Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
23A - BUDGET REALLOCATION FOR FLOWER BIKEWAY
REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: AUGUST 18, 2020 TITLE: AUTHORIZE A BUDGET REALLOCATION OF $92,084, AND AWARD A CONSTRUCTION CONTRACT IN THE AMOUNT OF $711,682 TO ELECNOR BELCO ELECTRIC, INC. FOR THE GRANT - FUNDED FLOWER STREET BIKEWAY PROJECT (TOTAL ESTIMATED CONSTRUCTION DELIVERY COST OF $865,587) (PROJECT NO. 17-6897) (NON -GENERAL FUND) /s/Kristine Ridge CITY MANAGER CLERK OF COUNCIL USE ONLY: APPROVED ❑ As Recommended ❑ As Amended ❑ Ordinance on 111 Reading ❑ Ordinance on 2ntl Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO FILE NUMBER RECOMMENDED ACTION 1. Authorize reallocation of $92,084 in Measure M2 Local Fairshare funds, $80,000 from the Bike Lane Project Development (Project No. 20-6904) and $12,084 from the Traffic Safety Project Development (Project No. 20-6905), to the Flower Street Bikeway Project (Project No. 17-6897) to complete the funds needed for the construction delivery cost and matching funds requirement. 2. Award a construction contract to Elecnor Belco Electric, Inc., the lowest responsible bidder, in accordance with the base bid in the amount of $711,682, for construction of the Flower Street Bikeway Project, for the term beginning August 18, 2020 and ending upon project completion, and authorize the City Manager to execute the contract subject to non -substantive changes approved by the City Manager and the City Attorney. 3. Approve the Project Cost Analysis for a total estimated construction delivery cost of $865,587, which includes $711,682 for the construction contract; $100,700 for contract administration, inspection and testing; and a $53,205 project contingency for unanticipated or unforeseen work. DISCUSSION The recommended actions are needed to proceed with the installation of a bikeway on Flower Street from Warner Avenue to Civic Center Drive (Exhibit 1). The improvements include construction of bicycle lanes, traffic signal modifications, bicycle detectors, installing signage, and painting corresponding striping. Once completed, these improvements will provide bicycle safety enhancements and improve mobility for all users (Exhibit 5) 23A-1 Award Contract to Elecnor Belco Electric, Inc. for Flower Street Bikeway Project August 18, 2020 Page 2 City Council approval to reallocate $92,084 in unspent Measure M2 Local Fairshare funds is requested to complete the funding needed for the estimated construction delivery cost and the City's matching requirement. Upon approval of the requested reallocation, the total funds available for construction will be $865,587, which is comprised of $694,903 in grant funding and $170,684 of Measure M2 Local Fairshare funds. Public Outreach and Contractor Participation To provide an opportunity for local vendors to submit bids, a Notice Inviting Bids was advertised in the Orange County Register newspaper on May 6, 2020 and May 13, 2020. The project was also advertised in PlanetBids from April 29, 2020 through May 27, 2020. Bids were received electronically via PlanetBids, on May 27, 2020. A total of 280 vendors, including vendors in the City of Santa Ana, were notified of the project via PlanetBids. Forty-nine vendors requested bidding documents and five bids were received. Bids were not received from any Santa Ana contractors. Bid Results Summary RANK BIDDER'S NAME LOCATION BASE BID 1 Elecnor Belco Electric, Inc. Chino $711,682 2 Asplundh Construction, LLC Anaheim $770,500 3 California Professional Engineering La Puente $781,754 4 Select Electric, Inc. Vista $786,393 5 International Line Builders, Inc. Corona $851,797 All bids were responsive, with Elecnor Belco Electric, Inc. submitting the lowest responsive bid in the amount of $711,682 (Exhibit 2). Based on the bid analysis and a contractor's reference check, staff recommends awarding the construction contract to Elecnor Belco Electric, Inc. in the amount of $711,682 (Exhibit 3). Project Delivery To deliver a complete project, in addition to the construction contract, the estimated total project delivery cost includes construction administration, inspection, and testing, along with an allowance for contingencies to account for unexpected or unforeseen conditions. Construction administration and inspection includes construction management; implementation of the City's Community Workforce Agreement requirements; inspection of the Contractor's work to ensure contract compliance, workmanship, and quality; and materials testing. As indicated in the Cost Analysis (Exhibit 4) and as summarized in the table below, the estimated total construction delivery cost of the project is $865,587. Project Item FY 16-17 CIP Funds Added City Funds Total Construction Contract $694,903 $16,779 $711,682 Construction Administration, Inspection, Testing $0 $100,700 $100,700 Contingencies $0 $53,205 $53,205 TOTAL CONSTRUCTION DELIVERY COST $694,903 $170,684 $865,587 23A-2 Award Contract to Elecnor Belco Electric, Inc. for Flower Street Bikeway Project August 18, 2020 Page 3 ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended actions are exempt from further review. Categorical Exemption Environmental Review No. 2016-40 was filed for this project. FISCAL IMPACT As indicated in the Cost Analysis, the estimated total delivery cost of this project is $865,587, which includes the construction contract, contract administration, inspection, and testing, and project contingency. The reallocation of $92,084 in unspent Fiscal Year 2019-20 Measure M2 Local Fairshare funds will be available to fully fund the total delivery cost and the City's matching funds requirement. The funding currently budgeted in the amount of $773,503 will be carried forward from FY 2019-20 to FY 2020-21. The following table summarizes the funds budgeted to deliver construction of this project: Fiscal Year Accounting Unit- Fund Accounting Unit, Amount Account # Description Account Description CARRY FORWARD BUDGET FROM FY 2019-20 TO FY 2020-21 14717611-66220 Federal Aid Public Svcs -Street Safety FY 2019-20 (17-6897) Safety Program Projects, Improvements $694,903 Other Than Building 03217662-66220 Measure M-Street Measure M2 Local FY 2019-20 (17-6897) Construction Fairshare, Improvements $78,600 Other Than Building PROJECT BUDGET REALLOCATION 03217662-66220 Measure M-Street Measure M2 Local FY 2020-21 (17-6897) Construction Fairshare, Improvements $92,084 Other Than Building Total: $865,587 Fiscal Impact Verified By: Kathryn Downs, CPA, Executive Director — Finance and Management Services Agency Submitted By: Nabil Saba, P.E., Executive Director — Public Works Agency Exhibits: 1. Location Map 2. Bid Proposal 3. Construction Contract 4. Cost Analysis 5. Project Plan 23A-3 IProject Locations SANTA ANA Project No. 17-6897: Pi Flower Street Bikeway ,WM ..„ A.Mff HSIPL 5063(187) 23A-4 City of Santa Ana Page 1 Flower Street Bikeway (17-6897 (HSIPL 5063(187))), bidding on May 27, 2020 2:00 PM (Pacific) Printed 06/09/2020 EXHIBIT 2 Bid Results Bidder Details Vendor Name Elecnor Belco Electric, Inc. Address 14320 Albers Way Chino, CA 91710 United States Respondee John Wong Respondee Title Vice President Phone 009-093-5470 Ext. Email jwong@elecnor.com Vendor Type CADIR License # 738518 CA DIR Bid Detail Bid Format Electronic Submitted May 27, 2020 1:40:14 PM (Pacific) Delivery Method Bid Responsive Bid Status Submitted Confirmation# 213030 Ranking 0 Respondee Comment Buyer Comment Attachments File Title File Name File Type Bid Proposal Bid Proposal to Agency.pdf General Attachment Ownership Affidavit Ownership Affidavit to Agency.pdf Ownership Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Bid Bond Bid Bond to Agency.pdf Bid Bond Guaranty (Notary Public) - REQ Original Hard Copy Submittal in Addition Non -Collusion Affidavit Non -Collusion Affidavit to Agency.pdf Non -Collusion Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Line Items Type Item Code UOM qty Unit Price Line Total Comment Section 1 1 Mobilization LS 1 $8,585.00 $8,585.00 2 Traffic Signal Modification at Edinger Ave and Flower St LS 1 $140,000.00 $140,000.00 3 Traffic Signal Modification at McFadden Ave and Flower St LS 1 $119,000.00 $110,000.00 P,2&un City of Santa Ana Page 2 Flower Street Bikeway (17-6897 (HSIPL 5063(187))), bidding on May 27, 2020 2:00 PM (Pacific) Printed 06/09/2020 Bid Results Type Item Code UOM Oty Unit Price Line Total Comment 4 GTT Opticom EVP System at Edinger &Flower LS 1 $10,689.00 $10,689.00 5 Install 2" PVC per plan LF 470 $32.00 $15,040.00 6 Install 3" PVC per plan LF 225 $40.00 $9,000.00 7 Install 4" PVC per plan LF 580 $60.00 $34,800.00 8 No. 6 Pullbox EA 10 $692.00 $6,920.00 9 No. 6E Pullbox EA 2 $868.00 $1,736.00 10 Install Video Detection System at Edinger Ave & Flower St LS 1 $33,337.00 $33,337.00 11 Install Video Detection System atMcFadden Ave & Flower St LS 1 $33,337.00 $33,337.00 12 24 Strand SMFO Cable LF 3150 $2.20 $6,930.00 13 Fusion Splice 1 Strand SMFO EA 48 $35.00 $1,680.00 14 IP Communication System at McFadden Ave & Flower St LS 1 $16,000.00 $16,000.00 15 Construct ADA Curb Ramp Per Plan SF 300 $47.00 $14,100.00 16 Pothole For Utility Not Shown on Plan EA 10 $1,115.00 $11,150.00 17 Pothole For Utility for Traffic Signal Pole Locations EA 8 $875.00 $7,000.00 18 Unclassified Excavation CY 10 $1,116.00 $11,160.00 19 Temporary Overhead Wiring at Edinger Ave & Flower St LS 1 $7,600.00 $7,600.00 P12,rn6 City of Santa Ana Flower Street Bikeway (17-6897 (HSIPL 5063(187))), bidding on May 27, 2020 2:00 PM (Pacific) Bid Results Type Item Code UOM Oty Unit Price 20 Temporary Overhead Wiring at McFadden Ave & Flower St LS 1 $5,500.00 21 Install Type "Q" Bike Loop EA 13 $285.00 22 Install Type "E" & Type "D" Bike Loop EA 120 $257.00 23 Signing and Striping LS 1 $173,573.00 24 Labor Agreement Oversight LS 1 $10,000.00 Subtotal Total Page 3 Printed 06/09/2020 Line Total Comment $5,500.00 $3,705.00 $30,840.00 $173,573.00 $10,000.00 $711,682.00 $711,682.00 P,2&un 7 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FI,OWF,R STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Fleenor Belco Electric, Inc. REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Unit Unit Price Amount I Mobilization 1 LS $eb'Sv5 Dip 2 Traffic Signal Modification at Edinger Ave and Flower St 1 LS $ l.{ Q - 00U $ I� 6I (7©0 3 Traffic Signal Modification at McFadden Ave and Flower St 1 LS $ 111 000 $', LlI cco 4 GT'r optician F.VP System at Edinger & I LS $ �� �@ lcr $ (oC Flower l 5 Install 2" PVC per plan 470 LF $ 72- 6 Install 3" PVC per plan 225 LF $ (' p $ gICcO 7 Install 4" PVC per plan 580 LF $ $ "31 k t e00 8 No, 6 Pullbox to EA $ (p 2 $ (P l 0(?—& 9 No. 6E Pullbox 2 EA $ $ , T3W' I 0 Install Video Detection System at Edinger I LS $ % j $ �iI 334 Ave & Flower St t�j I I Install Video Detection System at I LS $' �✓' 3 2 $ 33 McFadden Ave & Flower St 13 12 24 Strand SMFO Cable 3,150 LF $ -1-- 26 $ (D c0c) 13 Fusion Splice 1 Strand SMFO 48 EA $ 175 $ , W 60 P-I ofP-52 23A-8 CITY OF SANTA ANA 40 PROPOSAL PROJECT NO.: 17-6897 F1,OVA' R STREET BTKEWAY FEDERAL PROJECTNO: HSIPL 5063 (187) Item Description t Unit Unit Price Amount 14 IP Communication System at McFadden Ave & Flower St I LS $ f(�CC` \ $ �C 15 Construct ADA Curb Ramp Per Plan 300 SF $ I 1 `Z "' l $ 1 16 Pothole For Utility Not Shown on Plan 10 EA $ ll i 17 Pothole For Utility for Traffic Signal 8 EA $,�-�j $ .�./(✓OG� Pole Locations Unclassified Excavation 10 CY $ $ 19 Temporary Overhead Wiring at Edinger 1 LS $1 ���'�� $�-I [�,CG Ave & Flower St 20 Temporary Overhead Wiring at 1 LS $ 7- 5r, $ S c�cl O McFadden Ave & Flower St 21 Install Type "Q" Bike Loop 13 EA $ $ 22 Install Type "E" & Type "D" Bike Loop 120 EA $ $ 23 Signing and Striping I LS $ 11e3151 $ 24 Labor Agreement Oversight 1 LS $10,000 $10,000 TOTAL BASF. B[ w " 7 (' Lo"bl 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, al I, or none of the add -alternate bid items (if any). The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual i yX--S6 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. f This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within number (80) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $400.00 per calendar day. Name of Firm Signature of BIDDER John Title W' • Pr=s d ni (If an individual, so state. trm or rship, state the firm Warne 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.) Alberto Garcia de los Angeles - President John Wong - Vice President Pedro Fnrile - Secretary Jeroni Geivilla-'rreasurer idA pib UNANIMOUS WRITTEN CONSENT IN LIEU OF 2019 ANNUAL MEETING OF THE BOARD OF DIRECTORS OF ELECNOR BELCO ELECTRIC, INC. January 1,2019 The undersigned, being all of the members of the Board of Directors (the "Board") of Eleenor Belco Electric, lno., a California corporation (the "Company"), in lieu of holding a meeting of the Board, hereby take the following actions and adopt the following resolutions by unanimous written consent: WHEREAS, the Board has determined that it is in the Company's best interests to appoint a revised slate of Officers of the Company. NOW, THEREFORE, BE IT RESOLVED, that the following persons be, and hereby are, elected to the offices set forth opposite their respective names, to hold such offices until their respective successors are elected and qualified at or before the next annual meeting of the Board, or until their earlier respective deaths, resignations or removals: President and Chief Executive Officer Alberto Garcia De Los Angeles Chief Financial Officer Jeroni Gervilla Senior Vice President, General Counsel Roger Devito and Assistant Secretary Vice President for Construction John Wong Secretary Pedro Ensile FURTHER RESOLVED, that Alberto Garcia De Los Angeles, Jeroni Gervilla, Alberto Garcia and Roger DeVito in their respective capacities (listed above) subject to such supervisory powers of the Board of Directors, hereby are authorized and directed to perform all the duties commonly incident to that office; shall have authority to execute in the name of the Company contracts, leases and other written instruments to be executed by the Company; and, shall perform such other duties as the Board of Directors may from time to time determine. FURTHER RESOLVED, that the President and Chief Executive Officer may delegate authority to any Chief Financial Officer or Chief Operating Officer or Senior Vice President or Vice President as and within their authority levels as set forth in the Company's Bylaws, as the same may be amended from time to time; FURTHER RESOLVED, that Roger DeVito, in his capacity of Senior Vice President, is hereby authorized and directed to: 1. Negotiate, sign, amend and terminate agreements in connection with the purpose of the Company, for all contracts up to $250,000.00, and acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla for all contracts in amounts greater than $250,000,00. 2. Execute, atnend and finalize bid proposals in connection with the purpose of the Company, for all proposals up to $1,000,000.00, and acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervillafor all proposals in amounts greater than $1,000,000.00, 23A-11 3. Acting jointly with Alberto Garcia Do Los Angeles or Joroni Gervilla, execute, amend and finalize purchase orders for materials and equipment in connection with the purpose ofthe Company, 4. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and terminate agreements for the lease of real estate to be used as offices or job related temporary yards. 5. Acting jointly with Alberto Garcia Do Los Angeles or Jaroni Gervilla, execute, amend and terminate insurance and/or bid bonds arrangements in connection with the purpose of the Company. 6. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, hire, suspend, impose sanctions and dismiss the administrative personnel of the Company, setting forth their employment terms and conditions, obligations and remuneration. 7. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, settle and claims on behalf of the Company. AND IT IS FURTHER RESOLVED, that all actions heretofore taken by the officers of the Company on behalf of and In the name of the Company, relating to the conduct of the business of the Company, the expenditure of money, the making of contracts and all other acts taken or omitted in the performance of their duties to the Company be, and the same hereby are, in all respects, approved, ratified and affirmed, as of the date taken, done or omitted, respectively. The actions taken by the Board Consent shall have the same force and effect as if taken by the undersigned at a meeting of the Board of Directors, duly called and constituted pursuant to the Bylaws of the Company and the laws of the State of California. This Board Consent may be executed in counterparts, each of which shall be deemed anoriginal, but all of which together shall constitute one and the same document. IN WITNESS WHEREOF, the undersigned, being all of the members of the Board of Directors of Blecnor Belco Electric, Inc., have executed these actions by written consent as of the data Gist written above. Luis Metier, Director Alexander Anode, Director 23A-12 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: IISIPL. 5063 (187) BIDDER'S STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his/her duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) business days or the funds, check, drab, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. The BIDDER also certifies that the bid is a balanced bid. In accordance with Section 7028.15 of the California Business and Professions Code, the undersigned certifies under penalty of perjury that the foregoing is true and correct. Name of Firm Elccnor Belco jylsl ric, Inc. f Signature of BIDDER Title (If an individual, so state. irim or - ership, 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.) Alberto Garcia de ins Angeles - President Sohn Wong - Vice President Pedro Fnri le - Secretary Jeroni Get -villa - Treasurer 23APh CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECTNO: HSIPL 5063 (187) 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 arc registered with the State of California Department of Industrial Relations (DIR), and that the following is true and correct. Contractor's Name. Elecnar 8etca taectric. Inc - Business Address: 14320 Albers Way, Chino, CA 91710 Business E-Mail Address: iwone a.elecnoncom Telephone: 909-993-5470 State Contractor's License No. and Class: 738518 A, B, C-10 License Expiration Date: 713 th t State Dept. of Industrial Relations (DIR) Registration No.: 1000004804 State Dept. of Industrial Relations (DIR) Registration Expirati ate: 6/30/22 Signed: ,John Won Title: Vice President ULU CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct. Name of Firm Elecnm Signature of BIDDER Title (if an individual, so state) John ilAP it CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA ) John Wong , being duly sworn, deposes and says: ❑ INDIVIDUAL That he/she is the party making the foregoing proposal: ❑ PARTNERSHIP That he/she is a member of the co -partnership firm designated as: and who has been and is duly vested with the authority to make and execute instruments for the co -partnership by: who constitute the other members of the co -partnership. [51CORPORATION 'That he is of: Vice President a corporation which is making the foregoing proposal: ❑ JOINT VENTURE That he is of one of the parties making the foregoing proposal as ajoint venture, and the he/she has been and is duly vested with the authority to execute instruments for an on behalf of the parties making said bid who are: that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed or any other person. Rpm to before me this 10AI_ day of Maw 20 `!� 16`11SA "tr l WAA of officer Administering Oath (Notary Public) MWplk ar alhar officer wmRietingate veriftss only the idenllry oual who signed the document Io certlilcate is etteQ' valldily et tlneas. accuracy,ent. _ , .'.... ELISA BEThl UM COMITIssinn No. 2281037 �j;- NOTARY PVBiIC.CAtIFORNIA =AN BERNARDINO COUNTY �.My Ca� E.��.�a ANRCH SI. 2p23 r CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) 1171i7Tildi 7 KNOW ALL PRESENT that, Elecnor Belco Electric. Inc. as BIDDER, and Fidelity and Deposit Company of Maryland , as SURETY, arc held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of Ten Percent of Amount Bid Dollars (S 10% ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 19th day of May 12020. %l ., Donna M. Planets Attorn8!y ,n-Fait Subscribed and sworn to before me 120. Signature: Notary Public in and for the County of , State of this day of * Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. P-8 of P-52 23A-17 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 truthfullness, accuracy or validity of that document. ♦♦t444ti444t44tt44t4t4t4t4t4t444tttt4tt44444t44tt44444t4tttt44t4tt♦ State of W1{n1mt4, County of <59111 AlPIJiLbI.D On (�Lt4 22 t2o2e before me, t/t 1 Nam ow Notary Public �— omn yy ,n' amaa me of eery personally appeared 3bby1 r � � � .or Name and or Names of aiawrfs1 Who proved to me on the basis of satisfactory evidence to be the perso>(3f whose nampK isla j4 subscribed to the within instrument and acknowledged to me that heltS0elt)4y xecuted the same in his! rltVeir authorized capael es), and that by his4Wrl Ir signatureXan the instrument the persogW, 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 han Signature Notary PuM.a o.ftve ELISA BETH LIM Trr Commission No. 2281937 1 + NOTARY PUaLIGCAU£olt"M SMI BERNRRDINo c0k*4Tv . c MY Comm. EgNto>: MMCX 21, xaQJ OPTIONAL Place Notary Publio Seal Above Though the intormation below Is not required by taw, it may prove valuable to the persons 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 Document Date Signer's Name: ❑ Individual ❑ Corporate Officer —Title(s): ❑ Partner- ❑Limited ❑General ❑ Guardian or Conservator TOP of IWMb ❑ Attorney -in -Fact ❑ Trustee ❑ Other: Signer is representing Number of Pages: ❑ Individual ❑ Corporate Officer— Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Guardian or Conservator MIMI xQamurw ❑ Attomey-in-Fact ❑ Trustee ❑ Other. Signer is representing ♦♦ti44t4t444444t4tt44444444t4ttt4t4t44144tt4t4t44ttt4it44414t44444t 23A-18 ACKNOWLEDGMENT A notary public or other officer completing thi certificate verifies only the identity of the indivis dual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of Criatfoonim County of Hartford On May 19, 2020 before me, Brendan Fletcher, Notary Public (insert name and title of the officer) personally appeared Donna M. Planets who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) lim BRENDAN FLETCHER NOTARY PL,BLIC - CT 180835 My Commission Expires Feb. 28, 2025 23A-19 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Illinois (herein collectively called the "Companies"), by Robert D. Murray, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint, Donna M. Pt,ANETA, Joshua SANFORD, Aimee R. PF.RONDINE, Danielle D. JOHNSON, Michelle Anne MCMAHON, Bethany STEVENSON, Bryan M. CANESCHI, Kristopher PISANO, Rebecca M. STEVENSON, Nicholas TURECAMO and Tanya NGUYEN, all of Hartford, Connecticut, EACH, its tine and lawful agent and Attomey-in-Fact, to make, execute, seat and deliver, for, and on its behalf as surety, and as its act and deed: any and all bands 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 INFIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 4th day of October, A.D. 2019. Nc }yxt+�9➢! �{) � � ur i 56,E B" e ATTEST: By: Robert D. Murray Vice President a By. Dawn E. Secretary ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY F'IDF.LITV AND DEPOSIT COMPANY OF MARYLAND State of Maryland County of Baltimore On this 4th day of October, A.U. 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 mile, 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 swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and frame seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and thesignature 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. rj, �V:C•,::>`? Constance A. Dunn, Notary Public _ ''•.rr'+rn'i�iilr;�'� My Commission Expires: July 9, 2023 bnn,rno 23A-20 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Pact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys-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 seat shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Off day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and Facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my time and affixed the corporate seals of the said Companies, this 191h day of May 2020 t 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 w ,reportsfclaimsAzuriehna.00tn 800-626-4577 23A-21 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 PLOWER STREET BIKEWAY FEDERAL PROJECT NO: IISIPL 5063 (187) 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: Yz% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: ''/z% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name License #/Exp. DIR Reg #/Exp. Location Phone ' { ty Type Of Work Amount $ Name ('1105n CC'VV\Q'1h License #/Exp. % �L }0 3i 21 DIR Reg. #/Exp. 0 C C C C(?3o i.0 License # 3Ly OC Location K06imuWA,GR Phone Qbq— t 1 Type Of Work e o ' + Amount $ 1 Iq' , `J . Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name VOY(At I -� V1r, VQVSI'1C, License #/Exp. 2- 1 I L I z, i I 1 11 DIR Reg. #/Exp. Location 1L1��cfzeS I (.A Phone -f1 U - c1g q Type Of Work „I Amount $� Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name _ License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) 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. City of Victotville 14343 Civic Center Dr. Victorville, CA 92392 Name and Address of Owner. Greg Heldreth 760-243-6360 Name and Telephone Number of person f $445.220 Traffic Signals & Fiber Optics March 2018 Contract Amount Type of Work Date Completed 2. _ Cif of Diamond Bar 21.810 Conlcv Dr. Diamond Aar. Ca 91765 Name and Address of owner. Christian Malpica 909-839-7042 Name and Telephone Number of person familiar with project. $389,928 Traftle Signals & Fiber Optics September 2018 Contract Amount Type of Work 3. City of Mission Vieio MO Civic Center. Mission V_ieia_CA 92691 Name and Address of owner. Phillip Nitollama 949-470-3068 Name and Telephone Number of person familiar with project. $357,100 Traffic Signals Contract Amount Type of Work Date Completed September 2018 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. Willis Towers Watson Zurich American insurance Company 10 State Iloose Square, Floor 11 777 S. Figueroa St, Suite 3900 Hartford, CT 06103 Erin Kiernan 860-843-5404 Los Angeles, CA 90017 Margaret Hentz 213-270-0757 is p23 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) ADDITIONAL, REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. 1 • City of Glendale 633 F. Broadwav, Glendale. CA 91206 Name and Address of Owner. Sarkis Ovanesvan 818-548-394j Name and Telephone Number of person familiar with project. S600,000 Tragic Signals, Fiber & Interconnect March 2018 Contract Amount Type of Work Date Completed 2. Name and Address of owner. Prieyiltagarcia 562-402-2385 Name and Telephone Number of person familiar with project. $299,490 Traffic Signal Installation September 2017 Contract Amount Type of Work Date Completed 3, City of Azusa 213 E. Foothill Blvd, Azusa, CA 91710 Name and Address of owner. Cody Flowing 909-594-9702 Name and Telephone Number of person familiar with project. $352,269 Traffic Signals & Fiber Optics December 2017 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. Willis Towers Watson Zurich American Insurance 10 State House Square, Floor 11 777 S. Figueroa St, Suite 3900 Hartford, CT 06103 Los Angeles, CA 90017 Erin Kiernan 860-843-5404 Margaret Hertz 213-270-0757 2J/�►f L4 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: IISIPL 5063 (187) 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 clement 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 makiVaa falsertifieation may subject the certifier to criminal prosecution. State of County Subscribed and swam to (or affirmed) before me on this I'ft day of �dt. , 2t�_, by t1>th 1N1 proved tome on the basis of satisfactory evidence to a the person(s) who appearedWfore me C'k1SCA ary Public Signature A notary public or wo wmpletingShia eaniflcate veAi�tlenlity o!the individual whoocument lawhich this cerlifiead, and notthe truthfulness, aalfdlty of that document. Notary Public Seal .,,;,�; ELISA BETH LIM Commission No. 2281937 ORNIA t � ` NOTARY A.B E CH LI MA SAN BERNARONJO COUNTY e My Comm Expires MARCR 2L 2023 E[ CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 PLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: I. 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,: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) 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, U Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stars. 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 Chaddfe�. i Signed: Title: Firm: Date: May 19, 2020 2�4k L / CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) STATEMENT REGARDING APPRENTICESHIP REOUIREMENTS 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: 1. 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 c tractors, except contractors not signatory to the trust agreement shall pay a like amount t9+Califoyn a Apprenticeship Council. Signed: Title: Firm: John Wong Vice President Elecnor Belco Electric, Inc. Date: May 19 2020 i 7 • CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) 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 otherwiwvntitled. Signed: Title: Firm: Elcenor Belco Electric. Inc. Date: May 19, 2020 • I - CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE 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. 2�7/�►f S6 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) BIDDER'S STATEMENT REGARDING REOUIRED FEDERAL CONTRACT PROVISIONS (FORM FHWA-1273) The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the attached required Federal Contract Provision (Form FHWA-1273) . /I Signed Title Firm Date .John We Vice President Elecnor Belcv Electric, Inc. May 19, 2020 P M CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) REQUIRED CONTRACT PROVISIONS rEDERAL-AID CONSTRUCTION CONTRACTS L Gonaral A Nondiscrimination III. Nonsegregated Fadlties IV. Devls•9acon and Raland Act Pmvlsbns V. ContractWork Hours and Safety Standards Act Pmvlslom VI. Subletting or Assigring the Contact VII. Safety Accident Prevention MIL False Statements Concerning Flghmy Pmyacts IX. Implamentatm of Clean Air Ad and Federal Water Pollution Control Ad X. Co mpfanca wits GoverrmorMde Suspension and Deba nn ant Raquraments, XI, Ceadfiation Ragaidng Uwof Contend Findston Lobbying ATTACHMEWTS A. Em ptoym ent and Materials Preference fDr Appaiachfan O evdopm e rt Wighmy System or Appalachlan Local Arrows Road Contends iindi ded in Appalachian contracts only) 1. GENERAL 1. Fam FHWA-1273 must ba physicaiy incorporated in each construction contractfunded undarTitle 23 {encWdrg amefgoill contracts solely intended fordel is ranoval). The cmntradon {orsuboontenctwy must m.saft this form in each subcontract and further requite its inclusion In all loxer tier subcontracts{excluding purchase orders, rentalagrarmonts and other agreements for supplies or services). The appiksbo mg moments of Fomn FHWA-1273 are bcorporzted ty refamnce for workdone under any pumhase ontler,rantai ogre errant onagreement for other ser+Aces. The prime cmtenctor shall be raspmsitie for conplmce by ary subcunnaclor, lomr-tier subcontractor orservlce provider. Form FHWA-1273 must to indudad in all Fed arnl•aid dosign- 64Id contracts, in all subcontencts and In lower tier subconnacts(excdud Inlg subcontracts for d&sign services, purchase orders, nntal agroan ants and otter ag roam ants for suppli as or services). The daslgnWidar s hall be responsible for compiance by any subcanhada, berm -tier subcwtractur orservice pTuMer. Contracting agendas may refamnea Form FHWA-1273 in bid proposal or mq uest for proposal documents, hoverer, the Form FHWA•1273 must be physimly+ incorporated (nd referenced) in all centacls, sbcar(acts and laver -tier s nbmntracts (excluding purchase orders, rental agreements and other agre amants for supplies or sarWcas related to a construction contract). 2. Suljectto the applicrblity olteda noted in the falowinrg sections, these contract providms shell apply b all wo4k performed on the contend by the ourtraacws own orgadzatbn and with the assistance of workers under the corbactofs Immediate superintendence and tool wok performed on the contract by pincewo* station work or by subcontract FhWA-1273-- Revised May 1, 2012 3. 1 breach of any d the stpulatiws cariaiied inthese Required Cmtmct Provisions may be sufficient gmmnds for witlthotding of progress payments, with1hDAing of final payment, termination of the contend, suspension I debarmont many other action delarmined 1D be appropriateby the contracting agency and FFBNA. 4. Selection of labor. During the pedommance d this contract the confractonsholl not use o ict labor for any pufilose xdhii the limits of a corstr ucton project on a Fed aial•aid Ng hmy unless It Is labor pe dorm ed by convicts who are on parde, supanised release, or prohabafl. The term Fedorai•aid highway does not Include roadways funclmaly dess"tied as local mods or rural m Iron col lactors. The provisions of this section related to 23 CFR Part 230 are applicable to all Fodare-aid conatruclon contracts and tool related constrction subcontracts of &10,OD0 on more. The provisions of 23 CFR Par! 230 are rot appkabie to material supply, engineering, orarchitectural service contracts. it add lion le contractor and all subcontractors must comply with the folbxing poll Exec ulve Order 11246. 41 CFR 60. 29 CFR 1M.1627. Title 23 USC Section 140. the Rehabilitation Act of 1973. as amended 943 USC 794). Title VI dthe Civil Rights Act of 1964. as amended, and related regulations ndud ng 49 CFR Pars 21, 26 and 27; and 23 CFR Parts 200, 230. and 633. The contenctonand all subcontractors must comply with! the requ it emants of the Equal Opportunity Clausen 41 C F R 60- 1.4(bb) and. for all construction contends emoodng $10.0 )0. the Standard Federal Equal Employment ©ppoilurity ConsirucCion Contact Spm icalons in 41 CFR 60.4.3. Note: The V.S. Department of Labor has emkiNve authority to deffirmine complance with Execotiv Order 11246 and the polices d the Secretary of Labor Including 41 CFR60. and 29 CFR 1625-1627. The contracting agency and the FHWA have t he authondy and the responsibility iD an sure comlfiance with Tile 23 USC Section 140, the Rehabilitation Actof 1973. as amended (29 USC 794). and The VI of tha Chit Rig fts Ad of 1%4, as amended and related rag Matins including 49 CFR Parts 21, 26 and 27: and 23 CFR Parts 200, 230, and 633 The fdbwimg povisiom is adoplad from 23 CFR 230, Apppend'a A, with appropriate revisions to conform to the U.S. Department of Labe (US OOL) and FHWA requirements. 1. Equal Employment Opportunity: Equal employment oppmtm dy (E EO) req ukaments not to d lamimi ate and to to aifamat#re action 1D assure eq ual opportunity as set forth under laws, executive orders, rules, regulalors 428 CFR 35, 29 CFR 1630, 29 CFR 1625.1627. 41 CFR 60 and 49 CFR 27) and orders of the Secretary of Latxw as mud If led by the previsions prescribed hemn, and inposad pursuant to 23 U S.C. 140 shall constitute the EEO and specific affirmative scion standards for the contractor's project actil under r CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) this contract. The provision of the Americans with UixaWities Ad of 1990 (42 U.&C. 12101 at seq.) set forth under 2B CFR 35 and 29 CFR 1630 are incorporated by reference in this c bead. In the execution of this contract, the onntmctor agrees to comply with the following minimum spedlic requier cot adivif as cf EEO: a. The cnntfaclor w dl work with the codracting agency and the Federal Gove rnm ant to ensure that it has made every good faith of[of I to provide aq us oppmnu n ity withrespect to all of its forms and conditions of ernaloyment and n their review of activities under tba contract. b. The contractor will accept as its operating policy the following slaterne ft: 9t is th a policy of thus Co m pa ry to assure that a pplicants are a nip toyed, and that em p bye as are treated curing am ploy me nl, without regard lo their race, rofgon, sex, color, nallona l orign, age or tlsabilhy. Such action shall include: employment, upgrading, demcion,orlmnsfer, recruitmentor reaulmenlativertisi rig: layoff or lerminalpn: rates c(pay or other fames of compensation: a nd setedio n for training, including apprenticeship, proQpprenticeshgr, andlor on 4ha• job (caving.' 2. EEO Micar. The m ntractorwlg dasignote o nd make known to the conlmcling offcas an EEO Officer who will have the fesponsi blhy far a nd must be cape file of offectively administering and promoting an active EEO program and who mxrst be assigned adequate authority a rid respond billy to do $a. 3. assaminathon of Pollicy: Al mombLm of the emntmdofs staff w.ho are autho r¢ed fo hire, supervise, promote. and d scha rga employe as, or who recammendsuch actimn, or who are substantially involved in suchactim wrl be made fully cogn¢ant of, and will implement, thecontradoes EEO policy and contactual responsibilities to provide EEO in each grade a nd classification of employment. To ensure that the shove agreement will be met, the following actions will betaken as a minimum a. Periodic meetingsd supervisory andperaaonel oifce employees will be conductedlt tim the start of work and then rot less ehe n tha n o nce every sax months, at wh ich ti me the comtadors, EEO pa lcyand its inplementailon will be revimoc and explained. The meetngs will be conducted try the EEO Officer. b. Aft new supervisory or personnel offrca employees will be given a thorough indoeirirrntimn by the EEO Officer, covering Al majoraspects d thecontrador's EEO ob'ottonswfthin IN rtydays following their reporting for ddy with the contractor. c. N11 personnel who are engaged in direct mcrutnent for the projectwill be insiruted by the EEO Officer in the conirac b is procedures for locating and burg mirrcnities and women. d. 14atices and posters selling forth the contractor's EEO policy will be placed in areas readily accessible to employees, applicants foremplaymant and polentlol employees. B. The contractor's EEO polo and the procaYums to im p Ie me nl s uch policy wl I be :smug It to the attention d employees by means of meetings, enpioyee handbooks, or dherapproprtate means. 4. Roar Y t When ad vortsi rig m forepkryms, the contractor will include in all advert isemerls for employees the rotation: 'An Equarepponunity Employer' Al such advedisaments will be placed in pu blcatn ns having a large cicdaiom among minorities and women in the area from wtkbtba project week force would namaliy be derived. a. The contactor will, unless precluded by a valid bargaining agreement, conduct systematic and died recruitment through public and private employee referral suuices Ilsey to ylcld •q ualned mircriies snit xomen. To meet this raquirement the contractor will idertldy sources of potential minority group employees, and establish with such identified sources prncaduaes whereby rrinordy and women applicants may be referred to the contractarforemployrrent conidexation b. to the event thecontrador has a void bargaining ag rea m e nt pmvdi rig fo r excl usive h iring ha I I referrals, the contractor s expected to observe the prwimns of that agr e e nee nt to th a extent that th e syste m m eels th a cortfactoes compliance with EEO contract provisions 'N mere implementation of such an agreement has the effect of discriminating against minorities orwomen, oroblgales the co ntrado r to do th a sa m e, s Lich f mplementation violates Fed amI no nd grim inatio n provisions. c. The contractor will a ncourage its present empiopeesID refer m inoriges and we me, n as applicants for employment. Intormation and procedures with regard to mfadng such applicants will be discussed with employees. 5. Fmr o nel Actims: Wages, working conditions, and employee he n efts shall be esta Wish ad and administered, and personnel actlom of ovary type, inokud ing hiring, upgad ng, promotion, tm nsf or, damoioR laycff, a nd fermi nalio R shall be taken without regard to roc e, color, rot gion, sex, nalia no origin, age o r disability. The following proced unes sha ll be followed: a. The contactor wiM condud pariock inspections of project aces lo insure that working mrdiborrs and ampp loyse facliges CID not inAcate olscriminatM treatment of project ate personnel. b. The contractor will parecicafir evaluate the spread of wages paid Mh in each class ifcation to dote ml in ary evidence oldiscnrrinatory wage practices. c. The contmcor will periodically review selected personnel actions in depth to determine whetherthere is evidence of discrimination. 'Where evidence is found, the contractorwll pompty lake corrective action. if the review indicates Thal the discrimination may extend beyond the actions mviaw'ad, such corrective actin shale include all affected persons. d. The conthacfmr cull prornply invaelgate al complaints of alleged dtscrinnation made lo the contractor in connection with its obligations and a r th is contract, wl I stem pt to resolve such comps nts, and will take appro of Late wrrmfive acion within a reasonable time. f the irrestgation ird icates that the discriminaton may affect persons other than the compLa rant, such corredhta action shat mdutle such other parso ns. Upon completion of each invastgatio n, the contractor wit mama every cofWa i nett of a of their avenues of appeal. 6.7ralning aid Promotion: a. The contractor will asaslin locating, quaffying, and �ncreosirg the sklis d n noriies and women who am r CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) applicants for errploymem or current employees. Such eforts sinuid be aimed at developing full foumuy level status nnplayees in the type of trade or fob dassifcation invnfved. b. CorsfsienT with The comractofs vrak force requiemerLis and as permissible under Federal and State regulations, Lila contractor shall make fill use of tracing programs, i.e., appre n lice ship, and on•1hejGb raring programs for the g eogaphcal area of co ntmet perfomlane e. In the event special provision for Iranng is provided under ttus contract, this subparagraph roll be su persedad as ndeatad in TtFa specia l p rovi soon. Th a aommcung agency ma y reserve trenng positions for persons Who fa e e welfare assistance in aomrdance with 23 U.S.C. 140(a). c. The conracla wiiladvise ertplvyees and appiiants for employment d available training programs and entrance requirements far each. d The contacor will pedxliicalyrerraw the training ad promotion paten liar of empbyees who are minomies and women and toll encourage eig76le employees n apply for such training and promotion. i. Unions If the contractor relies in vRtole orn part upon unions as a source of employees, the use good faith efforts b obtain fee cooperation of such unions 1y increase opportunities nor mnoniies and women Actions by the contactor, either directly a hmgh a convactoes association acting as agent, well include the procedures set forth below, a. The comfactor will use goad faith afforts n develop, in cooperation with The unions, )ant irainng programs aimed toward quaifyfng more minorities and women for membership in he unions and ncreasirg the skdis of minorities and women sathat trey may qualify for ifrgherpayng employment. b. Tfie contractor will use good lailheffons to ncarporatean EEO clause ntoaach union agreement tothe end thatsuch union A be contractually band n refer appina lets whhora regard to then race, color, religion, sex, national origin, age or disabdrty. c. The contractor is to cbtan information as to tte referral practices and policies d he laba in ion except the to the extent such infamatian es wither the excius possession of he tabwunion and such labor union refwes toIFumish such information to the comraclof, he contractor shall so certify to fla contracting agency and shelf set forth what efforts have been made to obtain such nfomnatfon d. in the evert the urim is unable to provide the contractor with a heasorobie for off ofeffaMwfhin the time Wit set forth in the call active bargaining agreement th a codractor will, tfarwgb i ndependent recrunmiiM efforts, fill the employment vacancies wahout regard to race, color, religion, sex, rational origin, age or disabiity: makng full efforts to obtain qualified andV qualifiable mnomes and women. The fa dare of a union to provide suffncied refanals (even though it is obligated to provide exciu live referrals under the temps of a collective oaganng agreement) does not relieve the contiactorfran the requiremerxs of this paagaph. in the event tine urion referral practice prevents the contractor fmm meeting the obligations pursuant n Executive Order 11246. as am ended, and these spocial provisions, suctr contractor shay immediately notify ilia caniracting agency. & RaasaruMlr Axommodetlon for ApfNlcants! Em ployess with Ofsabiiittes: Thal corhtiactormust Ge famia with the requirements for and cornpfy vMh The Amedca rs with Nsabildles Act and as rules and regulations esfabFsh ad thaa under. Employers must provide reasenabla accommodation in all errlploym east activities unless to do sewould cause an undue hafdsti p. Sr SefecGan of Shrbcomractors, Pro crr vanecot of Materials and Laming of Equipment: The contractorshalf rot discmmnateon The gmunds or race, cola, religion, sex, naional origin age or disab lity n the solecton and retention ofsubcmtracxofs, including procoremmT of maffi vials and leases d equipment. The contractor shall take all necessary and reasonable steps to ensure nondiscrimination in the admirisiranri of this contract. a. The contractor shall noify all potential suocomactors and supplieB and lassos of Nreir EEO odigatons under firs aofbact. b. The contractor will use goad faith efforts in ernsrre subcontractor connpfanm wdh their EEO obligations. 10. As wance Required by 49 CFR 25.11(h): a, The requirements of 4S CFR Pan 26and fie Staie DUPLi U.S. DDTanwmcd DBE pfogram are ircfarporaed by reference. b. Thal contracivrorsuffcontiactorshallnot elf sairrinale on the basis d roe, color, national origin, or sex in the parforrnance of his contract. The contrractrr steal carry out applicable requirement of 49 CFR Part 26 in the a fd and administratlon dDDTassisted contracts. Fait re by the contactor to carry out these requirements is a material breach of this contract, whale may nesuflin fie to mnalon oQ this contract a such other remedy as the contracting agency deems appfcpniate. t1. Records and Reports Tire conraclor shag keep such records as nece (y to document crmrpkance v*b the EEO requirements. Such records shall be retained for a period of three yearstoillawing the date of the final paMant tothe cantmcbr for all contract work and shall be availahffiat mason able tm es and places fainspecllon by authored rape esonlaives of the cor ractng agency and the FHNA a. The remits kept by the contractor shall dooument ttla follevting (1) The number and work hours d minority and nan- m norrty group' members and women employed in aech work classiicafon on The prof®ct (2) The progress and efforts berg made in cooperation wdi unions, vihen appifabfe, to increase employrnent oppo"Mas, for minanties and women; and (3) The progress and afioats being made n focatng, hiring, training, qualifying, and upgrad62 minorities and womant b. Thecafractors andsubcontracMswill sibrnit an annual report to the contracting agency each July for he duration of the project, indicating the numbe of minority. woman, and nonminodty group employees currently engaged in men rack classification required by the contract wak. This niamatien is tobe repohed on Form FH-NA -1391. The staffing data should represonl The project walk force on board 6 all or any pan of the last payroll period precadarg the and ofJ uty. !f ore the -job tracing is being required by speaal provision, the can tractor CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) will to required b coloe and report training data. The ernpleymantdata should raged the wok face on baaN during all or any pat of the last payrol period preceding the and of July. IN. NONSEGREGATED FACILITIES This pmrrsion is applicable to all FederaFaid conslruetian co tractsand tool related constuctinn suhcorlractsof $10,000 or nora. The conteactormust ensure that facilities provided far emp loyees a re provided i n such a manner that segregation on the basis of race, co.'or, religion, sex,crrational origin cannot result. The contractor may nether require such segregated use by written or oral policies nortdlarata such use by amp bye custom. The cuntrador's od gaion extends further to ensure that its a mp bye as a re not assign ad to pafform the it servicw at any bcatio n, under the contractor's coninal, wbam the facil lies are segegaled. The to rm'fackies' includes waiting rooms, work areas, restaurants and oth or oaing areas, tuna clocks, restfvoms, washrooms, locicor rooms, and other slonaga ordressirg areas, pa flung lots, dfinkN fountains, mcmatbn a ante ria kimoft amas, Imusportaton, and housing provided for employees. The contactor shall provide separate or singde-user rastmbms and flee owsry dressing or sleeping areas to assure prwacy batwean sexes. IV. DAVI&BACON AND RELATED ACT PRDYISI DNS This section its ap ricable to al Fedaml-aid construction prcj acts exceeding S2,000 and to all related su bcontracis and lower-1 a su bconbaets(reg:rd less of su boo nima sze). The feq u ire m ants apply toaIf projects boated within the right -of - my of a roadway that is func6waiy Cass ihod as Fedemi-aid highway. This excludes roadways functonally dassRed as loco'. roads or Tura I m ino r co II actors, w h is h are exempt. Conl mcting agencies may elect to apply these requirements to oth or projects. The (al owing provisions are frurn fie V.S. Deparinant of Labor regulations In 29 C FR 5.5 'Contract prov istons and related matters' with minor rembiaes to conform to the FMNA- 1273 format and F'-PNA program mqu ire nits. 1.. Minimum wages a. An laborers and machan ics amptoyad a working upon the site of the work will be paid unconditionally and not less often than once a week, and without subsequent deduction or rebate on any accent (except such payroll deduetinns as am pacmated by reguatb ns issued by the Sea elary of Latwr radon the Copeland Act (29 CFR part 3)), the full amount of wages and bona f:da fr nga banefits (or cash equivalents ttermf) due at li m a of paym a nt comp used at rates not less than thine cants in ad in the wage data rm ination of the Secretary of Labor which is attached hereto and made a part haad, regard lass of any co ntrectuaI re atonship which may be alleged to exist between the contractor and such 'a boyars and mechanics. Contributions mad or costs reasonably anticipated for bore Ida frirga benefits under section 1(b)(2) of tha Davis •Bacon Act on bahalf of labor rs or mecho n ics are consdared wages paid to such abomrs ormache fl cs, subjed to the prom ors of paragraph 1 A. of this sactiort also, regular coninbutiers made orcosts incurrad farmore than a weekly period (but not less oflen than quarterly) under plans, funds, orprograns which cover the pa Acubrweekly• period, are deemed toba constructively made or incurred during such weedy period. Such a bo re rs and m echo n os shall be Dad the appropriate wage rate and Fringe beaefls on the wage determinaton for the classification of work acbaiy parformed, without regard to skl I, except as provid ed in 29 C FR 5.5(a K4 ). Labo re rs or mechanics perfo muting wcrh in more than one classdcato5 may b e comp ansaled at the rate so ecfeed for each dawification for the time actua ly wo rk ad th a re in: Provided, That the empayer's payroll records accurately setforth the time spent in eac h classltcatb n inwh ich war rk ispe fo min ad. The wage datemin in"on ¢nc'ud ing any additional classmicaton and wag a rates cortorm ad under paragraph l.b. of th is sedan) and the Davis -Bacon poster (W H -1321) shall b e posted at all times by the contractor and its subconiracbrs at the sib of the work in a pro min en and aceessihde place whore it can be early saaa by the war r ke rs. b. (1) The contracting ofcer sha II require that any class of laborers or mechanics, including helpers, whchs noVistedin the wage d ete ran i nation and w h ich is to b e e mploy ad u nd er lee contract shag be classified n confo mfance with the wage deter m inalan. The contmcling officer shad appeova an addlonal cbssificaton and wage rats and fringe, bereruts therefore only when the following criteria have been met: li) The wok to be performed by the clasaificaim requested is not performed by a classification in the wage detemrinahm; and (ii) Tha dassficstiae a utilzed in the area by the cfnstiuctim indusirf. and [ii) The proposed wage rate, including any ions fide fringe berreits, blears masoreb'e relatanshp tothe wage rates contained in the wage determinatan (2) If the corm factor and th a lahomrs and meetenies to be employed in the dassifcatbn [d known), ortteedr representatives, and the contracting offcar agree on the dassIcalon and wage rate [including the aneurt designated for fringe benefits wham appoprtate), a repro of the action taken sieall be sent by the contracting officer totha Adminisdralorof the Wage and Hour Division, Employment Standards Ac minatratbn, V.S. Department of Labor, Washington, DC 20210. The Adi n strator, or an aulhonzed mpresenativa, willapprove, modily,ordsappmve every addionaI clawil'"tion action within 36 days of race pt and soadvise the contractng officer orwill notify the contracting olficar wdfh in tha 30•day period that add itb nal li me is necessary. (a) In the eventthe contractor, the laborers or mediancs to be empbyed in tha classificaton or tit a it rep rose natives, and the contracting othcer do not agree on the proposed cassif Caton and mg rae (Ind uding tha amount designated (afrirge benefits, where appropriate), the co nracting of car she refer the questbns indudrng the views of ai l interested pa rties a rid In a recomme, ndalion of the contmcti ng officer, to the Wege and Hour Adm inistra or for detemin i nation. Tba Wage and -bu i Ad m in istrato r, a an authorized represontaliva, vWl Issue a determination within 30 days of rocedpt and so advise tha contracting officer or r CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) MR notify ttiecontradng dficer%dhin the 30•day period that additional time is necessary. (4) Thewage rate (inducing fringe banefits where apprcpdate) determined pu scant to paragraphs 1.11.(2) or 7.b(3) of this section, shall be paid to all workers performing work it ba classification undartlis contrail from the first day or wtkfi work Is per i mmad in the classification. c. Whenever are minimum wage rate pmw ribed In the contract fora class of lahaaers ormectenks includes a fringe benefit which a nit expressed as an trouly rate, the contractor shall eitherpray ttia benefit as stated in ihewage determinaim or shall pay anotfier bona fide frngaberefit orm hourly cash equivalent thereof. d If the contractor does not make payments to a trustee or other third person, the contractor may consider as part of the wages of ary laborer or mechanic ttia amount of any costs reasonably anticpated In providing bore fide fringe berefits under plan or program, Provided, That the Secretary of Labor tras found, upon ba mitten request of the oontrador, that tie applimbla stands rds of the Davis -Bacon Act bare been met. The Secretary of Labor may require the contactor to set aside in a separate account assets for the meeting of obligations under the plan or program. 3. WllhhcldIng The contacting agency shall upon its own action orupon wdttm request of an authorbed representative of the Department of Labor, with4elo orcame lobe wittetrdd from the contractor under this contact, or any other Federal contract with ihesame prime contractor. orany other faderally- assisted contract subject to Davis•Becon prevailing wage requirements, which is held by the same prime contractor, so much of this accrued payments or advances as may be considered necessary to pay laborers and mecbmics. Including apprentices, trainees, and helpers, empkyW by the contractor or any subcontractor the ful amount of wages required by the contract In theevent of failure to pay any laborerormechanc, including any apprartice, trainee. or helper, employed or working on the site of the work, al or part of the wages required by the contract, the contracting agency may, after written notice to the contactor, take such action as may be necessary b cause the suspansion of any further payment, advance, or guarantee of funds untl such vidatiore have ceased. S. Payrolls and basle records a Payrolls and basic records rotating thereto shall be maintained by the mntradorduring ttecoursa d the work and preserved for a pafod of three years thereaftar for a 11 laborers and mechanics wor4ing at the site of tha work. Such records shall contain tee name, address, and social wority number of each sucth worker, his or her comredclow ifcatlon, hourly rates of wages paid (InclhdN rates of contrib utims orcosts anticipated for bma fda fringe baneflis or cash equivalents thereof of the types described in section Itbj(2)(B) of the Dsvis,Baeon Act). daily and weekly number of }sours worked, dad uctions mad a and actual wog as pad. Whenever the Secretary d Labor has found under 29 CFR 5.5(a j(1 Xiv) that the wages of any laborer or mechanic ko lude the amount of any costs reasonablyanticipated in providing benefits under a plan or prog ram d asc rib ad in section 1(b X2) (B) of tie Davis. Bacon Act, tee contractor steal maintain records which show that to commitment to provide such benefits is enforceable, 4hat the plan orrog ram it Inendalhy responsible, and that the plan a program has been communicated In writing to the laborers or rnedh ics affeded and records wtirh shave the coats anticipated ortte actual cast mou reed In proNdng such bereiits. Contractors employing apprentices or trainees under approved progrems shall maintain written evidence of the registration of apprenliceaf ip programs and cedi iicatiuc of trainee programs, the registration of th a a p p rendces and trainees, and the ratios and wage rates prescribed in the applicable programs. b. (t) The contractor steal sudnd weekly for each week in which any contr t work is performed a cry of all payrolls to the contracting agency. The payroll submitted steal set out aceuatey and completely all of the information mq used to be maintained under 29 CFR 5.5(a XaX1). except that full social s ay numbers and borne addresses shall not be included on weekly imsmtitals. Instead fie payrolls shall only need b it , da an individually identifying number for ease anplvyee { e.g. , the last four digits of the employee's social security number]. The requred weekly payroll Information may be submitted in any form desired. Optional Form Wfi347 is available far his pnrpcse f mom the W age and Hour Division Web site at htiplhvww.col.gwlesaAwtdlfoamshwt347lra1r.hYn or its successor site. The prima contractor is fespons"e for the submission of copies of payrolls by all subcmtracters. Contractors and subcontaclos shall ma intam the full social security number and mmmt address of each covered wodcer, and shall proida them upon request to the contracting agency for tansmisslon to the State DOT, the FHWA or tee Wage and Hour Division of the Department of Labor for purposes of an Investigation or such. of compliance with prevaAng wage requirements. It is not a violation of 1hs swim for a prime contractor to requi s a subcontractor h provide addresses and social security numbers to the prime contractor for its own records, without weeiey submission to tie contracting agency. (2) Each paynel su brrdted steal be amcmparied by a Statement d CompAano&' sighed by the oenbactor or subconhactoror his or haragentwtw pays orsuper+ruses the payment of tie persons employed under the contract and shall certify, the following: G) That the payroll for the payroll period cents ins the Information req tired to be providad under§5. 5(a)(3)[ i) of Regulations, 29 CFR part B thaappropriete Information Is being maintained under§55 (aX3XI) of Ragulations,29 CFR part 5, and that such information Is oorred and connplete: (m) That each Is bore ror machahic [nncluding each helper, apprentice, and trainee) employed on the contract c Ong the payo II period has been paid the full weaIdy wages as mad, without rebate, eictier directly orindiectty, and that no deductions have been made either tiredly or Indirectly from the full wages earned, other than permissible deductions as set forth in Regulations, 29 CFR part 3: (i) Ttet each laboreror mechanic has been paid not less than tie applicable wage rates and hinge benefits or cash equivalents for the c lassiication of work performed as specified in the applcable wage dote minatim Incorporated into the contact. r CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) (3) Them" submission d a property executed cffififcglon sal forth oothe reverse sideof Wional Form W I+347 shall satisfy the mquismant far subm ission of the '3tatenart of Dunpllence" mclAad by paragraph 3. b.R} of this section. (4) Tha falsi fralloo of any d the aboxecertfications may subjrrcl the contractor or Mbcontactor tocivil"a iminal prosocution under section 11001 of title18 and section231 of title 31 of the Onted States Code. c. Thermntaacior or subcu(*actorstol rr"ethe records required under paagapli 3e. of this section available for in spection, copyng,ontransrnpfo tyauthorized rapmsonratrves of the xnicaeing agency, the State DOT, the FHWA, or the Departm art d Labor, end shall penult such mpresentalivas to Interview employees dung wotdrg hours on tho jab•, If the contractor of subcontractor fails to submit the required records orb make than available, the FHWA may, after written notice d the contractor, the contracting agency or the State DDT, take such actor as my ba necessary to carsathasuspan son d any further payment advance, or guaranteeof funds. Furthomrom, failure to submit the mquumd records upon mquest or to make such fecards available may togrounds far debarmantactcn pursuantto29 CFR a 12. 4. Apprentices and tralnees a. Apprentices (programs of the USDC)L]. Apprentices will be permitted to work at lass than the p rod elenmired rate for the wok they poromred when they era amp oysd pursuant to and nd ivid uafly rag isrered in bone fide a pprorticeshp pnagmm mg island with the U.S. DapafWwnr of Labor, Employment and Training Ad m n isrratork Office of AppronfcashipTrainN, Employer and Labor Smvices, orwdh a Salle Apgrantcas tip Agency rocogn iz ed by the Ctfice. or if a parson is employed In his a her first 90 days of pnebetlonary ore p la Me as an apprarice in such an app rcntcashp phoga m, who s not ndvidualy rag sturod in the program, but who has been certified by the Office of Ap prenice s hip Tfa n i rig, Employer and Labor Se mica s or a Slato Apprentices hip Agency (wham appropr iota) to ba eligible for pmbatffx y ompbyment as an appfarn". The allowable rato of apprmntices to jounneyman on the silo nary craft classification she not ba greater than the ratio p o mr bled to the wnlraclo{as to tie entm workforce udder lh a rag stoned pnog ra m. Any wo rker I sled on a payroA at an appf entice mg ralm, wha is not ragistemc! orothewrisa o m p eyed as slated above, shall ba paid not less than the applicablewage rato ontho wage datemrination for -the -;a mihcaton of wo rk actually parfomnad. in add don, any appnortce performing work on the job skein excess of the ratio perm Mad urd or tho rag starred pmgmm shall be paid not less than the a p pl ica bte wage rate on the Naga let rnr nat+on for the work actually podomned. who's a codracor is performing construction on a project n a locality other ton that In which as program is ragsteed, the mtos and wage rates(arpiamod nparcadages of thejounmyman's howdy mte) specified n the co Lmctces or subcmltcacto-rs mgistared program shall be observed Every appentca must be paid at not lu ss than the rate specified tithe mgisiamd program for tea ap pr mica's larval pmWass. expressed asa porcenlago ofte aumoyman hourly me specified in the applicabia wage deiarmihaton. Ap pr micas s hall ba paid fringe benefits in accofdance wth the provisonns d tho apprentceshp program. If the a p p re ntrceshp program do es net specity fringe benefits, apprentices must be paid the full amount of trnga benefits I istod on the wage deteaninaikrn for the applicable clas sficalion. If the Adrrinistalor dderrr %a that adiferent pracirs proveiis for the applicable appfantice class acatbo, fringes shall be paid inacaordance Nth ttatdeterminalon. In the event the Office d Appm mica ship Training Employaf and labor Services, or Stale Appramiceshp Agency recugnoed by the Offba, withdraws approval of an appiru ticeshp program, the contmdorwill mlongarba pare ited to uli me apprentices at$msthe nthe applicable pred4emYrred mre for the wok padomn ad untl an acceptable program is approved. b. Trakheas (progmmrs of tha USDCL). E.scepl as provided in 29 CFR 5.16, tmineas will not be pemneted trr work at leas than the predetamirhed vale for the work perrofined unless they arc amployed pursuant tand individualyrogistared in a program which has received prior a pp royal, evidanced by formal certification by the U.S. ❑a partrnant of Labca. Employment and Tmirrhiang Administration. The into of trainees to p nneynern on the jab site shall not be gmaler than gem died under the plan approved by the Employmentand Tranng Admhistratcn Every trrfnea mustba paid at not less than the rare specified In tha approved program lot the to nae's level of pmgrass, expressed as a parentage of the jo mr ayman hau dy rate specified in the applicable wage deteeminatien. Tmno as shall be paid Tinge ben ads in acsoidance with the prov sons of the tca nee pmgmm. If the trainoe pnogarn does not nranton trirlga tendils, trainees steel! be paid the full ameuntof fringe benefits fisted on the wagu dotunnnalom unless the Adm nstrator of the Waga and ,lour Division d arennim s that them is an aplef wtica sh ip program associated with the cormsponrdmig jo r oyman wage calm on the wage dolerminaton which pmvoes kul ass than fur fringe benefits for apprentices. Any arnpioyee lislad on the pa" eta trainee mto who Is not mgstmed and pamicpali g in atraimg plan approved by tie Empogrnert and TiaiNng Administration shall be paid not less than the applicable wage care on trowaga determination forlhe classificatkm of wok actaally peformsd. in addition, any trance performing work on the job site rn excess of the ratio pmrrriitlad udef the registered program shall be paid not lass than the aleplcabla wage rare on the wage detaminotim for -the w k acturty parformad. In the event the Employment azd TranN Administration wiltdraws approval of a tmnifg pmgmm, the contractor writ no largerbe permitted to utilize tram-eas ai less tranthe appl cable predalarm in fare for the work peflomn ad tintl an acceptable program is approvad. c. Equal employment opportunity. The uiizalbn d apprentices, traioes and journeymen uid air tale pat staff be n conformity with the aqurl ampoymem opporhrn illy requirements of Exaculiva Order 11246, as amardad. a nd 29 C Fit part X. Z'L CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) d. Appranticos and Trances orograms of MUS. UOT). Appear es and tanees working under appentceship and slal training programs whrh have been ca tied by h a Secretary of Transpo Ration as promoting EEO n connection Min Faderal•aid hghway mnsbuctorr programers not subject is the requirements of paragraph 4 of this Section tV. The straghilima Icurty wwaga raesforapprerticesand trainees under such programs wtlbe established byihe particular programs. The ratio otappmnices and trainees to jaurreymen shall at he greater titan pemnitted by tte tams of foe porkular pr gcum. 5. Compllsnco with Copeland Act requirements. The corker rshall corneywdh therequiremants of 29 CFR part 3, v&ch a re incorparalad by reference in Ibis contract b. Subcontracts. The cahacta a subcalracta shall nseri Four FHI1273 in any subcontracts and also req uke the subconlrado s to include Farm FH W A-1273 in any lower liar a utco lrads. The lowe contract" drat be responsAle for lire cony glance by arty subcndradaIX lower tier aubcastacbr vAh al the rnntrsct clauses In 29CFIR 55. 7. Cm'trxf tarminakon: debarment. A treach of fna catrad clauses in 29 GFR S5 may be grounds fortemhalon of the coclrect and for debarment ss a mr*wk)r and a s Lbcmtrader m prwidad n 29 CFR 5.12. S. Campllanco with DavlsZaoon and Ralstad Act requlranoies A4TLdirrg3wdYdegxetatiansoftwDavis- Bamn and Relaled Acts contained in 29 CFR parts 1, 3, and 5 a no h arc in incorporated by reference in tins contract. S. Dlspuws conwring labor atandards. Disputes anskg out of the tabor standards ferwisions of this contract shag not be s ubjwt 10 th a gene al disputes ciarse of th is contract. Such dsputes mall be resoMed in accordance vnlh the procedures of the Depa dm cnl of Laborsat forth h 29CFR pasts 5, 6, and 7. Disputes vnthin the mearwg of this clause i clute disputes b atwea n the contractor (a any d its subcontractors) and the contracting agency, Ire U.5. Deparhnant of Laborathe enployaes or their representatives 10. Catill"Im of ellgl bi lty. a By entering into this wntrad, the contractor cafifm that rleltiner it (nor he a sine) ner any parson or firm who has w Interest in foe o INI Rows Sur Is afb l IX firm Ine4gible to be awarded Co ersmert contracts by virtue of section 3(al of Hoe Davis-Bacarn Ad or 29 CF R 5.12(sX 11 In. Noped of this contract shall he subcontracted to any passe or4m nagibie forawafd of a Goverrmerrtearrfrad by virtue of section J(a) of ttre Dam-Ba bon Actor 29 CFR 5.12(a$1). c. The penally for mating false statements is proscribed in the US. Crinina Code. 18 U.S.C. 1 out. V. CCNTRAC T WON K, HOU RS AND SAFE TY STANDARDS ACT The following douses apply fenny Fades aid cashuctian contract In an amours in excess of $100, 000 and aubloclto the overture prerns ors of the Calredt W ark Hours and Safely Standards Act These clauses shah be inserted in add non to thedmus requiredby29CFR5.5(a)a29CFR4.d As lead i n lh is � ragraph, lde tams laborers and mechanics include watchmen and guards. f. Overtime requlmrno rot s. Nocontractaasrbmretrada eonrlracimg fo r any p ad of tea coobeid work wlrict, may require a involve th a an p nym and of laborers or mechanics stall require or pe con d a ny s ich laborer o mechanic h any workweek i In w h ich h e or she is enpdayed on such wok to wok in owess of forty hours in such workweek u rims such laborer or mach a In c receives ewriaeasatiion at a rate not less than are and on&h aff Imes tha basic rate of pay for al hours worked In excess of forty lours in such workweek 2, Molaton, liability for unpaid waged it quklatod damages. In tna event of a ny y is lalis n cf the do use set forth in paragraph (1.) of this sedan, the mntractorard any subcontractor responsible therefor shall be liable ferthe inpad wages. in addition. such mntracla and suboontrada shall be liable to the lnled Stab Fin the case of work done undermntrad forthe District of Cdumbo as taortory, to such District o r to such lartory], for liquidated damages. Buoln lq udated darn ag es shall b e computed M4 respell to each ndiwdd ual Is borer o r m echa nic, including wakRnen and guards, employ ad h v inlaWn d th a da use set forth In paragraph (1.) of this sedan, in the sum of $10 fa each calerdarday m which such indridual wen requieda pemihed b wok n excess of the standard workweek of forty hours without paymentof the overtire wages required by the clause set forth in" ragraph (1.) of this section. 3. Withholding for unpaid wages and lguidatod darnagas. The FHWAa the mrtacting agaicyshal upm its moardion a uponwrlttan request of an auiharzed reprosentatw* of tine Departmantof Labor vAil- d crceuse to Lewdhheld,frarn any moneys payable on account of work pofamad by the eDdraclar or subcontractor under any such contract a any other Federal contract with the samepdre contractor, oany ott arfedaraltyassisted contract subject to the Contract Wok Flours and 5afety Slarda ids Act, v"Ai is held by the same fairs mnteada, such sums as may he datam in ad to ba necessary to satisfy any la b Bdius of such contractor or s ubconlractor for un feed! wages and liquidated damages as proMad in fee dausa set farh in paragraph (2.) d this section. 4.Subcmtracts. ThecawtractaasubcortradIX shall insert in any s ubcontmcts de clauses set fa h w paragraph (1.1 tMaugh (4.) of this swtion and also a clause requiring the sdbrnntrados to in dude these Causes In a ny beer ti ar subcontracts. The prone contractorshall ba responsible for conpliarce by any subcodracior or fewer tier subconnador with tine dauses set forth in paragraphs, (1,)thmug h (4. ) of this section CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) Vl. SUBLETTING OR ASSIGNING THE CONTRACT This provision Is applicable to al Federal Qid construction contracts, on the National Highway System. 1 The contractor shall perform with its own organization contract work amounting th not loss than 30 paroent (or a greater perwrtage rf specified aIso•xharo in the contract) of the total original contract p ra. o xcl ul ing a ny sp ec tally items designated ly the contracting a•gorcy. Spodalty demsmay be performed by subcontract and tho amount of any such specialty items peronmed maybe deducted from the total original contract p rice before comp utrg the amount of work required In be performed by the contractors own organization (23 CIF R 635.116 ). a. The lerrfh'�9f[Grmh iwadr wtth its ovm 0rguuiliaidDnT redera to workers employed or leased by the prime contractor, and equipment owned or rented by the prime contractor, with or wlNwut operators. Such term does rwtinclude employees or equipment of a subcontractor or lower tier suboonhactor, agents of the prime cortwtor, or any other The term may induca paymards for the costs of hiring lewd empfuyaesfromanempgyoo leasing Firm meeting all relevant Federal and Slate raguadry roquirenents. Leased employees may ally be irdud ad n this term if to prime contractor meets all of the following conditions: (1) the p rime contactor manta Ins control over the supervis bin of the day -today activities of the leased employees: (2) the prime contractor remains responsible for the qua Iity, of the work of the leased employees: (3) the prime contractor mia ins ail power lo accept or excide individ ual employees from work on the projact; and (4) the prime contractor remains ultimately responsible for the paym ant of pred atannined minimum wages, the submission of pa yrols, statements of comp liance and all other Fade ral rag ulabry requ nomants. b. `Spada by Ito cos° shall be co struec th be limited to work that requires hghly spat islized knowledge, abilities. or egnipm ant not ord na rity available in the type of contacting organ izatians qual Fed and expected th bid or propose on the contract as a whole and in general are to be IImtied to minor components of the overall contract. 2. The contract amount upon which the requirements set forth in pa Mg raph (1) of Section VI is computed Includes to cost of material and manufactured products which are to be pu rchased or p mcuced by the contractor u ncerthe contract provisions. 3. The contractor still fvnish (a) a competent superintendent or sup ervisor wlm is employed by to firm, has furl authority to direct performance of the work in accordance Min the co tact raq u irem ants, and is in olo rge of all construction operations ,rage rd I ass of who p a4xms the work) and (b) such other of its av n orga n izatiam I rosou ices (supervision, management, and angn aa6ng so Mcos) as the oorntrecting officer cetemr ines is necassary to assum tha performance of the contract. 4. No patkrn of tha contact shall be sublet, assigned or olha rw are dspased of except with the written consent of the contracting officer, orautrorized representatiwe, and such consent when given shall not be constru ad to relieve to contractor of any responshblity for the futrflm ant of to contact Written consent will be given only after the contracting agency has assured tat each subcontract Is evidorced in wilting and Nat d oonta ins all pertinent provisions and requi remerds of the prune contract. 5. The 30% s l"rformance requirement of paragraph (1) Is not applicable toce*fl.tludc cootwis; however, contracting agencies may estedish the rown se-perbrmance requirements. VL SAFETY; ACCIDENT PREVENTION This provision is applicable toall Faderalaid construction contracts and th all related subcontracts. 1. 1 n the performance of this contract the contractor shall comply with a; applicable Federal. State, and local taws govoming sa foly, hoa trh, and sanitation (23 CFR 635). The contractor sha I p rov id a ad safagua rds, safety devices and p rotectrve equip in eon a nd take any oth a naeded actions as it cethemnes, or as tho cootractkrg officer may deiarmine, to be reasonably necassa ry to protect the life and tea IN of employees on tha job and the safety of the public and to protect property in connection with the perbrmance of the work covered by to contract 2. 8 ta a condition A this oontrect, and what bemadea condition of each subcontract, which the cortracthe enders into pursuant to Nis contract, that the contractor and any subcontractor stet not permit any employee, in performanco of the contract, to work in su nmundngs or under conditions which are unsanitary, hazardous ordargerous tohislher heakhor safety, as determined underconsimctionsafely and health stance rds(29 C FR 1926) p rumulgated by the Secretary of Labor, in accordance with Section 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 3704). 3. Pursue rt to 29 CFR 1926.3, it is a conditon of this cortract that tho Socretaryof Labororauthodzed representative tha roof, shall have right of entry to any site of contact performance to inspector investigate thematterd compfmnce with tho corstr uction safety and heath standards and to carry out tho duties of the Secretary under Section 107 of tie Contact Work Hours and Safety Standards Act(40 U.S.C.3704). VII. FALSE STATEMENTS CONCERNING HIGHWAY PROJECTS T h i s p r o v I s i o n i s applicable to all Federal aid canstnctbn contacts and th all relalad subcontracts. In orderto assure high q uafdy and durable constructnn in conformity with approved plans and specifications and ahigh degree of reliability on statements and rap res antaliore made by engineers, contactors, suppliers, and workers on Federal• ad highway projects, it is essential that al persons concerned with the project perform their fumbens as carefully, thomug hty, and honesty as possible. WulfuI falsification, distortion, o r misrepresentation with respect ID arty facts related to the p mjset is a violation of Federal taw. To preve rd any misunderstanding regarrYrg the serous ress of thasea rid sM le acts, Form FHWA.1022 she 11 be posted on each Fecerapad highway pmjact (23 CFR 635) none or more places where d is readily avertable to all persons coot or red with the project: 18 U.S.C. 1020 reads as folowvs: r CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) 'Wtnoever, being an cheer, agent, &employee of the United States, orof any State or Tam". or wtmever, whether a person, association, iron, or corporation. know8ugy makes any false staCmert, false representation, Of false report as b the character, quality, quantity, or cost of the material used &to be used, or the quantity or q ua linty of thework performed or to be p r owned, or lhe cost the reef i n connection wits the SLtnliSslon of plans, maps, s pcciircations, contacts, or costs of construction on ary highway or related project submitted for approval to toe Secretary of T ransporlatiorr, or wtnever knovatgly makes any false statement, false representation, false report or false daim with respect to the c hartcter, quaky, quantity, or cost of ary wodc pe normad & to be performed, or materials furnished or to to fur&ish ad. in connection with ttte constuction of any highway or related project approved try the Secretary of Transportation; a whoever knowing ly makes any false statement afalse representation as to material fact in any statement, cerifcate, or report submined pursuant to provisions of the Federal aid Roads Act approved Juy 1, 1916. (39 Sat. 355), as amended and supplemented: Shall be fined under this title ar imprisoned not more tnan 5 years or bah-, Ix. NPLEMEN TAT ION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT This provision is applicable to all Federalaid constriction conlracts and b all related subcontracts. 6y submission of this bicilpmpesal or he execution of ttnis contract, &subdxnract. as appropriate, the bidder, proposer Fed eral•ald constuction corntractor, or Wtcortractor, as appropriate, fry the deemed to have stipulated as folbws: 1. That ary person wino is or will be utilized n the perfwman et of the contract is not prdribred from receiving an award due to a violation of Section 50EI of he Clean water Pet a Section 306 of he Clean Pair Act 2. That he contractor agrees b induce or cause to be imbAad the requiem ants of paragr'apb (1) of ttis Section X in every sub ontracl, and fu rtlrer agrees u take suds action as he contracting agency may direct as a means a enforcing suchrequiremenis. X.CERTIPICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION Tics provis on is applicable to a Federal aid construction. contracts, design -build contracts, subcontracts, iG er{ier subcontracts, purchase orders, lease agreements, consultant cmtm= or any other covered tansaction requ sing RfwA approval a that is estimated to coat S25,000 ormore - as damned h 2CFR Pans 1Wand 1200. 1. Instruc dons for Cell ificatlon - First Tier Pa die 1panis: a. Ely signing and submitting this proposal, the prospective first tier participant is providing the certification set out below. b. The inability a a person to provide he certiication set out below will notr.eoessarily msuein denial of participotiorran ibis covered transaction. The pinspective first tier participant shall submit an explanation of why rt cannot provide the cautication set &LA below. The certification orexp la nalorn coil be con sdafod in con action wah the department oragarrays d eta nnination wh eihar to enter into this tansaction. Nowevof, fa ilure of th o prospective first tier participant to fumish a certifcaton or a n explanation shall disqualify s Leh a person kom pa ncipatrm in this transaction. c- The oertification in this da use is a m iredalrepresertatian of factupon which reliance was placed wtnentle contracting agerey determined to enter into his transaction. If it is later determined that fie prospective participant knowngy rendered an erroneous certification, in addaion n mbar remedies avada hie to are Federal Gov arnment, tie catua:ing agency may terminate cis transaction for cause CAdefault. d. The prospective fast tier pancipant steal provide non ad ate wraten rnotice to the amuactirg agency to whom this proposal is submitted if any time the prospective fr at tier pa rtiapanl seams that e; certification was erwcaus when submitted or has become erroneous by reason ofctanged cwcumswmes. e. The terms'covemcl transaction' dabamad," 'suspended,` °ndigible,"'lpartierpart,° "person,° -Orco.' and %oluntwily excluded' as toed in to; clause, are (I aired in CFR Pats 1 hoard 1200. 'First Tier Covered Tranuct aWreters to any ooxered trarsadlunbetweeri a grantee a subgmnlee a Federal funds and a participant (such as fie prime or general c&dracl). 'Lower Tier Covered Tra nsactiwW refers b any covered transaction urM&a Fl nst Tier Covered Transaclim (such as subcarbrada). 'First Ter Pa ReW refers to the pa rtkipent who has entered into a covered transactionw rr a grantee or subgranhe a Federal fends {s it as the pni W general GU*M"L toyer Tier PartcperP refers any parlicipad wino has entered tnta a covered transaction with a First Tier Participant aotheT Lower Tier Participants (such as subcnrtractors and suppiems , f. The prospective first tier participant agrees by submdtintg this proposal that, should the proposed covered tansaction be entered into, it shall not knowingly enter into any lower tier covered transaction •Ash a pe ison wino is debarred, suspended, ded a ed in elib le, or vWurtantV exchrded from participation in this covered Im nsaction, unless autbortred by the depamert or agency entering alo this transactor g. The pmspectrve fast tier parlimpant further agrees by suhmting tttis proposal that it vAl include the clause tilled "Cervfcaim Regardng Cabamlert, Suspension, Ineligibility and Vciuntaq Exclusion Lower Tier Covered Transactions," provided by the department or contracting agency, entering intothis covered iramaction, without modficatim. in all tower tiercovered transactions and n all smioitations fa lower tier covered transwboans exceeding the S25,00C l4reshold.. h- A participant in a covered transaction may rely upon.a certification of a prospective participant in a lowertier covered trdnsaetion that is not debarred, suspended, nrlgrLk, or vaunanly excluded from the covered uarnsactiort unless it knows That the cart Ticatortis enoreovs. A partir�eanirs responsible for ersurirg hat its principals we not suspended, de ha Red, orottwvise ineigi6ie to particole in covered tansaclons. To verify the eligibility of its principals, as well as fie eig ihiity m any IewErtier prospecive pantie ipants, each pa rl apam may, but is not required to, check he Excluded Parties List System website Etntoslnw . EpIs.00wl, which is compiled ty the General Se cures Admin iswation. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) i. Nolhdrg contained in the foregaireg shah tte consuued to require ihsestabtishnent d a system d records in order io render in good faith the certification required by this dause. The knowledge and i rforrcetion of the prospective participant is not required an exceed that which is normaly possamd by a pmdentpeuson in the ordinary course of business dealings. j. Earapt for transactions auborknd urhder paragraph (n Or theseirnsimctions, if apa;icipan l in a covered transaction knowEngdy anwrs inb a lower tier covered transaction with a Person who is suspa nd ad, dabanad, i ndg ibl®, or voluntarily exckudd fmm lmnicipo lion in this transaction. in addition to other remadies avatable to fie Federal Govammert, the dapanman I or agarcy may taunt meta this lransscum for cause or defauh. 2. Car0nmI ion Regarding Debarment, Susparnsion,. taallgib ilily and Vdun la ryExclu sign — F lrs t Tier Pafticipanls: a. The pfospeclire first ter participant cartiTies b be test of its knowledge and taker, that it and its principals' (f ) Are not preseniy debarred, suspended, proposed for debarment, declared ineligible, o rvolurrla riy excluded fmm panidpau ng in tweed ua nsacums try any Federal department or agency: (2j Have not within a three year period Preceding this proposal beenconuictad of or had a civil judgment rendered age nst them forcommi ssion of fraud or a am inal offense i n connacion with obtain rig, attempting to obtain, or performing a pubic (Fadami. State or local) tfarsanion o r contract a nda r a pubic transaction viotatdon of Faderal or State anlimst Slaldes or oonmission of aml>azirlanant shaft, forgery. trabary. iaisifica don or destruction of retards, m0mq false statements. or recaiwill &den property: (a) Are not Presently indicted for or orlremise criminally or emly derged by a governmental Artily (Fade rat, Slate or loran) with commission of ary of the dfensss ary rreraled in paragmilb (a) (2) of this cenLcatiolz and (4) Have not within a threeysa panod Preceding the applrat"proposal had one a more public transactions (Fedea I, State or iocai) terminated for causa ord efadt. Q Where the prospecirvepeilidpentis unahia to rarity to ary OF the statements in this certdEcalion, such prospective particpant shall attachan expianatiuh to the proposal. 2. Instru lions for Corti Rcatim - Lower Tier Partichpanis: (Rpplicable to all subcantracs, purchase orders nd other lower tier transactions regµiring prier FM W A approval or astinaled to cost 525.000 ormore • 2 CFR Parts 180 and 5200j a By sign rig and subcntirng this proposal. the proapoctiw inwar tier is providing the cartilication set oil below. b. Thecaiilcation in this clause is material representation of fact upon which etiawe was placod when this transaction was antered into. if it is later determined that theprospeciive lower tier panic jpam koomagyrendered an erroneWs cerification, in addition toother remedies ava iahte to the Federal Gomnirnod, hedapenmerl, or agauy with which t1E s rams cdim originated may pu Isle avalatNe remedies. irchiding. suspension andya debarmant, c. The Prospecivelower lief paticpanishal provide immediate written nolioetothe parson to Atuch this prrgosai is schm kited if at any tints Lha proms active caws 1i err pa rtiapan I learns that its certification w aronaous by raasonof changed circumstances. d. The terms "covered tmnsacti&n,' "debarred," 'suspended: 'wafhgiae "participant:. 'parson""pnrcipal,` AM valuntariyexdrdad- as used in this clause, are defin ad in 2 CFR Parts 180 and t200. You may conlac ll he person to whir, h Ns proposal is submitted for Assistawa in on laining a copy of those regdaions. First Tlar Corered Transaclons' rate rs to any covered tra nsaclion between a gra ntea a mbgm ntoa of Fade rat funds and a parliapanl (such as the Prime ur gon sal milral).'Lr r Tler Cavared Transactions' rekrs to a ray cove red ua rusxdon under a Fist Tier Covered Trerlsadion (Stich as 9u8canlrads]. Fist Tier ParUclpan' fafers to the participant who has aderad into a mused hansaction with agradee or wbgfanee of Federal funds (such as the prime OF general emractor). 'Lower Tier Partimpanr refers any partic1pant reha has entered Irate a covered lraresactim with a First Tier Parlcpam or otter Lower Tier Pa rticpranis (suO as suticornractor8 and sipplars). s. The prospective lower der participa rat agrees try si buniAng this proposa3 that, should the proposed coward Ira nsaclen be entered in to, it shall not knovti rgy enter irao any lower tier covured transaction with a person wlh i debar red. stapes dad, declared in"gible, or voi nta rdy ar dudad from patticpa lion in this cove red irarsw ion, unless aulhonsed by the depa rtnvenl or agency with which this ifan wxon orginated. f. The prosCacliva lower tier pa nicpranafather agrees by subm ilting this proposal that it wdf include lhisciause titled 'Certification Regardng debarment. Suspansion. Ine:gdtxtity and Votumary Exdusion-Lawor Tier Covered 7raresacliorn,' vnthorR modification, in All lowerlier covered transacfionsand in aH sci aahors for lower tier covered transactions exceadirlg ilia S25,000 ihreshdd g. A paniepant in a ravened transaction Trey rely npm a carificafon Of a prospective part cipanl in a lower uercaverad tran sachon ihatis not d etas red, suspended inelgiba, or voluntarily exclW ed imm the core red uan sac bon, unless it knows inau the catiiical iNn ,s anon eeus. A participant is resparsiWe for ensuring nA its principals Are not su spend d, debm rred. or oth anirse ine fig it ]a to participae in cowed transactions. To verify the a1,gAily of its principals. as wall as the eligibility of any iowrer tier pospacive participants, each padicipacamay. but is not requrad to, check the Exciuded Parties Lst System wabshe [htlas:llwww.ecss.,nvl1. which is compiled by the General Sarvices Adminaimt*n. h. NoNhing contained in the foragoing &hail to corsuued to rA*kfi esuhlis Ihmart of a system of record; in order lnrandar in good faith the codification requirad by tuffs clause. The kro fia a aid idormaten d parricipa ni is not required to exceed that which is normally possessed ty a Prvdonlpop�on in Ins ordinary c ,rs® d business doaings. i. Except for transactions authorized under paragrapha of these ins true Eons, if a particpa n t i n a covered transaction knowingly enters into law sr tier covered transaction with a parson win is suspended, dotarred, inelgibe, of voluntarily exckdad from participation in Nis transaction, in addition to ottarrenedies avadatletolfe Federal Govemmert, the CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) department crater with which this transaction originated may pursue available rernedres, Including suspensiani debamert. Csrtltleatlon Ragardlrg Debarnnard, Susp€nslen, Ineliglhlllty and Voluri Exel usf cn-d.awcr Tler Ranicipants: 1 The prospective Ic r tier partcipatcarlfies, by submission of this proposal, that rheifhar 0nor tts pdnclpahs is peasendydoteaned, suspended proposed fordobapnont, declared losiig ih lo, a volurtadty esdudad urea Portlripatfig n covered transactions by any Federal deleaNrent or agency. 2. Wnera the prospective Ivwtlar iembepent Is uni to corlfy b any d iho slatomonls.n this codification, such prospectivo participant dual attach an explanation to into propose I. XL CERTIFICATION REGARDING USE OF CONTRACT FUNDS FOR LOBBYING This proudslon Is applicable to all Fadaral aid mnsbuction cortracts and to al (ulsted subcontracts which exceed $100 WO (49 C FR 2)]. f. The prospective portidpanl mdfvas, by silgrrvrgaM subanidrrg this bid cw proposal, tit the beat at Its or her hnowledge and befuef, that: a. No Federal apprvprlisted funds have been paid orwIII be paid, by or on behalf of ire undas;gnned, to any person for Influencing or attempting to influence n ofhcer er employee Of any Federal agency, a Membar of Cong nes e, an office or enployse of Congress, or anamployee of a Member of Congress in comec5on with tee awarding of any F ad ore I contract, the making of any Federal grant, lh a mating of any Federal loan, the entering into d any cooperative agrearant, and the edari continuation, ro nowal. anen inept or modifkalion of any Federal contract, grant, loan, air cooperetiva agaeamenl. b.. f any funds other than Federal appraprweled to nds have been paid or coil be paid to any person for udl uonct ng or attempGrhg to influence an officer or employee of any Federal repciii a. fdember of Congmss, an officer ar anpbyee of Congess, or an employes of a Mortar ofCongmse in connection with this Federal contact, grant, loan. or nnoperativa agreemed, the undersigned stal armplete and aided Standard Fopn,LLL, "Disclosure Fonn to Rapist Lobbying,° in accordance with its Instructions. 2. This cartt-rcaLnn Is a material reprosentation of fad upon which reiance was placed whah Ihs transaction was made a enteretl irbe Sub missbn of lh is catr5cation is a prareq Jdta formaking a entering Into this transaction inposedby 31 U.S.C.1352 Any parson whobails to fletherequired certification s hal he subject to 64 penalty d ind less than $10,0W and rot pore Iraq $1KNO for each such failure. 3. The pveseoctive participant al so ag roe a by submitting its led or proposal tr at the pshIc, pa it srall req u is that the long uago of this cc alificatdn be inc lubed in a I I Iowa r tl or SuhcarimctS, which exceed S1e70,003 and lhalall such roi its sha0 cc my and discbso accordingly r CITY OF SANTA ANA PROPOSAL PROJECT Ni 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) ATTACHMENT A- EMPLOYMENT AND MATERIALS PREFERENCE FOR APPALACHIAN DEVELOPMENT HIGHWAY SYSTEM OR APPALACHIAN LOCAL ACCESS ROADCONTR4CTS Ths provisbn s appkcaae to a! Federal•acIprojects hroded mdarlha Appalachian Ragional PevelopmentAct of 1965. 1. Ourin g lh a p oforma nce of this contract, the contractor and ana ki rig ladom, •wfi ich is, orrmsareabty may be, done as onsda work, shall gtvo pmferercetogtallfred persons who rag Lia N reside In fira la bar amo as designated by the DO wherein thocantmctwork is situated, othesubregim, othe Appatedita n counties of the State wherein the onrtract wank a situated, exospt: a. To the e#errt that qualified persons Wdarly residing in ttre area am nit availabie. b. For the reasonable needs of the contractor to employ superwswy aspeolaly experienced peso net necessary to assure an efkdent exeoubDn of to contract walk. c. For the obiIii of the contract" to offer amplopnertl to present a former employees as he result of a lawful cclective ha nga win g contract. provided that the number of nonresident parsons am playad under this subparagraph (1 c) shall not e�aod 20 percartaf tha total number atemployaes eonpoyed by tha cmbadoon t wcortact work except as pnwided in subparagraph {4) below. 2. Tha contractor shall placa a 0 do with the State Em pkyment Serfoeind"cad ng (a) the ctassi ficatiorn of the laborers, mecf®nics and other employees required to perform lh a wnbact work, (b) th a number of employees required in each c1assilcatim. (c) thacate on whin the par icpa nt cs limalos s rx:h empuyeas will be required. and (c) any char parlinml infonnatronrequimd by the5tate Employment 5ervco la oam pletethe job ardor form. Thajabordermayba paced with rho Siala Employmani5ervioe n wMing a ty telephone. 1f dunng the coursed fre contract work, the infomatimsubmillod tylhoconbactainttuaoriginaliobader is subslantahy modified. the partiipant shall promptly notify th a State cm p Ioym ant Service. 3. The co ntmctorsha ll give full oarrsideration b all qualified job appfica nts rate -rind to h;m by the State E mplo;m ant Service. The contractor is no t roq u imd to grant employment to my job a pp Ica ms who, in his opi n ion, are not qualifired to pedorm the cassifcation of work raq ukad. 4. If, within one week follow in g In a plat in g of a jab ortlerby the contractor wrththe Sate Em ploymanl Serrlce, t he State Employment Service is unatielo afar a ny qualified job applica nts to therxntractor, at I ass lha n the number requested tfe State Employment Service will forward a om tficate tothecontractmindcatxeg be unavalabiTrty of appina hs. Suchoedifcate be made a part of the mrtractalspenmareart project meords. Upon raceipt of this car ifrcate, the conrractarmay employ person who do not normally reside in the labor area to fill positions ouvered by the cerffixeta ndwilhstanding the provisions of su"ma faph(1c) above, 5, Thepm iDwaf23CF11633.207fe)a1ovhe con4acting agency to ii a contractual Preference to the use of mineral reseurce materials native to the AppabMan region. 6. The contractor shall i include the provisions of Sections 1 through 4 of this Attachment A n every subcontract to work wKch is, of masonatily may be, donnas on -site work. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Eleenor Betco Electric, Inc. proposed subcontractor hereby certifies that he has X , has not , participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signed Title Vice President Firm Eleenor Beleo Electric, Inc. Date May 19, 2020 �;3AU4 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has _ , has not x been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.L Note: The bidder must place a check mark after "has" or "has not' in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Signet Title Firm Date Elecnor Belco Electric, Inc. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: RSIPL 5063 (187) PUBLIC CONTRACT CODE SECTION 10232 STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, 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 preceding two year period because of the Contractor's failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board. Signet Title Firm Date Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Eleenor Belco Electric, Inc. May 19,2020 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: FISIPL 5063 (187) TIME 49, CODE OF FEDERAL REGULATION, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION 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 misconduct within the past 3 years. If there are any exceptions to this certification, insert the 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 of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signed Title Firm Date Vice President Fleenor Belco Llectric, Inc, May 19, 2020 Bl f Pdi� CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) NON -LOBBYING CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) 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 the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any 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 any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,00Xand that all such sub -recipients shall certify and disclose accordingly. Signed Title Firm Date Vice President Fleenor Belco Electric, Inc. May 19, 2020 • Standard Form LI.I, may be obtained from Caltrans and FIIWA offices. 23Af 48 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: FISIPL 5063 (187) DISCLOSURE OF LOBBYING ACTIVITIES DISCLOSURE OF LOBBYING ACTIMIES npp awash 9a6 Complete this farm to d'rstlo ,e lobbying activities pursuant to 31 U.S.C. 1352 tlaaeGeaii f-e reRerse for mum' hum. 1 . Type of Federal Action' 2. States of Federal Action: 3. Report Type: a- cool a- bidt ff.Nappliealion I —I a. initial filing E. grant b_ initial arrant L� b. material change C. tine agreement C. pastawanl For Material Change Onljr. d- b year, r quarte e. ban uarant. rude of lest report p f_ loan in nrP 4. Name and Addr z ai Reporting Entity: 5. if Reporting Entity in No. 47SLub�rEnter Manor,ElPraw ware and Addressof PrimerSNfaa .if "ow,:C ossilaal Distriknowh: ct. NC ressiw+al DistrwA, ?fit G. Federal DepartmentfAg4tscy: 7. Federal Pr<hgiram Nampl cription: CFDA Number, d 6oabfe- 1.. Federal Action Number, iftnorn- 9. ward Amos Tf irnoam' 5 10_ a_ Name and Address of Lobbying Entity dni Is Performing Services (indu g addfess if (dAndnod.r,tasiname, lrstrwme, Nr)-i t No. Ica) ind d rrarnctrranre4Nj:fi A t 1 _ Amount of PayhnerA (check aft Prat apyfy). 13. Type of Paymerd (check at appiyy 3 ❑actor ❑ P ❑ a mnam ❑ a�olrLar M ❑ e. e m oBom 11_ Form of Payment (cheek aA mar appi ❑ a caso [] dcmlaepeht Me ❑ A Ia tt4h0: agdly: nalare ❑ a. dimrrad vague ❑ r- carer: epaClf: _ 14_ Brief Description of Se - s Performed a to be Performed and Dates) of Serrine, including olhoer(s , employee(s{, or Nam s) contacted, for Payment Indicated in Hem 11: sham Lar4rrhatm i) SF-LUA Aneae 15. ContimmailionShee s SF-LLLA attached: Uve, iS_'^^-`^ a.wra r rmm r.awa to r u vac .a.« 5' nature: +H ts. r au... a mynr .inn a r r.hrr .oarw.r. a rr Print Name: .IUI1t1 flit ' vac r16x tu. Vice l'r dr I�avobhm r�c.o� wr...,y�deir b �a1Mrb Tale; n( Teleph.No.: 909-993-5470 Data 5/19/2020 .a°ra"a�`�na"arm.,e.a.e.r..,r`ar'wtrv. Federal use Only: fiMlmddfortaca Repmdaarn sOltlam — 11L Rer. 7�J CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) INSTRUCTIONS FOR COMPLETION OF SF-LL, DISCLOSURE OF LOBBYING ACTIVITIES Ift8TMCTYONS FOR COa1PLEnON OF SF-LLL, DISCLOSURE OF LOBBYMIG ACTNRrms TWc acclasaL Tam cNt to 0apele0ay ale nylweng @rMV. waa mmtuDa0at Ieea Paw re0am maPORL Al Me Ima0ml or welpt 0 a meerea Fe drAm.rsalTaL�113itl1a1rJe a]ipferam6atag, purclaArA liQe3tUSC eC[tlQlfffi2. The ilrg paterm Kr(fylllap MY Lam paymemor ApeMlelnlo Raae pay+mealb any IrmYng MR.Y ttfi Inallacag a alMnpaegN Yilicn0e an darer a rmfiasxea altY agalW, a a19n0.Y d [zllgrese, an apCLf p arpbyeeaf Ca�.gresi, a art empe��,R a MaaOerd Cayxei M Co1111eKMWM1 a oeeF+eDFeOerafapga Usc 1ne 3Ft1lA amenv�br5neee br amllana mRaltla0pl p Mae life@>M fle Rrnn Ie ma6aFHR.ConP'en as II9nS Ma[ aprra Goer m1a IPlaai nlrg dlla ITfYeaal alnah� 6maeL Re1a m the hnpfet�n4rtg 91a1aece pawree 1q Ne OMlce a! Manageeth!1 ad Bymlar br a901tlmal Imi9mlal0e. 1. 1oerNry Q� type dlnuercd Feaena xdat ror urtrn IC0aYl1Tg arnnry Is a'Imya as aea, r{�+rJAP] W Maa3aY aM nr.MnCMe of d w,r3'p0 Fedefal aollm 2. tlannfy OIL aa"Iba af®la mHOPYJ fMaal aDaan. ]. 1]elhry ba± aelplTFlaa daeaara0al d Ira report. R thfi o a slowe9 rlpolt c`aYaeO q a n�anaavlyv Ole Ira.TavttmpreeblalY repcTled,eleer 11e YMirira 91ia1Zr In Whw ]la � OoaRfaO. Fi11ef mie aae m ale IaK PavlaallaaaaMeO rmof[py 1111e sEpoMag MMy1pr era 6Y•rKe0Fe0eral aLNmL 4. ert(ed Rp Kul narR. iO3ss. [IIY.UIe a1D 71a eeM ar Me'rgr�, rt°F3ErtWY rbU04EaM1¢EiWtlgl ®ible4 R irwn, (Sa.�'1 alc apPWebee1a66iflr<Ilpr 01 dale mrRF w onw a3eaorralM aerimal�o n K. a eaF'mla Y+Oe, a Praep ueaQammePe'M.IOawH91a aadMe PYOaIRiMN.L9.. ale Mat aloawaaee the te1 ter-,^+tAawaai inGaOe out are nil lNifdO m eudaaaMah. aagantc aM oaaaaat a0aasarrYrgraaa 5. M Me MjMIUWWa Ming ale span in Man A chmes'SlDaaaam,`aY1a alder ale Mn mane. amma,. ngy. 3aaA am aqn mm, dale paste Feoaal rLplaene jvc,O cmgrecsima;olsm Ranawn,. M. £n@rtlx t�IaafMa FamaalagmLy RaOgllxaaaaarl�heamtllmerL axfe� alleaglarccaganaactvlexVibebwagmt�name a that, Fnr ezanpe, l]eaamm@il) ai Trdra4otaiam, unlle0 SOlea eaast LuahT J. ENer Me FeaaJ plat-amnanra0r aecmPth'r. mr Vle mewrea FerA�at d0lM fran ll aLToath.ett2+4y1l ail Cataloger Feler60m�eslk a.��a...� �GFpAyna'nh9 hf g@t�, mapCl3nme dl)CpmcYlm, W]IYG aIO'WIrSWmTlYtlerRf. o _ner the Be FB a le FeO. gt at as tng wni i'eaIldOVe Car 11Y Fedrlal sSon �oereMiW M aim I lea. Raquetl a. Pocyasal {KEPI mincer hNblan: hr , IIIR$} nagmay lIa It llepwaem0M vLmear mp MIRa:pl. efal[ a bat dNdrtl nYe'GV, art apptr�lraupeq ,s 2ithvl runtM scl;ieo by an FEOerat ,igeex.Y1 Illdixlc Prarma4 e. g..'RFP-OE-r.10-0Ot: a. Fora cinema Fed" a6tloa vneae Mom has In en an mans or we eunn mee, by Me aMma aTmcyJ may Me FMOmai arnaM, d Me m,wma mR]IIa6ltalibr ale pmae eM41}'mmimeo m Re1n a at s 10 i.y Enter Me ail rtdTp, a]IXHR. cdy.:1. aaa "p amle d the mmyhg wVy enga.]eo ty one l rmlg M lY ��nocId m aemd in hnla. ce toe OPn?rN rea oaMat. {bp 611nxale ail 0aalec dme IliWatlal[e} perlOntla19 &aNaac, aria InDUQe aW araaeaslrellfaa1laarrn tayak FmLW'tam Wade. Flril blame, atW Miaae Inliml 11. Fil�pmanwrtp eanpalemipaf preaepcaay@peaaDtDcepil a)'ax ryraMng anayZlMata}mmelob071r§e�lYtl l31Hn 10). Vem- almp, Ok p L'11 mdd MCeL TdOe {aaYdj IX tll h2 md•.1a lPanreay CRd al rwees Mlat dNar Rana a a M> x malaie rvpcxt g m alnnji D impart api)eriHtl rnal0e p piane0 b Me md0e 12. G11fea fhe appOprta�bvar(Lc). dKra a1 ammaMa apWy.. R payfngTilF rtlaee6aWQl.it aW Ih] wnMM10m, cpedfa the natae env WhIL Cl Mee hbrE paPt+ero. 13 Great Me appvpfa@ aoa.P6l. r,resa al aces na apply. a purer, spe ny naoae. le. Ortx aed 6pMJaC aM tlelalleat4satpMm d Fto S@M1Mtlifal tl'R topb)ta1IMF PalolnY9. p Wf tre a;eccreo[e patbnn. antl ale Qe10re1 d.ny eENhec raraLaea. Intllr$ as praparamry and Ielahpl dNYey, Ild Its[ mne nPai IR atamv cancan Man F4eera: o111KU1a. IQellLlj iDi FfYlY UMlaa'!sl IX gnpLvpE!C�c7 ralpaaDa Mee aYnagal, enlp@0yee�i), pMernGa{a) dCongtss eat were amraie]. 19. fnEGa WaaMCf IX m1a SF-L1UGap11BWfl ClleeO(a) K aadeaeo. ifi. Tote ppolNng pawl 6aa1 al jl at00Ye alB rofia. poet ralrllef name. e0e, aaM le.lepllane nanaa 111L IonaO� mrNol ninlbe'lbr M1e voldnlaQon mlaom m�a�ta m4Orte-0Dtd6 Wkdlatpartwrrsa�n1e06e It Ok(ialsa YY{tl OhB f:veQa n!'paan au WA a% We opWAMar d Ining Me ec aemama d c raga ]amlw�"mi per IeGyawe. In & l anp alr R'aenlNng m MlmS. 6a3[ M Mama qma au ry a 1}YIbL'y p or "a coo Ma Gate r0.eaea, ilea Imas wi ga oa a lreg Me odeoa i d Irff. 0 M mL co a vl.,a, regar M p,. al eNlmile G any mec 0h or 61. mNM. j a W2awll, n[a®rg mggtehanc fir reanrq Qec amen, ti0 Me ORce G Mauagemm[a110 BUUgeI Palaenart TEOIaUca Pwla% l 8-a15dEl. Wavall�Ml. OiC 2rt31a3, 2 711f ou CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) EXHIBIT 15-G CONSTRUCTION CONTRACT DBE COMMITMENT 1. Local Agency: City of Santa Ana 2. Contract DBE Goal: 25% Installation of bikeway and traffic signal modifications on Edinger Avenue at Flower Street and Mcfadden Avenue at Flower 3. Project Description: Street 4. Project Location: Flower Street 5. Bidder's Name: Eleenor Belco 8. Total Dollar Amount for ALL Subcontractors: Inc. 6. Prime Certified DBE: ❑ 7. Bid Amount: $711, 682. 00 $208, 077. 00 9. Total Number of ALL Subcontractors: 3 10. Bid Item Number 11. Description of Work, Service, or Materials Supplied 12. DBE Certification Number 13. DBE Contact Information (Must be certified on the date bids are opened) 14. DBE Dollar Amount Furnish Traffic Signal Poles and 40540 TEK Services LLC Various Equipment 4749 E. Wesley Dr. 178,992.60 Anaheim, CA 92807 60% of $298,321.00 Local Agency to Complete this Section 21. Local Agency Contract Number: 178, 992.60 22. Federal -Aid Project Number: HSIPL 5063 (187) 15. TOTAL CLAIMED DBE PARTICIPATION 25.1 23. Bid Opening Date: 24. Contract Award Date: IMPORTANT: Identify all DBE firms being claimed for credit, 25. Award Amount: regardless of tier. Names of the First Tier DBE Subcontractors and their respective item(s) of work listed above must be consistent, where applicable with the names and items of the work in the Local Agency certifies that all DBE certifications are valid and information on "Subcontractor List" submitted with your bid. Written confirmation of this form is complete and accurate. each listed DBE is required. 5/28/2020 26. Local Agency Representative's Signature 27. Date 16. Preparer's Signature 17. Date John w0tiv 909-993-5470 28. Local Agency Representative's Name 29. Phone 18. Preparer's Name 19. Phone 30. Local Agency Representative's Title Vice President 20. Preparer's Title DISTRIBUTION: 1. Original - Local Agency 2. Copy- Caltrans District Local Assistance Engineer (DLAE). Failure to submit to DLAE within 30 days of contract execution may result in de -obligation of federal funds on contract. 3. Include additional copy with award package. ADA Notice: For individuals with sensory disabilities, this document is available in alternate formats. For information call (916) 654- 6410 or TDD (916) 654-3880 or write Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814. 5128/2020 UCP Web Application - List Skip to Main Content Back To Query Form (IicenseForm.htm) Search Returned 1 Records Thu May 28 14:43:10 PDT 2020 Query Criteria Certification Types: DBE Firm ID: 40540 Firm ID 40540 DBA Name TEK SERVICES, LLC Firm Name TEK SERVICES, LLC Address Line1 5680 VAN GOGH WAY Address Line2 City YORBA LINDA State CA Zip Code1 92887 Zip Code2 Mailing Address 5680 VAN GOGH WAY Line1 Mailing Address Line2 Mailing City YORBA LINDA Mailing State CA Mailing Zip 92887 Code1 Mailing Zip Code2 Certification DBE Type EMail kim.tekserva@Gmail.com Contact Name KIM KING Area Code 714 Phone Number 336-0536 Extension Alt Area Code Alt Phone Number Extension Fax Area Code 714 Fax Phone 694-0116 Number Agency Name LOS ANGELES COUNTY METRO TRANSPORTATION AUTHORITY (MTA) Counties 19; 30; 33; 37; Districts 07; 08; 11; 12; DBE NAICS 423610; 423840; ACDBE NAICS Work Codes C0686 ELECTRICAL & SIGNA�yQ Q Pt�; C0600 MISC SUPPLIERS; LL //�� ��LL https:/Iucp.dot.ca,gov/querySubmit.htm 112 5/28/2020 UCP Web Application - List Licenses Trucks Gender F Ethnicity CAUCASIAN Firm Type DBE 23A-53 https://ucp.dot ca,goviquerySubmit.htm 2t2 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) INSTRUCTIONS -CONSTRUCTION CONTRACT DBE COMMITMENT CONTRACTOR SECTION 1. Local Agency - Enter the name of the local agency that is administering the contract. 2. Contract DBE Goal - Enter the contract DBE goal percentage as it appears on the project advertisement. 3. Project Location - Enter the project location(s) as it appears on the project advertisement. 4. Project Description - Enter the project description as it appears on the project advertisement (Bridge Rehab, Seismic Rehab, Overlay, Widening, etc). 5. Bidder's Name - Enter the contractor's firm name. 6. Prime Certified DBE - Check box if prime contractor is a certified DBE. 7. Bid Amount - Enter the total contract bid dollar amount for the prime contractor. 8. Total Dollar Amount for ALL Subcontractors — Enter the total dollar amount for all subcontracted contractors. SUM = (DBEs + all Non -DBEs). Do not include the prime contractor information in this count. 9. Total number of ALL subcontractors — Enter the total number of all subcontracted contractors. SUM = (DBEs + all Non -DBEs). Do not include the prime contractor information in this count. 10. Bid Item Number - Enter bid item number for work, services, of materials supplied to be provided. 11. Description of Work, Services, or Materials Supplied - Enter description of work services, of materials to be provided. Indicate all work to be performed by DBEs including work performed by the prime contractor's own forces, if the prime is a DBE. If 100% of the item is not to be performed or furnished by the DBE, describe the exact portion to be performed or furnished by the DBE. See LAPM Chapter 9 to determine how to count the participation of DBE firms. 12. DBE Certification Number - Enter the DBE's Certification Identification Number. All DBEs must be certified on the date bids are opened. 13. DBE Contact Information - Enter the name, address, and phone number of all DBE subcontracted contractors. Also, enter the prime contractor's name and phone number, if the prime is a DBE. 14. DBE Dollar Amount - Enter the subcontracted dollar amount of the work to be performed or service to be provided. Include the prime contractor if the prime is a DBE. See LAPM Chapter 9 for how to count full/partial participation. 15. Total Claimed DBE Participation - $: Enter the total dollar amounts entered in the "DBE Dollar Amount" column. %: Enter the total DBE participation claimed ("Total Claimed DBE Participation Dollars' divided by item "Bid Amount"), If the total % claimed is less than item "Contract DBE Goal." an adequately documented Good Faith Effort (GTE) is required (see Exhibit 15-H DBE Information - Good Faith Efforts of the LAPM). 16. Preparer's Signature - The person completing the DBE commitment form on behalf ofthe contractor's firm must sign their name. 17. Date - Enter the date the DBE commitment form is signed by the contractor's preparer. 18. Preparer's Name - Enter the name of the person preparing and signing the contractor's DBE commitment form. 19. Phone - Enter the area code and phone number of the person signing the contractor's DBE commitment form. 20. Preparer's Title - Enter the position/title of the person signing the contractor's DBE commitment form. LOCAL AGENCY SECTION 21. Local Agency Contract Number - Enter the Local Agenoy contract number of identifier. 22. Federal -Aid Project Number - Enter the Federal -Aid Project Number(s). 23. Bid Opening Date - Enter the date contract bids were opened. 24. Contract Award Date - Enter the date the contract was executed. 25. Award Amount — Enter the contract award amount as stated in the executed contract. 26. Local Agency Representative's Signature - The person completing this section of the form for the Local Agency must sign their name to certify that the information in this and the Contractor Section of this form is complete and accurate. 27. Date - Enter the date the DBE commitment form is signed by the Local Agency Representative. 28. Local Agency Representative's Name - Enter the name of the Local Agency Representative certifying the contractor's DBE commitment form. 29. Phone - Enter the area code and phone number of the person signing the contractor's DBE commitment form. 30. Local Agency Representative Title - Enter the position/title of the Local Agency Representative certifying the contractor's DBE commitment form. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) EXHIBIT 15-H DBE INFORMATION — GOOD FAITH EFFORTS DBE INFORMATION - GOOD FAITH EFFORTS Federal -aid Project No.�HSIPL 5063 (1871 Bid Opening Date Max 27, 2020 The City of Santa Ana established a Disadvantaged Business Enterprise (DBE) goal of 25 % for this contract. The information provided herein shows the required good faith efforts to meet or exceed the DBE contract goal. Proposers or bidders submit the following information to document their good faith efforts within five (5) business days from bid opening. Proposers and bidders are recommended to submit the following information even if the Exhibit 10-01: Consultant Proposal DBE Commitments or Exhibit 15-6: Construction Contract DBE Commitment indicate that the proposer or bidder has met the DBE goal. This form protects the proposer's or bidder's eligibility for award of the contract if the administering agency determines that the bidder failed to meet the goal for various reasons, e.g., a DBE firm was not certified at bid opening, or the bidder made a mathematical error. The following items are listed in the Section entitled "Submission of DBE Commitment" of the Special Provisions, please attach additional sheets as needed: A. The names and dates of each publication in which a request for DBE participation for this project was placed by the bidder (please attach copies of advertisements or proofs of publication): Publications Dates of Advertisement DBE Goal Met B. The names and dates of written notices sent to certified DBEs soliciting bids for this project and the dates and methods used for following up initial solicitations to determine with certainty whether the DBEs were interested (please attach copies of solicitations, telephone records, fax confirmations, etc.): Names of DBEs Solicited Date of initial Follow Up Methods and Dates Solicitation TEK services LLC 5/14/20 5/20/20, 5/27/20 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) C. The items of work made available to DBE firms including those unbundled contract work items into economically feasible units to facilitate DBE participation. It is the bidder's responsibility to demonstrate that sufficient work to facilitate DBE participation in order to met or exceed the DBE contract goal. Items of Work Bidder Normally Breakdown of Amount Percentage Performs Item (Y/N) Items ($) Of Contract Furnish Electrical N Various $298,321.00 41.9% Materials D. The names, addresses and phone numbers of rejected DBE firms, the reasons for the bidder's rejection of the DBEs, the firms selected for that work (please attach copies of quotes from the firms involved), and the price difference for each DBE if the selected firm is not a DBE: Names, addresses and phone numbers of rejected DBEs and the reasons for the bidder's rejection of the DBEs: DBE Goal Met Names, addresses and phone numbers of firms selected for the work above: TEK Services LLC 4749 E. Wesley Dr. Anaheim, CA 92807 (714) 336-0536 E. Efforts (e.g. in advertisements and solicitations) made to assist interested DBEs in obtaining information related to the plans, specifications and requirements for the work which was provided to DBEs: DBE Goal Met F. Efforts (e.g. in advertisements and solicitations) made to assist interested DBEs in obtaining bonding, lines of credit or insurance, necessary equipment, supplies, materials, or related assistance or services, excluding supplies and equipment the DBE subcontractor purchases or leases from the prime contractor or its affiliate: DBE Goal Met T-fir O7 1'=JZ CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) H. The names of agencies, organizations or groups contacted to provide assistance in contacting, recruiting and using DBE firms (please attach copies of requests to agencies and any responses received, i.e., lists, Internet page download, etc.): Name of Method/Date of Results Agency/Organization Contact DBE Goal Met H. Any additional data to support a demonstration of good faith efforts: DbE Goal Met NOTE: USE ADDITIONAL SHEETS OF PAPER IF NECESSARY. ZMo-A7 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS (DBE AND NON -DBE) — PART I PART The bidder shall list all subcontractors (both DBE and non -DBE) in accordance with Section 2-1.054 of the Standard Specifications and per Title 49, Section 26.11 of the Code of Federal Regulations. This listing is required in addition to listing DBE Subcontractors elsewhere in the proposal. Photocopy this form for additional firms. Local Assistance Procedures Aianual Exhibit 12-B Bidder's List of subcontractors (FINE and NON -DBE) Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 1 As of March 1, 2015 Contractors (and sub -contractors) wishing to bid on public works contracts shall be registered with the State Division of Industrial Relations and enrolled to bid on Public Works contracts. Please register at: hilO$://yrww.dir.Ca.goy/Publlc•Wo(ks/Contractor-oggi$L(i tton.htmi In accordance wtidt Title 49, Section 26.11 of the Code of Federal Regulations, and Secrion 4104 ofthe Public Contract Code of the State of California, as amended, the following information is required for each subtmnmelor who will perform wurk amounting.. to metre than one half of one percent (0.5) of fire Total Base Bid or $10,000 (whichever is greater). Photocopy this form for additional firms. Federal Project Number _HSIPL, 5063087) Subcontractor Name and Lacatiem Line Item &Deseiplian Subcontract Amount Percentage of Bid item Sub- contracted Contractor license Number USE (Y/N) DOE Bert Number Annual Gross Receipts DIRRe Number Name: Leer. � 3.3/ 5� I (" y+ 1 q g b <$1 million <$5 million City, State:', C,rAj . L„4 }�tccxilf Iq <$le million <$m:m15 illion Age al Firrs_ Name: Y (•�., �JI �r1 -�}'tj LZ1NO 1 .2�� �jZ <$l million City, State_ (-(A VEft"a�l t,k <55 malian 1OLKKY iXT�(t ® <$10 million $15 million ¢of Firm r5. Name( liu-iLy ftMs nq Get 1NIN Gi 1 I 1 Z�• ✓6 ry p) \v <$1 million City, State: 71Y1 ��(1WJ' )� <$5milllon i d�t7(k'ID3(. e530 million <$ismilban A eof Fitm: rS. Name Lj <$1 million City, State: Q <$5 million <$10 million <$15 million 2 of Fif ar r5. Name: c$1 million City, State: <$5 millinn Lj <510rollion <$15 million eof Firm:Vs. Name Lj <$1 million City, State: Lj 15 million I Q <$10million LJ <$15 million eof Firm: m Dlstributlow 1) Original -Local Agency File 2) Copy -DIRE w/Award Package Page I of 2 .laaunry 2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) EXHIBIT 12-B BIDDER'S LIST' OF SUBCONTRACTORS(DBE AND NON -DBE) — PART II PART II The bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this project. This is required for compliance with Title 49, Section 26 of the Code of Federal Regulations. Photocopy this form for additional firms. Local Assistance Procedures Manual Bidder's List Exhibit 12-B Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 2 In accordance with Title 49, Section 26 of the Code of Federal Regulations, the Bidder shall list all subcontractor who provided a quote or bid but. were not sebeled to participate as a subcontractor on this Protect, Photocopy this form for additional firms. Federal Project Number: HSTPL-3069087) Subcontractor Name and Location Line Item & Description Snbeckmact Amount Percentage of Bid Item Sub- contracted Contractor License Number DBE {Y(N) DBE Cent Number Annual Gross Receipts But Reg Number Name: <$1 million < 5 million City, State: 1$10 million LJ <$15 million Age of Firm: rs. Name: l❑ <$1 million LJ llion City, State: illion illionrs.Name: IlionllionCity, HecfF.Jrm: State: illionillionrs. Name: ❑ <$1 million ❑ <$S million City, State: <$10 miilinn <$I5 million e of Firm:yrs. Name: <$1 motion <55 million City, State: <$FO million ❑ <$15million e of Firm; vs. Name: <$1 mnlinn <$5 million City, State: LJ <$10 million LJ <$15 million A eolflrm: rs. Distribution: 1) Original -Local Agency File 2) Copy-DLAE w(Award Package Page 2 or 2 January 2019 F AiWV7 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) PROMPT PAYMENT OF FUNDS WITHHELD TO SUBCONTRACTORS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: The agency shall hold retainagc from the prime contractor and shall make prompt and regular incremental acceptances of portions, as determined by the 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 from a subcontractor within 30 days after receiving payment for work satisfactorily completed and accepted including incremental acceptances of portions of the contract work by the agency. Federal law (49CFR26.29) 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 the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor, deficient subcontract performance, or noncor Signed Title Firm Date Ekcnor 130co Eleetric. Inc. May 19, 2020 P , '1`J CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) EXHIBIT 16-B - SUBCONTRACTING REQUEST Local Assistance Procedures Manual Exhibit 16-B CONIRACIURNAME COUNTY ROUTE Fleenor Belco Electric, Inc. San Bernardino BUStNFSS AD DRESS CONTRACTNumllm 14320 Albers Way CITY AND STATE 2>PCoor. y�St1PI"5W6'3'(A7jNbMnLR Chino, CA 91710 A. SUBCONTRACTOR B. ButTrEM C. PERCENTAGEOF I). SUB I.I.S-TED ECERTMED F. DESCRIBE WORK G. DOLLAR AMOUNT (Name, Boom Add revs. Phone) NUMBERS) BIDITEM ATBIDTIML DBE WHEN LESS THAN BASP:DON TUN BID SUBCONTRACTED 100% OF WORK IS AMOUNT SUBCONTRACTED Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No I certify that: • The Standard Provisions for labor set forth in the contract apply to the subcontracted work. • If applicable, Form FH WA-12T3 of the Special Provisions has been inserted in the subcontracts and should be incorporated in any to Her subcontract. Written contracts have been executed for the above noted subcontracted work. IN John Wong I --,- MaY 19.2020 This section is to be co lete by 1, 'rural of bid items 2. Conetractor must perform w (tine 1 X contract req. %) 3. Bid items previously subcontracted (taken from previously approved 16-6) 4. Bid items subcontracted (this request) 5. Total bid items subcontracted (line 3 plus 4) 6. Balance of work contractor to perform (line 1 minus 5) t RESIDENT FNGINFFR'S SIGNATURE. DATE, Copy Distribution:Original-Contractor Copy- Resident Fngineer Copy-OBEO-smaairusLtessadvassleSeduyl,cn or I. to (916) 324-M9 Page 1 of 2 January 2018 S•x •aJJ CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) Local Assistance Procedures Manual Exhibit 16-B Subcontracting Request INSTRUCTIONS FOR COMPLETING SUBCONTRACTING REQUEST FORM All first -tier subcontractors must be included on a subcontractor request. Before subcontracting work starts, the contractor will submit an original CEM-1201 for approval according to the Standard Specifications. After approval, the RE returns the original to the contractor and complete the remaining distribution as listed on the bottom of the form. D. If subcontractor was listed at bid time per the Fair Practices Act, check yes, otherwise check no. E. If subcontractor is a certified DBE contractor, check yes, otherwise check no. F and G. When a portion of an item is subcontracted, describe the portion and show the percentage of the bid item and value. G. When an entire item is subcontracted, show the full bid item value. THIS FORM IS NOT TO BE USED FOR SUBSTITUTIONS OF SUBCONTRACTORS AND UDBE, DVBF. OR SMALL. BUSINESS ENTITIES. Paget oft January 2018 L of-% v4 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) DIFFERING SITE CONDITIONS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: Signed Title Firm Date a. Contractors Notification Promptly notify the Agency's Engineer if you find either of the following conditions: 1. Physical conditions differing materially from either of the following: • Contract documents • Job site examination 2. Physical conditions of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent in the work provided for in the Contract Include details explaining the information you relied on and the material differences you discovered. If you fail to promptly notify the Engineer, you waive the differing site condition claim for the period between your discovery of the differing site condition and your notification to the Engineer. If you disturb the site after discovery and before the Engineer's investigation, you waive the differing site condition claim. b. Engineer's Investigation and Decision Upon your notification, the Engineer investigates job site conditions and: 1. Notifies you whether to resume affected work 2. Decides whether the condition differs materially and is cause for an adjustment of time, payment, or both Elecnor Belco Electric. Inc. May 19, 2020 21 95 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQUIREMENTS FOR STEEL OR MANUFACTURED PRODUCTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the "Buy America" requirements of Section 165 of the Surface Transportation Assistance Act of 1982 and as shown in the special provisions of this project. I Signed Title Firm Vice President Hecnor Belco Electric. Inc. Date May 19.2020 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) NEPA COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the Categorical Exemption/Categorical Exclusion Determination Form including and not limited to the National Environmental Policy Act (NEPA) requirements and environmental commitments found in the appendix of the Contract Documents of this project. Signed Title Firm Date Vice President Elecnor Belco Electric, Inc. May 19, 2020 t '.a CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) TMP COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the Traffic Management Plan (TMP) commitments found in the appendix of the ContrXrpocuments of this project. Signed Title I I I 1 Vice President Firm Elecoor Beleo Electric, Inc, Date May 19, 2020 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) STATEMENT REGARDING COMMUNITY WORKFORCE AGREEMENT (CWA) This is to certify that the undersigned BIDDER, and subcontractors, have read and understood the CWA entered into by and between the City of Santa Ana, the Los Angeles/Orange Counties Building and Construction Trades Council, and the signatory Craft Councils and Local Unions, effective as of September I, 2017. The CWA is available at: httl)://www.saiits-ana.oi-alt)wa/doc,uiiients/CWA.i3d The undersigned BIDDER hereby agrees to comply with all terms and conditions of the CWA, and is capable of completing construction of the project continuously, and without interruptions or delays. If awarded any work covered by the CWA, BIDDER will also be required to sign the Letter of Assent that auoeapns Attachment M to the CWA. Signed Title Firm Date Vice President Elecnor Be1co Electric, Inc. May 19.2020 2q2fi�11f CITY OF SANTA ANA EXHIBIT 3 CONSTRUCTION CONTRACT PROJECT 17-6879 FLOWER STREET BIKEWAY FEDERAL NUMBER [HSIPL-5063(187)] This CONSTRUCTION CONTRACT is made and entered into this 18a' day of August, 2020 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 Elecnor Belco Electric, Inc. (hereinafter "CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Flower Street Bikeway Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the "Contract Documents" as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Seven Hundred Eleven Thousand Six Hundred Eighty -Two Dollars and No Cents ($711,682.00), 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 23A-68 Page 1 of 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/documents/CWA.pdf 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. 23A-69 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: W '�" -f—h' BVIN FUNK Assistant City Attorney RECOMMENDED FOR APPROVAL: NABIL SABA, PE Executive Director Public Works Agency CITY OF SANTA ANA KRISTINE RIDGE City Manager CONTRACTOR: Eleenor Belco Electric, Inc. 23A-70 Page 3 of 3 City of Santa Ana Page 1 Flower Street Bikeway (17-6897 (HSIPL 5063(187))), bidding on May 27, 2020 2:00 PM (Pacific) Printed 06/09/2020 Bid Results EXHIBIT A Bidder Details Vendor Name Elecnor Belco Electric, Inc. Address 14320 Albers Way Chino, CA 91710 United States Respondee John Wong Respondee Title Vice President Phone 009-093-5470 Ext. Email jwong@elecnor.com Vendor Type CADIR License # 738518 CA DIR Bid Detail Bid Format Electronic Submitted May 27, 2020 1:40:14 PM (Pacific) Delivery Method Bid Responsive Bid Status Submitted Confirmation# 213030 Ranking 0 Respondee Comment Buyer Comment Attachments File Title File Name File Type Bid Proposal Bid Proposal to Agency.pdf General Attachment Ownership Affidavit Ownership Affidavit to Agency.pdf Ownership Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Bid Bond Bid Bond to Agency.pdf Bid Bond Guaranty (Notary Public) - REQ Original Hard Copy Submittal in Addition Non -Collusion Affidavit Non -Collusion Affidavit to Agency.pdf Non -Collusion Affidavit (Notary Public) - REQ Original Hard Copy Submittal in Addition Line Items Type Item Code UOM qty Unit Price Line Total Comment Section 1 1 Mobilization LS 1 $8,585.00 $8,585.00 2 Traffic Signal Modification at Edinger Ave and Flower St LS 1 $140,000.00 $140,000.00 3 Traffic Signal Modification at McFadden Ave and Flower St LS 1 $119,000.00 $110,000.00 2; e1 City of Santa Ana Page 2 Flower Street Bikeway (17-6897 (HSIPL 5063(187))), bidding on May 27, 2020 2:00 PM (Pacific) Printed 06/09/2020 Bid Results EXHIBIT A Type Item Code UOM Oty Unit Price Line Total Comment 4 GTT Opticom EVP System at Edinger &Flower LS 1 $10,689.00 $10,689.00 5 Install 2" PVC per plan LF 470 $32.00 $15,040.00 6 Install 3" PVC per plan LF 225 $40.00 $9,000.00 7 Install 4" PVC per plan LF 580 $60.00 $34,800.00 8 No. 6 Pullbox EA 10 $692.00 $6,920.00 9 No. 6E Pullbox EA 2 $868.00 $1,736.00 10 Install Video Detection System at Edinger Ave & Flower St LS 1 $33,337.00 $33,337.00 11 Install Video Detection System atMcFadden Ave & Flower St LS 1 $33,337.00 $33,337.00 12 24 Strand SMFO Cable LF 3150 $2.20 $6,930.00 13 Fusion Splice 1 Strand SMFO EA 48 $35.00 $1,680.00 14 IP Communication System at McFadden Ave & Flower St LS 1 $16,000.00 $16,000.00 15 Construct ADA Curb Ramp Per Plan SF 300 $47.00 $14,100.00 16 Pothole For Utility Not Shown on Plan EA 10 $1,115.00 $11,150.00 17 Pothole For Utility for Traffic Signal Pole Locations EA 8 $875.00 $7,000.00 18 Unclassified Excavation CY 10 $1,116.00 $11,160.00 19 Temporary Overhead Wiring at Edinger Ave & Flower St LS 1 $7,600.00 $7,600.00 ISM Imo, IhcF. City of Santa Ana Flower Street Bikeway (17-6897 (HSIPL 5063(187))), bidding on May 27, 2020 2:00 PM (Pacific) Bid Results Type Item Code UOM Oty Unit Price 20 Temporary Overhead Wiring at McFadden Ave & Flower St LS 1 $5,500.00 21 Install Type "Q" Bike Loop EA 13 $285.00 22 Install Type "E" & Type "D" Bike Loop EA 120 $257.00 23 Signing and Striping LS 1 $173,573.00 24 Labor Agreement Oversight LS 1 $10,000.00 Subtotal Total Page 3 Printed 06/09/2020 EXHIBIT A Line Total Comment $5,500.00 $3,705.00 $30,840.00 $173,573.00 $10,000.00 $711,682.00 $711,682.00 23A-73 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 17-6897 EXHIBIT A FLOWER STREET BIKEWAY FEDERAL PROJECT NO: HSIPL 5063 (187) amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. f This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within number (80) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $400.00 per calendar day. Name of Firm Signature of BIDDER John Title W' • Pr=s d ni (If an individual, so state. trm or rship, state the firm Warne 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.) Alberto Garcia de los Angeles - President Pedro Fnrile - Secretary John Wong - Vice President Jeroni Geivilla-'rreasurer i3A-4 EXHIBIT 4 COST ANALYSIS PROJECT 17-6879: FLOWER STREET BIKEWAY HSIPL-5063(187) Construction Contract $711,682 Contract Administration $80,560 Inspection and Testing $20,140 Contingencies $53,205 TOTAL ESTIMATED CONSTRUCTION COSTS $865,587 23A-75 Q U ( Q 2 § & � ƒ\ Z Q 2 A9 � § R )§ 2 U « 3/ k � � 2 ) qL 0 = ;�!!�l,,,l:,•� �|; / \ ) � � 4 22A- § ldEMl - LBBe-u - AVM3)1813BUJB leMotl b 4 - 05i6L'tl 3N'H�:LWI 5bY4$Y F�§5� i a�a I � "s Eti�.pY%yei ix84ipvR € s% �m A�.g f$$x$9$h k�§P?4p§ p{a vF lvJ`vJ 4 C Z •wggg kgg$SK .. EK y 91.'.444„€4E:s§??S$iaF y. it a OO+SK rots 3lalgltlgl d C 6° o . 3 isa�i!�:"¢@:i EKi PiiKKYS Y G � Ju LL a 4Y. gb ESY-87�Y�aE4b�, .n �.. €ay yYa8:•cc-c3 _Ksi gi 4� 3 SHIN4�i�44€44yy4iNE4 'SuS. � (�•gtl6.._Pi„n„p..98 A w� F 1� C Q 4 � 4tl47i.aaaaaaStYai€t a K € P 4 gtlg`Y 3 'y gy �... OOOMN3M m yi TB Y Y Yp Y p ^9 ' " •Y $ q •3 Y @ is E?e x'Ii Y6 a- i H 9 a [ d ld 18HnHtlNtl co I TI g yAi`tt sF Es! 3 $ pe dq"deg d3 EnI� a ' _ LL !:@$°paiC €?�ned'8x5 YyE a:A� qY tl $ `. .�iw eAE;"e?::s �aao€r1YF e 4 •e€2� r. _€° pCq•Yx!6€g6. � �l6 �3Y u gbia5 „I e y ` 61YFY`Y SPtl .Y�{Y€€ ��- tl � pE}EpygK YK KK"�55 is p�4$E€€y�9Y� ry €) ' °a• «ASYP„Y!' C'Y-CYh4?EiY°,�FY gg BY - i YA III(YIY_}) x _°Yvv4iaiii�is1E_Y?v9$sF'J�ejIRD d?�?i 9 Ire «i�?«i ii 999« «gt!•«?8gg1gj'tl'I a •r 09®O BOO O ®0 �®® W ld alonwam, • a I-'�I Yqb s ip° ea it3 3 a a€slia Ea a it' E: x Y tt� Y e• '� Z9 Y hax 11 S EYg 9 Ya�a-!tl Y — (1M]Itl 3AOBtl 33B) 64y 5 x3• %: vd& Y v as�„RO w Ieo k! a — 14l W93N11'J1W1 x"yam a E 54? b SEY aE : $- 'a9 it y i • q'4i i is e$n�iai 3Atl H3dHtlM - ' $%'xK 'pa aISO 5! ay a$s aR:p 6¢b[$ses: a i3-E ap 3 ,na€ YP'e� xsi w�peYtli « = s 7 s.$a! :?p4 -gv y.'d5as" pygE se8e€"3i a i ii 7`b 4 ey A A3-sJIf99 E sMBW3Nd 18 a IXHSL SIOd 3i1Mn MY UMNIM SBe6 9 O IN c 9 I s ( i$'dNOYYOd 11 OSIS m3 mlly* i1tlW 23A-7 tr E b 5R S$ b iy 5bb i.A m"$6�R 4 6k .hill HBO y�-! A$2a�8 a vR S pg Y gg}}Yg;mB ak$ISgKgR€€•OPC 9p sss$$$@4Yss4? NI'l 2 $g$g$ $ ....Aa- 9 ii $aR ¢YtFag sp�ga'�b�E°� $a 2gi 8�b§g ---Yc g�4�YY4�:�es$esgegYY E4 a (Htl6..-Pixn. gY47ee888i88i i&gg€Y @g P W A Y x Ey Aa p M 9 'bE29 m €Y�l6�mY y�Y Y g8+y, IP£°-$6by8 d YK 5by €E =y 8 8 Yip 9g'grg ig dEE::::% -a�AaC �' dsA''�pidYgK BbYs-33i ,-. Y a b`ytlXay !ie N a % a Ea y � 5 g€sK� y 3 }^GYmEE� a Y � Y -tlq i �a�eBlii - € ayN!4.m ` y$a $d a6-ab'pdadQ 1 ' $ ?- gif 6Kd C'Y: $a 3 �K Q yi5 Y2 EbaB%"3"g d=i€i 2Ee .�..?wsa�.$ i d d 4 ey 3AW 3HH87M +11.1�ll 23A-7 tr E b 5R S$ b iy Sot' a"8$6�R 4 6k YS [P pg5 4 gY9E� k¢�ISKgVyRg•O4C sR��l:E@:sKK$:iiiiii $ n a jig jg 9�4�AY4�:�44$44yy4pY E4 S YC eq4. PinA.4...1 A 4AE7ee888i88i ibdd€6 �E > +Y �tl �bbw E gi6 .[Y i214 ,EE a=^syy bg9 yb129 Y kA�,6�3r �e.EgE�14 ?�EP9grg?-Y3 EkAaYY€r m i Fri b 4 m. Im 00#ZB�tl 3�i'FI�tlYI e p e g E gqtID #o e ii a b08 s So J i JI S Noeeno cc i a O L y dS is NOGWO BAY tr E b R $$ 4 iy tli- h F pg d Ym8 kg$ISKR€•OFC iR ihih.YK$::i $ n a g�4�Y %4�:�44$44yy4YYE4 d C 9 ¢g 4YEdee8882882tbddK6 r'fi'1 luS wm Y� .23� $ a LL a ik ;R g § �g 89 xQ a e eel e y% d Am ' a$ s F Pg .rdHrim = k� a l j (F E [ E v_ �- ^s'" •F $ E •3 Y@ is Eke x'� Y6 a- i nT PY YO I e '�r r g cYt F a -. - �4 = F F W s Y n Y x �tl E-db,aA mll g.d B M 9 'bE29 m y�Y Y €Y�F6�3Y g8+y, $k�.56aYv d vA 8 Fjp9'gr jg Yay dEE::4:k Eli ii �ak Aa CY€r iu. V£ BBbY.s.d N n YgYi'-��v Ee s a mm 04: * 3AOfltl 33BI op5 x3e $i kd& a v as „3'ErS YIEi 3d1g1 Yy9E� ! e e.? .e PgY aEy d a € : - a F$a 5 C �b yytt 4 � $� $kii9., � • €s ass 'H. YdY s.Ya t?4 �4Y y.AasN pE saee "t g 6Y r 7rf b � E SY YS¢. h. k% $E i. &Y iA$:.± i i€€ SYk r=E i i?wia?i$ Y 3 7a m k 23A-80' " m . IS is is 19-'091$19 ISIL'tl�8 3i1101tlY1 9€. e�iTTTT k — of I �d 3386 tr E b h $ sabA£mim iy§6� a" k 4 6k .Ym hd�-! A§�a8 a v8 S pg 8 kg€gISKg��Rg•OaC 9p�s pss.@4E: gYg4??9aTa� $YtlFag zp§�g3'�bE° $f w5 S !CY 9 ¢ (�4tl6 •.-PixA. p.. eE A 4YEdee8882882 tbdd€6 a K� LL is gi 9 g YY ES y A H e kY 9� m b ay 3 d Y gy gy £a E ycm� 'e'' •$ € @ 3 £@ is EYe x'� Y0 a- i +T pY YO p 23A-8 ! s E' P _ ;c :r A n E 9b- Stltl. Ah mu i�v QY #6 ¢ ab 5�E Pa Syy bg9 �b�29 N 4yE yY Y Y�l6�mY gb iy, i�g9grgiN lEE::4:E -aEAaCY€r ®0 m®B61®® g S tl 8$g�-tl SY's3�: e� m N d 4 cga$Y€b Ea?sY ' F kg ppAY=WtlS,: a i[ K_ 'tlq i �a8$Blii - � Y K'1O i RN tl YE iYs�€e? � ¢ I-• ` K� yga y by €m� pffib m ad tl6 �F'b'tldYa . � 1 � $ Y� Yi EFL Ytle a Y ! �s2 EbaB`e "3"g i 6l i€i EEe � pig'. .�..?wa�.$ i d d 4 .y 4 F 4 S e , s a ' 1 n � ai o fr• J0 m m •Ila J c e � (9 =10 9 lam 338) 00+SU *VJD 3 nHC)IV" tr E b 5R Sg b iy 5bb b.4 m"g6�R $ 6k .h�dk�! Ag�a18 b v4 S pg £ Ym8 k€ISK��R•OeC aA4££�€�,HgIN1k$1 68 SS:c@:REKk::ikiii i g K YtlFay sp§;�§3s,'�bIE Y� gf =£tl5 8�b---Y�4' in g�4�YY4�:�£4€£4yy£pY E4 b CY 9 ¢ (�4tl6 •._PixA. p.. eE A 4YEdee8882882 tbddg6 LL 4--Q 9 kP y A H e m b $y 3 6y Y 00 y k ofg$ V"I "a £s E ^4'" •f g E •3 £@ is Eke x'� Y0 a- i T f pY YO p K zh ry iii.. �g c� N 23A-8 tf u s E. s a A Sbb. n k 9b- mu i�Y E¢#6 sb iyy bg9b�29 kyY yY Y Y1e6�mY g8+y, ,E 'e , F�g9grgje £by YEyy::4:k 6E 4ACY€C ®0 080O.I®0 SY-s'i m N a 3 s bgs4iiia d Ee . �EI-T k mOF �oapa� ou•= = u0 �eeeeeeeeeeeeeeeeeeeeeeoeemee®®ee® �eeeeeeeeeeeeeeeeeeeeeeoeemee®®ee® �00000000ee000000moeee000eoeeeeemm �0000eeeeeemeeooemeeee000meeeeeeem �mmeeemmeeemeooemmomomomemeeemmemm • �mmeeemme000000mmm00000000000000e® �mmeeemme00000000meooeoeeoe000momm �eeeeeeeeeeeeeeeeeoeeeeoeee00000em Z n Ilr LL �r w vpe z= " a pa a.e o' o0 000 0000¢ o000000 cign ,ai W 5 3= 8 I � 3? o3g o Y_5 0 =V yjM ymge 4Y8& �o'y v o 0 S zx}4 oaz '-sa tome== oem54 o z -' e W �e U' �4. e8.� Ova='3 d3�e. ee� 3D•. B�BoE 34..0 ..�.y 4�Yo _ 4 �-_b :o bobc"="mC �Bm a�„s�"....§v oa _b6 :•}�� 2 2 � k __o-w��\ OWV 22A- 4 \\(/ °I( ) / §LL )�| §5 \\- �� . « nss sszm777 ) 8l 8909 -ldISH - L689-L1 - AVMBA18139WB dBMOld m, vo -------------- W W ... ¢ " ---- ¢ u WZ/50 NO J _ - - ON s °C w J w „ R s aj% OOO • L,� S �P F t2l 1P 0 _ a4 � a I L 0 v i , �( Lei �va �'x • V c a -- oa O...o = w m � • �o wo_ —I o w.e o ° s 1S H3MO-ld o �rNOa s=sKo mom=o�� TO ww :oa. s NO Iyay -77777 7 7 7 a qM isY om �& G _ �� 33 i �- W z �, LEN: `de ��e8 33E0 MN _ ofi8P$£%��� � °'os� >i�'s" �__ - � 6b "`'e'>e= •. Bp Vie: w. 03= :e :y ON A S, R £ 8 3£.. lb .C;.: 000 aaaas�. -851 aaa�.�m•... .�'.&�!=acs Oy