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HomeMy WebLinkAboutVIDO SAMARZICH, INC. Recording Requested By, And when Recorded Mail To: Recorded in Official Records, Orange County City of Santa Ana Hugh Nguyen, Clerk-Recorder Pub Works Center Plaza 22 20 CIII I l II II1! Ili NO FEE Ill l 111 l l f 11 11 �l ll Santa Ana,CA 92701 * $ R 0 0 1 1 6 k 3 5 0 7 $ 2020000186914 12:07 pm 04/24/20 93 410A N 12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 1- NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana, California, 92701, is the owner of the property hereinafter described, that said owner has caused a construction of LOCAL STREET CURB RAMP IMPROVEMENTS under contract entered into 2 on JULY 16,2019 with VIDO SAMARZICH INC, on which contract FIDELITY AND A DEPOSLI COMPANY OF MARYLAND is surety. The property on which such work m 0 improvement was placed is in the City of Santa Ana, County of Orange, State of California, and o z described as Project No. 20-7532 located at: VARIOUS LOCATIONS. The work improvement a 9 on said property was accepted as completed on DECEMBER 19,2019. .a a 00 CITY OF SANTA AN MUNICIPAL CORPORATION � v w by I✓ z Dated: " r Senior Civil Engineer-Michael Ortiz — E TITLE W ------------------------------------------------------------------------------------------- VERIFICATION 1, the undersigned, say: I am the City Engineer - Edwin"William" Galvez of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof-, and I declare under penalty of perjury that the facts therein stated are true. Executed on rr`+ Aoontentsof gNe aring that the etion are true.) T FaMl MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION Y. California Newspaper Service Bureauce Dolly Mirnal Corpoialion Public Notice Advertising Since 1934 Tel 1.800.788-7840 n Fax 1-000-474-9444 local ORces'ond Repmnenlo .in: Los Ange(espsamn Ina.saARlego, RlrersideiSno Bernardino, son Praneioeo, 0ablond. San ln<, su',une ,o Spmial Sa vicas Available in Phoenix DECLARATION I am a resident of Los Angeles County, over the age of eighteen years and not a ,party to any or Interested in the matter noticed. The notice, of which the annexed is a printed copy appeared in the: REGISTER On the following dates: - Maya & 10, 2019 I certify (or declare) under penalty of perjury that the foregoing is true and correct, Dated at Los Angeles, California, this 10th . dayof May 2019 i Y Signature 3250409 "The only Public Motice which Isjxstlfrnble front the standpoint el"In a economy and flit, public Interest, iv dial Witch raodres(bone who uro ail'ecleel by it Inzy. OWIC Dollylomnal Cowration.015 iron, Pint Sowt. Los Angeles, C:A n0on III1Ii N II I1I1. il1,1111ii 11flI'II II�IIAIIIII1BII MAYOR Miguel A Pulido MAYOR PRO TEM Juan Viliegas COUNCIL MEMBERS Cedlla 191eA8e. David Penalots Vicente Samliento Jose Solorb CITY OF SANTA ANA PLANNING &. BUILDING AGENCY 20 Civic Center Plaza (M-20) P.O. BOX 1988. Santa Ana, Cella 92702 (714) 667.2700 • FOX (714) 973-1461 www.sente-ano.org NOTICE OF EXEMPTION CITY MANAGER 14isline Ridge CITYATTORNEY Sonia R. Carvalho AC71NO CLERK OF THE COUNCIL Norma Mitro-Ramirez POSTED JUL 0 2 2019 ORANDE COUNTY CLERK -RECORDER DEPARTMENT ® .DEPUTY 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 P.O. Box 238 20 Civic Center Plaza M-20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Local Street Curb Ramp improvements Date of Approval 07/022019 ProjectNumber(s): PWA-2019-1000-CIP Project Location: 1 CltyWtde (Partial) City: Santa Ana County: Orange ER Number: ER-2019.57 Project Description: Scope of work involves removal & replacement of Portland cement concrete. Applicant Name: Tyrone Chesanek, City of Santa Ana Public Works Agency Applicant Address: 20 Civic Center Plaza M-22 SANTA ANA, CA 92701 Name of Public Agency Approving Project: Name of Person or Agency Carrying Out Project: Exempt Status Ministerial (Sec. 15283) Q Declared Emergency (Sec. 16269 (a)) Gi Emergency Project (Sec. 15269 (b through a)) p General Rule (Sao,15061(b)(3)/(5)) ❑ Statutory Exemption: • Categorical Exempton: 16301(c) Reasons) Why Project is Exempt From CEQA: City Contact: Rotten Aguirre Signature: City Council Chesanek, Tryrone FILED JUL 0 2 2019 ORANGE COUNTY CLERK -RECORDER DEPARTMENT BY. K/DEPUTY W a 1 4 S O W a-1 Recorded In Official Records, Orange county 11ii11i1111 id��1ii1111111111�111111111111 NO FEE 201985000651 10:25 am 07/02/19 323 304 Z01 0.00 60.00 0.00 0.00 0.00 0.00 0.00 0.00 Telephone: (714) 647-5051 Title: //&PI dot "If 1r' ,laear�' Date: (12-711f SANTA ANA CITY COUNCIL Miguel A. PWNo Juan Vlreaas Vlnrsnta Sarmiento Jose Solwo vacant cam Penat"a Cargo laleales Maya Maya Pro Tan. wmd6 Ward Wnrd7 Wed4 - Wad2 Wade ... IaWad0911e0stscam... - - tloendoumentranagg-: tlabsl emeaMraniae s. AUG 2 6 2019 0 CITY OF SANTA ANA 0, �vVA (z) CONSTRUCTION CONTRACT M,cL� oCk1z PROJECT20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS PROJECT This CONSTRUCTION CONTRACT is made and entered into this 161h day of July, 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 Vido Samarzich, Inc. (hereinafter "CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: I. 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 Local Street Curb Ramp Improvements 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 Four Hundred Ninety-five Thousand Seven Hundred Fifty Dollars and No Cents ($495,750.00), as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A." The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. rev. 09/01/2017 Page 1 of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.pddf 7. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work (Performance Bond), and one in the amount of One Hundred Percent (100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of Ten Thousand Dollars ($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final 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 parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: 14 7v(,. -f.,& JGM FUNK Assistant City Attorney FOR APPROVAL: PE, PLS Executive erector Public Wor s Agency CITY OF SANTA ANA KRISTINE RIDGE City Manager CONTRACTOR: Vido Samarzich, Inc. I /AJ 42 1 NAME: Vim L- 5,4.nf12zIo14 TITLE: V cE P/LES iOL`N Page 3 of 3 City of Santa Ana Page l Local Street Curb Ramp Improvements (20-7632), bidding on May 28, 2019 2:00 PM (Pacific) Printed 06/13/2019 Bid Results EXHIBIT A Bidder Details Vendor Name Vldo Samarzich, Inc, Address 6829 Billings Place Rancho Cucamonga, CA 01701 United States Respondee Vldo L Samarzich Respondee Title Vice President Phone 909-987-6377 Ext. Emall vldosam@yahoo,com Vendor Type CADIR License it 433210 CA DIR Bid Detail Bid Format Electronic Submitted May 28, 2019 11:54:23 AM (Pacific) Delivery Method Bid Responsive Bid Status Submitted Confirmation if 179871 Ranking 0 Respondee Comment Buyer Comment Attachments File Title File Name File Type Bid Docs Bid Docs for Santa Ana Curb Ramps.pdf General Forms Santa Ana Ownership Atfldavlt Santa Ana Ownership AffidevlLpdf Ownership Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Santa Ana Bid Bond Santa Ana Bid Bond.pdf Bid Bond Guaranty (Notary Public) - REQ Original Hard Copy Submittal In Addition Santa Ana Non Collusion Affidavit Santa Ana Non -Collusion Affldavit.pdf Non -Collusion Affidavit (Notary Public)- REQ Original Hard Copy Submittal in Addition Line Items Type Item Code UOM Qty Unit Price Line Total Comment Section 1 1 Remove and Construct POO Curb Ramp SF 26000 $16.00 $400,000.00 2 Remove and Construct FCC Sidewalk (T=4") SF 3000 $0.00 $27,000.00 PlanetBlds, Inc. City of Santa Ana Local Street Curb Ramp Improvements (20-7532), bidding on May 28, 2019 2:00 PM (Paciflc) Bid Results Type Item Code UCM City 3 Remove and Construct PCC Curb & Gutter (A4.0) LF 1250 PlanetSids, Inc. Page 2 Printed 06/13/2019 EXHIBIT A Unit Price Line7otal Comment $55.00 $68,750.00 Subtotal $490,750.00 Total $495,750.00 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: REQUIREMENT: EXHIBIT A The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount I Remove and Construct PCC Curb 25,000 SF $ $ Ramp 2 Remove and Construct PCC Sidewalk 3,000 SF $ (T=q") 3 Remove and Construct PCC Curti& 1,250 LF $ $ Gutter (A-2-6) TOTAL BASE BID $ 5 7F— 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). 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 eighty (80) workintz 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 $500 per calendar day. Name of Firm Signature of BE Title V(GE VAES(156AIT (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 cor oration state legal name of corporation, and names of President, Secretary, Treasurer and anager, thereof.) Vldo Sga,lRatcN INS. V1DD SA^AR%twq - PAF_;1vFa/T iyvenk4 !'� P I of P-I S 7"*A4 RxIcF/ - SPz-RSTAtQy t/1 Do (—. SgaARalcH — V(a tP . iv& T t %F4s-vRER City of Santa Ana Page 1 Local Street Curb Ramp Improvements (20-7532), bidding on May 28, 2019 2:00 PM (Paciflo) Printed 06/13/2019 Bid Results Bidder Details Vendor Name Vido Samarzich, Inc. Address e829 Billings Place Ranohc Cucamonga, CA 91701 United States Respondee Vido L Samarzich Respondee Title Vice President Phone CA DIR Bid Detail Bid Format Electronic Submitted May 28, 2019 11:64:23 AM (Pacific) Delivery Method Old Responsive Bid Status Submitted Confirmation 179871 Ranking 0 Respondee Comment Buyer Comment Attachments File Title File Name File Type Bid Docs Bid Docs for Santa Ana Curb Ramps.pdf General Forms Santa Ana Ownership Affidavit Santa Ana Ownership Affldavit,pdf Ownership Affidavit (Notary Public) - REQ Original Hard Copy Submittal In Addition Santa Ana Bid Bond Santa Ana Bid Bond.pdf Bid Band Guaranty (Notary Public) - REQ Original Hard Copy Submittal in Addition Santa Ana Nan-Coiluslon Affidavit Santa Ana Non-Colluslon AfBdavit.pdf Non -Collusion Affidavit (Notary Public)- REQ Original Hard Copy Submittal in Addition Line Items Type Item Code uDM Qty Unit Price Line Total Comment Section 1 1 Remove and Construct PCC Curb Ramp SF 25000 $18.00 $400,000.00 2 Remove and Construct PCC Sidewalk (T=4") SF 3000 $9.00 $27,000.00 PlanetBids, Inc. City of Santa Ana Page 2 Local Street Curb Ramp Improvements (20-7532), bidding on May 28, 2019 2:00 PM (Paclflc) Printed 06113/2019 Bid Reauits Type Item Cads UOM City Unit Price Line Total Comment 3 Remove and Construct PCC Curb & Gutter (A-2.0) LF 1260 $65,00 $66,750.00 Subtotal $495,750.00 Total $495,750.00 PlanetSids, Inc. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: 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 PCC Curb 25,000 SF $ $ Ramp 2 Remove and Construct PCC Sidewalk 3,000 SF $ (T=4") 3 Remove and Construct PCC Curb & 1,250 LF $ $ Gutter (A-2-6) TOTAL BASE BID $ 'S66 G PRI` 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). 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 eighty (80) 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 $500 per calendar day. Name of Firm Signature of Bll Title V1GE VAFSIDEaTT (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 cor oration state legal name of corporation, and names of President, Secretary, Treasurer and anager, thereof.) V,bo SAMARAtcN XNK-. Vlvn SAaARztwq - PAF_a[DEvT tiioenkq P-I ofP-15 �J�r4aQalcH - SF�RSTARy t/1Do G. SAMR?1cH_ V(�€r�iQno $ TRtASuRER CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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 lien 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 Signature of BII Title (If an individual, so state. If firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a cor oration state legal name of corporation, and names of President, Secretary, Treasurer and anager, thereof.) VIP' SAAOR2tas4, Vtoa d4AVK?-(C4 67qVrk4 G%A46R21 tat, L. cYlMkR2lct4 - 18Gsr OEAl r- - 5icAE-rm 7 VlGf 10AES0kNY 41R60IREQ, P-2 ofP-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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: 1/IDo SAIuAQ21601ryG. Business Address: g8kS Brt,r.W&S PWrEr_( tGa L�a..A c.Q Mar Business E-Mail Address: k/1 nn <A- .o Telephone: (`fOq) qg 7_ ,/ 3 9 7 v State Contractor's License No. and Class: g331(6 License Expiration Date: 13r l,pAo State Dept. of Industrial Relations (DIR) Registration No.: (E7000 (3 � 13 State Dept. of Industrial Relations (DIR) Registration Expirati i Dat • 6 30/.�o (4 Signed: ii,- VI Title: Ace �RG3(i)&-r P-3 of P-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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 Signature of BII Title (laE /'kEsrDEnrT (if an individual, so state) P-4 of P-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA f ) V1 PO I. -%qW lq-z1Cu 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 film designated as: and who has been and is duly vested with the authority to make and execute instruments for the co -partnership by: WI who constitute the other members of the co -partnership. WCORPORATION That he is of: �Do �Aae�Q2tctlt ING a corporation which is making the foregoing proposal: El JOINT VENTURE That he is of: one of the parties making the foregoing proposal as ajoint venture, and the he/she has been and is duly vested with the authority to execute instruments for an on behalf of the parties making said bid who are: - that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the propose ntr t, or himself or any other person. Vlmo C. S�Y.nARtf�f� Signature of BidAer Subscribed and sworn to before me this day of 20 SEE A HE D Signature of officer Administering Oath (Notary Public) P-5 of P-15 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES Subscribed and sworn to (or affirmed) before me on this 23RD day of MAY 20 19, by VIDO L. SAMARZICH proved to me on the basis of satisfactory evidence to be the personfsr)'who appeared before me. �muwnu,oiwunnnnmmmmnmmmm�eunnnnnnnnme m- DE5MOND G. WARREN ' - COMM. #2190634 z a Notary Public - California 4 Riverside County e My Comm. E)Ores Apr. 9, 2021 v aemm..ni nmm.. Ixxmrmnnnnnmm�nnnnnmF. (Seal) Signature Bond No.: VIDSA-2010 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS BID BOND KNOW ALL PRESENT that, Vido Samarzich, Inc. as BIDDER, and Fidelity and Deposit Company of Maryland as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of Ten Percent Of The Total Amount Bid Dollars ($ te% Of Bid �, 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 16th day of May 2019. BIDDER* Vido SURETY* Matthew R. Dobyns, At Subscribed and sworn to before me ,20 Signature.: Notary Public in and for the County of 6829 Billings Place Telephone: , State of 91701 777 S. Figueroa Street, Suite 3900 Los Anoeles. CA 90017 this day of Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. P-6 of P-15 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies,. which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Randy SPOHN, Ashley M. SPOHN, Matthew R. DOBYNS and Hamilton KENNEY, all of Santa Alta, California, EACH, its true and lawful agent and Attorney -In -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in Now York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland, and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set froth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed histher names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of May, A.D. 2019. 1i 4 sr strop' q! ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President By: Dawn E, Brown Secretary State of Maryland County of Baltimore On this 151h day of May, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert A Murray, Vice President and Dawn E. Drown, Secretary of the Companies, to me personally known to be the individuals and officers described in. and who executed the preceding instrument, and acknowledged the execution of same, and being by are duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Cotpmate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by die authority and direction of the said Corporations, IN TESTIMONY WHEREOF, I have hotcunno set my hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public >>�ts^i Y ip` j My Conunission Expires; July 9, 2019 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 County of ORANGE On May 16th, 2019 before me, ASHLEY MARIE SPOHN, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS ® who proved to me on the basis of satisfactory evidence to be the person( 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 signatures) on the ASHLEY MARIE SPOHN�� instrument the person(s), or the entity upon behalf of which the person(s) COMM. # 2188665 NOTARYPUBLICCALIFORNIA o acted, executed the instrument. 3 ORANGE COUNTY ro My comm. 6X0_1" eaai 27, zo21 t 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. Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES On MAY 28, 2019 before me, DESMOND G. WARREN (insert name and title of the officer) personally appeared VIDO L. SAMARZICH who proved to me on the basis of satisfactory evidence to be the person4omhose name(,a)'is/ subscribed to the within instrument and acknowledged to me that he/swtbe5r-executed the same in his/�tperr authorized capacity(iiiii and that by his/her/fpersignature,(sj-on the instrument the person;ps -or the entity upon behalf of which the personKacted, 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. ellllllllllll NIIIIIIIIN11"ENS 1pp DUTH 1ppRRE NX WITNESS my hand and official seal. a oesxlorroc.wARRER COMM. #21WU _•'+a Notary Public - California Riverside County .i'umm�n nxnxxmi mmxxnn m. mmixllaiim mm�3 Signature (Seal) CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS LIST OF SUB -CONTRACTOR Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: o Streets, highways including bridge projects: %2% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %2% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name 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 a DIR Reg. Tvoe Of Work Amount $ Si /GV .- I I 11G0i atauref d r Name _ License #/Exp. DIR Reg.#/Exp Location Phone Type Of Wor Amount $,-' NWre 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 $ P-7 of P-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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. Name and Address of Owner. Name and Telephone Contract Amount 2. Name and Address of Name and Telephone Contract Amount 3. Name an ddress of e and Telephone Contract Amount owner. owner. of person familiar with project. Work Type of 1 " ` `� person Type of Work Type of Work Date Completed Date Completed 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. MAR 14- Gee IeS $bwibwer 1Nciu(1A+V!'c .,9G6yiy�T 57, SigxrC �,k3 P-3 of P-15 VIDO SAMARZICH, INC. General Engineering Contractor• No.433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 COMPLETED CONSTRUCTION PROJECT REFERENCES 1. Project Name: Wilshire Avenue Bicycle Blvd Improvements Owner: City of Fullerton Phone Number: (714) 738-6853 Engineer/Contact: Mr, David Grantham Contract Amount: $2,100,000.00 Date of Completion: 2019 2. Project Name: FY 17-18 ADA Access Ramp Improvements at Various Locations Owner: City of Rancho Cucamonga Phone Number: (909) 774-4070 Engineer/Contact: Mr, Romeo David Contract Amount: $075,000.00 Date of Completion: 2018 3. Project Name: Wilshire Avenue Water and Sewer Improvement Project Owner: City of Fullerton Phone Number: (714) 738-6895 Engineer/Contact: Mr, Gar Huang Contract Amount: $550,00o,00 Date of Completion: 2018 4. Project Name: llm/Malden Area Street, Sewer and Water Improvements Owner: City of Fullerton Phone Number: (714) 773-0049 Engineer/Contact: Mr. Joseph Hernandez Contract Amount: $2,200,000.00 Date of Completion: 2018 5. Project Name: Anaheim Hills Road Water Main Replacement Owner: City of Anaheim Phone Number: (714) 863-8020 Engineer/Contact: Mr. Luis Tapia Contract Amount: $600,000,00 Date of Completion: 2018 Page 1 of 5 VINO SAMARZICH, INC. General Engineering Contractor No, 4332:0 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 6. Project Name: CDl3G ADA Wheelchair Access Ramp Replacement at Various Locations Owner: City of Orange Phone Number: (714) 744-5566 Engineer/Contact: Mr. Matthew Lorenzen Contract Amount: $204,300,00 Date of Completion: 2018 Project Name: 2017 Citywide Curb Rump Improvements Owner: City of Laguna Beach Phone Number: (949). 497-0741 Enghtecr/Contact: Mr, `fri Nguyen Contract Amount: $285,000,00 Completion Date: 2017 8. Project Name: Safe Routes to School Improvements, Phase 3 Owner: City of Glendale Phone Number: (818) 402-0225 Engineer/Contact: Mr. Gary ldsall Contract Amount: $908,000.00 Date of Completion: 2017 9, Project Name: Heim Ave at Canal St Storm Drain Improvements Owner: City of Orange Phone Number: (714) 744-5566 Engineer/Contact: Mr. Matthew Lorenzen Contract Amount: $99,000.00 Date of Completion: 2017 10, Project Name: Citywide Sidewalk Repair ProjectFY 15-16 Owner: City of Santa Monica Phone Number: (951) 522-4505 )ngincer/Contact: Mr. Craig Wheeler Contract Amount: $878,000.00 Date of Completion: 20t7 11. Project Name: FY 16/17 Curb Access Ramp Installation Project Owner: City of Huntington Beach Phone Number (714) 536-5259 Engineer/Contact: Mr. Joe Fuentes Contract Amoimt: $679,000.00 Date of Completion: 2017 Page 2 of 5 VIDO SAlVMARZICH, INC.. General Engineering Contractor No. 4332:0A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 12. Project Name: Comstock Avenue Water Main Improvements Owner: City of Whittier Phone Number: (562) 567-9302 :Engineer/Contact: Mr. Carl Hassel Contract Amount: $578,000.00 Date of Completion: 2017 13. Project Name: Monterey Road Street Improvements .Owner: City of South Pasadena Phone Number: (026) 590-0570 Engineer/Contact: Mr, Alex Chou Contract Amount: $1,550,000.00 Date of Completion: 2017 14. Project Dame: Fletcher Avenue Reconstruction Owner: City of South Pasadena Phone Number: (702) 204-4025 Engineer/Contact: Mr. Mark Peterson Contract Amount: $878,000.00 Date of Completions 2016 15. Project Name: Patterson Street Reconstruction Owner: City of Fullerton Phone Number: (714) 732-9060 Engineer/Contact: Mr. Pete Acosta Contract A►nount: $675,000.00 Date of Completion: 2016 16. Project Name: Magnolia/BolsaIntersection Widening Owner: City of Westminster Phone Number (714) 548-3464 Engineer/Contact: Ms. Theresa Tran Contract Amount: $975,000.00 Date of Completion: 2016 17. Project Name: 2015 Water Main Improvements Owner: City of Westminster Phone Number: (714) 548-3456 Engineer/Contact: Mr. Tuan Pham Contract Amount: $1,100,000.00 Date of Completion: 2016 Page 3 of 5 TELEPHONE 909-987-6377 FAX 909-987-8988 VIDO . SAMARZICH, INC. General Engineering Contractor No. 433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 18. Project Name: Red Hill Lake Modernization Owner; City of Rancho Cucamonga Phone Number: (909) 477-2740 Engineer/Contact: Mr. Romeo David. Contract Amount: $300,000.00 Date of Completion: 2016 19. Project Name: 2015 Concrete Improvements Owner: City of Inglewood Phone Number: (714) 468-7319 EnginceriContact: Mr. Hunter Nguyen Contract Amount: $425,000.00 Date of Completion: 2015 20. Project Name: El Centro Avenue Rehabilitation Owner: City of South Pasadena Phone Number: (620) 590-0570 Engineer/Contact: Mr, Alex Chou Contract Amount: $1,100,000.00 Date of Completion: 2015 21. Project Name: Concrete Bus Pads Owner: City of Rancho Cucamonga. Phone Number: (714) 548-3456 Engineer/Contact: Curt Billings Contract Amount: $175,000.00 Date of Completion: 2015 22. Project Name: ADA Wheelchair Ramps Owner: City of Orange Phone Number: (714) 744-5566 Engineer/Contact: Mr. Matthew Lorenzen Contract Amount: $275,000,00 Date of Completion: 2015 23. Project Name:2014 Water Improvement Owner: City of Westminster Phone Number: (71.4) 548-3456 Engineer/Contact: Mr, Tuan Pham Contract Amount: $1,100,000.00 Date of Completion: 2015 Page 4 of 5 VIDO SAMARZICH, INC. General Engineering Contractor NO, 433210 A 6829 BILLINGS PLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 TELEPHONE 909-987-6377 FAX 909-987-8988 24. Project Name: ADA Sidewalk Improvement Owner: City of Artesia Phone Number: (951) 314-6984 Engincer/Contact: Mr. Cluck Burkhardt Contract Amount: $200,000,00 Date of Completion: 2014 25. Project Name: YL,IIS Park Bryant Cross Feeder Pipeline Owner: Yorba Linda Water District Phone Number: (714)701-3104 Engineer/Contact: Mr, Joe Polimino Contract Amount: $675,000,00 Date of Completion: 2013 26. Project Name: County Road Storm Drain Owner: City of Pomona Phone Number: (909) 322-7471 Engineer/Contact: Mr. Dave Barron Contract Amount: $570,000.00 Date of Completion: 2013 27. Project Name: Adams Square Park Owner: City of Glendale Phone Number: (818) 548-2864 Engineer/Contact: Mr. I-lagop Kassabian Contract Amount: $1,100,000.00 Date of Completion: 2010 28. Project Name: Various Public Work Purchase Orders and Contracts 2000-2013 Owner: City of Pasadena Phone Number: (626) 484-5640 Engineer/Contact: Mr. -Dale Torstenbo - dtorstenbo@cityofpasadena,net Contract Amount: $2,500,000.00 Date of Completion: 2000-2013 29, Project Name: Mise Park Improvements From 2000-2010 Owner: City of Glendale Engineer/Contact: George Balteria— (951) 201-2710 Peter Vierlieilig—pvierlieilig@ci.glendale.ca.us Contract Amount: $3,500,000.00 Date of Completion: 2000-2010 Page 5 of 5 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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. 1. Name and Address of Owner. Name and Telephone Numbei Contract Amount 2. Name and Address of owner. Name and Telephone Number Contract Amount 3. Name Address of owner. ame and Telephone Number Contract Amount with project. Type of Work Date Completed of person familiar . project. Type of Work Date Completed person tamWar with project. 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. 1433 F IfTw Crr f sukm Z-�b 5hVT,9 IlArd y C.9 C41701 5zlr- K700 P-9 of P-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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 cautioged that making a false certification may subject the certifier to criminal Signed 9 /.tA Ll/-G - State of California County of Subscribed and sworn to (or affirmed) before me on this day of , 20 , by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me SF-E 1g1,'Aegfp Notary Public Signature Notary Public Seal P-10 of P-15 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES Subscribed and sworn to (or affirmed) before me on this 23RD day of MAY 120 19, by VIDO L. SAMARZICH proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. IIIIIIIIIIIIIIIIINIIIIIIIIx11NNI11ONDOtl11nMxNNIIII11NtlNK' DES COMMG. WARREN : DMM. /2190534 3 's Notary Public • California Riverside County My Comm. Expires Apr. 9, 2021 nxlm 11 IIIIIInnalmxnlllxlllNxllfmnllunlllllnn... (Seal) Signature "/:�s CITY OF SANTA ANA PROPOSAL, PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: L 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 fortes 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 ofworkers 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-II ofP-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS 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, nor 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 Chaa e�r. Signed: /,r%d (�/- i/IDo L• Srt.v�itrucrj Title: Vt usiDa'T Firm:ytib agA..aR lc - zyz- Date: _ ry/y -rng P-12 of P-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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: I. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other co tractors, except contractors not signatory to the trust agreement shall pay a like amount to Cali omia Apprenticeship Council. Signed: // ✓ V1 P0 L- ,¢ Title: Vlc{ �EStDEll1T Firm: ll00 &AmAw A 1 -iVc Date: Zy U11 P-13 of P-15 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP 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 otherwi entitl d. Signed: po SA�+A+z�uY Title: CZ A �rzi at/T Firm: VIDo smdod2/Gf{I Zit Date: r► ,t y Z. P- l4 of P-15 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS 'UBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE Lr 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-15 ofP-15 ��[i A Vicdy,OvsiytgnrS(Rr SM1M.goy W\u\A NEW WAYTO SIGN IN -It you already have —Kit W aSAM account, useyoarSAM email for login.gov. Login nxturAM4waDLA)ttl®16NT Loghlgov F'AQa ® ALART..hme u. rzbtg: Emilles mglaltrklgin gAAl mlmisubmita notarized lenerappoinling their mahnflrzd Entity AdmihiAlntm.Rvmlmouminled FAO9 W hannmomnhorn ehrears to the nomrirxd letter raeiewp: ess and other system improvements. m ALERT: SAMseve .111 lie down for srhednled maharnmretahnday,061t5/song, from 8mm AM to con PM IEM). m ALERT: VACf11s rionenlly eaperiencingahigh volume Mivithamgans,dnd la working them In lheontedit which they Are nxela'ml. When "or r Ibust Linn is assamxl W CAGE Tedmiri.n,, von will be contacted by CAGE, if con 1, for any nddltimal infnrmove. Search Results LLrrenl Scmrch'frrms: VI DO SAMAR"l.ICII, I8Q` Total record:i Save PDF EVW Results LJ Itesldt Page: I Solt h\ Relevance Order by Oesmntll Your search for VIDO SAMARZICH, INC* returned the fo➢owing results... sorb. Vldognmmxiah, bor. DUNS: onofiesaa Has Atll\mlDrdlsioni: No lbpirld.D.W nr,l. hopseof Registmnan: AllAwards Result Page: i IBS4p,rng0 'ung wavv"j Stank: Aodvell) CAGE Cade: yl)GRa Vkwp alb OODAAC: DebtgobjectWORseta No fmamh Reeamis Disclaimers PAPGS.gnr Data A¢ess A4eesstality GSA.gov(IAI> Check famous Privacy Polley GEoLjo, About OSAgoe IMP Save PDF Export Results F PdIK 'ILe ep.1I1 rd 6an nduu,uJ•alum n.4ralra ...eon mllu•Ib'I1Yt otl9rL\I.IIN1.nNl.\"\Lla_a1:Iva vw,Nrvgn natnlnm...lwf,iilmdr4nwd lanfnm,inx—rm.—'IN utlallkrarcmAn<tL, N�iIAYun,aiFnwln.Fm Mmtml'.'._s6' dun & bradstreet Welcome V,do Samaruch I San,, Government Update — User Profile Transaction History FAQs Contatt Us dome n iUpdate Main Menu > iUpdate Main Menu The following companies are associated with your profile. Select the company you would like to review, then select an option from the menu below. , D-U-N-S! Company Address, City, State t7 026486266 VIDD SAMAR2ICH, INC.I682g 011lings PI, flancho Cucamonga , —CA --_--1 ^ Start Update Proceat > Data Update Pollclea and FAQ. > View I Print Company fieport > AAAg Ueer Profile > ® Dun b &adstreet, Inc.. 2000-2011. All rights reserved. FAQ, I Contact Us EXHIBIT 1 City of Santa Ana Section 3 Contract Clause These Clauses are to be inserted in all contracts A. The work to be performed under this contract number 20- 753,1 by and between the City of Santa Ana, hereinafter referred to as "City" and UUUSMrBiltsr�yt TVe. hereinafter referred to as "Contractor", is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended 12 U S.C. 1701u (section 3). The purpose of Section 3 is to ensure that employment and other economic opportunities generated HUD assistance or HUD -assisted projects covered by Section 3, shall, to the greatest extent feasible, be directed to low -and very low-income persons. B. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are tinder no contractual or other constraint that would prevent them from complying with the Part 135 regulations. C. The contractor agrees to send to each labor organization or representative of workers with which the Contractor has an agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the Contractor's commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. D. The Contractor agrees to include a Section 3 clause in every subcontract subject to compliance with regulations in 24 CFR Part 135, and agrees to take appropriate action, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 135. The Contractor will not subcontract with any subcontractor where the Contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR Part 135. E. The Contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the Contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR part 135 require employment opportunities to be dir ected, were not to circumvent the Contractor's obligations under 24 CFR part 135. F. Noncompliance with regulations in 24 CFR Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted projects. The Contractor by this signature affixed hereto declares under penalty of p erjtay: Contractor has read City requirements and accepts all its requirements contained therein for all of his/her operations within the City of Santa Ana. GIlA, L . sAPrlJk2 tGf/, ✓. P. M.,-s Z1,11 ,y Signature of ractor Print Name and Title Date y331to A oaev%.\d Contractor License Number & Designation Federal DUNS Number EXHIBIT 2 City of Santa Ana Section 3 New Hire Calculation Form Project Name: IRc�E�,r My. c1A6- 9S31 4ocm 57R' r"a AW !V&,Aw. a-,s Project Location: ✓ARtoud "&M &W C4 '1.061 Street City State Zip Contractor Name: U049 S&IAR2-ICV r -TA ,c. Contractor Contact: VIDO L, pdAMARLfG Contractor Telephone Number: OT- cis? - 6 3 i i Contractor Email Address:ylbOS,Im Q `4flOD Gon, Section 3 Resident Hiring Goals Trade/Craft Number of New Hires Total Number of New Hires: Total number of Section 3 resident new hires necessary to comply with contract: J41 VI to wy M t Z`I ZOIi Signa «re a CIntKctor Date EXHIBIT 8 Contractor's Section 3 Affirmative Action Plan PaeTao.2o-7s3� "k .9rafar R4,, 1A.•,811vik1WT3 Project Number and Title The undersigned contractor agrees to implement the following affirmative action steps directed at increasing the utilization of lower income residents and business concerns located within the County of Orange. 1. Take affirmative action to ensure that employees or applicants for employment or training are not discriminated against because of race, color, religion, sex or national origin. 2. Send a notice of the contractor's Section 3 commitment to each labor organization or representative of workers and p ost a copy of the notice at a conspicuous place available to employees and appl icants for employment or training. 3. To the greatest extent feasible, make a good faith effort to recruit for employment or training tower income residents from the County, and to award contracts to business concerns which are located in or owned in substantial part by persons residing in the County through use of: local advertising media, signs placed at the project site and notification to community organizations and public or private institutions operating within or serving the project area such as Service Employment and Redevelopment (SER), Opportunities Industrialization Center (OIC), Urban League, Contracted Employment Program, U.S. Employment Service, Chamber of Commerce, labor unions, trade associations and business concerns. 4. Maintain a file of all low-income area residents who applied for employment or training either on their own or on referral from any source, and the action taken with respect to each area resident. 5. Maintaht a file of all business concerns located in the County who submitted a bid for work on the project, and the action taken with respect to each bid. 6. Maintain records, including copies of correspondence, memoranda, etc., which document that affirmative action steps have been taken. 7. Incorporate the Section 3 clause provisions in all subcontracts, and require subcontractor(s) to submit a Section 3 Affirmative Action Plan. l/ID0 -SAMA92JajoTyVe- Company Name -IZJ411 Signature o C ntractor 6M aI LLBI PO r tSlLucx� 6tfGt4ri✓6 I4A UI--25AA M 2-tC.Fi Address: Street, City, State, Zip 't90t Printed Name 0�64(810,66 VIE RESfD err DUNS Number Title EXHIBIT 9 City of Santa Ana Section 3 Contract Award Consideration Bidder's Name: VIDO 3AA14R'ZtG(f t ZNC Please check the numbered statement that is applicable to your business: 1. _ My business qualifies as a Section 3 business concern: If you have checked statement NUMBER 1 please read the attached Section 3 Business Concern Preference - Bidding Requirements. (Please check the applicable qualification for statement member 1) 51 % owned by Section 3 residents; or Permanent, full-time employees include at least 30% Section 3 residents; or Will subcontract more than 25% of the dollar award of all subcontracts to be awarded to business concern(s) that meet either of the two preceding qualifications. Note: You are required to list all subcontractors and owner -operators in your bid statement. 2.My business does not qualify as a Section 3 business concern. Note: Section 3 business concern definitions are located in this project's Contract Documents & Specifications Manual thiin the section titled Section 3 Economic Opportunities Plan. V9 INAy 2 y U,9 Signature of a ness Owner Date v/Ao l.. SAMARzvu Print Name EXHIBIT 12 CITY OF SANTA ANA WOMEN OWNED/MINORITYBUSINESS OWNED ENTERPRISES (W/MBE) GOOD FAITH EFFORTS PProo'ectame* LOeqL $ ET tMtTSrmb iect Zp — 7S 2 Project Location: „q 44 Pursuant to 24 CFR Part 85 § 85.36 (e) of Code of Federal Regulations, contractor must take all necessary affirmative steps to assu re that minority business firms, women's business enterprises and labor surplus firms are used whenever possible. Contractor shall submit the following information to demonstrate that a goof faith effort has been made to comply with the above section of the Code of Federal Regulations. Submittal of this form, in and of itself, may not provide sufficient documentation to demonstrate that goof faith effort was made. Documentation such as copies of advertisement, letters of solicitation, telephone logs, rejected quotes, etc, should accompany this form. 1. The names and dates of advertisement of each newspaper, trade paper, and minority -focus paper in which a request for W/MBE participation for this project was placed by the bidder: 2. The names and dates of written notices sent to W/MBE soliciting bids for this project and methods used for following up initial solicitation to determine with certainty whether the W/MBE were interested. Names of W/MBE Solicited Dates of Solicitation Follow-up Methods and Dates F L t Cv t Lo r Home 3. The items of work which the bidder made available to W/MBE firms, including, where appropriate, any breaking down of the contracts into economically feasible units to facilitate W/MBE participation, and the information furnished to W/MBE such as plans, specifications, and requirements for the work. Items of Work: SAW C-VTT IN & Of /t40.,PS Si&F1JeK c C� n b Breakdown of Items: S/4W WYT NI7 Oi /c y Information Furnished: N/A F:IDOCS%PROPSVCSWODFORMSIM9O6SO e. S.dwnSSpeaa EXHIBIT 12 (cont.) 4. Efforts made to assist W/MBE in obtaining bonding, lines of credit or insurance, and any technical assistance related to the plans, specifications and requirements for the work which was provided to W/MBE: 5. Any additional data to support a demonstration of good faith effort, such as contracts with W/MBE assistance agencies: ONE o,'F r. Fa r — PEA or -A. ic a r 5 to " I declare tinder penalty of perjury that the foregoing information is true and correct to the best of my knowledge. I understand that the City of Santa Ana and/or the U.S. Department of Housing and Urban Development may verify the information provided herein in connection with W/MBE compliance evaluation/audit activities and that failure to f dly and truthfully complete this form may result in economic or other sanctions. Signature: No t t_ t-lc Title: /K$IPBNT - Date: M s 4 -to lg Name of rttactot 'ubconh•actm•: VIL>o SA�++r}R2t�rl i �c Contructor/Subcontractor Identification Number: cjs_7g1)v$y Address (Street, City, State, Zip): 687 9 Al Lf—l'-b S p LeKE /w/.1C HJ r. ,,4,no NbA CA °l1'7 vl Business Racial/Ethnic/Gender Code: Circle the numeric code which indicates the racial/ethnic/gender character of the owner(s) and controller(s) of 51 % of the business. When 51% or more is not owned and controlled by any single racial/ethnicity/gender category, circle the code which seems most appropriate. White Americans 2 = Black Americans 3 = Native Americans Woman Owned Business: Circle One: Fvc-sk or 4 = Hispanic Americans 5 = Asian/Pacific Americans 6 = Hasidic Jews F9[=S"0PSVCS W UOFORMS%M8U5B04PMB - SecllonMpeuDOC EXHIBIT 15 NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the City of SA'V-m 'q..tq DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106, the bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or sol icited any other bidder to put in a fal se or sham bid, and has not di rectly 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. Name of Contractor ��Q f511_l./u6S �i..F[f QotlG1(n 3,�_,�gvY(70( Address .+- Signature ar d 7 ale ►'%'19'Y Lyr "'Loi9 Date F:IDOCSWROF CSRUDFORMSIMBU5BO4AMB-Se,Wo 3S,..OM EXHIBIT 16 FEDERAL LOBBBYIST REQUIREMENTS CERTIFICATION Name of Firm: V I]>0 JAac � v rl F zV& Date: Address: State: G/} Zip Code: 17F11 Telephone: 401-9%7-9S77 Acting on behalf of the above -named firm as its Authorized Official, I make the following Certification to the Department of Housing and Urban Development (HUD) and the Community Development Commission, County of Los Angeles: 1) No Federal appropriated funds have been paid, by or on behalf of the above -named firm to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of C ongress, or an employee of a Member of Congress in co nnection with the awarding of any Federal contract, the making of any Federal grant, loan, or cooperative agreement, and any extension, continuation, renewal, amendment, or modification thereof; and 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee or any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the above -named firm shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying" in accordance with its instructions; and 3) The above -named firm shall require that the language of this certification be included in the award documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into the transaction imposed by Section 1352 Title 31 U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Authorized Official: Name: ViDo rl - SAitt �21CN Title: Vfc..6 P/QG&lb6Vr- Signature: Date: „o" V Yq F.%WCSTROPSVCSW UDFORMS%MBU5M4AMB - Sec .a 35p. DOC EXHIBIT 17 CERTIFICATION OF UNDERSTANDING AND AUTHORIZATION Project Name: LOcRL ;TT pT e—W RgnP JmPR�EuF- /rS Project Number: ko—DDI This is to certify that the principals and the authorized payroll officer, below• have read and understand the labor standards clauses pertaining to the subject project. The following person(s) is designated as the payroll officer for the undersigned and is authorized to sign the Statement of Compliance, which will accompany our weekly certified payroll reports for this project: VGs1ne"y 4dhR A/ Payroll O er's Na Payroll07.4idWs Signature G1,00 s�iv¢R z tc{�r --T- 11 }ontractor/Su nracr, Signature V1D& t Aflzr�u Printed Name V! m Title r✓I/>"f LN Zp 19 Date Contractor/Subcontractor License No. DUNS Number F!IDOCSNaCPSVCSWUUMRMSIMWSRNAMB -Sdctl Spec WC VIDO SAMARZICH, INC. Gen-ral Ugineering Contractor No. 433210 6829 BILLINGS FLACE, RANCHO CUCAMONGA, CALIFORNIA 91701 SEALED BID BOND FOR LOCAL STREET CURB RAMP IMPROVEMENTS PROJECT NO. 20-7532 IN THE CITY OF SANTA ANA DO NOT OPEN WITH REGULAR MAIL City of Santa Ana Attn.: Victor So Public Works Agency; M-22 20 Civic Center Plaza; Ross Annex 3rd Floor Santa Ana, CA 92701 Bond No.:08712169 (One of Two Originals) CITY OF SANTA ANA BONDS PROJECT NO,: 20-7532 KNOW ALL MEN BY THESE PRESENTS that Vido Samarzich, Inc. as CONTRACTOR, and Fidelity and Deposit Company of Maryland a corporation, organized and existing under the laws of the State, and duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal sum of Four Hundred Ninety Five Thousand Seven Hundred Fifty and 001100 Dollars ($ 495,750.00 ), 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 July 16th, 2019 for Local Street Curb Ramp Improvements Project 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 22nd day of July 2019 . CONTRACTOR* SURETY* Matthew R. Dobyns, Attorney -in -Fact Subscribed and sworn to before me, 20 Signature: Notary Public in and for the County of State of 6829 Billings Place 777 S. Figueroa Street, Suite 3900 this day of Rate of premium on this bond is $ Included in performance bond per thousand. Total amount of premium charge is $ Included in 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. See Attached Notary Acknowledgement Certificate -71 2 of 3 gated p,,, , aN -a a.. �1� .. _......... .. r :.94., ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY Or MARYLAND POWER Or ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Randy SPOHN, Ashley M. SPOIIN, Matthew R. DOBYNS and Hamilton KENNEY, all of Santa Ana, California, EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice ,President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed tine Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of May, A.D. 2019. _ Ps ancr. (` 'A"vio eA � w ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL, AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President 19)eu0L N (dLgLL1---..- Ay: Dawn E. Brown Secretary State of Maryland Comity of Baltimm e On this 1511h day of May, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and tie signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. l a A. Earn, Notary �iyVB i, My CommissinHxpiesJuly 9'2019 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, rmognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attomey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time.,, CERTIFICATE 1, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in Hill force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President ma Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th clay of May, 1994, and the following resolution of die Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company withthe sane force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 22nd dayof JUIY , 2019. ti',sa auef„ ^ (tIVNI IM Brian M. Hodges, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 www.rei)ortsfelaiiiis@zuricl)iia.com zurichua.com 800-626-4577 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 %p__ ,5 kU4�(� j On 1 -)-O �% before me, (Here .............. an. 4pe of the meQ personally appeared who proved to me on the basis of satisfactory evidence to be the person.($) whose names) is/afe subscribed to the within instrument and acknowledged to me that he/sheAh y executed the same in his/he&lieir authorized capacity(ies,), and that by his/4efi1heir signatures) on the instrument the person, or the entity upon behalf of which the person(g) 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. COMM. #2205686 F Nobry PLffc • 68! LOS ANOELEa OOUMY My Comm. Eagns JUL. 1B, Yp21 No ry u lic Signature (Notary Public Seal) �I_��I�t7�7lul►�i OF THE ATTACHED DOCUMENT P"Mairs+ 62Ad (Title or &sorption of attached document) (title or descripbon of attached document continued) Pages Document Date % �` CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other 2015 Version www.NolaryClasses.com 800-873-9865 INSTRUCTIONS FOR COMPLETING THIS FORM ON Thisformcomplieslvith can California statutes regarding notary hording and, ifneeded, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does nor require the California notary to violate California notary law. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signers) who personally appear at the time of notarization. • Indicate the correct singular or plural fors by crossing off incorrect forms (i.e. hekshe/tkey, is /are) or circling the correct fors. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible_ Impression must not cover test or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment for. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. 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 County of ORANGE On July 22nd, 2019 before me, ASHLEY MARIE SPOHN, NOTARY PUBLIC personally appeared MATTHEW R. DOBYNS Me ASHLEY MARIE SPOHN ` e COMM. # 2188665 NOTARY PUBLIC CALIFORNIA 3 ORANGE COUNTY ` My comm. expires Mar. 27, 2021 It who proved to me on the basis whose name(s) is/are subscribed acknowledged to me that he/she authorized capacity (ies), and th instrument the person(s), or the acted, executed the instrument. of satisfactory evidence to be the person(s) to the within instrument and /they executed the same in his/her/their at by his/her/their signature(&) on the entity upon behalf of which the person(&) 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. Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT THE FINAL PREMIUM IS Bond No.: 08712169 PREDICATED ON THE (One of Two Originals) FINAL CONTRACT PRICE CITY OF SANTA ANA BONDS PROJECT NO.: 20-7532 KNOW ALL MEN BY THESE PRESENTS that Vido Samarzich, Inc. as CONTRACTOR, and Fidelity and Deposit Company of Maryland a corporation, organized and existing under the laws of the State, and duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal sum of Four Hundred Ninety Five Thousand Seven Hundred Fifty and 00/100 Dollars ($ 495,750.00 ), 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 July 16th. 2019 for Local Street Curb Ramp Improvements Protect 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 22nd day of July 20 19 Vido a ar h, Inc. 6829 Billings Place CONTRACTOR* Rancho Cucamonga, CA 91701 By: 1 _ Vie /L S&iI ArLzr c�q Telephone 9 9) - 377 V / SURETY* Fidelity and Deposit Comjaaay of Maryland 777 S_Figueroa Street, Suite 3900 Subscribed and sworn to before me, 20 Signature: Notary Public in and for the County of State of 235-1388 this day of Rate of premium on this bond is $ Please see attached invoice per thousand. Total amount of premium charge is $ Please see attached invoice . To be felled in by Surety *Provide CONTRACTOR I ADMITTED SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. tarY See Attached �e if, Ackno` ledgemen,� a gated 1 of 3 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in fill force and effect on the date hereof, do hereby nominate, constitute, and appoint Randy SPOHN, Ashley M. SPOHN, Matthew R. DOBYNS and Hamilton KENNEY, all of Santa Ana, California, EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on file reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -:President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of May, A.D. 2019. i� w �� ."oerror, wWrygb 1"a E i nyw ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President X��T_ Ott 4 V1,g66>� By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this 15111 day of May, A.D, 2019, before the subscriber, a Notary Public of the Stale of Maryland, duly cormnissioned acid qualified, Robert A Murray, Vice President and Damon E. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, mud acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the Preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set any hand and affixed my Official Seal the day and year first above written. �A,r'y'tl —v'wwW1��..41,I+..� fl•/kY+„ pp` \\ii11YY Constance A, Dunn, Notary Public ri,/h+ijHifY) My Commission Expires: ,July 9, 2019 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments onbehalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: 'That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile mi any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: 'That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 22nd day of July 2019. ,,y 9lI9J�r0 alXa O �� 88AIN Brian M. Hodges, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60t96-1056 www.revortsfelaimsO,zurictina.co 800-626-4577 CALIFORNIA ALL- PURPOSE GERTIMCA E OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Ag-d-e$ } On Ju Lq A .20 Z before me, Gr`sn � �' f Zt � • /i/v Y�o/ ! (Here insert na a and title a Ne mer) personally appeared VI who proved to me on the basis of satisfactory evidence to be the personV) whose name($) is/aft- subscribed to the within instrument and acknowledged to me that he/s ey executed the same in his/heFAheir authorized capacity(ies), and that by hisilheFAhelr signature(s) on the instrument the person(s), or the entity upon behalf of which the person(g) 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. WITNES my hand and official seal. usA o. SMITH comm.#2205686 -+ 7 Nabry Public - CBRam. y / r LOS gNGELEG COUNlV • My Comm E•puu JUl. 19, 2a21� a Public a-4ZAignature (Notary Public Seal) UPI IUNAL INFORMAT DESCRIPTION OF THE ATTACHED DOCUMENT KI 7 ✓1 r,J O,f-Yoaino c.,e (Titleor oor description of attached document) datMel (Title or descripton of attached document continued) Number of Pages _ Document Date-7 •2 9 FCAPACrrYAIMED BY THE SIGNER (s) Officer )n-Fact ❑ Trustee(s) ❑ Other 2015 Version vmw.NotaryClasses.com 800-873-9865 INSTRUCTIONS FOR COMPLETING THIS FORM DN Thrsform complies with current California statutes regarding notary wording and, ifneeded, should be completed and attached to the document. Acknowledgments from other states may be completedfor documents being sent to that state so long as the wording does not require the California notary to violate California notary. law. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signers) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect farms (i.e. he/she/they, is /are ) or circling the correct fors. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment farm. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Ae Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e_ CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. 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 County of ORANGE On July 22nd, 2019 before me, ASHLEY MARIE SPOHN NOTARY PUBLIC personally appeared MATTHEW R. DOBYNS ® 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 ASHLEY MARIE SPOHN ` instrument the person(s), or the entity upon behalf of which the person(s) o COMM. # 2188665 acted, executed the instrument. NOTARY PUBLIC CALIFORNIA 11 3 ORANGE COUNTY ° I certify under PENALTY OF PERJURY under the laws of the State of Mycomm.expires Mar.27,2021 California that the foregoing g g paragraph is true and correct. WITNESS my hand and official seal. C ja4 Signat o Notary Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT Bond No.: 08712169-M CITY OF SANTA ANA BONDS PROJECT NO.: 20-7532 LOCAL STREET CURB RAMP IMPROVEMENTS WARRANTY PERFORMANCE AND PAYMENT BOND (To be submitted upon project completion as a condition of project acceptance) KNOW ALL MEN BY THESE PRESENTS that Vido Samarzich, Inc. as CONTRACTOR, and Fidelity and Deposit Company of Maryland a corporation, organized and existing under the laws of the State, and duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal sum of One Hundred Thirty Five Thousand Two Hundred Sixty Six and 06/100 Dollars ($ 135,266.06 ), which is 25 percent of the final contract amount for the above stated project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated July 16th, 2019 for Local Street Curb Ramp Improvements if CONTRACTOR faithfully warrants the work done under said Contract Agreement against material or quality defects for a period of one year after acceptance by the AGENCY, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY; provided that any alterations in the obligations or time for completion made pursuant to the terms of the contract documents shall not in any way release either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by SURETY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 4th day of March ,2020 CONTRACTOR* SURETY* Fidelity and Matthew R. Dobyns, Al Subscribed and sworn to before me, 20 Signature: Notary Public in and for the County of . State of 6829 Billings Place Rancho Cucamonoa. CA 91701 Telephone:(909) 987-6377 777 S. Figueroa Street, Suite 3900 this day of Rate of premium on this bond is $ Included with performance/payment bondsper thousand. Total amount of premium charge is $ Included with performance/payment bonds , 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. 3 of 3 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Randy SPOHN, Ashley M. SPOHN, Matthew R. DOBYNS and Hamilton KENNEY, all of Santa Ann, California, EACH, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in. pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duty executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 20th day of September, A.D. 2019. 9 { J r5 • �xr �3l tcro � tUl FO w t'�W in1,YV" %at ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray Vice President By: Dawn E. Brown Secretary State of Maryland County of Baltimore On this 201h day of September, A.D. 2019, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to nie personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swan, deposeth and sailh, that he/she is the said officer of the Company aforesaid, and drat the seats affixed to lire preceding hnsou vent are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and directionof the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. r art.: +y S TU04 , ♦t3 rrrsir�iiiji Constance A. Runty Notary Public il'x\ My Commission Expires: July 9, 2023 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 County of ORANGE On March 4th, 2020 before me, ASHLEY MARIE SPOHN, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS ® who proved to me on the basis of satisfactory evidence to be the persons) whose name(s) is/afe 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 signatures) on the instrument the person(s), or the entity upon behalf of which the persons) ASHLEY MARIE SPOHN Ij acted, executed the instrument. COMM. # 2188665 g NOTARYANGECOUNTCALIFORNIA G I certify under PENALTY OF PERJURY under the laws of the State of 3 ORANGE COUNTY ro My comm, expires Mar. 27,2021 it California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY -IN -FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT 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 ©Y V) ) Subscribed and sworn to (or affirmed) before me on this 1 day 20 proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. HYH LEE COMM. --------- z z Notary Public - California o Orange County M Comm. Expires Nov. 23, 2023 (Seal) Signature �J L Optional Information Although the information in this section is not required bylaw, it could prevent fraudulent removal and reattachment of this jurat to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document This certificate is attached to a document titled/for the purpose of cep P� ,�(��-f4 containing pages, and dated 3 Method of Affiant Identification Proved to me on the basis of satisfactory evidence: O form(s) of identification O credible witness(es) Notarial event is detailed in notary journal on: Page # Entry # Notary contact: Other Affiant(s)Thumbprint(s) ❑ Describe: *Copyright 2007-2018 Notary Rotary, PO Box 41400, Des Moines, IA 50311-0502. All Bights Reserved. Item Number I0181K Please contact your Authorized Reseller to purchase copies of this form.