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DOMINGUEZ GENERAL ENGINEERING, INC.
INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL DATE: AUG 16 2021 A-2021-132-04 AGREEMENT TO PROVIDE ON -CALL SEWER SYSTEM REPAIR SERVICES THIS AGREEMENT is made and entered into this 20th day of July, 2021 by and between Dominguez General Engineering, Inc., a California corporation ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). 0'. Pvuk ( 4 a, l f_4e3) (&4A)� RECITALS A. On April 28, 2021, the City issued Request for Proposal No. 21-036, by which it sought qualified contractors to provide on -call sewer system repair services for the City's Public Works Agency. B. Contractor submitted a responsive proposal that was among those selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP No. 21-036. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES On an as -needed basis, and at the City's sole discretion, Contractor shall perform the services described in the scope of work that was included in RFP No. 21-036, and as more specifically delineated in Contractor's proposal, which is attached as Exhibit A and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. Contractor is one of five (5) contractors selected to provide services on an as - needed basis under RFP No. 21-036. The total compensation for services provided by all contractors selected under RFP No. 21-036 shall not exceed the shared aggregate amount of four million dollars and zero cents ($4,000,000) during the term of this agreement, including any extension periods. b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Page 1 of 8 Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. R1NNEEYUMV1 This Agreement shall commence on the date first written above and terminate on July 19, 2024, unless terminated earlier in accordance with Section 17, below. The term of this Agreement may be extended for one (1), two-year period upon a writing executed by the City Manager and City Attorney. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, 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. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. 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. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Page 2 of 8 Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project or the general aggregate limit shall be twice the required occurrence limit. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the California Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Contractor is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $2,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. Page 3 of 8 (ii) Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by contractor, without thirty (30) days prior written notice to the City. (iv) Contractor shall supply City with a fully executed additional insured endorsement. f. If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting.on their behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work Page 4 of 8 product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shallnot apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: Page 5 of 8 To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714- 647-6956 Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, CA 92702 To Contractor: Dominguez General Engineering, Inc. 11096 Pipeline Ave. Pomona, CA 91766 Attn: Adolfo Dominguez, President A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 15. ASSIGNMENT AND DELEGATION Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without Page 6 of 8 the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for ,work which fails to meet, the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Contractor shall not discriminate because of race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, or veteran or military status of any person, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination, discharge, or to bar, or other employment related activities or in connection with any activities under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 19. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. Page 7 of 8 4-2021-132-04 20. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and wan -ants that its signature herein below has the power, authority and right to bind their respective parties to each of the terns of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. "!aisyClerk of the Luncil APPROVED AS TO FORM SONIA R. CARVALHO City Attorney By: ! G Brandon Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL Nabil Saba, PE Executive Director Public Works Agency CITY OF SANTA ANA lCirigtine Ridge City Manager DOMINGUEZ GENERAL ENGINEERING, INC.: WOP'-120'/Vn'� Page 8 of 8 EXHIBIT A (Scope/Contractor's Proposal) DOMINGUUEZ GENERAL ENGINEERING, INC. 11096 PIPELINE "E, POMONA CA 91766 OFFICE: (909) 461-3658 FAX: (909) 461-3678 Dominguez General Engineering, Inc. Statement of Qualification At0a - ADOLTO DOMINGUEZ PRESIDENT (909)461-3658 do ii ue enerat apt Dominguez General Engineering, Joe, Statement of Qualification Dominguez General Engineering, Inc, was established in 2002 that provides underground wet utility services to the public and private sectors. Our company specializes in trenching and excavating for the installation of water, sewer, storm drain mains and all appurtenances that come with these classifications. Dominguez General Engineering, inc. has been working with the biggest utility companies and various government entities since 2003. Our Business strategy is to complete every project on time, within budget and most importantly in a safe manner. We are able to assist in many phases of construction from ppreparation of the site to actual construction and complete paving of streets. We also perform various installations of water services, fire hydrants, fire laterals, domestic water services, samplestations, air vacs, mechanical inverts to naive a few. We train our workers periodically with OSHA courses and safety competent certifications to ensure that safety is a major part of our company. Adolfo Dominguez, President of Dominguez General Engineering, Inc., has been in business for over 15 years and including his own personal experience he has over 30 years of knowledge combined. His goal is to make sure the customer is receiving the best workmanship and quality a contractor could provide. Reyes Cervantes, Project manager works to make sure the customer is satisfied and complies with the owners specifications throughout the project.. Dominguez. General Engineering, Inc. pef'orms all excavations, installs all materials, backfllls and paves the projects. We continue to work with our clients to make sure projects are performed safely, on time and within budget. Please see resumes of key personnel on appendix A Base Labor Standard Time (per hour(per Overtime hour(per Double Time hour Superintendent/Foreman $ 90.00 $ 122.00 $ 162.00 Operator $ 88.00 $ 118.00 $ 168.00 Pipe layer $ 82.00 $ 103.00 $ 130.00 Laborer $ 79.00 $ 100.00 $ 125.00 Driver $ 74.00 96.00 $ 123.00 Welder $ - 77.00 $ 117.00 $ 137.00 Mason $ 75.00 $ "'-95.00 115.00 Base Equipment Owned Base Equipment (Owned) A/C Grinder w/ Broom 60 Arrow board - 15 Blade NA Cement Mixer 10 - Compaction Testing- -90 Compactor 10 Compressor 20 Concrete/Asphalt Saw 60 Concrete Finisher 60 Dump Truck 40 Excavator (140 - 270 Net HP) 90 Excavator 80-125 Net HP 70 Hydraulic Breaker Backhoe 100 Jackhammer - 3 Line Pull 5 Loader Backhoe (70 -99 Net HP) 52 Loader Backhoe (100 - 129 Net HP) 55 Pneumatic Tools 10 Power Broom 55 Operator 80 Saw Truck 130 Semi -Truck 65 Skid Steer Loader 30 Skip Loader 45 - Street Sweeper 120 Test Pump - 5 Trench Plates 5 - Tool/Service Truck -- 30 Vacuum Truck -320 Vibra Plate 3 - Whacker Walk Behind Roller 10 Wheel Loader 2 - 3yards) 65 Water Pump 20 Water Truck 50 Zi er (asphalt trencher 60 Company Name Domin uez General En Ineerin , Inc. Name Adolfo Dominguez Title President Date May 19, 2021 1/1 APPENDIX A 36o6 Strang Ave,, Rosemead, CA 9r77o Home: 626-579-3714 - Cell: 626-786-4536 domitiguezgeneral@aol.com ................................................................................ .. ........ I.......... PROFESSIONAL iIMIVIARY Construction professional bringing valuable experience from large corporate construction sites, as well as residential home repair projects, President, secretary, treasurer motivated to learn new trades and skills. Interested in growing a career and fostering leadership capabilities. Dynamic Construction Laborer who has worked as part of a union and as an independent contractor. Skilled in collaboratingsrnootbly with a diverse range of management styles. Professional Construction Laborer with excellent interpersonal skills. Works in a timely and efficient manner to see tough jobs through to completion, Motivated Construction Laborer adept at interpreting blueprints and following verbal instructions from management staff, SKILLS« ..............................• ........,., • Safety procedures knowledge • Effectiveatmulti-tasking • Self -motivated • Trench and safety certified • CPR and Firts Aid Certified .................................................. WORK H18TORY • Water and sewer pipe installation • Effective at multi -tasking • Possesses a reliable vehicle • Project foreman • Dependable and reliable • Power and hand tools • Commercial construction • Project manager and estlmater n,y rtrcie,tt:nrrt:rr, Presittent,Secrcatty,irirdTreasuver.s00%Owner. Donringue GerterulEngirreer iug,Zuo. Rosemead, (,A Incorporated illy company Dominguez General Engineering Contractor to Dominguez General :Engineering, Inc„ Office Supervisor, field supervisorjSuperintendent, project manager, operator of equipment; Bond capacity of a single job upto $5million and an aggregate bonding program of $10,000,000,00 Speciallizing"in underground work such as Water main, Sewer main and storm drains and all appriArmences that come with this such work Have approximately zS employees worlting with this firm, 3 which are office related employees, and all others field employees, naJa r>, ra tex trt J• U ,',[) Sole otVmer/Supeirintendenr Dominguez General Ertghteerbig Contractor- Roserne(zd, CA Sole owner of illy own company. Project estimator. Estimating projects up to $3,000f000, Supervised and Operated equipment for all public works projects. Including consir'uction of sewer main, sewer manholes,' storm drain, catch haslnS, manholes, laterals, club and glitters, sidewalks, wheel chair ramps, Other concrete structures water main, valves, house services backflow deviecs, air blow offs. Accurately estimated time and materials costs for projects, • Ting trenches, baqkfilled holes and -compacted earth to prepare for now construction. • Mixed porridge of catch basins and poured and sawed off concrete and asphalt, • Provided accurate measurements and estimates for all projects. • Requisitioned new supplies and equipment. Repaired and tested fire hydrants. Consistently assumed additional responsibilities and worked extended hours to meet project deadlines, • Monitored inventory and reported items to be restocked for each job. • Cleared drains and downspouts and cleaned gutters. o;.>[2f)I,,[ t„ ct /<r r;> supeirintendent Miramontes Consh•uction, file. —La Puente, CA Supervised a crew of 6 workers All emergency work for City Los Angeles Accurately estimated time and materials costs for projects. • Dug trenches, backfilled holes and compacted earth to prepare for new construction. • Provided accurate measurements and estimates for all projects. • Repaired and tested fire hydrants. • Consistently assumed additional responsibilities and worked extendedhours to meet project deadlines, • Cleared drains and downspouts and cleaned gutters, • Prepared and cleaned construction sites by reproving debris, • Operated equipment such as Excavators, Backhoes, skip steer loaders, Rollers, Etc. o'a/agtj$ to n', c{ of Superintendent I.P.T. Cansh"uction — Murrieta, C.A • Completed tear -down of existing structures and prepared for now construction. • Accurately estimated time and materials costs for projects. • Dug trenches, backfrlled holes and compacted earth to prepare for newconstruction. • Repaired and tested fire hydrants, • Culisistentlyassmued additional responsibilities and worked extended hours to meet project deadlines. • Prepared and cleaned construction sites by removing debris, • Operated equipment such as Excavator, backhoes, skip steer loaders, Etc, • Supervised 2 underground crews 8 workers and aeonerete structure crew of 4 workers. • scheduling of material work for all public works projects • worked in sewer main, storm drain, and water main projects $200,000-$7,000,o00 1) to t1V t9S 18 For'ernau, Operator, Pipelayer Cailron Consiruction Inc. -- Rialto, CA • Completed tear -down of existing structures and prepared for new construction. • Accurately estimated time and materials costs for projects, • Aug trenches, backfilled ]roles and compacted earth to prepare for new construction. • Repaired and tested fire hydrants. • Consistently assumed additional responsibilities and worked extended hours to meet project deadlines, • Prepared and cleaned construction sites by removing delis. • Operated equipment such as Lxcavator, backhoes, skip steer loaders, Etc. • Run crew of 8 workers EDUCATION ................................................................................ ......................,.... . GFD: IfeitllighSe 661-)3eti, CA • Courseworlc in Materials and Tools Used in the Trade • Coursework in Reading Plans and Site Layout • Course in General Enginecring .,....n.+ ..................... . ....... ........ ... r. ...�...�......................._rrr.,. n.u.., ...............n..........r ........ u.,..............+ ... .�ssr.. A.CCOMpusHmEws Accomplished my goal of having my own underground company. • Received numerous letters of recommendation and overall appreciation from customers, • f$om Starting as a labor to having my own company making over $4-5 million 9n gross revenue. • Managed completion of residential and commercial construction projects valued in excess of $4,000,000 million annually. Keyes Cervantes ,16533 E; ChadmoutSt Covina, CA 01722 Cell: 323:400.8275 reyewl2@yahoo,com QBBJECTIVE: A challenging career in the Civil Engineering iieldthatcontributes to my professional growth EDUCATION: California State University, Los Angeles (CSULA) B.S., Civil Engineering EXPERIENCE: Dominguez General Engineering, Inc. May 2016-Present - Project Manager ■ Project estimating, take -offs, scheduling, review submittals, produce submittals, develop RPls and change orders, prepare schedule of values, record quantities, invoice progress payments, project coordination, experience with MUTCD, WATCH manual and Greenback Project experiences Alley Water Main Conversion, Liberty Court Owner,, Long Beach Water Department$950,000,06, Amelia Avenue -Route fib to Country Club Drive Water Mahn Replacement.$542,000, Crescen to Valley Water District $616,350,00, Pioneer&Devlin Area Main Replacement. Golden State Water Company$2,094774.34, BodgerAve Area Main Replacement: Golden State Water Company $3,03B$1.6.46, Lawndale Area Main Replacement Phase 11h Golden State Water Coin party $3,299,795,14, Shoup Ave Area Main Replacement. Golden State Water Company $3,305,S90 00 SKANSICA-TRAYLOR-SHEA - Purple Line Extension August 2015-May 201E Project Engineer ■ Potholing; scheduling, RFL Change Orders, As built, Take -off for La Brea Station Pile installation Relocation of existing wet and dry utilities due to conflicts and pile installation at La Brea Station Construction Work Plans for underground wet utilities such as Sewer, StormDyain and water services Dominguez General Engineering, Inc, March2013-july 2015 ProjectManager « Project estimating, take -offs, scheduling, review submittals, produce submittals, develop RRisand change orders, prepare schedule of values, record quantities, invoice progress payments, project coordination, experience with MOTCD, WATCH manual and Greenbook ■ Project experience: City ofBurbank-Sewer-Relocationsfarl-5H0V/BmpireAvenue Interchange Project Did Schedule No.1314 $1,295,450, City aj'Arcadia-Water Main Replacement Project No, 6572 $325,000, City of inglawood-1.4P5 Water Main ReplacementProfectBid No,13-09 $364,000, City of Glendora-Craml Ave Water Main Replacement Plan No.1153 $229,�145, Rowland Unified Schaal District -Nogales High School Box Culvert Bid Schedule No, 2013114.4 $1,039,102 ,Eastern Municipal WaterDistrict-David Lane Pipeline Replacement $925,000, Beverly Hills FY2013-2014 Water Main Replacement Various Locations$3,680,500, City of Corona-Stagecouch Park Reclaimed Waterline $2,443,000, City ofBuerla Parlc-Utah St, Indiana, Whitaker St Winter Main Replacement $917,440 Los Angeles County Parks and Recreation April 2010—july 2013 Recreational Service Leader Supervise park club activities and the use of equipment/facAltles + Assist with coordination of the playground, community center .agdathleticactivities ■ Provide customer service to the public Eastside LRT Constructors Jan. 2007-April 2008 Labor (Construction of the Gold Line Metro Railll a Worked on HDPL waterproofing for sub stations, construction ofsoldier piles and backlill • Worked with forklifts, backhoes,loaders, skip loaders, steer loaders and cranes COMPUTER SKILLS- I-IEC-RAS, USGS, AutOGAA 2011, MatLab,SAP200014, Microstation 8vi,GStable, SEEP/W,ArcGIS,.Windows XP.{2000, Office Suite; Word, Excel, Powerpoint:Project PROFESSIONAL SKILLS SefF-motivated, willing to learn, team player; capable of applying engineering principles to practical engineering problems, systematic, detail oriented, effective communicator and negotiator AMLIATION Chi Epsilon CSULA Chapter Member, American Society of Civil Engineers [ASCE] LANGUAGES Fluent in English and Spanish On Call Emergency Repair for Water and Sewer We are currently on call with Golden State Water Company, Central Basin Municipal Water District, Pico Water District, Tract 180 Water Company, Rowland Unified School District, City of Pico Rivera, City of Santa Ana and City of Fullerton, For these agencies we provide emergency repairs for water main breaks, water service leaks, broken water valves replacement, fire hydrant installations and any appurtenances associated with domestic water infrastructure, Another service we provide is sewer emergency spot repairs, manholes removals and installs, sewer lateral Installations or repairs and frame and cover removals or installation. The service we provide is a 24 hours a day 7 days a week and we respond within an hour from notification by the governing agency. Below are references for private and public agencies for which we provide on -call water and sewer system repairs and infrastructure. Golden State Water Company Victor Pelayo, Superintendent Central Basin West - (323) 562-9682 ext. 100 Justin Doronio, Project Engineer II — (310) 483-0525 Cell Alejandro Flores, Project Engineer li - (909) 305-5427 ext. 334 David Espinoza, Inspector I1. (310) 738-3996 Cell Pico Water District Mark Grajeda, General Manager — (562) 692-3756 ext, 14 Joe Basulto, Field Superintendent — (562) 692-3756 ext.17 Tract 180 Water Company Jesse Barreras, General Manager— (323) 771-6682 j2owland Unified School District Marcos Rodriguez, Construction Coordinator— (626) 712-0796 Cell inframark Water Infrastructure Operations Joe Covarrubias, Facility Supervisor -- (562) 801-3100 Liberty Utilities Gabriel Gomez, Operations Supervisor (714) 732,0398 J ' GENERAL ENGINEERING, INC. Key Personnel. As an emerging small business, Dominguez General Engineering, Inc, has looked for every possible way to facilitate our growth and provide you, the customer, the best in technical experience and construction professionalism. Our construction personnel will be able to provide you the client, with the experience and resources of a proven successful company. Our key personnel have great experience in the construction industry Including numerous years in the public work area. dol£o Dominguez (President): Reep9ns1b111t1es; contract administrator, project manager, soliciting, screening and selection of sub -contractors: coordinating, scheduling, and compliance procedures. Safety Procedure trained Pxperience: over 30 years of total construction experience, 20 years of constructions supervision and management over $7,000,000 projects, Have received letters of recommendations and overall appreciation tram customers, Alejandro Dominguez rez (Yiee Presidantl: Responsibilities: Onsite management, scheduling, daily reporting, project coordinating, compliance procedure. Experience: 5 years Heavy equipment operator, Supervise small crew of 5 Reyes Cervantes (Project Administrative lylana o Responsibilities: Project engineer/project manager, project estimating, soliciting, coordinating, produce submittals, RPI's, safety Procedure knowledge, Progress invoicing, experience with MUTCD, Watch manual and Greenbrook Experience: Shoup Ave Area main replacement for GSWC $3,385,598,00. Pioneer & Devlin Area Main for GS WC $2,94,774.34. bong Beach Water Alley Water Main $950,000, Crescenta valley Water District $616,350.00, Lowndale Area Maht Replacement Phase III $3,299,795.14, Jose Gomez ,Sy'uperintcndant): Responsibilities: On -Site management, scheduling, daily reporting, and safety experience, multi task worker, Experience: 16 years in construction experience, 10 years construction foreman, project repotting, quality assurance and supervision on site management. Supervised up to 2 crew of 6 for over $3 million dollar projects. Trench Safety, Gal Osha, & First Aid trained Jorge Aguilar (,Foreman): Responsibilities: On -Site management, scheduling, daily roporting, and safety experience a" Y`t0 MAW GENERAL ENGINEERING, INC. Experience: 10 years in construction experience, 6 years construction foreman/ pipelayer, project reporting, quality assurance on on -site management, last learner. Supervised a small crew of 6 people on a little over $4 million dollar project First Aid, Cal osha & safety trained. Responsibilities: construction labored skilled, safety certified and progressive worker .Experience: 17 years 1n water, sewer and storm drain projects, Supervises small crew of 3 people for emergency projects for Golden State Water Company, City of Santa Ana, and City of Fullerton. Has worked in a $3 million dollar project as a labor and pipefitter, is a inultitaskor worker. Safety Trained Marl no Lazaro TIornandez (PipelayeO: Responsibilities: construction labor skilled, safety certified, progressive worker and promptly completes assigned task Experience: 15 years in water, sewer and storm drain improvement projects. Has worked in projects of over $3 million dollars, Responsible and multi tasker. Safety Trained Juan Miguel Franco (Operator): Responsibilities: Heavy Equipment operator Experience: I years skilled in operating excavators, backhoes, skid steers, C'erfi ii eodon & Training: ALL our employees are certified and trained of the following: - safety - competent trench & excavation - confined space - asbestos first aid Cal osha Dominguez General Engineering, Inc. PO BOX 6234 ROSEMEAD CA, 01770 PHONE 626442-7444 FAX 626-442.7277 DOMiNourzoENERAL a@AOL.COM n Progress: Job name: Oncall Emergency Sewer Repair (In Progress) Supervised By Javier Mendoza for City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA. 92701 Contract: 3 year contract 2012/2014 Contacts Rudy Rosas at 714-647-3379 Job Name; Emergency Sewer repairs Supervised Sy Javier Mendoza Owner; City of FnDerion Type work: Emergency sewer repairs 12/2014 Contact Name: AnthonyReyuoso 714.738.6302or714-412-1116 Cornpleted• Job Name Bid Schedule 1314, Empire Center Sewer Relocation City of Burbank275 E. Olive Ave, Burbank Ca. 91510 Supervised By Victor Dominguez Type of Work: installation 6f 10",15" & 21' PVCPipe Approx. 1,936 LF. Construct New 48", 60" manholes, construct new 48", 60".mmrhole around existing pipe, Reconnect active sewer lateral, construct Storm drain squash box, removal and replacement of existing 6" AC approx.. 3640 SF. Cap and grind 2" AC approx— 47,950, Curb, gutter and sidewalk replacement, Contract amount:1,295,450,00 completion date 12/5/2013 Contact Person: Daniel J. Rynn PE 818-238-3940 inspector: Rick Wiggins 949-809-5000 cell 949-878-0154 Job Name: Sower Improvement Santa Fe and Highland Ave Project#51003 Owner: City ofPullerton Type work: installation on 12"vop sewer 1150LF,15" VCP 305LF, abandon 12",8" and 6" sewer main, constroctl0-48" manholes,remove existing. manholes and install 6"VCP lateral connections _ ContractAmount:394,070.00 Completed 8/3012010 Contact Name: Al O'Balles Inspector 714-595-6718 Eric Villagracla assistant engineer 714-738-6845 Job'Name; Syracuse Ave Storm Drain Supervised By; Victor Dominguez Owner: City Of Baldwin Park Type Of Work; Installation of 4811,42", 3611, 24" RCP Pipe, 28', 161, 14',wide Catch Basins, house connections; manholes and concrete collars. Contract Amount. $606,303.00 Completed 7/2009 Contact: Edward Torres 626-960-4011 Engineering Assistant Job Name: Civic Center Sewer Main supervised by; Adolfo Dominguez Owner: City Of Santa Ana Type Of Work: Construct 18", & 15" VCP Sewer Main, 611 and M. P.C,C, SewerManhote, Contact amount; $800.000.00 Completed 9/06 Contact Ed Tortes #714-647-5018 Job Name: Bristol St. Storm Drain Supervised By; Adolfo Dominguez Owner: City Of Santa Ana Type "Work: Storm drain installation of 54", 48", ROP Pipe Contract Amount: $1,625,274.00 Completed 4107 Contact Ed Torres #714-647-5018 Job Name: Magnolia Blvd Sanitary sewer Main Supervised By; Adolfo Aominguez Owner: City of Burbank , "type of Work: Sewer Replacement Contract Amount: $182,000,00 completed 7/2006 Contact: 818-238-3955 lob Name: Contract#3840-0 sewer Owner: City of Carlsbad Type Of Work: Construct 8" HDPE Sewer Pipe, 6" HDPE wet well, Curb and Gutter; Contract amount: $199,201.00 completed 10/14/2005 Contact: Kevin 11760.602.2720 Job Name: Extension of Castle Storm brain Owner: City Of La Canada Flintridge Type of Work: Storm Drain installation. Installation of24' , 3611 ' 48", 51 ", RCP pipe house laterals, construct concrete collars, junction structures and curb and gutters. Contract Amount: $314,120.00 Completed 11/2009 Contact: Nasser Shoushtarian 818-790-8882 Senior Civil Engineering Job Name: Bristol St, Storm Drain Owner: City Of Santa Ana Type Work: Storm drain installation of 54}% 48", ROP Pipe Contract Amount: $1,635,274.00 Completed 4/07 Contact Ed Torres #714-647-5018 Job Name; Tesquequite Sewer Owner: City of Riverside Type Work: Sewer Replacement 36" VCP -Case Bedding, manholes, sidewalk, curb and gutters, 81" storm drain Removal, abandon sewer mains. Contract Amount $939,668 Completed/2/0412006 Contact: Daniel Ciaccella#951-826-5236 "No Claims, Liquidated damages, Mediations, Arbitrations or Lawsuits" All 100e/u constructed By Dominguez General Engineering, Inc. Pomona CA. 91.766 PHONE 909.46173658 FAX NVATM JOB HISTORYIREr FERENUS Jobs Cormoleted recentl Job Name: Ada Ave Main Replacements Plan 12664267 Owner: City of Glendora Type of Work: installation of 2,450 LF of 8-inch DIP12,200 LF of 6-inch DIP water main, inverts below RCB storm drain work also includes ,excavation, backfill, trench resurfacing, installation of water services, fire hydrants, [flow offs, air macs, traffic control, and other• appurtema it work, Supervisor Jose H. Gomez Contract amount; $1,127,594.70 completed 02/2020 Contact: Mal ilia Ansari (626) 914-8294 Supervisor Jose Gomez Job Name: Alley Water Main Conversion, Liberty Court Ownot; LutigBecoh Water Department Type of Work: Installation of 1,195LF of 8-inch DIP T1 FLEX waterinain ,Installation of t9ol,r. of 4-hich Water main work inoludes ,excavation, backfill, trench resurfacing,, installation of water services, customer private services, fire hydrants traffic control, and other appurtenant work, Supervisor Jose Gomez Contract amount; $950,OD0,00 completed.06/2017 Contact: Jacob Hester (714) 713-2975 Supervisor Jose 11, Gomez Job Name: Amelia Avenue -Route 66to Country Club Drive Water Mahn Replacement Owner: City of Glendora Type of Work: installation of 2,000 LF of 16-inch DIP water main, installation of (2) 30-Lida casings and inverts below RC13 storm drain work also includes ,excavation, backfill, tronch resurfacing, installation of water services, fire hydrants, blow offs, air-vaos, traffic control, and other appurtenant work. Supervisor Jose FI, Gomez Contract atuount: $542,000 completed 09/2016 Contact: Maliha Ansari (626) 914.8294 Supervisor Jose Gomez Job Name., Construction of Much and Much Water Main Project 1t-960 & C-961 Owner; Crescents Valley Water District Type of Work: Installationof 1,625 LF of 84ach steel water main, installation of 920LF..of 10-inch Water tuam work includes ,excavation, backfill, henchresurftcing, installation of water• senvices,:fire hydrants traffic control, and other appurtenant work, Supervisor Jose Gomez Contract amount; $616,350.00 Completed 08/2016 Contact: Christina Olmedo 818.248-3926ekt.4116 Supervisor Joao ll,Gomez, Job Name: Cast Iron Main Replacement Owner: Long Beach Water Department 1800 E Wurdlow, Rd., Long Benoit CA 90907 Type of Work; Furnish and install 12"DIP IMP,, a" DIP 1071 LF,, 6"GfP 2156LF;'l0"casing and 6"DIP 15LF, Install Gate valves; 9-8"valves and ?—.6"valves., Install 10new4rehydrants, install 4--4"facline -and 1-8"lirallne.,install 291".topper services, 5- 1.5" services and 9- 2" services , receanect 2-314 water services, 6- 1"water service, 7- LS"water services and 9- 2" water service. 2- Hot top to exist 20" main, connect to existing 12", 8" and 6" grains. Slurry seat andresh•iping, Contract amount: $1,125,050.00 Completed 5/2016 Contact: Azhar I Kan 323,401-7830 or Abelardo Rcndon P,II. 562.570-2341 Supervisor Jose Gomez Job name Water main Replacements various locations Project # 10101 Owner: Cityof Beverly Hills 345 Foothill Rd., Beverly Hills, CA. 90210 TypeWork; Installation of 11,185 U. of 8"inch DIP push on joints, slurry installed, 7868 LF, of$inch Dip restrained joints, slurry in place, 1500 12 inch DIP push up joints., 985 Much DIP restrained joints, 66'buttertly valves, 26 12inelr butterfly valve, 200 ]inch short domestic setvice , 218long domestic service, 40 2inch shortdomestic services, 57long domestic services, 300 traffic rated meter box with bolted lid for lhich service, 45 traffic rated meter box with bolted lid for 2hich service, remove and dispose of 2000LF of interfering pipe,120 sewer lateral connections, 48 inchPCC ternove and reconstruct alley approach, Contract; $4,012,356.39 Completed: 10/2015 CoptnetiCl,arlosCiiettlerfnspector3l6-925-0702orTristanMalabanart Civil Engineer Supervised by Jose Gomez Job Name: Stagecoach Park Reclaimed Waterline Owner: City of Corona,400 S, Vincent Ave, Corona CA 92882 Type of Work: Installation of approximately 7,300 LF of W" DIP,, connection of mainlines to existing, installation of services, -Air Vacs. Blow offs, Flow Control Saticn Contract amount: $2,443,000 Completed 05/0512015 Contact: Mayra Cabrera 951-739-4842 Supervised by JavierMendoza Job Name; David Lane Pipeline Replacement Owneri Eastern Municipal Water District, 2270 Tramble Rd. Perris Ca 92570 Type of Work: Installation of approximately 1885 PVC; connection of mainlines to existing, installation of services, PRV's DCDA and abandonment of 4" ACP pipe Contract amount: 925,000 Completed 11129/2014 Contact: Mario Rodriguez 951.300-3087 Supervised by Javier Mendoza ,fob name Waterline Replacements in alleys and Streets Project # 10094 Owner: City of Beverly -Hills 345 Foothill Rd., Beverly Hills, CA, 90210 Type of Wok: 13;527 LF, of 8" DIF class 52 push -o11 omts,2000 LF, of8"class 52 restrained joints, Valve box, reconnect oCrru hydrants, fire services, domestic services, traffic meter boxes; sewer laterals, PCC alley approach, Polyethylene encasement around pipe, Contract: 0,296,500 Completion date:'7/31/2013 Contact : Charles Gottlerlospector 310-925-0702 or Juan Martinez Civil Engineer Supervised by Victor Dominguez Jab Name: Cast Iron Main Replacement Owner; Long Beach water Department, 1800 R Waidlow Rd. Long Beach Ca, 90807 Type of Work: Installation of 12" 4,920Lf, ,8" 360LF, 6"892LF, 4" 35LF Ductile Iron Pipe, installation of New Fire hydrants, Butterfly Valves, New Valves, Copper Service Laterals,, 20" inch steel pipe casing, Blow off assembly, linestop, and pipe dewatering, Contract; $2,109,125,93 Contact: Wendy Chen civil Engineer 562-570-2324 Began: 5/11/2012 Ended 12/2012Supervised by: Victor Dominguez Job Name: 12" inch Transmission Main Relocation Owner: City of Seal Beach Type of Work: installation of 12hteh Ductile iron pipe 479 Lf, installation of 2158 L£ Of Tit ilex restrained Joint Ductile iron Pipe, new Fire hydrant assembly, Blow off assembly, 18ineh CML & Steel end cap and abandonment of 18 inch CML & Steel water main. Contract: $453,094.00 Contact: Torn Casulas 562-431-2527 Ext. 1346 'Began 5/1 i/2012 Ended 6/29/2012 Supervised by Adolfo Dominguez Job Name, Water Main Improvement phase. 2 Owner: City of Inglewood one Manchester Blvd. Inglewood CA. 90301 Type of woric; furnish and install 8"(23101f)& 12" (36001f) D I P of 350 pipe, Installation ofR"(35) & 12"(34) GV, installation of 1"(92) and l y, "(3) services, Fire hydrants and `Tic -in works Contract: $899,090,00 Contact; BoytreseOsiasat310-412-533,3JoscRormirez,310-412�5333 began 2/6/2012Ended 5/25/2012Supervised byAdolfo Dominguez Job Name: Water system Improvement Owner: City of Bell Gardens 8327 Garfield Ave, Bell Gardens, CA. 90201 'hype of Work: installation of 6", 8", & 12" DIP class 5? Water main. Installation of 6" 8" & 12" Gate valve $ Box. Water service connections for i' & T' services. New Fire hydrants Contract; $730,229.00 completed 10/2011 Contact: Aijan Aidnard #626-780-8154 project manager:/Sid Mou§avi'#562-806-7770Engineer Supervised by Adolfo Dominguez Job name Waterline Replacements in alleys and Streets Project 4 10091 OwnerXity�of Beverly Hills. 345 Foothill Rd., Beverly Hills, CA. 90210 Type Work: installation of 10,330 LF, of 8"ihch DIP class 52, push on joints, slurry installed, 9,034LF. of 8ineliDlp class52, restrained joints, slurry in place, Polyethylene encasement around DIP, 36-SiuchTluderlly valve with valve box, Which and 16hocli butterfly valve replacement, install and remove traffic rated deter box withboltect cover for 1" & 2" service, abandonment of inteiferintg portions of 4", 6" & 8"pipc,T6rmodelsewer houae co ndoti0ns, reconstruct PCC alley Approach, linestop fort411 & 161, butterfly valvereplacement, reconstruct 9 fire hydrants, re-eonneot 1,2,3 & 4 inch domestic services Contract; $3,197,670,00 Completed; 7/8/2011 Contacct Charles Gettler Inspector 310-925.07,02 or Juan Martinez Civil Engineer Supervise¢ by Victor pomi nguez.$c Adolfo Dominguez Job Name: Foothill Blvd, Water Improvement (Grand Ave to Cullen Ave) Owner: City of Glendora 116 B. Poethlll Blvd, Glendora, CA. 91741 Type Work: install 4699 If. Of 16" ductile iron pipe CL 350, 74 If. Of 30"steel pipe casing %`wall thickness under railroad way, 17 of 16" butterfly valves, 10 6" fire hydrant assembly, 6" blow offs, 1" & 2" water service assemblies. Contract: $1,276,752,00 Contact: Civil Engineer Jason Roeglceboai 626-914-8253 cell 626.374-5336 Supervised by Adolfo Dominguez Completed: 3/2011 Job Name: Cast Iron Main Replacement— Artesia Blvd Owner! Long Beach Water Department 1800 B.. Wardlow Dr„ Long Beach CA, 90807 Typework, Furnish an install4",, 6", 81; & 12" Ductile Iron water ling installation of cooper service Laterals, reconnections of services, fire hydrants, and installation of valves. Contract: $1,665,824.82 completed: June 15„2010 Contact: Azhar Khan 323.401-783C consultantongineer CI12MMill, Inspector Ed Mendoza 562-577-6560 Inspector: Mike White 805-302-5375, Wendy Chen 562-570.2324 civil ongineer, Supervised by Adolfo Dominguez Job Name: Alley Service Connection Conversion Owner; Lang Beach Water Dpt. 1800 WardlowDR., Long Beach Ca, 90807 Type of Work: 'I",2"; 3", water service connections, 4' , 6", and 8" DIP water Drain installation, hot tap including gate valves, and fire service installation Contract: $729,950.00 completed: 9/2009 Contact: Ed Mendoza 562-5776560, Dave Stuetzel # 714-665- 4560, Supervised By Adolfo Dominguez Job Name: 2008/2009 Water main Replacement Owner. City Of Monterey Park 320 W. Newmark Ave, Monterey Park, CA. Type of work (description): Installation of270L1. 12", 2520LF, 8" cement mortar ductile iron pipe with fittings and appurtenances. Furnish and install new fire hydrants and connections. Contract: $586,947.74 completed 3109/2009 Contact: Vemiie Berniudoz Engineor#310-749-9309 Adolph Villalpando 626-307.1294 Watcrll'istribution Supervisor, Supervised by Adolfo Dominguez Job Name: Artesia Pilar Neighborhood Water main Improvements Owner: City of Santa Ana 20 Civic center plazas, Santa Ann, CA, 92701 Type of Work (description): installation of 7028L1; Of 12", 8560 Lt. 8", class200 AW WA c900, PVC water main. Construct water services, fire line connections, And new firehydrantassembly Contr•actAmount: $1,858,549.60 cotnploted: l/2009 Contact: Ed Torres 4 714-647--5018 engineer cell 626-378-1372 ,Supervised By: Adolfo Dominguez lob Name: Water Systemlmprovenient Owner: City ofBeli Gardens 83270arfield Ave, Barfield CA. 90201 Type Of Work, (description) installation of 40Le Of 6" DIP class 52,118OLF, 8" DIP class 52& 580U.. DIPclass52. Water service corrections, gate valves, and box, new fire hydrants: Contract Amount: $314,650.0 Completed 12/2008 Contact: Adolph Villapando #562.322,5495 inspector (engineer no longer with the city) Supervised by: Adolfo Dominguez Job No me: Edmonton Rd Water Main Owner:. City of Glendale water and power 141 N Glendale Ave, Glendale, CA, 91206 Type of Work description) install 8850Lf, Of 8" Pressure class 350 ductile iron pipe witlrfitthngs and appurtenances. D.urnishand install copper tube services to new main, new fire hydrants, sewer laterals 8" & 6" gate valves, blow off assemblies, Contract Amount; $1,191,905.00 completed I I/A5/2008 Contact: Carlos# 661-644-2263 inspector Contact: -Kw Bong# 818•5483964 engineer $upervlsed by: Adolfo Domipguez "Completed with no claims, Mediation, Arbitration or lawsuits Appendix REVISED ATTACHMENT 2: FEE SCH` bbL E Certification • I certify that I have read, understand and agree to the terms and conditions of this Request for Proposals. I have examined the Scope of Services (Appendix: Attachment 1) and am familiar with the scope of work. I am familiar with all the existing conditions and limitation that may impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies,travel, mileage, and fuel. Any special materials Will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall he approved by the City's Public Works Agency. Note: This contract is subject to prevailing wages. TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: G''U�2 rr94,e !�d" , item # Bid Item Unit Quantit Unit Price Amount 1. Repair/Replace 6" or 8" Sewer Main Not More Than 8' Deep, minimum 6 feet; per Standard Plan 1200(As- LF 500 $ 320." $ Needed) 2. Repair/Replace 6" or 8" Sewer Main between 8'-12', minimum 6 feet; Deep per Standard Plan 1200 LF 250 $ 05." (As -Needed) 3. Repair/Replace 10" or 12" Sewer Main Not More Than 8' Deep, minimum 6 feet; per Standard Plan LF 100 $ _I��`h`. $ f r7,�U ' 1200 (As -Needed) 4, Repair/Replace 10" or 12" Sewer Main Between 8'-12'Deep; minimum 6 feet; per Standard Plan 1200 LF 100 $ ice- $ l�oov ,. , (As -Needed) RFP 21-036 Addendum One May 17, 2021 4of7 5. Remodel Manhole Base EA 10 $ $ (As -Needed) 6. Construct New Manhole Not More Than S' Deep per Standard Plan 1201 (As -Needed) EA 50 $ /5 Ooy' $ Tool000'-, 7. Construct New Manhole Between 8'-12' Deep per Standard Plan 1201 (As -Needed) EA 10 $ p0U $ 2Ct O 8. Raise Existing Manhole Frame and Cover, and replace collar to Grade per Standard Plan 1201 EA 30 $ Jai 00.. $ /504 OOa- " (As -Needed) 9. Replace Manhole Cover Concrete Collar per Standard Plan 1201 (As -Needed) EA 30 $ �✓ Q"' $_O�OGC?r 10. Furnish and Install Traffic Loop EA 5 $ 11, Provide Sewer Lateral Lining with EA 60 $ `, $ �0 000," " Cleanout, 4" and 6" Sewer Lateral Pipe (As -Needed) 12. Provide Top Hat Repairs, 4" and 6" EA 40 $ SSt 54A°"' $ ; YOt 00o• ' Sewer Lateral Pipe (As -Needed) 13. Provide Pipe Bursting Repair with Cleanout, 4" and 6" Sewer Lateral Pipe per Standard Plan 1204A (As- EA 25 $ " Needed) 14. Provide'Cpen Trench Repair/Replacement with Cleanout, 4" and 6" Sewer Lateral Pipe per PA 25 $ 5 000 $ 3�%5, p00 ` Standard Plan 1204 (As -Needed) r RFP 21-036 Addendum One May 17, 2021 6of7 1� CSLB NUMBER DIR REGISTRATION NUMBER RFP 21-036 Addendum One May 17, 2021 6of7 Appendix R ATTACHMENT 3: REFERENCES List and describe fully the contracts performed by your firm which demonstrate your ability to provide the supplies, equipment or services included in the scope of the proposal specifications. Attach additional pages if required. The City reserves the right to contact each of the references listed for additional information regarding yourfirm's qualifications, j r�l.�/a5 lr Reference Customer Name: Contact Address: Number: Facsimile Contract Amount; Year: Description of supplies, equipment, or services provided: Reference Customer Name: Contact Individual; Address: Number; Number: Contract Amount: Year: Description of supplies, equipment, or services provided; Reference Customer Name: Contact Individual: Address: Phone Number: Number: Contract Amount: Year: Description of supplies, equipment, or services provided: THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. City of Santa Ana , RFP 21.036 Sewer System Repair Services Page 21 of 85 Dominguez General. Engineering, Inc.. PO BOX 6234 ROSEMEAD CA, 91770 PHONE 626A42-7444 FAX 626-442-7277 DOMINOUEZGENERALQAOL.CO M u Progress. Job name: Oncall Emergency Sewer Repair ( In Progress) Supervised By Javier Mendoza for City of Santa Ana 20 Civic Center Plaza, Santa Ana, CA. 92701 Contract: 3 year contract 2012/2014 Contact; Rudy Rosas at 714-647-3379 Job Name: Emergency Sewer repairs Supervised By Javier Mendoza Owner: City orFul Zenon Type work: Emergency sewer repairs 12/2014 Contact Name; Anthony Raynoso 714-738-6302or 714.412-1116 Completed; ,lob Nnme.LBid Schedule 1314, Empire Center Sewer Relocation City of Burbank275 E. Olive Ave, Burbank Ca, $J510 Supervised By Victor Dominguez Type of Work; Installation of'10",15" & 21' PVC PipeApprox, 1,936 LF, Construct Now 48", 60" manholes, construct new 4811, 60" manhole around existing pipe, Reconnect active sewer lateral, construct storm drain. squash box„ removal and replacement of existing 6" AC approx.. 3640 SP. Cap and grind 2" AC approx... 47,930, Curb, gutter and sidewalk replacement. Contract amount:1,295,450.00 completion date 12/5/2013 Contact Person: Daniel J. Ryan PE 818-238-3940 Inspector: Rick Wiggins 949-809-5000 cell 949-878-0154 Job Name: Sewer Improvement Santa Fe and Highland Ave ProJectt151003 Owner: City of Fullerton Typo work, installation on 12"vcpsewer I1501.131 15" VCP 3051,17, abandon 12",S" and 6" sewer main, canstruetlil-48" manholes,romovc existing manholes and install 6"VCP lateral connections Contract Amount: 394,070.00 Completed 8/30/2010 Contact Name: At O'Balles inspector 714-50.6718 Eric Viliagracia assistant engineer 714-738-6845 Job Name: Syracuse Ave Storm Drain Supervised By; Victor Dominguez Owner; City Of Baldwin Park Type OFWork: Installation of 4811, 42", 3611, 24" RCP Pipe, 28',16', 14%wide Catch Basins, house connections, manholes and concrete collars. Contract Amount; $606,303.00 Completed'82009 Contact: Edward Torres 626-960.4011 Engineering Assistant Job Name: Civic Center Sewer Main supervised by, Adolfo Dominguez Owner: City Of Santa Ana Type Of Work' Construct 18", & I5" VCP Sewer Main, Eft and SR, P.C.C, Sewer Manhole; Contact amount: $800.000.00 Completed 9/06 Contact Ad Torres 9714.647.5018 Job Name: Bristol St. Storm Drain Supervised By; Adolfo Dominguez Owner: City Of Santa Ana Type Work: Storm drain Installation of 54", 4811, RCP Pipe Contract Amount: $1,635,274:00 Completed 4/07 Contact Ed Torres #714=647-5018 Job Name: Magnolia Blvd Sanitary sewer Main Supervised By; Adolfo Dominguez Owner; City ofBurbank Type of Work: Sower Replacement CoutractAmomn: $182,000.00 completed 7/2006 Contact: 818-238-3955 Job Name: Conhaot#3840-0 sewer Owner: City of Carlsbad Type Of Work: Constraot 8" HDPB Sewer Pipe, 6" 1IDPE wet well, Curb and Gutter Contract amount, $199,201,00 completed 10/1412005 Contact: Kevin #760.602.2720 Job Name: Extension of Castle Storm Drain Owner: City Of La Canada Flintridge Type of Work; Storm Drain installation. installation of 24", 36", 48", 51 ", RCP pipe house laterals, construct concrete collars, junction sttuctures and curb and gutters, Contract Amount: $314,120.00 Completed 11/2009 Contact: Nasser Shouslitarian 818-790-8882 Senior Civil Engineering Job Name: Bristol St, Storm Drain Owner; City Of Santa Ana Type Work: Storm drain installation of 50, 48", RCP Pipe Contract Amount: $1,635,274.00 Completed 4/07 Contact Ed Torres #714-647-5018 Job Name: Tesquequite Sewer Owner: City of Riverside 'type Work: Sewer Replacement 36" VCP —Case Bedding, manholes, sidewalk, curb and gutters, 81" storm drain Removal, abandon sewer mains. Contract Amount $939,668 Completed 12/04/2006 Contact: Daniel Ciaccella4951-826-5236 "No Claims, Liquidated damages, Mediations Arbitrations or Lawsuits" All 100% constructed By Dominguez General Engineering, Inc, FAX 909-461.3678 WATBRJOB HISTORY/REFERENCES Jobs Comnleted receutl Job Name: Ada Ave Main Replacements PIait 12664267 Owner: City of Glendora Type of Work: installation of2,4150 LF of 8-inch DIE/2,200 LF of 6-inch DIP water main, Inverts below RCB storm drain work also includes ,excavation, backfill, trench resurfacing, installation of water services, fire hydrants, blow offs, air -vacs, traffic. control, and other appurtenant work, Supervisor Jose 11,Gotnce Contrite( amount: $1,127,594.70 completed 02/2020 Contact: Maliha Ansari (626) 914-8294 Supervisor Jose Gomez Job Name: Alloy Water Main Conversion, Liberty Court Owncr: Lung Beach Water Department Type of Work: installation of 1,195LF of 8-inch DIP Ti-17LEXwater main, Installation of'19OLP, of 4-hich Water twain Work includes ,excavation, backfill, trench resurfacing, installation of water services, customer private services, fire hydrants traffic control, and other appurtenant work. SupervisiorJoseGomez Contract amount: $950,000.00 completed 06/2017 Contact: Jacob Hester (714) 713-2975 Supervisor Jose H. Gomez Job Name: Amelia Avenue -Route 66 to Country Club. Drive Water Main Replacement Owner: City of Glendora Type of Work: installation of2,000 LF of 16-inoliDIP water main, Installation of (2) 30-lnch casings and inverts below RCA storm drainwork also includes ,excavation, backfill, "rich rosurfacing, installation of water services, fire hydrants, blow offs, air -vacs, traffic control, and other appurtenant work. Supervisor dose H, Gomez Contract amomlt: $542,000 completed 09/2016 Cnntaet: Maliha Ansati(626) 914.8294 Supervisor Jose Gomez Job Name: Construction of flinch and 10-inch Water Matti Project E-960 & E,961 Owner: Crescenta Valley Water District Type of Work: installation of 1,625 LF of 8-inch steel water main, Installation of 920LF, of 10-Arch Water main work includes ,excavation, backfill, trench resurfacing, installation of water services, fire hydrants traffic control, and other appurtenant work. Supervisor Jose Gomez Contract amount: $616,350.00 Comploted OW016 Contact, Christina Obuedo 81$-248.3025 oat 4116 Supervisor Jose 14, Gomez Job Name: Cast Iron Main Replacement Owner: Long Beach Water Department 1800 E WardlowRd., Long Beach CA 90807 Type of Work: Furnish and install 12"DIP 123LP., 8" DIP 1071 LF, VDIP 2156LF. 10" casing and 6'Dl? 151,17• Install (iatc.valves: 9-8" valves and 7-6"valves., install 10 new fire hydrants, install 4- 4" firelme and 14"fireliue, instal! 29 i" copper services, 5- 1.5" services and 9. 2' services , reconnect 2-3/4 water services, 6. 1" wader service, 7-1.5" water services and 9. 2" water service. 2. Hot top to exist 20" main.. connect to existing 12" , 8" and 6" mains. Slurry seal and restriping• Contract amount; $1,125,050.00 Completed 5/2016 Contar;t: AzharKhan 323-401.7830 or Abelardo Rendon P,A. 562-570-2341 Supervisor Jose Gomez Job name Water main Replacements various locations Projectll 10101 Owner: City of Beverly Hills 345 Foothill Rd., Beverly Hills, CA. 90210 Type Work: installation of 11,185 LF. of 8"lnchDIP push on joints, slurry installed,7868 LF. of 8inchDip restrained joints, defy in place, 1500 12 Inch DIP push up joints i 985 •16inch DIP restrained joints, 66 buttertlyvalvos, 26 12inch butterfly valve, 200 1 inch abort domestioservice , 219 long dramatic service, 40 2inch short domestic services, 57 long domestic services, 300 traffic rated meter box with bolted lift for Ilink service, 45traffic rated meter box with bolted lid for 2inch service, remove and dispose of 200OLF of interfering pipe, 120 sewer lateral connections, 48 inch PCC remove and reconstiilct alley approach, Contract: $4,012,356.39 Completed: 10/2015 Contact: Charles Gettler Inspector 310-925-0702 of Tristanivlalabanan Civil Engineer Supervised by Jose Gomez Job Name: Stagecoach Parklieclaitued Waterline Owner: City of Corona, 400 S. Vincent Ave, Corona CA 92882 Type of Work: Installation of approximately 7,300 LF of 20" DIP, connection of mainlines to existing; installation of services,, Air Vacs, Blow offs, Plow Control.Sation Cooteact amount: $2,443,000 Completed 05/05/2015 Contact: Maym Cabrera 951-739.4842 Supervised by Javier Mendoza Job Name: David Lane Pipeline Replacement Owner, Pastern Municipal Water District, 2270 Trumble Rd. Perris Ca 92570 Type of Work: Installation of approximately 1885 PVC, connection of mainlines to existing, installation of services, PRV's DCDA and abandonment of 4" ACP pipe Contract amount:925,000 Completed 11179/2,014 Contact: Mario Rodriguez 951-300-3087 Supervised by Javier Mendoza Job name Waterline Replacements in alloys and Streets Project # 10094 Owner: City ofBeverly Hills 345 Foothill Rd., Beverly Hills, CA. 90210 Type of Wort(: 13,527 LF, of8"DIP class 52 push on jofnfs,2000 LF, of 8"class 52 restrahtedjoints, Valve box,.recom octof fire hydrants, fire services, domesdo services, erafflo teeter boxes, sewer laterals, PCCalley -approach, Polyethylene encasement around Pipe• Contract: $2,296,500 Completion date: 7/31/2013 Contact : Charles Gettli rInspector 310 925-0702 or Juan Martinez Civil Engineer Supervised by Victor Dominguez Job Name: Cast Iron Main Replacement Owner; Long Beach water Department, 1,800 E. Wardlow Rd. Long Beach Ca. 90807 `type of Work: lnstillatlon of 12" 4,92OLf;'8"'360LF, 6"892LF, 4" 35LP Ductile Iron Pipe, Installation ofNew Fire hydrants, Butterfly Valves, New Valves, Copper Service Laterals 20" inch steel pipe casing, Blow off assembly, line stop, andpipe dewatering. Contract: $2,109,125.93 Contact; Wendy Chon civil Engineer 562�570-2324 Began: 5/11/2012 Ended 12/2012 Supervised by: Victor Dominguez Job Name: 12" inch Transmission M_ainRclocation Owner: City ofSeal Beach Type of Wortcti installation of 12inch Ductile Iron pipe 479 U,installation of 2158 U. OfTR-flex restrained JohdDuctilc iron Pipe, new Fire hydrant assembly, Blow off assembly, l8inch CML & Steel end cap and abandonment of 18 inch CML & Steel water main. Contract: $453,094,00 Contact: Tom Casulas 562-43I-2527 Ext. 1346 Began 5/11/2012 Ended 6/29/2012 Supervised by Adolfo Dontluguez Job Name; Water Main Improvement phase 2 Owner: City of Inglewood one Manchester Blvd. Inglewood CA.90301 Type of work: furnish and install 8"(23 101T)& 12" (36001f,) D I P o1350 pipe, installation of8"'(35) & 1211(34) OVi installation of t"(92) and I '13 "(3) serviocs, Fite laydrents and Tie-in works Contract: $889,090,00 Contact; Boytaese Osias at 310.412-5333lose Ramirez 310-412-5333 began 2/6/2012 Ended 5/2512012 Supervised by Adolfo Dominguez Job Name: Water system Improvement Owner: City of Bell Carden 8327 Garfield Ave. Bell Gardens, CA, '90201 Typeuf Work: installation of.6" a$", & 12"DIP class 52 water ix ain. installation pf 6', 8"& 12" gate yalvo & Bax. Wsrter service connections for P & 2" services. New Fire hydrants Contract: $730,229.00 completed 1012011 Contact:, Arian Aldnaui4626.780-8154 project manager,/ Bid Mousavi4562-806-7770F.ugincer Supervised by Adolfo Dominguez Job name Waterline Replacements in alleys and Streets Project # 10091 Owner: City of Beverly Hills 345 Foothill Rd., Beverly Hills, CA. 90210 Type World installation of 10,33,OLF. of 8"inch DIP olass 52, push on.joinls, shiny installed, 9,034 LF, of 84wh Dip olass52 , ostrainedjontts,slunymplace,Polyeflryleriooneasomotiaromid DIP, 36 -8inch Ba licitly valve with valve box, Ain& and I Much butterfly valve replacement, install and remove traffic rated Motor box with bolted cover for 1" & 2" service, abandonmentof Interfering portions of 4" 6" &' l"pope, ienuodel sewerhouse connections, reconstruct PCO alley Approach, lfi%atoffor 14" & 16" butterfly valve replacement, reconstnnet 9 fire hydrants, re -connect '1,2 3 & 4 inch domestic services Contract: $3,197,670,00 Completed; 7/8/20l I Contact. Charles Gettlerfaspector310-925-0702 grJuanMartinez Civil Engineer Supervised byVfptgrponi iguez&Adolfo Dominguez Job Name: Foothill BIvd. WatorlinpPovement (Grand Ave. to Cullen Ave) Owner: City of Glendora 116 R. Foothill Blvd,, Glendora, CA. 91741 Type Work: install4699 If. Of16" ductile inm pipe CL350, 741f; Of 30" steel pipe casing 1K" wall thickness under railroad way, 17 of16" butterfly valves, 10 6" fire hydrant assembly, V blow offs, 1"& 2"water service assemblies. Contract: $1,276,752,00 Contact: Civil Bngincor Jason Rtiegluborn 626-914-8253 cell 626-374-5336 Supervised by Adolfo Donnguez Completed: 312011 Job Name: Cast Iron Main Replacement —Artesia Blvd Owner; Long Beach WaterDepartment 1800 E: Wardlow Dr„ Long Beach Ck 90807 Type work: Furnish an install 4'% 6",$", A 12"Ductile bon water line. Installation of cooper service Laterals, reconnections of services, fire hydrants, and installation of valves. Contract: $1,665,824,82 completed:=lime 15,'2010 Contact: Azhar ICuan 323.401-7830 consultant engineer CH2M Mill, Inspector Ed Mendoza 562-577-6560 Inspector: Mike White 805-302-5375, Wendy Chen 562-570-2324 civil engineer, Supervised by Adolfo Dominguez Job Nomw Alloy Service Connection Conversion Owner: Long Beach Waterl)pl, 1800 Wardlow DR., Long Beach Ca. 90807 Type of Work: I", 2".3", water service connections, 4", 6", and 8 "DIP water main installation, hot tap including gate valves, and fire service installation Contract: $729,950,00 completed; 9/2009 Contact: Ed Mendoza 562-5776560, Dave Sluetzel #1714-665- 4500, Supervised fly Adolfo Dominguez Job Name; 2008/2009 Water main Replacement Owner: City Of Monterey Park 320 W. Newmark Ave, Monterey Pak, CA. Type of work (description): Installation of 270Lf.12", 2520LF. 8" cement mortar ductile iron pipe with fittings and appurtenances. Furnish and install now Pre hydrants and Connections, Contract. $586,847.74 comploted/09/2009 Contact: Venice Bermudez$ngmecr##310-749,9309 AdolphVillalpando 526-3074294 WaterllistributionSupervisor;SnporvisedbyAdolfoJ2omingu" Job Name: Artesia PilarNeighbadiood Water main Improvements Owner: City of Santa Ana 20 Civic center plazas, Santa Ana, CA. 92701 Type of Work (description): installation of'7028U. Of 12", 8560 Lt.. 8"., class200 AW WA c900, PVC water main. Construct water services, fire line connections, and new fire hydrant assembly ContractAnmunt. $1,858,549.60 Completed: 1/2009 Contact. Ed Torres #1714-647-5018 engineer call 626-378.1372 Supervised By. Adolfo Dominguez Job Name: Water System Improvetitent Owner: City of Bell Gardens 83270atfield Ave, (lorfield CA, 90201 Type Of Work: (description): Installation, of40Lf, O V DIP class52, 1I80LF.$"DIP Class 52& 580Lf, DIP c1ass52, Wafer service connections, gate valves, and box, now fire hydrants. Contract Amount: $314,650.0 Completed 1212008 Contact. Adolph Villapando #1562-322-5495 insp Color (engineer no longer with the city) Supervised by. Adolfo Dominguez Job Name: Edmonton Rd Water Main Owner: City of Glendale water and power 141 N Glendale Ave, Glendale; CA. 91206 Type of Work description) installS850UOf 8" Pressure class 350 ductile icon pipe with fillings and appurtenances. Tnrnish and. install copper tube services to now main. new fire hydrants, sewer laterals 8" & 6".gate valves, blow off assemblies, Contract Amnuut: ;$1,191,905.00 completed t l/0$/2008 Contact; Carlos# 661-6444 2263 1w5peetor Contact; Ken Hongfi 818.548.3964 englueer Supervised by; Adolfo Doaninguez "Completed with no claims, Mediation, Arbitration of Iawsnits" Appendix ATTACHMENT 4; STANDARD AGREEMENT CONTRACTOR AGREEMENT CITY OF SANTA ANA THIS AGREEMENT is made and entered into this _ day of , 2021 by and between , ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). RECITALS A. The City desires to retain a Contractor having special skill and knowledge in the field of repair of sewer system infrastructure. B. Contractor represents that Contractor is able and willing to provide such services to the City. C, In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in .compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES a. Contractor shall perform during the term of this Agreement, the tasks and obligations including all tabor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Scope of Seruices - Exhibit A, attached hereto and incorporated by reference. 2. COMPENSATION a. City agrees to pay, and Contractor agrees to accept as total payment for its services for City, the rates and charges identified In Compensation - Exhibit B. The total amount to be expended under this Agreement shall not exceed $XXX,XXX, during the term of this Agreement, Including any extension periods exercised under Section 3, b, Payment by City shall be made within 45 days (forty-five) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth In the Recitals which may reasonably be expected by City.. City of Santa Ana - RFP 21-036 Sewer System Repair Services Page 22 of 35 3. TERM This Agreement shall commence on [enter the start date or "the date first written above"] for a number (3) year term with the option for the City to grant up to a'one (2)-years renewal, exercisable by a writing by the City Manager and City Attorney, unless terminated earlier in accordance with Section 16, below, 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, 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. If the services being performed are part of an applicable "public works" or "maintenance" project; as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. 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. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services, Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"), Contractor shall require all subcontractors to agree In writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. City of Santa Ana - RFP 21.036 Sewer System Repair Services Page 23 of 35 7. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance, Contractor shall maintain commercial general liability Insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, Including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations 1n the performance of this Agreement, including, without limitation, acts Involving vehicles. The amounts of insurance shall be not less than the fallowing; single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the aggregate. Such Insurance shall (a) name the City, Its officers, employees, agents, and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions, b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles, C. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Contractor is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) Insurance, with a combined single limit of not less than $1,000,000 per claim with $2 000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Contractor pursuant to this section; I. Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. ii. Certificates of insurance shall be furnished to the City upon execution of this Agreement and shall be approved by the City. Ill. Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. Iv. Contractor shall supply City with a fully executed additional insured endorsement. f, If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Contractor's right to be paid for Its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed City of Santa Ana - RPP 21-036 Sewer System Repair Services Page 24 of 35 prior to approval of Insurance by the City. B. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, Its officers, agents, employees, contractors, special counsel, and representatives from liability; (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal Injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor, its subcontractors, agents, ;employees, or other persons acting on Its behalf which relates to the services described in section I of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement, This Indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of,.or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation In any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be 1lmited,'to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, Its officers, agents, representatives, and employees against any and all liability, including costs, for Infringement of any United States.' letters patent, trademark, or copyright infringement, including costs, contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and Invoices shall be clearly identifiable, Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. City of Santa Ana - RFP 29-036 Sower System RepairServlces Page 26 of 35 11. CONFIDENTIALITY If Contractor receives from the City Information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except In the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement, The foregoing obligations of non-use and nondisclosure shall not apply to any Information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed In a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under 'this Agreement. 13, DISCRIMINATION Contractor shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, asAefined and prohibited by applicable law, In the recruitment, selection; training, utilization, promotion, termination or other employment related activities. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written Instrument signed by the City and by an authorized representative of Contractor, The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not _bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally .or otherwise, have been 'made by any party, :or anyone acting on behalf of any party, which is not embodied herein. City of Santa Ana --RFP 21-036 Sewer System Repair Services Page 26 of 35 15, ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other Contractors retained by City: 16. TERMINATION Thks Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 18, JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shalt be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and to writing of its Inability to obtain or maintain such permits; licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. City of Santa Ana - RFP 21-036 Sewer System Repair Services Page 27 of 35 20. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 21. NOTICE Any notice, tender, .demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mall, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.o.. Box 1988 Santa Ana, CA 92702-1988 Fax:714 647-6956 With courtesy copies to: Executive Director, Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, California 92702 Fax: 714- 647-5635 First & Last Name Title Contractor Firm Name Address City, State, Zip Fax: City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.o, Box 1988 Santa Ana, California 92702 A party may change its address by giving notice in writing to the other party, Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United •States retail, duly registered or:certified, with postage prepaid, and addressed as set forth above. If sent City of Santa Ana - RFP 21-036 Sewer System Repair Services Page 28 of 36 by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth cn the transmission report Issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Daisy Gomez Clerk of the Council APPROVED AS'TO FORM: SONIA R, CARVALHO City Attorney By: John M. Funk Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: Nabil Saba, P.E. Executive Director Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager CONTRACTOR: Name: Title: Tax ID# . City of Santa Ana - RFP 21-03E Sewer System Repair Services Page 29 of 35 APPENDIX ATTACHMENT 5: CERTIFIWioisl5' City of Santa Ana - RFP 21-036 Sewer System Repair Services Page 30 of 35 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 Signed State of California County of Log s Subscribed and sworn to (or affirmed) before me on this ig day of M _, 21 ZI , by AMu 00y" d4 proved to me on the basis of satisfactory evidence to be the person(s) wit appeared before me ,,,. Notary Public Signature Notary Public Seal .. Yb"c s City of Santa Ana - RFP 21-036 Sewer System Repair Services Page 31 of 35 CALIFORNIA JURAT CERTIFICATE 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 truthfithtess, accuracy, or validity of that document. State of California County of zo 44 4 ,Subscribed and sworn to (or affirmed) before me on this Jp day off A 20 . by — do j TO No rki On 7 (,f proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me, N.l.DOMINGUEZ WITNESS MY HAND AND OFFICIAL SEAL. Natarypumic-cal tamia x cw, Los Angeles County j k Eommisslen92214089 My Comm.Erplrei Sep 14, 2021 Sgnaore of Notary Yublic CT/1 (Notary Seat) OPTIONAL INFORMATION d'hejuratcontabtedsnlahla this document is in accordance mith Calllbrodalaty. Atyqffidavitsubscribed and siaorn to before a twtary shall use Hie preceding Warding or substantially sinalar toording pursuant to Cinll Code sectioni 1199 and 8202.Ajurat cert ylcate cannot be affixed to a docrnnentseat by mall or otherwise delivered to a natury public, including eleclronicmeaas, whereby the signer did not personally appear before the notaq public, even (f the signer is known by the notat), public. The seat and signature cannot be affixed to a document without the correct notarial wailing, As an addtdonod option an tdj7ant can produce an ajfidavit on the same document as the notarial eerlocate wading to elinduate the use ofadditional documentation. DESCRIPTION OF ATTACHED DOCUMENT (Title of dominant) � Number of Pages_(lucluding iumt) Document Data (Additional Information) lbliRl0A CAPACITY CLAIMED BY THE SIGNER InJNldml .Corporate Officer Partner Attorney -In -Rapt Trustee Other: NON -LOBBYING CERTIFICATION The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an off leer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress In connection with the awarding of any Federal contract; the making of any Federal grant, the making of any Federal loan, the entering into of any, cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loam, or cooperative (agreement, (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 of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in conformance with its instructions, This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code, Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Signed: Title: PYe 51,je nl Firm: QolAA 4JURZ dune Date: ItMAq 202,1 City of Santa Ana - RFP 21-036 Sewer System Repair Services Page 32 of 35 NON-DISCRIMINATION CERTIFICATION The undersigned Contractor or corporate officer; during the performance of this contract, certifies as follows: The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin, The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. City of Santa Ana . RFP 21-036 Sewer System Repair Services Page 33 of 35 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) fhrough (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 September24, 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 Contractor as a result of such direction bythe administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. S. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats, 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any Contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter, Signed: Title:2..ij+�4�n t1 Firm;' r F-� V32 n4. '�f1C• Cate: MAI UZI City of Santa Ana, RFP 21-036 Sewer System Repair Services Page 34 of 36 ---End of RFP NA 21.036--- City of Santa Ana - RFP 21.036 Sewer System Repair Services Page 35 of 35 MAYOR Vicente Sarmlento MAYOR PRO TEM David Penaloze COUNCILMEMBERS Phil Sacerra Johnalhan Ryan Hernandez Jessie Lopez Nollda Mendoza Thal Viet Phan CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic, Center Plaza • P.O. Box 1988 Santa Ana, California 92702 yvww:sanla-ana ore ADDENDUM NO. 1 t Q & A Request for Proposal No. 21.036 Sewer System Repair Services May 17, 2021 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R, Cervalho "CLERK OF THE COUNCIL Delay Gomez Notice is hereby given to bidders that, where applicable, the City of Santa Ana Water Resources Division has made certain clarifications, modifications, and/or deletions, for specifications of RFP 21-036 Sewer System Repair Services. ALL OTHER TERMS, CONDITIONS, AND SPECIFICATIONS REMAIN UNCHANGED. Answers to Inquiries/Questions submitted by the deadline are as follows: 1. Q: My question for line 12 are you asking for a price for each top hat with 40 to be the max number to be installed? A: 40 is an approximate quantity to be installed. Please provide Install price for each top hat. 2. Q: I have a question on line # 11 are you asking for linear footages on the liners (what would be the minimum line length) or the total number of lines to be done? A: 30 linear feet line length would be a minimum per installation. 60 is an approximate quantity to be installed. 3. Q: Is the footage known for the lateral CIPP and lateral pipe bursting? A: TBD, 4. Q: Is there CWA or PLA for this bid? A: The City's Community Workforce Agreement requirements are not applicable to this contract. RFP 21.036 Addendurn One May17,2021 `1 of 7 5. Q: Page 2 of the RFP requests a Letter of Intent to submit a proposal be provided to the project Manager by the date as shown on the cover page of the RFP. This date Is not identified on the cover page of the RFP. Please clarify. Please advise what the approximate value of work may be over the initial 3 year agreement period. Please advise if Attachment 5: Certifications are to be submitted with the Statement of Qualifications, Fee Schedule, or intended to be a separate submission to the PlanetBids system. Will Performance and Payment Bonds be required upon execution of the Standard Agreement? Will retention be withheld on progress payments for repair work completed? The Scope of Work section In the RFP includes stipulated overhead and markup percentages. The Attachment 2: Fee Schedule requests hourly rate schedules and indicates the Contractor will be required to provide quotes for approval by the City prior to commencement of services. This referenced language implies the City's intention is the work will be paid on a Time and Materials Basis. Please clarify the City's intended use for the Unit Pricing requested. The scope of work descriptions on Page 14 of 35 for Repair and Replace of sewer mains includes the following language: (Per foot, Six (6) foot section minimum), The Unit of Measure in the Attachment 2; Fee Schedule for these scope items is "EA". Is the unit pricing requested in the Fee Schedule Intended to represent a "per foot" price for repair or one "each" 6-foot repair section? Please clarify the City's Intentions for the proposer to be responsive to the RFP. Please clarify If Note 11.5."4" applies to the scope of work item to Remodel Existing Sewer Manhole Base. This note addresses manhole stacking and appears it may have been intended to be stricken from the document. Clarify if the cost to "Raise Existing Manhole to Grade" requires supplying a new -manhole -frame and cover as described onPage15 of the RFP_ For the Fee Schedule pricing please clarify if the proposersare to assume a single detector loop may be required to be installed in a single call -out, The actual unit costs will be highly variable depending on the quantity installed in one call -out. A: -Letter of Intent should be dated and submitted prior to close of the Proposal Due Date. -Value of work is TBD. Please see Section IV, subsection B, under Certification for more Information. -Performance and Payment Bonds will not be requested on a per job deployment basis. -City reserves the right to deploy projects on a T&M basis or on a per unit cost basis, - Provide pricing per foot with assumption that every task order will involve repair section that is minimum 6 feet, see revised fee schedule pages 18-20 for clarification. -Note 11.5."4" shall NOT be stricken from the document. Please see Attachment 1: Scope of Work, Section 11, Note 13 "1 ". Please see Append Ix Attachment 1: Scope of Work, Section I II for more information. 6. Q: Does this project need a Bid Bond? an RFP 2106 Addendum One May 17, 2021 2of7 7. Q: Page 21 Attachment 3: References. Do City References need to be other On Call projects or can they be standard projects? A: Submit references for municipalities where similar sanitary sewer repair services have been performed. 8. Q: 1. Please clarify that the unit pricing is per six foot section, and not one foot section.. A: Provide pricing per foot with assumption that every task order will involve repair .section that is minimum 6 feet, see revised fee schedule pages 18-20 for verification. 9. Q: 2, How are we to cover traffic control? The varianceherecan be extreme and I would hate to bid it as worst case and submit really high numbers to cover myself, A,, Majority of repair services will be located on residential streets. Basic traffic control (Please see Appendix Attachment 1: Scope of Work, Section III for more Information), should be included in pricing, In the event that repair services will be performed on an arterial street and require additional traffic control, those costs will be reimbursed by the City. 10. Q: Permits: What types of Permits are you requiring are they for installing Liners? A: Contractor will conduct work at City's discretion, permit typically not required for lining laterals. In the instance(s)where repair work requires permits such as encroachment permits, costs will be reimbursed by the City. 11. Q: Will Fire hydrant meters be required for Installing sewer liner jobs? A: Please see Section Ili, subsection E for more information. 12, Please see revised Attachment 2: Fee Schedule, pages'18-20, RFP21-036 Addendum One May 17, 2021 3'of 7 EXHIBIT B (Fee Schedule) Appendix _.._ REVISED ATTACHIVIENT2: FEE SCHEDULE Certification • I certify that I have read, understand and agree to the terms and conditions of this Request for proposals. 1 have examined the Scope of Services (Appendix: Attachment 1) and am familiar with the scope of work. I am familiar with all the existing conditions and limitation that may impact work requests. I understand and agree that I am responsible for reporting any errors, omissions or discrepancies to the City for clarification prior to the submission of my proposal. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Agency, Note: This contract is subject to prevailing wages. TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: V40 l Item # Bid Item Unit Quantitv Unit Price Amount 1. Repair/Replace 6" or 8" Sewer Main Not More Than 8' Deep, minimum 6 feet; per Standard Plan 1200(As- LF 500 4310, $%Q" Needed) 2, Repair/Replace 6" or 8" Sewer Main between 8'-12', minimum 6 feet; Deep per Standard Plan 1200 LF 260 $ $ (As -Needed) 3. Repair/Replace 10" or 12" Sewer Main Not More Than 8' Deep, minimum 6 feet; per Standard Plan LF 100 $ i $ i 0 91 5,001 ' 1200 (As -Needed) 4. Repair/Replace 10" or 12" Sewer Main Between 8'-12'Deep; minimum 6 feet; per Standard Plan 1200 LF 100 $ i2 50", $ 175, 000 - y (As -Needed) RFP 21-036 Addendum One May 17, 2021 4of7 5, Remodel Manhole Base EA 10 $ " $4 (As -Needed) 6. Construct New Manhole Not More Than 8' Deep per Standard Plan 1201 (As -Needed) EA 50 $44 000• $ 5'(" J 0009 `' 7. Construct New Manhole Between 8'-12' Deep per Standard Plan 1201 (As -Needed) EA 10 s-Z& 000, ' $ Z q O 8. Raise Existing Manhole Frame and Cover, and replace collar to Grade per Standard Plan 1201 !EA 30 $- $ l� OOo• (As -Needed) 9. Replace Manhole Cover Concrete Collar per Standard Plan 1201 (As -Needed) EA 30 $ 60+^' $ 10. Furnish and Install Traffic Loop EA 5 $ 1, 000", $ 0 11. Provide Sewer Lateral Lining with EA 60 $Ot+ $ �d Q Uz�G • " ` Cleanout, 4" and 6" Sewer Lateral Pipe (As -Needed) 12. Provide Top Hat Repairs, 4" and 6" EA 40 $ ,Svc" $ L104 00">• - Sewer Lateral Pipe (As -Needed) 13. Provide Pipe Bursting Repair with Cleanout, 4" and 6" Sewer Lateral Pipe per Standard Plan 1204A (As- EA 25 Needed) 14. Provide'OpenTrench Repair/Replacement with Cleanout, 4" and 6" Sewer Lateral Pipe per EA 25 $ S'000 ' $37T tJUt?• ' Standard Plan 1204`(As-Needed) RFP 21-036 Addendum One May 17, 2021 5 of 7 CSLBNUMBER DIR REGISTRATION RFP 21-066 Addendum One May 17,2021 6of7 rm p ��`� CERTIFICATE OF LIABILITY INSURANCE FD121161210yYYY) 12/16/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 6013466 1-562-270-0787 CONTACT NAME: Jose L. Gurrola Bear Risk Management, Inc. PHONE 562-270-0787 FAX A/C No Ext: A/C,No): dba JL Gurrola Insurance Agency E-MAIL ia.com9 certificatesnow@'1 ADDRESS: certificatesnow@jlgia.com 100 W. Broadway Suite 3000 INSURER(S)AFFORDING COVERAGE NAIC# Long Beach CA 90802 USA INSURERA: Scottsdale Insurance Company 41297 INSURED INSURERB: United Financial Casualty Company 11770 Dominguez General Engineering, Inc. Everest Premier Insurance Company 16045 INSURERC: P Y dba Dominguez General Engineering Contractor INSURERD: Evanston Insurance Company 35378 11096 Pipeline Ave. INSURER E: Travelers Property Casualty 25674 Pomona CA 91766 USA INSURERF: COVERAGES CERTIFICATE NUMBER: 1216-06-GA REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY X X BCS2002162 12/15/24 12/15/25 EACH OCCURRENCE $ 11000,000 CLAIMS-MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 A X Deductible: $ 5,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 100,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY� PEA LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY X X COMBI975624551 12/15/24 06/15/25 Ee a.identED SINGLE LIMIT $ 11000,000 ANY AUTO BODILY INJURY(Per person) $ B X OWNED X SCHEDULED BODILY INJURY(Per accident) AUTOS ONLY AUTOS $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY Per accident $ S UMBRELLA LAB X OCCUR XLS2005843 12/15/24 12/15/25 EACH OCCURRENCE $ 4,000,000 A X EXCESS LAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED RETENTION$ N/A $ WORKERS COMPENSATION X X AND EMPLOYERS'LIABILITY YIN 7600024851241 10/01/24 10/01/25 1 STATUTE ER C ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 D Contractors Pollution Lia. X X CPLMOL124441 06/10/24 06/10/25 Ea Occ & Agg Limit $ 2,000,000 E Property/Inaland Marine X X 660 3X218203 10/01/24 10/01/25 Installation Limit $ 700,000 E Property/Inaland Marine X X 660 3X218203 10/01/24 10/01/25 Lsd/Rntd Equipment $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Re: Project No. 21-6453 NE Annexation Water & Sewer Maint Improvements The City of Santa Ana, its officers, officials, employees and volunteers are additional insured per attached endorsement(s). Coverage is primary and non-contributory per policy wording and attached endorsement(s). Waiver of Subrogation applies per attached endorsement(s). Excess Liability is follow form. APPROVED By Tu Tran Nguyen at 12:01 pm,Jan 30,2025 30 Day Notice of Cancellation/ 10 Day for Non-Payment. CERTIFICATE HOLDER CANCELLATION The City of Santa Ana Risk Management Division 4th Floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 USA red Tu Tran byu Nguy Tran yen ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Nguyen°ate: BEARRISK06 12 02 1.-0: :zi a'oo' 1216-06-GA POLICY NUMBER: BCS2002162 COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY ALL OPERATIONS WRITTEN CONTRACT WITH THE NAMED INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III— Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: BCS2002162 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY ALL OPERATIONS WRITTEN CONTRACT WITH THE NAMED INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III— Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable limits of 1. The insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured is applicable limits of insurance. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER:13CS2002162 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: Bcs2002I62 COMMERCIAL GENERAL LIABILITY CG 25 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Location(s): ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally b. Claims made or"suits" brought; or obligated to pay as damages caused by "occur- rences" under Section I — Coverage A, and for all c. Persons or organizations making claims or medical expenses caused by accidents under bringing "suits". Section I — Coverage C, which can be attributed 3. Any payments made under Coverage A for only to operations at a single designated "loca- damages or under Coverage C for medical tion" shown in the Schedule above: expenses shall reduce the Designated Loca- l. A separate Designated Location General tion General Aggregate Limit for that desig- Aggregate Limit applies to each designated nated "location". Such payments shall not re- "location", and that limit is equal to the duce the General Aggregate Limit shown in the the Declarations nor shall they reduce any amount the General Aggregate Limit other Designated Location General Aggre- gate Limit for any other designated "location" 2. The Designated Location General Aggregate shown in the Schedule above. Limit is the most we will pay for the sum of all 4. The limits shown in the Declarations for Each damages under Coverage A, except damag- Occurrence, Damage To Premises Rented To es because of "bodily injury" or "property You and Medical Expense continue to apply. damage" included in the "products-completed However, instead of being subject to the operations hazard", and for medical expenses General Aggregate Limit shown in the Decla- under Coverage C regardless of the number rations, such limits will be subject to the appli- of: cable Designated Location General Aggre- a. Insureds; gate Limit. CG 25 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 ❑ B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by 'occur- "products-completed operations hazard" is pro- rences" under Section I — Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to operations at a single designated reduce the Products-completed Operations Ag- "location" shown in the Schedule above: gregate Limit, and not reduce the General Ag- 1. Any payments made under Coverage A for gregate Limit nor the Designated Location Gen- damages or under Coverage C for medical eral Aggregate Limit. expenses shall reduce the amount available D. For the purposes of this endorsement, the Defi- under the General Aggregate Limit or the nitions Section is amended by the addition of Products-completed Operations Aggregate the following definition: Limit, whichever is applicable; and "Location" means premises involving the same or 2. Such payments shall not reduce any Desig- connecting lots, or premises whose connection is nated Location General Aggregate Limit. interrupted only by a street, roadway, waterway or right-of-way of a railroad. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 ©Insurance Services Office, Inc., 2008 CG 25 04 05 09 ❑ POLICY NUMBER: 13CS2002162 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: 975624551 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured:Dominguez General Engineering, Inc. Endorsement Effective Date:06/15/24 SCHEDULE Name Of Person(s) Or Organization(s): ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: 975624551 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: DOMINGUEZ GENERAL ENGINEERING, INC. Endorsement Effective Date: 06/15/24 Transaction Date: 06/15/24 SCHEDULE Name(s) Of Person(s) Or Organization(s): ALL PERSONS OR ORGANIZATIONS WHERE REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: 975624551 COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance B. The following is added to the Other Insurance Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and and the Other Insurance — Primary And Excess supersedes any provision to the contrary: Insurance Provisions in the Motor Carrier This Coverage Form's Covered Autos Liability Coverage Form and supersedes any provision to Coverage and General Liability Coverages are the contrary: primary to and will not seek contribution from any This Coverage Form's Covered Autos Liability other insurance available to an "insured" under Coverage is primary to and will not seek your policy provided that: contribution from any other insurance available to 1. Such "insured" is a Named Insured under such an "insured" under your policy provided that: other insurance; and 1. Such "insured" is a Named Insured under such 2. You have agreed in writing in a contract or other insurance; and agreement that this insurance would be 2. You have agreed in writing in a contract or primary and would not seek contribution from agreement that this insurance would be any other insurance available to such primary and would not seek contribution from "insured". any other insurance available to such "insured". CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 5 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC040306 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration ofyour employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% ofthe California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION FOR WHOM THE BLANKET WAIVER OF SUBROGATION NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIYER This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 10/01/2024 Policy No. 7600024851241 Endorsement No. 001 Insured: Dominguez General Engineering, Inc. Premium $INCL. Insurance Company: Everest Premier Insurance Company Countersigned By: -1998 by the Workers' Compensation Insurance Rating Bureau of California.All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual- 1999. ENVIRONMENTAL Policy No. CPLMOL124441 MARKEL EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES, OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: CONTRACTOR'S POLLUTION LIABILITY COVERAGE FORM A. Section III —Who Is An Insured is amended to include as an additional insured: 1. Any person or organization for whom you perform or performed"your work" and with whom you have agreed to provide additional insured status in a written contract or agreement,provided the written contract or agreement was executed prior to the: a. Commencement of"your work"; and b. Date the "pollution condition"first commenced. 2. Any other person or organization you are required to add as an additional insured under the written contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage", or"cleanup costs" resulting from a "pollution condition" caused, in whole or in part, by"your work". However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the written contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section IV — Limits Of Insurance And Self-Insured Retention Or Deductible: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or agreement described in Paragraph A.1.; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain unchanged. MEEI 2906 11 19 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. ENVIRONMENTAL gig POLICY NUMBER: CPLMOL124441 III (ELI EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following, where indicated by an "X" in the checkbox(es) below: ❑ COMMERCIAL GENERAL LIABILITY COVERAGE FORM CONTRACTOR'S POLLUTION LIABILITY COVERAGE FORM ❑ PROD UCTSICOMP LET ED OPERATIONS LIABILITY COVERAGE FORM Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations an this endorsement may or may not be defined in all Coverage Forms. The following is added to the Transfer Of Rights Of Recovery Against Others To Us condition: Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization with whom the Named Insured has agreed, in a written contract executed prior to the `occurrence" or "pollution condition", to waive such rights of recovery because of payments we make for injury or damage arising out of your ongoing operations or "your work done under a written contract with that person or organization. All other terms and conditions remain unchanged. MEEI 2592 08 19 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. Policy No.:660 3X218203 COMMERCIAL INLAND MARINE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET LOSS PAYEES This endorsement modifies insurance provided under the COMMERCIAL INLAND MARINE COVERAGE PART The following is added to Section E - ADDITIONAL b. Pay any claim for loss or damage jointly to you COVERAGE CONDITIONS: and the Loss Payee as your interests may Loss Payable Provision appear. In the event of a Covered Cause of Loss to Covered This endorsement applies to all Covered Property for Property in which both you and a Loss Payee share which a Loss Payee is on file with us or your an insurable interest, we will: insurance agent or insurance broker. a. Adjust the loss or damage with you; and CAA Ll618 CS 21 b 2021 The Travelers Indemnity Company Page 1 of 1 Includes copyrighted material of Insurance Services Office, hc,with its permission. DOMNGEN-01 SMILIK CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 412112026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Sarah Mlllk NAME: Mllik&Associates Insurance Services Inc. PHONE FAX 917 S.Village Oaks Dr. (AIC,No,Ext): (AIC,No): Covina91724 E-MAIL RESS:sarahIilikinsurance.com INSURERS)AFFORDING COVERAGE NAIL# INSURERA:Scottsdale Insurance Co 41297 INSURED INSURERB:California Automobile Insurance Company-CA 38342 Dominguez General Engineering, Inc. INSURERC:Landmark American Insurance Co 33138 11096 Pipeline Ave INSURERD:Everest Premier Insurance Co 16045 Pomona,CA 91766 INSURER E:Travelers Casualty Insurance Company of Americ 19046 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR BCS2003328 12/15/2025 12/15/2026 DAMAGE TO RENTED 100 000 X X PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY �PPO_ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident)$ ANY AUTO X X BA040000096767 11/20/2025 11/20/2026 BODILY INJURY(Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AUTOS ONLY AUTOS 0�� (PerraccidentDAMAGE $ C UMBRELLA OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS CLAIMS-MADE LHA610144 12/15/2025 12/15/2026 AGGREGATE $ 5,000,000 DIED RETENTION$ $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETORfPARTNERfEXECUTIVE YIN X 7600026376251 10/1/2025 10/1/2026 1,000,000 E.L.EACH ACCIDENT OFPICERfMEMBER EXCLUDED? N f A $ (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Commercial Umbrella XLS2008902 12/15/2025 12/15/2026 Limit 4,000,000 E Inland Marine 660B9908610 10/1/2025 10/1/2026 Location Limit 700,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *30 day notice of cancellation except in the event of nonpayment of premium 10 day notice of cancellation. RE: Project No.21-6453 NE Annexation Water&Sewer Maint Improvements.The City of Santa Ana,its officers,officials,employees and volunteers are named as Additional Insured regarding the General Liability policy per form CG 20 10 12 19 and CG 20 37 12 19 and the Auto policy per form MCA20480711.Insurance is primary regarding the General Liability policy per form CG 20 01 12 19 and the Auto policy per form MCA CABE 08 23.Waiver of Subrogation applies regarding the General Liability policy per form CG 24 04 12 19,the Auto policy per form MCA04440913,and the Workers Compensation policy per form WC 04 0306. SEE ATTACHED ACORD 101 APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 4:50 pm,Apr23,2026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 4th Floor 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: DOMNGEN-01 SMILIK LOC#: 1 AC"RV ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Mlllk 8�A55oClateS Insurance Services Inc. Dominguez General Engineering, Inc. 11096 Pipeline Ave POLICY NUMBER Pomona,CA 91766 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationstVehicles: Pollution Liability Coverage(Pol#G49587442001): West American Insurance Company 12/1512025 to 12/1512026 General Aggregate-$4,000,000 Each Pollution Condition -$2,000,000 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER:BCS2003328 COMMERCIAL GENERAL LIABILITY CG 20 10 12-19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s) Any person or organization when required All Locations by written contract or agreement, executed prior to the occurrence to which this insurance applies, that such person or organization be added as an additional insured on your policy Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to 1. All work, including materials, parts or include as an additional insured the person(s) or equipment furnished in connection with such organization(s) shown in the Schedule, but only work, on the project (other than service, with respect to liability for "bodily injury", "property maintenance or repairs) to be performed by or damage" or "personal and advertising injury" on behalf of the additional insured(s) at the caused, in whole or in part, by: location of the covered operations has been 1. Your acts or omissions; or completed; or 2. The acts or omissions of those acting on your 2. That portion of "your work" out of which the behalf; injury or damage arises has been put to its intended use by any person or organization in the performance of your ongoing operations for other than another contractor or subcontractor the additional insured(s) at the location(s) engaged in performing operations for a designated above. principal as a part of the same project. However: 1. The insurance afforded to such additional C. With respect to the insurance afforded to these insured only applies to the extent permitted by additional insureds, the following is added to law; and Section III - Limits Of Insurance: 2. If coverage provided to the additional insured is If coverage provided to the additional insured is required by a contract or agreement, the required by a contract or agreement, the most we insurance afforded to such additional insured will pay on behalf of the additional insured is the will not be broader than that which you are amount of insurance: required by the contract or agreement to provide for such additional insured. 1. Required by the contractor agreement; or B. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following additional Insurance; exclusions apply: whichever is less. This insurance does not apply to "bodily injury" or This endorsement shall not increase the applicable "property damage"occurring after: limits of Insurance. CG 20 10 12-19 O Insurance Services Office Inc. 2018 Page 1 of 1 POLICY NUMBER:BCS2003328 COMMERCIAL GENERAL LIABILITY CG 20 37 12-19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization when required All Locations by written contract or agreement, executed prior to the occurrence to which this insurance applies, that such person or organization be added as an additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to required by the contract or agreement to include as an additional insured the person(s) or provide for such additional insured. organization(s) shown in the Schedule, but only B. With respect to the insurance afforded to these with respect to liability for "bodily injury" or the fallowing is added to insureds,"property damage" caused, in whole or in part, by additional Section III i Limits Insurance: "your work" at the location designated and described in the Schedule of this endorsement If coverage provided to the additional insured is performed for that additional insured and included required by a contract or agreement, the most we in the "products-completed operations hazard". will pay on behalf of the additional insured is the amount of insurance: However: 1. Required by the contractor agreement; or 1. The insurance afforded to such additional 2. Available under the applicable limits of insured only applies to the extent permitted by Insurance; law; and 2. If coverage provided to the additional insured is whichever is less. required by a contract or agreement, the This endorsement shall not increase the insurance afforded to such additional insured applicable limits of Insurance. will not be broader than that which you are CG 20 37 12-19 O Insurance Services Office Inc. 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER:BCS2003328 COMMERCIAL GENERAL LIABILITY CG 24 04 12-19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): ANY PERSON OR ORGANIZATION FOR WHOM THE INSURED HAS AGREED TO WAIVE RIGHTS OF RECOVERY, PROVIDED SUCH AGREEMENT IS MADE IN WRITING AND PRIOR TO THE LOSS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV-Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG 24 04 12-19 O Insurance Services Office Inc. 2018 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. The following is added to the Section II - Liability Coverage, Paragraph A.1. Who Is An Insured Provision: Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or"property damage" occurs and that is in effect during the policy period is an "insured"for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section It. MCA20480711 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Mercury Business Auto Broadening Endorsement This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY (BROAD FORM NAMED INSURED) II. EMPLOYEES AS INSUREDS III. SUPPLEMENTARY PAYMENTS IV. ADDITIONAL TRANSPORTATION EXPENSE V. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE VI. GLASS REPAIR— DEDUCTIBLE WAIVER VII. TWO OR MORE DEDUCTIBLES VIII. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS IX. UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS X. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT XI. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH XI I. PERSONAL EFFECTS COVERAGE XIII. LOSS OF USE EXPENSES XIV. DEVICES DESIGNED FOR USE WITH AUDIO, VISUAL OR DATA ELECTRONIC EQUIPMENT XV. PHYSICAL DAMAGE DEDUCTIBLE —VEHICLE TRACKING SYSTEM XVI. CHAINS, TARPS, AND BINDERS COVERAGE Copyright 2023 Mercury Insurance Services, LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 1 of 4 BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY(Broad Form Named Insured) SECTION II—COVERED AUTOS LIABILITY COVERAGE,A. Coverage, 1.Who Is An Insured, the following is added: Any business entity newly acquired or formed by you during the policy period provided you own 50%or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisition or formation of the business entity. Coverage under this provision is afforded only until the end of the policy period. Coverage does not apply to an "accident" which occurred before you acquired or formed the organization. II. EMPLOYEES AS INSUREDS SECTION II—COVERED AUTOS LIABILITY COVERAGE,A. COVERAGE, 1. Who Is An Insured, the following is added: Any "employee" of yours is an "insured" while using a "covered auto" you do not "own", lease, hire, rent, or borrow, which is used in connection with your business. III. SUPPLEMENTARY PAYMENTS SECTION II—COVERED AUTOS LIABILITY COVERAGE,A. Coverage, 3. Coverage Extensions, a. Supplementary Payments, Subparagraphs(2) and (4) are replaced by the following: (2) Up to$3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We are not obligated to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. IV. ADDITIONAL TRANSPORTATION EXPENSE SECTION III - PHYSICAL DAMAGE COVERAGE,A. Coverage, 2.Coverage Extensions,a. Transportation Expenses, is amended by: Replacing$20 per day with $50 per day, and the$600 maximum with $1,000 maximum. If your business shown in the "Declarations" is other than an auto dealership, we will also pay up to$1,000 for reasonable and necessary costs incurred by you to return a stolen "covered auto"from the place where it is recovered to its usual garaging location. V. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE SECTION III - PHYSICAL DAMAGE COVERAGE, B. Exclusions,3.a., is amended to add the following: This exclusion does not apply to the accidental discharge of an airbag. VI. GLASS REPAIR— DEDUCTIBLE WAIVER SECTION III - PHYSICAL DAMAGE COVERAGE, D. Deductible,the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. Copyright 2023 Mercury Insurance Services, LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 2 of 4 VI I. TWO OR MORE DEDUCTIBLES SECTION III -PHYSICAL DAMAGE COVERAGE, D. Deductible,the following is added: If two or more "company" policies or coverage forms apply to the same accident: 1. If the applicable Business Auto deductible is the smallest, it will be waived; or 2. If the applicable Business Auto deductible is not the smallest, it will be reduced by the amount of the smallest deductible; or 3. If the loss involves two or more Business Auto coverage forms or policies the smallest deductible will be waived. For the purpose of this endorsement "company" means the company providing this insurance and any of the affiliated members of the Mercury Insurance Group of companies. Vill. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM,SUIT OR LOSS The requirement in SECTION IV, BUSINESS AUTO CONDITIONS,A. Loss Conditions, 2. Duties In The Event Of Accident,Claim,Suit, Or Loss, a., In the event of"accident",you must notify us of an "accident" applies only when the "accident" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. IX. UNINTENTIONAL ERROR, OMISSION,OR FAILURE TO DISCLOSE HAZARDS SECTION IV-BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation, or Fraud, the following is added: Any unintentional omission of or error in information given by you, or unintentional failure to disclose all exposures or hazards existing as of the effective date or at any time during the policy period shall not invalidate or adversely affect the coverage for such exposure or hazard or prejudice your rights under this insurance. However,you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. X. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT SECTION IV—BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance,the following is added and supersedes any provision to the contrary: This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. XI. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH SECTION V—DEFINITIONS, D. "Bodily Injury" is amended by adding the following: "Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease. Copyright 2023 Mercury Insurance Services, LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 3 of 4 XII. PERSONAL EFFECTS COVERAGE SECTION III— PHYSICAL DAMAGE COVERAGE, A. Coverage, 2. Coverage Extensions, the following is added: Personal Effects We will pay up to$500 for "loss' to personal effects which: (1) Are owned by you or a driver listed in the "Declarations'; and (2) Are in or on a "covered auto" at the time of"loss". This coverage applies only in the event of a total theft of a "covered auto". No additional deductible applies to the coverage.Tapes, records, discs or other similar devices used with audio,visual or data electronic equipment are not considered personal effects. XIII. LOSS OF USE EXPENSES If you pay the premium for Hired Auto Physical Damage, we will pay expenses for which you become legally responsible to pay for loss of use of an "auto" due to "loss' or"accident" covered by Hired Auto Physical Damage. However, the most we will pay for any expenses for loss of use is $20 per day,to a maximum of$600.The insurance provided by this provision is excess over any other collectible insurance. XIV. DEVICES DESIGNED FOR USE WITH AUDIO,VISUAL OR DATA ELECTRONIC EQUIPMENT SECTION III— PHYSICAL DAMAGE COVERAGE, B. Exclusions,4.a., is replaced by the following: a. Under Comprehensive Coverage we will pay up to $200 for"loss'to tapes, records, discs or other similar audio,visual, data electronic devices designed for use with audio,visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio,visual or data electronic devices designed for use with audio,visual or data electronic equipment: (1) Are your property or that of a driver listed in the "Declarations'; and (2) Are in a "covererd auto' at the time of"loss'. This coverage applies only in the event of a total theft of a "covered auto'. No additional deductible applies to this coverage. XV. PHYSICAL DAMAGE DEDUCTIBLE—VEHICLE TRACKING SYSTEM SECTION III— PHYSICAL DAMAGE COVERAGE, D. Deductible, is amended by adding the following: Any Comprehensive Deductible shown in the "Declarations' will be reduced by 50%for any "loss" caused by theft if the "covered auto" is equipped with a vehicle tracking device such as a radio tracking device or a global position device and that device was the method of recovery of that "covered auto" by the "insured" or law enforcement. XVI. CHAINS,TARPS,AND BINDERS COVERAGE SECTION III— PHYSICAL DAMAGE COVERAGE, C. Limits Of Insurance, the following is added: The most we will pay for the "loss" to chains, tarpaulins, binders, and cargo securing devices will be $500. The chains,tarpaulins, binders, or cargo securing devices must be in or on the "covered auto" at the time of"loss'. Copyright 2023 Mercury Insurance Services, LLC. All rights reserved. MCA CABE 08 23 Includes copyrighted material of Insurance Services Office,Inc.,with its permission Page 4 of 4 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SECTION IV— BUSINESSS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, the following is added: We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or"loss", provided that the "accident" or"loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. MCA04440913 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2% of the California workers' compensation premium otherwise due on such remuneration. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE BLANKET WAIVER OF REQUIRED BY WRITTEN CONTRACT OR AGREEMENT SUBROGATION TO OBTAIN THIS WAIVER OF RIGHT FROM US PRIOR TO INJURY. (D 1998 by the Workers'Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers'Compensation Insurance Forms Manual @ 1999. INSURED COPY CITY OF SANTA ANA t+"a Risk Management a division of Human Resources W.'- Managing Risk through Awareness and Action Q AFFIDAVIT OF EXEMPTION FOR PROFESSIONAL LIABILITY INSURANCE 1 Alejandro Dominguez - Vice President (,,Representative"),attest that I am an authorized (Name and Title of Vendor Representative) representative of Dominguez General Engineering, Inc. ("Company"), and (Consultant/Company Name) possess the authority to legally bind Company. In my capacity as Representative of Company, I represent and confirm the following,as relates to the agreement between Company and City of Santa Ana,agreement number A2021-132 -04 provide installation of underground wet utilities ("Agreement")to p ("Services"): (Services to be provided under agreement/contract) During the course and scope of Company's agreement with the City of Santa Ana, Company will not use the services of an expert necessitating professional liability/errors &omissions liability insurance coverage in the performance of Services to,for, or on behalf of City of Santa Ana. If at any time it is found that Company is not adhering to any and/or all of the statements in this document and does not maintain the minimum professional liability insurance coverage as required in the Agreement, it will be considered a breach of Agreement rendering the Agreement null and void and Company will be fully liable for any and all damages. 04/23/2026 Signature Dale Alejandro Dominguez Print Name Vice - President Title dominguezgeneral@aol.com Contact Information,i.e.,Telephone Number and/or Email Address Affidavit of Exemption pt on for Professional LiabilityInsurance 11.12.2024