
signature of such officers may be engraved, printed or IithographeJ. The signature of each of the following officers: Chairman, President, any Vice President, any
Assistant Vice President, any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any
certificate relating thereto appointing Assistant Secretaries or Attorneys- In. Fact for purposes only of executing and attesting bonds and undertakings and other
writings obligatory In the nature thereof, and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company
with respectto any bond or undertaking to which it is attached.'
I, Kenneth C. Wendel, Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY
(the "Companlesy do hereby certify that
(i) the foregoing extract of the By. Laws of the Companies Is true and correct,
(ii) the Companies are duly licensed and authorized to transact Surety business in all 50 of the United States of America and the District of Columbia and are
authorized by the U.S. Treasury Department; further, Federal and Vigilant are licensed In Puerto Rico and the U.S. Virgin Islands, and Federal is licensed In
American Samoa, Guam, and each of the Provinces of Canada except Prince Edward Island; and
(Iii) the foregoing Power of Attorney is hue, correct and in full force and effect.
Given under my hand and seals of said Companies at Warren, NJ this rat day of Decemberr, 2016
Kenneth C. We ei, Assistant Secretary
IN THE EVENT YOU WISH TO NOTIFY US OFA CLAIM, VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER
MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE, OR BY Telephone (908) 903- 3493 Fax (908) 903- 3656
e-mail: surety@chubb.com
Form 15-10- 02258- U (Ed. 5- 03) CONSENT
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