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Home My WebLink AboutSERVITEK ELECTRIC, INC. 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 IE� IC III 20 Civic Center Plaza,P.Q.Box 1988 I I I NO FEE Santa Ana,CA 92702 * $ R 0 0 1 3 6 0 7 3 G 1 $ * 2022000105772 2.46 pm 03/17122 340 414A N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 ITHIS 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 ca construction of Jerome Park Ballfield Lighting under contract entered into on May 18, 2021, U M with Servitek Electric, Inc., on which contract United States Fire Insurance Company is surety. wThe property on which such work improvement was placed is in the City of Santa Ana, County 0 of Orange, State of California, and described as Project No. 20-7530 located at: Jerome Park. c The work improvement on said property was accepted as completed on March 18, 2022. zw a 0 CITY OF SANTA ANA, A MUNICIPAL CORPORATION By w Dated: ! ' 7 Principal Civil Eng' eer—Jason Gabriel qZ d TITLE �4 -------------- 0 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; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof; and I declare under penalty of perjury that the facts therein stated are true. Executed on_ P,-ILC ti k , 'Z0-U , at Santa Ana, California Acting City Engineer—Zdenek Kekula THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION INSURANCE NOf ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL CITY OF SANTA ANA DATE: CONSTRUCTION CONTRACT PROJECT NO.20-7530 JEROME PARK BALLFIELD SPORTS LIGHTING 0% PWA (2) (kenry NIAleh) IA This CONSTRUCTION CONTRACT is made and entered into this 181h day of May, 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 Servitek Electric, Inc. (hereinafter "CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: 1. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Jerome Park Ballfield Lighting Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Documents prepared by the City's Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the "Contract Documents" as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Four Hundred Forty -Six Thousand Nine Hundred Fifty Dollars and No Cents ($446,950.00), 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 I of 3 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre -hire collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ana.org/pwa/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. 79'-- TA�L J FUNK Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: NABIL SABA, PE Executive Director Public Works Agency CITY OF SANTA ANA YRISTINE RIDGE City Manager CONTRACTOR: Servitek Electric, Inc. NAME: C TITLE: P Pave') of 3 C", of Santa Fna Janine Faih BalNeltl Lohlinq_ (WE51 Field, (20 75JO). indeing on 04,28,=1 - 00 PM PFT) EXHIBIT A a •NCM11I[1171 Bidder Details Vendor Name Servitek Electric, Inc. Address 385 S Lemon Ave #243 Walnut, California 91789 United States Respondee Geoff Reyes Respondee Title President Phone 626-227.1650 Email info@servitekelectdc.com Vendor Type SBE, DVBE, MBE, CADIR License # 1035350 CADIR �trelI 4m Bid Format Electronic Submitted 04/26/2021 1:10 PM (PDT) Delivery Method Bid Responsive Bid Status Submitted Confirmation # 252003 Ranking 0 Respondee Comment Buyer Comment Attachments File Title File Name File Type Jerome Park —Bid Documents.pdf Jerome Park —Bid Documents.pdf General Forms anelsna 11 . Giry M Santa An. Jerome Park BallOald Ughhn9 (West Field)(20-T530), bidding on 0428120212DD PM(PUTT Prinl=_: - EXHIBIT A Line Items Discount Terms No Discount SmnA_ Sam Code Type Item Da.1i UOM OTY Lhdlli Lana TOW _ Rmponsa CprrnlBN TOTAL BASE BID (Sins 1 b 9) SU1,150.0000 1 New Spools Lighting 9yatam is 1 5381.000.000) 5381.000.0000 Yes 2 Fumlahandlnatad Naw NEMAMR Ihhlel LS 1 315.000.0000 5151000.0000 Yes 3 Cansoutl Conde The" end lnaW Clty Famiggd Light PdO(Wa;Ii Lighting) i 9 E1.950.0000 S29.700.0000 Yes 4 FOmish and tneb0 ffli(2 S10 and! 1 S10 GLAD) IYOaNwry Lghmgl IF 12M 83.0000 S3.800.0000 Yes 5 Funnin ads Ii W"(41H) than NEMA3R d Cpnasaion Stand) LF 1" 35.0000 $5.000.0000 Yus 8 Fardshe and testing "(118 GND)(hdn Ni W CmuaNm Stand) LF 250 53.1:000 ST50.0100 Yes T AUBuil Plans LS 1 54.800.0300 ".8001 Yes 8 Coodtleddn Pawns LS 1 610.000.0000 S1O.000.O0100. Yes 9 Prdecl AdwMsdrleniegn EA 1 51.800.0ill 51.500.0000 Yes ADO ALTERNATE BID INOT PART OF TOTAL 131810 MOUNT) 515810.00W 10 YPVC 9chatlub40 Conduit LF 250 W4.00410 MOOD No Yes 11 G aW" Is Push msh Settn Field, Adjust Sprinkler Heads and Bead osd Grd3ad Anaa LR 1 59.000.0004 5080000W Yes Penx16it13 in_ Ody u(S,nla And Jerome Palk F ll(elh Lighting ( West HOW) (20 2500), balding on 032&2021200 PM (PDT) Peg, 3 of 3 Ponl,o Oa 812031 Line Item Subtotals Secilon Title - TOTAL BASE BID (Ile1M 1 W 9) ADD ALTERNATE BID (NOT PART OF TOTAL BASE BID AMOUNT) EXHIBIT A Line Total $431.350.0000 515,5013.0000 Oran Total 3445950.0000 Pia"15, m_ CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME.PARK BALLFIELD LIGHTING (WESTFIELD) The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any), TIME FOR COMPLETION OF IMPROVEMENTS AND LIOLIIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within fifty (50) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $1,200 per calendar day. Name of Firm Signature of BIl Title Geoff Reyes, President/Secretary/Treasurer (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 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO, 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Servitek Electric Inc. REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sums) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 New Sports Lighting System 1 LS $361,000.00 $ 361,000.00 2 Furnish and Install NewNEMA 3R Cabinet 1 L11 $ 15,000.00 $ 15,000.00 3 Construct Concrete Footing and Install City 6 BA $ 4,950.00 29,700.00 Furnished Light Pole (Walkway Lighting) 4 Furnish and Install Wiring (2 #10 and 1 #10 1,200 LF $ $ GND) (Walkway Lighting) 3.00 3,600.00 5 Furnish and Install Wiring (4 #1) (from NEMA 1,000 LF $ 5,00 $ 5,000.00 3R to Concession Stand) 6 Finnish and Install Wiring (1 #8 GND) (from 250 LF $ $ NEMA 3R to Concession Stand) 3.00 750.00 7 As -Built Plans 1 LS $ 4,600.00 4,300.00 8 Construction Permit 1 LS $10,000 $ 10,000.00 9 Project Advertisement Sign 1 EA $ 1,600.00 1,500.00 TOTAL BASE BID (Items 1 tog) $ 431, 350.00 ADD ALTERNATE BID Item Description Qty Unit Unit Price Amount 10 2" PVC Schedule 40 Conduit 250 LF $ 24.00 $ 6,000.00 11 Grade Mound to Flush with Soccer Field. Adjust 1 LS $ 9,600.00 9,600.00 Sprinkler Heads and Seed over Graded Area P-1 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO, 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any). TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within fifty (50)wworking days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $1,200 per calendar day. Name of Firm Signature of BE Title Geoff Reyes, President/Secretary/Treasurer (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. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) BIDDE_WS 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 Name of Firm Signature of BI] Title Geoff Reyes, President/Secretary/Treasurer (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-3 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) 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: Servitek Electric, Inc. Business Address: 385 S Lemon Ave. #243 Walnut CA 91789 Business E-Mail Address: info@servitekelectric.com Telephone: 626-227-1650 State Contractor's License No. and Class: 1035350, C-10 License Expiration Date: 01 /31 /2022 State Dept. of Industrial Relations (DIR) Registration No.: 1000058315 State Dept. of Industrial Relations (DIR) Registration Expiration e: 6/3012022 Signed: Title: Geoff Reyes, President/Secretarv/Treasurer P-4 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing. Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct Name of Firm Signature of III Title Geoff Reyes, President/Secretary/Treasurer (if an individual, so state) P-5 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) 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: %z% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name Musco Sports Lighting, LLC License #/Exp. 797757 ' 02/28/2022 DIR Reg. #/Exp. 1000 04278 ; /30/2022 Location 3002 Dow Avenue, Suite 504, Tustin, CA 92780 Phone 949-754-0603 x6111 Type Of Work"Supplier Amount $ 271,200.00 Name Electro Construction Corp License #/Exp. 01/31/2022 DIR Reg. #/Exp. 1000004159 ; 6/30/2022 License # 95881 Location 225 WINDWINDSOR AVENUE,. ALTADENA, CA 91001 Phone (323) 660-4 1 Type Of Work Subcontractor Amount$ $ 62,000.00 Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Sighature of aR . Name License #/Exp. DIR Reg. #/Exp. Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ P-8 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) REFERENCES The following are the names, addresses, and telephone numbers for TIHIE F public agencies for which the BIDDER has performed similar work within the past three years. CONDUIT INSTALLATIONS AND REWIRING TRAFFIC SIGNAL 1, City of Pomona: 505 S Garvev Avenim Pmmnna rA 047RR Name and Address of Owner. Ron Chan. 909-620-22AR. rnnAH ch. mni Name and Telephone Numb $ 70,805.00 Contract Amount PW 18-19-19, Installation of EV Z. City of Santa r:larita• 9AQ9n \/al, Name and Address of owner. of person familiar with project. General Contractor Type of Work February 26,2021 Date Completed Michael Villegas (661) 255-4960 Mvillegas@santa-clarita.com com Name and Telephone Number of person familiar with project. $176,659.00 General Contractor May 15 2019 Contract Amount Type of Work Date Completed LED Street Light Installation 3. City of Los Angeles; 1149 S Broadway, Los Angeles, CA 90016 Name and Address of owner. Robert Tom 213-473-7426 robert tomro7la i y orc Name and Telephone Number of person familiar with project. $2 350,000.00 General Contractor November 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. BONDS; Hackett Bonds and InsuranceServices 9070 Irvine Center Drive, Suote 115, Irvine, CA 92618 Edward Hackett - President Office #: 949-825-6498• Cell #: 949-500-7483; ed@hackeftbonds.com INSURANCE: The J. Morey Company, Inc. 800 S. Harbor Blvd, Suite 100, Anaheim, CA 92805 Veronica Castro - Account Executive 408.605.9343, rcastro@jmoreyins.com P-9 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PART{ BALLFIELD LIGHTING (WEST FIELD) ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. 1. 2. 3. Name and Address of Owner. Jason Miranda, (909) 630-3811, jmiranda@henkels.com Name and Telephone Nun $974,000.00 Contract Amount Fiber Optic Name and Address of owner. of person Subcontractor September 202O Type of Work Date Completed Name and Telephone Number of person familiar with project $ 36,000.00 Subcontractor Contract Amount Type of Work Name and Address of owner. Name and Telephone Number of person familiar with project Contract Amount Type of Work 2019 Date Completed Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. BONDS: Hackett Bonds and Insurance Services _9070 Irvine Center Drive Suot . 115Jrvine. CA 92618 Edward Hackett - President Offira Ik 949-825 6498' rail #- 949 5QQ 7483- Pd h rketthanrlc rnm INSURANCE: The J. Morey Company, Inc. 800 S. Harbor Blvd, Suite 100, Anaheim, CA 92805 Veronica Castro - Account Executive 408.605.9343, rcastro@jmoreyins.com P-10 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) NON-DISCRINIlNATION CERTIFICATE The undersigned contractor or corporate officer, daring 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. 1* / &W rf- -FT P-12 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.20-7530 JERONIE PART{ BALLFIELD LIGHTING (WEST FIELD) 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 Slats. 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 C ter. Signed: Title: Geoff Reyes, President/Secretary/Treasurer Firm: Servitek Electric, Inc. Date: April 27, 2021 P-13 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) STATEMENT REGARDING APPRENTICESHIP REOIITRFMENTS 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: 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 e Cal' nia Apprenticeship Council. Signed: Title: Geoff Reyes, President/Secretary/Treasurer Firm: Servitek Electric, Inc. Date: _April 27, 2021 P-14 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) STATEMENT REGARDING "ANTI-KICKBA K" REOUIRFMENTS 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: Geoff Reyes, President/Secretary/Treasurer Firm: Servitek Electric, Inc. Date: April 27, 2021 P-15 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO, 20-7530 JEROME PART{ BALLFIELD LIGHTING (WEST FIELD) 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, 20-7530 JEROME PART{ BALLFIELD LIGHTING (WEST FIELD) 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/pwa/documents/CWA pdf 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 Seect�ionn 2-2a and the Notice of Inviting Bids.. Signed: Title: Geoff Reyes, Presi ent/Secretary/Treasurer Firm: Servitek Electric, Inc. Date: April 27, 2021 P-17 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA ) Geoff Reyes , being duly sworn, deposes and says: ❑ INDIVIDUAL That he/she is the party making the foregoing proposal: ❑ PARTNERSHIP That he/she is a member of the co -partnership firmdesignated 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- CORPORATION That he is or: President, SeeretarV Treasurer a corporation which is making the foregoing proposal: ❑ JOINT VENTURE That he is of. one of the parties making the foregoing proposal as a joint 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 mariner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the pj:o ontyaet for himself or any other person. � �LZ � Signature o idder Subscribed and sworn to before me this day of 20 Signature of officer Administering Oath (Notary Public) P-6 ofP-17 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 LC,s 4�rn9r� Subscribed and sworn to (or affirmed) before me on this' day of Ac"I 20 2-1 by—Ge-0 F-C a -eve proved to me on the basis of satisfactory evidence to be the person(@) who appeared before me, Signature (Seal) OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages , Document Date ( If � 24 Additional information m VRADIP PA TEL COMM ... 2331571 NOTARY PUBLIC-CALIFORNIA t�-4 E1N My Tom EPAugust 36"1, INSTRUCTIONS The warding of all Jursts completed In California after January 1, 2015 must be in the form as set forth within this Jurat. There are no exceptions. If a Jurat to he completed does not follow this form, the notarymust correct the verbiage by using a jurat stamp containing the correct wording or attaching a separate fecal farm such as this one with does contain the proper wording. In addition, the notary must require an oath or affirmation from the document signer regarding the truthfulness of the contents of the document. The document must be signed AFTER the oath or affirmation, it the document was previously signed, it must be re -signed in front of the nolary public during the jurat process. • State and county information must be the state and county where the document signer(s) personally appeared before the notary public, • Date of notarization must be the date the signer(s) personally appeared which must also be the some dale the Jurat process is completed. • Print the name(s) of the document signer(s) who personally appear at the time of notarization. + Signature of the notary public must match the signature on file with the office of the county clerk. • The notary seal impression must beclear and photographically reproducible. Impression must not cover text or lines. If seal Impression smudges, re -seal if a sufficient area permits, otherwise complete a differentjurat form. Additional Information Is not required but could help to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. . Securely attach this document to the signed document with a staple. CITY OF SANTA ANA PROPOSAL PROJECT NO.20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) 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 Signed State of California County of Subscribed and sworn to (or affirmed) before me on this day of , 20_, by Geoff Reyes . proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me Notary Public Signature Notary Public Seal P-11 ofP-17 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 LCD s gy Subscribed and sworn to (or affirmed) before me on this2-" ay ofa t' 20 2 i by __!2ge_cA P" P-_Q vp o proved to me on the basis of satisfactory evidence to be the person(z) who appeared before me. Signature (Seal) OPTIONAL INFORMATION a PRADIP V PATEL Comm ... 233167, NOTARY PURLIC-CALIFORNIA M -A ; LOR ANGELES COUNTY (J My Team Eaµ. August t3, 2024 The wording of all Jurats completed In California after January 1, 2015 must be in the form as set forth within this Jumt. There are no exceptions. If a Jurat to be completed does not follow this form, the notary must correct the verbiage by using e jural stamp containing the correct wording or attaching a separate jumt form such as this one with does contain the proper wording. In addition, the notary must require an oath or of ornation from Me DESCRIPTION OF THE ATTACHED DOCUMENT document signer regarding the truthNlness of the contents of the document. The (� document must be signed AFTER the oath or affirmation. If the document was previously ory) - cr i I L-r Q i �u Yl 1-ri-^(f yl t signed, it must be re -signed in front of the notary public during Majuratpracess. (Title or description of attached document) (Title or description of attached document continued) Number of Pages d Document Dateoi I,2--IlrL- Additional Information State and county Intonation must be the state and county where the document signer(s) personally appeared before the notary public. Date of notarization must be the date the signer(s) personally appeared whichmust also be the same date the jurat process Is completed. Print the name(s) of the document signer(s) who personally appear at the time of notarization. Signature of the notary public must match the signature on file with the office of the county clerk. The notary seal Impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a differentturat form. Additional Information Is not required but could help to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date, securely attach this document to the signed document with a staple, CITY OF SANTA ANA PROPOSAL PROJECT NO, 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) BID BOND KNOW ALL PRESENT that, Servitek Electric. Luc , as BIDDER, and United States Fire Insurance Company as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of _ TEN PERCENT (10%) of the Total Amount Bid—DpI}ttr9 (-----___..______._.___._. }, 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 26th day of April 20 21. BIDDER* SURETY* United States Fire Insurance Company - 1209 Orange Street Wilmington Delaware 19801 973 490 6600 S 202T Subscribed and sworn to before me SEE ATTACHED this day of > 20_ "Signature: Notary Public iri and for the n State of Pjo yi&-BTDDEW SURETY name, address, and telephone address, and telephone number of authorized representative. number and the name, title, P-7 of P-17 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State oP California A notary public or other officer, completing this cert firate verified only the identity of the individual who signed the document io which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Courtly of Orange 01) 6 201 before tile, C. Maestas Not Public - _ 11 irate inters nnnm mid ud¢ al'dmul7i¢st — Itehe(inally sq €7et red Edward N. Hackett who proved to nu on the bilsis Orsatrsractory evidonco to bC the personl cvhosc nan7el 0 ishtre subsoribed to the Withn7 instrument and aclutowledged to me that heAthLtkley executed the .'Onle in aatborireci cafxlciMic,sl. and that by on the itISlrtmtcnt the pchsonfsl, or the cntity upat7 behalfot t1•ltich the persolt(s) aeteiL, executed the insintrucnt. I certiry Iluder PENAf [ Y OF PERJURY inkier the IaWti of ttie State of Cahlornia that the forcgofug ptB•agrai>h iti true and corroet. \1'11'NIiSS my hand and official scat tiip . Pubtir t C. MAESTAS ` J C0MM `2295096 rM NOTARY PUBLIF-CALIFORNIAX ORANGECOUNTY V MYCOMM. EPJULY24,2023 ry (1efJ1. Y1.iil! ADDITIONAL OPTIMAL INVORIMATION UI'S( IM) HON OF'I'I HL A'11'OW1IEU DOC'IMILN F Servitek Electric, Inc Bid Bond i I it le nr de", Iplimt oF;ntaehod d ep'll nll I title ,I de,enpaou oI onochal d,+Cuuluol ennPnhmB Number ntl'ages I Docamew gate IAPR 2 I Wdowl' d mAir"'ximll C'APACH'YCLAIMED BYTIIt: SkCr Ell tt lucii�'islaallsl f r Ccn-pnratc I)I'ltrcr I I ill.• I � pIIr[I7CPI91 '� ilitl»'nsy-iu-Friel I t I'41'.ICCI h) I Utlmr INSI-IM("l'll raft f'0NIII'LL LING 1'l IIS F'ORM .hit m 6mN,-Jrl pn+va erxlrlrleh d ill lu-v ,mL.&r I sd,l rl r or:mrh. ✓. nplwwr, a ... to, inill,, nurei..-cwumur tr nnrtueur Irtkurru tr•Jpn+vnt lmm enaa la. to ll",'It u+nryJekYt end ad.rdio,I Ox lNm .dulawnl. 7lic writ .rrepnnn 1. fi „ I/ Imiwu usa.idov u/ C.IBlirrnLt in e,i hl,mme.,. nni nh. mothe a. bwo, lr,hf+er:u : rnhJng.• cn low, hr / r,'w"t... lode , Id:nrem+if m L,a•, nx no,- erLnn:.•.f,x. nor ....... ek,. nnnmI ru .6r o,a.,,#ring rko, it'lk"'! i••• ,. ,mn,r, ill Callo.nin N r. rr:Polowl„ the awLnek"t r;lfao-Ill ill th, rills.+'i T'l.•nn• eke"A rim• Jmvrarni c,uyfiAhyb; tarq+rron+a+'lot nvntln+g m+d riltrnL Jhi+ ]hem it m,plLxat. �� 54ne inid ('.+IIRI1' IlllbtnLll lint IrlliW t19 dIC Slate wild C,ntlliy N h@rC I!iC dnC14111en1 ,�llJ {r Y�umlt� apFanp:d hcliv¢ Ehu uuLup puhlir, Iio7 arddmu IcJgwem • n;ue ol'nmedertion alow he tiledelrc Ihu4 dicsi5alen'l pa unrdl: :RSpwn'.d cBich must alwt l+c dta smile o Iheacklmrr Inlgurum is annydetal. • T•6a n,ruug tulbHe musl print Irk or lie,*nan,rat It nppwtr, ioi0tin hiv or her hmmlisuoul'oRol)cil byamonlula.InikhGu wur utlQ(nolum pt,bhei, • Print ihv nnntet+7 ul decumm�l-+Ign rPi xtm Ile," u. lly npllcal al the lime of notal V:1tlNr ludic<nc the correct,monittr OI`Ill :n;lI IlR15l,, b} ero..nm• ill uSurreo lirrm<(I,c he +he 4111lyn ., InxV i t,, eilt'Ln@ the Cl)IIQ0 6nul... Guilin III mrr rd} indienle liri, iA till not ian uuy lemi bi l Cie Linn at ducumtul wcoNin¢. lilt uoi,lq -0,d iluprowo'lr oHhl ho clear and Ilhm...... aallg mproduclhte. Inlpn.•"o.m nul6t I'll Color Int ,I Uwe] iuq+m+,n+u .model,. rc-� rl3i n MI I IilICIlt.lrTd pFIT1111ti. o111,1rN I,U eo1117!ICIL` ll dd ICI en! nthlltl'a tCd:!Ii1Cin lima. ' i, ollamn: of the noRlr7 public Illm match the siymuurc 01) file u{Ih III,, 'Noce of diewnnu, Clcrh. to \ddoiuurl mPrnnnuutr is sal rpplircd hill dou;d Imip Ill Cc%Inu till. :mhuon htlurnnt Is sill nnaued nr audehed lua dn7tsut Ito uoualn 6R Indicnletnh•oi tip; of nlladrvd donunanl. nnndn r'uf panaolyd dale. 01 hnhil,w0tc cnpacitc dainlAni by tile>i"lcr. lima daimad rupeeijy ,;I calput ate otiicer. nldlcala tlw Lille ox. CO, ('Ft)- ttcelel.o e I. , 1c"14 much III Ill docana'm lt! IIle signed drxuluare POWER OF ATTORNEY UNITED STATES FIRE INSURANCE COMPANY PRINCIPAL OFFICE-MORRISTOWN, NEW JERSEY 06378436620 KNOW ALL MEN BY THESE PRESENTS: That United States Fire Insurance Coupany, a corporation duly organized and existing tinder the laws of the state of Delaware, has made, constituted and appointed, and does hereby make, constitute and appoint: Edward N. Utickerq Sean J. McCauley, Jr, each, its true mid lawfi l Attorney(s)-In-Fact, with fall power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver: Any and all bonds and undertakings of surety and other documents that the ordinary course of surety business may require, and to bind United States Fire Insurance Company thereby as fully and to the same extent as if such bonds or undertakings had been duly executed and acknowledged by the regularly elected officers of United States Fire Insurance Company at its. Principal office, in amounts or penalties not exceeding: Seven Million, Five Hundred Thousand Dollars ($7,500,000). This Power of Attorney limits the act of those namedthereinto the bonds and undertakings specifically named therein, and they have no authority to bind United States Fire Insurance Company except in the manner and to the extent therein stated. This Power of Attorney revokes at I previous Powers of Attorney issued on behalf of the Attorneys-In•Fact named above and expires on Jmmmy 31, 2021. This Power of Attorney Is granted pursuant to Article IV of the By -Laws of United States Fire Insurance Company as now in full force and effect, and consistent with Article III thereof, which Articles provide,in pertinent part: Article IV, Execution of Instruments - Except as the Board of Directors may authorize by resolution, the Chairman. of the Board, President, any Vice -President, any Assistant Vice President, the Secretary, or any Assistant Secretary shall have power on behalf of the Corporation: (a) to execute; affix the corporate seal manually or by facsimile to, acknowledge, verify and deliver any contracts, obligations, instruments middocuments whatsoever in connection with its business including, without limiting the foregoing, any bonds, gumrantees, undertakings, recognizances, powers of attorney or revocations of any powersof attorney, stipulations, policies of insurance, deeds, leases, mortgages, releases, satisfactions and agency agreements; (b) to appoint, in writing, one or more persons for any or all of the purposes mentioned in the preceding paragraph (a), including infixing the seal of the Corporation, Article III, Officers, Section 3.11, Facsimile Signatures. The signature of any officer authorized by the Corporation to sign any bonds, guarantees, undertakings, recognizances, stipulations, powers of attorney or revocations of any powers of attorney and policies of insurance issuedby the Corporation may be printed, facsimile, lithographed or otherwise produced. In addition, if and as authorized by the Board of Directors,. dividend warrants or checks, or other numerous instruments similar to one another in form, may be signed by the facsimile signature or signatures, lithographedor otherwise produced, of such officer or officers of the Corporation as from time to time may be authorized to sign such instruments on behalf of the Corporation. The Corporation may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Corporation, notwithstanding the fact that he may have ceased to he such at the time when such instruments shall be issued. IN WITNESS WHEREOF, United Stales Fire Insurance Company has caused these presents to be signed and attested by its appropriate officer and its corporate seal hereunto affixed this 2T' day of August 2019. UNITED STATES FIRE INSURANCE COMPANY c$ m"nk ]' State of Pennsylvania Anthony R. Sholowicz, Executive Vice President } County of Philadelphia J On this 22nd day of August 2019, before me, a Notary public of the State of Pennsylvania, came the above named officer of United States Fire Insurance Company,to no personally known to be the individual and officer described herein, and acknowledged that he executed the foregoing instrument and affixed the seal of United States Fire Insurance Company thereto by the authority of his office. Commonwealth of Pennsylvania Notary If — Seal/�Ii1.�{A2t.•-y'' Tummies Watkins, Notary Public Philadelphia County My commission expires August22, 2023 _ Tamara Watkins (Notary Public) Commission number 1348843 L the undersigned officer of United States Fire Insurance Company, a Delaware corporation, do hereby certify that the original Power of Attorney of which the foregoing is a full, true and correct copy is still in force and effect mid has not been revoked. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the corporate seal of United States Fire Insurrance Company on the 26th day Of April, 2021 UNITED SPATES FIRE INSURANCE COMPANY - 1 Y Al Wright, Senior Vice President _ STATE OF CALIFORNIA �. I DEPARTMENT OF INSURANCE N4 07812 SAN FRANCISCO Certificate of Authority THIS IS TO CERTIFY THAT, Pursuant to the Insurance Code of the State of California, United States Fire Insurance Company Of Wilmington, Delaware , organized under the laws of Delaware , .subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within the State, subject to all provisions of this Certificate, thefollowing classes of insurance: Fire, Marine, s Surety, Disability, Plate Glass, Liability, Workers' Compensation, Common Carrier Liability, Boiler and Machinery, Burglary, Credit, Sprinkler, Team and Vehicle, Automobile, Aircraft, and Miscellaneous as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all, and not In violation of any, of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are ineffect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended. IN WITNESS WHEREOF, effective as of the _ ., 31 st 4 day of December 1 2003 , l haveherctunto set my hand and caused my ofcial seal to be affixed this 3.1st —dayof December _ 2003. r NOTICE: Qualification with the Secretary of State must be accomphshe after issuance of this Cerlificato of Audrority. Failure to do so grounds for revoking this Certificate of Authority pursuant to conditions contained herein. Man C11.3 Check A License - License Detail -CSLB 4129/21, 1:35 AM OContractor's License Detail for License # 1035350 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLa complaint disclosure is restricted by law (e&P 712461If this entity is subject to public comphintdisdosure click on link that will appear below for more Infarmat on. Click herefor a definition of disclosable anions. , Only construction related civil judgments repo tied to CSLB are disclomdl0&P. i011.1i). r Arbitrations are not isted unless the contractor fails to comply with the terms. r nue to workload, there maybe relevant information that has not yet been entered Into the board's license database. Data current as of 4/28/202110:35:24 AM Business Information SERVITEK ELECTRIC INC 385 S LEMON AVE NE243 WALNUT, CA91789 Business Phone Number:(626) 2274650 This license is current and active. All information below should be reviewed. CLO J.H.CTRICAL Entity Corporation Issue Date 01/30/2018 Expire Date 01/31/2022 Bonding Information This license filed a Contractor's Bond with AMEElCAN CONTRACTORS INDEMNITY COMPANY. Bond Number: 100376523 Bond Amount: $15,000 Effective Data: 01101/2018 The qualifying individual GEOFFREY BRIAN REYES certined that he/she owns 10 percent or more of the voting stock/membership interest of this company; therefore, the Bond of Qualifying Individual is not required. Effective Date: 01/30/2018 https://www.cslb.ca.gov/onlineservices/checklicenselI/LicenseDetall.aspx?L!cNummlO35350 Page 1 of 2 Check A License - License Detail -CSLB Workers'r r• r This license has workers compensation insurance with the STATE, FARM GENERAL,INSURANCE COMPANY Policy Number:92GHG9462 Effective Date: 02/19/2021 Expire Date: 04/01/2022 !IY.RLLS@[s;,�oRiP,ensytion His5ory Copyright ©2021State ofCalifornia 4/29121, 1:35 AM https://www.cslb.co.gov/onlineservtces/cheeklicenseli/LicenseDetail.aspx?L!cNum=1035350 Page 2 of 2 4129121, 1:35 AM ntractor Information Legal Entity Name SERVITEK ELECTRIC, INC Legal Entity Type Corporation Status Active Registration Number 1000058315 Registration effective date 7/1/2020 Registration expiration date 6/30/2022 Mailing Address 618 BREA CANYON ROAD SUITE J CITY OF INDUSTRY 9178... Physical Address 618 BREA CANYON ROAD SUITE J CITY OF INDUSTRY 9178... Email Address Trade Name/DBA License Number(s) CSLB:1035350 CSLB:1000058315 _egal Entity Information Corporation Number: C4070827 Federal Employment Identification Number: President Name: GEOFF REYES Vice President Name: Treasurer Name: GEOFF REYES Secretary Name: GEOFF REYES CEO Name: GEOFF REYES i Agent of Service Name: JEFF PHAM Agent of Service Mailing Address: 575 ANTON BLVD THIRD FLOOR COSTA MESA 92626 CA United States of America Registration H Effective Date 11/1/2018 6/13/2018 7/1/2019 7/1/2020 tpiration Date /30/2019 /30/2018 /30/2020 /2022 https://cadir.secure.force.com/ContractorSearchiPrintRegDetails Page 1 of 2 4/29/21, 1:35 AM Workers Compensation Do you lease employees No through Professional Employer Organization (PEO)?: Please provide your current workers compensation insurance information below: PEO PEO PEO PEOInformationName Phone Email Insured by Carrier Policy Holder Name:Servitek Electric IncInsurance Carrier:State Farm General Insurance Co Policy Number:92-GWT-4912Inception date:3/31/2020Expiration Date:3/31/2021 https://cadir.secure.force.com/ContractorSearch/PrintRegDetails Page 2 of 2 CERTIFICATION' ;PROGRAM- (Cf.AT) DEPARTMENT OF TRANSPORTATION OFFICE OF BUSINESS AND ECONOMIC OPPORTUNITY 1823 14th STREET SACRAMENTO, CA 95811 Phone: 916) 324-1700 FAX: (916) 324-1962 TTY: 711 November 15, 2018 Mr. Geoffrey Reyes Servitek Electric, Inc. 618 Brea Canyon Road, Suite City of Industry, CA 91 789 Firim ID: 45918 Subiect: Disadvantaged Business EnterDr'iSe (DBE) Certification Approval Dear Mr. -Reyes: I am pleased to advise you that after careful review of your application and supporting documentation, the California Department of Transportation (Caltrans) has determined that your firm meets the eligibility standards to be certified as a Disadvantaged Business Enterprise (DBE) as required under the U.S. Department of Transportation's Code of Regulation 49 CFR Part 26, as amended. This certification is also recognized by all USDOT agencies in California. Your firm will be listed in the California Unified Certification Program (CUCP) database of certified DBEs under the following specific areas) of expertise that you have identified on the NAICS Codes form of the application package: 1NAWS Category Codes I Description 238210 Electrical Contractors and Other Wiring Installation (.'011tr'aetOTS Work Category ($' dO Description C9858 Residential Electrical C8604 C9859 C8602 _ _Lighting Commercial Electrical Si mal & Li =hthiLl Your DBE certification applies only for the above code(s). You may review your firm's information in the CUCP DBE database which can be accessed at Caltrans' website at wwyv dot.c2,gL)vlhR/be !p find certified_htra. Any additions and revisions must be submitted to Caltrans for review and approval. N i7 co 77 (O u) LO O N O N O W c 0 0 0 c IL` AV\/ W U W LU co (D m CuC //C/� VJ 4- 0 a) 0 iF 0 U N L E U U U y CU C N N y Z 'N O a w rn LL N ?i Ip y m E O U c_j = a) N Y w E m Z C .O0 n. W N m(No CD (O L m a E Z X LL. N N mCN O Cl) CO m in Q FT N (G�f mU m c p Z p U r N 4) G7 E E w w Z Z O) O m m 0)) Uf U 0 O E C () N Z a a U N U N � d TS U d U N 3 'N W N W w u m m m a) a e e (A U J a W B a T CO C Z) U ? y lL coC) r- co r W Q U (O U) U H E 0 LL Ll N N O N Cl) a0 O 0 0 N O O El 0 U m O W IN K a 0 a N O N 0 v (� N U co co ai � l. O V o E a) J z W Z 2 CY O � O O ia 0) E O W m U LO O CD O C E m 0) N 0 v -o M r O r jor. verapr SFf � k, �. fl'i .; DEPARTMENT OF VETERANS AFFAIRS Center for Verification and Evaluation ..\C(. H1i �J .'Tep SYni¢s� Washington DC 20420 9/21 /2020 In Reply Refer To: OOVE Mr. Geoffrey B. Reyes Servitek Electric, Inc. DUNS: 116944911 618 Brea Canyon Rd., Ste. J City of Industry, CA 91789-3022 Dear Mr. Reyes: On behalf of the U.S. Department of Veterans Affairs (VA), Center for Verification and Evaluation (CVE), I am writing to inform you that Servitek Electric, Inc. has been verified as a Service -Disabled Veteran -Owned Small Business (SDVOSB) and added to the Vendor Information Pages (VIP) at htti)s://www.vip.vetbiz.gov/. Servitek Electric, Inc. will be eligible to participate in Veterans First Contracting Program opportunities with VA. This verification is valid for three (3) years from the date of this letter. Please retain a copy of this letter to confirm Servitek Electric, Inc.'s continued program eligibility in accordance with 38 Code of Federal Regulations (CFR) § 74.12. You may reapply 120 days prior to your expiration date by logging in to your VIP profile. To promote Servitek Electric, Inc.'s verified status, you may use the following link to download the logo for use on marketing materials and business cards: httpS://www.va.gov/OSDBU/docs/cve completed s.ipg. In addition, please access the following link for information on the next steps and opportunities for verified businesses: http://www.va.gov/osdbu/verification/whatsNext. asp. To ensure that Servitek Electric, Inc. is correctly listed in the Vendor Information Pages, check Servitek Electric, Inc.'s profile for the verified logo. Please notify us if the logo is not present within 72 hours of receipt of this letter. While CVE has confirmed that Servitek Electric, Inc. is presently, as of the issuance of this notice, in compliance with the regulation, Servitek Electric, Inc. must inform CVE of any changes or other circumstances that would adversely affect its eligibility. Eligibility changes not reported to CVE within 30 days could result in a referral to the Office of Inspector General (OIG), a referral to the Debarment and Suspension Committee, and the initiation of cancellation proceedings —all of which could result in Servitek Electric, Inc. being removed from the VIP Verification Program. "World Class Professionals Enabling Veteran Business Opportunities by Protecting the Veteran Advantage - One Vet at a Time" EVAL.T3.TEMPL.0002 Page l of2 Page 2 Mr. Geoffrey B. Reyes Please be advised all verified businesses may be required to participate in one or more post -verification audits at CVE's discretion. Additionally, this letter and other information pertaining to Servitek Electric, Inc.'s verification application may be subject to Freedom of Information Act (FOIA) requests. However, FOIA disclosures include exceptions regarding the personal privacy of individuals, and VA policy similarly provides limitations on the release of individual records. If Servitek Electric, Inc. receives a negative size determination from the U.S. Small Business Administration (SBA), CVE must act in accordance with 38 CFR § 74.2(e). Also note, if at any time Servitek Electric, Inc. discovers that it fails to meet the size standards for any NAICS Code(s) listed on its VIP profile, CVE requires such NAICS Code(s) be removed within five (5) business days. If the NAICS Code(s) are not removed within the allotted five (5) business days, CVE may request SBA conduct a formal size determination. In addition, CVE may initiate a referral to OIG, a referral to the Debarment and Suspension Committee, and pursue cancellation proceedings. All of the aforementioned referrals and procedures could result in Servitek Electric, Inc. being removed from the VIP Verification Program. Thank you for your service to our country and for continuing to serve America through small business ownership. Sincerely, P"',' John Perkins Center for Verification and Evaluation EVAL.T3.TEMPL.0002 Page 2 of Servltek Electric, Inc Mall - Your DUNS Lookup Request for SERVITEK ELECTRIC, INC. 4129/21, 3:08 AM wrwi � ervl.. . electric Suuurina Power and oommuntoatlons Servitek Electric <info@servitekelectric.com> Your DUNS Lookup Request for SERVITEK ELECTRIC, INC. 1 message Dun & Bradstreet <DandB@click.dandb.com> Reply -To: Dun & Bradstreet <reply@click.dandb.com> To: info@servitekelectric.com Having trouble seeing this email? View it online 04/28/2021 Geoff Reyes, Thu, Apr 29, 2021 at 3:07 AM The following is the Dun & Bradstreet D-U-N-SO number for SERVITEK ELECTRIC, INC.: D-U-N-S number: 116944911 If this is YOUR COMPANY, take advantage of CreditBuilderTM, our next generation credit building solution. _ Get unlimited access to your business credit file Ensure you are always aware of the most current D&B information your banks, suppliers, competitors and customers are using to evaluate your business Get alerts when there are changes to your business credit file -? Benchmark your company's credit scores against your industry and key competitors Enhance your D&B credit scores and ratings by adding good payment history to your credit profile If you are looking for information on ANOTHER COMPANY, consider purchasing a Business Information Report TM. Reduce the risk of unpaid bills by evaluating the credit risk of another company before doing business with them. https://mail.google,com/mail/u/121k=c910ef584b&view=pt&search=a... read-f%3A1698312357013629269&simpl=msg-f%3A1698312357013629269 Page 1 of 2 Servitek Electric, Inc Mall - Your DUNS Lookup Request for SERVITEK ELECTRIC, INC. 4129/21, 3:08 AM Get a detailed snapshot of another company's credit report; available online for 6 months from initial access 0 See a company's PAYDEX@ score and other D&B@ ratings r Access a company's payment history i�� View company history and background information on key employees Call 1-800-700-2733, Monday through Friday, 8:00 AM to 6:00 PM local time or contact us at Dun & Bradstreet support. Sincerely, Dun & Bradstreet Please add dandb@click.dandb.com to your email address book to ensure delivery of our emails to your inbox. This is a notification regarding your product subscription with Dun & Bradstreet. If you have any questions, please contact Dun & Bradstreet support. Privacy and Terms of Service Notice: Your privacy is important to us; please see our Privacy Policy and Terms of Service. ©Dun & Bradstreet, Inc. 2021. All rights reserved. 1250 Valley Brook Avenue, Suite 102 Lyndhurst, NJ 07071 https://mail.google.com/mail/u/1?lk=c910ef584b&view=pt&search=a... read-f%3A1698312357013629269&simpl=msg-f%3A1698312357013629269 Page 2 of 2 1/22/2021 Entity Overview I System for Award Management ., I SAM*GOV" ® ALER'I':SAM.govwill be down for scheduled luaintena nee Saturday,oe/13/Po21from S:oo AM to voo PM. Entity Dashboard Y En i Overview EnSlty_BcS' tts tatkm k Core Data Y Assertions Y Reps & Certs Y PDc@ RsaDdh t Service Contract Rem Y BioPreferred Reptrt r Exclusions e Act ivc Exclusions Y ,Inactive Exclusions Y Excluded Family, Members IBM -P-2o2ioi15-io35 WWW6 Somitek Electric, Inc. DUNS: ii6944911 CAGE Code: 88FL9 Status: Active Expiratten Date: t2/'15/20a_t Purpose of Registration: Alt Awards Entity Overview EutiTy Regisriwtion Summary ^�-----_---_® DUNS: 116944911 Name: Servitek Electric, Inc. Business Type: Business or Organization Last Updated By: Geoff Reyes Registration Status: Active Activation Date: 12/1,5/2020 Expiration Date: 12/15/2021 Exduso n Summary J } Active Exclusion Records? No Geoff Reyes tug Out act Brea Can}vn Rd SIG J City of Industry, CA, 9'r789-3022, UNIPtiD SiTTGS Search Records Disclaimers FAPIIS.gov Data Access Accessibility GSA.gov/1AE Check Status Privacy Put icy GSA.gov About ESA.gov Help https:llsam.gov/SAM/pages/secured/entityDashboard/entityDashboardEntity0verview.jsf ill EXHIBIT 1 City of Santa Ana Section 3 Contract Clause These Clauses are to be inserted in all contracts A. The work to be performed under this contract number 20-7530 by and between the City of Santa Ana, hereinafter referred to as "City" and Servitek Electric. Inc. _, hereinafter referred to as "Contractor", is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended 12 U.S.C. 170lu (section 3). The purpose of Section 3 is to ensure that employment and other economic opportunities generated HUD assistance or HUD -assisted projects covered by Section 3, shall, to the greatest extent feasible, be directed to low -and very low-income persons. B. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under no contractual or other constraint that would prevent them from complying with the Part 135 regulations. C. The contractor agrees to send to each labor organization or representative of workers with which the Contractor has an agreement or other understanding, if any, a notice advising the labor organization or workers' representative of the Contractor's commitments under this Section 3 clause, and will post copies of the notice in conspicuous places at the work site where both employees and applicants for training and employment positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the name and location of the person(s) taking applications for each of the positions; and the anticipated date the work shall begin. D. The Contractor agrees to include a Section 3 clause in every subcontract subject to compliance with regulations in 24 CFR Part 135, and agrees to take appropriate action, upon a finding that the subcontractor is in violation of the regulations in 24 CFR part 135. The Contractor will not subcontract with any subcontractor where the Contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR Part 135. E. The Contractor will certify that any vacant employment positions, including training positions, that are filled (1) after the Contractor is selected but before the contract is executed, and (2) with persons other than those to whom the regulations of 24 CFR part 135 require employment opportunities to be dir ected, were not to circumvent the Contractor's obligations under 24 CFR part 135. F. Noncompliance with regulations in 24 CFR Part 135 may result in sanctions, termination of this contract for default, and debarment or suspension from future HUD assisted projects. The Contractor by this signature affixed hereto declares under penalty of p erjury: Contractor has read City requirements and accepts all its requirements contained therein for all of his/her operations within the City of Santa Ana. �m mr ISignatu Contractor 1035350, C-10 Contractor License Number & Designation Geoff Reyes President April 27, 2021 Print Name and Title Date 116944911 Federal DUNS Number EXMBIT 2 City of Santa Ana Section 3 New Hire Calculation Form Project Name: Jerome Park Ballfield Lighting (West Field) Project Location: 2115 W McFadden Ave, Santa Ana, CA. 927 Street City State Zip Contractor Name: Servitek Electric, Inc. Contractor Contact: Geoff Contractor Telephone Number: 626-227-1650 ext 101 Contractor Email Address: info@servitekelectric.com Section 3 Resident Hiring Goals Trade/Craft I Number of New Hires Total Number of New Hires: U Total number of Section 3 resident new hires necessary to comply with contract: 0 .- April 27, 2021 Signature o ntractor Date EXHIBIT 8 Contractor's Section 3 Affirmative Action Plan Jerome Park Ballfield Lighting (West Field) 20-7530 Project Number and Title The undersigned contractor agrees to implement the following affirmative action steps directed at increasing the utilization of lower income residents and business concerns located within the County of Orange. 1. Take affirmative action to ensure that employees or applicants for employment or training are not discriminated against because of race, color, religion, sex or national origin. 2. Send a notice of the contractor's Section 3 commitment to each labor organization or representative of workers and p ost a copy of the notice at a conspicuous place available to employees and appl icants for employment or training. 3. To the greatest extent feasible, make a good faith effort to recruit for employment or training lower income residents from the County, and to award contracts to business concerns which are located in or owned in substantial part by persons residing in the County through use of: local advertising media, signs placed at the project site and notification to community organizations and public or private institutions operating within or serving the project area such as Service Employment and Redevelopment (SER), Opportunities Industrialization Center (OIC), Urban League, Contracted Employment Program, U.S. Employment Service, Chamber of Commerce, labor unions, trade associations and business concerns. 4. Maintain a file of all low-income area residents who applied for employment or training either on their own or on referral from any source, and the action taken with respect to each area resident. 5. Maintain a file of all business concerns located in the County who submitted a bid for work on the project, and the action taken with respect to each bid. 6. Maintain records, including copies of correspondence, memoranda, etc., which document that affirmative action steps have been taken. 7. Incorporate the Se ction 3 clause provisions in a 11 subcontracts, and r equire subcontractor(s) to submit a Section 3 Affirmative Action Plan. Servitek Electric Inc. Company Name 385 S Lemon Ave. 9243, Walnut, CA 91789 Address: Street, City, State, Zip 116944911 DUNS Number gnature f on motor Geoff Reyes Printed Name President Title EXHIBIT 9 City of Santa Ana Section 3 Contract Award Consideration Bidder's Name: Servitek Electric, Inc. Please check the numbered statement that is applicable to your business: My business qualifies as a Section 3 business concern: If you have checked statement NUMBER 1 please read the attached Section 3 Business Concern Preference - Bidding Requirements. (Please check the applicable qualification for statement number 1) 51% owned by Section 3 residents; or Permanent, full-time employees include at least 30% Section 3 residents; or Will subcontract more than 25% of the dollar award of all subcontracts to be awarded to business concern(s) that meet either of the two preceding qualifications. Note: You are required to list all subcontractors and owner -operators in your bid statement. 2. V My business does not qualify as a Section 3 business concern. Note: Section�3 business concern definitions are located in this project's Contract Documents & Specifications Manual within the section titled Section 3 Economic Opportunities Plan. ��- April 27, 2021 ignatur o u r�ss Owner Date Geoff Reyes, President Print Name EXHIBIT 12 CITY OF SANTA ANA WOMEN OWNED/MINORITY BUSINESS OWNED ENTERPRISES (W/MBE) GOOD FAITH EFFORTS Project Name: Jerome Park Ballfield Lighting (West Field) Project Number: 1 20-7530 Project Location: 1 2115 W McFadden Ave, Santa Ana, CA 92704, United States Pursuant to 24 CFR Part 85 § 85.36 (e) of Code of Federal Regulations, contractor must take all necessary affirmative steps to assu re that minority business firms, women's business enterprises and labor surplus firms are used whenever possible. Contractor shall submit the following information to demonstrate that a goof faith effort has been made to comply with the above section of the Code of Federal Regulations. Submittal of this form, in and of itself, may not provide sufficient documentation to demonstrate that goof faith effort was made. Documentation such as copies of advertisement, letters of solicitation, telephone logs, rejected quotes, etc. shou Id accompany this form. The names and dates of advertisement of each newspaper, trade paper, and minority -focus paper in which a request for W/MBE participation for this project was placed by the bidder: 2. The names and dates of written notices sent to W/MBE soliciting bids for this project and methods used for following up initial solicitation to determine with certainty whether the W/MBE were interested. Names of W/MBE Solicited Dates of Solicitation Follow-up Methods and Dates GDS Industries April 27, 2021 - none - GDS Industries did not want to participate and bid (proof of eniall attached) 3. The items of work which the bidder made available to W/MBE firms, including, where appropriate, any breaking down of the contracts into economically feasible units to facilitate W/MBE participation, and the information furnished to W/MBE such as plans, specifications, and requirements for the work. Items of Work: Materials Quote - 2" PVC, Panelboard, Circuit breaker, Wires Breakdown of Items: Materials Quote - 2" PVC, Panelboard, Circuit breaker, Wires Information Furnished: Quantities needed - Section3Specs.000 EXHIBIT 12 (cont.) 4. Efforts made to assist W/MBE in obtaining bonding, lines of credit or insurance, and any technical assistance related to the plans, specifications and requirements for the work which was provided to W/MBE: None Any additional data to support a demonstration of good faith effort, such as contracts with W/MBE assistance agencies: I declare under penalty ofperjury that the foregoing information is true and correct to the best of my knowledge. I understand that the City of Santa Ana and/or the U.S. Department of Housing and Urban Development may verify the information provided herein in connection with W/MBE compliance evaluation/audit activities and that failure to fully and truthfully complete this form may result in economic or other sanctions. Signature: Name: Geo y Title: president Date: Aril 27, 2021 Name of Contractor/Subcontractor: Servitek Electric, Inc. Contractor/Subcontractor Identification Number: 1035350, C-10 Address (Street, City, State, Zip): 385 S Lemon Ave. #243, Walnut, CA 91789 Business Racial/Ethnic/Gender Code: Circle the numeric code which indicates the racial/ethnic/gender character of the owner(s) and controller(s) of 51% of the business. When 5 1 % or more is not owned and controlled by any single racial/ethnicity/gender category, circle the code which seems most appropriate. 1 = White Americans 2 = Black Americans 3 = Native Americans Woman Owned Business: Circle One: Yes or 4 = Hispanic Americans 5 = Asi Pacrtrc Americans 6 = Hasa is Jews F:\DOCSIPROPSVCSViUDFORMS\MBU5BO4AMB - SeclionMpecs.DOG Servitek Electric, Inc Mail - City of Ste. Ana: Jerome Park Ballfield Lighting (West Field) 4/29121, 3:47 AM electric Seourina Power and tlommurticatimis Servitek Electric <info@servitekelectric.com> City of Sta. Ana: Jerome Park Ballfield Lighting (West Field) 8 messages Servitek Electric <info@servitekelectric.com> Wed, Apr 28, 2021 at 1:50 AM Cc: Geoff Reyes <greyes@servitekelectric.com> Bcc: MARTINEZ Everardo <emartinez@1sourcedist.com>, Arturo Padilla <apadilla@apepalmdale.com>, aaaes@earthlink.net, Lisa D'Alessio <Idalessio@ldsupply.net>, chris@bbcelectricinc.com, Gia Senigaglia <gia@gds- industries.com>, Melanie Venegas <melanie@allstarcable.com>, Liz Dang <I.dang@cbwholesaleelectric.com>, Kyle Dabruzzi <kyle@generationcablecorp.com>, Brian.Guenette@cityelectricsupply.com Good morning! We are bidding on the above project tomorrow, and would like to request for quotes on the following: 1 1/4" Conduit LF 800 2" S80 Conduit LF 1300 #12 AWG LF 2700 #12 AWG (G) LF 900 #8 AWG LF 8000 #10 AWG(G) LF 1500 100A, 480/277V, 3 Phase, 4 Wire, 24 Space Electrical Panelboard Ea 1 20A, 3P Circuit Breaker Ea 6 20A, 1 P Circuit Breaker Ea 1 100A, 3P Circuit Breaker (Main) Ea 1 Wiring: 2 #10 and 1 #10 GND LF 1200 Wiring: 4 #1 LF 1000 Wiring: 1 #8 GND LF 250 2" PVC Schedule 40 Conduit LF 250 Thank you, Servitek Electric, Inc 626-227-1650 servitekelectric. com Certified DVBE, DBE, SBE MARTINEZ Everardo <emartinez@1sourcedist.com> To: Servitek Electric <info@servitekelectric.com> Cc: Geoff Reyes <greyes@servitekelectric.com> Hello, Wed, Apr 28, 2021 at 1:52 AM https:iimall.google.com/mail/u/1?ik=c910ef584b&view=pt&search...msg-f%3A1698233413034350655&simpl=msg-f%3A1698234738889890465 Page 1 of 12 Servitek Electric, Inc Mail - City of Sta. Ana: Jerome Park eallfleld Lighting (West Fleld) 4/29/21, 3:47 AM One.Source imageOO1.png A Sorl Company Geoff Reyes <greyes@servitekelectric.com> Wed, Apr 28, 2021 at 1:53 AM To: MARTINEZ Everardo <emartinez@lsourcedist.com> Cc: Servitek Electric <info@servitekelectric.com> PVC. Thank you, Geoff Reyes President greyes@servitekelectric.com Servitek Electric, Inc 626-227-1650 DVBE, DBE, SBE, SDVOSB servitekelectric. com "Securing Power & Communication" [Quoted text hidden] Gia Senigaglia <gia@gds-industries.com> Wed, Apr 28, 2021 at 2:07 AM To: Servitek Electric <info@servitekelectric.com> GDS will not be participating. Best Regards, Gia Gia Senigaglia 1244 Keystone Way Vista, California 92081h Toll Free 866.431.4567 x 100 Direct 760.295.9677 Mobile 916.837.9977 Fax 760.295.9693 www.gds-industries.com https://mall.googio.com/mail/u/1?ik=c910ef584b&view=pt&search...msg-f%3Al698233413034350655&simpl=msg-f%3A1698234738889890465 Page 4 of 12 Servitek Electric, Inc Mail - City of Sta. Ana: Jerome Park Ballfield Lighting (West Field) 4/29/21, 3:47 AM Certified WBENC Womm'S BusfnCsS EnreY mse From: Servitek Electric <info@servitekelectric.com> Sent: Tuesday, April 27, 2021 10:51 AM Cc: Geoff Reyes <greyes@servitekelectric.com> Subject: City of Sta. Ana: Jerome Park Ballfield Lighting (West Field) Good morning! [Quoted text hidden] GRAHAM Robert <rgraham@1sourcedist.com> Wed, Apr 28, 2021 at 6:00 AM To: "info@servitekelectric.com" <info@servitekelectric.com> Cc: FERRER Charlene R <cferrer@1sourcedist.coni "greyes@servitekelectric.com" <greyes@servitekelectric.cori MARTINEZ Everardo <emartinez@1sourcedist.com> Here is the portion of the quote that covers the Gear. Thank you, https://mail.google.com/mail/u/1?ik=c910ef584b&view=pt&search...msg-f %3A1698233413034350655&simpl=msg-f%3A1698234738889890465 Page 5 of 12 To the City of EXHIBIT 15 NONCOLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106, the bidder declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not directly or indirectly induced or solicited any other bidder to put in afalse 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. Servitek Electric, Inc. Name of Contractor 385 S Lemon Ave. #243, Walnut, CA 91789 (Address t 4rr Geoff Reyes President �ignaturs,uid Tide April 27, 2021 Date F:\DOCSIPROPSVCSIHUDFORMSlMBU5B04AMB - SectloOSpecs.DDC. EXHIBIT 16 FEDERAL LOBBYIST REQUIREMENTS CERTIFICATION Name of Firm: Servitek Electric, Inc. Date: April 27, 2021 Address: 385 S Lemon Ave. #243, Walnut State: CA Zip Code: 6sSf -K Telephone: 626-227-1650 Acting on behalf of the above -named firm as its Authorized Official, I make the following Certification to the Department of Housing and Urban Development (HUD) and the Community Development Commission, County of Los Angeles: 1) No Federal appropriated funds have been paid, by or on behalf of the above -named firm to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of C ongress, or an employee of a Member of Congress in co miection with the awarding of any Federal contract, the making of any Federal grant, loan, or cooperative agreement, and any extension, continuation, renewal, amendment, or modification thereof; and 2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee or any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the above -named firm shall complete and submit Standard Form—LLL, "Disclosure Form to Report Lobbying" in accordance with its instructions; and 3) The above -named firm shall require that the language of this certification be included in the award documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants, loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into the transaction imposed by Section 1352 Title 31 U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. Authorized Official: Name: Geoff Reyes Title: President Signature: t Date: April 27, 2021 F:\DOCSSI ROPSVCSIHUDFORMSVMBU5W4AMB-S.d..Mp... DOC Project Name: EXHIBIT 17 CERTIFICATION OF UNDERSTANDING AND AUTHORIZATION Jerome Park Ballfield Lighting (West Field) Project Number: 20-7530 This is to certify that the principals and the authorized payroll officer, below, have read and understand the labor standards clauses pertaining to the subject project. The following person(s) is designated as the payroll officer for the undersigned and is authorized to sign the Statement of Compliance, which will accompany our weekly certified payroll reports for this project: Geoff Reyes P�yro fficer,sName ayroll Ale r ignature Servitek Electric, Inc. Contractor/Subcontractor by S gnature Geoff Reyes Printed Name President Title April 27, 2021 Date 1035350, C-10 Contractor/Subcontractor License No. 116944911 DUNS Number FiDOCSIPROPSVCSIHUDFORMSIMBU5BO4AMB - SectionMpecs.DOG POSTED SEP 211 2019 ORANGE COUNTY CLERK�RECORDER DEPARTMENT HY: DEPUTY MAYOR Miguel A, PuNdc MAYOR PRO TEM Juan vlllegas COUNCILMEMBERS Cecilia 191esias David Penaloza Vicente Sarmiento Jose Solodo Hugh TlIlNll III I'lll Clerk illlIlllII{l IIcoe(iN II II11111I{p NO FE $ R 0 0 1 1 1 4 201986000967 9:59 am 09/24/19 388 OR02 Z01 0.00 50.00 0,00 0,00 0.00 0.00 0.00 0.00 CITY OF SANTA ANA Public Works Agency — Design Engineering 20 Civic Center Plaza, M-38 • P.O. Box 1988 Santa Ana, California 92702 yq�.saMa-anx.om NOTICE OF EXEMPTION . CITY MANAGER Kristine Rtdge city ATTORNEY Sonia R, Carvalho CLERK OF THE COUNCIL Daisy Gomez From the Requirements of the California Environmental Quality Act(CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK From: City of Santa Ana County of Orange Public Works Agency P.O. Box 238 20 Civic Center Plaza M-36 Santa Ana, CA 92702 Santa Ana, CA 92701 Project Title: Jerome Ballfield Lighting (20.7530) Date of Approval: 06/1812019 ProjectNumber(s): PWA-2019-1371-CITY Project Location: Jerome Park (7 City; Santa Ana County: Orange ER Number: ER-201 MO Project Description: Design and installation of new LED sports lighting on the two west ball -fields. Applicant Name: Kenny Nguyen, City of Santa Ana FILED Applicant Address: Ross Anex, 20 Civic Center Plaza, 3rd Floor M-36 SANTA ANA, CA 92702 SEP 2 4 2019 Name of Public Agency Approving Project: City Council ORANGE COUNTY CLERK -RECORDER DEPARTMENT Name of Person or Age noy Carrying Out Project: Public Works Agency 4 r BY; .. __.DEPUTY Exempt Status: ❑ Ministerial (Sec. 15268) Declared Emergency (Sec. 15269 (a)) ❑ Emergency Project (Sec. 15269 (b through a)) © General Rule (Sec. 15061(b)(3)/(5)) * Statutory Exemption: * Categorical Exemption: 15301 (d) Reason(s) Why Project is Exempt From CEQA: Restoration or rehabilitation of deteriorated or damaged structures, facilities, or mechanical equipment to meet current standards of public health and safety, unless it is determined that the damage was substantial and resulted from an environmental hazard such as earthquake, landslide, or flood. City Contact: Kenny en Telephone: (714) 647-5632 p Signature: Title,"C^V'`� ,mate: ` I SANTA ANA CITY COUNCIL ' Mlguol A Purdo Juan Vlllayas vlwta SWINB„le Cvd Paieloza Jose sd.m Va t cwlm yeses McYor rPra 7ttn ord5 ward I ? Wald'L 11 a�9 an N'aN4 Goin;iesmwn�apagq rn�I'S14�ix ak*SL��{ t£i1�1�11_a69 �� d,xnabxe®ianta-ono ora The Orange County Register 1771 S. Lewis Street Anaheim, CA 92805 714-796-2209 5211379 CNSB / CNSB-ACCOMMODATIONS 916E1ST ST ORDER EXPEDITING LOS ANGELES, CA 90012-4050 FILE NO. CNS-3456383 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, $S. County of Orange I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of The Orange County Register, a newspaper of general circulation, published in the city of Santa Ana, County of Orange, and which newspaper has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, under the date of November 19, 1905, Case No. A-21046, that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: 04/02/2021, 04/09/2021 I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County, California, on Date: April 09, 2021. Signature PROOF OF PUBLICATION Legal No. 0011452674 NOTICE IAVITTWO BIDS NOTICE IS HEREBY GIV- EN that the City of Santa Ana will receive Bids electronically via PlanetBids on or before 2:00 pm, April 22, 2021. No late bids PROJECT NO. 20-7530 JEROME PARK BALLFIELD LIGHTING (WEST FIELD) All Plans and Specifications areavailableon Planet Bids. For further infor- mation on how to register as a ven- a- ance/purchasing- divisian/vendor- registration 4/2, 4/9/21 CNS-3456383# ORANGE COUNTY REGISTER IINIII IIII IIIII IIIII IIIII IIIII IIIII IIII IIIII IIIII IIIN IIIII IINI NII IIII * A 0 0 0 0 0 5 6 9 1 5 6 5* cLR1-1W1916 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 20-7530 Jerome Park Balifield Sports Lighting Change Order 1 Number To Servitek Electric, Inc,. 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 BYTHE 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 in the following table: 20-7630 Jerome Park Balifield Sports Lighting Item # Description Estimated quantity Unit Unit Price Amount 1 Furnish and install Ripley Shorting Ca s 6405 1 LS 602.86 602.86 2 Connect electrical panel at the concession stand 1 LS 2,810,88 2,810.88 3 Slope leveling 1 LS 11,135,63 11,135.63 4 6" Concrete Walkway 1 LS 19,200.40 19,200.00 of 2 Project Number 20.7530 Jerome Park Ballfield Sports Lighting CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Change Order Number To Servitek Electric, Inc. 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 BYTHE 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 COSTTHIS CHANGE ORDER: DECREASE $ INCREASE $ 33,749.37 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Twenty (20) working days, We the undersigned contractor have given careful consideration to the change proposed and hereby agrea, Fthis 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. Accepted, Date February 15, 2022 Contractor Servitek Electric, Inc. By Title Geoff 12o es President Approval recommended by w^ J �4 Gr �, Date��f 2d 2 Z PUBLIC WORKS AGENCY EXECUTIVEDIRECTOR Approved by ��— Date CITYMANAGER Page 2 of 2 ProJeat Number 20-7630 Jerome Park Sallfleld Sports Lighting CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Change Order 1 Number To Servitelc Electric, [no. Contractor You are hereby dlraotsd to make the herein changes from the plane and specigeatlons or do the following desorlbed work not Included in the plans And speallicallons on thla contract. IW rc; Vila UIIAIYUG VKUMK la IV V 1 M-Mv I1VC vA i IL ArrwvtP UY I tit UI I Y UUUM1L UR UI I Y "AMR. Unless otherwise stated, rates for rental of equipment over only suoh time as equipment Is aotualy need and no allouanoe will be made for idle amo, Chafe requested by PUBLIC Wotan AGENCY EXTRA WORK AT AGREED UNIT PRICE Increased scope of work with quantity and unit price are shown in the following table: 20-7630 Jerome Park Be (field Soorts_Linhtlno Item # Description Estfmatod uantit Unit Unit Price Amount 1 Furnish and install Ripley Shorting caps 6005 1 LS 802.86 602.86 2 Connect electrical panel at the concession stand 1 LS 2,810.88 2,810.88 3 Slope leveling 1 LS 11,135,63 11,135.63 4 6" Concrete Walkway 1 LS 19,200.00 19,200.00 ESTIMATED TOTAL: $33.749.37 Page 1 of 2 Project Number 20.7530 Jerome park Balifield Spode Lighting CITY OF SANTA,.ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Change Order Number To Servitsk Electric, Inc. Contractor You are hereby dlre*d to make the heroin Changes from the plane and spocifloatlons or do the following deserted work not Included In the plans and specldcadons on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BYTHE CITY COUNCIL OR CITY MANAeER. Unless otherwise slated, rates for rental of equipment cover only such lime 08 equlpmentla 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 ad 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 COSTTHIS CHANGE ORDER: DECREASE $ INCREASE 33,749.37 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Twenty (20) working days. We the undersigned contractor here given careful conslderalbn to Ilia change proposed and hereby agree, little proposal is approved, thatwe will provide all equipment, fumleh all materials, except se may otherwise he noted above, and perform all seivlce necesaral the work above specified, and w91 accept as lull payment therefor the pricse shown abcva, Accepted, Date Hebruary 15, 2022 Contractor Servitek Electric, Inc. By TNIe Geoff Reyes, President Approval recommended by Date y ' Tor 2.-Z. PUBLIC WORKS AGENCY EXECUTIVE DIRECTOR s Approved by Date CYTYMANAGER Page 2 of 2