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HomeMy WebLinkAboutALL AMERICAN ASPHALT (28) 3Z� Recording Requested By, Recorded in Official Records, Orange County And When Recorded Mail To: Hugh Nguyen, Clerk-Recorder City of Santa Ana,Public Works Agency M22 III I I I I I IIII�� 20 Civic Center Plaza,P,O.Box 1988 1 11 I Ifl 11 NO FEE Santa Ana,CA 92702 * $ R 0 0 1 3 4 5 8 2 0 8 $ 202200001107710:42 am 01110/22 320 RW11A N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 THIS SPACE FOR COUNTY RECORDERS USE ONLY 1 � NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana, California, 92701, is the owner of the property hereinafter described, that said owner has caused A construction of Flower Street Rehabilitation From McFadden Avenue to 1st Street under contract M entered into on March 16, 2021, with All American Asphalt, on which contract Fidelity and i w Deposit Company of Maryland is surety. The property on which such work improvement was 3 oplaced is in the City of Santa Ana, County of Orange, State of California, and described as 04 Project No. 21-6976 located at: Flower Street from McFadden Avenue to 1st Street. The work improvement on said property was accepted as completed on December 23, 2021, CITY OF SANTA ANA,A MUNICIPAL CORPORATION w by Dated: Principal elevil Engineer.—.Jason Gabriel O TITLE {� D ----------------------------------------------------------- VERIFICATION I, the undersigned, say: I am the Acting City Engineer — Zdenek Kekula of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; 1 make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof; and I declare under penalty of perjury that the facts therein stated are true. Executed on C , at Santa Ana, California (Signatwe of individual swearing that the contents of Notice of Completion are true,) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION APR 2 8 7021 CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET This CONSTRUCTION CONTRACT is made and entered into this 161h day of March, 2021 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and All American Asphalt. (hereinafter "CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 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 Rehabilitation from McFadden Avenue to 1st Street 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 Three Hundred Five Thousand Five Hundred Ninety -Eight Dollars and No Cents ($305,598.00), as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A." The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. rev. 09/01/2017 Page 1 of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: httv://www.santa-ana.org/t)wa/documents/CWA.pdf CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work (Performance Bond), and one in the amount of One Hundred Percent (100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of Ten Thousand Dollars ($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final contract price. 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. 10. INDEMNIFICATION To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses, including reasonable costs and attorney's fees, for injury, including death to any person or damage to any property, arising directly or indirectly from, or in any manner relating to, any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; (ii) Performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; Page 2 of 3 (iii) The construction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier, for Work of Improvement performed on or off the project site; and (v) Any personal injury, property damage or economic loss to third persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. 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: 7K" -f", J HN FUNK Senior Assistant City Attorney FOR APPROVAL: M �"�a-'z '�- IL SABA, PE utive Director c Works Agency CITY OF SANTA ANA KRIS�E City Manager CONTRACTOR: All American Asphalt NA : Ed and J. Carlson TITLE: Vice President Page 3 of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verities only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accuracv. or validity of that document. State of California County of Riverside On March 16, 2021 before me, B. Rooster, Notary Public Date Here Insert name and Title of the Officer personally appeared Edward J. Carlson NameilitdrSignertr— who proved to me on the basis of satisfactory evidence to be the person(r) whose name(s) is/are subscribed to the within instrument B. ROYSTER and acknowledged to me that he/she/they executed the same in 6�tg. No[aryPublic-California his/her-Rheir authorized capacity(ies), and that by his/herJthelF Riverside County Commission a 2260352 signature(s) on the instrument the person(&), or the entity upon behalf My Comm. Expires Oct 26, 2022 ' of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my xtnd an fficial seal. Signature Place Notary Seal Above Signatur of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Construction Contract — City of Santa Ana Document Date: March 16, 2021 Number of Pages: 7 Signer(&) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Edward J. Carlson Signers Name: Individual ❑ Individual X Corporate Officer —Title(s): Vice President ❑ Partner o D Limited o General ❑ Attorney in Fact ❑ Trustee ❑ Other: Signer is Representing: ❑ Corporate Officer —Title(s): _ ❑ Partner o o Limited o General ❑ Attorney in Fact ❑ Trustee ❑ Other: i Signer etly or Senla Ana page 1 of 3 Funwe1 SI. Rehabllilalion from MuFadden Avenue w 1a151ree10 6076), Etldin, ap 02125120212.00 PM (PSTI Punned 02292021 EXHIBIT A Bid Results Bidder Details Vendor Name All American Asphalt Address 400 E. Sixth Street Corona, California 92879 United States Respondee Jim McGee Respondee Title Project Manager Phone 951-736-7600 Email publicworks@allamericanasphalt.com Vendor Type CADIR License# 267073 CADIR Bid Detail Bid Format Electronic Submitted 02/25/2021 1:30 PM (PST) Delivery Method Bid Responsive Bid Status Submitted Confirmation # 244210 Ranking 0 Respondee Comment Buyer Comment eBond Contract ID Attachments File Title File Name File Type Non -Collusion Affidavit- All American Asphalt.pdf Non -Collusion Affidavit- AIIAmencen Asphalt.pdf General Attachments Ownership Affidavit- All American Asphall.pdf Ownership Affidavit- All American Asphalt.pdf General Attachments Bid Package- All American Asphalt.pdf Bid Package- All American Asphalt.pdf General Attachments Bid Bond- All American Asphalt.pdf Bld Bond- All American Asphalt.pdf General Attachments MlIuetBdl l- City of Santa Ana Flower SI. Rehabilitation from McFadden Avenue to Isl Street (215W6), biddllg on 020512021 2n0 PM (PSTI lr,e 2 u13 Peinletl 02252021 Line Items EXHIBIT A Item Item 4 Barnett, Tyne It.. Destruction DOM CITY op Line Total Raspaw Comment Cads I Base Bitl Items Unrea Tait Emevatm' cy 10 Gm o SB,4W.0000 Vas 2 Base Bid llsmz Variable Cnitl end ut'.ac) SF 3DSW 1O4FJ 515,W00pW sees 3 Bane Bid home CSAe UH (71 • SF 121N0 q = SA,021 ODM yes 4 Base Bid IN., AC trammeled TN 5W UO'W S43.500.0000 Yes 5 Base BM llama Moral Rubber Net Me(ARRM)' TN 2000 D0.00 SI Te.SW,DOW Yes a Bass Be llama PCC AOexalk un I' SF WO O17M gI0.5110030O Yea 2 Bma Bitl llama PCC Curb $Gu1Hr(A-24) sal Curb Orabs Rapab LF 42 l�'0 8&.400AW0 Yea a Baee Bid Item, Adial ManFog Frame add Cover 1.(>atle EA 5 Q110 SS.WO.OWO Y. Was S am Be. Bid Items Atl1u51 Woos FmmataM Carter to Gmda EA a 51 55,000.00% Yas 1O Base Bld Ilse AEtml Survey Mpmrmanl Pnana act Us. to Functional Grade EA 9 %0O 50.5.50.00W Yes 11 Base Blo llama PoracOun olSataoe Unity Framas6 Cmm. LS i 9�'0 B500.0001) Yes 12 Base Bd Dome Pmeel Aovnbsement Sips EA 2 9100100 S3.BW.OWO Yes 13 BN Adornment- NOT PART OF BASE BID TOTAL Pasemnn Falad-GLASPANE Yd SY wou $40.3W.COPJ are 050310 Is BlArlamalrvea- NOT PART OP BASE BID TOTAL PCC Atleark(4') SF Sol OB4W SI41W WC0 Yac 1O BitlAtamaees NOTPARTOFBASEBIDTOTAL PCG Sam O CanIn (A-2B) LF 5W 00 W 830000.pOW Yes ' = the yt anlih ko INa ted tam re sM1own la 6k mnpanwn onry Turn bid lrem Mail nn ba aria tro Me-25V limit as Inl sects%Slwcas mk AdIeiIkInad.1o:es{PorSxlltn12 o10UMad Bpecatratlons}.NOi Mm1 termall do, be sablestars Goal cc ndbdard SOOW In part al Be.OBid Total (:akvlMgn cars SpCtodlen.I he 3.2 oltlre 5ten4eN SpetificaLn.3. iM1e actuatamaun[Ior Ws mount Or ea n 0 So Wass Yas Ban, all as Made led by the actual cua40ly used, and Me Aeawy o a odes me right to increase artleneaaa Me yrwndly oI We rlemnamtlln9ly. 11 All" Non. (Par Setlbn 3.20f Standard S"Oducadres) - NUT t- Thes To tam is cpnytlerep a Studet, Item per Brennan $OWo Mat pof Base Bid Trial Calollalwn 2-3.Blt to Sensors Speci,sompre, ea p 11 SO W0.1, Yea Plenel a, Inc clry o1 Sanla Are Pale ] 0l3 Flower 51, Rebabllfla6on Imm McFadden Avenue to 151 Street (21-6976), binding ou 02125120212,00 PM (PST) Printed 02252021 EXHIBIT A Line Item Subtotals Sactlon Me Line Total Base Bid Items 5305.599.D000 Bid Alternatives - NOT PART OF BASE BID TOTAL 597.430-D000 Astedck Notes (Per Sacdon 3.2 of Standard Specitica0ons) - NOT part of Base BM Total C Iculatlan SO.W00 Grand Total 5403.0280000 Planeleds_ Inc CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 EXHIBIT A FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any). * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within forty (40) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $2,500 per calendar day. NameofFirm All American Asphalt Signature of BIDDER Title Edward J. Carlson, Vice President (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) P-2 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21.6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: All American Asphalt REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Unclassified Excavation* Cy 10 $540.00 $ 5,400.00 2 Variable Cold Mill (4" max.) * SF 38,000 $0.42 $15,960.00 3 Cold Mill (2") * SF 121,000 $0.22 $ 26,620.00 4 AC Pavement * TN 500 $87 00 $ 43,500.00 5 Asphalt Rubber Hot Mix TN 2,000 $ $ (ARHM) * 87.00 174,000.00 6 PCC Sidewalk (4")* SF 600 $ $ 17.50 1 10,500.00 7 PCC Curb & Gutter (A-2-8) w/ LF 42 $ $ 6,468.00 Curb Drains Repair. 154.00 8 Adjust Manhole Frame and EA 5 $1,100.00 $5,500.00 Cover to Grade 9 Adjust Water Valve Frame and EA 5 $1,000.00 $ 5,000.00 Cover to Grade 10 Adjust Survey Monument EA 9 $ $ Frame and Cover to Finished 950.00 8,550.00 Grade I1 Protection of Surface Utility LS 1 $ $ Frames & Covers. 500.00 500.00 12 Project Advertisement Sign EA 2 $ $ 3,600.00 1,800.00 P-1 of P-17 MAYOR Vicente Sarmlenlo MAYOR PRO TEM David Penaloza COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez. Jessie Lopez Nalida Mendoza Thai Viet Phan CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza P P.O. Box 1988 Santa Ana, California 02702 www.Santa-ano.org February 11, 2021 ADDENDUM NO. ONE CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL patsy Gomez SUBJECT: Project No, 21-6976: FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET The following changes/revislons/clarifications have been made to the specifications for the subject project: Specifications Special Provisions: Section 2.0 Traffic Signino & Striping: Replace, as attached. All other terms and conditions remain the same, FOR THE C Edwin 'William" f3aIG City Engineer Public Works Agency SANTA ANA CITY COUNCIL Vbrnherl .10 cam Protege TMi Vol Phen J.W. Lopez Phu on". JohnaNen area Namandez Needs Mendoza y�,1,,n,�ne®eimiaan,an Mao."impananlernldeb 1S(n e,ne nne.om hedgioQLxagWind nlaane obuon,dbennM1ana om Weanemdneypa�e,me.ana nmanmza�ennenna a,a CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET TOTAL BASE BID (Bid items 1-12) $ 305,598.00 ADD ALTERNATIVE 13 Pavement Fabric - GLASPAVE 50 SY 9000 $ 5.37 $ 48, 330.00 14 PCC Sidewalk (4") SF 1500 $ 9.40 $ 14,100.00 15 PCC Curb & Gutter (A-2-8) LF 500 $ 70.00 $ 35,000.00 TOTAL BASE BID + ADD ALTERNATIVE $ 97,430.00 The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any). * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within forty (40) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $2,500 per calendar day. Name of Firm All American Asphalt Signature of BIDDER Title Edward J. Carlson, Vice President (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) P-2 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO IsT STREET BIDDER'S STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his/her duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in 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. NameofFirm All American Asphalt Signature of BIDDER Title Edward J. Carlson, Vice President (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) �ayk GUEtr, �f'es,� � �dl�ard J. (misty, v' rVl�cltiut -ems Sec:etfa-/ P-3 of P-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 truthfulness. accuracy. or validity of that documenL State of California County of Riverside On February 24, 2021 before me, B. Royster, Notary Public Date Hera heart creme and Title of the DRcar personally appeared Ed wazd J. Carlson Neme SisJ f who proved to me on the basis of satisfactory evidence to be the 8. ROYSMR person(s) whose name(s) is/are subscribed to the within instrument Notary Public -California and acknowledged to me that he/sheA4ey executed the same in "�-•_ ` Riverside Court ty $ his/heFAheir authorized capacity(ies), and that by his/herkheir Commission R 2260352022 signature(s) on the instrument the person(a), or the entity upon behalf MY Comm. EXPIres Oct 26, 2y of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my and an �fidal seal. Signature Place Notary Seal Above Signatu or Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bidder's Statement — City of Santa Ana Document Date: February 24, 2021 Number of Pages: 1 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(&) Signer's Name: Edward J. Carlson Signer's Name: ❑ Individual o Individual X Corporate Officer —Title(s): Vice President ❑ Partner ❑ in Limited o General ❑ Attorney in Fad ❑ Trustee • Other: Signer is Representing: Top o/ Ihumb here ❑ Corporate Officer —Title(s): ❑ Partner E o Limited o Ge ❑ Attorney in Fad ❑ Trustee ❑ Other: Signer is Representing: ALL AMERICAN —ASPHALT— AN LQUALOITORIUMIT LMI'LOM" ALL AMERICAN ASI'I IALT ALL AMERICAN AGGREGATES CORPORATE RESOLUTION CONTRACTOIb u('TNSr rA,7117k Al'.I CN R v I VC001) I ,151 Resolved, that this Corporation, All American Asphalt, on January 7, 2020 authorizes Edward J. Carlson to execute contracts and agreements on behalf of the company in the capacity of Vice President. Michael Farkas Secretary CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1sT STREET CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all his/her subcontractors are registered with the State of California Department of Industrial Relations (DIR), and that the following is true and correct. Contractor's Name: All American Asphalt Business Address: 400 East Sixth Street, Corona, CA 92879 Business E-Mail Address: publicworks@aIlame ricanasphalt.corn Telephone: (95 1 ) 736-7600 State Contractor's License No. and Class: 267073 Class A, C-12 License Expiration Date: 1 /31 /2022 State Dept. of Industrial Relations (DIR) Registration No.: 1000001051 State Dept. of Industrial Relations (DIR) 06/30/2023 Registration Expiration Date: Signed: Title: Edward J. Carlson, Vice President P-4 of P-17 CONTRA TORS CJC� STATE LICENSE BOARD •�•••M - ACTIVE LICENSE .•. 267073 :•ry CORP ALL AMERICAN ASPHALT AC12 hVM e�.„N 0113112022 www.cslb.ca.gov um Contractor Information Legal Entity Name ALL AMERICAN ASPHALT Legal Entity Type Corporation Status Active Registration Number 1000001051 Registration effective date 7/1/2020 Registration expiration date 6/30/2023 Mailing Address PO BOX 2229 CORONA 92878 CA United States ... Physical Address 400 E SIXTH ST CORONA 92879 CA United State... Email Address Trade Name/DBA License Number(s) CSLBi267073 CSLB:267073 Legal Entity Information Corporation Number: 057879 Federal Employment Identification Number: President Name: MARK LUER Vice President Name: EDWARD J CARLSON Treasurer Name: MICHAELFARKAS Secretary Name: MICHAELFARKAS CEO Name: Agent of Service Name: MICHAELFARKAS Agent of Service Mailing Address: 400 ESIXTH ST CORONA 92879 CA United States of America Workers Compensation Registration History Effective Date Expiration Date 5/11/2018 6/30/2019 5/8/2017 6/30/2018 5/2/2016 6/30/2017 6/9/2015 6/30/2016 8/25/2014 6/30/2015 7/1/2019 6/30/2020 7/1/2020 6/30/2023 Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance Information below: PEO PEO PEO PEO InformationName Phone Email Insured by Carrier Policy Holder Name:ALL AMERICAN ASPHALTInsurance Carrier: ZURICH AMERICAN INSURANCE COMPANYPolicy Number:WC593205701Inception date: 7/31/2019Expiration Date:8/30/2020 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO IsT STREET 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 Finn All American Asphalt - Corporation Signature of BIDDER Title Edward (if an individual, so P-5 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1 ST STREET OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA ) Edward J. Carlson ,being duty 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. �/ UV CORPORATION That he is of: Vice President of All American Asaahit 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 contract, for himself or any other person. Signature ofBidder Edward J. Carlson, Vice Presiden Subscribed and sworn to before day of 20 _ Signature of officer AO;Knistering Oath (Notary Public) P-6 of P-17 2CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside B. ROYSTER Notary Public - California -° Riverside County £ 8 Commission k 2260752 My Comm. Expires Oct 26, 2022 ' Place Notary Seal Above Subscribed and sworn to (or affirmed) before me on this 24th day of February 2021 Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (2) (and of Signer Ltor—me on the basis of satisfactory evidence person who appeared before me.) Signature 4t' .4xft-A- :;I Signature of rotary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document Ownership Affidavit Document Date: 2-24-2021 Number of Pages: 1 Signer(s) Other Than Named Above: Top of Ihumb here Top of Numb here :Bid Bond No. 08597423 Bid Date: 02120021 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1sT STREET KNOW ALL PRESENT that, All American Asphalt , as BIDDER, and Fidelity and Deposit Company of Maryland , as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of_ Ten Perms of Total Amount Bid-- Dollars ($1a%o(Bid••••• ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 181h day Of February _ , 2021 BIDDER* All Amer can Asphalt - 400 East Sixth Street, Corona, CA 92879 - (951) 736-7600 SURETY* Fidelity and Deposit Company of Maryland - 777S. Figueroa Street, Suite 3900 Los Angeles, CA 9001T•. 164; David Wei - (213) 270.0808 and sworn to before me —Please see Attached" this , 20_ Signature: Notary Public in and for the County of State of Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. of P-7 of P-17 :ALIPORNIAALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1188 A notary public or other officer completing this certificate verifies only the identity of the Individual who signed the document to which this certificate Is attached. and not the truthfulness. accuracv. or validity of that document. State of California County of Riverside On February 19, 2021 before me, B. Royster, Notary Public Dale Hare Neon name and Title of the officer personally appeared Edward J. Carlson Name�yOTsl negAl'"' s who proved to me on the basis of satisfactory evidence to be the 6. ROYM persons) whose name(s) is/are subscribed to the within Instrument Notary Public• California and acknowledged to me that he/she" executed the same in Rlversl4mission # 22nty his/iaerAbISIF authorized ca y Commission p County 2 pacity(ies), and that b hlsliseNthelr eMy Comm. Expires Oct 26, 2022 signature(s) on the Instrument the person(a), or the entity upon behalf of which the person(s) acted, executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph Is true and correct. WITNESS my �Id a rd�fFlcial seal. Signature `,/lfC Place Notary seaf Above signatur or Notary Public OPTIONAL Though the information below Is not required by law, It may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Bid Bond— City of Santa Ana Document Date: ftbrum 16, 2021 Number of Pages: 3 Signer(s) Other Than Named Above: William Syrkin, Attowe -ty n-Fact Capacity(les) Claimed by Sigrai Signer's Name: Edward J. Carlson Signer's Name:,_, a Individual D Individual RCorporate Officer —Title(e): Vice President DCorporate Officer — a Partner D D Limited D General ❑ Partner Ll D Limited o Attorney in Fact o Attorney in Fa o Trustee Tppora u ab he e n Trustee D Other: c Other: Signer is Representing: Signer Is Representing: CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 118& '<S..� n.:Yav'.. .AKA. ✓ J vK m�lC2 i �afCm'<. v%mu. N A notary public or other officer completing this certificate verifies only the Identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On 0211612021 before me, Liliana Gomez, Notary Public Date Here Insert Name and Title of the Officer personally appeared William Syrkin Name(s),of SignerN who proved to me on the basis of satisfactory evidence to be the persons) whose name(s). Is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/het/tttelf authorized oapacity�*, and that by hia/her/their signaturel.on the Instrument the person(* or the entity upon behalf of which the persons) 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. ULIANA GOME® WITNESS my hand and official seal. 3f u't,, NotaryPublic-Caararnl MY Comm, Expires May 10, 1021 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this Information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 02/16/2021 Number of Pages: e 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(les) Claimed by Signer(s) Signer's Name: William Svrkin Signer's Name: 0 Corporate Officer ^ TRIe(s): 0 Corporate Officer — Title(s): 0 Partner — 0 Limited 0 General 0 Partner -- 0 Limited 0 General 0Individual 2Attorney in Fact 0Individual 0 Attorney In Fact 0 Trustee 0 Guardian or Conservator 0 Trustee 0 Guardian or Conservator 0Other; 0 Other: Signer Is Representing: Signer Is Representing: Fidelity and Deposit Company of MM�fand 02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1.800.876.6827) Item 46907 EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8,Attomevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the Attested cotporateseal, appoint altomeys-inAact with -authority to execute bonds, policies, recognizatims, stipulations, undertakings, or other like instruments on behalf of the Company, and may authori2e any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without causemodify of revoke any such appointment or authority at any time." CERTIFICATE 1,. the undersigned, Secretary 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 lurlher 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 ofthe Board of Directors of the ZURICH.AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15111 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 ofAttorney ...Any such Power or any certificate thereofbearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed, IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seats of the said Companies, this loth day of February 2021 , {" �aeaL�n Na By: Brian M. Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196.1056 www ronortsfelai ins<ru2urichna.com 800-626-4577 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 Slate of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the Stale of Illinois, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the Slate of Illinois (herein collectively called the "Companies"), by Rabert D, Murray, Vice President, in pursuance of authority granted by Article V, Section g, of the By -Laws of said Companies, which are set forth on the reverseside hereof and are hereby certified to be in full force and affect on the date hereof, do hereby nominate, constitute, and appoint William SYRKiN, Rebecca HAAS-BATES, Sergio D, BECHARA and Richard ADAIR, all of Irvine, California, EACH, its true and lawful agent and Attornoy-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surely, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at Its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said VicePresidentdoes hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section S, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this I Ih day of June, A,D. 2019. j iyy aN 4+J°ovo,,,r cuaRb,� i� gam( ,y�� av�n3 BAt ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Murray ... Vice President By., Dowry E. Brown Secretary - state of Maryland County of Baltimore On this f lit day of June, A.D. 2019, before the aubscri W, a Notary Public or the State of Maryland, duly commissioned and qualified, Robert A Murray, Vice President and Dawn E. Drown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged ilia execution of same, and being by me duly swom, deposeth and sailh, that belshe is the said ofitecr of the Company aforesaid, and that the seals affixed to the preceding Instrument are the Corporate Seals of said Companies, Arid that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to lite said Instrument by Ilia authority and direction of the said Corporations.. IN'ITSTIMONY IVHERBOF, I have hereunto set my band and affixed my Official Seal the day and year first above written. SANhh!'I',�'s% i'I`eConstance A. Dunn, tA ) 1 •'9it%+r:iii* 3Y�° MY Commission ENotary Expires: July 9, 2023 namno°• TRACK ANOTHER SHIPMENT 772950717929 ADD NICKNAME W O Delivered Monday, February 22, 2021 at 9:40 am FROM Corona, CA US Shipment Facts DELIVERED Signed for by: D.HERSCHLEB GET STATUS UPDATES OBTAIN PROOF OF DELIVERY TRACKING NUMBER SERVICE 772950717929 FedEx Priority Overnight DELIVERED TO TOTAL PIECES Maliroom 1 TERMS PACKAGING Shipper FedEx Envelope SHIP DATE STANDARD TRANSIT 2/19/21 (D 2/22/21 by 10:30 am Q Travel History TIME ZONE Local Scan Time Monday, February 22, 2021 9:40AM SANTAANA,CA Delivered 8:01 AM COSTA MESA, CA On FedEx vehicle for delivery Saturday, February 20, 2021 TO SANTA ANA, CA US WEIGHT 0.6lbs / 0.23 kgs TOTAL SHIPMENT WEIGHT 0.6Ibs / 0.23 kgs SPECIAL HANDLING SECTION Deliver Weekday ACTUAL DELIVERY 2/22/21 at9:40 am 11:19 AM COSTA MESA, CA At local FedEx facility Package not due for delivery 11:00 AM COSTA MESA, CA At local FedEx facility 8:19 AM COSTA MESA, CA At local FedEx facility 3:57 AM LOS ANGELES, CA At destination sort facility 2:55 AM OAKLAND, CA Departed FedEx location Friday, February 19, 2021 10:59 PM OAKLAND, CA 8:43 PM ONTARIO, CA 3:07 PM ONTARIO, CA 1:13 PM Arrived at FedEx location Left FedEx origin facility Picked up Shipment Information sent to FedEx CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO IST STREET 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: %:%of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %% 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 No subcontractors will be used Name License #/Exp. License #/Exp. DIR Reg. #/Exp. DIR Reg. #/Exp. Location Location Phone Phone Type Of Work Type Of Work Amount $ Amount $ Name Name License #/Exp. License #/Exp. DIR Reg. #/Exp. DIR Reg. #/Exp. License # License # Location Location Phone Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # _ Location _ Phone Type Of Work Amount $ Signature of Bidder Edward J. Carlson, Vice President Type Of Work Amount $ Name License #/Exp. DIR Reg.#/Exp. License # Location Phone Type Of Work Amount $ P-8 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1IT STREET 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. of 10500 Civic Center Drive CA 91730 Name and Telephone Number of person familiar with project. $1,130,470.00 Pavement Rehab 07/2017 Contract Amount Type of Work Date Completed 2, City of Moreno Valley - 14177 Fredrick Street, Moreno Valley, CA 92552 of owner. Name and Telephone Number of person familiar with project. $445,821.50 Street Improvements Contract Amount Type of Work 3, County of Ventura; 501 Poll Street, Ventura CA, 93001 11 /2018 Completed Name and Address of owner. Christopher Soils; (805) 654-2054 Name and Telephone Number of person familiar with project. $3,919,808,95 Resurfacing Project 1212019 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. Broker Surety: Fidelity and Deposit Company of Maryland; 777 S. Figueroa St. #3900, Los Angeles, CA 90017; 213-270-0600 Insurance: Edgewood Partners Insurance Center; 3633 Inland Empire Suite 640, Ontario, CA 91764; 909.919.7513 P-9 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET 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. City of Temecula; 41000 Main Street, Temecula, CA 92590 Name and Address of Owner, William Becerra; (951) 694-6444 Name and 1 elepnone Number Ot person familiar with project. $2,577,770.00 Road Pavement Rehab Contract Amount Type of Work 2. _City of Rolling Hills Estates; 4045 Palos Verde: Name and Address Ot owner. Scott Gibson; (909) 210-0548 Name and Telephone Nun $1,203,292.50 Contract Amount 11 /2017 Date Completed of person familiar with project. Street Resurfacing Project 09/2018 Type of Work Date Completed 3, City of Stanton; 7800 Katella Avenue, CA 90680 Name and Address of owner. Guillermo Perez (714) 890-4204 person familiar with $1,206,869.00 Street Resurfacing 12/2019 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. Broker Surely: Fidelity and Deposit Company of Maryland; 777 S, Figueroa St. 03900, Los Angeles, CA 90017; 213-270-0000 Insurance: Edgewood Partners Insurance Center; 36$3 Inland Empire Suite 640, Ontario, CA 91764; 909.919-7513 P-10 of P-17 2019 PAST WORK REFERENCES City of Simi Valley 2929 Tapo Canyon Rd. Simi Valley, CA 93063 Contact: Sarah Sheshebor (805)583-6792 ssheshebCa2simivalley, ora County of Ventura 501 Poll Street Ventura, CA 93001 Contact: Christopher Solis (805) 654-2054 Chris. solisCa.ventura. org City of Stanton 7800 Katelia Avenue Stanton, CA. 90680 Contact: Guillermo Perez (714) 890-4204 gperez[o.ci.stanton.ca. us City of Compton 205 S. Willowbrook Avenue Compton, CA. 90220 Contact: John Strictland (310) 605-5505 Istrictlanda,comptoncity.om City of San Clemente 910 Caile Negocio San Clemente, CA. 92673 Contact: Darra Koger (949) 361-3138 koaerDasan clgmente.ora City of South Gate 8650 California Avenue South Gate, CA. 90280 Contact: John Rico (323) 563-9594 jrico0soaate.orn Simi Valley Minor Street Rehabilitation Contract Amount: $510,124.25 Start Date: 07/2019 End Date: 08/2019 Yerba Buena Area Resurfacing Project Contract Amount: $3,919,808.95 Start Date: 06/2019 End Date: 12/2019 2019 Citywide Street Resurfacing Contract Amount: $1,206,869.00 Start Date:10/2019 End Date: 12/2019 Road Repair Service (Pothole Repair) Contract Amount: $1,019,100.00 Start Date: 0812019 End Date: 11/2019 Street Rehabilitation for S. Avenue LA Esperanza Contract Amount: $384,055.00 Start Date: 09/2019 End Date: 10/2019 Circle Park Driveway Project Contract Amount: $268,576,00 Start Date: 06/2019 End Date: 09/2019 2019 PAST WORK REFERENCES Pardee Homes 1250 Corona Pointe Court, Ste, 600 Corona, CA. 92879 Contact: Nick Lasher (951) 428-4442 iiio-k-lasherCo)pardeehomes.com City of Fontana 8353 Sierra Avenue Fontana, CA. 92335 Contact: Kimberly Young (909) 350-7632 kyoung(Ofontana.org DR Horton 2280 Wardlow Circle Ste, 100 Corona, CA. 92880 Contact: Keith Alex (951) 830-5872 kalex0drhorton.com Irvine Community Development Company 550 Newport Center Dr, Ste. 650 B2 Newport Beach, CA. 92660 Contact: Mike Morse (949) 720-2560 City of Downey 11111 Brookshire Avenue Downey, CA, 90241 Contact: Desi Gutierrez, (562) 904-7110 dgutierda)clownevca ora Railroad Canyon Widening Contract Amount: $5,062,746.00 Start Dater 11/2018 End Time: 08/2019 Citrus Avenue Improvements Contract Amount: $502,730.00 Start Date: 08/2018 End Date: 10/2019 Singlton Road Contract Amount: $1,684.000.00 Start Date: 07/2018 End Date: 12/2019 Portola Springs PA-6 Enclave 513 Phasel, 2 Contract Amount: $2,055,055,00 Start Date: 09/2018 End Date: 12/2019 FY 18/19 Slurry Seal Project Contract Amount: $313,426.87 Start Date: 06/2019 End Date: 12/2019 2019 PAST WORK REFERENCES City of Chino Slurry Seal Maintenance Work PO Box 667 Contract Amount: $372,805.00 Chino, CA. 91708 Start Date: 1/2019 Contact: Dustin Postovoit (909) 334-3415 End Date: 12/2019 apostovoit(d)ci1 yofchino.or City of Lancaster 44933 Fern Avenue Lancaster, CA. 93534 Contact: Greg Wilson (661) 570-8003 nwilson@citvoflancasterca.orq City of Colton 650 N. La Cadena Dr. Colton, CA. 92324 Contact: Victor Ortiz (909) 370-5099 vortiz@.coltonca.aov City of Cathedral City 68700Ave Lalo Guerrero Cathedral City, CA. 92234 Contact: John A. Corella (760) 770-0349 lcorella(a)cathedralcitkgov City of San Clemente 910 Celle Negocio San Clemente, CA. 92673 Contact: Gary Voborsky (949) 361-6132 voborsky.g san-cemente org 2018 Pavement Management Program Contract Amount: $2,720,103.65 Start Date: 3/2019 End Date: 12/2019 FY 18-19 Asphalt Paving Project Contract Amount: $1,377,700.00 Start Date: 3/2019 End Date:11/2019 Ortega Road Widening Contract Amount: $459,998.00 Start. Date: 2/2019 End Date: 12/2019 Arterial Street Pavement Maintenance Contract Amount: $1,187,187.00 Start Date: 3/2019 End Date: 7/2019 „2018„ PAST WORK REFERENCES City of Moreno Valley 14177 Frederick St. P.O. Box 88005 Moreno Valley, CA 92552 Contact: Henry Ngo, P.E., (951)413-3106 henryn@moval ora City of Aliso Viejo 12 Journey Street Ste #100 Aliso Viejo, CA 92656 Contact: Mari Shakir, (949)425-2556 L4shakir(@rtitvofallsovieio.com City of Jurupa Valley 8304 Limonite Avenue Suite M Jurupa Valley, CA 92509 Contact: Chase Keys, (951)332-6464 ckevs@iuru pava llev.org City of Irwindale 5050 N. Irwindale Avenue Irwindale, CA 91706 Contact: Richard Corpis, (626)430-2200 Alessandro Blvd. Street Improvements at Chogall Court and Graham Street Contract Amount: $445,821.50 Start: 05/2018 Complete: 11/2018 Aliso Creek and Road Rehab Contract Amount: $657,770.00 Start: 05/2018 Complete: 10/2018 Van Buren Blvd. Pavement Rehab.- PH2 Contract Amount: $781,845.00 Start: 08/2018 Complete; 09/2018 rcorpis@irwi nda IeCA.eov Irwindale 2017-2018 Resurfacing Project Contract Amount: $285,503.10 Start: 07/2018 Complete: 08/2018 "2018n PAST WORK REFERENCES County of Los Angeles P.0, Box 7508 Alhambra, CA 91802 Contact: Hoda Hassan, (626)458-3144 H HASSAN @d ow, lacounty.eov City of Rolling Hills Estates 4045 Palos Verdes Drive Rolling Hills Estates, CA 90274 Contact: Scott Gibson (909)210-0548 sgibson@hrereen.com City of Huntington Beach 2000 Main Street Huntington Beach, CA 92648 Contact: Jim Escutia (714)536-5525 0escu(IaL@surfcitv;hb.ore City of Fontana 8353 Sierra Avenue Fontana, CA 92335 Contact: Jazmine Pena (909) 350-6648 joena@fontana,ore Pine Canyon Road Contract Amount: $3,288,999.00 Start: 06/2018 Complete:. 11/2018 2017-18 Street Resurfacing Project Contract Amount: $1,203,292.50 Start: 03/2018 Finish: 09/2018 Heil and Main Street Contract Amount: $2,285,562.00 Start: 11/2017 Finish: 06/2018 Valley Blvd. Median improvement Project Contract Amount: $164,715.00 Start: 03/2018 Finish: 05/2018 112018" PAST WORK REFERENCES City of Lake Forest 25550 Commercentre Drive Lake Forest, CA 92630 Contact: Taylor Abernathy, (949)461-3490 tabernathvffiMakeforestca eov City of La Quinta 74.495 Calle Tampico La Quinta, CA 92253 Contact: Ubaldo Ayon Jr„ (760)777-7051 uavon(@Ia-aulnta ore City of Canyon Lake 31516 Railroad Canyon Road Canyon Lake, CA 92587 Contact: Kenneth Bailey, (951)244-2955 ken nethbailevOcaanrofessionalS com City of Newport Beach 100 Civic Center Drive Newport Beach, CA 92660 Contact: Alfred Castanon, (949) 6443314 6Cas1anonC3)newportbeachpa eov Bake Parkway at Trabuco Road Contract Amount: $121,621.00 Start: 02/2018 Finish: 06/2018 FY 16-17 Phase 2 Desert Club Contract amount: $697,474.76 Start date: 06/2017 Finish date 12/2017 Slurry Seal FY 2017-2018 Railroad Canyon/ Canyon Lake Drive Contract amount: $263,241.63 Start date:03/2018 Finish date: 12/2018 West Coast Highway Landscape Improvements, Phase 1, Contract No. 7189-1 Contract amount: $604,284.50 Start date: 06/2018 Finish date: 11/2019 "2018" ,ST WORK REFERENCES Town of Apple Valley 14955Dale Evans Parkway Apple Valley, CA 92307 Contact: Rich Berger, (760)240-7000 ext 7530 rbereer0anolevallev.ora City of Indian Wells 44-950 Eldorado Drive Indian Wells, CA 92210 Contact: Ken A. Seumalo, P.E., (760)346-2489, kseumalo@IndianWells.com Navajo Road Rehabilitation Contract amount: $849,182.00 Start date: 07/2017 Finish date: 12/2017 Cook Street Rubberized Pavement Overlay Contract amount: $599,599,59 Start date: 05/2018 Finish date: 12/2018 " 201 " PAST WORK REFERENCES City of Rancho Cucamonga Base Line Rd, Pavement Rehab. 10500 Civic Center Drive Contract Amount: $1,130,470 Rancho Cucamonga, CA 91730 Start: 05/2017 Contact: Romeo David, (909)477-2740 Completed: 07/2017 Romeo, David @citvofrc us City Of Temecula Margarita Road Pavement 41000 Main Street Rehab Temecula, CA 92590 Contract Amount:'$2,577,770 Contact: William Becerra, (951)694-6444 Start:05/2017 Will.becerra@temecula.gov Completed: 11/2017 Town Of Apple Valley Navajo Road Rehabilitation 14955 Dale Evans Pkwy Contract Amount: $849,182 Apple Valley, CA 92307 Start: 08/2017 Contact: Rich Berger, (760)240-7000 Completed: 11/2017 rberger@applevalley org City Of Victorville Water Warehouse #1 Paving 14343 Civic Dr. Project Victorville, CA 92392 Contract Amount: $251,008 Contact: Carlos Seanez, (760)955-5162 Start Date: 04/2017 cseanex@victorvilleca.gov Completed: 06/2017 City Of Santee Citywide Slurry Seal & Roadway 10601 Magnolia Ave Building 4 Maintenance 2017 Santee, CA 92071 Contract Amount: $285,061.90 Contact: Toby M, Espinola, P.E., (619)258-4100 Start: 06/2017 tobyespinola@cityofsanteeca.gov Completed:10/2017 City Of Yucaipa 2015-2016 Micro -Surfacing 34272 Yucaipa Blvd. Program Project No.11043 Yucaipa, CA92399 Contract Amount: $252,379.06 Contact: John Larose, (909)797-2489 Start: 07/2017 ilarose@yucaipa.org Completed: 08/2017 City Of West Covina Residential Street Rehabilitation Eclipse Way & Jennifer PI SP 17038 West Covina, CA 91792 Contract Amount: $469,960.70 Contact: Hany Demitri, (626)939-8445 Start: 05/01/17 Hany.Demitrit?« westcovina.gov Completed: 06/09/2017 City Of Highland 2015-16 CDBG Streets Pavement McKinley Ave & 91h St Improvements San Bernardino, CA 92410 Contract Amount: $823,389,68 Contact Name: Carlos Zamano, (909)864-8732 Start: 06/05/17 czamano@citvofhigh land, org Completed: 10/13/17 County Of Riverside Gilman Springs 2950 Washington Street Contract Amount: $1,662,671.20 Riverside, CA 92504 Start: 11/2016 Contact Name: Justin Robbins, (951)955-6885 Completed: 08/2017 JROBBINS@rctlma.org City Of Palm Springs Taxiway J Rehabilitation 3400 E. Tahquitz Cyn Way Ste 1 Contract Amount: $291,482.99 Palm Springs, CA 92262 Start: 09/2017 Contact Name: Robert Denning, (541)324-7321 Completed: 10/2017 Robert.denning@aecom.com County Of Orange P.O. Box 4048 Santa Ana, CA 27074 Contact Name: Rick Cathay, (949)252-5171 RCathev@ocair.com Pavement Maintenance and Repair Contract Amount: $3,115,000.00 Start: 08/2016 Completed: 12/2017 City Of Anaheim Santa Ana Streets from Claudia to 200 S. Anaheim Blvd. Claudia Anaheim, CA92805 Contract Amount: $589,270.00 Contact Name; Bob Palaeologus, (562)879-3602 Start: 06/2016 rpalaeologus@simplusmanagement.com Completed:12/2017 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO lsT STREET NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In conformance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived, or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any other BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed Edw State of California County of Riverside President Subscribed and sworn to (or affirmed) proved to person(s) who appeared before me, - Notary Public afthis day of . 20 , by basis of satisfactory evidence to be the Notary Public Seal P-1 I of P-17 2CALIFORNIA JURAT GOV CODE § 8202 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Riverside Notary Public-C101 alifornia Riverside County 51! Commission q 2260352 Comm.My Expires Oct 26, 2022 f Place Notary Seal Above Subscribed and sworn to (or affirmed) before me on this 24th day of February 2021 Date Month By (1) Edward J. Carlson Name of Signer Proved to me on the basis of satisfactory evidence be the person who appeared before me (.) (,) (and (2) e of Signer Prove me on the basis of satisfactory evidence be rhe person who appeared before me.) Signature Signature ofelotery Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Further Description of Any Attached Document Title or Type of Document Non -Collusion Affidavit Document Date: 2-24-2021 Number of Pages: 1 Signer(s) Other Than Named Above: Top of Numb here Top of Numb here CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 15T STREET ON -DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3, The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-12 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO IsT STREET The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: Title: Edward J. Carlson, Vice President Firm: All American Asphalt Date: Z ;'Z`t /%O 2 ( P-13 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO lsT STREET STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall: I. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council. Signed: Title: Edward J. Carlson, Vice President Firm: All American Asphalt Date: 2 12( 12` 2 ` P-14 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET STATEMENT REGARDING "ANTI -KICKBACK" REQUIREMENTS The undersigned is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the Copeland "Anti -Kickback" Act (18 USC 74) as supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or subcontractor shall be prohibited from inducing, by any means, any person employed in the construction or repair of public work, to give up any part of the compensation to which he/she is otherwise entitled. Signed: Title: Edward J. Carlson, Vice President Firm: All American Asphalt Date: -Z I Z`I 1202 P-15 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21 6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO I IT STREET PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes No If the answer is yes, explain the circumstances in the following space. P-16 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1ST STREET STATEMENT REGARDING COMMUNITY WORKFORCE AGREEMENT (CWA) REQUIREMENTS 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 1, 2017. The CWA is available at: http://www.santa-ana.org(gw—a/documents/CWA.r)d 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 appears as Attachment A to the CWA. The undersigned BIDDER has reviewed the Public Works Construction Permit and required deposit described in Section 7-5a and the Notice of Inviting Bids. Signed:�F�� Title: Edward J. Carlson, Vice President Finn: All American Asphalt Date: 2 ( 2 ` / 2G2- P-17 of P-17 FILED APR 0 6 2021 ORANGE CO •RIOROEROEPARTM£K'. DEPUTY MAYOR Vicente Sarmlenlo MAYOR PRO TEM David Penalozo COUNCIL MEMBERS Phil Bacatta Johnathan Ryan Hernandez Jessie Lopez Nellda Mendoza Thai Viet Phan 0.00 0.00 0.00 0.00 0.00 0.00 PUBLIC WORKS AGENCY 20 Civic Center Plaza (M-36) P.O. BOX 1960 -Santa Ana, California 92702 (714) 647-5690 • Fax (714) 647.6823 wtwaeanta-ana i; CITY MANAGER• Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Dalsy Gomez NO FEE NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) C`I Fee Exemption per California Government Code Section 6103 Ta COUNTY CLERK From: Clty of Santa Ana County of Orange Public Works Agency P.O. Box 238 20 Civic Center Plaza (M-36) Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Flower St Rehab: McFadden to First Project Number(a): PWA-2021-227-CITY (21-6976) C Project Location: Flower Street from McFadden to First City: Santa Ana County: Orange ER Number: ER-2021-26 Date of Approval: 07/07/2020 Project Description: Project includes excavation, cold mill, grading, removal & replacement of asphalt concrete pavement, the ` replacement of damaged sidewalk, curb gutter with curb drains repair, adjusting utility covers, adjusting C survey monument frame and cover. Applicant Name: City of Santa Ana, Public Works Agency t Applicant Address: 20 Civic Center Plaza M-36 Santa Ana, CA 92702 Name of Public Agency Approving Project: City Council POSTED Name of Agency Carrying Out Project: Public Works Agency Exempt status: AP' _ 6 1 ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) ORANGECDU OLR REG Rein BEPARTMENT Cl Emergency Project (Sec. 15269(b through a)) gY;, . ,,-...DEPUTY ❑ General Rule (Sec. 16061(b)(3)1(5)) ❑ Statutory Exemption, EZ Categorical Exemption: 15301 (0) Reasons) Why Project is Exempt From CEQA: 16301(c) consists of existing highways and streets, sidewalks, gutters, bicycle and pedestrian trails, and similar facilities. City Contact: Kenny Nguyen Title: Senior Civil Engineer Telephone: (714) 641-6632 Signature: 0- Date: April 5, 2021 SANTA ANA CITY COUNCIL Vlncenta Setmlento I David Panaloza I Thet Vlel Phan I Jessle Lopez Pldt Bacena { Johnothan Ryan Hernandez I Nellda Mendoza Mayor MayorProTem,ward2 Wenit Wont3 Waldo I wards Wama ysanplap{g( ,anta.ana,ore� paninYa�nnteatna am __ 1195telo santepanitj. )pMnhartu-ndCt(.9`nta•anaofoknmandoiassanta:maora California Newspaper Service Bureau© . Daily Journal Corporation Public Notice Advertising Since 1934 Tel 1-800-788-7840 - Fax 1-800-474-9444 Local M. avd Rgmwladm in: Loa Angeke, Sanm Ana, San Dinym, Rivaside/San aemardino, Son Rmimisw, 0oWd, San Jose, Svnmmen.o Special Services Avvilabin in Phoenix DECLARATION I am a .resident of Los Angeles County, over the age of eighteen years and not a party to any or interested in the matter noticed. The notice, of which the annexed is a printed copy appeared in the: ORANGE COUNTY REGISTER On the following dates: Feb. 3 & 11, 2021 I certify (or declare) under penalty of perjury that the foregoing is true and correct. Dated at Los Angeles, California, this 11th day of February 2021 pvk. L Signature Debbie Yerkes 3437216 "The only Public Notice which is juslijiable ji•om the srnndpainf oJ'rrne economy and the public inreresG is that which reaches dense who are q#.Pled by it — _ - - - -- - Rer. 04/15 Daily lonmvl Coryom.inn, 915 Gen Firs. Slrem L., Angeles. CA 90011 111111111111111 IIVI I IIII IINI111111 IN INIIIIIII I11111111 *A000005667249+ Bond No. 7665272 Premium: $1,207.00 Premium is for contract term and is subject CITY OF SANTA ANA to adjustment based on final contract price BONDS Executed in: 2 Counterparts PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 111' STREET FAITHFUL PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that All American Asphalt as CONTRACTOR, and Fidelity and Deposit Company of Maryland a corporation, organized and existing under the laws of the State; and duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal sum of Three Hundred Five Thousand Five Hundred Ninety Eight and 00/100 Dollars ($ 305,598.00 ), which is 100 percent of the total contract amount for the above stated project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly and severally, firmly by these presents. *of Illinois THE CONDITIONS OF THIS OBLIGATION ARE SUCH that. whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated March 16, 2021 for Project No. 21-6976 Flower Street Rehabilitation from McFadden Avenue to 1 st Street if CONTRACTOR faithfully performs and fitlfills all obligations in the performance of the Work of Improvement to be done under said Contract Agreement in the manner and time specified therein, then this obligation shall be null and void. otherwise it shall remain in full force and effect in favor of AGENCY; provided that any alterations in the obligations or time for completion made pursuant to the terns of the contract documents shall not in any way release either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by SURETY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and sea[ this 16th day of March , 2021 Shalt - 400 East Sixth Street, Corona, CA 92879 - (951) 736-7600 and Deposit Company of Maryland - 777 S. 2MWartrSyrkin, Attorney -in -Fact Subscribed and sworn to before me, 20 Signature: **Please See Attached** Notary Public in and for the County of Suite 3900, Los Angeles, CA 90017 State of this -- day of Rate of premium on this bond is $ 3.95 per thousand. Total amount of premium charge is $ 1,207.00 To be filled in by Surety *provide CONTRACTOR /ADiWITTED SURETY name, address, and telephone number and the name, title, address, and telephone number ofauthorized representative. I of 3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness_ accuracy. or validitv of that document - State of California County of Riverside On March 16, 2021 before me, B. Royster, Notary Public Data Hera Insert name and Title of the Officer personally appeared Edward J. Carlson Nameillirff igneM1/f� f who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument B. ROYSTER and acknowledged to me that heisheAhey executed the same in Quallotary Public - California his,"'^.,h^''• authorized capacity(ies), and that by his/t,^•,,�t„e,�^• Riverside county signature(s) on the instrument the person(&), or the entity upon behalf Commission # 2260352 of which the person(s) acted, executed the instrument. My Comm. Expires Oct 26, 2022 1 certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS m nd a official seal. Signature Place Notary Seel Above Signa a of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Faithful Performance Bond — City of Santa Ana Document Date: March 16, 2021 Number of Pages: 3 Signer(s) Other Than Named Above: William Syrkin, Attorney -in -Fact Capacity(ies) Claimed by Signer(s) Signers Name: Edward J. Carlson Signers Name: ❑ Individual ❑ Individual X Corporate Officer —Title(&): Vice President ❑ CorporatZTitle(s): ❑ Partner ❑ E Limited o General ❑ Partner ❑ Attorney in Fact ❑ Attorney ❑ Trustee Top of thumb here❑ TrusteeTop of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: CALIFORNIA ALL-PURPOSE ACVNOWLEDGMENT CIVIL .. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On 03/03/2021 Date personally appeared before me, Liliana Gomez, Notary Public Here Insert Name and Title of the Officer NameKof SignerN who proved to me on the basis of satisfactory evidence to be the person(* whose name(* is/a+e subscribed to the within instrument and acknowledged to me that he/sha/they executed the same in his/tw/their authorized capacity, and that by his/her/their signatureZ on the instrument the person(* or the entity upon behalf of which the persons) acted, executed the instrument. — LILIANA GOMEZ Notary Public - California Orange County Commission N 2243326 eMy Comm. Expires May 20, 2022 Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Signature of Notary Publi OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Faithful Performance Bond No. 7665272 Document Date: 03/16/2021 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual IRAttorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Fidelity and Deposit Company of Maryland Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: �G<�%GW�i�✓S`%S'%S<✓G'✓ UG\YS'e,^' G'�/ "v<'✓4Cg4�✓.SV ✓G�. ✓D`U.G�u4L/ti 'u4'dG'✓S� 'aG'=/4C✓."`✓�' EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Pact. 'Pile Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President, of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998, RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney ... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the loth day of May, 1990, RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this lath day of March , 2021 'k. By: Brian M. Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON THE BOND, THE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 www.re portsfelaimsamzurichna.com 800-626-4577 PRF7665272 Band Number City of Santa An. Obligee ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Illinois, and the FIDELffY 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 William symn its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and proposes, 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, COLONIAh AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 16th day of March , A.D. 2021 ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND Rv: Robert D. Mur'ray Vice Previd(eni By: Dawn E. Secretary State of Maryland County of Baltimore On this 16th day of March , A.D. 2021 , before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn F. Brown, Secretary of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and die signature as such officer were duly affixed and subscribed to the said insnrument by the authorityand direction of the said Corporations, IN TESTIMONY WI IEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. ra044'4.tsiavi,. Constance A. Dunn, Notary Public ��"^j0 My Commission Expires: July 9, 2023 Bond No.: 7665272 Premium is included in the performance bond CITY OF SANTA ANA Executed in: 2 Counterparts BONDS PROJECT NO.: 21-6976 FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO 1 IT STREET PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS that All American Asphalt as CONTRACTOR, and Fidelity and Deposit Company of Maryland a corporation, organized and existing under the laws of the State* and duly authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal stem of Three Hundred Five Thousand Five Hundred Ninety Eight and 00/100 Dollars ($305,598.00 ), which is 100 percent of the total contract amount for the above stated project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly and severally, firmly by these presents. *of Illinois THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated March 16, 2021 for Project No. 21-6976 Flower Street Rehabilitation from McFadden Avenue to let Street if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in the performance of the Work of Improvement to be done under said Contract Agreement, or fails to submit amounts due under the State Unemployment Insurance Act with respect to said labor, SURETY will pay for the same in an amount not exceeding the sum set forth above, which amount shall insure to the benefit of all persons entitled to file claims under the State Code of Civil Procedures; provided that any alterations in the work to be done, materials to be furnished, or time for completion made pursuant to the terms of the contract documents shall not in any way release either CONTRACTOR or SURETY, and notice of said alterations is hereby waived by SURETY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 16th day of March , 2021 - 400 East Sixth Street, Corona, CA 92879 - (951) 736-7600 J. (y✓tso.r, VhCe rres,c&a J r Fidelity and Deposit Company of Maryland - 777 S. Figueroa Street, Suite 3900, Los Angeles, CA 90017 David Wei (213) 270-0600 Subscribed and sworn to before me, 20_ Signature: **Please See Attached** Notary Public in and for the County of Rate of premium on this bond is $ 3_95 State of Total amount of premium charge is $ Included in Performance Bond this day of perthousand. To be filler) in by Surety *Provide CONTRACTOR I ADA4ITTED SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. 2of3 CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached. and not the truthfulness. accuracv. or validitv of that document. State of California County of Riverside On March 16, 2021 before me, B. Royster, Notary Public Dale Here Insert name and Title of the Of car personally appeared Edward J. Carlson Namejrrer5lgnerE� 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 B. ROYSTER and acknowledged to me that he/she/they executed the same in Notary Public - California his/herkheir authorized capacity(ies), and that by his/her4heir OMY missi n countysignature(s) on the instrument the person(s), or the entity upon behalf Commissions 26,2 Comm. Expires Octoct 2b, zou - of which the person(,,) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the forgoing paragraph is true and correct. WITNESS my nd a official seal. Signature Place Notary Seal Above I Signal of -Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to person relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Payment Bond — City of Santa Ana Document Date: March 16, 2021 Number of Pages: 3 Signer(s) Other Than Named Above: William Syddn, Attorney -in -Fact Capacity(ies) Claimed by Signer(s) Signers Name: Edward J. Carlson Signer's Name: ❑ Individual ❑ Individual X Corporate Officer —Title(,,): Vice President ❑ Corporate Offcer—Title(s): ❑ Partner E o Limited D General ❑ Partner ❑ o Limited D Gener ❑ Attorney in Fact ❑ Attorney in Fact ❑ Trustee Top of thumb here Trustee Top of thumb here ❑ Other: ❑ Other: Signer is Representing: Signer is Representing: CALIFORNIA •O',I ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Orange ) On 03/03/2021 Date before me, Liliana Gomez, Notary Public Here Insert Name and Title of the Officer personally appeared William Syrkin Namej's),of SignerN who proved to me on the basis of satisfactory evidence to be the persons} whose name(!* is/are subscribed to the within instrument and acknowledged to me that he/she/thay executed the same in his/her/their authorized capacity(iles), and that by his/her/their signatureZs) on the instrument the person(* or the entity upon behalf of which the persons) acted, executed the instrument. LILIANA GOMEZ Not Public - California _`s= Orange County My Commission # 2243326 Comm. Expires May 20, 2022 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. //r Signature � Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Payment Bond No.7665272 Document Date: 03/16/2021 Number of Pages: One 1 Signer(s) Other Than Named Above: All American Asphalt Capacity(ies) Claimed by Signer(s) Signer's Name: William Syrkin ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual 53Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Fidelity and Deposit Company of Maryland Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General El Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attomeys-in-Fact The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President, of die ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and ]veld 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 loth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this tsth day of March , 2021 By: Brian M. Hodges Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT A COMPLETE DESCRIPTION OF THE CLAIM INCLUDING THE PRINCIPAL ON TIIE BOND, TILE BOND NUMBER, AND YOUR CONTACT INFORMATION TO: Zurich Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 www.renortsfclaimstc zurichna.com 800-626-4577 PRF7aa5272 Bond Number City of Santa Ana Obligee ZURICII 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 ZURICII 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 William syrkm _ its true and lawful agent and Attorney -in -Pact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they bad 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., mid 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/ber names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this teth day of March , A.D. 2021 /IF. `➢p ° rm m a ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND By: Robert D. Mtaray Vice President By: Dawn E. Secretary State of Maryland County of Baltimore On this 16th day of March A.D. 202_ 1 before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, Robert D. Murray, Vice President and Dawn E. Brown, Secretary of the Companies, to me personally known to be die individuals and officers described in and who executed the preceding lash ument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that hdshe is the said officer of the Company aforesaid, and that the seats affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duty 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. Constance A. Dunn, Notary Public "�� My Commission Expires: July 9, 2023 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 21-6976 - Flower Street Rehabilitation from McFadden Change Order Number Avenue to 1 st Street To All American Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED UNIT PRICE Increased scope of work with quantity and unit price are shown as following table (PCO#1 and #2): Flower Street between 1" Street and Edinger Avenue Item # Description Estimated quantity Unit Unit Price Amount 3 Cold Mill (2") 96,268 SF $0.20 $19,253.60 5 Asphalt Rubber Hot Mix (ARHM) 1,205 TN $84.00 $101,220.00 8 Adjust Manhole Frame and Cover to Grade 16 EA $1,100.00 $17,600.00 9 Adjust Water Valve Frame and Cover to Grade 21 EA $1,000.00 $21,000.00 10 Adjust Survey Monument Frame and Cover to Finished Grade 3 EA $950.00 $2,850.00 17 Constriction permit 1 LS $6,000.00 $6,000.00 ESTIMATED SUB -TOTAL $167,923.60 Flower Street between Edinger Avenue and Warner Avenue Item # Description Estimated quantity Unit Unit Price Amount 1 Unclassified Excavation 14 CY $250.00 $3,500.00 3 Cold Mill (2") 81,790 SF $0.20 $16,358.00 5 Asphalt Rubber Hot Mix (ARHM) 960 TN $84.00 $80,640.00 16 PCC Curb Ramp 1,000 SF $12.40 $12,400.00 ESTIMATED SUB -TOTAL $112,898.00 ESTIMATED TOTAL: $280,821.60 Page 1 of 2 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 21-6976 - Flower Street Rehabilitation from McFadden Change Order Number 1 Avenue to 1st Street To All American Asphalt Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to.file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ ----- _----- —_ INCREASE $ 280,821.60 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Ten (10) additional working days. We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Acce Date G /zz 1 2-1 contractor All American Asphalt Title Approval recommended b Ili Date Cv� PUBLIC WORKS AGENCYEXECUTIVE DIRECTOR Approved by-_1 Date C174"WAGER�� Page 2 Of 2 Project 21-6976 Change Order No. 01 Page 2of2 SCHEDULEIMPACT' Ten (10) additional working days. APPROVED AS TO FUNDS AND ACCOUNTS; 7aba, PE, Executive Director Kathryn Downs, CPA; Executive Director Works Agency Finance & Management Services Agency Project 21-6976 Change Order No. 01 Page 2 of 2 SCHEDULEIMPACT Ten (10) additional working days. Saba, PE; Executive Director Works Agency APPROVED AS TO FUNDS AND ACCOUNTS: Kathryn Downs, CPA; Executive Director Finance & Management Services Agency PROJECT NOS.: 21-6976; FLOWER STREET REHABILITATION FROM MCFADDEN AVENUE TO FIRST STREET Contract Funding Authorization/Expenditures Summary Council Authorization Construction Contract Construction Contingency $ 305,598.00 $ 281,282.00 Total $ 586,880.00 Staff Authorized Expenditures Construction Contract $ 305,598.00 Change Order 1 Actual Estimated Progress Payment -Final (include C0#1) $ 280,821.60 Total $ 586,419.60 Total $ 586,419.60 K:\CIP Engineering\_Projects\Active (by Project Number)\21-6976 -Flower Street Rehabilitation from McFadden to 1st St\Constructlon\07. Change Order\21.6976 Change Order Summary