HomeMy WebLinkAboutEBS GENERAL ENGINEERING, INC. (2) 1
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Recording Requested By,
And When Recorded Mail To:
Clerk of the Council,City of Santa Ana Recorded in Official Records, Orange County
20 Civic Center Plaza,P.O.Box 1989 Hugh Nguyen, Clerk-Recorder
Santa Ana,CA 92702 I IIII 111�11 III 1JlII Jill 1111 IJJI 1111 11]llI[IIIII Jlll 111I 11111 NO F E E
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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
ca construction of OMNIBUS CONCRETE "PAIR under contract entered into on 02/05/19,
with EBS General EnPinecring, Inc. on which contract Suretec Insurance Company is surety.
The property on which such work improvement was placed is in the City of Santa Ana, County
oof Orange, State of California, and described as Project No. 16-6864 & 18-6864 located at: CITY
v z WIDE. The work improvement on said property was accepted as completed on 09/13/19.
zw
o CITY OF SANTA ANA, A ICIPAL CORPORATION
by
w Dated: Senior Civil Enizineer—Michael Ortiz
Z --------------------------------------------------------- TITLE --------------------------
a �
o a VERIFICATION
W
I, the undersigned, say: I am the Deputy Public Works Director/Construction Services -Tyrone
Chesanek 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. ff a
Executed on 'SiW =* 26, Zo '` , at Santa Ana, California
(Signature of individual swearing that the
contents of Notice of Completion are true.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION
THE REGISTER
625 N GRAND AVE, SANTA ANA, CA 92701
Telephone (714) 796-7000 / Fax (714) 796.6059
PROOF OF PUBLICATION
(2015.5 C.C.P.)
State of California )
County of ORANGE ) ss
Notice Type: BID - NOTICE INVITING BIDS
Ad Description:
OMNIBUS CONCRETE REPAIR
I am a citizen of the United States and a resident of the State of California; I 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 11/1911905,
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:
10/1512018,10122/2018
Executed on: 1012212018
At SANTA ANA,CA
I certify (or declare) under penalty of perjury that the foregoing is true and
correct.
CNS#: 3184216
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an amount not (ass
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This space for I'ling stamp only
f
MAYOR
MOW A. PWW
MAYOR PRO TBf
MICNIS MW*WZ
COUWNLMEMBERS
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Juan VE"n
CITY OF SANTA ANA
PLANNING & BUILDING AGENCY .
20 cMc canter Plan 0&2D)
P.O. BOX 1966 . Same Ana, CaW ernis 92702
(714) 607--2700 • Fax (714) 973-1461
WWW.eanta-woorg
POSTED
DEC 0 5 20%
CITY MANAGER
RNA GodM I
CRY ATTORNEY
Sorge R. Carvalho
CLERK OF THE COUNCIL
Marie D. FNrier
NOTICE OF EXEMPTION
From the Requirements of the California Environmental Quality Act (CEQA)
Fee Exemption per California Government Code Section 6103
To: COUNTY CLERK From: City of Santa Ana
) County of Orange Planning & Building Agency
:A P.O. Box 238 20 Civic Center Plaza W20
Santa Ana, CAS2702 Santa Ana, CA 92702
Project Title: Omnibus Concrete Repair Project pate of Approvak 12/05/2018
i ProjectNumber(s): PWA2016-1837-CITY PWA-2018-1837-CITY PWA-2018-1837-CITY
I ocaltioNx 1 C*VIde (Partial)
C1iy Santa Ana County: Orange ER Number: ER-2018-138
t Project Description: The construction will include the Replacement of defective sidewalk, curb and gutter and the installation
0 of wheelchair ramps.
Applicant Name: Jason Gabriel, City of Santa Ana M-36
Applicant Address: City of Santa Ana
SANTA ANA, CA 92702
Name of Public Agency Approving Project: City Council
Name of Person or Agency Carrying Out Project: Gabriel, Jason
Exempt Status:
Ministerial (Sec. 16268)
fl Declared Emergency (Sec.16269(a))
0 Emergency Project (Sec.15269 (b through a))
0 General Rule (Sec. 15061(b)(3y(5))
0 Statutory Exemption:
8 CategoricalExamption: 15301(b)
Reason(s) Why Project Is Exempt From CE61A:
15301(b) consists of repaidmaintenance of existing public facilities.
Recorded in Official Records, orange County
Hugh Nguyen, Clerk -Recorder
No FEI
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201885001322 2:53 Pm 12/05/18
376 $04 Z01
0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00
City Contact- Jason Gabriel Telephone: (714) 647-5664
Signature: /
Titles 4Si,14.4Y1 E i4.ew Date: tL/V / 8
�yf{�r'wp• 'S SANTA ANA CRY COUNCIL
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CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECTS 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
This CONSTRUCTION CONTRACT is made and entered into this 5m day of February, 2019 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 EBS
General Engineering, 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 Omnibus Concrete Repair 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 One Hundred Forty-one Thousand Two
Hundred Forty Dollars and No Cents ($141,240.00), 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. 09ro1/2017 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
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 contract price.
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 fist above written.
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:
JON FUNK
Assistant City Attorney
FOR APPROVAL:
7
FUAD
Public Woks s Agency
CITY OF SANTA ANA
Steven A. Mendoza
Acting City Manager
CONTRACTOR:
EBS General Engineering Inc.
Z. Z4,
JOSEPIfA. NANCI
President
Page 3 of 3
ACTION AND RESOLUTION BY
THE BOARD OF DIRECTOR OF
EBS GENER.0 EN GYNEERING, INC
A CALIFORNIA CORPORATION
M of the Board of Directors of EBS General Engineering, Inc., desiring to insure
that all the proper and authorized individuals, who have corporate authority to bind the
said corporation to any and contracts executed by such authorized individuals, have been
approved by the board, of directors of EBS General Engineering, held a meeting on
January 3, 2010.
The Board, following a review of the foregoing matter, and upon motion made and
seconded, the Board of Directors hereby determines and votes unanimously as follows:
BE IT THEREFORE RESOLVED that Joseph Nanci is hereby designated, authorized
and empowered, to be duly authorized with all the attendant powers and authorizations
related thereto, to bind, obligate and commit EBS General Engineering, Inc. to any and
all contracts executed by and beoverat EBS General Engineering, Inc. and any other
coatracting party.
There being no further or pending business before the Board, the meeting was
adjourned.
BOARD OF DW,,CTORS
Date: January 3, 2010
4,loseptanei,
ATTESTATION
11 being the Secretary of the above referenced corporation, do hereby certify that the
above resolution is the resolution of the corporation.
Dated: 0/
Josr anci, Secretary
CITY OF SANTA ANA
PROPOSAL EXH I BIT A
PROJECT NOS.: 16.6864 AND 18.6864
OMNIBUS CONCRETE REPAIR PROJECT
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: EBS General Engineering, 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 rewired 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
l
Remove and Construct 4" PCC
3,300
SF
$
$
Sidewalk
10
33,000
2
PCC Grinding
60
LF
$ 50
$ 3,000
3
Root Sbave
60
EA
$ 500
$ 30,000
A
Remove and Construct Curb and
290
LF
$
$
Gutter (A-2-6)
65
18,850
5
Remove and Construct PCC Curb
20
LF
$
$
And Gutter (A•2.8)
65
1,300
6
Remove and Construct PCC Curb
SO
LT
$
$
(B-1)
65
3,250
7
Remove and Constrict PCC Curb
3,300
SF
$
$
Ramp
12
39,600
P-6 ofP-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.; 16.6864 AND f 8.6864
OMNIBUS CONCRETE REPAIR PROJECT
Item
Description
Qty
Unit
Unit Price
Amount
8
Remove and Construct 6" PCC
Driveway
1,020
SF
$ 12
$ 12,240
TOTAL BASE BID S 141,240.00
The lowest responsible bidder shall be selected based on the total erase 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
atuou nt 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 2µ3.2 of the Standard Specifications.
O O PI TI PR UII "D M GES
The undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within number (100) working daus 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 $200 per calendar day,
Name of Firm EBS General En i cerin Inc.
Signature of BIDDER z
Title President
(If an hidividual, so state. If a firm or oo-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-7 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
INSTRUCTIONS TO BIDDERS FOR PROPOSAL SUBMISSION
INTENT OF PROPOSAL
The purpose of this Proposal is to identify a Prime Contractor to enter into a contract with the
City of Santa Ana, referred to as AGENCY, to complete the Work shown on the Contract
Documents.
The intent of this project is to make citywide concrete repairs. The repairs have already
been identified and listed in Appendix G.
PROPOSAL
The Proposal shall be submitted in accordance with the Notice Inviting Bids and shall be
accompanied by the following documents:
1. Bid Proposal
2. Bidder's Statement
3. Contractor's Licensing and Registration Statement
4. Prevailing Wage Compliance and Monitoring Statement
5. Ownership Affidavit
6. Bid Bond
7. List of Sub -Contractors
8. References
9. Additional References
10. Non -Collusion Affidavit
11. Non -Discrimination Certificate
12. Statement Regarding Apprenticeship Requirements
13. Statement Regarding "Anti -Kickback" Requirements
14. Public Contract Code Section 10162 Questionnaire
The Proposal may be considered non -responsive if any of these documents or forms is not
included. The bid package shall be submitted as instructed in the Notice Inviting Bids. It is the
BIDDER'S responsibility to ensure submittal of their Proposal on PlanetBids.
CALIFORNIA STATE LABOR CODE
As outlined in the Notice Inviting Bids, this project is subject to compliance monitoring and
enforcement by the State of California Department of Industrial Relations, per Section
1771.4.a.1. BIDDERS are required to inform themselves fully of the conditions relating to
construction and labor under which the work will be performed. Any contract entered into
pursuant to this notice will incorporate the provisions of the California State Labor Code. Per
Section 171.4.a.2, Contractors are required to post job site notices, as prescribed by regulation.
EXAMINATION OF CONTRACT DOCUMENTS AND PROJECT SITE
BIDDERS shall satisfy themselves by personal examination of the work site, Contract
Documents including the Plans and Specifications (and by any other means as they believe
necessary) as to the actual physical conditions, requirements, and difficulties under which work
must be performed.
P-1 ofP-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
DISCREPANCIES AND MISUNDERSTANDINGS
No BIDDER shall at any time after submission of a proposal make any claim or assertion that
there was any misunderstanding or lack of information regarding the nature or amount of work
necessary for the satisfactory completion of the job. Any errors, omissions, or discrepancies
found in the Contract Documents including the Plans and Specifications shall be called to the
attention of the AGENCY as a Request for Clarification and addressed prior to the submission of
bid proposals.
REQUESTS FOR INTERPRETATION OF CONTRACT DOCUMENTS
Requests for interpretation must be submitted online through PlanetBids and received at least
five (5) days prior to the bid opening date. Answers to questions will be posted online for all
interested bidders to review. Bidders who have downloaded bid documents by the time that the
questions are responded to will receive an automated email notifying them of additional
information and/or addendums that have been posted to the website. The person submitting the
request will be responsible for its prompt delivery. Any interpretation or correction of the
documents will be made only by an Addendum.
ADDENDA
All addenda issued during open bid advertisement periods will be posted on PlanetBids and shall
become part of the Contract Documents. Before submitting a Proposal, each BIDDER is
responsible to be aware of addenda issued via PlanetBids.
WITHDRAWAL OF PROPOSAL
A Proposal may be withdrawn by submitting a written request signed by the BIDDER. Such
requests must be delivered to the AGENCY'S Public Works Agency Executive Director prior to
the bid -opening hour stipulated in the Notice Inviting Bids.
Proposals may not be withdrawn after said hour without forfeiture of the proposal guarantee
which shall remain in effect for 60 days after opening bids. The withdrawal of the bid proposal
will not prejudice the right of the BIDDER to submit a new bid proposal, providing there is time
to do so, or to submit a new bid proposal if the is a rebidding of the same project.
BID PROTEST
Any bid protest must be submitted in writing to Executive Director of Public Works Agency,
City of Santa Ana, 20 Civic Center Plaza M-21, Santa Ana, CA 92701 before 5:00 p.m. of the
5th business day following bid opening. Bid protests sent via mail or overnight carrier must be
received by the AGENCY by 5:00 pm of the 5th business day following bid opening in order to
be deemed timely. Hand delivered protests must be provided to the receptionist in the City Hall
Annex/Public Works Counter on the first floor of the City Hall Annex.
a. The initial protest document shall contain a complete statement of the basis for the
protest.
b. The protest shall refer to the specific portion of the Contract Document which forms the
basis for the protest.
c. The protest shall include the name, address, and telephone number of the person
representing the protesting party.
P-2 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
d. The party filing the protest shall concurrently transmit a copy of the initial protest
document and any attached documentation to all other parties with a direct financial
interest, which may be adversely affected by the outcome of the protest. Such parties
shall include all other BIDDERS or proposers who appear to have a reasonable prospect
of receiving an award depending upon the outcome of the protest. If staff is aware a
protest has been filed prior to the opening of bids, the AGENCY shall announce at bid
opening who such parties shall be.
e. Should a written bid protest be filed in a timely fashion, a protest hearing shall be held
before the Executive Director of Public Works or designee by the I Oth business day from
receipt of protest. All interested parties may appear and offer testimony at this bid protest
hearing. Formal rules of evidence shall not apply at this hearing, nor shall testimony
under oath be required. The burden of proof shall be on the party submitting the protest
to demonstrate that the staffs determination of proposed low BIDDER is arbitrary and
capricious, or unsupported by substantial evidence in the record.
f. All BIDDERS are advised that if you challenge the AGENCY's award of contract in
court, you may be limited to raising only those issues you or someone else raised at the
public hearing described above, or in written correspondence delivered to the Executive
Director of Public Works at or prior to the public hearing.
g. The Executive Director of Public Works or designee will issue a written decision to the
City Council on the protest, which shall also be promptly provided to all interested
parties. If the Executive Director of Public Works or designee determines that a protest is
frivolous, the party originating the protest may be determined to be irresponsible and that
party may be determined to be ineligible for future contract awards.
h. The procedure and time limits set forth in this paragraph are mandatory and are the
BIDDER's sole and exclusive remedy in the event of Bid protest, and failure to comply
with these procedures shall constitute a waiver of any right to further pursue the bid
protest, including filing a Government Code Claim or legal proceedings.
BID PROPOSAL
The definitions for Bid Items that are identified in the Bid Proposal form are provided in
Appendix A.
The AGENCY will check each bid item unit price and amount for all the bids submitted. In case
of a discrepancy between the correct product of the quantity multiplied by the unit price and the
subtotal amount entered by the BIDDER, the correct unit price shall prevail and the product will
be correctly accordingly.
In case of a discrepancy between the correct sum of the individual subtotal amounts and the total
bid amount entered by the BIDDER, the correct sum shall prevail. If a unit price is not legible or
is missing, the amount for that contract bid item shall be divided by the quantity to arrive at the
unit price. The bid total shall be corrected and the results shall be considered as representing the
bidder's intention. Proposals in which the prices are obviously unbalanced may be rejected.
If a Bid contains discrepancies that make it difficult or impossible to determine the bidder's
intention, then such Bid may be considered unresponsive, in which case the bid may be rejected.
P-3 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES
The time for completion of this project, and the liquidated damages amount when/if the time for
completion is exceeded, is included in the Bid Proposal Section of these Contract Documents.
BIDDERS STATEMENT
In accordance with Section 7028.15(e) of the Business and Professions Code, a licensed
contractor shall not submit a bid to the public agency unless his or her contractor's license
number appears clearly on the bid, the license expiration date is stated, and the bid contains a
statement that representations made therein are made under penalty of perjury. Any bid not
containing this information or a bid containing information, which is subsequently false, shall be
considered non -responsive and shall be rejected by the public agency. Format for these
statements are included in the Bid Proposal section of these Contract Documents.
In accordance with the Section 3300 of the California Public Contract Code, the Agency has
determined that the BIDDER shall possess a license in the classification specified in the Notice
Inviting Bids.
OWNERSHIP AFFIDAVIT
An Ownership Affidavit is required to be completed and submitted with the Bid Proposal. A
form is provided in the Bid Proposal section of these Contract Documents.
PROPOSAL GUARANTY
Each bid shall be accompanied by a Proposal Guaranty as instructed in the Notice Inviting Bids
AND PlanetBids. A sample Bid Bond is included in the Bid Proposal Section of these Contract
Documents.
LIST OF SUB -CONTRACTORS
The State of California Public Contract Code requires listing of all subcontractors who intend to
perform work which is %z % of the bid or $10,000 (streets, highways and bridge projects),
whichever is greater, or '/z % of the bid (buildings, parks, or other projects). A form for this
information is provided in the Bid Proposal section of these Contract Documents.
REFERENCES/ADDITIONAL REFERENCES
BIDDER shall include a list of three public agencies for which BIDDER has performed similar
work within past three (3) years, and three public agencies for which BIDDER and/or his
Subcontractor has performed similar work within the past five (5) years. A form for this
information is provided in the Bid Proposal section of these Contract Documents.
NON -COLLUSION AFFIDAVIT
In accordance with Title 23 United States Code Section 112 and Public Contract Code 71.06, the
AGENCY shall require all bidders to execute and submit a non -collusion affidavit with the Bid
Proposal. A copy of the Non -Collusion Affidavit is provided in the Bid Proposal section of these
Contract Documents.
NON-DISCRIMINATION CERTIFICATE
Attention is directed to Section 1735 of the California Labor Code, as added by Chapter 643,
Statutes of 1939, which reads as follows:
P-4 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
"No discrimination shall be made in the employment of persons upon public works because of
the race, religious creed, color, national origin, ancestry, physical handicap, medical condition,
marital status, or sex of such persons except as provided in Section 1420, and every contractor
for Public Works violating this Section is subject to all penalties imposed for a violation of the
Chapter."
A copy of the Certification of Nondiscrimination by Contractors is provided in the Bid Proposal
section of these Contract Documents.
STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS
Bidders shall be familiar with the requirements of Section 1777.5 of the California State Labor
Code regarding employment of apprentices and shall submit a Statement Regarding
Apprenticeship Requirements with the Bid Proposal. A copy of the Statement is provided in the
Bid Proposal section of these Contract Documents.
STATEMENT REGARDING "ANTI -KICK -BACK" REQUIREMENTS
Bidders shall be familiar with, and shall agree to comply with, the Copeland "Anti -Kickback"
Act (18 USC 74) as supplemented in the Department of Labor regulations (29 CFR, Part 3), and
shall submit a Statement Regarding "Anti -Kickback" Requirements with the Bid Proposal. A
copy of the Statement is provided in the Bid Proposal section of these Contract Documents.
CONSTRUCTION CONTRACT AGREEMENT. BONDS & INSURANCE
The Construction Contract Agreement, Sample Bonds and Insurance Requirements are all
included as appendices in the project Contract Documents.
Following authorization by City Council to award a Construction Contract, written notification
will be given by the AGENCY to the successful BIDDER who will, within ten (10) business
days, submit to the Agency the completed and signed Construction Contract Agreement, a
Performance Bond, a Payment Bond, and evidence of Worker's Compensation Insurance.
Failure to execute a contract and submission of acceptable bonds and insurance as provided
herein within the time limit above may be just cause for the annulment of contract award and the
forfeiture of the bid proposal guarantee.
No contract shall be binding upon the AGENCY until it has been completely executed by the
Contractor, approved by the City Attorney, and executed by the AGENCY.
After the AGENCY executes the Contract and approves the bonds and certificates of liability
insurance, the AGENCY will send the successful BIDDER a copy of the fully executed
Construction Contract Agreement.
RETURN OF PROPOSAL GUARANTIES
Within ten (10) days after the award of the contract, the AGENCY will return the proposal
guaranties, other than Bid Bonds, except any guaranties that have been forfeited.
P-5 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: EBS General Engineering, 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 Construct 4" PCC
3,300
SF
$ 10
$ 33,000
Sidewalk
2
PCC Grinding
60
LF
$ 50
$ 3,000
3
Root Shave
60
EA
$ 500
$ 30,000
4
Remove and Construct Curb and
290
LF
$ 65
$ 18,850
Gutter (A-2-6)
5
Remove and Construct PCC Curb
20
LF
$
$
And Gutter (A-2-8)
65
1,300
6
Remove and Construct PCC Curb
50
LF
$
$
(B-1)
65
3,250
7
Remove and Construct PCC Curb
3,300
SF
$
$
Ramp
12
39,600
P-6 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
Item
Description
Qty
Unit
Unit Price
Amount
8
Remove and Construct 6" PCC
1,020
SF
$ 12
$ 12,240
Driveway
TOTAL BASE BID
$ 141,240.00
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.
f 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 number (100) 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 $200 per calendar day.
Name of Firm EBS General Engineering, Inc.
Signature of BIDDER z
Title President
(If an individual, so state. If a firm or co -partnership, state the firm name and give the names of
all individual co-partners composing the firm. If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof.)
P-7 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
101 limb
Iif.Y,�Y:VYYIJAYI�Y1
BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent
Construction Contract Agreement shall constitute the entire agreement between BIDDER and the
AGENCY only after it has been accepted by the City Council, endorsed by the Cleric of the
Council with her signature and official seal noting hereon the action of approval of the Council,
signed by the Public Works Agency Executive Director or his/her duly authorized agent, and
signed by the City Attorney, denoting his approval of the form of this document, and its
execution, and when it or an exact copy of it has been 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 EBS General Engineering, Inc.
Signature of BIDDER Z '
Title Joseph A. Nanci President
(If an individual, so state. If a firm or co -partnership, state the firm name and give the names of
all individual co-partners composing the firm. If a corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof.)
P-8 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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: EBS General Engineering, Inc
Business Address: 1320E Sixth St., Ste 100 Corona CA 92879
Business E-Mail Address: bids ebsgeneral.com
Telephone: 951-279-6869
State Contractor's License No. and Class: 720016 A
License Expiration Date: 3/31/20
State Dept. of Industrial Relations (DIR)
Registration No.: 1000005295
State Dept. of Industrial Relations (DIR)
Registration Expiration Date: 6/30/19
Signed:
Title: President
P-9 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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 EBS General Engineering,
n iinng eering, Inc.
Signature of BIDDER G
Title President
(if an individual, so state)
P-10 ofP-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA
)
COUNTY OF ORANGE
) SS:
CITY OF SANTA ANA
)
Joseph A. Nanci
, 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;
EBS General Engineering, Inc.
a corporation which is making the foregoing proposal:
❑ JOINT VENTURE
That he is of
one of the parties making the foregoing proposal as a joint venture, and the he/she has
been and is duly vested with the authority to execute instruments for an on behalf of the
parties making said bid who are:
that such a bid is genuine and not collusive or sham, and has not in any manner sought by
collusion to secure any advantage gamst the City of Santa Ana or any person interested in the
proposed contract, fob himself oriy other person.
Signature
to before me this i1 M day of �� w 20 y D
Administering Oath (Notary Public)
K�FAIRWEAT ER
Notary Public - California z
'a@MY
Riverside County ziCommission # 2149313
Comm Expires Apr 21, 2020
P-I1 ofP-21
CTI'Y OF SANTA ANA BOND #3—B
PROPOSAL PREMIUM: NIL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
KNOW ALL PRESENI'that,
EBS GENERAL ENGINEERING INC as BIDDER, and
SURETEC INSURANCE COMPANY as SURETY,
are held and firmly bound Lurto 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
31ST day of OCTOBER 2018.
BIDDER*
EBS GENERAL ENGINEERING INC. BY: _
1320 E. SIXTH ST., #100 Joseph .Nanci, resident
CORONA, CA 92879
(951) 279-6869 y
SURETY*
3131 CAMINO DEL RIO N., #1450 CHARLES L. FL -AXE, ATTORNEY -IN -FACT
SAN DIEGO CA 92108 -- --
(619) 400-4100
Subscribed and sworn to before me this day of
, 20_
Signature:
Notary Public in and for the County of
, State of
* Provide BIDDER/ SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
AUTHORIZED REPRESENTATIVE:
CULBERTSON INSURANCE SERVICES, INC.
5500 E. SANTA ANA CANYON RD., #201
ANAHEIM, CA 92807
(714) 921-0530
P-12 of P-21
JURAT FORM
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 )
Subscribed and sworn to (or affirmed) before me on this 31 ST day of
OCTOBER 20 18 by CHARLES L. FLAKE
proved to me on the basis of satisfactory evidence to be the person(s) who appeared
before me.
LEXIE SHERWOOD
COMM, # 2203287 3
(NOTARY SEAL) g NCYANY PUBLIC. CALIFORNIA
a
NO ORANGE COUNTY
Y PUBLIC SIGNATURE Comm. Exp. JULY 27, 2021
OPTIONAL INFORMATION
THIS OPTIONAL INFORMATION SECTION IS NOT REQUIRED BY LAW BUT MAY BE BENEFICIAL TO PERSONS
RELYING ON THIS NOTARIZED DOCUMENT.
TITLE OR TYPE OF DOCUMENT
DATE OF DOCUMENT
When executing a jurat, a notary shall administer an oath of affirmation to the afflant and shall
determine, from satisfactory evidence, that the affiant is the person executing the document. The
affmant shall sign the document in the presence of the notary.
To order supplies, please contact McGlone Insurance Services, Inc. at (916) 484 0804.
CALIFORNIA ALL PURPOSE 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 }
COUNTYOF Riverside
On November 2, 2018 before me,
Date
Public, personally appeared Joseph Nar
Name(s) of Signer(s)
K. Fairweather
Insert Name and Title of the officer
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.
K. FAIRWEATHER
WITNESS my hand a .d Official seal.
a� =u
Notary Public -California
Riverside County y
z Commission # 2149313
My Comm. Expires Apr 21, 2020
Signat are:
------------------ ------------------------------------------- OPTIONAL ------- --------------------- -- ----------------------------
Though this section is optional, completing this information can deter alteration of the document or fraudulent
attachment of this form to on unintended document.
Description of Attached Document
Title or Type of Document: Document
Number of Pages: Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signers Name:
❑ Corporate Officer — Title(s)
❑ Partner - ❑ Limited ❑ General
❑ Individual ❑Attorney in Fact
❑ Trustee ❑Guardian or Conservator
❑ Other:
Signer is Representing:
Signers Name:
❑ Corporate Officer — Title(s)
❑ Partner - ❑ Limited ❑ General
❑ Individual ❑Attorney in Fact
❑ Trustee ❑Guardian or Conservator
❑ Other:
Signer is Representing:
POAft: 510123
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint
Charles L. Flake, David L. Culbertson, Spencer Flake, Heather Willis
its true and lawful Attorney -in -fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for, providing the bond penalty does not exceed
Ten Million and 00/100 Dollars ($10,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment shall continue in force until ono12020 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney -in -Fact may be given fail power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20" of April,
1999)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal
to be hereto affixed this am day of August , A.D. eon . �1
_.0011„!,minx.. SURETEC BY£sTT ZaF C.M4ANY
By:
State of Texas ss:
County of Harris
On this Sth day of August , A.D. 2017 before me personally came John Knox Jr., to me known, who, being by me duly sworn, did depose and say, that
he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company; and that he signed his time thereto by like order.
Jq'NY Ppe, XENIA CHAVEZ
°n's Notary Public, State of Texas
'c� Comm. Expires 09-10-2020
°0 0„ ���` Notary ID 129117559 XPt Notary Public
My commission expires September 10, 2020
I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this 31 ST day of OC B Rt 2018 , A.D
. B nt Be y, Assistant Se etary
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call (713) 812-0800 any business day between 8:00 am and 5:00 pm CST.
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
LIST OF SUB -CONTRACTORS
Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all
subcontract work exceeding the following amount:
o Streets, highways including bridge projects: ''/z% of the bid or $10,000, whichever is greater
o Buildings, parks, or other projects: '/z% of the bid
Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State
Department of Industrial Relations (DIR).
BIDDER proposes to subcontract certain portions of the work to the firms listed below:
Name Non
License #/Exp.
DIR Reg. #/Exp.
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
Signature of Bidder
Name
License #/Exp.
DIR Reg. #/Exp.
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
Name
License 4/Exp.
DIR Reg. #/Exp.
License # _
Location _
Phone
Type Of Work
Amount $
P-13 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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. See attached reference list
Name and Address of Owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
2.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
3.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds.
Culbertson Insurance Services: 5500 E. Santa Ana Canvon Rd., Ste 201 Anaheim CA 92807
14-921-0530
Invensure Insurance Brokers: 17991 Cowan Irvine CA 92614 (949) 756-4100
P-14 of P-21
3 YEAR REFERENCES — PUBLIC WORKS
ct Name
12017 Arterial and Minor Streets Maintenance
Project Address Owner
Various Locations City of Riverside
Principal Contact Phone
Steve Howard, Construction Project Manager (951) 826-5708
Price of Contract Type of Work Dates
$4,594,000 Streets Maintenance 9/2017 — on going
2. Proiect
Concrete Street Rehabilitation, FY 2015-16
Project Address Owner
Various Locations City of Orange
Contact Phone
Matthew Lorenzen, Project Manager (714) 744-5566
Price of Contract Type of Work Dates
$574,850 Minor Concrete, Street Improvements 7/2016 to 10/2016
3. Proiect
Washington Square Residential Street Improvements
Project Address Owner
Grand Ave. from First St. to Fourth St. City of Santa Ana
Contact Phone
Tyrone Chesanek, Principal Civil Engineer (714) 647-5074
Price of Contract Type of Work Dates
$984,925 Minor Concrete, Street Improvements 4/2016to 10/2016
4. Proiect
ADA Access Improvements Del Cerro/Burma Rd Entrance to PV Nature Preserve
Proiect Address Owner
Del Cerro/Burma Rd. City of Rancho Palos Verdes
Contact Phone
James Flannigan, Asst Eng. (310) 544-5295
Price of Contract Type of Work Dates
$99,470 Exposed Agg. Sidewalk, Ramps, Drive approach 1/2017 to 3/2017
3 YEAR REFERENCES — PUBLIC WORKS
5. Project
FY 15/16 Curb Access Ramp Installation
Project Address Owner
Various Locations City of Huntington Beach
Contact Phone
Jim Escutia, Public Works 714) 536-5525
Price of Contract Type of Work Dates
$327,200 Curb Ramps, Domes 5/2016 to 6/2016
6. Project
Rancho Santa Fe Road ADA Curb Ramp Reconstruction
ProjectAddress Owner
Rancho Santa Fe Rd City of San Marcos
Contact Phone
Duane Neyes, Construction Mgr. (760) 744-1050
Price of Contract Type of Work Dates
$290,100 Ramps, Sidewalk, Gutter, Domes 6/2016 to 7/2016
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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. See attached reference list
Name and Address of Owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
2.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
3.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Arnount 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.
See info on P-14
P-15 ofP-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS,: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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 certificatio may subject the certifier to criminal
prosecution. f�
Signed
Joseph A. Nanci, President
State of Ca�i orpia
County of U'l Cl
Subscribed and sworn to (or affirmed) before me on this . �� day of O� Q , 20A by
, proved to me on the basis of satisfactory evidence to be the
person(s),Whb appeared before me
Signature Notary Public Seal
yy����rrrrrr-+,Pr
ublic K. ATHER
No4ary Public - California
-ro s Riverside County n
_ Commission # 2149313
My Comm. Expires Apr 21, 2020
P-16 of P-2t
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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.
P-17 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
The Contractor shall include the portion of the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (7) in every subcontract or purchase order
unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to
Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be
binding upon each subcontract or purchase order as the administering agency may direct as
means of enforcing such provisions, including sanctions for noncompliance; provided,
however, that in the event the Contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction by the administering
agency, the Contractor may request that the United States enter into such litigation to protect
the interests of the United States.
8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as
amended, no discrimination shall be made in the employment of persons upon public works
because of race, religious creed, color, national origin, ancestry, physical handicaps, mental
condition, marital status, or sex of such persons, except as provided in Section 1420, and any
contractor of public works violating this Section is subject to all the penalties imposed for a
violation of the Chapter.
Signed: z --
Title: President
Firm: EBS General Engineering, Inc.
Date: 11/1/18
P-18 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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: z
Title: President
Date:
P-19 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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: z
Title: President
Firm: EBS General Engineering, Inc.
Date: 11/1/18
P-20 of P-21
CITY OF SANTA ANA
PROPOSAL
PROJECT NOS.: 16-6864 AND 18-6864
OMNIBUS CONCRETE REPAIR PROJECT
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 V
If the answer is yes, explain the circumstances in the following space.
P-21 of P-21
c3 IS-=J
Tara[ afiinwnq, ia,
1320 E. SIXTH, SUITE 100 • CORONA, CA 92979-1700 -
Teo (951) 279-6669 • FAX: (951) 279-66392
City of Santa Ana j
Public Works Agency, M-22
20 Civic Center Plaza; Ross Annex 3rd Floor
Santa Ana CA 92701
Attn. Victor 6o
SEALED BID BOND FOR:
Omnibus Concrete Repair Project No.
16-6864 & 18-6864
IN THE CITY OF SANTAANA
DO NOT OPEN WITH REGULAR MAIL
BOND# 4424741.
PREMIUM: $2,034
CITY OF SANTA ANA
BONDS
PROJECT NO.: 16-6864 & 1.8-6864
FAITHFUL PERFORMANCE 130ND
KNOW ALL MEN BY THESE PRESENTS that EBS GENERAL ENGINEERING, INC.
as CONTRACTOR, and SURETEC INSURANCE COMPANY
a corporation, organized and existing under the laws of the State and duly authorized to transact * TEXAS
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of ONE HUNDRED FORTY-ONE THOUSAND
TWO HUNDRED FORTY & 00/100 Dollars
($ 141, 240.00 ), 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
FEBRUARY 5TH, 2019 foe OMNIBUS CONCRETE REPAIR
,
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
8TH day of FEBRUARY , 20 19 .,
1320 E. SIXTH STREET, STE. 100
* VS GENERAL ENGINEERING, INC., CORONA, CA 92879 (951) 279-6869
BY:1��
ENCER FLAKE,ATTORNEY-IN-FACT
Subscribed and sworn to before me,
20
Signature:
Notary Public in and for the County of
State of
fi
DIEGO
this day of
Rate of premium on this bond is $ 14.40 per thousand.
Total amount of premium charge is $ 2,034 . To be filled in by Surety
*Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and Me
name, title, address, and telephone number of authorized representative.
AGENT: CULBERTSON INSURANCE SERVICES, INC.
5500 E. SANTA ANA CANYON RD. #201
ANAHEIM, CA 92807 (714) 921-0530
1 of 3
CALIFORNIA JURAT
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 Riverside
Subscribed and sworn to (or affirmed) before me on this 14 day of __February _, 2019
Date Month Year
by Joseph Anthony Nanci
Name of Signers
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature:
Sganodure of Notary Public
1ES51CA LICEA
A Notary Public - California
Riverside County
7 Commission #2215630
q My Comm. Expires Oct 21,2021
Seal
Place Notary Seal Above
--------------------------------------------------- OPTIONAL ---------------------------------------------------
Though this section is optional, completing this information can deter alteration of the document or fraudulent
attachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Number of
Signer(s) Other Than Named Above
JURAT FORM
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 )
Subscribed and sworn to (or affirmed) before me on this 8TH day of
FEBRUARY 120 19 by SPENCER FLAKE
proved to me on the basis of satisfactory evidence to be the person(s) who appeared
before me.
(NOTARY SEAL)
NOTARY PUBLIC SIGNATURE
OPTIONAL INFORMATION
Cell;ERIN A, 611ERWOOD
Commission # 2118628
e tik ' E Notary Public -California
' n
Orange County
My Comm. Expires Jul 6, 2019
THIS OPTIONAL INFORMATION SECTION IS NOT REQUIRED BY LAW BUT MAY BE BENEFICIAL, TO PERSONS
RELYING ON THIS NOTARIZED DOCUMENT.
TITLE OR TYPE OF DOCUMENT
DATE OF DOCUMENT
When executing a jurat, a notary shall administer an oath of affirmation to the affiant and shall
determine, from satisfactory evidence, that the affiant is the person executing the document. The
affiant shall sign the document in the presence of the notary.
To order supplies, please contact McGlone Insurance Services, Inc. at (916) 484 0804.
eonn: 510123
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint
Charles L. Flake, David L. Culbertson, Spencer Flake, Heather Willis
its true and lawful Attorney-in4act, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for, providing the bond penalty does not exceed
Ten Million and 00/100 Dollars ($10,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO, sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is
hereby vested withfull power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney -in -Fact may be given fullpower and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Factshall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20 of April,
l999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 2eth day of September , A.D. 2018 .
q. A P, SURw7ic
PANY
14, X * i�a. By;
wfw ,vF State of Texas ss:,County of Harris ••
On this 28th day of September , A.D. 2018 before me personally came .John Knox Jr., to me known, who, being by me duly sworn, diddepose and say,
that he resides in Houston, Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument; that he knows the sealof said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company; and that he signed his name thereto by like order.
�p N� "+ YLNA CNAVEL
p . notary t �nhc StAto of JeXas
;^a. F'*:. �.,u r:omu hu,rn ens v9502020
',r�,i„a" Notary IiJ 7'1Dt17D00
Xen*crrwvez, Notary Public
,_ commission expires September 1 , 2020
1, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this STH day of F UARY 201 A.D,
Br t. eaty, Assi Cant Secreta
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call (713) 812-0800 any business day between 8:30 am and 5:00 pm CST.
CITY OF SANTA ANA
BONDS
PROJECT NO.: 16-6864 & 18-6864
PAYMENT BOND
BOND# 4424741
PREMIUM: INCLUDED IN
PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS that EBS GENERAL ENGINEERING, INC.
as CONTRACTOR, and SURETEC INSURANCE COMPANY
a corporation, organized and existing under the laws of the State* and duly authorized to transact *TEXAS
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 ONE HUNDRED FORTY-ONE THOUSAND
TWO HUNDRED FORTY & 00/100 Dollars
($ 141, 240.00 ), 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
FEBRUARY 5TH, 2019 for OMNIBUS CONCRETE REPAIR ,
if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in
the performance of the Work of Improvement to be done under said Contract Agreement, or fails
to submit amounts due under the State Unemployment Insurance Act with respect to said labor,
SURETY will pay for the same in an amount not exceeding the sum set forth above, which
amount shall insure to the benefit of all persons entitled to file claims under the State Code of
Civil Procedures; provided that any alterations in the work to be done, materials to be furnished,
or time for completion made pursuant to the terms of the contract documents shall not in any
way release either CONTRACTOR or SURETY, and notice of said alterations is hereby waived
by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
5TH day of FEBRUARY 20 19.
1320 E. SIXTH STREET, STE. 100
CONTRACTOR* EBS GENERAL ENGINEERING, INC., CORONA, CA 92879 951__279-686
DELRION., #1,
619) 400-4100
,ATTORNEY -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 $ INCLUDED IN PKUD1 ,MCE BOND per thousand.
Total amount of premium charge is $ INCLUDED - IN PERFOR7ANCE'& NDTo 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.
AGENT: CULBERTSON INSURANCE SERVICES, INC.
5500 E. SANTA ANA CANYON RD. #201
ANAHEIM, CA 92807 2 of 3
(714) 921-0530
CALIFORNIA JURAT
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 Riverside
Subscribed and sworn to (or affirmed) before me on this __14 _ day of Febru�1y__, 2019
Date Month Year
by Joseph Anthony Nanci
Name of Signers
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature:
Si nature of Notary Public
ww
1E551CALICE�
Notary Public-Czlifornla
M. Riverside County
Commission 8 2215630
b My Comm. Expires Oct 21, 2021
Seal
Place Notary Seal Above
---- OPTIONAL ---------------------------------------------------
Though this section is optional, completing this information can deter alteration of the document or fraudulent
attachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document
Number of
Signer(s) Other Than Named
JURAT FORM
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
Subscribed and sworn to (or affirmed) before me on this 8TE day of
FEBRUARY 20 19 by SPENCER FLAKE
proved to me on the basis of satisfactory evidence to be the person(s) who appeared
before me.
ERIN A. SHERWOOD
. Commission # 2118628
z ? - Notary Public - California z
," Orange Courty n
(NOTARY SEAL) NOTARY PUBLIC SIGNATURE My Comm. Expires Jul 6, 2019 +
OPTIONAL INFORMATION
THIS OPTIONAL INFORMATION SECTION IS NOT REQUIRED BYLAW BUT MAYBE BENEFICIAL. TO PERSONS
RELYING ON THIS NOTARIZED DOCUMENT.
TITLE OR TYPE OF DOCUMENT
DATE OF DOCUMENT
When executing a jurat, a notary shall administer an oath of affirmation to the affiant and shall
determine, from satisfactory evidence, that the affiant is the person executing the document. The
affiant shall sign the document in the presence of the notary.
To order supplies, please contact McGlone Insurance Services, Inc. at (916) 484 0804.
POA #: 510123
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint
Charles L. Flake, David L. Culbertson, Spencer Flake, Heather Willis
its true and lawful Attorney-ln-fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge
and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for, providing the bond penalty does not exceed
Ten Million and 00/100 Dollars ($10,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the CEO, sealed with the corporate seal
of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment is made under and by authority of the following resolutions of the Board of Directors of the SureTec
Insurance Company:
Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney -in -Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed andeffected by the Corporate Secretary.
Be it Resolved, that the signature of any authorizedofficer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to whichit is attached. (Adopted at a meeting held on 20 of April,
1999.)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its CEO, and its corporate seal to
be hereto affixed this 28th day of September , A.D. 2018 .
5 RAN,F SURETEC I"CFPANY
`CO By._
w al
John Kq, Jr., C
State of Texas ss: �7 , d ra. ; z_g ((/
County of Harris
,k r
On this 28th day of September , A.D. 2018 before me personally came John Knox Jr., to me known, who, being by me duly sworn, diddepose and say,
that he resides in Ilouston, Texas, that he is CEO of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company; andthat he signed his name thereto by like order.
�:.r �,v m `�I ILIA .�hIpr7FL
Notary f uhln St +tP of fexas
' � V ,�i�n}111 �N.O,i e9 i7a 1'12.n2p
I •'
�''� rii u� Notary l:? 17r'li 9 7869
Xe ' avez, Notary- Public
�_f commission expires September 1 , 2020
I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true andcorrect copy
of a Power of Attorney, executed by said. Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this
dayAof I
BRUARY 2019 A.D,
eaty, Ass! tank Seer
eta
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call (713) 8124800 any business day between 8:30 am and 5:00 pm CST.