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HomeMy WebLinkAboutC.I. SERVICES,INC. Recording Requested By, Recorded in Official Records, Orange County And When Recorded Mail To: Hugh Nguyen, Clerk-Recorder Clerk of the Council,City of Santa Ana III I�Illi I�I I�I I IIIII lfl� �II II� II I�I I III NO FEE 20 Civic Center Plaza,P.O.Box 1988 $ R 0 0 1 J Iz 2 1 5t a 1 7 f b $ t Santa Ana,CA 92�02 2020000636361 1:23 pm 11/05/20 227 414A N 12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 THIS SPACE FOR COUNTY RECORDERS USE ONLY P - r 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 ROOF IMPROVEMENTS AT THE SANTA ANA REGIONAL TRANSPORTATION CENTER under contract entered into on FEBRUARY 18,2020_, w with C.I. SERVICES INC. , on which contract PHILADELPHIA INDEMNITY INSURANCE mo COMPANY is surety. The property on which such work improvement was placed is in the o z City of Santa Ana, County of Orange, State of California, and described as Project No. 20-6012 jlocated at: SANTA ANA REGIONAL TRANSPORTATION CENTER. The work c improvement on said property was accepted as completed on OCTOBER 9,2020. o 1�nU o CITY OF SANTA ANA,A MUNICIPAL CORPORATION zd by- -� .- CDated: E - —Za 20 Senior Civil Engineer—Michael Ortiz per. TITLE ------------------------•---_------------------------------•------------------------------- 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 2 T, ?�(�2[J , at Santa Ana, Calif (Signature of individfwearing that the contents of Notice ofPletion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT 20-6012 SARTC ROOF IMPROVEMENTS This CONSTRUCTION CONTRACT is made and entered into this 18th day of February, 2020 by and between the City of Santa Ana, California, a charter city and mimicipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and C.I. Services, Inc. (hereinafter "CONTRACTOR'). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the SARTC Roof 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: 3. • 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. 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 Nine Hundred Ninety Seven Thousand Six Hundred Forty Seven Dollars and No Cents ($997,647.00), 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. 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/i)wa/documeiits/CWA,pd 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: DAISY GOMEZ � \ `Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By: OHN FUNK Assistant City Attorney RECOMMENDED FOR APPROVAL: V� G1� NABIL SABA, PE Acting Executive Director Public Works Agency CITY OF SANTA ANA KRISTINE RIDGE T City Manager CONTRACTOR: C.I. Services, Inc. WILLIAM BALEY President Page 3 of 3 CITY OF SANTA ANA. PROPOSAL, PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS DID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: C.I. Services, Inc. REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Quantity Unit UnitPrice Amount 1 Roofing Tile I LS $882.424.00 $882,424.00 2 Urethane Rooling Restoration I LS $20,000.00 $20,000.00 3 Urethane Goner Restoration I LS $89,000.00 $89,000.00 4 Plywood Sheet (4'x8') 25 EA $248.92 $6,223.00 TOTAL BASE BID $ 997,647.00 The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Did, 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, within sixty (60) 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 $2,500 per calendar day. Name of Firm C.I. Services, Inc. Signature of BIDDER Title President r"' / William A (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 corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF 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 business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. The BIDDER also certifies that the bid is a balanced bid. br 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 C.I. Services, Inc. Signature of BIDDER William A. Title President [ (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) 4 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF 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: C.I. Service, Inc. Business Address: 26861 Trabuco Rd. #353, Mission Viejo, CA 92691 Business E-Mail Address:. service@ciservicesinc.com Telephone: 714-867-9178 State Contractor's License No, and Class: 701434 -C-39 & 046 License Expiration Date: 01 /31 /2021 State Dept, of Industrial Relations (DIR) Registration No.: 1000005311 State Dept. of Industrial Relations (DIR) Registration Expiration Date: 06/30/2022 Signed: Title: President William A. 23AE10 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF 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 9, 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 ofFirm C.I. Services, Inc, Signature of BIDDER � Z4�1 — William A. Beley Title President (if an individual, so state) 23AP 14 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS OWNERSHIP AFFIDAVIT STATE OP CALIFORNIA COUNTY Of ORANGE ) SS:. CITY OF SANTA ANA ) William A. Baley 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 frrin and ho-hasrre n and is duly vested with the authority to make and execute instruments for the co -partnership by: who constitute the other members of the co -partnership. Pq CORPORATION That he is of: C.I. Services, Inc. a corporation which is making the foregoing proposal: ❑ JOINT VENTURE That he is of., one of the parties mA he frrPe'o ageing proposal as a joint venture, and the he/she has bceuuLiaihtl ested with the authority to execute instruments far an on behalf of tile "parties making said bid who are; that such a bid is genuine and not collusive or sham, and has not in any mariner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for himself or any other person. Signature of Bidder Subscribed and sworn to before me this Signature of Public) SEE ATTACHED 20 23AL1a2 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 9/26/2019 before me, Christopher D. Porter, Notary Public (insert name and title of the officer) personally appeared William A. Baley who proved to me on the basis of satisfactory evidence to be the personw whose names) Islam subscribed to the within instrument and acknowledged to me that he/she/they executed the same in hisFherdth& authorized capacityfie*, and that by hisfher/their signaturew on the instrument the person(s), or the entity upon behalf of which the personal 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. :¢ . CHRISTOPHER 0 PORTER WITNESS my hand and official seal. Notary Public - California Orange County Commission q 22853V My Camm. Expires Apr 15,2023 Signature„/ (Seal) WM IC] CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS • ra KNOW ALL PRESENT that, C.I. Services Inc. as BIDDER, and Philadelohia Indemnity Insurance Company 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 of the bidDollars ($__ 10% 1, which is ten percent 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 24th day of September , 2019 BIDDER* C.I. �Services, Inc. 26861 Trabuco #353 Mission Viejo CA 92691 714-867-9178 ` y SURETY* Phil elphia Indemnity Insurance Company 251 S. Lake Ave Suite 360 Pasadena CA 91101 626-639-1321 Douglas Rapp, Attornbq in Fact Subscribiand sworn to before me thj r'"da}- Of, , 20_ Signature: Notary Public in and for the County o State of Provide BIDDER/ I TYTY ess and telephone number and h name, . p b the name, title, address, an .telephone number of authorized repre#entative. Yt 21Af P14 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 September 24, 2019 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(&) is/afe subscribed to the within instrument and acknowledged to me that he/eSeAhey executed the same In his/4.� authorized capacity0es), and that by hisihef/helr signature* on the instrument the person(e), or the entity upon behalf of which the person(&) 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. w REBRASWANSON COMM. # 2170759 o g NOTARY PUBLIGCAUFORNIAN ORANGE COUNTY ti MYCO�dM.ERP.NOV10.2G2p Signature ���..�,�. �.s°��r-��;,�� (Seal) 23A-15 •N f PHILADELPHIA INDEMNITY INSURANCE COMPANY 231 SL As isins Rd., Suite 100 Bain Cynwyd, PA 19004-0950 'Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNITY INSURANCE COMPANY (IheCompany), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby conaUtute and appoind Douglas A. Rapp & Timothy D. Rapp of Rapp Surety &Insurance Services, Inc I its true and lawful Altomcy(s) in fact with full amhorityto execute on its behalf bonds, undertakings, mcagniumces and other contracts of indemnity and writings obligatory in the estate thereof, issued in the course of its business and to bind the Company themby, in on amount not to exceed $25,000,000,001 This Power of Attorney Is.granted and is signed and scaled by facsimile under and by the authority of the tbltowing Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the la day of July,2011. RESOLVED; That the Board of Dineclors hereby authorizes the. President or any. Vice President of the Company to: (1) Appoint Alwmey(s) In Fact and authorize the Attomey(s) In Fact to execute on behalf of the Company bonds and undortakings, contracts of Indemnity and other writings obligatory in the am= thereof end to attach. the seal of the Company shomto; and (2):to remove, at any time, any such Attomeyin-Fact and mmke the authoritygiven. And, be It FURTHER RESOLVEM That the signalums of such officers and the seal of the Company may be affixod to any such PowerofAnomeyorcedificote relating thereto by eesimile, and anysuchPowerof Attorney an executed and cenified by. facsimile signamms and facsimile seat shall be valid and biding upon the Company in the future with the respect To any bond or ,undertaking to which it is attached, IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED T19S INSTRUMENT TO BE SIGNED AND ITS CORPORATE SCALTO DE AFFIXED BY ITS AUTHORIZED OFFICE THIS 7TM DAY Or FEBRUARY2013. ��µNITY" yy Ao lS�xt w 1927 (Seal) before me come rpomte seal of sold Company; that the said Corporato Sot am IcrDAEUE lt7N,r'ihOtHe`: NotaryPablic: residing at: (Notary Seal) My commission expires! :mig P. Keller, Executive Vice President, Chief Fuincia Robert D.'O'Lxmy Jr., President & CFO Philadelphia Indemnity Insurance Company. cocas Mamh22.2016 to me personally known, and beingby tbeduly .Swomsaid that COMPANY; that dw seal affixed to said instrument is due ,DELPIRA INDEMNITY INSURANCE COMPANY, do herby codify that .I thereto am true and correct and are still in fall force and effect, I. do was on the date of execution of The attached Power of Attorney the duly In Testimony Whereof I have subscribed my rime and affixed the facsimile seal of each Company Ibis 24th day of Sopcember o 2019 -: eyTrNr ,Y �x Craig P.Keller, Executive Vice President, Chief Financial Officer &Secretary PHRADELPHIA INDEMNITY INSURANCE COMPANY 'ya sz, . 23A-16 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document to which fli s certificate Is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange On 9/26/2019 before me, Christopher D. porter, Notary Public (insert name and title of the officer) personally appeared William A. Baley who proved to me on the basis of satisfactory evidence to be the personal whose name(S) is/are subscribed to the within instrument and acknowledged to me that he/she" executed the same in hisicar theilo authorized capacity(L*, and that by hiskrer/their slgnature(o on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m hand d official l. ?? -'':y` CHRIISSTOPHER0. PORTER my anosea± yf�7 Notary Public • California Orange County >: Commission g 2285347 MY Comm, Expires Apr 1S, 2023 Q Signature (Seal) 23A-17 CITY Or SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS LIST OF SUB -CONTRACTORS Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: o Streets, highways including bridge projects: ''/z% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %s% 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 #/Exp. _ DIR Reg. #/Exp. License # Location Phone Ty fWwk mount $ Signature of Bidder Name License DIR Reg. #/Exp. Location Phone Type Of Work Amount $ Name License Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-6012 SARTC ROOF rMPROVEMENTS REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER has performed similar work within the past three years, 1. Placentia Yorba Linda Unified School District- 1301 E. Placentia, CA 92870 Don Rosales - 714-986-8470 Name and Telephone Number of person familiar with project. $469,700.00 Coating 9/20/2019 Contract Amount Type of Work Date Completed 2. San Bernardino Superintendent of Schools -'601 Name and Address of owner. Andv Nelson - 909-382-3562 Name and Telephone Number of person familiar with project. $1,331,801.83 BUR and Coating 7/28/2019 Contract Amount Type of Work Date Completed 3. Hamel Contracting -`26431 Jefferson Ave., Murrieta, CA 92502 Name and Address of owner. Jim Flath - 951-600-2783 Name and Telephone Number of person familiar with project. $347,803.72 Coating 9127/2018 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Arthur J. Gallagher - INSURANCE 3697 Mt. Diablo Blvd, Suite 300, Lafayette, CA 94549 925-310-1013 Philadelphia Indemnity Insurance Company via Rapp Surety and Insurance -SURETY 120 Vantis Dr., Suite 300, Allso Viejo, CA 92656 949-840.6770 23M1.9 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS ADDITIONAL REFERENCEESS, The following are the names, addresses, and telephonenumbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. 1. Jurupa Unified School Disidot - 4850 Pedley Road, Jurupa Valley, CA 92509 Name and Address of Owner. 2. $387,979.00 Contract Amount Name and Telephone Nun $384,948.00 Contract Amount Process and 92501 9/21/2018 Date Completed Tile 9/6/2017 Type of Work Date Completed 3. Tustin Unified School District- 300 South C Street, Tustin, CA 92780 Name and Address of owner. Biff Denney-714-730-7515 $1,927,240.00 BUR 9/112016 Contract, Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and, bonds. Arthur J. Gallagher - INSURANCE 3697 Mt. Diablo Blvd, Suite 300, Lafayette, CA 94549 925-310-1013 Philadelphia Indemnity Insurance Company via Rapp Surety and Insurance - SURETY 120 VantlsDr., Suite 300, Aliso Viejo, CA 92856 949-540-6770 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed State of California County of Subscribed and sworn to (or affirmed) before me on this day of 20 y proved to me on the basis of satisfactory evade o be the person(s) who appeared before me Notary Public Signature Public Seal SEE ATTACHED 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 9/26/2019 before me, Christopher D. Porter, Notary Public (insert name and title of the officer) personally appeared William A. Baley who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/afe subscribed to the within instrument and acknowledged to me that he/shefthey executed the same in hisAge4th,& authorized capacity{ie*, and that by hisihel^Rheirsignature(eyon 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 underthe laws of the State of California that the foregoing paragraph is true and correct. �P•. CHRISTOPHER D. PORTER =�'"' _ NotaryPublic - California WITNESS my hand and official seal. -D Orange County Commission # 2285147 My Comm. Expires Apr 15, 2022 Signature (Seal) 23A-22 MY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: "� ° ' L� Wiliam A. Beley Title: President Firm: CJ. Services, Inc. Date: 9/26/2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF 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: L Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council. Signed: William A. Baley Title: President Firm: C.I. Services, Inc. Date: 9126/2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS STATEMENT REGARDING "ANTI -KICKBACK" REQUIREMENTS The undersigned is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the Copeland "Anti -Kickback" Act (18 USC 74) as supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or subcontractor shall be prohibited from inducing, by any means, any person employed in the construction or repair of public work, to give up any part of the compensation to which he/she is otherwise entitled. ,( Signed: r `" l'� �1 WilliarnA. Baley Title: President Firm: C.I. Services, Inc. Date: 9/26/2019 L CITY OF SANTA ANA PROPOSAL PROJECT NO.: 20-6012 SARTC ROOF IMPROVEMENTS PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, .or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes No X If the answer is yes, explain the circumstances in the following space. NIA MAYOR MiguolA. Pulldo MAYOR PRO TEM Juan Villages COUNCIL MEMBERS .., Phil Bacerra Cecilia Iglesias David Pena lozo Vicente Sannionto Jose solorlo CITY OF SANTA ANA PLANNING 8 BUILDING AGENCY 20 Civic Center Plaza (M-20) P.O. BOX 1988. Sonia Ana, Californla 92702 (714) 667-2700 • Fax (714) 973.1461 mvw.santa-anaorg NOTICE OF EXEMPTION CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carve lho CLERK OF THE COUNCIL balsy Gomez FILED JAN 16 2020 0 ECOU RK•RECORDER DFPARTMENI B ; _...�,..�,,,._.....................DEPUTY From the Requirements of the California Environmental Quality Act (CEQA) Pee Exemption per California Government Code Section 6103 To: COUNTYCLERK County of Orange P,0, Box238 Santa Ana, CA 92702 Project Title: SARTC Roof Improvements ProjectNumber(s): PWA-2020-78-CIP Project Location: 1000 E Santa Ana Blvd City: Santa Ana County: Orange Project Description: Facility re -roof, From: City of Santa Ana Planning & Building Agency 20 Civic Center Plaza M-20 Santa Ana, CA 92702 �7 Date of Approval: 02/18/2020 ER Number: 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: City Council Name of Person or Agency Carrying Out Project: Chosanek, Tryrone Exempt Status: ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) 0 Emergency Project (Sec. 15260 (b through a)) ❑ General Rule (800. 15061(b)(3)/(5)) ❑ Statutory Exemption: 0 Categorical Exemption: 15301(d) Reasori(s) Why Project Is Exempt From CEQA: Existing facility. ER-2020-5 _ CD 1 POSTED JAN 16 2020 0 flECOU R •RECORDER GEPARTMENT fiV,,,.,-,...,.............._.,._. DEPUTY Recorded in Official Records, Orange County Huf 11 N an IIIIIIIlIInIIII�IIIIIIIIIIIIIIIIIiIClark-Recorder iIiI�IfIIIIIIIIIB I�IfI NO FE * $ R 0 0 1 1 4 1 8 9 3 g 20208500002810:55 am 01/16/20 381 OR03 Z01 0.00 60.00 0,00 0.00 0.00 0.00 0,00 0.00 City Contact: Robert Aguirre Telephone: (714) 647-5051 Signature; Title: I Date: t it S/2a 2G SANTA ANA CITY COUNCIL Miguel A. Pulitlo Juan Villages Vincent' Barmiento J W soolodo Phil BaceRa David Penalpaa Cecilia Iglesias mayor Mayor Pro Tem, Word ii Ward 1 avi iourdo BaD}3:eLL'^•" ivllenasldiaanla.ana nro Were Ward2 yS.®rmlfgipteap!'c��aq',LOIBI� 16s1911Qr5agla.tasW obeCPrrar�sento.agg,ofT1 llggl0re(�nal>tfl. cdaal Ward auasr.� an °sot":.ona•grA a.1 THE REGISTER 2190 TOWNE CENTER PL, ANAHEIM, CA 92806 Telephone (714) 796-7000 / Fax (714) 796-6059 PROOF OF PUBLICATION (2D15.5 C.C.P.) state or California ) County of ORANGE )SS Nollce Type: BID -NOTICE INVITING BIDS Ad Description: SARTC Roof Improvements Proj 20.6012 I am a citizen of the United States and a resident of the State of California; I am over the age of eighteen years, and not a party to or interested In the above entitled matter. I am the principal clerk of the printer and publisher of the THE REGISTER, a newspaper published In the English language In the city of SANTA ANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the State of California by the Superior Court of the County of ORANGE, State of California, under date 11119/1905. Case No. A21046. That the notice, of which the annexed is a printed copy, has been published In each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to -wit: 08/09/2019, 0811612019 Executed on: 08/16/2019 At SANTA ANA,CA I certify (or declare) under penalty of perjury that the foregoing Is true and correct. This space for nling stamp only CNS#: 3282459 )TICE IS Is awarded. The _ the City GIVEN bidooruron the bid it Ana will bond must be :eive Bids notarized. In iclronlcaIlY via addition to energies on or electronic Bid fore 2:00 Pm, submittals Bidders igust 29, 2019. No shall deliver an e bids will be original hard copy of cepted. No other the Bid Proposal :thud of bid Guaranty. For omittal will be furtherr Instructions cepted for: reaartling original 200E TNO.: 20. Bid Proposal 012 SA TC Roof Guaranty submittal, Improvements refer to Planetelds. Plans and Failure to provide eclficatians are required documents sr available on with Bid may cause metBlds. For the bid to be deemed -ther Information to onslve. hawor register as e/9, � S # vendor refer te: OFNiS Ps:/Ayww.santa- T E REGISTER call Division Public Agency COPY 0 Pro osa shad bo some CITY OF SANTA ANA BONDS PROJECT NO.: 20-6012 PB11510900463 PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that C.I. Services, Inc. as CONTRACTOR, and Philadelphia Indemnity Insurance Company a corporation, organized and existing under the laws of the State, and duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal sum of Nine hundred ninety seven thousand six hundred forty seven and 00/100 Dollars ($ 997,647.00 ), which is 100 percent of the total contract amount for the above stated project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated February 18, 2020 for SARTC Roof Improvements if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in the performance of the Work of Improvement to be done under said Contract Agreement, or fails to submit amounts due under the State Unemployment Insurance Act with respect to said labor, SURETY will pay for the same in an amount not exceeding the sum set forth above, which amount shall insure to the benefit of all persons entitled to file claims under the State Code of Civil Procedures; provided that any alterations in the work to be done, materials to be 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 19th day of March CONTRACTOR!" c_i. si in Fact 2020 Rapp Surety & Subscribed and sworn to before me, 20 Signature: Notary Public in and for the County of 26861 Trabuco #353. Mission 626-639-1321 Drive, Suite 300, Also Viejo, CA 92656; State of this day of Rate of premium on this bond is $ varies per thousand. Total amount of premium charge is $Included in Performance Bond Charge . To be filled in by .Surety *Provide CONTRACTOR I ADMITTED SURETY name, address, and telephone number acid the name, title, address, and telephone number of authorized representative. 2of3 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 19, 2020 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(o) whose name(*) is am subscribed to the within instrument and acknowledged to me that heA@ko# my executed the same in hisAR*0ftOr authorized capacity(i*e), and that by his/kewikeio signature(%) on the instrument the personf*, or the entity upon behalf of which the person(w) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. r°F>+Ea DEBRASVVANSON WITNESS my hand and official seal. COMM. # 2170759 NOTARY PUBLIGCAUPORNIA;0 p ORANGE COUNTY N {{�� MY COMM, EXP. NOV 10, 2020 Signature U:1 'SS. L"k-1 : k (Seal) PHILADELPHIA INDEMNITY INSURANCE COMPANY 231 St. Asaph's Rd, Suite 100 Bala Cynwyd, PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoitu Douglas A. Rapp & Timothy D. Rapp of Rapp Surety & Insurance Services, Inc. I its true and lawful Attorneys) in fact with full authority to execute on its behalf bonds, undertakings, recognizunces and other contracts of indemnity mid writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed j 25,000,000.001 This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the I"day of July, 2011 RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1) Appoint Attomey(s) in Fact and au0todze the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof and to atmoli the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Pact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers; and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and biding upon the Company in the future with the respect to my bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 7" DAY OF FEBRUARY 2013. . y" L iy':"$Ytti�t4•,PA��� Yak (Seal) Robert D. O'Leary Jr., President & CEO Philadelphia Indemuity Insurance Company On this 7"' day of February 2013, before me name the individual who executed the preceding instrument, to me personally known, and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Compmry; that the said Corporate Seal and his signature were duly affixed. NDThRI 'ICI DMIHLE PIIRATH,aN�NaryPu6plakary" g r7 bbramhdaa ,AU Alatb 0101® l�A� A df Notary Public: i7rl, residing at: Bala Cynwyd. PA (Notary Seal) My commission expires: March 22 2016 I, Craig P. Keller, Executive Vice President, Chief Financial Officer and Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto are true and correct mid are still in full force and effect. I do further certify that Robert D. O'Leary Jr, who executed the Power of Attorney as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my name and Axed the facsimile seal of each Company this 19th ' day of March 2020 �tiy,xdry �� CraigP Keller, Executive Vice President, Chief Financial Officer & Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY 5Ap , k6lai tY 1 yf�NHL�nfs5lnx��� 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 3/16/2020 before me, Christopher D. Porter, Notary Public (insert name and title of the personally appeared William A. Baley who proved to me on the basis of satisfactory evidence to be the personal whose nameW is/are subscribed to the within instrument and acknowledged to me that he/sheRbey executed the same in hiss",, 'gin• authorized capacity{ie*, and that by his/herkheir signature(a)' on the instrument the personal, or the entity upon behalf of which the person(a') 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. CHRISTOPHER D. PORTER s 1 Notary Public -tCalifornia Orange County ^ Commission R 22g5347 My Comm. Expires Apr 75, 2023 Signature ��{/ (Seal) CITY OF SANTA ANA BONDS PROJECT NO.: 20-6012 PB11510900463 KNOW ALL MEN BY THESE PRESENTS that C.I. Services. Inc. as CONTRACTOR, and Philadelphia Indemnity Insurance Company , a corporation, organized and existing under the laws of the State, and duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal slim of Nine hundred ninety seven thousand six hundred forty seven and 001100 Dollars ($ 997,647.00 ), which is 100 percent of the total contract amount for the above stated project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated February 16, 2020 for SARTC Roof Improvements if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work of Improvement to be done under said Contract Agreement in the manner and time specified therein, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY; provided that any alterations in the obligations or time for completion made pursuant to the terms of the contract documents shall not in any way release either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by SURETY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 19th day of March , 2020 . CONTRACTOR* c.l. ^ 11 . _ 251 S. Lake Ave.. Suite CA 92691 Douglas A. Rapp,6ttomey in Fadty Rapp Surety & Insurance Services, Inc., 120 Vantis Drive, Suite 300, Niso Viejo, CA 92656; 949-540-6770 Subscribed and sworn to before me, this day of 20 Signature: Notary Public in and for the County of State of Rate of premium on this bond is $ Varies per thousand. Total amount of premium charge is $ $12,969.00 . 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. 1 of 3 ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Orange ) On March 19, 2020 before me, Debra Swanson Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp , who proved to me on the basis of satisfactory evidence to be the person(r) whose name(e) ismm subscribed to the within instrument and acknowledged to me that he/eWWOmy executed the same in hisAwrf*m* authorized capacityOPO, and that by his/beolliwiosignature(*) on the instrument the person", or the entity upon behalf of which the person(e) 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. N Psv„°;'< DEBRASWANSON -� w NOTMY PUBI.IC•CALIFORNIA N gg: � �% ORAN6E COUNTY `•;n.�,Mr MY COMM. EXP. NOV 10. 2020 N Signature �, �L �,c- (Seal) PHILADELPHIA INDEMNITY INSURANCE COMPANY 231 St. Asaph's Rd., Suite 100 Bala Cynwyd, PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA INDEMNITY INSURANCE COMPANY (the Company), a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, does hereby constitute and appoint Douglas A. Rapp & Timothy D. Rapp of Rapp Surety & Insurance Services, Inc. I its true and lawful Attorney(s) in fact with full authority to execute on its behalf bonds, undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof, issued in the course of its business and to bind the Company thereby, in an amount not to exceed �25,000,000.001 This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the I day of July, 2011. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1) Appoint Attorney(s) in Fact and authorize the ARomey(s) in Fact to execute on behalf of the Company bonds and undertakings, contracts of indemnity and other writings obligatory in the native thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney -in -Fact and revoke the authority given. And, be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile, and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall he valid and biding upon the Company in the future with the respect to any bond or undertaking to which it is attached, IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 7ra DAY OF FEBRUARY 2013. V o-(1�0 Robert D. O'Leary Jr., President & CEO Philadelphia Indemnity Insurance Company On this 7" day of February 2013, before me came the individual who "cooled the preceding instrument, to me personally known, and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY; that the seal affixed to said instrument is the Corporate seal of said Company; that the said Corporate Seal and his signature were duly affixed. NoiAOtA"72 DANIEL 860PA1H, NelnyPrlraAaoaty � Lutiarltiff&* .,Mon lrclt 02010 Ib nm� n Notary Public: residing at: Bala Cynwvd, PA (Notary Seal) My commission expires: March 22 2016 I, Craig P. Keller, Executive Vice President, Chief Financial Officer and Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY, do herby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto are true and correct and are still in full force and effect. I do further certify that Robert D. O'Leary Jr, who executed the Power of Attomey as President, was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Wbereof I have subscribed my i mne and affixed the facsimile seal of each Company(hisl 19th day oft March I, 12020 .09 '. `' ,y.rarp'' Craig P, Keller, Executive Vice President, Chief Financial Officer & Secretary �rfn i�? PHILADELPHIA INUEMNITY INSURANCE COMPANY 3'; INa,Y,T'Ho 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 3/16/2020 before me, Christopher D. Porter, Notary Public (insert name and title of the officer) personally appeared William A. Baley who proved to me on the basis of satisfactory evidence to be the persons) whose nameW is/are subscribed to the within instrument and acknowledged to me that he/shefthey executed the same in hislh,�m authorized capacityfes), and that by hisf m-Otheir signatures) on the instrument the person(e), or the entity upon behalf of which the personal 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. Notary OPHER D. PORTER CH[ary OPHE -California Orange County _ Commission X 2285347 My Comm. Expires Apr 15, 2023 Signature (Seal)