HomeMy WebLinkAboutBELCO ELECTRIC, INC. �1
Recorded in Official Records, Orange County
Recording Requested By, Hugh Nguyen, Clerk-Recorder
And When Recorded Mail To: I
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111111111111111111111111111111111111111111 11111
NO FEE
Clerk of the Council,City of Santa Ana
20 Civic Center Plaza,P.O.Box 1988 * $ R 0 0 1 0 8 0 2 1 4 8 $ *
Santa Ana,CA 92702 2019000142832 8:42 am 05101/19
37 413 N12 1
0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 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
a construction of WARNER AVENUE & FLOWER STREET TRAFFIC SIGNAL
M MODIFICATION under contract entered into on April 3, 2018, with BELCO ELECTRIC,
w INC., on which contract FIDELITY AND DEPOSIT COMPANY OF MARYLAND is surety.
oThe property on which such work improvement was placed is in the City of Santa Ana, County
o z of Orange, State of California, and described as Project No. 17-6893 located at: WARNER
a AVENUE AND FLOWER STREET. The work improvement on said property was accepted as
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c w completed on FEBRUARY 19, 2019.
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W o Cl O S
) A ANA,A MUNICIPAL CORPORATION
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Dated: Prin i al Civil En ineer-Tyrone Chesanek
BTU
TITLE
---------------------------------------------------------- ----------------------------
VERIFICATION
I, 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 6 at Santa Ana, Iforni
(Signatur individual swearing that the
contents f Notice of Completion are true.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION
THE REGISTER This apace forging ¢lamp only
625 N GRAND AVE, SANTA ANA, CA 02701
Telephone (714) 796.7000 / Fax (714) 790.6059
PROOF OF'PUBLICATION
(2016,6 GC.P,)
State of California
County of ORANGE ss
Notice Type: BID -NOTICE INVITING BIDS
Ad Description;
Warner Ave & Flower St Traffic Signal Modification
I am a citizen of the United States and'a resident of the State of California; ) am
over the age of eighteen years, and not a party to or Interested in the above
entitled matter. I am the principal clerk of the printer and publisher of the THE
REGISTER, a newspaper published In the English language In the city of
SANTA ANA, county of ORANGE, and adjudged a newspaper of general
circulation as defined by the laws of the State of California by the Superior
Court of the County of ORANGE, State of California, under date 11/1911906,
Case No. A21048. That the notice, of which the annexed Is a printed copy, has
been published In each regular and entire Issue of said newspaper and not in
any supplement thereof on the following dates, to -wit:
01103/2018, 01/06/2018
Executed on: 01/08/2018
At SANTA ANA ,CA
I certify (or declare) under penally of perjury that the foregoing Is true and
correct.
Signature I I
Email I�IIIIIII 0I 0I I111111111 �� 4
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THE REGISTER Thlaspcamrmine stump nnly
625 N GRAND AVE, SANTA ANA, CA 92701
Telephone (714) 796.7000 / Fax (714) 796.6059
PROOF OF PUBLICATION
(2015.6 C.C,P.)
State of California )
County of ORANGE ) ss
Notice Typo: BID - NOTICE INVITING SIDS
Ad Descdptlon: I -
WARNERAVE & FLOWER ST TRAFFIC SIGNAL. MODIFICATION
I am a oitizon of the United States and a resldent of the State of Callfornla; I aro
over the age of eighteen years, and not a party to or Interested In the above
entitled matter. I am the principal Clark of the printer and publisher of the THE
REGISTER, a newspaper published In the English language In the city of
SANTA ANA, county of ORANGE, and adjudged a newspaper of general
circuladon as defined by the laws of the State of California by the Superior
Court of the County of ORANGE. State of California, under date 1Ill 911905,
Case No. A21046, That the notice, of which the annexed is a printed copy, has
been published In each regular and entire Issue of said newspaper and not In
any supplement thereof on the following dates, to -wit:
1111012017, 11/15/2017
Executed on: 11/1512017
At SANTAANA,CA
I certify (or declare) under penalty of perjury that the foregoing Is true and
correct.
IA( 4/ --
Signature
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INJORANCC ON FILE
WORK MAY NOT
PROCEED
cI rPl( nP COUNCIL CITY OF SANTA ANA
O: Michael Ortiz: ,q CONSTRUCTION CONTRACT
PWA (/ ) T 5 2018 PROJECT 17-6893
WARNER AVENUE AND FLOWER STREET TRAFFIC SIGNAL MODIFICATION
This CONSTRUCTION CONTRACT is made and entered into this P day of April, 2018 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 "CITY"), and Elecnor
Belco Electric, Inc. (hereinafter "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 manner and to the
satisfaction of the City Engineer of the CITY, the Warner Avenue and Flower Street Traffic Signal
Modification 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
• 'BidProposal
• Bid Bond
• Contract Form
• Contract Bonds
• General Provisions
• Special Provisions
• Technical ',Provisions and Project Plans
• Community Workforce Agreement
• Appendices
In case of conflict between the Contract Documents, the precedence of documents shall be as
established in the Standard Specifications for Public Works Construction.
3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK
OF ,IMPROVEMENT the sum total amount not to exceed Seventy -Seven Thousand Seven Hundred
Fifty -Two Dollars and No Cents ($77,752.00), as set forth and identified in the BID PROPOSAL,
which is attached hereto and incorporated herein as Exhibit "A."
The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate
quantities only, and the City does not expressly or by implication agree that the actual amount of
work will correspond therewith, but reserves the right to increase or decrease the amount of any
class or portion of the work or to omit portions of the work as may be deemed necessary or
advisable.
rev. 09/01/2017 Page 1 of 3
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. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement
(CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and
procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF
IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's
website at:
http://www.santa-ana.org/pwa/documents/CWA.pdf
7. 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.
8. 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 Five Hundred
Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of Ten Thousand
Dollars ($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five
Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of One
Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final contractprice.
9. 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
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and
year first above written.
ATTEST:
MARIA D. HUIZAI
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
AWN FUNK
Assistant City Attorney
FOR APPROVAL:
EDWIN "WILLIAM" GALVEZ, P.E.
Acting Executive Director
Public Works Agency
CITY OF SANTA ANA
RAUL GODINEt r.>f
City Manager
CONTRACTOR:
Elecnor Belco Electric, Inc.
NAME: ALBERTO GARCIA
TITLE: Exec. Vice President
Page 3 of 3
Exhibit A
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: Elecnor Belco El
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:
Item
Description
Qty.
Unit
Unit Price
Amount
I
Remove and Discard Existing Pole,
2
EA
$
$
Vehicle I -leads, Ped Heads,and Push
't Fic �
�o
Button. Remove Foundation Complete.
I�®cv.J
2
Install New or Replace Existing Pull box
With New No.6 or 6E pull box
3
EA
$ Y-���
400
$
3
29-5.100 W/IT LUM. M.A. and
Foundation
2
EA
$
`q
$
?j�, i =� to
4
12" Vehicle Head (L.E.D.)
6
EA
$
$
I
5
Countdown Pedestrian Head Assembly
2
EA
$
$
6
A.D.A. Type "B" P.P.B. Assembly
2
EA.
$ �,_..,`
$
7
Luminair (400W 1-113SV)
2
EA
$ 12 ct
$I (L��
S
Sign Install On Mast Arm
2
EA
$
II15�-
$
'�-) l31
9
Rewiring Entire Intersection
LS
IS
$�
10
Install GTT Opticom Model 711 EVP
Detector (3M EVP 1-2 Direction)]
LS
LS
$ I
$ t
I I
Relocate Existing CM Camera
LS
LS
$n
L V
12
Temporary Overhead Wiring
LS
LS
$
c;IUM
$
SAD
13
Pothole For utility Not Shown
2
EA
$
Jt✓V
(�� �^p
I(UI.JV
REBID Project 17-6893 - December 20, 2017
Exhibit A
Item Description Qky Unit Unit Price Amount
TOTAL BASE BID $ —7
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.
t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications.
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 forty (40) working days after the commencement date stated in the Notice
to Proceed.
The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shall be $1,000 per calendar day.
Name of Firm Elecnor Be]40 Electric, Inc.
Signature of BIDDER
Title Vice Presiden
(If an individual, so state. I rm or co- artn ship, 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.)
REBID Project 17-6893 - December 20, 2017
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: Elecnor Belco Electric. 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:
Item
Description
Qty.
Unit
Unit Price
Amount
1
Remove and Discard Existing Pole,
2
EA
$
$
Vehicle Heads, Ped Heads,and Push
(�
w
i W ®�
,L�e-�
'c
Button. Remove Foundation Complete.
(
2
Install New or Replace Existing Pull box
With New No.6 or 6E pull box�j
3
EA
$
$
3
29-5-100 W/12' LUM. M.A. and
Foundation
2
EA
$
$
4
12" Vehicle Head (L.E.D.)
6
EA
$
$
5
Countdown Pedestrian Head Assembly
2
EA
$
$
6
A.D.A. Type'B" P.P.B.—Assembly
2
EA
$
$
7
Luminair(400WIIPSV)
2
EA
$
`l
$
8
Sign Install On Mast Arm
2
EA
$
r,1SS
$
9
Rewiring Entire Intersection
LS
LS
$-'7
$
1000
10
Install GTT Opticom Model 71IEVP
Detector (3M EVP 1-2 Direction)
LS
LS
$ t `
�� 7�q—��
$ d W
11
Relocate Existing CCTV Camera
LS
LS
$ Li wo
$
�1;`i�C)�CO
12
Temporary Overhead Wiring
LS
LS
$";Ivw
$
13
Pothole For Utility Not Shown
2
EA
$�--7�I�
J�V
$
dtd%VO
REBID Project 17-6893 - December 20, 2017
Item Description Qty Unit Unit Price Amount
TOTAL BASE BID $ 1 � C -) 00
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.
t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications.
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 forty (40) working days after the commencement date stated in the Notice
to Proceed.
The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shall be $1,000 per calendar day.
Name of Firm Elecnor Bel,�Oo Electric, Inc.
Signature of BIDDER
Title Vice Presi
(If an individual, so state. IN -Arm or co- arts ship, 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.)
REBID Project 17-6893 - December 20, 2017
BIDDER'S STATEMENT
BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent
Construction Contract Agreement shall constitute the entire agreement between BIDDER and the
AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the
Council with her signature and official seal noting hereon the action of approval of the Council,
signed by the Public Works Agency Executive Director or his/her duly authorized agent, and
signed by the City Attorney, denoting his approval of the form of this document, and its
execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited
with the United States Postal Service properly addressed to the BIDDER with the correct postage
affixed thereto.
BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she
will furnish AGENCY all required bonds and certificate of liability insurance within ten (10)
business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof
accompanying this proposal shall become the property of the AGENCY and shall be considered
as payment of damages due to the delay and other causes suffered by AGENCY because of the
failure to furnish the necessary bonds and because it is distinctly agreed that the proof of
damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or
BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned.
BIDDER understands that a bid is required for the entire work, the estimated quantities set forth
in the bid schedule are solely for the purpose of comparing bids, and that final compensation
under the contract will be based upon the actual quantities of work satisfactorily completed. The
BIDDER also certifies that the bid is a balanced bid.
In accordance with Section 7028.15 of the California Business and Professions Code, the
undersigned certifies under penalty of perjury that the foregoing is true and correct.
Name of Firm Elecnor Bglco Electric, Inc.
Signature of BIDDER
Title Vice Pres
(If an individual, so state. hf,.aelirm 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.)
REBID Project 17-6893 - December 20, 2017
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: Elecnor Belco Electric, Inc.
Business Address: 14320 Albers Way, Chino, CA 91710
Business E-Mail Address: jwong@elecnor.com
Telephone: 9 0 9- 9 9 3- 5 4 7 0
State Contractor's License No. and Class: 738518 A, B, C-10
License Expiration Date: 7 / 31 / 19
State Dept. of Industrial Relations (DIR)
Registration No.: 1000004804
State Dept. of Industrial Relations (DIR)
RegistratioryEY*ation Date: 6 / 3 0 / 18
Signed: f v`'( John Wong
Title: I Vibe
REBID Project 17-6893 - December 20, 2017
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
NameofFirm Elecnc
Signature of BIDDER
Title Vice Presic
(if an individual, so state)
REBID Project 17-6893 - December 20, 2017
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA
)
COUNTY OF ORANGE
)SS:
CITY OF SANTA ANA
)
John Wong
being duly sworn, deposes and says:
❑ INDIVIDUAL
That he/she is the party making the foregoing proposal:
❑ PARTNERSHIP
That he/she is a member of the co -partnership firm designated as:
and who has been and is duly vested with the authority to make and execute instruments
for the co -partnership by:
who constitute the other members of the co -partnership.
® CORPORATION
That he is of:
a corporation which is making the foregoing proposal:
❑ JOINT VENTURE
That he is of:
one of the parties making the foregoing proposal as ajoint 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 c9gtract, for himself or any other person.
of
before me this day of ( I 1 �1 20 AU
Oath (Notary Public)
^•"^••�••�»••»-
":.: s;..
OLIVIA CHEA
A notary public or other officer completing
this certificate verifies only the identity of
" o
i �L„
Commission No. 2107474 z
NOTARY
the individual who signed the document to
which this certificate is attached, and not
the truthfulness, accuracy, or validity of
,f
PUBLIC-CALIFORNIA U
fE'°
SAN BERNARDINO COUNTY
that document.
My Comm. Expires APRIL 18, 2019
REBID Project 17-6893 - December 20, 2017
C G C=
KNOW ALL PRESENT that,
Fleenor Belco Electric Inc , as BIDDER, and
Fidelity and Deposit Company of Maryland , 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, hands, and seal this
17th day of January 12018 .
BIDDER*
Tel No: (909)
SURETY*
Heniz, 771, Soyth FigWaroa St.,
Subscribed and sworn to before me
20_
Signature:
Notary Public in and for the County of
, State of
Danielle D.
this day of
* Provide BIDDER/ SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
REBID Project 17-6893 - December 20, 2017
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 San Bernardino }
On 'b` Z� before me, Olivia Chea, Notary Public
(Here ineen name and the of the arvier)
personally appeared John Wong
who proved to me on the basis of satisfactory evidence to be the person(e) whose
name(s)tts re subscribed to the within instrument and acknowledged to me that
{ the/they executed the same in Is er/their authorized capacity(ies), and that by
s er/their signature(sj on the instrument the person(s), or the entity upon behalf of
which the person(sj 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.
t '^ OLIVIA CHEA
..mr: -..
a id and official seal.
Commission No.27o7474
z LGIs s, NOTARY PUBLIC-CALIFORNIA ".
9aryPubkicS,gynature
j '.,� �„ SAN BERNARDINO COUNTY
( My Comm Expires APRIL 18, 2019
(Notary Public Seal)""
"
DESCRIPTION OF THE ATTACHED DOCUMENT
66
(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
O Corporate Officer
Vice President
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
2015 Version wwrm. NotaryUasses_com n.09-873-92,65
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ACKNOWLEDGEMENT OF SURETY
STATE OF Connecticut
COUNTY OF Hartford
On this 17th day of January, 2018, before me personally came Danielle D. Johnson, to
me known, who, by me duly sworn, did depose and say that he/she is the attorney -in -fact
of the Fidelity and Deposit Company of Maryland that he/she knows the seal of the
corporation; that the seal affixed to the said instrument is such company seal; that it was
so affixed by order of the Board of Directors of said company and that he/she signed
his/her name thereto by like order.
AIMEE I'ERONDINE
Y01ARY PUBLIC - CT 174145
Q9 �v MY COMMISSION EXPIRES MAY 31, 2022
Notary Public, Aimee Peroudine
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attomey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time.
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in foil force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the loth day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
I.N TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this 1 -Ff_ day of x 20�' .
« tool
y�
IaI $AL
I
Michael C. Fay, Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION
OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT
INFORMATION TO:
Zurich Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
www.reportsfclaims@zurichna.com
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: '/2% 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 Rprtions of the work to the firms listed below:
iName Qtj t
Name
License #/Exp.
License #/Exp.
DIR Reg. #/Exp.
DIR Reg. #/Exp.
Location
Location
Phone
Phone
Type Of Work
Type Of Work
Amount $
Amount $
Name
Name
License #/Exp.
License #/Exp.
DIR Reg. #/Exp.
DIR Reg. #/Exp.
License #
License #
Location
Location
Phone
Phone
Type Of Work
Type Of Work
Amount $
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License #
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. 4/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
REBID Project 17-6893 - December 20, 2017
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.
1. City of Victorville 14343 Civic Dr., Victorville, CA
Name and Address of Owner.
Heldreth 760-243-6360
Name and Telephone Number of person familiar with project.
$1,278,432 Traffic Signals, Fiber Optic May 2014
Contract Amount Type of Work Date Completed
2. City of Glendale 633 Broadway Suite 215, Glendale, CA
Name and Address of owner.
Sarkis Oganesvan 818-548-3945
Name and Telephone Number of person familiar with project.
$316,285 Traffic Signal Sept. 2015
Contract Amount Type of Work Date Completed
3. _City of Orange 300 E. Chapman Ave, Orange, CA
Name and Address of owner.
Medel Llanes 714-744-5535
Name and Telephone Number of person familiar with project.
$322,096 Traffic Signal Sept. 2015
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.
Willis Towers Watson - Joyce Duhr
Short Hills, NJ 07078
973-401-7420
REBID Project 17-6893 - December 20, 2017
ADDITIONAL REFERENCES
The following are the names, addresses, and telephone numbers for THREE public agencies for
which the BIDDER or Subcontractor has performed similar work in the past five years.
1. City of Culver City 9700 Culver Blvd., Culver City, CA
Name and Address of Owner.
310-253-5604
Name and Telephone Number of person familiar with project.
$1,000,080 Traffic Signals
Contract Amount Type of Work
2. City of Corona 400 S. Vicentia Ave, Corona, CA
Name and Address of owner.
Dennis Ralls 951-817-5708
Name and Telephone Number of person familiar with project.
June 2017
Date Completed
$278,916 Traffic Signal May 2017
Contract Amount Type of Work Date Completed
3. City of Diamond Bar 21810 Copley Drive, Diamond Bar, CA
Name and Address of owner.
Christian Malr2 oa 909-839-7042
Name and Telephone Number of person familiar with project.
$449,772 Fiber Optics October 2017
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.
Willis Towers Watson - Joyce Duhr
150 John F. Kennedy Parkway, Suite 520
Short Hills, NJ 07078
973-401-7420
REBID Project 17-6893 - December 20, 2017
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and Public Contract Code Section 7106)
In conformance 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 other 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. BIDDERS are
cautioned that making a false certification may subject the certifier to criminal
Signed
State of
County
Su sc ibled an,ds���orn to (or affirmed) before me on this �w'" day of AWN 20� by
, UtYY proved to me on the basis of satisfactory evidence to be the
person(s) who app ared before me OIL ViA CHEA
_ r-, a ;
t Commission No.2107474 n
4 r >f NOTARY PUBLIC-CALIFORNIA n
",%el SAN BERNARDINO COUNTY
{.......� My Comm. Expires APRIL 18, 2019
Notary Public Signature otary u tc
A notary public or other officer completing
this certificate veriFles 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.
REBID Project 17-6893 - December 20, 2017
NON-DISCRIMINATION CERTIFICATE
The undersigned contractor or corporate officer, during the performance of this contract, certifies
as follows:
1. The Contractor shall not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The Contractor shall take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment without, regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to, the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The Contractor
agrees to post in conspicuous places, available to employees and applicants for employment,
notices to be provided setting forth the provisions of this nondiscrimination clause.
2. The Contractor shall, in all solicitations or advertisements for employees placed by or on
behalf of the Contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, or national origin.
3. The Contractor shall send to each labor union or representative of workers with which he/she
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor union or workers' representatives of the Contractor's
commitments under this section, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
5. The Contractor shall furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his/her books, records, and accounts by the
administering agency and the Secretary of Labor for purposes of investigation, to ascertain
compliance with such rules, regulations, and orders.
6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, the contract may be canceled,
terminated, or suspended in whole or in part and the Contractor may be declared ineligible
for further Government contracts or federally assisted construction contracts in accordance
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.
REBID Project 17-6893 - December 20, 2017
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 Stars. 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 CKabter.
Signed:
Title:
Firm: Elenor Belco Electric, Inc.
Date: 1/22/18
REBID Project 17-6893 - December 20, 2017
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 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 amougk"hq the Caljfopia Apprenticeship Council.
Signed:
Title:
Firm
Date: 1/22/18
, John
Si
Belco Electric, Inc.
REBID Project 17-6893 - December 20, 2017
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: )L(/ ® I \N/ , John Wong
Title: Vice �res
Firm: Elekndr Belco --ETectric, Inc.
Date: 1/22/18
REBID Project 17-6893 - December 20, 2017
PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE
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 X
If the answer is yes, explain the circumstances in the following space.
REBID Project 17-6893 - December 20, 2017
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele Martinez
COUNCILMEMBERS
P. David Benavides
Vicente Sarmiento
Jose Solono
Sal Tinalero
Juan Villegas
January 8, 2018
ADDENDUM No. ONE
CITY OF SANTA ANA
20 Civic Center Plaza • P.O. Fine 1088
Santa Ana, California 92702
W .santa-ana,ora
CITY MANAGER
Raul Godinez II
CITY ATTORNEY
Sonia R, Carvalho
CLERK OF THE COUNCIL
Maria D. rlulzar
SUBJECT: PROJECT T NO. 17-6893: Warner Avenue and Flower Street Traffic Signal
Modification
The following changes have been made to Specifications for the subject project:
S9e2ifications
Page iv in NOTICE INVITING BIDS: Remove. The sentence "In addition, video detection
for all 4 approaches will be installed as part of this project," In the Scope of Work paragraph
was removed.
CITY OF SANTA ANA
City Engineer
SANTA ANA CITY COUNCIL
Miguel A. Pulino Michele Martinez Vicente Selmienlo Jose Snlorio P0mid Benavimm, Juan Wrap s Sal Tlnatero
Mayor Mayor Pro Tem. Ward 2 Ward Wartl3 Were Wads Wool
nr.lidposanig yPjaayyLie;((Osanlaa ra oro IRD t solano(d)xafla afe om Obanavitlas@lsanl'a ana.orn villeoasrinsanta.ana oro stlna emlrusaf aura
CITY Or SANTA ANA
ADVERTISEMENT
PROJECT NO.: 17-6893
WARNER AVENUE AND FLOWER STREET TRAFFIC SIGNAL MODIFICATION
NOTICE INVITING BIDS
NOTICE IS HEREBY GIVEN that the City of Santa Ana will receive Bids on or before the hour
of 2:00:59 pm, January 24, 2018.by the Public Works Agency Receptionist, Third Floor (see
attached map), located at City Hall - Ross Annex, 20 Civic Center Plaza, M-22, Santa Ana,
California 92701 for:
PROJECT NO, 17-6893
WARNER AVENUE AND FLOWER STREET TRAFFIC SIGNAL MODIFICATION
Bids Proposals shall be enclosed in a sealed envelope clearly marked on the outside with the
above identified project number and name, and also marked "SEALED BID — DO NOT OPEN
WITH REGULAR MAIL"
Scope of Work includes upgrading the current eastbound and westbound left turn phasing by
replacing the two mast arms traffic signal poles.
It is the BIDDER'S responsibility to ensure delivery of the Proposal prior to the bid opening
hour. Contractors will be required to comply with the.Cfty's new security nolicX and sign -in with
the receptionist on the first floor. Contractors will sign -in under Bid opening for Project 17-6893
to receive elevator access to the 3rd floor lobby. Contractors should allow themselves additional
time to register in order to avoid missing the time -stamp deadline.
Each bid shall be accompanied by a Bid Proposal Guaranty in the form of a cashier's or certified
check payable to the City of Santa Ana, or Bid Bond issued by a corporate surety, in an amount
not less than ten percent (10%) of the bid aggregate, as a guarantee that the Bidder will enter into
the proposed contract if the same is awarded. The signature of the bidder on the bid bond must
be notarized.
The City of Santa Ana reserves the right to reject any and all bids and to waive ally minor or
non- substantive irregularities in the bid documents.
Prior to bid opening,, Bidders must possess or obtain a valid California Class "A" or Class
"C-10" Contractor's license.
Addenda issued during the time the bid is advertised wilt be posted on the City of Santa Ana
website. BI.DDERs are responsible to become self -informed as to whether or not addenda have
been issued.
ry
REBID Project 17-6893 - December 20, 2017
MAYOR
- Miguel A. Pulldo
MAYOR PRO TEM
Michele Martinez
COUNCILMEMBERS
P. David Benavides
Vicente Sarmlento
Jose Solorio
Sal TlnaJero
Juan Villages
January 24, 2018
arr r
CITY OF SANTA ANA
20 Civic Center Plaza + P.O. Box 1988
Santa Ana, California 92702
www.santa-ana.ora
CITY MANAGER
Raul Godinez II
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizer
SUBJECT: PROJECT NO,17-6893: Warner Avenue and Flower Street Traffic Signal
Modification
The fotlowing changes have been made to Specifications for the subject project:
SDecifications
• Page iv in NOTICE INVITING BIDS: Bid date was changed to February 7, 2018.
CITY OF SANTA ANA
Edwin"WIIIIam" Gave , P.E.
City Engineer
SANTA ANA CITY COUNCIL - - - - - -- -
Miguel A. Pulido Michele Martinez Vicente Sarmiento Jose Solorio'.; .; _ _ _ P. David ee8avldes Juan Villegas %-'- Sal TlnaJero-
Mayor Mayor Pro Tern, Ward 2 Ward Ward = W6rd4%c'5- - Ward - Ward -
mfto oulidoRsanta-ana.oro mlmarlinersanta-ona.oru vsarmienlordm sanla-aaa.o'solorio sa s-ah8:or -- vide r 3: s e r�:�Ta1rnt�TnZsan1a9l1B om —"-
CITY OF SANTA ANA
ADVERTISEMENT
PROJECT NO.: 17-6893
WARNER AVENUE AND FLOWER STREET TRAFFIC SIGNAL MODIFICATION
NOTICE INVITING BIDS
NOTICE IS HEREBY GIVEN that the City of Santa Ana will receive Bids on or before the hour
of 2:00:59 pm, February 7, 2018 by the Public Works Agency Receptionist, Third Floor (see
attached map), located at City Hall - Ross Annex, 20 Civic Center Plaza, M-22, Santa Ana,
California 92701 for:
PROJECT NO. 17.6893
WARNER AVENUE AND FLOWER STREET TRAFFIC SIGNAL MODIFICATION
Bids Proposals shall be enclosed in a sealed envelope clearly marked on the outside with the
above identified project number and name, and also marked"SEALED BID - DO NOT OPEN
WITH REGULAR MAIL"
Scope of Work includes upgrading the current eastbound and westbound left turn phasing by
replacing the two mast arms traffic signal poles.
It is the BIDDER'S responsibility to ensure delivery of the Proposal prior to the bid opening
hour. Contractors will be required to comply with the City's new security policy and sign -in with
the receptionist on the first floor. Contractors will sign -in under Bid opening for Project 17-6893
to receive elevator access to the 3rd floor lobby. Contractors should allow themselves additional
time to register in order to avoid missing the time -stamp deadline.
Each bid shall be accompanied by a Bid Proposal Guaranty in the form of a cashier's or certified
check payable to the City of Santa Ana, or Bid Bond issued by a corporate surety, in an amount
not less than ten percent (10%) of the bid aggregate, as a guarantee that the Bidder will enter into
the proposed contract if the same is awarded. The signature of the bidder on the bid bond must
be notarized.
The City of Santa Ana reserves the right to reject any and all bids and to waive any minor or
non- substantive irregularities in the bid documents.
Prior to bid opening, Bidders must possess or obtain a valid California Class "A" or Class
"C-10" Contractor's license.
Addenda issued during the time the bid is advertised will be posted on the City of Santa Ana
website. BIDDERs are responsible to become self -informed as to whether or not addenda have
been issued.
R€131D=Project 17-6893 - December 20, 2017 iv
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele Martinez
COUNCILMEMBERS
P. David Benavldes
Vicente Sarmiento
Jose Solorio
Sal TinaJero
Juan Villages
February 6, 2018
ADDENDUM No. THREE
CITY OF SANTA ANA
20 Civic Center Plaza • P.O. Box 1988
Santa Ana, California 92702
www.santa-ana.ora
CITY MANAGER
Raul Godinez II
CITY ATTORNEY
Sonla R. Carvalho
CLERK OF THE COUNCIL
Marla D. Hulzar
SUBJECT: PROJECT NO. 17-6893: Warner Avenue and Flower Street Traffic Signal
Modification
The following clarification has been made to Plan sheet 1 of 1 (XA01) for the subject project:
Plans:
Sheet 1 of 1 (XA01) Traffic Signal Modification Drawing: Since we removed the video
detection component of this project, construction note 8 and construction note 8 call -out are
not part of this project.
CITY OF SANTA
lad
City Engineer
SANTA ANA CITY COUNCIL
Miguel A. Pulido Michele Martinez Vicente sarmlento Jose solorlo P. David Senavides Juan Vlilegas Sal Tinelem
Mayor Mayor Pro Tom, Ward 2 Wadi Ward Ward Wards Wade
mourdoaalsanta-ana orq mimartinaz(lo santaana.grn vsermiento(dsanta�ana...g 'sglgrio tni Santa-ana.org dbonavidesissanta-ana.one villegosAlsama-amov atIft9i ...(d t-
belco
elecnor group
14320 Albers Way
Chino, CA 91710
909-993-5470 / 909-993-5476
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
PROJECT NAME: Warner Avenue and Flower Street Traffic Signal Modification
Project No. 17-6893
BID DATE: February 7, 2018
BID TIME: 2:OOPM
*SEALED BID. DO NOT OPEN WITH REGULAR MAIL*
CITY OF SANTA ANA
BONUS Bond No, 9279993
PROJECT NO.: 17-6893
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS that Elecnor Belco Electric, Inc.
as CONTRACTOR, and Fidelity and Deposit Company of Maryland
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
Seventy Seven Thousand Seven Hundred Fifty Two and 00/100 Dollars
($ 77,752.00 ), 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
April 3, 2018 for Project No. 17-6893 Warner Avenue & Flower Street Traffic Signal Modification
if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work
of Irnprovement 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
oth _ day of April , 20 18 .
Belco Electna, Inc., 1432C Albers Way, China, CA 91710, bapq.6�0/agyl('mPeroaitlemkTwArsepa2aGioss9wls�®m, Tel'. 909 993-5470 ext 254
Fidelity and Deposil Company of Maryland, 1299 ZURIUH WAY, 5TH FLOOR, SCHAUMBURG, IL 60196-1056, Tel (847) 60543000
SURETY* Margaret Hartz 717 South Figueroa SL qge , CA 90 (213-270-075
i" a Sanford, Attomey-In-Fact
Subscribed and sworn 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 $ 3.87 Sliding Scale per thousand.
Total amount of premium charge is $ snl on . 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.
MD
I of 3
Yt
I
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of San Bernardino
on April 13, 2018 before me, Guadalupe L. Sandoval "Notary Public"
Date Here Insert Name and Title of the Officer
personally appeared Alberto Garcia ExecutiveyP
Names) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose narnsi Aare
subscribed to the within instrument and acknowledged to me that ka9she/they executed the same in
l(oher/their authorized capacity(j4, and that byC 'her/their signature(pf on the instrument the person(';),
or the entity upon behalf of which the person acted, executed the instrument.
GUADALUPE L. SANDOVAL ■
Notary Public -California 3
San Bernardino County v
Commission 421931.54
My Comm. Expires Apr 22, 2021
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
Signature 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: City of Santa Ana- Bonds Project No: 17-6893 Performance Bond
Document Date: Number of Pages: I
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www.Nationa[Notary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
NOTARY ACKNOWLEDGMENT OF SURETY:
State of Connecticut
County of Hartford ss. Hartford
On this the 10th day of April 20 18 , before me, Saykham Chanthasone,
the undersigned officer, personally appeared Joshua Sanford , who
acknowledged himself/herself to be the Attorney -In -Fact of
Fidelity and Deposit Company of Maryland a corporation, and that s/he
as such Attomey-In-Fact, being authorized so to do executed the foregoing instrument for
the purposes therein contained, by signing the name of the corporation by himself/herself
as Attorney -In -Fact.
In witness whereof I hereunto set my hand.
ig-n ture of Not C[bfie
Date Commission Expires: October 31, 2018
Saykham Chanthasone
Printed Name of Notary
SAYKHAM CHANTHASONE
VOTARY PUBLIC -CT 165366
MY COMMISSION EXPIRES OCT. 81, 2018
CITY OF SAi° TA ANA
BONDS Bond No. 9279993
PROJECT NO.: 17-6893
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS that Elecnor Belco Electric Inc
as CONTRACTOR, and Fidelity and Deposit Company of Maryland
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
Seventy Seven Thousand Seven Hundred Fifty Two and 00/100 Dollars
($ 77,752,00 ), 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
April 3, 2018 for Project No. 17-6893 Warner Avenue & Flower Street Traffic Signal Modification
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 Linder 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
10th _ day of April , 20 18.
* Eleanor Belco Electit Inc., 14320 Albers Way, Chino, CA 91710, J®tarenk�`lU®ag�bnm.Rreai9an� Rsnspar.taN�ut.BiuistofgTe1: 909993-5470 eM254
` Fidelity and Deposit Company of Maryland 1299 ZURICH WAY, 5TH FLOOR, SCHAUMBURG, IF 60196-1056, Tel: (847) 605-6000
SURET li,i Margaret Hertz 717 South Figueroa Sir , Se 3900 Los Angeles, CA 90017, Tel: (213-270-0757)
Joshua Sanlerd Atlomey-In-Fact
Subscribed and sworn to before i u this day of
20
Signature:
Notary Public in and for the County of State of
Rate of premium on this bond is $ 3.87 Sliding Scale per thousand.
Total amount of premium charge is $ 301.00 . To be,l riled in by Surety
*Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
*MD
2 of 3
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California }
County of San Bernardino
On April 13, 2018 before me, Guadalupe L. Sandoval "Notary Public' r
Date Here Insert Name and Title of the Officer
personally appeared Alberto Garcia EssecutiveyP
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person() whose name) t Yare
subscribed to the within instrument and acknowledged to me that eXshe/they executed the same in
&/her/their authorized capacity(jA), and that by 1 Yher/their signature(u) on the instrument the person(,
or the entity upon behalf of which the personae)' acted, executed the instrument.
w-aJ. ...A..
GUADAI.111E1.11 DgllVAL
Notary Public- California z
San Bernardino County
v Commission n 2193154
My Comm. Expires Apr 22, 2021
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. n
Signature
Signature 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: Cify of Santa Ana- Bonds Project No: 17-6893 Payment Bond
Document Date: Number of Pages:
Signer(s) Other Than Named Above: _
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association - www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907
NOTARY ACKNOWLEDGMENT OF SURETY:
State of Connecticut
County of Hartford ss. Hartford
On this the 1 Oth day of April , 20 18 , before me, Saykham Chanthasone,
the undersigned officer, personally appeared Joshua Sanford , who
acknowledged himself/herself to be the Attorney -In -Fact of
_Eidellity and Deposit Company of Maryland a corporation, and that s/he
as such Attorney -In -Fact, being authorized so to do executed the foregoing instrument for
the purposes therein contained, by signing the name of the corporation by himself/herself
as Attorney -In -Fact.
In witness whereof I hereunto set my hand.
Si t e of Notary Public
Date Commission Expires: October 31, 2018
Saykham Chanthasone
Printed Name of Notary
SAYKHANICHANTHASONE
NOTA2YiT1 BLIC-CTd65366
MY COMMISSION EXPIRES OCT. 81, 2018
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Aiza LOPEZ, Brian PETERS, Danielle D.
JOHNSON, Michelle Anne McMAHON, Saykhom CHANTHASONE and Noah William PIERCE, all of Hartford, Connecticut,
EACH its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and
deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as
binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the
regularly elected officers of the ZURICI-I AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly
elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the
regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their
own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 12th day of March, A.D. 2018.
ATTEST:
Assistant Secretary
Joshua Lecker
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
Ex4Wtry Fwy�po�t�og� eGIot sUc••°4,
T.r..ya P
SEAL � ` g
7 uw tea' $ �. toile 1$3
*...,. o
Vice President
Michael Bond
State of Maryland
County of Baltimore
On this 12th day of March, A.D. 2018, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL
BOND, Vice President, and JOSIIUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and aclarowledged the execution of same, and being by me duly sworn, deposeth and saith, that
he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that
the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction ofthe said
Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
�,p W uqq
"hnnuna
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2019
PGA-F 063-9180A
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Anornevs-in-Pact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -'Fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney. -Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by 'facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the loth day of May, 1990.
RESOLVED; "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
I %" STIMONM WHEREOF, I have he eve to subscribed my name and affixed the corporate seals of the said Companies,
this lb ay ofj , 20
oi__
ce),op10i "s,'iy�.,1088,.OS�i
r I ;
David McVicker, Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED
INFORMATION TO:
Zurich American Insurance Co.
Attn: Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
Disclosure Statement ZURICHO
NOTICE OF DISCLOSURE FOR AGENT & BROKER COMPENSATION
If you want to learn more about the compensation Zurich pays agents and brokers visit:
http:llwww.zurichnaproducercom pensation.com
or call the following toll -free number: (866) 903-1192.
This Notice is provided on behalf of Zurich American Insurance Company
and its underwriting subsidiaries.
U-GU-874-A CW (06/11)..
Pagel of 1
CITY OF SANTA ANA Bond No.9279993
BONDS
PROJECT NO.: 17-6893
WARRANTY PERFORMANCE AND PAYMENT BOND
(To be submitted upon project completion as a condition of project acceptance)
KNOW ALL MEN BY THESE PRESENTS that Elecnor Belco Electric Inc
as CONTRACTOR, and Fidelity and Deposit Company of Maryland
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
Fourteen Thnusand Five Hundred Fifty and 401100 Dollars
($ 14 550 40 ), which is -2o— percent of the final 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 AR E SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
April 3 2018 for protect No 17-6893 Warner Avenue & Flower Street Traffic Signal Modification ,
if CONTRACTOR faithfully warrants the work done under said Contract Agreement against
material or quality defects for a period of one year after acceptance by the AGENCY, 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
20th day of May , 20 19
CONTRACTOR*
to before me, , this day of
Public in and for the County of State of
Rate of premium on this bond is $ o.00 per thousand.
Total amount ofpremium charge is $ o.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.
*ofIL
3 of
NOTARY ACKNOWLEDGMENT OF SURETY:
State of Connecticut
County of Hartford ss.
On this the zoth day of May 20 is , before me, Bethany Stevenson, the
undersigned officer, personally appeared Joshua Sanford , ]mown to me
(or satisfactorily proven) to be the person whose name is subscribed as Attorney -In -Fact for
Fidelity and Deposit Company of Maryland , and acknowledged
that s/he executed the same as the act of his/her principal for the purposes therein
contained.
set my hand.
BETHANY STEVENSON
NOTARY PUBLIC - CT I77501
MY COMMISSION EXPIRES SEPT. 30, 2023
sptember 30, 2023
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICI-I AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
ROBERT D. MURRAY, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies,
which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Aiza LOPEZ, Danielle D. JOHNSON,
Michelle Anne McMAHON, Saykham CHANTHASONE and Noah William PIERCE, all of Hartford, Connecticut, EACH its true
and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all
bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland, in their own proper
persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 7th day of May, A.D. 2019.
ATTEST:
W.
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
wa o[Posp >°•+'µa"tNSG4"L
@_
� a4 � e �i }gi"ON,
BAL 'O ppa
,,,,�a p11 � -u' rasa !S�f
�, ,� Eat'.,.. ..•:� r
Assistant Secretary Vice President
Dawn E. Brown Robert D. Murray
State of Maryland
County of Baltimore
On this 7th day of May, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, ROBERT D.
MURRAY, Vice President, and DAWN E. BROWN, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that
he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that
the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction ofthe said
Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my head and affixed my Official Seal the day and year first above written.
l `
rrrrnu" �
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2019
POA-F 063-9180A
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in --'fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature ofthe President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the IOt'h day of May, 1990.
RESOLVED: 'That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this &"'day of 20�.
�..II ols
.t X
''knn*'J'
Brian M. Hodges, Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED
INFORMATION TO:
Zurich American Insurance Co.
Attn: Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
Disclosure Statement ZURICHN
NOTICE OF DISCLOSURE FOR AGENT & BROKER COMPENSATION
If you want to learn more about the compensation Zurich pays agents and brokers visit:
http://www.zurlchnap roducercompensation.com
or call the following toll -free number: (866) 903-1192.
This Notice is provided on behalf of Zurich American Insurance Company
and its underwriting subsidiaries.
U-GU-874-A CVV (06111)
Page I of 1
CALIFORNIA -ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of San Bernardino }
On May 24, 2019 before me, Guadalupe L. Sandoval "Notary Public'
,
Date Here Insert Name and Title of the Officer
personally appeared Alberto Garcia President & CEO
Name(s) of Slgner(s)
who proved to me on the basis of satisfactory evidence to be the persona) whose nameA sure
subscribed to the within instrument and acknowledged to me that he/they executed the same i
Mher/their authorized capacity(Os%,, and that b s�er/their signatureK on the instrument the persor&,
or the entity upon behalf of which the person(acted, executed the instrument.
OUABAL PE Commission
# 193154-1
Commission#2193154 c
Notary Public • California y
San Bernardino County
My Comm. Expires Apr. 22, 2921
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 . al.
Signature
Signature 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 or Type of Document: City of Santa Ana Bonds No: 17-6893
Document Date: Number of Pages:
Signer(s) Other Than Named Above: __ _
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing: m
Signer's Name: — _ __
❑ Corporate Officer — Title(s): ____�
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other: _
Signer Is Representing: _
02016 National Notary Association • www.NatioralNotary.org • 1-800-US NOTARY (1-800-876-6827) Item 45907
CITY OF SANTA ANA Bond No.9279993
BONDS
PROJECT NO.: 17.6893
WARRANTY PERFORMANCE AND PAYMENT BOND
(To be submitted upon project completion as a condition of project acceptance)
KNOW ALL MEN BY THESE PRESENTS that Elecnor Belco Electric Inc
as CONTRACTOR, and Fidelity and Deposit Company of Maryland ,
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
Fourteen Thnucand Five Hundred Fifty and 401100 Dollars
($ 14,550.40 ), which is 2o percent of the final 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 AR E SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
April 3 201 a for Project No 17-6893 Warner Avenue & Flower Street Traffic Signal Modification ,
if CONTRACTOR faithfiilly warrants the work done under said Contract Agreement against
material or quality defects for a period of one year after acceptance by the AGENCY, 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
20th day of May , 20 19 .
a-)
rn to
blic in and for the County of State of
this day of
Rate of premium on this bond is $ o.00 per thousand.
Total amount of premium charge is $ 0.00 . To be fulled in by Surety
*Provide CONTRACTOR / ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
of IL
3 of
NOTARY ACKNOWLEDGMENT OF SURETY:
State of Connecticut
County of Hartford ss.
On this the loth day of May , 2019 , before me, Bethany Stevenson, the
undersigned officer, personally appeared Joshua Sanford , ]mown to me
(or satisfactorily proven) to be the person whose name is subscribed as Attorney -In -Fact for
Fidelity and Deposit Company of Maryland , and acknowledged
that s/he executed the same as the act of his/her principal for the purposes therein
contained.
In witness yVI)ereof I hereunto set my hand.
' I % BETHANY STEVENSON
I NOTARYP"LIC-CT177301
Signat rm Nr Pu MYCOMMISSIONEXPIRESSEPT.'30,2023
Date Cnissi n
Expi es: September 30, 2023
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
ROBERT D. MURRAY, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies,
which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Aiza LOPEZ, Danielle D. JOHNSON,
Michelle Anne McMAHON, Saykham CHANTHASONE and Noah William PIERCE, all of Hartford, Connecticut, EACH its true
and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all
bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York, the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper
persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 7th day of May, A.D. 2019.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
orro iiiSo.
% c>9alyy �f.V Sj +•pG?........ *L
BBAL ��` ei a.— vas
Fia 7 o IM ,67t„0.
am.���
Assistant Secretary Vice President
Dawn E. Brown Robert D. Murray
State of Maryland
County of Baltimore
On this 7th day of May, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, ROBERT D.
MURRAY, Vice President, and DAWN E. BROWN, Assistant Secretary, of the Companies, to me personally (mown to be the individuals and officers
described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that
he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that
the said Corporate Seals aid the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction oftho said
Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
\,uiuuuii: �y,
Pa
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2019
POA-F 063-9180A
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this j'v day of '(Y1q,H. 2010L.
�11 M�Q oePafr 011,
� Y
fperory6\°m wx�
0.SAL
m
Brian M. Hodges, Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED
INFORMATION TO:
Zurich American Insurance Co.
Attn: Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
Disclosure Statement ZURICW
NOTICE OF DISCLOSURE FOR AGENT & BROKER COMPENSATION
If you want to learn more about the compensation Zurich pays agents and brokers visit:
http://wwwzurichnaproducercom pensation.com
or call the following toll -free number: (866). 903-1192.
This Notice is provided on behalf of Zurich American Insurance Company
and its underwriting subsidiaries.
U-GU-874-A CW (08111)
Pagel of 1
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1199
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California,
County of San Bernardino
On May 24, 2019 before me, Guadalupe L. Sandoval "Notary Public'
Date Here Insert Name and Title of the Officer
personally appeared Alberto Garcia President & CEO
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person4 whose names}&are
subscribed to the within instrument and acknowledged to me that a she/they executed the same in
5�s1'74�isher/their authorized capacity((eg), and that by her/their signature on the Instrument the person(Sf,
or the entity upon behalf of which the personA acted, executed the instrument.
GUADALUPE L. SANDOVAL
Commission 12193154
Notary Public • California
San Bernardino County
.,,safiu. My Comm. Expires Apr. 22, 2021
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
Signature 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: Clry of Santa Ana Bonds No: 17-6893
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s): , -
El Partner — ❑ Limited [I General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing
Number of Pages: I
Signer's Name:
❑ Corporate Officer — Title(s):
Ll Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing: _
02016 National Notary Association • www.NatidnalNotary,org • 1-800-US NOTARY (1.800-876-6827) Item 45907
CITY OF SANTA ANA Bond No. 9279993
BONDS
PROJECT NO.: 17-6893
WARRANTY PERFORMANCE AND PAYMENT BOND
(To be submitted upon project completion as a condition of project acceptance)
KNOW ALL MEN BY THESE PRESENTS that Elecnor Belco Electric. Inc
as CONTRACTOR, and Fidelity and Deposit Company of Maryland ,
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
Fnurteen Thnusand Five Hundred Fifty and 401100 Dollars
($ 14,550.40 ), which is 2o percent of the final 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 AR E SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
April 3 2018 for Project No 17-6893 Warner Avenue & Flower Street Traffic Signal Modification
if CONTRACTOR faithfully warrants the work done under said Contract Agreement against
material or quality defects for a period of one year after acceptance by the AGENCY, 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
20th day of May , 20 19 .
CONTRACTOR*
me, , this day of
Notary Public in and for the County of State of
Rate of premium on this bond is $ cm per thousand.
Total amount of premium charge is $ o.00 . To be filled in by Surety
*Provide CONTRACTOR /ADMITTE'D SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
** of IL
3 of
NOTARY ACKNOWLEDGMENT OF SURETY:
State of Connecticut
County of Hartford ss.
On this the 20th day of -----may_, 2019 , before me, Bethany Stevenson, the
undersigned officer, personally appeared Joshua Sanford , known to me
(or satisfactorily proven) to be the person whose name is subscribed as Attorney -In -Fact for
Fidelity and Deposit Company of Maryland , and acknowledged
that s/he executed the same as the act of his/her principal for the purposes therein
contained.
In witne whe) eof I hereunto set my hand.
BETHANY STEVENSON
NOTARPP"LIC- CT 177501
MY COMMISSION EXPIRES SEPT. $0, 2023
Date �oipn nissiiou Expires: September 30, 2023
son
f Nr
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by
ROBERT D. MURRAY, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies,
which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Donna M. PLANETA, Joshua SANFORD, Aimee R. PERONDINE, Aiza LOPEZ, Danielle D. JOHNSON,
Michelle Anne MCMAHON, Saykham CHANTHASONE and Noah William PIERCE, all of Hartford, Connecticut, EACH its true
and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all
bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said
Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected
officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected
officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper
persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By -Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 7tlh day of May, A.D. 2019.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
ft9altb. Fly orrofr 40r,pN lasye„y'
n:�
Assistant Secretary Vice President
Dawn E. Brown Robert D. Murray
State of Maryland
County of Baltimore
On this 7th day of May, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, ROBERP D.
MURRAY, Vice President, and DAWN E. BROWN, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that
he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that
the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said
Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written.
ho
1111111�1"
Constance A. Dunn, Notary Public
My Commission Expires: July 9, 2019
POA-F 063-9180A
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any
time.
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of
the By -Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by 'facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by 'facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the loth day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect
as though manually affixed. -
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies,
this %" day of 20_101.
N6 j'••y
0as
9 y13c
Brian M. Hodges, Vice President
TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED
INFORMATION TO:
Zurich American Insurance Co.
Attn: Surety Claims
1299 Zurich Way
Schaumburg, IL 60196-1056
Disclosure Statement ZURICW
NOTICE OF DISCLOSURE FOR AGENT & BROKER COMPENSATION
If you want to learn more about the compensation Zurich pays agents and brokers visit:
h tt p Jlwww, zu r i c h n a p ro d u c e rc o m p e n s a t i o n, co rn
or call the following toll -free number: (866) 903-1192.
This Notice is provided on behalf of Zurich American Insurance Company
and its underwriting subsidiaries.
U-GU-874-A.cw (06/11)
Pape 1 of 1
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate Is attached, and not the truthfulness, accuracy, or validity of that document,
State of California
County of San Bernardino )
On May 24, 2019 before me, Guadalupe L, Sandoval "Notary Public'
,
Date Here Insert Name and Title of the Officer
personally appeared Alberto Garcia President & CEO
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the persorX whose name(4 Gare
subscribed to the within instrument and acknowledged to me that Ij0he/they executed the same in
dgPher/their authorized capacity(yA, and that by er/their signature on the instrument the personK,
or the entity upon behalf of which the personjdi) acted, executed the instrument.
a'+• GUADALUPE L. SANDOVAL
Commbsbn 0 2193154 J
NotaryPublic-CaliforniaSan Bernardino County
My Comm. Expires Apr. 22, 202" �., _ _ ,�
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
1s true and correct.
WITNESS my hand an official seal.
Signature
Signature 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: City of Santa Ana Earns No: 1-6893 w
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer -- Title(s): N
Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www,NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907