Loading...
HomeMy WebLinkAboutALL AMERICAN ASPHALT (24) Recording Requested By, And When Recorded Mail To: Recorded in Official Records, Orange County City of Santa Ana Hugh Nguyen, Clerk-Recorder Public Works Agency,M-22 II I I II II I III II III II II I IIII II 20 Civic Center Plaza NO FEE Santa Ana,CA 92702 * S R 0 0 1 2 8 7 1 7 2 3 S * 202100035737210:55 am 06102/21 65 414A N 12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 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 Q construction of BRISTOL STREET & EDINGER CLASS II BIKE LANES under contract U 00 entered into on DECEMBER 17,2019 with ALL AMERICAN ASPHALT on which contract w WESTERN SURETY COMPANY is surety. The property on which such work improvement owas placed is in the City of Santa Ana, County of Orange, State of California, and described as c Project No. 18-6906 located on: BRISTOL STREET & EDINGER AVE. The work aimprovement on said property was accepted as completed on NOVEMBER 23 2020. vCITY OF SANTA ANA, A MUNICIPAL CORPORATION y z d Dated: Z6 Principal Civi Engineer-Jason Gabriel TITLE ------------------------------------------------------------------------------------------- a VERIFICATION I, the undersigned, say: I am the _City Engineer— Edwin "William" Galvez of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof; and I declare under penalty of perjury that the facts therein stated are true. Executed on 1V �� ��Z� , at Santa Ana, Calif (Signature of indivi .1 swearing that the contents of Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT 18-6906 EDINGER AVENUE AND BRISTOL STREET CLASS II BIKE LANES (CML-5063(180)) This CONSTRUCTION CONTRACT is made and entered into this 17`h day of December, 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 All American Asphalt (hereinafter "CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Edinger Avenue and Bristol Street Class II Bike Lanes 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 • hiformation 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 frill payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Six Hundred Seven Thousand Eight Hundred Thirty Nine Dollars and Sixty Six Cents ($607,839.66), 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. iev, 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/docu -nents/CWA.ndf 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: Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney I, 4 1i Assistant City Attorney RECOMMENDED FOR APPROVAL: FUAD SWEISS, PE, PLS Executive Director Public Works Agency CITY OF SANTA ANA RK�RZTSTINEIZIDG City Manager CONTRACTOR: All American Asphalt NAME: Edwd rd J. Carlson TITLE: Vice President Page 3 of 3 City of Santa Ana Page 1 Bristol Street and Edinger Avenue Class II Bike Lanes (18-6906 (CML-5063(180))), bidding on October 23, 2019 2:00 PM Printed 11120/2019 Bid Results Exhibit A Bidder Details Vendor Name All American Asphalt Address 400 E. Sixth Street Corona, CA 92879 United States Respondee Edward J. Carlson Respondee Title Vice President Phone 951-736-7600 Ext. Email publicworks@allamedcanesphait.com Vendor Type CADIR License 267073 CA DIR Bid Detail Bid Format Electronic Submitted October 23, 2019 1:58:33 PM (Paciflc) Delivery Method Bid Responsive Bid Status Submitted Confirmation 0 193126 Ranking 0 Respondee Comment Buyer Comment Attachments File Title File Name File Type Proposal Santa Ana Proposal20191023_13574584,pdf General Attachment Ownership Affidavit Santa Ana -Ownership Affldavit20191022_14261080.pdf Ownership Affidavit (Notary Public) - REQ Odginal Hard Copy Submittal In Addition Bid Bond Bid Bond -Edinger -Santa Ane20191022_10113280.pdf Bid Bond Guaranty (Notary Public) - REQ Original Hard Copy Submittal in Addition Non -Collusion Affidavit Santa Ana -Non -Collusion Affidavit2019102214240859.pdf Non -Collusion Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Line Items Type Item Code UOM Qty Base Bid Items 1 Install Thermoplastic White Lane Line Per City of SA (1126134, Detail 111" ) LF 15815 2 Install New 2" Square Steel Post and Sign Per (STD. Plan 1504) EA 41 3 Install New Sign EA 31 Unit Price Line Total Comment $0.93 $14,707.95 $214.89 $8,810.49 $136.10 $4,219.10 PlanotSids, Inc. City of Santa Ana Page 2 Bristol Street and Edinger Avenue Class II Bike Lanes (18.6906 (CIVIL -5063(180))), bidding on October 23, 2019 2:00 PM Printed 11/20/2019 Bid Results Exhibit A Type Item Code UOM Qty Unit Price Line Total Comment 4 Install Thermoplastic. 6" Solid White Bike Lane Line (CT A20D, Detail "39") LF 26016 $1.00 $26,016.00 5 Install Thermoplastic 6" Dashed White Bike Lane Lino( CT A20D, Detail "39A") LF 5515 $1.00 $5,515.00 6 Bike Lane Legend (Detail "A") EA 52 $773.62 $40,228.24 7 Bike Lane Merging Area (MMA) SF 11641 $9.31 $108.377.71 8 Install Thermoplastic 6 White Stripe Every 20' O,C at 45 deg LF 2661 _ ..------ .---------- _...,.._-- -------- - _..__.__._. $2.87 $7,637.07 9 .... _._......_-._ Install Thermoplastic Turn Lane Line Per City of SA (1125B-1 Detail "2") .k_.._...__.. ...-. _.____. _. .-.__... .....__._...,.., LF 3298 $1.43 $4,716.14 10 Install Signs Noted Facing Opposite Flow of Traffic B-to-B EA 53 $171.91 $9,111.23 11 Install or Refresh Thermoplastic Legends and Arrows, as Shown EA 80 $85.96 $6,876.80 12 Remove Conflicting Striping (Grinding/Sandblasting) LF 15537 $1.43 $22,217.91 13 Remove Legends and Arrows (Grinding/Sandblasting) EA 19 $179.08 $3,402.52 4 f 14 Install Type "E" Loop 6, EA 73 $322.34 $23.530.82 15 Install Type "0" Bike Loop t EA 12 $465.60 $6,587,20 16 Install Type "D" Bike Loop EA 41 $465.60 $19,089,60 p 17 Install Thermoplastic 12" Wide White Crosswalk Lines F SF 5682 $2.87 $16.307.34 18 Install Thermoplastic 4" Yellow Left Edge Line (CT A2013, Detail "25A") ° SF 880 $2.51 $2,208.80 r 19 Install Thermoplastic Double Yellow Line Per City of SA (112513-1, Detail "4") LF 1471 $3.58 $5,266.18 - PlanetBids, Inc. City of Santa Ana Page 3 Bristol Street and Edinger Avenue Class II Bike Lanes (18-6906 (CML-5063(180))), bidding on October 23, 2019 2:00 PM Printed 11/20/2019 Bid Results Exhibit A Type Item Code uOM Qty Unit Price Line Total Comment 20 PCC Curb (Type B-1) LF 1200 $41.67 $60,004.00 21 Raised Concrete Median SF 360 $75.22 $27,079.20 22 AC Pavement Per City of SA (1118 or 1118A, Detail "G") TN 250 $225.49 $56,372.50 23 Remove existing pull box and Install new No. 5 traffic rated pull box. EA 2 $1,146.10 $2,292.20 24 Install Thermoplastic White Lane Line Extension Per City of SA STD. Plan NO. 1125E.2. Detail "8" LF 150 $2.87 $430.50 25 PCC Bus Pad per City of Santa Ana Sid. Plan No. 1108 SF 1200 $33.01 $39,612.00 26 Unclassified Excavation CY 260 $170.16 $44,241.60 27 Install Video Detection System at Bristol St. & Alton Ave. LS �..._.._,___._..-____....................._�..�..w__w_.__._..__.m.�..,_.�.._._.�._.._._..__._._..�_ 1 $43,981.66 $43,981.56 28 Labor Agreement Oversight LS 1 $10.000.00 $10,000.00 m _ Subtotal $607,839.66 Total $607,839.66 PlanetSids, Inc. CITY OF SANTA ANA PROPOSAL Exhibit A PROJECT NO.: 18-6906 EDINGER AVE. AND BRISTOL ST. CLASS II BICYCLE LANES FEDERAL PROJECT NO: HSIPL 5063(180) this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within eighty (90) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $1,000 per calendar day. Name of Firm All American Asphalt Signature of BIDDER Tide Edward J. Carlson, Vice President (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) /it haler; C.-, 4 sphat- �vlark.r Gf,tj.�-, f re ✓; � drr� 7 P-3 of P-40 CITY OF SANTA ANA PROPOSAL PROJECT NO;; 18.4906 EDINGER AVE. AND BRISTOL -ST. CLASS 11 BICYCLE LANES FEDERAL PROJECT NOi' HSIPL 5063(180) B(Q,,PRQPOSAL TO: (ITY COUNCIL OFTH)3 CITY OF SANTA ANA FROM: 611American Asphalt RR{)Ulit.IMEN�' The Undersigned bidder deelares tli#t,ih'ey have carefully exatnlned the location Of. the proposed Work, that they have examined the Catltract Docutbonts in its entirety and hereby proposes to j am'10 al(material do allthe Work required to complete the said w. 0 in accordanee withsa d plans (if any) and 'the speciEcations for the unit pried(s) or lump suln(s) set forth in the following schedule; I(cm, Description (sty Unit Unit Price ' Amount 1 fnstall'fhermoplastie WhueLarioLfna her City of SA (I125B-1, Detail 'tl 15,815 LF $ $ 2 Install New 2" Square Steel Post and Sign par (STD.Plan 1504) 4l ` EA $ 21q,M $ , �i`m -iliq 3 Install New Sign 31 --mm 6.►pi,2lgtt 5 instawnermoptastic G" Solid White Bike Lane Line (CTA20D,Detail "39") 2b,015 LF $ {',od $ 26j01b G Install Thermoplastic d" Dashed White Bike Latter Line (CT A20I), Detail "3IA") 5,515 LF {.00 ��A�f 7 Bike Lane Legend (Detail "A') 52 EA $ 8 Bike Lane Merging Area (MMA) 11,641 SF $ 9 Install Thermoplastic e" White Stripe 2,661 LF $ $ a O Every 2(Y 0.0 at 45 deg. 10 install thermoplastic City of SA(ii'2513.1,Detail'1") Turn Lane, Line Per 3,298 LF $ I I Install Signs Noted Facing Opposite Firs--w of Tepftic B•to-H " 53 EA $ 12 Install ar Refresh Thermoplastic Legends acid Arrows, as Shown 80 EA $ uof l $ �j ��b so 13 Remove Conflicting Striping (Grinding/Sandblasting){; 15,537 LF $ 3 ry L1`��j.'�{ 13.1 Remove Legends and Arrows (0tindinglSandblasting) 19 EA $ $ 14 Install Type "E" Loop 73 EA $ UZ.11 vImoo,� 14.1 install Type "Q"Bike Loop ) 2 EA $ �t%s tQ $ S-1 11 14.2 oaten Type "D" Dike Loop 41 EA $ *� $ t I ±�39.6C7 P-1 of P-40 r _ :It ,t CITY OF SANTA ANA PROPOSAL PR9JECTNOa I8.6906 EDINGER AVE, AND BRISTOL ST. CLASS II BICYCLE LANES FEDERAL PROJECT NO: HSIPL 00(180) Item aeserlpteou Qty unit Unit Pr1ce Amount 15 install Thermoplastic 12"Wide White 51682 $F $,y Crosswalk Lines G+ 16 Install Therntoplasti¢ 4" Yellow Left Edga "25A") 880 SP $ - �tt $ Line (CTA20B, Detail 17 Instalt Thermoplastic Double Yellow Line "4") _ 1,471 LP $ per City ofSA(I1258-1,- Detail 18 PCC Curb (Type BA) 1,200 LF $ $ 18.1 Raised Concrete Median 360 SP $ $ 7,17r oil- 18,2 AC Pavelnent,Pcr City of $A (I 11.8 or "G"1 M TN $y � 1118A, Detail ,. 14 Remove existing pull box and Install how 2 RA No. S traffic rated pull box, t 20 Install Thermoplastic White Lane Lind Extension Per City of $A STD. Plan 140. 150 LP $r� 1125B-2. Detail "8": 21 PCC Bus pad per City of Santa Ana Std. N6, 1108 1,200 ST $ S Plan 22 Unclassified'. Excavatiort - 260 CY $,:.7ry 23 Install Video Detection System at Bristol I LS $- SL & Alton Ave. 1%j6 24 Labor Agreement Qvers ghf t LS $ to, 00.00 $10,000,00 TOTAL:BASE BIIi $ 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 (ifany). The quantity for this bid item is shown for bid comparison only. This bld item shall not be subject to the 1'125eto°' limit as, stated in Section � 4 of the Standard Specifications. The actual amount for P-2 of P•40 CITY OF SANTA ANA PROPOSAL. PROJEC`t' NO,: 18.6906 EDINGER AVE, AND BRISTOL ST. CLASS 11 J31CYCLE LANES FEDERAL PROJECT NO; IiSIPL 5063(180) this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this Item accordingly, t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPRO)jMENTS AND LIQUIDATED QAMA S The undersigned bidder hereby proposes to complete the Work forthe total hasc bid amount shown above, within eighty (90) working days otter the cornmencetnent date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified In Subsection 6.9' of the Standard Specifications, shall be $1,000 per calendar day, Name of Firm All American Asphalt Signature of BIDDER Title Edward J. Carlson,, Vice President (If an individual, so state. If a firm or copartnership, state the firm naive and give the names Of all individual co-partners calnpoiing the firm, If corporation, 'state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof) /// Aolt°r c,c'0 A$(, ata dt�J, 1..Uw,�bnf�icE'�YGSII�fj'I fa'ok,o .'s P-3 of P-40 'r • 4) t CITY OF SANTA ANA PROPOSAL PROJECT NO,:: M6906 EDINGER AVE. AND BRISTOL ST. CLAM 11 BICYCLE LANES FEDERAL PROJECT NO: HSIPL 5,061(1,80) BIDDER'S aTAT8MF ,NT BIDDER understands and agrees that this Bid Proposal, -Contract Documents and subsequent Construction Cpatr4et Agreement shall constitute the entire agreement hetweco BIDDER and the AGENCY only after it has been, accepted by the City Council, endorsed by the Clerkof the Council with her signature dud Official seat noting hereon the action of approval of the Council, signed by the P iub lie 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 ex0olotion,.Add when it or -in exact copy of Jt has been OtberdeliveNd to,BIDDER or deposited With the United States Postal Service properly addressed to the BIDDER with the, correct postage afilmd thereto. BIDDER further agrees that upon delivery (as doffned abave) of the accepted agreement he/she will furnish AGENCY all required bonds and m4ficate of liability insurance within too (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 darnages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and betause it isdistinetly agreed that the proof of damages actually suffered Is difficult to ascertain; otherwise said foods, check, drafts, or BIDDER'S bond substituted In lieu thereof shall be returned to the undersigned. BIDDER understands that 4 bid Is required for the entire work, the estimated quantities set forth In the bid schedule are solelyfor the purpose ofoomparing bids, and that final compensation tinder the contract will be bated upon the actual quantities of work satisfactorily Completed, 'I'lic BIDDER also certifies that the bid is 4 balanced bid.. In accordance with Section 7028,15 Of the California Business and Profession$ Code, the undersigned certifies under penalty orperjury that the foregoing is true and correct. Name of Final All American. Asphalt Signature of BIDDER Title Edward J. Carlson, President ((fan individual, so store, If a firm or co -partnership, state the finn name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of Pregidentj Secretary, Treasurer and Manager, thereof.) P-4 of P-40 r CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18.6906 ED,INOER AM AND BRISTOL ST. CLASS It BICYCLE LANES' FEDERAL PROJECT NO: HSIPL 5063(180) CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT The undersigned contractor, or oorporate officer, declares under penalty of perjury that he/sheand all liis/hcr subcontraotors are registered with the State of California Department of Industrial Relations (DIR), and that the following is true -and correct, Contractor'-s Name: All American Asphalt Business Address: 400 East Sixth Street; Corona, CA 92879 Business E-Mail Address: ublicworks allamericanas halt Telephone, (951) 736-7600 State Contractor's License No. and Class: 267073 Class A, C 12 License Expiration Date: 01/3112020 State Dept, of Industrial Relations (DIR) Registration Not: State Dept. of Industrial Relations (DIR) Registration Expiration Dater Signed: `title: Edward J, 1000001051 06/30/20 — P-5 of P-40 CITY OF SA.NTA ANA PROPtSPL. PROJECT NO.: 1$.6906 EDINGER AVt AND BRISTOL ST, CLASS li MUCLE LANES PEDI RALMOJECT NO:IISIPL 5063(180) PREYAjLINCa WA(",ECOMPLIANCEANDMONITORIN i ix17ENfEN'C Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulation$, Title 9, Section 16,000, et seq., ("Prevailing Wage haws"), wltioh require the payment ofprevailing wage rates and the performance of other requirements on "public works" -and "maintenance" projects. Since the services are being performed aspart ofan applicable "public, works" or"fiWntenanae" project, as defined by the Prevailing gage 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 cornmenecrnent of this Agreement. Contractor shall snake copies of the prevailing rates of per diem wages for each craft, classification or type,ofworker 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, cmptoyces'and agents free and harmless from any claim or liability arising out of anyfafiurc or alleged tltilare to. comply with the Prevailing Wage Laww& The undersigned certifies that the foregoing is:"true and correct:: Name of firm Signature of EIODER Tilde (if at Edward J. Carlson, Vice President P-6 of P-40 aW l- w .r, f CITY OF SANTA ANA PROPOSAL P,T)T OLM A AND BRISTO ST, CLASS TC BICYCLE I.ANIiS FEDERAL PROIECTTlp;1CStPL SOG3(1 BICYCLE LISTOP �u> Cp t"PRACIORS Suction act or seq. of the the f,c Contract,Cede requires listing Of All subcontractors with the bid for all subcontract work excaeding the following amount, o Streets, highways including hi idea In'ojccts: 1°/u Of tile bid ors I0,000, �vhlchever Is o Buildings,orOther , parksprojects: y2%ofthebid greater Secure ent of dt the Public ,Contract Code requires all Subcontractors be rugisteret] with the Sate Daparnitent of Cndtistrial Relations (DIR), BIDDER proposes to sutacontract certain portions Of tile work to the firms listed below: Natne C2 ('. r _ License DIR Res Location Phone '1* Of Amount! Name License Ti/Exp. DIR Reg,#/Exp, License Location Phone Amount $ Name License #/Exp. DIR-Reg, #/B xp. License # Location Phone Type of Work Amount $ Name License DIR Reg, #IExp, Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp: License # Location Phone Type Of Work Amo[pt Name License #lExp: DIR Reg. #/Exp, License # Location Phone TYPe Of Wgrk Amount Slgttature of Bidde Edward J. Carlson, Vice President P-9 ofP-40 T `0 ) CITY OF 8, NTA ANA PP,OP09AL PROJECT NO., Ill-6906 EDINGER VF-AND (?1 LST,CL N$11PL 1It 53(1g0CELANES' FFI)SRAL REFERENCES The fallowing are the names, addresses, and telephone numbersfor THREE public agencies far which the BIDDER has performed similar work within the past three years, ^ ^ ^nG 2. 3, City of Jurupa Valley Contract Amount 11t2018 Fate Complete 1012018 Date Completed 8304 Limonite AVarue Suite°M; of person familiar wan. Pluj wF Pavement Rehab 0812018 Type 9F Work Date Completed The following are the names, addresses, and telephone numbers of all brokers aitd tircties'from whom SIDD81t intends to procure insurance And bonds. Owen M. gown insurance Fidelity and Deposit Company of Maryland Millennium Cor orate Solu 1778 p.10 of'11-40 W-4500 3, CITY OP S.ANTA .ANA p>7or L EDINGGRRddECTN6, 18-t,9pG AVEA V6, AND BRIST01, ST, CLASS !I B(CVCLE All PEDERALPROdEES CTNO:ISIPLSpk3(1$0) LANES D1T O�iq �RENG ES The f the B g ara tha tlaanas, addresses, and teleplaona nu which the B D DER ar Subc ntra torhas tabors f'or Tfr" , Partwrnaod S!m}jar work httho party a bl,o °ba4cies far �` GIRy of hwindale 5050 N. Itwlndale A Nance and Addrec� o. Years, 2, County 0f L08 An lypc of Wor�==` -_ 08/20'18 Noma aY ss afo ne�� P--- �� 08_�Dates c o gala t d Alhambra�A`g02 Name and 7 alePltona Nurnbar ofP �—" -- Contract ArnOnnt lRah tawa:p�olca��"�'."'^---- are the names, addresses and Z Intends to Procure Insurannd (213) 270,0600 P411 orP-40 1112018 Date ComPlcted of all brokers and sureties frorn Cl,ry O(S1'OSAA ANC PROJECT NO..18.640G CrEtt AV6. A2113 BS?iSTt3L ST• CLASS 118tCYCLE'LANE EDiN PEi)E 'AL PROJECTNOc iSSiPL 5063(180) IFIC N>-1SC 1 T ,�IVN__,i E T._T he performance of this contract, ceztiftes The undersigned cootraotor "or Corporate officer, luring as follows; amst anY empl°Yec or applicant for employment: ai; sex, t e national aci a The Coniri�r ceshaeeallt treatedr during 1. The Contractor shall not discriminate national la e r and that emp Y i. Such anon because of race, eo#or, religion, applcants are employed, nip Y lading, dernouon, or action to ensure that applicants ent loyment, upg a ti other amp#°Yment 'IV, regard to,their race, failaw 18, er, x, r national rates of pay shall Include, but not be limited to, to off or termination, The Contractor a remi'cesh#p. to meat, transfer> recru# rent ar recruitment adyertrainin Y ees and applicants fur emp Y forms of compensation, and selection afv gable to empl ying PP post conspicuous places, agrees top forth the provisions of this Hong#scr#rn#Hat#air clauseor an behalf notices to be Pro setting placed by meat cal#fled apPl#cants will tee The cunsderat�on for employ 2' The C uttact Contractor that all solicitations alone advertise ttati riot arig ti employeesMems for of the rel#gion, without regard to race, color, a notice to be emat#ves of tie Contractor _meat ar other contract a e5 understanding, places tractor shall send to cache abur union or representative of workers with whchs e s 3. The Con has: a collective bargaining agr ost copies of the notice in cousP#cttou . ptovIded advising the said labor union t workers rep Eth and appl#cants for emill(Wilent, ,commitments under this seetianz and shalt p September 24, avallable to employ o f Labor, l t rt . and revisions of #evant orders of tS e 5 crtary nG of $eP 4. The Contractor shalt Comply aired by Executive Order 11246 ant i963, and of the rules, regula orts req of Labor, ar p rules, regulations' the milli n ce with I and orders of the $ecrctarY s, The Contractor shalt furnish all informalti n an rep Septertmber'�4,1965, And by r thereto, and will permit access to IusJhcr books, recuzds, and accounts agency and the Secretary of `Labor far purposes of investigatlott, to ascertui�a compliance with such rules,xegulat#ons,and orders, be canceled, Nance with the nond'tesc ntixact may be, clan of this Of the said rules, regulations, or orders, . be declared Inelg#b1e for G, in the event of the Contractoris rules, regulations" the Can ctoz may contract or v+#h any whale or #n p t96S, and such, other tertn#Hied, or sarspended in ass#sled cons Cetmbea 24 is in aceordach,nce Owith Execution Order 1124E of Sep further Government contracts or federally Pro in Exeetuive Order 1124E 6 procedures authorized in be Imposed and remedies invoked as p' sanaicns may e I or by rule, regulations, or order of the Secretary of Labor, ur as atherwtae September 24,1 provided by law, p.13 of:P-40 CITY fir SANTA ANA PROPOSAL, RO EDINOER AVE, AND 13RISTOL ST, CLASS 11 BICYCLE LANES FEDERAL PROJECT NO, HSIPL 5063(I80) 7. The Contractor shall include the portion of the sentence immediately piece ling paragraph (I) and the provisions ofparagraphs (I) through (7) in every subcontract or purchase order unless exempted by rules, regulations, ot'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 !Sending enforcing each subcontract or purchase :order as th.q administering agency may direct as meatts of enforcing such provisions, including sanctions for noncontplianca; prov#dad, however, that in the event the Contractor becomes involved in, or Is threatened with, litigation with iI 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 of the United States. interests 8. Pursuant to California Labor Code Section M5, as added by Chapter 643 Slats, 1939, and as amended, no discrimittation shall be made in the employmont of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status,, or sex ofStich persons, except as provided in Section 1420,.and any contractor of public works violating this Section is subject to ail the penalties imposed for violation of tie Chapter. Signcd: Title: Edward J.,Carison, 'Vice President FIX= All American Asphalt Date: - 2°ZC,} P-14 of P-40 CITY OF SANTA ANA. PROPOSAL PROJECT NO. 1 g-6306, EDINGER AVE .AND BRISTOL ST. CLASS It 131CYCLE LANES FEDERAL PROJECTNO: HSIPL 5063(160) PtJBLDC CQ=ACT CODE SECTION 10232 5TA`fEMENI In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty ofperjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the. immediately preeeding two year period because of the Contractoes failure to comply With an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Hoard, Nate: The, ove Statement and Questionnaire are park of the Proposal. Signing this Proposal on the, signature pordonthercof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making A false certification may subject the certifier to criminal prosecution, Signed Title Edward J. Carlson, Vice President u Firm All American Asphalt Date P-21 ofP-40 CITY OF SANTA, ANA PIZOPOSAL PROJECT NO.; I8-6006 EDINGER AVE. AND BRISTOL ST. CLASS Il BICYCLE LANES FEDERAL PROJECT NO: HSIPL $063(190) The bidder under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager; is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconductWithin the past 3 years. If there are any exceptions to, this.certificatlon, Insert tile exceptions In the following space. Exceptions will not necessarily result in :denial of award, but will be considered 'in determining bidder's responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dates ofaction, Note: Providing raise inforniatitrn May result In criminal prosecution or administrative sanctions. 'rho above certification is part of the Proposal. Sighing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signed Title Edward J, Carlson, Vice President Finn All American Asphalt _. Date P-22 of P-40 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6906 EDINGER AW, AND BRISTOL ST. CLASS 11 BICYCLE LANES FEDERAL P tOJECTNO: HSIPL $063090) NON-L BBYING CEl21IFICATIONE,OR FEDER ALII) CON itACTS The prospective participant certifies, by signing and submitting this bid or propose[, to the hest of his or her knowledge and belief, that: (t) No Federal appropriated funds have been paid or will be. paid, by or on behalf of the undersigned, to any person for influence or attempting to influence an officer or employee of Congress, or an employee of a Member of Congress in connection with ther awarding of any Federal contract, the making of any Federal grant, file making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuattorl, renewal, amendment or modification ofany federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriate funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of Federal agency, a Member of Congress, an olfteer or employee of Congress, or an miployee of Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instruction 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 inaklog or entering into this transaction imposed by Section 1M, Titic31, U.S. Code. Any person who fails to file the required certification ;shall be subject to a civil penalty of not Tess than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that lie or she shall require that the language of this certification be included in all lower tier subcontracts;, which exceed $100,000 and that all such sub -recipients shall certify and disclose accordingly. Signed Title F-dward J. Carlson, Vice President }` Firm All American Asphalt Date /l " Standard Form LU nifty beobtained treat Caltrans and FHWA offiees. P-23 of P-40 CITY OF SANTA ANA PROPOSAL PkOJECT NO:; 18-6906 EDINGERAVE. AND BRISTOL Sm, CLASS 11 BICYOLE LANES MDERAL PROJECT NO; HSIPL 5063(180) DISCLOSURE OF LODDYING ACTIVCTjEs DISCLOSURE OF LOBBYING ACTIVITIES Apaoree4f9l Ccmpfeta thls torm to dlsabse lobbying activitles pumuard to 31 U:S.C. IM2 .oull-core. See rave - ._. ru fa hsa burden disabsure. 2 Status of Federal Action: S. ReportType: - a. contract Q A. bidlaffedapplicafion 1—1 a. Initial filing F,�PeFAction: p. Wtial award l-._J b, m We] change e agreement opostavian) Far Material Change Ony.. ntee year.quarter date of lekl reportnee /. Name and A of Reporting'Entity: b. N Reporting Flrtily in No. 4 is a 8ubawardae, Enter Name ❑)myna. HUWardee and Address of prime: ��,� ylirwrrns C - ebnal Distdat, Nkrq Con resafonal District. a`known: S. Federal DeparbnentfAgenoy:_ 7: Federal Program Name/Descdption:. CFpA Number, Ksppftffbw... s. Federal Aogon Number,. i1#nosmy_ S. Award Amount, WBnorm: s f 0. a. Name and Address of 4obbylrp Faraly -(dindWwaf,J"tname, -individuals Performing Services (in Wbg address k first name, M11: taws No: fOa) IX/ .Wane, ttrslrlame..M{y )v anam tnweulsrr if. Amount of Paymenl (aback ail ,tM1al appy); S/it[.� r 13. Type ofP (eh eckaR)hafapplY): 3- C7'sadiei [ .pama 13a ntener , Lea aarreelieion 12. Form of Payment (cfleeA aN iaatepp,>a+): owwwr trsa [] 0.tnaNd; epsdry:. nature ❑ a cosines value ❑ GdMr: "Oft: 14, Brief Cosaription of Sorviees Performed. or to tie Pedomred and Dates of Service, using offrcer(s), -.employee(s),:or Members) contacted, for Payment indicated in Item t1: .agar Grorarwa4rr sruu wnearsea -- - is. Continwtion Sheets SF-LEC attadrod: 1g. r'"^r'^^r"r'r +eie'"iwirw xi4wi wmwvrw reu: rxr ra.urr Slonatuw Print Namw _. 'ypfds CBriSDII •� . . NR.M,nW Nw«W41Fra.rer++++w+h,W wrirWrMrM wmww, nexw�rr rr ee. e.rwar wa,r„r erw •••••.• TNk... VICF3 PrPcitlent ..'*°w«w'w"".'"'�'rrwrrrsrxaorrrrrrrx:.areeeae Tetaphonallo.: (95} 7,36-7600 DaW:.ip tt�,rg_ FydArAt:Usk t)nly: - Fu1wd:NtarimeiRrprsarAna 613""d ratty Lu "v. fdr P-24 of P-40 CITY OF SANTA ANA PROPOSAL. PROJECT NO.: 18-6906 EDINGER AVE, AND BRISTOL ST. CLASS, II BICYCLE LANES FEDERAL PROJECT NO: HSIPL 5.661(180) lN$'MUd*n0llS FOR COMPLEndROFSO-LU, DISMOSUMOF LOWYNGACIMMUS gnw m d;ftor VwW pm"%"wbftwmpw by", vwv"m mv*aom .cny, &.Veam(zv wMg ClrcR mapFrW"*aGftawn W M MPM" "I"M a09%"V $A% W UPWAI* bt. a PIM W« " Wfteaft*,*a, na IM ""yva" crtwjv ele to Ist W. smam" kwkw NAM not wAumb #Mwwaow "Ab7" awm&wli�aadf vmwwaft MM4 W MMWMU4�9q. $%it MdVp*0M or W Oft f"Vw ndp" kWLOMCWVxfrnlOW41CL WkrWA, WAMp4anbt news ftl%M* a pawn ll # ft"%� OW** 4 CaUW90(PO" VMOMAOQM� Wn*WWAWM. CnW I* mwa appmpvteraaaa ampryageanbe anamero aw Pod" acWnWMWmftm I 964. RMWWR%WWflRFF4N r. omwilinww" pmm ammnmwm %#M4 in. (a) Dow to ?!drat maum (b) eftr jrto fW(tw a m lndvw"j*,j pe(WmkV 6ecwftf. 30 lraiftm WMWArrWawt NM 10(al tjbr lad Nmm, ph* Nam W4 walla ba»t (NJ. 11, mm fm amwarwTow*d pw " mamawyevemdv w pw tri ft Rpm" en"fam 4) b M*Mb*V wmyjKm lcJ, MW, W* pw"w4ft; W" maven (am") w ml w M3* jplaM4 ct*m a wa Ojai apw. w Ift w a mxwm mmo, Pt ft ow oomr m amum or pwnrd fta w pwwAd la " mate. 041"ft - mftcm(a), mea ap >adsqm 4". r parwis me "Wipa "A" wwwrA-sp"q ft Au"aw vae of t" 194" PWWAI *"an 14. Pro*Wa 1pMft "ONAWWW"Wof VW WAM NW " WA"W Pwftrn*0.df w 6WKWW pa OM " "63W#1 d a" ff"J'" W41tia ma"I as P"W*yaw waw acitay, "a W am W" W, acival =w fnm V*ftal w+aaw away w rt4ww woo(,) :a wvwpats) wwwasaw tw ~4 orfom(4). " ma"b"') & ocwfaowtaciad, 1& 0" WhOW 0 MA OMLA 0M6V*JW*A8") UMMM" Ic re M" am" won so date to Von pml r"ff naft. me. " wwtw* 0~. atl wrer71M0160"[Winw"Wa PJMMPdgntxafton lftw toV0030"AWWM�#MWWftftMagwto wa m�MO44MMaNUMNMPWWVWM M�4V""". or mmarwe iav"nra vm&vwoimmmor!tam my~ apd a� mmmaum0"to 0c4 ormmawo D02M& P-25 of P-40 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6906' I DINGER AVE, AND BRISTOL ST. CLASS 11 BICYCLE LANES FEDERAL PROJECT NO: 14SIPL.5063(180) EXHIBIT 12-8 BIDDER'S L19T OE SUBCONTRACTORS (DBE AND NON DBE) PART I PART The biddershall list all subcontractors (both bBE and tton-bft in hocordanco with Soctiou 2-1,054 of the Standard Spagificationa and perTltlo 49, Section 26.11 of Codo.ofFederal Regt latI01% This listing 1s tequlred it) addition t4 listing DU Subconirecti rs, elsowhere in the proposal. Photocopy this form for additional firing, Local Assistance. Procedures Manuel: As at March 1.2015 Coomuctors (and subwmnmctoreI wlshmg to bid on publte works ocuumats aboll be registered mith the State Di4ision of indrundai Relations and cartitiadtobid onPublic Works eomrpeta: Pleaserogistarat:httos:Ywww,dir.ca.gov/public-Works/Contractor•Reelstration.htmi In accordance with Title 49, Station 26,11 ofthe Code of Federal Regulations, and, Section 4104 of the Public Contract Code of the State of California, as amended, the foliowinginformation I'srequired f"OAahsub-contmctorwhowillperform work amonndngtomomthan one half Orono pervent(0.5%)of0�crrHalBawe iigqorS10,000 (whiehavorisgreater), Photocopy this term far additionallirms. FederalprojectNumberi H�IP1;$063 780 Subcontractor Nameand Location Line item le Description Subcontract Amount frententageof Dldham Sub+ Contractor nose Number ODE aDECert (YIN) Number Annaal.dmnestates, " Nan ae Number contracted 16' Ttaftic Specialist 1 r13.1, 15.17, 20 $.tdping & $ign $189,77$.13 {00% 877686 10000055(>3 ". s m Inon cnr.State; Cifer7g , CA 'Stomnnon n elto a a Nrm Name: ., ," IFIneerin Inc `� 8 Cuy,$tole: LA Ptietite, CA °14,140 , 14.2, 19, 23 $leotrioai $66.950,00 1.00°la 793907 "R �� t, :' � +n. �� c $. k ' 41 million 4$$ million 410 million 1000001980 < is million eofFirm: rs. Name: CIIY.>;late: "Smllgon e51OmlNion 415miDlon NamF. h �l <fl eMltlon Clt¢;Ststei 5motion ,t' < Lomliilon 4 15 million A eoffinn:. rs. Name,•. "Ilion YSS c�' <5ld mtlllon 112S mDlltln . �April of Firm: vri, Cllystatet Naml: K51 mtron Mull K 5 itln �'�ua�� C 10 mDnon r u ���?� :e515 million kw-,e A eafFlrm:- M. aly,Stlte", Olstfibutbo. 1) Original -Local Agency File 2)Copy-otAEw/Awardpackage P-32 ofP-40 Page t of 2 January2019 CITY OF SA-NTA ANA PROPOSAL PRO=, T NO.; 18-6I06 EDINGER AVE, AND BRISTOL ST. GLASS II BICYCLE LANES MDEML PROJECT NO: HSIPL 5063(I80) F,YS3ISI'rt to >� BIDnE�;s LIST or `s Bco��ACTOIzs(D�IE AI�iD 1�TOPf-$.?BEl -- rA�x zlzl PART TI The bidda shall fist all subcontractors vvho provided a quple or hid but were not seleeted to participate ago subcontra0r on this project This is required for eotnpliande witl Title 49, Section 26 of the coda ofleddrsl Regttladods. Photocopy this form for additional terms. Loea(AssisteowPrabeduras Masuaf - SubeOrMraSiorNamoand #MDRem&OafaipNon Subcontract ftrantaga of ton" 110E Mcort AnnuatGroa aaceiptt tncauan- Amount 0idRem$utk tf«nsofto ftia 011w, Number ;wauaatad bM# f. - . { #3!N 8fC ` y� Q tW&IX 1mI11i pty, to { , p �1r €M-45 100%, U IOmtlltan Jii}t#tTii'hQfrJfiri ,7A: � ' eoF Fbm5munon _. ; :' Nam; too lodud 'b - 14,14,1,°I li1OrSmklOn imlaton - aBla F CsIomelloo w to as ,i ',ts 1i)ffo 00 Al0tttltg4r 194tiiC 1!' 1 urQfli h ' a#±m11Uon a , e0 i miwon , 0- '� mlalon -. IO m1111Wt ea .. ) Akeof"rm• Va. Rome imill _. [aY,S#ate; -- �''. �"j�a'�- SO rnllllon. " =rti3mmtan effirmr M.. 0 mlllbn - 5m01an: I�k1iS18ta: i. �;'„- 10 ml lion 4$15 m111100 OfFUM'. W. ptv+itato: �' : r,.� .s sNut00 10 mllllon �s� *Is minim OlsWbatl(M,' ) OrigMabtaeal Agansy File 2)Cppy^OkAHw/Avtatd Packago P-33 of P-40 Pagc 2 utl Januotryl0t4 CITY OF SANTA ANA -PROPOSAL PROJECT NO,; 18.6006 EDINGPR AVE, AND ERISTOL ST, CLASS II BICYCLE I,ANES FEDERAL PROJECT NO: [ISIPL 6003(180) PROMPT PAYMENT dF FUNDS WITBULD TO SUBCONTRACTORS The undersigned, is sulintitting this proposal for performing by contract the work requirod by these bid dooumems, cart➢fy to comply with the following: The agency shall hold retainage from the prime contractor And shall make, prompt and regular incremental acceptances of portions, as determined by tine agency, Of the contract work, -and pay retainage to the prime contractor based on these acceptances, The prime contractor, or subcontractor, shall return all monies withheld in retention frame sulacontractor within 30 trays after receiving payment for work satisfactorily completed and accepted Including incremental acceptances of portions of the contract work by the agency, Federal law (44CFRX29) requires that any delay or postponement of payment over 30 days may take place only for good cause and with the Agency's prior written approval, Any violation of this provision shall subject violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified hi Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, oriodicial remedies otherwise available to the prime contractor or subcontractor In the event of a dispute Involving late payment or nonpayment by the prince contractor, deficient subcontract perfonhance, ar noncompliance by a subcontractor, Signed 1 �' Title Edward J. Carlson, Vice President Firm All American Asphalt r Date `7 q P•34 of P-40 Recorded In Official Records, Orange County Hugh N uyen,clerk-Recorder g NO FEE $ R 4 0 0 8 2 8 9 6 5 1$ 201685000338 8:49 am 04/12/16 323 304 Z01 0.00 60,00 0.00 0,00 0.00 0„00 0.00 0,00 MAYOR Ml CITY MANAGER A. Pulido — MAYOROR PRO TEM David Cavazos Vlncente Sarmiento CITY ATTORNEY COUNCIL MEMBERS ` Sonia R. Carvalho Angelica Amezcuo CLERK OF THE COUNCIL R David Benavidea Maria D. Hulzer Michele Martinez Roman A. Rayne N ^ Sal Tinatero CITY OF SAN 1 A A NCVI`! i PLANNING & ODUILDINNG AGENCY C 20 Civic Center Plaza (M-20) P.O, BOX 1968 -Santa Ana, California 92702 - (714) 667-2700 • Fax (714) 973.1461 WM Santa-alta.org NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK From: City of Santa Ana County of Orange P,O. Planning 3 Building Agency Santa Ana, CA 92702 20 Civic Center Plaza M-20 A Ana, Ana, CA 92702 AveSanta Project Title: Edinger Ave and Bristol St Class II Bicycle Lanes Date of Approval: 05/17/2016 ProjectNumber(s): PWA-2016-347-CITY <S` Project Location: 1 CityWlde (Partial) F City: Santa Ana County: Orange ER Number: ER-2016-33a Project Description: The Construction will include restriping of vehicles lanes for the installation of new buffered bicycle lanes and new detection for bicycles along Edinger Avenue from Bristol Street to Flower Street. Then along Bristol Street from Central Avenue to Sunflower Avenue. Applicant Name: Zdenek Kekula, City of Santa Ana Public Works Agency Applicant Address: 20 Civic Center Plaza M-43 SANTA ANA, CA 92702 Name of Public Agency Approving Project: City Council Name of Person or Agency Carrying Out Project: Kekula, Zdenek Exempt Status: FILED ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) POSTED ❑ Emergency Project (Sec. 15269 (b through e)) APR 17 2016 APR ❑ General Rule (Sec„ 15061(b)(3)/(5)) 1 2016 ❑ Statutory Exemption: 9RANa6 CouNTY CLERK -RECORDER DEPARTMENT IiUOyH. NGUYEN, CLECti4t2FC01t0ER Z Categorical Exemption: 15301(c) BY: Reason(s) Why Project is Exempt From CEQA: DEPBTY sY;� _ ri _ DBPUTV 15301(c) consists of the operation, repair, maintenance or minor alteration of existing public facilities such as streets, sidewalks, gutters, bicycle and pedestrian trails, City Contact: Zdenek Kekula Telephone: (714) 647-5606 Title:n SANTAANA CITY COUNCIL Date: _ 41? I 16 Miguel A. Pulido Mayor - Vlncente Sarmiento MayorPm Tom, Ward 1 Michele Martinez Ward 2 Angelica Amezcua P. David Benavides Roman Reyna Sal Tinajero MPulldo sa rla-ena orq VSarmiantor@senta-a art'2e ant na rdAAm - Ward a r& lean ore Ward gp aNdes(�sanf -ena m Ward BR nafiD t - Ward - an_a,,,o1,g STnalerot ta-aryy�.o g Hugh Nguyen Cleric - Recorder 4, • Orange County Clerk -Recorder's Office 12'Civic Center Plaza, Room 106, P.O. Box 238, Santa Ana, CA 92702 web: www.oc.ca.gov/recorder/ PHONE (714) 834-2500 FAX (714) 834-5284 CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M-20) P.O. BOX 1988 SANTA ANA, CA 92702 Office of the Orange County Clerk -Recorder Memorandum SUBJECT: NOTICE OF EXEMPTION The attached notice was received, filed and a copy was posted on 04/12/2016 It remained posted for 30 (thirty) days. Hugh Nguyen Cleric - Recorder In and for the County of Orange By: AL OBAIDI WADIA Public Resource Code 21092.3 Deputy The notice required pursuant to Sections 21080.4 and 21092 for an environmental impact report shall be posted in the office of the County Clerk of each county *** in which the project will be located and shall remain posted for a period of 30 days. The notice required pursuant to Section Public Resource Code 21152 All notices filed pursuant to this section shall be available for public inspection, and shall be posted *** within 24 hours of receipt in the office of the County Clerk. Each notice shall remain posted for a period of 30 days. * * * Thereafter, the clerk shall return the notice to the local lead agency *** within a notation of the period it was posted. The local lead agency shall retain the notice for not less than nine months, Additions or changes by underline; deletions by *** CALIFORNIA NEWSPAPER SERVICE BUREAU DAILY JOURNAL CORPORATION Mailing Address: 915 E FIRST ST, LOS ANGELES, CA 90012 Telephone (213) 229-53001 Fax (213) 229-5481 Visit us @ WWW.LEGALADSTORE.COM EDUARDOFLORES SANTA ANA/PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA 4TH FL ROSS ANNEX SANTA ANA, CA 92702 CNS 3298946 COPY OF NOTICE R —ACTGR HEREBY GIVEN that the City of Santa Ana will receive Bids electronically via Notice Type: BID NOTICE INVITING BIDS PlanetBids on orbefore the hour of 18-6906 BRISTOL ST AND EDINGER AVE CLASS II 2:00:00 pm, October 23, 2019. No other Ad Description p BIKE LANES method of bid submittal will be accepted for: PROJECT NO.: 18- To the right is a copy of the notice you sent to us for publication in the THE 69 6 REGISTER. Please read this notice carefully and call us with any corrections. gRIST AND E D I NGER AVE The Proof of Publication will be filed with the County Clerk, If required, and CLALANli BIKE mailed to you after the last date below. Publication dates) for this notice is ES FEDERAL (are): PROJECT NO.: CMI_50AWMN 10/02/2019 , 10/09/2019 , 10/16/2019 how The charge(s) for this order is as follows. An invoice all be sent after the last Do SP cal date of publication. If you prepaid this order in full, you will not receive an Purchasing Division Invoice. regarding Public Daily Journal Corporation Serving your legal advertising needs throughout California. Call your local BUSINESS JOURNAL, RIVERSIDE (951) 784-0111 DAILY COMMERCE, LOS ANGELES (213) 229-5300 LOS ANGELES DAILY JOURNAL, LOS ANGELES (213)229-5300 ORANGE COUNTY REPORTER, SANTA ANA (714) 543-2027 SAN FRANCISCO DAILY JOURNAL, SAN FRANCISCO (800) 6404829 SAN JOSE POST -RECORD, SAN JOSE (408)287-4865 THE DAILY RECORDER, SACRAMENTO (916)444-2355 THE DAILY TRANSCRIPT, SAN DIEGO (619) 232-3486 THE INTER -CITY EXPRESS, OAKLAND (510) 272-4747 IIIII IIIII II IIIIII III I II III I IIII I II I II * A 0 0 0 0 0 5 2 2 7 3 2 8 THE REGISTER CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIY" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CER71FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or ba endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such en lorsamardle) Edgewood Partners Insurance Center P.O. Box 5003 San Ramon, CA 94583 INSURED All American Asphalt P.O. Box 2229 Corona CA 92878 CA LICENSE NOB29370 CERTIFICATE NIIIMMC3• ­....._-. - -- - " ��'°a_-, REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN MSR REDUCED BY PAID CLAIMS. TYPEOFINSIJ CE D SU Y N1A�ER MOLLY EFF MPOLICYExp POLIC A COMMERCIAL GENERAL LIABILITY DPCIO05656-03 8/1/2019 8/112020 LNIRB CLAIMS -MADE OCCUR EACH OCCURRENCE $1 000 p MISE Ea orcurmnca S 100 00,D 00 MED ENP(MyarM S GENIIAGGREGATELIMIT APPLIES PER: PERSIONALSADVINJURY $1000000 GENERALAGGREGATE 52,000,000 POLICY E LOC PRODUCTS•COMP,OP AGG f20OD OOO JmT OTHER: 6 aIN LE LIMI S B AUTOMOSILEUASILRY BAP5571088-07 8/1/2019 IUi/2020 ✓ ANY AULO aelN�D 32000000 S OWNED SCHEDULED LIMILYINJURY(Pxpaaonl AUTOS ONLY AUTOS ✓ HIRED BODILY INJURY ((PM ecndenll S AUTOS ONLY ✓ AUTO ONLY PROPERTY DAMAGE P r ad I S E C UMBRELLA OCCUR SXS019797003 8/1I2019 8I1l2020 `Y ���D � CLMMSMAOE EACH OCCURRENCE f 5 000 000 DeD ✓ RETErmoNs10,000 AGGREGATE s5000000 Followin -Farm PER orH- S B WORKERSCOMPENSATION ANOMPLOYERS LIABlUTY WC593205706 8/1/2019 811/2020 YIN Di ECG ✓ STATUTE ER E.L EACH ACCIDENT E1 QQQ QQQ OFFCEWM MSANYPROPVIE­rERUCTMO O IMarkalory InNH) NIA E.L DISEASE -EA EMPLOYE $ V es, deavlhe uMer DESCRIPTION OF OPERATIONS EBlow EL, DISEASE -POLICY UNLIT S 1 00Q 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarlu Schedule, maY W eu I,had it mora apace Is r"ulredl By RI MANACfEMENT DIVISION Project # 18-69061 RE: Bristol Street and Edinger Avenue Class II Bike Lanes / N 221010 Certificate Holder is Additional Insured if Required by Written Contract Excluding Workers Compensation A THA M, LAMBERT rPRTIFirATG unl City of Santa Ana Risk Management Division, 4th Floor 20 Civic Center Plaza Sana Ana CA 92703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD CORPORATION. All rights reserved. r ne yu.vrau name and Logo are registered marks of ACORD 5)7W57 191011 Sundard%i% SSnnn xS Mu Uhely, 1'1 Z N I9.3511 AM I IST) I Page I ar II COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization where the waiver of our right to recover is permitted by law and is required by written contract or agreement, provided the contract or agreement is executed prior to any occurrence or offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer for injury or damage arising out of your ongoing Of Rights Of Recovery Against Others To Us operations or "your work" done under a contract of Section IV — Conditions: with that person or organization and included in the "products -completed operations We waive any right of recovery we may have hazard". This waiver applies only to the person against the person or organization shown in the or organization shown in the Schedule above. Schedule above because of payments we make All other terms and conditions of this policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: DPC1005856-03 Named Insured:All American Asphalt Endorsement Effective Date: 08/01/2019 REFERENCE. SCHEDULE. Protect # 18-6906 IRE: Bristol Street and Edinger Avenue Class 11 City of Santa Ana Bike Lanes I ✓ED & APPROVED MANAGEMENT DIVISION 22 2020 M. LAMBERT CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 Sl tO 57.19i01tSWW]Nu,th S3. XSIMan1.0m,Ini Ill2010 Ie93, 11 AM I NTIi Pap Hof I 1/21/2020 POLICY NUMBER: BAP5571088-07 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Covomgo Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: All American Asphalt Endorsement Effective Date: 08101/201g SCHEDULE Name Of Person(s) Or Organtzation(s): ANY PERSON OR ORGANIZATION TO WHOM OR WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL INSURED STATUS ON A PRIMARY, NON-CONTRIBUTORY BASIS, IN A WRITTEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS. EXCEPT WHERE SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. Each person or organization shown in the Schedule is an "Insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an `insured' under the Who Is An Insured provision contained in Paragraph A.I. of Section 11 — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D2. of Section 1 — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 SCHEDULE: City of Santa Ana ® Insurance Services Office, Inc, 2011 IWED & APPROVED MANAGEMENT DMSION AN 22 2020 fib MadtITHA M. LAMBERT 517W571191011Sm duff SS. xS: Ma WO.1.11121202010.15111"(PST) I P-10-f II 1121 /2020 POLICY NUMBER: BAP5571088-07 COMMERCIAL AUTO CA 04 4410 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: All American Asphalt Endorsement Effective Date: 08/01/2019 SCHEDULE Name(s) Of Person(s) Or Organization(s): ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the SCHEDULE: person(s) or organization(s) shown in the Schedule, City or Santa Ana but only to the extent that subrogation is waived prior to the "accident' or the "loss" under a contract with that person or organization. M D & MPPRENTpOVEoD JAN 22 2020 M. LAMBERT CA 04 441013 © Insurance Services Office, Inc., 2011 Page 1 of 1 537N571 IY10119md —C S5mm xs, MmIla Umcla, 1211010I034 11 AMIISTI. 1 gr I nut II WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed, 4-841 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0.00 % of the California workers' compensation pre- mium otherwise due on such remuneration. Person or Organization ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION SCHEDULE: City of Santa Ana Policy Number. WC593205706 Named Insured: All American Asphalt Endorsement Effective Date: 08/01/2019 WC 252 (4-84) WC 04 03 06 (Ed. 4-54) lob Description ALL CALIFORNIA OPERATIONS REFERENCE: Project # 18-6906 / RE: Bristol Street and Edinger Avenue Class II Bike Lanes / & APPROVED 1QEMENT DIVISION 2 2 2020 M. LAMBERT Page 1 of 1 53W 57 19101ISmnd oo&SSmm X5 lMmmn fhndss 1, 212020 1 o-3511 AM (MT) I Pap I I of 11 CITY OF SANTA ANA Executed in 2 Counterparts Bond No. 7662240 Premium: $2,401.00 BONDS Premium is for contract term and is subject to PROJECT NOO.:.: 18-6906 adjustment based on final contract price EDINGER AVE. AND BRISTOL ST. CLASS II BICYCLE LANES FEDERAL PROJECT NO: HSIPL 5063(180) FAITHFUL PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that All American Asphalt , 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 Six Hundred Seven Thousand Eiqht Hundred Thirty Nine & 66/100---------------------- Dollars ($607,839.66 ), 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. * of Illinois 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 December 17, 2019 for Project 18-6906 - Edinger Avenue and Bristol Street Class 11 Bike Lanes (CML-506 r 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 17th day of December , 2019 . *All SURETY* Fidelity and 1RM-V� Aciu Rebecca Haas -Bates, ) Subscribed and sworn to before me, 20_ Signature: Notary Public in and for the County of 400 East Sixth Street, Corona, CA 92879 (951) 736-7600 of Maryland 777 S. **See Attached** State of David Wei this day of Rate of premium on this bond is $ 3.95 per thousand. Total amount of premium charge is $ 2,401.00 To be filled in by Surety *Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. 80)) CA 90017 I of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accuracv. or validity of that document. State of California County of Riverside On December 4, 2019 before me, Courtneypas, Notary Public Dale Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(.) of Signers) COURTNEY CHAPAS :."o.. Notary Public - California a'"=u z :r. Riverside County z n Commission # 2172984 a i My Comm. Expires Nov M 2020 w fid6 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/sheAhey executed the same in his/hedtheir authorized capacity(ies), and that by his/her4l-ieir signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my hand and official seal. Signature Place Notary Seal Above gnature of otary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Performance Bond Document Date: December 17, 2019 Number of Pages: Signer(s) Other Than Named Above: Capacity(Les) Claimed by Signer(s) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer—Title(s): Vice President ❑ Partner Lo Limited o General i ❑ Attorney n Fact o Trustee Top of thumb here ❑ Other: Sigi s Name: ❑ Indivl al ❑ Corporate Icer—Title(s): ❑ Partner ❑ u Li ' d o General ❑ Attorney in Fact Top of thumb here ❑ Trustee ❑ Other: Signer is Representing: 1 1 Signer is Representing CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On 12/03/2019 Date before me, A. MacFarlane, Notary Public Here Insert Name and Title of the Officer personally appeared Rebecca Haas -Bates Name(*of SignerN who proved to me on the basis of satisfactory evidence to be the persons) whose names) is/am subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity, and that by Wher/thsir signature�*on the instrument the person(sj or the entity upon behalf of which the persons) acted, executed the instrument. A. MACFARLANE Notary Public — California Orange County Commission d 21 R8'92 My Comm. Expires Mar 27, 2121 Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature CC— 6�w-- Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Performance Bond Number of Pages: One 1 No. 7662240 Document Date: 12/17/2019 Signers) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas -Bates ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual 5RAttorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Fidelity and Deposit Company of Maryland Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: `✓S`✓✓.SV✓G�.G'✓<\✓S(✓S'✓GV'ti✓'�G<�GSa/G`/.��<\✓:�.�:[-'!S'< �S�✓SV v�.SV Q`r v• • • • • • •� i�� •� Jirr •� EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President, of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998, RESOLVED: 'That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company," This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 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 he 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 17th day of December 2019 0,5n- AN' 7 By: 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, TIIE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 www.reportsfelaimsQzurichna.com 800-626-4577 PRF7662240 Bond Number City of Santa Me Obligee 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 -haws 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 Rebema Haas -Bates . Its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE. COMPANY at its office in New York, New York, the regularly elected officers of the COLONIAL, AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this i7th day of Demmber AD, 2019 ,+ s°goo IN RAL �• ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARVLAND By: Robert D. Murray Vice President By: Dawn E. Secretary State of Maryland County of Baltimore On this 17th day of December 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 the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. ��rn Constance A. Dunn, Notary Public iur"�• My Commission Expires: July 9, 2023 Executed in 2 Counterparts Bond No. 7662240 CITY OF SANTA ANA Premium Included in Performance Bond BONDS PROJECT NO.: 18-6906 EDINGER AVE. AND BRISTOL ST. CLASS II BICYCLE LANES FEDERAL PROJECT NO: HSIPL 5063(180) PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that All American Asphalt 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 Six Hundred Seven Thousand Eight Hundred Thirty Nine & 661100--------------------- Dollars ($607,839.66 ), 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. ' of Illinois 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 December 17, 2019 for Project 18-6906 - Edinger Avenue and Bristol Street Class 11 Bike Lanes (CML-5063(180)) 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 17th day of December , 2019 . * All 400 East Sixth Street, Corona, CA 92879 (951) 736-7600 SURETY* Fidelity and Deposit Company of Maryland 777 S. Figueroa Street, Suite 3900, Los Angeles, CA 90017 � n 4+ — (213) 270-0600 David Wei Rohcrro 14oac_Pa+— M+-- ;.. C...d Subscribed and sworn to before me, "See Attached" this day of 20 Signature: Notary Public in and for the County of State of Rate of premium on this bond is $ 3.95 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. 2 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verities only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accumov. or validity of that document. State of California County of Riverside On December 4, 2019 before me, Courtney Chapas, Notary Public Data Here Insert name and Title of the Officer personally appeared Edward J. Carlson Name(s) of Signers) f 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" executed the same in COURTNEY CHAPAS ' his/her/their authorized capacity(ies), and that by his/heNtheir Notary Public - California Z signature(s) on the instrument the person(s), or the entity upon behalf Riverside County > of which the person(s) acted, executed the instrument. z `.: , . Commission # 2172984 My Comm. Expires Nov 20, 202200 1 certify under PENALTY OF PERJURY under the laws of the State of J vr►+� California that the forgoing paragraph is true and correct. WITNESS my hand and o Icial seal. Signature Place Notary Seal Above Sig a pre of of VY Pu is OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Payment Bond Document Date: December 17, 2019 Number of Pages: Signers) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Edward J. Carlson ❑ Individual X Corporate Officer —Title(s): Vice President ❑ Partner C o Limited o General ❑ Attorney in Fact ❑ Trustee Top of thumb hate ❑ Other: Name: ❑ Partner C o Nw ❑ Attorney in Fact ❑ Trustee ❑ Other: — Title(s): — ;d o General Signer is Representing: I I Signer is Representing: Top of thumb here CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On 12/03/2019 before me, A. MacFarlane, Notary Public Date Here Insert Name and Title of the Officer personally appeared Rebecca Haas -Bates NameKof Signer)'sl who proved to me on the basis of satisfactory evidence to be the persons} whose name(* is/afe subscribed to the within instrument and acknowledged to me that He/she/they executed the same in Nsfher/their authorized capacity(ibs), and that by his(her/their signature on the instrument the person(ak or the entity upon behalf of which the person(* acted, executed the instrument. _ A. MACFARLANE Notary Public -California Orange County n i Commission A 2188592 My Comm. Expires Mar 27, 2021 Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official sea). Signature . Signature of Notary Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Payment Bond No. 7662240 Document Date: 12/17/2019 Number of Pages: One (_jL Signer(s) Other Than Named Above; All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: Rebecca Haas -Bates ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual IRAttorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Fidelity and Deposit Company of Maryland Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other. Signer Is Representing: ,:�.tisc�<c�s�.«s<cs<`.z`✓<�cc�<c�<-.:..<:�«z«J<:,•i��.,`, -.< «v.�,c.-;c«a s�<�.<,.`.<�<�<.�«>•�..�,xY�ti. ..�<-:, �<� O 1 • • • • • V • • • :11 • :11 .:y •1 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 sea], appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President, of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney mid 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 1 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 mmmally affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this ntn day of December 2019 % By: 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.reportsfelaims@z!lrichna.com 800-626-4577 PRF7662240 Bond Number City of Santa Ana Obligee ZURICII AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSYT 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 Rebecca Haas -Bates , 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 ZURICII 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 17th day of December , A.D. 2019 �ga B3 3, ,mr,f d�Tk<'�Ee ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF.KIR a'LAND By: Robert D, Murray Vice President c{—>l'V>LYti..--.. By- Dawn E, Brown Secretary State of Maryland County of Baltimore On this 17th day of December 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 Inc duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. ,xrrv.r,a Constance A. Dunn, Notary Public " "° My Commission Expires: July 9, 2023 ( €TY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 18-6906 Bristol & Edinger Class II Bike Lanes Change Order Numb 1 To All American Asphalt Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plate and specifications on this contract NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle thee. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICE 1. Added cost for new Stubouts at the intersection of Bristol St and Callens Common. (PCO #01) TOTAL AGREED PRICE = $3,300.00 The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himseN, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $--------------- INCREASE $ 3,300.00 By reason of this order the CONTRACT TIME completion will be adjusted as follows: None We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we wa provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. ' Accepted, Date 03/rau 0088//2021 Contractor All American Asphalt By iuGTitle • �(�\ Project Manager Approval recommended by" �`--''�Jr^ 4,,, Date RKSAGENCYEXECUTIVEDIRECTOR Approved byDale CITYMANAGER Page 1 of 1