HomeMy WebLinkAboutCEM CONSTRUCTION CORPORATION Recorded in Official Records, Orange County
Recording Requested By, Hugh Nguyen, Clerk-Recorder
And When Recorded Mai]To: I Illll!I III11111 Ill!Illl II1111II�II111 IIIII llltt lull lull JJJJ III III
Clerk of the Council,City of Santa Ana NO FEE
20 Civic Center Plaza,P.O.Box 1988 1 0 9 4 6 0 4 6 $ *
Santa Ana, CA 92702 201900023418210:16 am 07/02119
37 413 N12 1
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THIS SPACE FOR COUNTY RECORDERS USE ONLY
NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
Jv�
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 CABRILLO PARK DRIVE SIDEWALK IMPROVEMENTS under contract
aM entered into on OCTOBER 2, 2018, with CEM Construction CoMoration on which contract
w Develo ers Surety and Indermifty Cam an is surety. The property on which such work
oimprovement was placed is in the City of Santa Ana, County of Orange, State of California, and
o z described as Project No. 16-6862 located at: Cabrillo Park Drive. The work improvement on
a said property was accepted as completed on DUNE 3, 2019.
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p CITY O NTA ANA,A MUNICIPAL CORPORATION
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Dated: Prin 1 Civil Engineer-Tvronc Chesanek
p, 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 o C.��G 2 1 24 C / __,at Santa Ana, 1 o
(Signature of in Mdual swearing that the
contents of Not' e of Completion are true.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(I0)DAYS AFTER COMPLETION
THE REGISTER This space Ior Nod stamp only
626 N GRAND AVE, SANTA ANA, CA 92701
Telephone (714) 796.7000 1 Fax (714) 706-6069
PROOF OF.PUBLICATION
(2016.6 C.G.P.)
State of California )
County of ORANGE ) ss
Notice Type: SID -NOTICE INVITING SIDS
Ad Description
CABRILLO PARK SIDEWALK IMPROVEMENTS
I am a citizen of the United States and a resident of the State of California; l 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 publlshed 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 1111911906,
Case No. A21046. That the notice, of which the annexed is at printed copy, has
been published In each regular and entire Issue of sold newspaper and not In
any supplement thereof on the following delete, to -wit:
0612712018, 06101/2018
Executed on: 06101/2010
At SANTA ANA,CA
I certify (or declare) under penalty of perjury that the foregoing Is true and
correct.
Ignature --
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FLED
MAY 2 4 2018
GRANGE COUNTC x- C ftDER DEPARTMENT
BY: DEPUTY
MAYOR
Miguel A Pulldo
MAYOR PRO TEM
Michele Martinez
COUNCIL MEMBERS
. P, David Senavldes
Moonte Sarmiento
Jose Soloao
Sal Tinalero
Juan Vlllagas
Hugh Nguyen, Clark -Recorder
II I I II III 1116 II I II II 111 I 111 NO FE
* 8 R 0 0 1 0 1 1 0 4 4 2 2+
201885000534 9;56 am 05/24/18
370 OR02 Z01
0.00 50.00 0.00 0.00 0,00 0.00 0.00 0.00
CITY OF SANTA ANA
PLANNING 6 BUILDING AGENCY
20 Civic Center Plaza (M-20)
P.O. BOX 190 -Santa Ana, Catfomla 82702
(714) 667.2700 a Fax (714) s73-1461
www,santa-ana.org
CITY MANAGER
Raul Godlnez II
CITY ATTORNEY
Sonlo R. Carvalho
CLERK OF THE COUNCIL
Maria D. Hulzar
NOTICE OF EXEMPTION
From the Requirements of the California Environmental Quality Act (CEQA)
To: COUNTY CLERK
County of Orange
P.O. Box 238
Santa Ana, CA 92702
Project Title: Cabrillo Park Drive Sidewalk Improvement
ProjectNumber(s): PWA -2018 -756 -CITY
()0 Project Location: 1 Citywide (Partial)
Z5 City: Santa Am
Project Description:
6
Applicant Name:
Applicant Address:
From: City of Santa Ana
Planning & Building Agency
20 Civic Center Plaza M-20
Santa Ana, CA 92702
Date of Approval: 08/07/2018
County: Orange ER Number: ER -2018-74
This project includes removing and replacement of damaged curbs, gutters, sidewalks, regrading
landscaping area and wheelchair ramps.
Monica Suter, City of Santa Ana
City of Santa Ana, 20 Civic Center Plaza
SANTA ANA, CA 92702
Name of Public Agency Approving Project: City Council
Name of Person or Agency Carrying Out Project: Suter, Monica
Exempt Status:
❑ Ministerial (Sao, 15266)
❑ Declared Emergency (Sec. 15269 (a))
❑ Emergency Project (Sec. 15269 (b through e))
❑ General Rule (Sec. 15061(b)(3)/(5))
❑ Statutory Exemption:
0 Categorical Exemption: 15301(b)
Reason(s) Why Project is Exempt From CEQA:
15301(b) consists of repalr/maintenance of existing public facilities,
MAY 2 4 2018
ORANGE CO NTY R E RDERDEPARTMENi
BY:I DEPUTY
City Contact: wa orres Telephone: (714) 647-5018
Signature: Title: {1 U '( .✓ (amu (pate;
SANTA ANA CITY COUNCIL
MIIW A. Puldo MIGhola Martinez vkn i,a sa mienm Jose Scloda P. David aenaval" Juan vlllaaaa
Mayor Mayer Pro Tam, Ward 2 Ward1 Ward3 WA/d4 - .word
IIlAL1�80Dta-iaaaf4 y7l¢pNilaN@aaMranaoro ,ae.�a�a ti-,�tfYlt0aa01aaaL#f
Sal T-M*o
Ward e
NOV 2 0 2018 CITY OF SANTA ANA
PWA Aon5M.l60n (0�) CONSTRUCTION CONTRACT
Q� PROJECT NO. 16-6862
Gmwlaj V CABRILLO PARI{ SIDEWALK IMPROVEMENT PROJECT
This CONSTRUCTION CONTRACT is made and entered into this 2"d day of October, 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 CEM
Construction Corporation (hereinafter "CONTRACTOR").
WITNESSETH:
The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows:
CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and
expense necessary to construct and complete in a good and worlananlike manner and to the
satisfaction of the City Engineer of the CITY, the Cabrillo Park Sidewalk hnprovement Project
(hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with
the Contract Documents prepared by the City's Public Works Agency and approved by the City
Council.
2. The complete Construction Contract consists of the "Contract Documents" as defined by the
Standard Specifications for Public Works Construction and which include the following:
• Notice Inviting Bids
• Information to Bidders
• Bid Proposal
• Bid Bond
• Contract 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 Three Hundred Seventy -Three Thousand
Dollars ($373,000.00), 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:
Ilttp://www.Santa-ana,or^g/.pwaldocuments/C W A.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
(1.00%) 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 contract price.
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 parries hereto have executed this Construction Contract on the (lay and
year first above written.
ATTEST:
MARIA D,.HtJIZ R
Clerk of , Council
APPROVED AS TO FORK
SONLA R. CARVALHO
City Attorney
By: f'LA
11(6k- FUNK
Assistant City Attorney
FOR APPROVAL:
ic
Fuad S. VASS, PE, PLS
ExecutivI Director
Public WNZ Agency
CITY OF SANTA ANA
RAUL CODAEZI
City Manager
CONTRACTOR:
CEM Construction Corporation
,1-4fSUS CARRILLO
President
Page 3 of 3
CITY OF SANTA ANA
PROPOSAL
PROJEC)"NO.: 16-6862
CARRILLO PARK SIDEWALK IMPROVENIEN]"S
P-1 D.BRMSALI,
1'0; ('I'I'YCOUN(:11,..OF''1'11ECI'IYUISAN'I'�%ANA
REQUIREMVNT�
Tho undersigned bidder dealares thol they have carefully examined the location ul'the proposed
work, that they have examined the Contract Mxumemi in its eatim), 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 sp"Meallot'll (or the Unit nri"{S) OY IUMI) SUITI(S) 50 I'Ofth in the
following schedule:
P-1 oj'P-16
CITY OF SANTA ANA
PROPOSAL
PROJECTNO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
TOTALBAUBID
The lowest responsible bidder 4hali he selected based oil tile total base bid, 'file Cin reserves the
right to award tile Base Bid, and any, all, or none of the odd -alternate bid items (if any).
The quantity for this bid loorn is shown for bid comparison only. This, bid item shell nor be
SUbject to the *'25%" limit as stated !it Section 3-2 of the Standard Specifications, Me actua I
amount for this item will be dictated by the actual quantity used, and the Agency rescrvc>s the
tight to iocrease or decrease the quantity of this item accordintfly,
t 'T'his bid itorn Is wasidevoll a Specialty Item per Section 2-3,2 of tile Standard Sp"ifications,
QF,jNJPR0VEMEN,`jS AN[2,IjQUIQAjL`D UAM—AgE5'
The undersigned bidder hereby proposes to complete the Work for the total base bid amoullt
shown above, whirla after tile corrolienzoinaill date stated in the
Notice to proceed,
'Fbe liquidated daniages amonlit, in fieu of the amount specified in Subsection 6-9 of the
Standard Specifloations, shall be $I, 00 per Calendar day.
Name
Signal
Title
(If all
till !ad
and names of President, Secretary,'freasurer and Manager. thereof)
N2 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: � PNJ\ (.UVICI(U(i C�I/J
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
Unclassified Excavation*
550
CY
$ ap
$
2
AC Pavement
130
TN
$ DD$
° a
2q, 700
3
PCC Sidewalk(T=4")"
17,000
SF
$
b
$
�o
I��/vO0oa
4
PCC Curb Ramp
3,300
SF
$ o
ICj
$
I{6( �6
5
PCC Curb and Gutter(Type A-2-8)
1,700
LF
$
e58
$
°
(99, bon°
6
Adjust Pullbox to Finished Grade
4
EA
$ . a
ISrJ
$
(0 (20
7
Root Shave*
71
EA
$
$
`
17.7
8
Tree Removal
15
EA
$ o n
I,�UO
$
9
Furnish and Install 24" Box New Zealand
4
EA
$ o
$
Christmas Tree
(;i cJ(�
z 0o
10
Adjust Manhole to Finished Grade
—
2
EA
$ a o
$ „>
1
Traffic Control Work
1
LS
$
$
5, D Dou"
5, 0 U o
12
L,andseape(include new sod) and Irrigation
1
LS
$11
$
Repair
5/ QUQ
GJ I O0 U
13
Labor Agreement Oversight
ILS
$5,000
$5,000
P-1 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
TOTAL BASE BID $
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.
j 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 THIRTY (30) 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 $1,700 per calendar day.
Name of Firm WVV�-"1\C,3C'oyV (
Signature of BIDDER
Title
(If an individual, so state. If a firm or co -partnership, state the firm name and give the names of
all individual co-partners composing the firm. If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof.)
P-2 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARI{ SIDEWALK IMPROVEMENTS
BIDDER'S STATEMENT
BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent
Construction Contract Agreement shall constitute the entire agreement between BIDDER and the
AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the
Council with her signature and official seal noting hereon the action of approval of the Council,
signed by the Public Works Agency Executive Director or his/her duly authorized agent, and
signed by the City Attorney, denoting his approval of the form of this document, and its
execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited
with the United States Postal 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 U1A C61
Signature of BIDDER
Title CCACI'i II0
(If an individual, so state. If a firm or co -partnership, state the firm name and give the names of
all individual co-partners composing the 'firm. If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof.)
P-3 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT
The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she
and all his/her subcontractors are registered with the State of California Department of Industrial
Relations (DIR), and that the following is true and correct.
Contractor's Name: W -A CO,(f1 `4 ((AC f O Y� CO (`{7
�
Business Address: OZ01 `�foo'e�,6',een C'/ Vauyi'Ecl c' qa 7�
Business E -Mail Address: e 11 a�) U I
Telephone: r�yr (06GI— 21 j
State Contractor's License No. and Class:96123� S C-21) L-10AC-1Z
License Expiration Date: 6/3 � / 18
State Dept. of Industrial Relations (DIR)
Registration No.: 10f95C>005oy
State Dept. of Industrial Relations (DIR)
Registration Expiration Date:
Signed:
P-4 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALI{ IMPROVEMENTS
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
Name of Firm CE,A C-ont? t"Ak ,oyi cote
Signature of BIDDER
Title rC4a�jAeO V
(if an individual, so state)
P-5 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF ORANGE; ) SS:
CITY OF SANTA ANA )
C/ -X A,A, L- 7 , 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 cc -partnership firm designated as:
and who has been and is duly vested with the authority to make and execute instruments
forthe co -partnership by:
who constitute the other members of the co -partnership.
(CORPORATION That he is of:
C"' �s I C d.viT#'G-i "T7 r .✓ C'-
a corporation which is making the foregoing proposal:
❑ JOINT VENTURE e That he is of: yam.- J - k
one of the parties making the foregoing proposal as a joint venture, and the he/she has
been and is duly vested with the authority to execute instruments for an on behalf of the
parties making said bid who are:
that such a bid is genuine and not collusive or sham, and has not in any manner sought by
collusion to secure any advantage against the City of Santa Ana or any person interested in the
proposed contract, for himself or any other person.
�"'�Signature of Bidder
Subscribed and
�sworn
nttoo before me this day of r(JMea 20 f 6
Signature of officer Administering Oath (Notary Public)
■ — - :,.T
1 t. SANGMAN GH
Notary Public - California
�- Los Angeles County It
Commission N 2242935
My Comm. Expires Jun t4, 2022
www
P-6 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: I6-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
BID BOND
KNOW ALL PRESENT that,
as BIDDER, and
as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of
Dollars ($ ), 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
day of 20—.
BIDDER*
SURETY*
Subscribed and sworn to before me
,20--.
this
20 --
Signature;
Notary Public in and for the County of
, State of
this day of
Provide BIDDER/ SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative,
P-7 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
I:lIHK�LI�]
Bond No.CSBA-8029
KNOW ALL PRESENT that,
C.E.M. Construction Corporation as BIDDER, and
Developers Surety and Indemnity Company , as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of _
Ter Percent of Amount Bid Dollars ($ 1 o% ), 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
12th day of June _'20 18.
BIDDER*
SURETY*
Subscribed and sworn to before me this day of
, 20_
Signature:
Notary Public in and for the County of
State of
Provide BIDDER/ SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
P-7 of P-16
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Orange )
On June 12th. 2018 before me, Rudy Urieta, Notary Public
(insert name and title of the officer)
personally appeared Shaunna Rozelle Ostrom
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. nuoY ur3ierA
{to- COid�M. fl2159S28 n
p/,x/^c. :'i." - Notary PuUlic-California a
� V '�ORANI',E COUNTY '�
\ ,,.in�My Comm. Fxpiras1u114,2020
Signature
Rudy Orieta
Bond No. CSBA-8029
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINE, CA92623 (949) 263.3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
***Shaunna Rozelle Ostrom, Michael Castaneda, Dwight Reilly, Daniel Huckabay, Arturo Ayala, jointly or severally***
as their true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of
suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as
each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these
presents, are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolufions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Mce-President, Senior Vice -President or any Vice President of the
corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this 6th day of February, 2017.
BynNo'vb ctP+QANN'pfi
Daniel Young,Senior Vice -President ,�d'r� •fie"P0 F p' t;1'Of*
1936
C) �.
Mark Lansdon, Vice -President ", do.-*.... •> Lttcd `
..••
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Orange
On February 6 2017 before me, _ Lucille Rnvmond Notary Public
Dale Here Insert Name end Title of the effort
personally appeared Daniel Young and Mark Lansdon
Neme(e) of el8nehs)
who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that helshelthey executed the same in his/her/their authorized
capacily(ies), and that by hislherlth ar agnature(s) on the instrument the person(s), or the entity upon behalf of
4LUCILLE RAYMOND which the persons) acted, executed the instrument.
Commission #r 2081915
Notary Public - California �Z I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
Orange County n true and correct.
My Comm. Expires Oct 13, 2018
WITNESS my hand and official seal.
Place Notary Seal Above Signature >y
Lucllltyrrorl Notary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of this Certificate.
,.
This Certificate is executed in the City of Irvine, California, This 12th day of June 2018. p•''�q4 ANI)eyo %.,, 0AI"I
By ';`%"'''�"+%' ..m. w 1936 "' -frr n -r -no
Cassle J rrisford Assistant Se tary"e�acPATS-1002(02117)
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 docu ment
to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California q 1
County of Loi AO -2 k J}
On �G / A o, IS before me, SaVI /l d Wn Oh
Date--rr�� ere Insert Name and Title of the officer
personally appeared JC'SUS C. G'Ki/i"c)
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(4 whose name(* is/'ai_e subscribed
to the within instrument and acknowledged to me that he/sig r8y executed the same in his/hsgAlTelr
authorized capacity(ias), and that by his/herltheir signature(s#on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the instrument.
` $ANGMAN OH
111 Notary Publle' California ll
Los Angeles County
� 7
Commission # 2242935
" My Comm, Expires Jun 14, 2022
w�.rs.r�ww
Place Notary Seal and/or Stamp Above
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
Signature of Notary Public
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: //2- Aj
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual
❑ Trustee
❑ Other:
Signer is Representing:
❑ Attorney in Fact
❑ Guardian of Conservator
02017 National Notary Association
Iff"YAMOM
berofPages:
Signer's Name:
❑ Corporate Officer —
Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual
❑ Attorney in Fact
❑ Trustee
❑ Guardian of Conservator
❑ Other:
Signer is Representing:
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
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: 1/2% of the bid or $10,000, whichever is greater
o Buildings, parks, or other projects: Yz% of the bid
Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State
Department of Industrial Relations (DIR).
BIDDER proposes to subcontract certain portions of the work to the firms listed below
Name
License #/Exp.
DIR Reg. #/Exp.
License #
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. fl/Exp,
License # _
Location
Phone
Type Of Work
Amount $
ignature of Bidder
Name
License #
DIR Reg,
License h
Location
Phone
Type Of
Amount
Name
License k
DIR Reg,
License
Location
Phone
Type Of
Amount
P-8 of P-16
Name 4V'V
Name
License #/Exp.
License 4/Exp.
DIR Reg. #/Exp.
DIR Reg. 9/Exp.
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. fl/Exp,
License # _
Location
Phone
Type Of Work
Amount $
ignature of Bidder
Name
License #
DIR Reg,
License h
Location
Phone
Type Of
Amount
Name
License k
DIR Reg,
License
Location
Phone
Type Of
Amount
P-8 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
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. Ciao c>f (�Cranc��'�31 "To«a,nee 9Iy6,-foC(L-Ahc-e CQ Q650S
Name and Address of Owner.
Hyeycxnc� oh 31(�-Iol x-30
Name and Telephone Number of person familiar with project.
J Nov -j775" Coric,ceEe. 5/6/1-/
Contract Amount Type of Work Date Completed
2, City A `Dia(ho ri, 'vrAC 2-1610 Cod/p fit: Vi0-YnUn(� C+ t CA ci(y&5
Name and Address of owner.
SoVnA t3e_Swah qve�-$Zo-G7at-k
Name and Telephone Number of person familiar with project.
�N6!,'l9`i,aFjCohcr��-p-5+ZE5 F✓/Ito/l to
Contract Amount Type of Work Date Completed
s. C;4 \A a 9,C v V iVo fc,. to W5 I�asSons G Iva , C''Cc> Z vQcc-6r4 G ()66o
Name and 'Telephone Number of person familiar with project.
f� eb&(P& " Concve� /'ZA 17
Contract Amount Type of Work Date 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.
ji�►�l�I►i AlN,>Lr!�{�y� -�
Mtn QCA!5tCAd Cd0 719 -51 0 - I Z 5 Z.1
4CG v, CA
P-9 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
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.
I. Coati r�Oif nnCe 033 'COMQ +eC &V6 �I�fCanC e 4C# qUr 3
2.
Narne and Address of Owner.
_Shin fUrult<awo•, 310-0I5-30-13
Name and Telephone Number of person familiar with project.
Caviar-e.k e —10/1-1111
Contract Amount Type of Work Date Completed
owner.
Name and Telephone Number of7 person familiar with project.
1, 45 6'aS0 " S.
Contract Amount Type of Work Date Completed
3. C -j l� CSF RyVV-,iCwi�i00 CA 12605
Nar and Address of owner.
SyS� SiVn2nQ,�, h �I'-I-7��i-N%aI
Name and Telephone Number of person familiar with project.
b3q5aE3u0.g3 � ���� II 10.17
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.
(^.5(3A Mt1�e act. +Okt,-eaC 71L4-51 Co -1232
144 tz rz, A-ovvfe Sk ->LA k-lek, ouxn -e o4 g2r?(m9
P-10 ofP-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARI{ SIDEWALK IMPROVEMENTS
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
prosecution.
Signed
State of California
County of in C, C, f
Subscribed and sworn to (or affirmed) before me on this 1 3 day of Jk-;.vd' , 20/J, by
E QN-f-)? i L -C o , proved to me on the basis of satisfactory evidence to be the
person(s) who appeared
�before me
Notary Public Signature Notary Public Seal
SANGMAN OH
Notary Public � Cilifornia
€ z ,' j• £ Los Angeles County L
Commission X 2242935
My Comm. Expires Jun 14, 2022
P-11 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
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'theSecretary of Labor, or as
otherwise provided by law.
P-12 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (7) in every subcontract or purchase order
unless exempted by Mules, regulations, or orders of the Secretary of Labor issued pursuant to
Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be
binding upon each subcontract or purchase order as the administering agency may direct as
means of enforcing such provisions, including sanctions for noncompliance; provided,
however, that in the event the Contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction by the administering
agency, the Contractor may request that the United States enter into such litigation to protect
the interests of the United States.
8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as
amended, no discrimination shall be made in the employment of persons upon public works
because of race, religious creed, color, national origin, ancestry, physical handicaps, mental
condition, marital status, or sex of such persons, except as provided in Section 1420, and any
contractor of public works violating this Section is subject to all the penalties imposed for a
violation of the Chapter.
Title: �(Z`Jt O� �u5 G(.t(I "r� (fJ
Firm: UtA
Date: i0 /I'/ / 143
P-13 ofP-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRI,LLOPARK SIDEWALK IMPROVEMENTS
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 $30,000 or 20 working days shall:
Apply to the joint apprenticeship committee administering the apprenticeship standards of
the craft or trade in the area of the site of the public work for a certificate approving the
contractor under the apprenticeship standards for the employment and training of apprentices
in the area or industry affected.
2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the
apprenticeship standards.
3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or
apprentices on the public work, in the same amount or upon the same basis and in the same
manner as the other contractors, except contractors not signatory to the trust agreement shall
pay a like amount to the California_ Apprenticeship Council.
Signed:yam"
Title: wt)i�ey)A- :)ep.7✓.$�gf(1110
Firm: CR -A CQs1c7 f(A(Uoy7 C OCE
Date:
P-14 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
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:
Title:'' ;5C�tS CGtrr ((G _
Firm: Cc" COV<<jfCcncF,oy7 Corp
Date: tollzho
P-15 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE
In conformance with Public Contract Code Section 10162, the BIDDER shall complete,
under penalty of perjury, the following questionnaire:
Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a
proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented
from bidding on, or completing a federal, state, or local government project because of a
violation of law or a safety regulation?
Yes No �&
If the answer is yes, explain the circumstances in the following space. /
P-16 of P-16
City of Santa Ana
Public Works
Ross Annex - T
20 Civic Ceni
Santa Ana, C/-,,
Bid For
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
BIDDER:
CEM CONSTRUCTION CORP.
Eduardo J. Carrillo, M.S., P.E.
8207 Brookgreen Road
Downey, CA 90240
SEALED BID — DO NOT OPEN WITH REGULAR MAIL
I
THE FINAL PREMIUM IS CITY OF SANTA ANA Bond No. 380214P
PREDICATED ON THE
FINAL CONTRACT AMOUNT BONDS
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
PAYMENT BOND
KNOW ALL MEN BY THESE PRESENTS that C.E.M. Construction Corporation
as CONTRACTOR, and Developers Surety and Indemnity Company
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of
Three Hundred Seventy Three Thousand and 00/100 Dollars
($373,000.00 ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
October 2, 2018 for Proiect No. 16-6862 Cabrillo Park Sidewalk Improvements
if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in
the performance of the Work of Improvement to be done under said Contract Agreement, or fails
to submit amounts due under the State Unemployment Insurance Act with respect to said labor,
SURETY will pay for the same in an amount not exceeding the sum set forth above, which
amount shall insure to the benefit of all persons entitled to file claims under the State Code of
Civil Procedures; provided that any alterations in the work to be done, materials to be famished,
or time for completion made pursuant to the terms of the contract documents shall not in any
way release either CONTRACTOR or SURETY, and notice of said alterations is hereby waived
by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
12th day of October 2018 .
8207 Brookgreen Road
CONTR * C.E.M. uction Cor oration Downey, CA 90240, (562) 659-8213
1 etc r C= C tk�ai=>GL v — PJ( &—zh&;.'
/� 17771 Cowan, Suite 100
S TY* Dev%looers Suretv and Indemnity Comoanv Irvine, CA 92614, (800) 782-1546
Subscribed and sworn to before me,
20
Signature:
Notary Public in and for the County of
State of
this day of
Rats of premium on this bond is $ See Performance Bond per thousand.
Total amount of premium charge is $ See Performance Bond . To be filled in by Surety
*Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the
name, title, address, and telephone number of authorized representative.
2 of 3
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 Ou
On 10/12/2018 before me, Rudy Urieta, Notary Public
(insert name and title of the officer)
personally appeared Shaunna Rozelle Ostrom ,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
]#r` L+4 '^ QGY..^.m(.ltiKliGa.?fA'T.�GSQ`a4.b:ryf
RIIDY URIFTA A)
WITNESS my hand and official seal. Ise cornet xzls9sza m
) � ,�,e Plotary Public. California �
�5 �� QFiAPdGE CGUN7Y ��
�C;cS
My Comm Expires lul l�}, 2020
_
Signature (Seal)
Rudy Urie a
Band No. 380214P
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINE, CA 92623 (949) 263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
***Shaunna Rozelle Ostrom, Michael Castaneda, Dwight Reilly, Daniel Huckabay, Arturo Ayala, Frank Morones, jointly or severally***
as their true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of
suretyship giving and granting unto said Attorney(s)-In-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as
each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Altorney(s)-in-Fact, pursuantto these
presents, are hereby ratified and confirmed,
This Power ofAdorney is granted and is signed by facsimile under and by authority of the fallowing resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President blithe
corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any cedifcale relating thereto by facsimile, and any such
Power of Attorney or cerlifcate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which It is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their[, respective Secretary or Assistant Secretary this 6th day of February, 2017.
By: r """` f �i .`" I AND, PA:Pd
Daniel Young, Senior Vice-President,�¢�oaPorii�Fy': ,�N+Ot'ORtx
f.1936
BY: :aJ�:Q9[IFORN3:'a1'e� iGe.
Mark Landon, Vice -President 's,Ide............
•* ',,0,. "`;rA•o6x
au,ppatik
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.
Stale of California
County of Orange
On February 6 2017 before me, Lucille Raymond Notary Public
Date Here Insert Name and 7 la of me officer
personally appeared Daniel Young and Mark Lansdon
Name(doielpon.)
who proved to me on the basis of satisfactory evidence to be the person(s) whose names) is/are subscribed
to the within instrument and acknowledged to me that helshelthey executed the same in Nslhefteir authorized
capacily(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
LUCILLE RAYMOND which the persons) acted, executed the instrument.
Commission 4f 2081945
Notary Public - California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
Orange County true and correct.
M�Comm, Expires Oct 13 2018
WITNESS my hand and official seal.
Place Notary Seal Above Signature t d �1
Lucille R yi ond, Notary Public
CERTIFICATE`
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of this Certificate.
This Certificate is executed In the Cityof tame California, this 12th day of October 2018, Oil pvq �No ,•, Q�,gnN4^��
rr _ W'1:04J
Y 1 Z
B Cassie J rri�AwstwtS, tory �*�.. 0 193b
J ........... a ^5d
ATS -1002(02117) "•a,,,,*Wil 'k
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 pp
County of Los iny (k,I
' ,.s j t-
On jO w-% ri1Cjg before me, �(rkogj� &'I 0h
Date 11 re Insert Name and Title of the Officer'
personally appeared
S'u s R
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(sj whose name(a) is/are-subscribed
to the within instrument and acknowledged to me that he/she;6they executed the same in hishyal;1their
authorized capacity(ies), and that by his/h2ttheir signatures) on the instrument the person(sr-or the entity
upon behalf of which the person(s) acted, executed the instrument.
IANGMANOH
...i5 Notary Public -California
Los Angeles County
*Commission # 2242935
My Comm. Expires Jun 14, 2022 J
Place Notary Seal and/or Stamp Above
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature
Signature of Notary Public
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date: t® Z 7(—)—/
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer - Title(s):
❑ Partner - ❑ Limited ❑ General
&ia4
of Pages: I
Signer's Name:
❑ Corporate Officer - Title(s):
❑ Partner - ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian of Conservator ❑ Trustee ❑ Guardian of Conservator
❑ Other: ❑ Other:
Signer is Representing:
02017 National Notary Association
Signer is Representing:
THE FINAL PREMIUM IS CITY OF SANTA ANA Bond No. 380214P
PREDICATED ON THE Premium: 6,595.00
FINAL CONTRACT AMOUNT BONDS
PROJECT NO.: 16-6862
CABRILLO PARK SIDEWALK IMPROVEMENTS
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS that C.E.M. Construction Corporation
as CONTRACTOR, and Developers Surety and Indemnity Company
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of
Three Hundred Seventy Three Thousand and 00/100 Dollars
($373,000.00 ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
October 2, 2018 for Project No. 16-6862 Cabrillo Park Sidewalk Improvements
if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work
of Improvement to be done under said Contract Agreement in the manner and time specified
therein, then this obligation shall be null and void, otherwise it shall remain in full force and
effect in favor of AGENCY; provided that any alterations in the obligations or time for
completion made pursuant to the terms of the contract documents shall not in any way release
either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by
SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
12th day of October , 2018 .
5207 Brookgreen Road
V — r .eV /!la
17771 Cowan, Suite 100
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 $ 25.00/$15.00 per thousand.
Total amount of premium charge is $ 6,595.00 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.
I of 3
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 On
On 10/12/2018 before me, Rudy Urieta, Notary Public
(insert name and title of the officer)
personally appeared Shaunna Rozelle Ostrom ,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
RUDY URIETA
WITNESS my hand and official seal. x comm #2159828 m
Notary Public C ilifornla tt
ORANGE COUN IY r'
My Comm Expires lid 14, 2020
Signature (Seal)
Rudy Urieta
Bond No. 380214P
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Dox 19725, IRVINE, CA 92623 (949) 263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
***Shaunna Rozelle Ostrom, Michael Castaneda, Dwight Reilly, Daniel Huckabay, Arturo Ayala, Frank Morones, jointly or severally***
as their true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of
suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as
each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fad, pursuant to these
presents, are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the
corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective off cars and attested by their respective Secretary or Assistant Secretary this 6th day of February, 2017
By: ANo/ryQ'•., Op4P1ANYp:<'
2nielung, DeniorVice-President �gJQ; ,ovopi Fo
on
1936
By: L,°�.a :�gcrFo P`vaa�
Mark Lansdon, Vice -President 17a ........... jza,c '1rrz 5ff"
u,nuo j
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness accuracy, or validity of that document.
State of California
County of Orange
On February 6 2017 before me, Lucille Ravmond Notary Public
nate Here Insert Name and Tina of Na OHlcer
personally appeared Daniel Young and Mark Lansdon
Name(s) ofslynege)
who proved to me on the basis of satisfactory evidence to be the person (a) whose names) is/are subscribed
to the within Instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized
capacity(ies), and that by his/herltheir signature(s) on the Instrument the person (s), or the entity upon behalf of
r+L►UrC.ILLE RAYMOND which the persons) acted, executed the instrument
Commission #9 2081805
Notary Public - California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph Is
Orange County n We and correct
My Comm. Expires Oct 13 2015
WITNESS my hand and official seal.
Place Notary Seal Above Signature _— _
Lucill� 13 y oll Notary Public
CERTIFICATE u
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify that the foregoing Power ofAnornay remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth In the Power of Attorney are in force as of the date of this Certificate.
12th October 2018
This Certificate is executed m the Qty of Irvine California, this day of '�NANO,
N "•., 41i'f'A y'O;e
j'yJ��.•'�oPaoRsrFOF2i d� pRPi9,q'P
.31936s�T a
By Cassie J.' .rrisford, Assistant Sefthtary i o3, 7 o e f9a7
'a1 �gcrro.... .° °g Cm 1PcyP L
ATS -1002 (02/17) '••, * W
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE 5 7789
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 1
County of LcSx A -q 'e kGs J} �^ (i
On Q 2-0 � C� before me, `-=' Q`N3-�" f Q �f Non Pu,
D to Here `Insert Name and Title of the Officer
personally appeared � E SUS e (�(+y"l ((o
Nome(s) of Signers)
who proved to me on the basis of satisfactory evidence to be the persons) whose name(s? is/are subscribed
to the within instrument and acknowledged to me that he/sey executed the same in his/he/their
authorized capacity(las), and that by his/he#fheir signature(s)'on the instrument the person(%, or the entity
upon behalf of which the personM acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
sANGMAN oN is true and correct.
Notary public - California paragraph
VA Los Angeles County
*
Commission # 2242935 WITNESS my hand and official seal.
My Comm. Expires Jun 14, 2022
Signature
Place Notary Seal and/or Stamp Above Signature of Notary Public
Completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached
Title or Type of Document: M(t'tnty I YC't TVKy->`m+LA-- f�cv� r oo'
Document Date: (6 I/(.)- / lot b Number of Pages: �
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer - Title(s):
❑ Partner - ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian of Conservator
❑ Other:
Signer is Representing:
Signer's Name:
❑ Corporate Officer -
❑ Partner - ❑ Limite
❑ Individual
❑ Trustee
11Other:
d
Title(s):
❑ General
❑ Attorney in Fact
❑ Guardian of Conservator
Signer is Representing:
i.-...RaN e3�Laia•i cs� r rc .... �X--aw..:,-i<. ., x i, �a •-..cs:::o::.... M1;:rz.. ,�- .yr:.:•.ip,....,,
02017•Notary Association