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ELECNOR BELCO ELECTRIC, INC.
f Recording Requested By, And When Recorded Mail To: Recorded in Official Records, Orange County City of Santa Ana,Public Works Agency M22 Hugh Nguyen, Clerk-Recorder 20 Civic Center Plaza,P.O.Box 1988 Santa Ana,CA 92702 I �I Na FEE * $ R 0 0 1 4 b 3 5 3 9 9 $ * 2023000268512 9:49 am 11/02123 S RWI lA N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana, California, 92701, is the owner of the property hereinafter described, that said owner has caused ca construction of the MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION under contract entered into on MARCH 1, 2022, with ELECNOR BELCO ELECTRIC, INC. on which contract ZURICH AMERICAN INSURANCE COMPANY is surety. The property on which such work oimprovement was placed is in the City of Santa Ana, County of Orange, State of California, and c described as Project No. 18-6918 located at MAIN STREET AND 15TH STREET. The work oimprovement on said property was accepted as completed on AUGUST 18, 2023. az� xo 0 CITY OF SANTA ANA,A MUNICIPAL CORPORATION By _ � qz Dated: I J/ j/ '� Principal Civil Engineer—Sean Thomas C4� TITLE O -------------- VERIFICATION I, the undersigned, say: I am the City Engineer — Rudy Rosas of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof, and I declare under penalty of penury that the facts therein stated are true. Executed on 02M 3�2 31, 2-O Z-35 — , at Santa Ana, California City Engineer—Rudy Rosas THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION INSURANCE NO' " !`' FILE _ CITY OF SANTA ANA WORK MAY ; "''10EED CONSTRUCTION CONTRACT ACR.EEMENT CLERK OF (;UuNCIL PROJECTNO: 18-6918 DATE: MAR 1 i 2012 Main Street at 15's Street New Traffic Signal Installation Q :1'vJPI (Z) Llennyt uyin1) T r. This C I STRUCTION CONTRACT is made and entered into this 1st day of March, 2022 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and Elecnor Belco Electric, Inc. (hereinafter "CONTRACTOW1. WITNESSETH: The CITY and the'CONTRACTOX. for the consideration hereinafter named, mutually agree as follows: I. CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the Main Street at 1'5tb Street New Traffic Signal Installation (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contracts Documents prepared by the City's-Public Works Agency and approved by the City Council. 2. The complete Construction Contract consists of the "Contract Documents" as defined by the Standard Specifications for Public Works Construction and which include the following: • Notice Inviting Bids • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special Provisions • Technical Provisions and Project Plans • Community Workforce Agreement • Appendices In case of conflict between the Contract Documents, the precedence of documents shall be as established in the Standard Specifications for Public Works Construction. 3. CITY agrees to pay and CONTRACTOR agrees to accept in Rill payment to complete the WORK OF IMPROVEMENT the sum total amount not to exceed Four Hundred Thirteen Thousand Nine Hundred Fourly-two and No Cents ($413,942.00), as set forth and identified in the BID PROPOSAL,, which is attached hereto and incorporated herein as `Exhibit A." The '131D PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable, 1 of 3 CITY OF SANTA ANA CONSTRUCTION CONTRACT AGREEMENT PROJECT NO.: 18-6918 Main Street at 15' Street New Traffic Signal Installation 4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in the Time for Completion of hnprovements section of the BID PROPOSAL (Exhihit --A-) including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. If applicable, the CONTRACTOR shall adhere to the CITY'S Community Workforce Agreement (CWA), a pre -hue collective bargaining agreement, which establishes the labor relations policies and procedures for CONTRACTOR to follow in the crafts persons employed to complete the WORK OF IMPROVEMENT as more fully described in the CWA. The CWA may be found on the City's website at: http://www.santa-ann.org/pwa/dOCLIMClItS/CWA.pd CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work (Performance Bond), and one in the amount of One Hundred Percent (100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 8. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of Ten Thousand Dollars ($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final contract price. 9. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability Insurance and Worker's Compensation Insurance as outlined in the General Provisions, to be approved by the CITY. 10. INDEMNIFICATION. To the fullest extent allowed by law, CONTRACTOR and its Subcontractors hereby agree to defend, indemnify, and hold harmless CITY, its City Council, boards and commissions, officers, agents, employees, representatives and volunteers (hereinafter collectively referred to as "Indemnitees"), through legal counsel acceptable to CITY, from and against any liability, claims, actions, costs, damages or losses. including reasonable costs and attorneys fees. lift injure. including death to am' person or damage to any property, arising directly or indirectly from, or in any manner relating to, any of the following: (i) Performance or nonperformance of the Work of Improvement by CONTRACTOR or its Subcontractors of any lower tier; 2 of3 CITY OF SANTA ANA CONSTRUCTION CONTRACT AGREEMENT PROJECT NO.: 18-6918 Main Street at 15th Sheet New Traffic Signal Installation (ii) Perfonnance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of any of the obligations under the Contract Documents; (iii) The constriction activities of CONTRACTOR or its Subcontractors of any lower tier, either on the project site or on other properties; (iv) The payment or nonpayment by CONTRACTOR of any of its Subcontractors of any lower tier, for Work of Improvement performed on or off the project site; and (v) Any personal injury, property damage or economic loss to thud persons related to and arising from the performance or nonperformance by CONTRACTOR or its Subcontractors of any lower tier, of the Work of Improvement. (vi) The indemnity obligations of Subcontractors provided by this Section shall be included in all subcontract documents issued by CONTRACTOR. Nothing in the Contract Documents shall be construed to give rise to any implied right of indemnity in favor of CONTRACTOR against CITY or any other Indemnitee. IN WITNESS WHEREOF, the patties hereto have executed this Construction Contract on the day and year first above written. ATTEST: DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney 1 • 91-lgmgql►1. Assistant City Attorney RECOMMENDED FOR APPROVAL: NABIL SABA, PE Executive Director Public Works Agency CITY OF SANTA ANA KRISTNE RIDGE —— City Manager c. 3 of 3 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Elecnor Belco Electric, Inc. REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Mobilization I LS $ 1 3/Vvr7 $ 13/odd 2 Traffic St & 15U SInstallation at Main t 1 LS $ •N/cw $ tt/Wv 3 Install Video Detection System 1 LS $ ,3 3 & cv $ 1$ 3 3i (ro4, 4 Install GTT Opticom GPS EVP System 1 LS $ % %©S 5 Install 2"PVC per plan 75 LF $ 2 $ 3/ 5� 6 Install 3"PVC per plan 60 LF $ go $ z� Oda 7 Install 4" PVC per plan 215 LF $ '2,5 $ i6, Y-79 8 Install No. 6 Pullbox 10 EA $ 750 $�iS�v 9 Install No. 6E Pullbox 1 EA $ li vuu $ (/ 00v 10 Install SCE Pull Box l EA $ I 1 Install 12 Strand SMFO Cable 275 LF $ r� $ 55•0 D 12 Fusion Splice I Strand SMFO 24 EA $ �{a $ 46v 13 Instal] Fiber Optic Cable Splice Enclosure 1 EA $'/ r/00 1 P-1 ofP-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) Item Description Qty Unit UnitPriee Amount 14 Eastall CCTV and IP Communication System 1 LS $1 UUW $ 15 Construct PCC Sidewalk 1344 SF $ Co ttJ $ t'w-- 16 Construct ADA Wheel Chair Ramp Per City of Santa Ana Std. Plan No. 1122. 700 SF L 17 AC Pavement 20 TN $ 3" �L $ 18 Pot hoirPole Locations for Utility Conflicts Not on Plans 9 EA 19 Unclassified Excavation 60 CY $ � $u/YVU / 20 Sining and Striping g 1 LS $N� A)o $y/ 7vn 21 Project Advertising Sign(s) 2 EA 1/ C? $ UU 22 As -Built Plans 1 LS $5,000 23 Construction Permits 1 LS $10'000 U/ UUU TOTAL BASE BID $ `113� yy a The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items (if any). * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25%" limit as stated in Section 3-2 of the Standard Specifications, The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. f This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within Eighty (80) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $500 per calendar day. P-2 of P-52 MAYOR Vicente Sarmlento MAYOR PRO TEM David Penaloza COUNCILMEMBERS Phil Bacerra Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza Thai Viet Phan November 15, 2021 ADDENDUM No. ONE CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.sanla•ana oro CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez SUBJECT: PROJECT NO. 18.6918: Main Street and 15th Street Traffic Signal Installation The following modifications have been made to Project Specifications page(s) ii, P-3 to P-5, P-25 to P- 28, & P-2 of P-52 for the subject project: Specifications: • Replace page(s) ii of the Table of Contents of the Bid Proposal of the specifications for Traffic Signal Installation project: Updated Table of Contents to reflect the correct page numbers. • Replace page(s) P-2 of P-52 of the Bid Proposal of the specifications for Traffic Signal Installation project: Updated to reflect the correct line items as shown in planet bids. • Replace page(s) P-25 of P-28 of the Special Provisions of the specifications for Traffic Signal Installation project: Updated Special Provisions to reflect the correct line item descriptions. • Replace page(s) P-3 of P-5 of the Appendix A (Definition of Bid Items) of the specifications for Traffic Signal Installation project: Updated Appendix A to reflect the correct definition of bid items. CITY OF SANTA ANA 160KA"L William" Galvez, P.E. City Engineer Attachments SANTA ANA CITY COUNCIL Jong :sident VI —la 6armlenlo Dawd Pnnalma Thal and Phan Jazsb Loyaz Phil B.-da Ahnalllan Ryan Hemantlaz M NCIItla ¢Mora Mayor May or Pro Tam. Ward3 Ward Ward] wartli WaN5 Ward rvilo$aenla mwnm mbca/dawn IOM1anAfanloam pn 11 •ceboexi6a+n_v�_� OGaaansm ddd om Ircinylbmy,�n-, CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) Name of Firm Elecnor Belco Electric. Inc. Signature of BIDDER Title Vice President (If an individual, so state. W firt)t�o-partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) Alberto Garcia De Los Angeles - President John Wong - Vice President Pedro Enrile - Secretary Jeroni Gervilla - Treasurer P-3 of P-52 UNANIMOUS WRITTEN CONSENT IN LIEU OF 2021 ANNUAL MEETING OF THE BOARD OF DIRECTORS OF ELECNOR BELCO ELECTRIC, INC. January 1, 2021 The undersigned, being all of the members of the Board of Directors (the "Board") of Elecnor Belco Electric, Inc., a California corporation (the "Company"), in lieu of holding a meeting of the Board, hereby take the following actions and adopt the following resolutions by unanimous written consent: WHEREAS, the Board has determined that it is in the Company's best interests to appoint a revised slate of Officers of the Company. NOW, THEREFORE, BE IT RESOLVED, that the following persons be, and hereby are, elected to the offices set forth opposite their respective names, to hold such offices until their respective successors are elected and qualified at or before the next annual meeting of the Board, or until their earlier respective deaths, resignations or removals: NAMES Alberto Garcia De Los Angeles Jeroni Gervilla Roger DeVito Pedro Enrile Leonardo Sancho Frances John Wong OFFICE President and Chief Executive Officer Chief Financial Officer Senior Vice President, General Counsel and Assistant Secretary Secretary Vice President Vice President for Construction FURTHER RESOLVED, that Alberto Garcia De Los Angeles, Jeroni Gervilla, Alberto Garcia and Roger DeVito in their respective capacities (listed above) subject to such supervisory powers of the Board of Directors, hereby are authorized and directed to perform all the duties commonly incident to that office; shall have authority to execute in the name of the Company contracts, leases and other written instruments to be executed by the Company; and, shall perform such other duties as the Board of Directors may from time to time determine. FURTHER RESOLVED, that the President and Chief Executive Officer may delegate authority to any Chief Financial Officer or Chief Operating Officer or Senior Vice President or Vice President as and within their authority levels as set forth in the Company's Bylaws, as the same may be amended from time to time; FURTHER RESOLVED, that Roger DeVito, in his capacity of Senior Vice President, or Leonardo Sancho Frances ht his capacity of Vice President are hereby authorized and directed to: I, Negotiate, sign, amend and terminate agreements in connection with the purpose of the Company, for all contracts up to $250,000.00, and acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla for all contracts in amounts greater than $250,000.00, 2. Execute, amend and finalize bid proposals in connection with the purpose of the Company, for all proposals up to $1,000,000.00, and acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla for all proposals in amounts greater than $1,000,000.00. 3. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and finalize purchase orders for materials and equipment in connection with the purpose of the Company. 4. Actingjointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and terminate agreements for the lease of real estate to be used as offices orjob related temporary yards. 5. Actingjointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, execute, amend and terminate insurance and/or bid bonds arrangements in connection with the purpose of the Company, 6, Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, hire, suspend, impose sanctions and dismiss the administrative personnel of the Company, setting forth their employment terms and conditions, obligations and remuneration. 7. Acting jointly with Alberto Garcia De Los Angeles or Jeroni Gervilla, settle and claims on behalf of the Company, AND IT IS FURTHER RESOLVED, that all actions heretofore taken by the officers of the Company on behalf of and in the name of the Company, relating to the conduct of the business of the Company, the expenditure of money, the making of contracts and all other acts taken or omitted in the performance of their duties to the Company be, and the same hereby are, in all respects, approved, ratified and affirmed, as of the date taken, done or omitted, respectively. The actions taken by the Board Consent shall have the same force and effect as if taken by the undersigned at a meeting of the Board of Directors, duly called and constituted pursuant to the Bylaws of the Company and the laws of the State of California. This Board Consent may be executed in counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same document. IN WITNESS WHEREOF, the undersigned, being all of the members of the Board of Directors of Elecnor Belco Electric, Inc., have executed these actions by written consent as of the date first written *(k� Luis Alcibar, Director Alexander Arrola, Director CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) BIDDER'S STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his/her duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she will fumish AGENCY all required bonds and certificate of liability insurance within ten (10) business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. The BIDDER also certifies that the bid is a balanced bid. In accordance with Section 7028.15 of the California Business and Professions Code, the undersigned certifies under penalty of perjury that the foregoing is true and correct. Name of Firm Signature of BIDDER Title Vice President John (If an individual, so state. IWirm or —co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) Alberto Garcia De Los Angeles - President John Wong - Vice President Pedro Enrile - Secretary Jeroni Gervilla - Treasure P-4 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all his/her subcontractors are registered with the State of California Department of Industrial Relations (DIR), and that the following is true and correct. Contractor's Name: Elecnor Belco Electric Business Address: 14320 Albers Way, Chino, CA 91710 Business E-Mail Address: Jwong@elecnor.com Telephone: 909-993-5470 State Contractor's License No. and Class: 738518 A, B, C-10 License Expiration Date: 7/31/2023 State Dept. of Industrial Relations (DIR) Registration No.: 1000004804 State Dept. of Industrial Relations (DIR) Registration Expiration Date: 6130/22 Signed: Title: P-5 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct. Name of Firm Elecnor Belco Electric, Inc. Signature of BIDDER Title Vice President (if an individual, so state) P-6 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: I8-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) LIST OF SUB -CONTRACTORS Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: o Streets, highways including bridge projects: %z% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: Y2% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name SH er ler AveellW �MglGtA4r, Narne F&C� ,M F-fl-Ii 9041 "13 W� License #/Exp. 7 % b 3ob ! 0' . 3I 2 3 License #/Exp. 10513 .( N 3! 3 I DIR Reg. #/Exp. 149000OL476 - e 7Jp 2WIR Reg. #/Exp. ZaVO 61 V VU Location 5312-CyP«5S_�ArU!;; 6Ag06 3 O Location Phone ( — — q(Ov Phone Type Of Work $ n k S' rlr' Type Of Work C4V Amount $ fiE S x_ Amount $ 9 H� c o Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ John Won Sig a re f tdcler Name License #/Exp. DIR Reg. #/Exp. License # _ Location _ Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ P-9 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HS1PL 5063 (189) The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER has performed similar work within the past three years. City of Glendale / 633 E. Broadway, Room 205 Glendale, CA 91206 Name and Address of Owner. Sarkis Oganesyan / 818-548-3945 Name and Telephone Number of person familiar with project. $2,844,613.00 Signal Modifications February 2021 Contract Amount Type of Work Date Completed 2, City of Palm Desert / 73-510 Fred Waring Dr. Plam Desert, CA 92260 Name and Address of owner. Randy Brown / 760-346-0611 Name and Telephone Number of person familiar with project. $602,259.00 _ Traffic Signal Modifications August 2020 Contract Amount Type of Work Date Completed 3. City of Huntington Park / 6550 Miles Ave. Huntington Park, CA 90255 Name and Address of owner. Cesar Roldan / 323-584-6320 Name and Telephone Number tamtliar with project. $1,013.928.00 Signal Synchronization and Bus Improvements April2020 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Willis Towers Watson 10 State House Square, Floor 11 Zurich American Insurance 777 S. Figueroa St, Suite 3900 Hartford, CT 06103 Los Angeles, CA 90017 Erin Kieman 860-843-5404 Margaret Hentz 213-270-0757 P-10 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HS1PL 5063 (189) ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. L City of Glendale / 633 E. Broadway, Glendale, CA 91206 Name and Address of Owner. Sarkis Oganesyan / 818-548-3945 Name and Telephone Number of person familiar with project. $600,000.00 Traffic Signals, Fiber & Interconnect March 2018 Contract Amount Type of Work Date Completed 2. City of La Mirada / 15515 Phoebe Ave., La Mirada, CA 90638 Name and Address of owner, Eric V illagarcia / 562-902-2385 Name and Telephone Number of person familiar with project. $299,490.00 Traffic Signal & Fiber Optics September 2017 Contract Amount Type of Work Date Completed 3. City of Azusa / 213 E. Foothill Blvd, Azusa, CA 91710 Name and Address of owner. Name and Telephone Number of person familiar with project. _ $352,296.00 Traffic Signals & Fiber Optics December 2017 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Willis Towers Watson Zurich American Insurance Company 10 State House Square, Floor 11 Hartford, CT 06103 Erin Kiernan / 860-843-5404 P-II ofP-52 777 S. Figueroa St, Suite 3900 Los Angeles, CA 90017 Margaret Henlz / 213-270-0757 CITY OF SANTA ANA Pavement Rehab Company PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION RMITIDAr nu n,nnm win. rrnmr 1n1n 116,.1 ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for MRIKE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years, 1, (� M`1i flit- f�'Jvt(W U( Name AM Address of Owner, StA- 0)q-? Tame and Telephone Number of poison familiar with pro'act. Contract Amount Type of Work Date Completed 2' _C i . p;- _- .� 0 t e-0 �%0i PhLtG lkVh to U�J / 2 �7 U"7 M,.ayrn-;e at d Address of owner, 4 It)tW (Mt)"<, 3. Date Completed 7ibr� P-�tI- �,(r12W, YLtfvt� �'zt Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. i1mA v(t ona, {+MWrIIY1LP., t hhAvmM1U - M00 Fort I<al^r11� Mrv,• Fd - i14- (9W AI`10 P-11 ofP-52 CITY OF SANTA ANA PROPOSAL Superior Pavement Markings, file. PROJECT NO.: 18-69I 8 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. I. City of Irvine P.O. Box 19575, Irvine Ca, 92623 Name and Address of Owner. gyr.90 Oemmell (949)337-7019 Name and Telephone Number of person familiar with project. $391,868.00 Traffic Striping and Pavement Markings Maintenance 07/06/2021 Contract Amount Type of Work Date Completed 2. City of Costa Mesa P.O. Box 1200, Costa Mesa Ca, 92628 Name and Address of owner. Name and Telephone Nun $113,731.00 Contract Amount Traffic Striping and Pavement Markings Maintenance 03/23/2021 Type of Work Date Completed 3. City of Ontario 1333 S. Bon View Ave, Ontario Ca. 91761 Name and Address of owner. Tim Ma,, Name and of person familiar with project. $75,000.00 Traffic Striping and Pavemrint Marklqu Meln� 06/30/2020 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. P-I1 ofP-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he/she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his/her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-13 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, no discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: Joltn Won Title: Vi P cside Firm: Eleenor Belco Electric, Inc. Date: i i /morn i P-14 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall: Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a lik amount to the California Apprenticeship Council. Signed: John Wong Title: Vicli P sidcnt Firm: Elemor Belco Electric, Inc. Date: P-15 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) STATEMENT REGARDING "ANTI -KICKBACK" REQUIREMENTS The undersigned is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the Copeland "Anti -Kickback" Act (18 USC 74) as supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or subcontractor shall be prohibited from inducing, by any means, any person employed in the construction or repair of public work, to give up any part of the compensation to which he/she is otherwise entitled. Signed: M"A t"h" w "., Title: Vide Pdeshlem \ Firm: Elecnor Belco Electric. Inc. Date: II/8/2021 P-16 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes - _ _ _ No X If the answer is yes, explain the circumstances in the following space P-17 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS (FORM FHWA-1273) The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the attached required Federal Contract Provision (Form FHWA-1273). Signed Title Finn Elecnor Belco Electric, Inc. Date P-18 of P-52 John CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) REOUIRED CONTRACT PROVISIONS FEDERAL -AID CONSTRUCTION CONTRACTS I General It Nondiscrimination III, Nonsegregated Facilities N. Davn•Baoxm and Related Act PreWskons V. CodreciWOrk Hours and Safety Skndauls Act Provisions VI. Subletting an Assigning the Contract VII. Safety: Adddml Prevantlm VIII Fake Statements Cancoming Hlghuay Pro)oato IX. Implemmtotion of peen A1cAct and Federal Water Pollution Control Ad X. Conplance w h G&vemmantwide Suspension and Cuban ent Regdrommis A. Cediflcetlon Regarding ilea of Contract Finds for Lobbying ATTACHMENTS A. Employment and Mahsiok Pmtswae br Appalachlen Devdopne d H191 my System wAppakcldon Loral Access Road Conhuds (Included in Appalachian omusds only) I. GENERAL 1. Fanm FHWA.1273 must be physkdly inrogamted (n mch consbudlon contract funded under Title 23 (excluding onergencycontmclssdely Intended fordebdsfamoV4 The contractor (o, subcontractor) most insort this form in mch stbCOMMt and ledler requite Its lnclusim in of lower tier subconlracts(oxcbdIng purchase &mere, rental agrmmenIs and other agreements far suptdlesor services). The applknbla requirements of Form FhWA• 1273 am ineerporoI" by reference for work time under my purchase order, renloingreenpanl or agreemanl for olherservkm. The pdma cmtmdor slml be responsible liar comielmm by any su bcontacbr, IOW 4la mbomlrador w service provkiar Fonn FHWA-1273 mud be Included In al Fmeml-old dosign. build contracts, In ON subcontmclsarld in tower liar Subcontracts (excluding Subcontracts for design saNk es, pumhase orders, metal agraements and othasgreemenls iw sufpllm or sarvkes). The dosigrFb dldashal be rospwsble fan cornplmm by any subconlmclw, lewerdiormbonm(roclor or service provider. CoNmcMg agandos may refereom Fonn FHNA-1273 in old proposes or mgwst for proposal dommaros, however, Ile Foes FhWA-1273 must be physically, h DDq,,mted (nd retamuced) in al Mrinacts, subcontracts and lowentler subcontracts (excluding purcham orders, rental agraemenk and other egreemmls for supplm w savkes minim to a construction contract). 2. Su4wtt0Nmapplkabiltyaftedsnot6dtnthefolowing oec6ms, Ihem mntmd proyWom, Simi apply b al worN pedormed on Ito oontmd by the coHracloes own oquatzotlon andwlb the assistance of workers under th contractors monedlele supemlendenee and to no walk performad an be cmtmcl byptecowork, station work, or by subcodmct FhWA.1273 -- Revised May I, 2012 3. A brmch of my Of be slpubtkvu contninad in these Required CmWct Provisions may be suf6dant grounds for wf hholding of progress payments, withholding of Mal Payment- lam nlukm of Oa contmd, Mspmslm i dobarmenl or nay &than action ddarmimd to be appropriate by the cwrfmcgt agency and FHWA. 4. S&IeCHan of Labor: During the performance of this contract HE codraclorsholl nd use C&MCI labor for any pulposa wNtin the Ilmis of a curstm lon project an a Fedaml.aid highway unless it is labor pedamed by convicts Who am on Panda, supaMsed release, or proballon. The term FedaoLnb highway does not Include roadways functionally classNted as local roads an coral m Inor collectors. II. NONDISCRIMINATION The pmvkkms of thla swIlOn related to 23 CFR Pert 230 era opplcobfe to oq Fadaabak arsiuclm eonlmds orb to 01 related omsWcllon subcmtrads of S70.000w mom. The pmvtsiom of 23 CFR Pod 230 om rot appNWblo to material supply, engineering. wwduledund servka mnuocJ,. in addhOr. tie contmtlon and al sabcmboctom must comply With the following pWlcIs$: E%m11Ve Order 11246. 41 CFR60. 29 CFR 1625-1627, Title 23 USC Sec Son 140. the Rehabilitation Ad of 1973. as amended (29 USC 791), Tolle VI of the CNN Rights Act of 1964, as amended, and notated regulaHere induding 49 CFR Pats 21. 26 and 27; and 23 CFR Pads 200, 230, and 633. The cent-actaand ell suixmtredors mustmn,pty with: the laqutemmis of the Equal Oppoaudy, Clause in 41 CFR 60 1 A(b) and for A gwlehactbn contracts Smearing $10.0DO, tie Standard Federal EqualEmployment Opper iy CORSIMC ton Conkml Spacllmlorsi In 41 CFR 604.3. &lore' The V.S Deportment of Labor has excksoro aulhodty to deluumine cwnPlance with Execathe older 11246 and he poklos of the Secretary of Labe including 41 CFR 60, and 29 CFR 1625.1627. The cadrocling ageneyand the FHWA have the aut atlly and the responsibility to ensure complema will, Title 23 LASC Section 140. the RehablOWIlon Act of 1973, as amended 99 USC 194). and Title VI at the Civil Righs Ad at 1%4, as amended, and related regdidkrs Including 49 CFR Pak 21, 2e and 27, and 23 CFR Pads 200, 239, and 03a The folbwing provision Is adopted iron 23 CFR 230, Apponda A. with approprale roviolms to mrlwm 10 the U.S. Department of labor (US DOL) and FHWA requkmnenis. 1. Equal Empioymon/Oppurtunity: Equal employment OPPwtmay(EEO) mquimments not to dlacri male and to take alllmolive nation b assure equal oppodungy, as col lath under taws, sxemtim orders, raise, regulations (28 CFR 35. 29 CFR 1630, 29 CFR 1625-1627, 41 CFR 60 and 49 CFR 27) and orders of the Searelary of Labor as modified by the provlsfines proscribed heron, and imposes pursuant to 23 USC. 140 shol conslilule the EEO and speak dfkmdlve Alan staMards for he contractors Voted actMies India, P-19 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) this contend. The provisiOrs o/ tie Americans with Dsatagid u Ad Of 1990 (42 U.SC, 12101 an seq.) set(orth under 20 CFR 35 and 29 CFR 1630 are kcorpomed by mbranco In lids contract. In the execution of this cordrmt the contractor AMMAR to comply with the following Minimum Vedic requirement odW*s of EEO, a. 3ho contmdorwb work With the contracting agency and [he Federal Govoimmenl to onsum that 0 has made every good faith effort to provide equal opportunity with aspect to d Of As bras and conditions of omployawnt and in their review, Of activities under the contract. b. The conlmdorwil Accept as its operating poky the following selomont If IS the policy o(thISCOMPany b assure that appecans ao ompbyed, And [hot ompbyoos are treated during onlplOymr,nl,withod mgatd b thick once, fdgion, sox, oobr. rations) ongk, Age ord sobiity. Such action shaa include: anploymonl, upgrading, demotion, or transfer, mmdlmonlor mrrdtmant Advertising: layoff or lormnalbn: ones of pay or other forms olcompensatbn: and soloction for training, including appmnlicwhlp, pmappmmboship. nM/or"41re job trakring.' 2. EEO Ofprcrc The canlraclorwilldasignate and make known to tho cmlmrang offices an EEO Officer who wip have Iho mspmslbsly funeral mouths copoblo of offalivdy odnimslodng and promoting an active EEO program and who ones! ba assigned adequate nutlerity and rospoosibiby In do so. A (115"minad0n of Policy: At members of the contmclors staff who are Authorized to trim, suporvso, promote, and discharge emabyoos. Or Whe recommendsuch noon, cr who am subsimtely involved In suchaction, wit be maen tiny cognizant of, and will hnptomont, the cooladoes EEO poky and contactual msperago Iles to provide EEO in ouch grado anddrcssilicalbnclemploymenL Toonsdre Mal(hoabove agreement VAR be mot, the following ad" will betaken use minimum: a. Periodic neolings d suPONisory and porsono0offaa employees will bo condmied bofom Ihosian CI%Wtk and eon ail less Olson than once every six months, at widohgmo the contraclor's EEO pokyand its i nplomanlalion wil be reviewedindaxplaned. Thomeelingswilbecendldedby One EEO Officer. b. All new supervisory or persnnnei Mince empfoyeas Will be given a thorough Indoctrination by the EEO Officer, covefbg AN majoraspects Of the oonbactasEEO atoigagonswblnn Ihidydays following thole reporting for duty w4h tho maimclor. c. At Persomml who are engaged In direct raorUlnlonl for (he project VAN be Instructed by Iho EEO Officer in the rodrmbr's procedures for lacalbg and hking rn inxios and women, d. Nolkos and posters calling faith the contractors EEO Polity sup be placed Yin auras madlyaccoss®ie to ernployeas. Applicants for employment and potential empicyeas A. The contactors EEO policy and the procedures to /nple"i such popsy will be bnwglt to the attention Of OMPloyaoe by moans of meeings, omployea handbooks, or rifler appropriate moans. 4. Rovulbnent When advarllsing for employees, the contractor wig include In At advplisamonls for employees the notelbm. -An Equal Oppodmpy Employer.' At such adredicanents will be placed in pubommns heing a large ckcdslon Among mbomios and women in the area from which The prgmlwork 10" would neurally be derived. a. The conkador will, unless precluded by a veld bargaining agraemont, conduct systematic and deed raaoltmont lhmugh public and private employer, refentl saunas [key to yield gnaligod nninalles end women To meet thin requkemen( fine oonkada wit identty spumes M pobnUel mmorily grail enpbyoos, and actadWn win smh tdondlad Sources procedures whomby mimrity and women epplcams may be retained In Ito conlmctorfor employment considerate.. b. In the event the contractor has a void losT�gainng Attainment providing for oxdeaivo hiring bail refartds. the contractor is OWOCIed Io observe the provisions of that agroornanl to the mlom 11101 the system in WIG the corYmdofs compliance wph EEO contract provisions Whore knplomarla0sn Of auch an agraonhonl has the cited at discdm"fing against mrnealies ofwemen, aou4gales one centraclOr to do the same, such Ampbmanlriion'AMeres Fodoml nondkscmminaoon pmvs Ions- c. The coulmdor wig onecumge as present omployoos10 reformincdias and women as Applicants for eroplaynamt, Information and Procoduras wgh regard to intoning such applicants will be disoussnd with employees. S. Personnel Actions: Wages, working corddbns, and orrybyae benefits shall be eslablshod and Administered. end POMMA01 actions of ovary type, including hiring, uM,dng, promotion, transfer, domolon layoff. and lamination, shell be talon withautregeal to race, cdor, religion, sex, national ongin, aga or dsob, ily The following precodums shag be [allowed: a Thomnknclerwrsconduclporbdiclnmpuclbnso(projmt WAR b nsum that working conditions and employee facpllos do not indicate dsarknlnaiory, tromment of project she personnel. b. The contractor will pabdically evaluate the spread of %"gas paid w" Ouch classification to datennine any evidence of discnrrinatory wage pradicos. c. The conimclor Will padodlaly mile, selodod pasonmi Actions in depth to determine whether them is evidome at discrimination. Whomovdencols found. Itneconlradorwil promp0y InkacoraidNo action. If tho raviewkndicalos Ind Ito dsalm ralbn may extend beyond the Actions raviavW, such cametive action shag include all olr,ctod persons. it Toe contactor wit promply nves�ute al companb at staged discMdnalbn made to the contractor In connection with its obligations Under [his correct. will agampt to romlve such comp/aims, and wit take appropriate conAclve moon wdNnamasmablohmo. tllekvosligamnindicntesthallhe discrimination mayaffeclpomeas other than the complainant, such corrective adim sham include such other parsons. upon completion of each Investigation, the contractor vAp inform wary cOmptainantof air Of [hair aw ium of Appeal. 9 Training and Pranolion: A. The mntrada wit asalsl inloceling, quspfyng, and Increasing the AN of minnaIAs and women who are P-20 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) applicants for employment a mnenl ennoweas. Such anions should be aimed at dovelopng fug Journey level status employees in the We of trade a Job de88fir80W involved, b. Consistent Mh the contractor% work tome requirements and as parmiseiMe under Federal and State regulations, he contractor shdl make full use of basing programs, to., appmnllooshgl, and dn.lto job kdiyng Pogroms tot the gang'aphkml nred of oodroct. perfdmoroe. lei Iha event a special pfwWOfl nor training is provided under this contract, this subparagraph wet be superseded as Indcated in the spedalpmvialon. Thecontmdingagencymayragervo training positions fw prima win racdve wslare assistance In accordance with 23 U.S.0 140(a). c. The contractor wlladvise employees and applicants for employment Of avatiobda Iralritg programs and entrance requirements for each. d The amtacbr witl Pedadicegyrevlew ore gaining and promotion potential Of employees who ara minorities and women and wit ancourage ekglre employees to apply for such train" and promotion. T. Unlmst If the contractor relies In while or in pan upon unions as a source CO employees, the mnuadof we use goal faith Mods b obtain he caopamne ri of such unions to Increase opPodunilas fa minonles and woman Anions by the contactor. Wrier dcectly, or through a ombadoes as wriegm acting as agent, wall include 01e procedures set forth bellow: a. The cordrada We use good labh efforts b develop, in cooperation vAth the unions, JWm Mining programs aimed lowwrd qualifying more mkWltes and woman for mefebershp in he unions and inaeoskg the sklle of mhoriaes and women so that they may quality for hgher paying empbymonl. b. The cmtrWtawig use good lelm strong to Incorporate an EEO cause into each union agreemem to ore end that suoh union wA be contractually bound to refer applicants wfti d, 11900110 their race, cob(, religion, sex, national wgin, age or disability. C The contractoris to obtain information as to ate referral practices aid policies of tie let" union except that to the extent such Information is wlthin dig exclusive possession of tie laborunlon and such labor union rafutes to fumish such information to the Cmtraclor, he Conkada shall on Cady to he cmtrecting egen c-y and shag set forth what efforts he" been made to obtain gedl infoensim d in 0n eved the union is unable to provide the contractor with a reasonable Iow Of refamla within the time Imt set forth in the colectAe bargaining agreement the contractor evil, Ihmugh Independent rwo ihnam efforts, fill lha employment vacwcleswdboul regard to race, calm, religion, sex, national Origin. age adimbilty; making fug aftab to obtain qualified ands qualifiable minodiesard women. The railure of a union to pmvi" w(f clod referrals (oven though 4 is ablgeted to frwid6 ermbsfve referrals under the lams d a collective bargainkng agreement) don not relieve the contractor from the mqukerned3 of this peragraph. In the evad the union ralemal Paeoce prevents the eonlrecta them mesting the obligations pursuant b ExecuWe Omer 11246. Xonended, and these special provisions, such contractor shall immediately nobly the contracting agency. & Reasonable Accommodation for Ap ellcorrui l Employee$ with DisabilElaa: Thecontraciormuslbefamiw with fM requirements, for and comply with the Amedoans Mh Wal,aales Act and at miss and regulations established there under. Eeployersmusl pmvhde ressonable accommodation in all ampkrymenl activities unbas to do so wood Cause an undue hatdst*. 9. Selection of Sobconaactors, Promramem of hlatenala and leasing of Equipment: The conlracto(shall not dixdntinate en the gmunds or race, cda, religion, sex, national odgin, age adisablty In the selection and retention of subcontractors, including proouremont ofmalerials and leases of equipment, The eoolactor shot lake all necessary and reasonable slops to ensure nondiscrimination in the admir"I short c1111fa contract. & The contractor shell nofly all polontial submdractomand suppllem and lessors of dicer EEO odigagma under Ids contract. b. The contractor will uec good lash goods b ensue subomemclorcamplance wild she's EEO obligations. 10. Asstaanee Required by 49 CFR 26.13(b): a . The requke me d 49 CFR Pad 26 and ho Stale DOra U.B. DOT-aW(Ovel DBE program nm irc Wated by reference. b. The oontraclaorsubconlraclorshalnol dauhmenslo on the basis of race, color, national origin, w sex In the Perbmenm of Ids 0 brad. Theo drecbr slel carry ant apPgcable requirements of49 CFR Pad 26 in the award and administration o(DOT4wisted contracts. Failure by the contador to cant' Out these regovements is a material breach Of this contract, which may result in be termination of this contract or such oiimr remedy as the oonle cthng agency deefre aprcMiate, 11. Records and Reports: The contactor shy keep Ruch records as necessatyto document ou plance wlth the EEO roquiremmis. Such records anal be retained for a period of lhteo yeofsfogawing the Wed the Onal payment to tie mntracler fw al Contract wank and shell be available al reasonable lknes and placesfalnspedion by authorized representatives Of the contracting agency and the FFMIA. a. The moods ked by f M mntmdof shall document the folowdng: (1) The number and work hours d minority and non - minority group members and women employed in each work dasellcdbn on the prefect (2) The progress and offons being made in cooperation won unions, when apoicable, to increase amooymel opportunities for minorities and wanes; and (3) The p(ograss and efforts being made in locating, hiring. tralndng, qualifying, and tpgrading minuri(los and woman; b. The contractors and auboontrecbrawal submit an annual reMdto the onrilredleg agency each July for Ise dumtien ol the fxolac . htlicaling the number d minority, women, and nonminodtygroup employs" cuman0y engaged in each wed, classification required by the contract wok. This bfomsom is lobe repoded onfqqgW .1 : The slating data should rWwml the projed woe force w board in all a any pod of the Iasi payroll period poeced nil the end dJuly. if amine jab training I$ being required by special provision, the contractor P-21 ofP-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) will be required In colect and report training data The amptlymont data should reflect the work force on Word during al If any pal of line last Pay Full porbtl prowdi g the end of Jub, II. NONSEOREOATED FACILRIES This provbim is applicable to all FedemMd conshucfion contracts and to of miatud wnsimaion subcoaractsol S10,000 a moo. Tiro cmtracmr must ensure (hat lodNns provided for employees am provided in such a madder tnal segrogation on ton basis of new, color, mkion, sax. or retbnai origin carol rerun. The contractor may rvalher requim suchsegmgaed use by will" Orlon policies nor lefemte such uaeby ampkyoa cugom Tito wnuackh's obligaton extends further to enaera that its employees am not assigned 10perform their wrvd:es al any lal'anea, under the contractor's wnlol, whom the facilities are wgregaad. The levm'lacitles' includes waiting roars, work areas, resteumnts and other oaing areas. IifrO clocks, resbooms, Waehfwma, locker roans, and other storage Atdressing areas, parking Ids, drinking fountains, maootion a entertainment areas, Imnsporallon, and horsing providedforemployees. The contactor shallprovkde separate a single-mor mstreoms and necessary dressing or sleeping alas to assum privacy betwoon saxas. N. DAVI"ACON AND RELATED ACT PROVISIONS flits section is .pp5wble to at Fadoml-ad wnstmcb a Pfciwb accaodN $2,000 and to an related subwntmds and Iawf•tcr wbcontmcts (ra981410w of subcontract size). The nequkamanbs apply to an prajocts located within the dght•d- wmy of a roadway that is furctmaaNy classified as Fadam!-aid highway. This excludes roadvmysiunclionaty classified as local roads ormml minorwtecton, which are exempt. Contracting agencies may elect to apply these mqui-amens to other projects, The fotluvrng proNsbns aro 10001110 U.S. DoPartinanl of Labor regulations In29 CFR 5,5 Contact preMslma and rdgotl mall0fe Allbmlmrmvbim/locmfarmlothe FHWA- 1273 formaland F-IWA proem raqukammis. I. lAnimum wages V. AI iabraem and mechanics employed m working upon the site of the work, wR be paid unconditionally and rot less often than once a wook, and without subsequent deduction or lobate on any account (except such payol deductions as am permitted by regulations Issued by the Secretary of tabor ado the Capdand Ad (29 CFR pad 3j), the too amount of wages and bra fide fringe bmal is (or cash equivalents thereof) due at ameolpayment computed At miss not lass than those contained In the wage daormnallon of he Seaetay of Labor which is attached haato and made a part hereof, regardless of any conbactual relationship which may be alleged In, exist Imm" ho contmcta and such labarom and macheoics. Contributions made of wsis reasonably adklpated for bona tde (rings benefits under section i(b)(2) of the Davls•B awn Act on behalf Oflaborars or medicate am considered wages paid to such laborers a mechanics, subject to he previsions Of paregrph I . of this sedwrs also, regular cordial bulfons made or costs incunad for mom than a moldy period (but not Islas Alan ttsn quarterly) under plans, funds, aprograms which cover the pa ricular me lay police, me doomed tobo censlmctNey made oncCaAd during such wooly period. Such laborers and mechanics shal be paid the approprialo wage rate and fringe bmoffts on the wi go dolomnnabon for he CIOaelkallon of work aetoady performed, wthout regard to skill, except as provided in 29 CFR 5.5(aj(,I). Lffiomrs At muchanim perfuming work in man than one classification may a canpensabd at he rate specified for each classficalim for the time actually worked therein: Provided, That the employee's paymn meads awumlely see forth ho time spent in own clasaication in whirr work is parlomlad, The wage detammnabn (Including any additional damiiliwlon and wage rates conformed under pamggth t.b, ofth s sodion) and the Davis -Bacon poster (W4-1321) shot be posted At nil tithes by the oontmcta and its subcontractors ai ho silo of the work in a prominent and accessible place wham it can be easily seen by the workos. b (1) The mnlracling offer sban requimthal any class of labaors or mechanics, including hopam, which is not fisted in the wage datamtinalion aind which is to be employed under fie contract shop ba dasstlad nconformartco with the wage determination, The contmcling ranker aril approve an addlona dassfica0un and wage Ate and fringe benafds shaobraonly when he (allowing cdmrla have been mot: () The work to be 9 odomned by the chew er,lim requested is not performed by a dassificaton in the wage determnaim; and (I) The dassifCalion is utilized in the area ey the consbudnn industry, Beer (d1 TTa Proposed wage rate. Including my lone ride fringe groat Is, bears a masomh'e adations hp to Iho wage rates contained in the wage delanninalbn (2) If the contractor antl 0w I,nbomac and mechanics to bee 0nptoyod in me dessTicmbn fr known), or their ropmsentatves, and ho contracting officer agree on Ice dassrkalion and wage fate gnctWing gta allover designated for longs bemfhs whom appmprional a replit of ho action token grol be sent by he caaracing olker to the Administrator of the Wage and Hour Didsion, Employment Standards Admnlshagen, V.S. Deparlmml of labor, Washngtm. DC 20210. The Administrator. or an authorized repreaefalFvo, wtl approve, modify. ordiscppmve awry additional classification action within 30 days of mcApt and so advise the contracting algcar or w5 notify Ito contending officer within to 3D•dnypod od that additional hen is necessary. (3) In the event the wntmctoq the laborers or macham s to be employed in lhoclassfiwfon or Irwin mpreseaalives. and de contracting officer do net agree m ilia proposed classification and wage rate (including the amount dosignalad for fringe bonorrs, whore appmpdala), two coaracing olicar shot refor tle questions, inducing the vlous of all nlews(ad padbs aM the m nnnnondaion Of the controlling olicer, lathe Wage and Hour Administrator for detumtinalion. The Wage and HatrAdmidsuala, a an authorized representative, will Issue a ddemrng eo within 30 days of receipt and Be, advise Iho contracting offcor or P-22 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HS1PL 5063 (189) Will natty the eod(adug dficar wilhin the 30 day period that additional gone Is necessary. (4)Thewago rate (including fringe benefits Moro appI A(3o1 this swU011, shall be paid to waate)fJohimained pursuant ID workers performing work ming work h Ito classification underliis contract from the full day on which work Is Perfumed In lino clessidce0on. C. "Tenwa Ica minknum wage riteonno bo l In the wourel fora doss Of Warfare or mechanics lodudos a huge bBraid which is not expressed as an hoot' into, the oonrbocle, shall either pay the benefit Be slated in fix wage delerminalm Of sham pay another bona fide Yugo benefit a an hourly cash equivalent thereof. d IftheconUador does not maim Poymenlslo a Trustee or dbof fidN pereen, the COffiwta maycorsidef as part of the wagon of any laborer ormadhank the onnounl of wry rests (Onemably anticipated in providing bore fide hinge humid, under plan or program, Provktod, That life Secretary of Labor has found, upon fine wailer mqumi of the oodrada, that the applicable standards of the Davis. Be" Ad have bow and The Secretary of Law may roquko the centnda to sot name in a separate accaurt assets for the "'Ung of obligations under the plan a program. 2. 11111tfthdrtng The contacting agency shelf upon is ovm action of upon wagon MOW ofan aulm lead mpmsomohve oflha Depa m nit ofLaba, withhold orceuse IDbe withhold from the ooeMcta urdur this contract, a any other Federal contend with lhs same phno cairador, a dry other fadarAh, asslsled contract subject to Davis -Bacon prevailing wage roqutemenls, which is hold by the same pdmo Onlradw, so mum of Ow acwpd payments a advaress as may be considered 11000U fy lopay laborers and macharica Including appronlices, Ualnots, and helpers, employed byline contractor Or any subcontractor the full Bill Of willies req Bred by the cairact In the event of falum to psi my laborer amachank, Including any appmatke, troinoo, or halpa, employed or waking an he site of the work, a1 or pal of to, wages required by it* codrad, the canlmdirg agency may, afiorwdllen notice to the contractor, lake such adkm as may be necessary to WON the suspension of any further payment, advance, or guarantee of foods unit such violations have roused, 3, Payrailsandbasieracords a. Paymts and basic (scads relating thomio sham be maintained by Ire mnUadm during the course Of the work and Preserved fa a period of three yeas thereritef fa al labaors and mectonks working at the sire of fire work. Such meads shall contain he name, address, and social soorriy nunbor of eachsoch worker, his or harcoredclawlikoelbn, Mindy roles ofwages Paid (hduding robs Of Wol butkns arosts anticipated for -bons fide fringe benefits mcwh equivalents thereof d the types described In sudbn f(bx2)(13) of the Dovis-Bacon Act), dairy anal weekly numberof hours waked, daductlonsmade and actual wages paid Whonevartle Secretary of Labor has found under 29 CFR 5.5(aXI XIv) Thal ON wages of any taborer or machank Include the arneout of any costs feasonablyantctpated In providing barrette under a plan a limgrw described In section I(bx2)(B) of lie Davis. Boron Act. the canlmckr shot maintain records which show Thal the Commitment to provide such benefits 1, anlaceade, that the plan of pmgmm b /nandaly responsible, and that the pplan a program has boon ccmmuricaled h wdgng to Ito lobgms Of moohanks affected, and records which show Ito Onto aelklpatod or Ito actual cast Inarmd In providing such ben fits. Cafltmctors suall g apprenikos a Intones order Opproved Programs slat muinlau wrilon evidence of the regisbidim of aPpronlowhO program and cedtlumlk i of tmuee programs, lM regisbollon of the opprordlOs and lraineasI end Im miles and wage rates pmndhoo m the applicable Programs. b,(1) The cOftfWta stet submit meldy for each weak in which any contract work Is podowned a copy of ail payrolls to iM oontadthg agency. Thepoymiis whmtlad shot sot out accu olehy and completely al d the latormslbn mquiad lobo maintained hndof 29 CFR 5.5(,X3K§, except that hit a..W socudy numbans and home addles5% shall not be Included on moldy IrmsmtlaiS Ireland the pa shot only Dead to Include an trdiidualy identifying win tar each amplv/oo 1 e.g. , the last four digits of the empkrye0's social sacurty number). The required moldy payroll Information may be submitted In any form deskod. Oplional Farm YM-347 k avaiatte for tab PaPosefmm tho Wage and HourDfvlskn Web site al h11purAvw.doLgwbsa'wfd/fomm(wt3471mlr.hlm Of its s WNW1` sire. The prim conhectoris responaiolefoo the suboisskm of copies of payrolls by al nbcmUeclas. COdWdas and subrontradors shall Maintain Jim lug social security number and mount address of each wverod worker, and shall Provide them upon request to the codmctug agency fa imsmis m to the State DOT, the FHWA Or the Wage and Hoar Division of the Dopenmont of Labor for purposes of an fwadloolion w audit ofcompliance with provaling wage requtemonls, fI is not aviolation of this section for apdma Wnfulda to roquiro a suboodrodorID provide addresses and social escort lynumbers to If* ON contractor for is Own records, wglwd weekly submission to the rontmding agency,. (2) Each payiel submitted sham beacconpaalad by a 'St inaliall of Cemplenoe,' signed by the oarthador ar sulwonUnder a his a hot Board who pays or mpeMso , the payment of lie PersOrs employed under the contract and shall early the ro low ing- 0) Thet Ito payroll tar the puyrot pndod caffeine the Iriomalton realutmd to be provided under§5.5 (aX3)0i) of Rogu lagers, 29 Gf-R pat fx the apPmpdato Information Is being maintained older §5,5 (a)(3X1) of Regulations, 29 CFR pat S. and that such I1110rma0ol Is correct and canplafe; (4) Thai awh laborer a Mechanic gmluding each helps,, apprentice, and balmo) employed an the contract during the Payroll pedal ties been pall the full waaky wages named Mhoul rebate, either directly 0 r Indirectly. and that m deductions have been made either directly or Indirectly from the lulwoges earned, other than PamMssiHe deductlore as set forth in Regulations, 29 CFR pad 3; (ill) That each Liberator mectonk has how paid not tens than the applicable wage rates and flange bone is of malt eq"Wlonls fa the cinsslfkalkm Of war k pedonarad, As specified In the applicable wage determination incorporated into he contused, P-23 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) (3) The weekly submission Of a properly executed ow flcalIon se forth on the reverse side of Opt" Fomn WF1-347 shell aatsfq the M 101MAl nl fa advmlMean of he 'Stalwart of CanPlhnad' mq*ed W paragraph 3.b,(Z) of this section. (4) Tha falsifirallon of any Of the above ceraficatbna may Maloof the caaractor W subcontaclor to civil or akninal Pmaecullon under section 1001 of title 13 a nM section 231 of Uga 31 of he United Stales Code. c. The Canlractor At subrontraclor shag make the mcords required under paragraph 3.a. ofthis section available for Inspection, copying, ornanscdplten by authorized represenoWn of he contracting agency, the Slate DOT, the FfiWA, orthe Department of labor, and shelf pe"It such ropre6anlaflvos to inhrview enpicyeaa during working tours on the A If the conkaaar or suboommo or falls 10 submit the rWfed records At IS make than avallab4o, he FHWAmay, after wrhien notice o the Contractor, the Contracting agency or he State DOT, fake such Action as may bo moo,mry to COW the susponslon of ary father paymen( advance, a guamnlaoof funds, Furthomnae, faihze to submit ha mqukod records upon mmussl or to make such mounds avallable may bogtowds for demmnonlaclon purauanllo 29 CFR &M 4. Apprentices and trainees 9, Apprentices (programs of the USDOL), Apprentices will be permitted to work at loss than the predelemnlned role for the wak hey performed when thereto employed Purauanl to and Individually registered In a bore fide apprenticeship program mgtslered with he U.S. Department of Labor. Employment and TfalnAg Admhlskationn, Office of APpnxdooelip Training, Employer And Lobo( Savicee, orwhh a Stile Apprenticeship Agencyrecognized bythe Of m. or IIa Person 1s employed in his a hot hsR 90 days of pmballonary, empbymerJ as an appianka In such an apprentOothip plagranl, who lo rout Individually rapstorod In the pml471mm, but wan tto has becettRO4 by the Office otAppolawnhlp Training, Employer and Labor UNION Ora State Appron0toohli7 Atilancy (whore appmprlale) to be efigtble for pmbegamarl amg oymonl risen oppralike. The agavable rate of apprentices tojourreymenon the bin site In any Craft coeslgcalon shag not be greater than the ratio permitted to the contractar as to he entire work tome under the regislsmd program Any workerIisod on a payrol st an aPprengcowage mlA wdo le rmtreglstored orotherwise employed as stated above, shah ire pad not loss than the apPhcadewafe, role on the wage deleanlnalon for the chasVoatkm of work Actually performed, In addition, any aPprenke pe10FAIN vrork on the Job site in excess of he rolo pemlled under the reglslored program shelf be paid rout Ass hen he OPOICAbo wage rote on the moo determination for the work actually pefoald. Wham a contractor Is paerteonhg Construction on a Project h a W011ly other gran llel In which its program is registered, the maoa and wage rates (eMmesed h parcerlages d he Journeymen's hourly rate) speclged In the oontracta's a subcontractors mglstwed Program shell be obsarva) Every Apprentice must be pald a1 not toes than the rate specified In the Mf isloted program fa the alprantke's lovel of progress, exprassed as a percemago dlhapomeymen he" rate spaded In the Applicable vasge deloaninatbn. Apprentice a hag be pad fringe benoins in OCCOrdanco with he provisions of the Apprenticeship program If the oppam5cashpr program does no specify fdnge aweigh, apprenticoa must be gold the full amount of lingo bonaPos listed on the vmgo dataonhalbn for he appUaable clasef 0flOn. It the AdMiAll Slata deermgres that a different VOODOO Prwalis for the adpllwblo apprentice CIA ssglospon, fringes shall be paid in a000rdance vmh that determhatbn. In are event the office Of Apprenticashp Training, Employer and labor Services, or a State Appronlloeship Agency mougntzod by ho CIRCA. VAltdrows approval of an eppMAlic ship ProgroM the contractor Coll w IAnger ba permilled IO ulgke Oppronloes at lass the Atha applicable Predetermined rah for he work pedonned until an acceplablo program te epprwed. b. Trainees (programs of he USDOL). Excoptas Pmvkod in 29 CFR 5,10, bereas will not be Permitted In Coral Of We than the predetermined rats fa the wak Perfcrmod alms they are employed purauanl to end Individually registered in a program which has received prior approval, Widanced by foand cedhkeRbn by 90 U.S. 00Pertnentof labor, Employment aid Tmkdng Administration. The ratio orbWnnes to joumoymsn on the job sin shill not be greater than pennhted under Iho plan approved by the Employment and Training Admiraratio n Every lobes muss be paid at nol less than the rah opmi lad h the approved program la [he kelnae's lovel of progress, expresead as a Pemonlage of thelournoyman handy rate spooned In the applicable wage delmminatbn. Trainees shill be paid Hnge bortain InaccoMence Mh the provisions of the Imhee Pogmm, h lie Wage program does net mention fringe Wage, trainees $Intl be pal) the hit amount of hinge, bwems llstedw thowago debmndnalon unless the Administrator of he Wage and Hour Division delonnhe. that them Is an appren looshp praglmm aeeochlad vMh the calusponding )oumeymon vonggatl rate m lM w�go doomtinalbn which pnovooa brlese Ihen fug tape benefih Far ePpmntoeL Any employee listed on the payrol at a trairee role who Is Am registered and penlcipahrg In a tmhng pan approved by he Employment and TtaiNng Administration shag be Palo not loss [hen the sppgcabla wage rela on hewege deennknahen (Arline dowlbcation of work Actually pwkmmed. in addition, any hahee pedomnlrg work an Iho Job Alain excess of tie rate permitted miler the roglstored program shag be paid nol less Than the applcable wage rate on lhA wage determination for the work actually performed, In the event the Employment and Training Administration whMraws approval Of a balling program, the wean ctt,wh no "or be Permitted to uthbe tm'nOOs At lose than the applloabla predetermined role fa the work perfomned until an awepobh program Is approved. c, EgPal employmenf oppormly. The utlizelon of Apprentices, trainers and Journeymen under hit part shelf be In cwlw my with the equal employment oppahngy mqulrerrents Of Executive Order 11246, As amended, and 29 CFR pad 30. P-24 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) d. Appronime and Trdtaos (programs of the U.S. DDT). Apprenibos and halloos wading under apprenticeship and still training progmms which time bean coil/eat by he Secretary of Transportation as promoting EEO Ill conroclbn with FSOereI•aid highway construction pmgMms ale not subject to the requirements of pa igMph 4 of this Station N. The straight Ono houdy wage rates for opplodion and taboos under such programs we be estate shed by the pOdbdur programs. The dab Of apprentices and Imitate to laurroyman shag nor be greabr Mrs pomuflod by the tonns of the pnnbubr poem., S. Candliffln with Copeland Act requlremartts. The wrNraCtOrShall campy with the rORSIVO ants of 29 CFR pan 3, which ale incorporated by MleMncn to this whatt & Subcontracts. Tie contractor a wbcadracta shellowrt Form FHWA-1273 in any subcontracts and also require the subcontMdomtoaciude Fam FHWA•127damyow pier suboodrads. The print "Mini or shag be responsible for W carnpinnco by any wboodradora lower tior saboa lemur withal howntrecl dames In 29CFR 55. 7. ContrwetomnlnaUon: rlebormant. Abreacbollhe Conrad Chinese In 29 CFR S5 May be grounds for Inifindion of he Contract, and fa dobarmml as a wirmor and a suNcmtrador as graded In 29 CFR 6,12, b. Complanhw with DOVIS43own and Related Aar roquiramsda Al ratings and iftegn1agonsol Ne Davis. Racoon and Related Acts cmlalned in 29 CFR parts i, 3, and 5 tra haoa Incorporated by reforonw in ha contact B. Dlspulas wnwrmng labs elandarft Disputes along out of the label Standards pro leare of fits wind shag not bid sutlacI b the general dspLA" couso d IhiscoMtWL Such disputes Shag be testified in OWDIABOW with ha procedures of the DepMtrnord Of Lobo( Sol forth In 29 CFR pads 5, S, and 7. Disputes within the meaning of his clause adude disputes between IN Watalclor(a any Of is wbcmtmdons) and the wntmdag agonay, he V.S. Department of Labor, athe employees or hek representatives W. Corldinflon of eligibility. a By tattling Into file contract, She canlMclorcerhin that takher It (nor he a she) nor any pawn or film who has an 1111111101 In to anhectors firmis aperson oramhoNgibte to be own dW GOwoMMOO( conlr4ds by Mile of station 3(a) of the Davis -Sawn Act or 29 CFR 5.12(a)11). b. Napoli of this contract steal be Subcontracted to my person "Ran boiglble for award of a Doverrrnantwnlred by virtue Of section 3(a)Of he0ave-Rown Act or 29 CFR 6.12(a)(1). C. The ponplty for moong fdw statemm6 Is prosaNed in the US. Cdnaal Code, 18 U.S.C. 1001. V. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT The lOaawlng douses apply to any Fodoralad Carlini conlMd In an emoud In excess of $10D,000 and subjecio the ovartalo provisions of the Conrad Work tours and Safety Staadadds Act Theseda uses shag be inserted in addition to Ue deuces reWired by 29 CFR 6.5(a) m29 CF R 4.& As used In this paragraph, he Ions aaarors and mechanics Y:dudt watchmen and guards. 1.OvoHlme roqulremoMs. NncaliMdor orerbcondmclor controcbg totally pan of he comma wvM which may mqui o a avoNe the empleymad of laborers or nlrchanin,hsll rsqukoorponk anysmhlabuwwmechaiic a ery Wo*mok:n which he or she ls Of"yod on add walk to wok in excess of lady hours In such workweok unless such laborw of meManic receives oonpenealim al a role not ass than me aid ona hag taps the bask rate of pay for all boas waked In excess Of faly hours In such workwook. 2. VRoialan; liability far unpaid wages; liquidated damages. In Its avant of airy vktanion ollhe clause Sot fault In paragraph (1.) of INS wdon, he awdractorand any Subwdrndor responsible therabr shag be Noble fa the taped wages, in addim, add oonhoda and wboontmdm steal be liable to Ile 1Jead States fin tiro not of walk dono under contract for the District d Columba or a forrttory, to Such Dbtrkt or 10Such to dory), for Rquide ad damages, Such Ngddatod da ragos mog be computed with aspect to each Individual biota or mechanic, acludag walchnan and gundds, omdoyad In volabbn oftilt dalso sot forth In Prime milk (t.) of this sOdbn. in the sure of 510 for each cabndur day our which Sch Irdividum was "Ired or pemdled to walk in excess of the standard workwoek Offaly, hods wihout paimaA) Of W oveNne wages Mgdrea by the use Sot In paragraph (1,1 of this sodbn. 3. WitMoldtrg for unpaid wages and lglddatod dadmgas. The FHWA a the wntadIng agency shill yam lls wri edbn or upon wdon request of an authorized reprocenmMo of the Dopadmonl of Labor withhold or cause to be wlhhoo.loan nary MongS payable anscohnl of work performed by Iho Waited"" Subcontractor under any wchcmlract or my other Federal contract with the same Films contractor, a any Other loderallpasstsbd contract subject to the Cortracl Wank Hogs slid Safety Standards Ad, which Is bold by the Sumo pdue contractor, such Sums as may be dolmmbod to be nocessnry to satisfy any knbNgos of Such whrocioror subcontractor for unpaid wages and liquidated coinages as provded In hid douse sot buff In paragraph (2,) of this sectoo 4.Subcontracts. Tina cpaaMor or wbcodrador sholInwrl In anySubwnlmctshecouses Sul fah In ponagraph (1.) through (4.) of this section and also a dense, requking the subOOMMCIM oindude these causes In any lower gal subcontracts. The prune cmlraetorshall be responsible for ocmplance by any subcodrac or orbwor for eubwnhader With Inadaases set forth In paragraphs (1.) gaough (4.) of [his Section P-25 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) VI. SUBLETTING OR ASSIGNING THE CONTRACT This provision Is eppgmbte to al Federal -ad construction contracts on the National Highway System. 1. The contractor shag pedonn wgh its owes organitwoon contract wwfk amounting b Out loss than 30 percent (o( a groats Pacedago 4specified otsewhore In the centred) of the total orighnal0ahlrsd price. OKoludng any spec laity items designalodbythrcontmc6ngagacoy. Spedotyaomsmaybe performod by subcontract and the amount of any such epoclaty items purloined maybe deducted from the told ariglnalo0niroclpdm bOfOM conpuUrog Iho omountolvwrk required b bo peHonned by tie ewiractora avn wgadmtbn (23 CFR 635.116). a. The lofm'pabrm walk with Is wen orgealmdon' refers to rwrkam employed or loused by ho pime contractor, and eguipmonl owned or rented by the pkno contractor. with a wltouloperators. Such lamdoosnotirciudo employeisor equipment of a subconimcbr or lower Her subeontmdor, agmis d to pkna codrador, orery olhofamigmm. The iOrm =Y indudO payments fa lhomis d hlrN ioasod employees Irons On empbyoo lendrg tkm meding ea retovml Federal end Slate reabryrequirements. Lassed employees may oriygdhicluded In this lamil the prima wnlmclor mods all of lho rogovng condition, (1) it* prime contractor maintains cordial over the supervision of the day -today actkibes of the leased anployoos; (2) The prime cootmclorremalrc rosponzidofcr [he quality of fha work oftho loostud empbyaes: (3) the piano contractor retains ad paver to accept or GxCIWe Indlvkivaf employees ham work on the project; and (4) the primp codraclorremains uatmutely rosponsltle for the payment of predelonhied minimum wages, the suanlssbn ofpayr0as, sntOmmis of compltsnco ad all other federal regulatory requirements. b.'Spodaky kerns' shag be construed to be limited to work that requires highly spec wilzrd Imowedge, edlides, or Ocupman n otordnargy avegable in the typed contracting organ '¢atlons qudAtod and impeded to bid or propose on the contract as a ornate and In general am to be I•maodto minor comporema d the overall contract 2. The cararactemouel upon which if* requtemane, sot forth In paragraph (1) of Section VI is computed includes ghe cost of MOIOdal and manufactured Products which state be Purchased or produced by the contmdorunderthe contract provisions. 3 The contactor shot furnish (0) a computers superintendent orsupaWsorwho Is employed by me firm has full autlnray to died performance ofthe work in accordance win the contract raqukements, and is In charge of dl construction operations (regardless of who performs Ile work) Ord (b) such other of Its own 01981112060fill mooumm (Supmwebn, management. and ongbeohg SOMMS) as lte contracting off Cadatmminos is necessary to assure the performance of thecuftrad. 4. No patbnol the oontmcl shag be sublet, asslgnod a ahorwieo disposed of exopl wvah an Wigan cased of the contracting olliicef, orauhodzed ropmsental". and sad, consort When givw Shall not to Construed to rOYuve the contractor of any respousbday for the fdfitment of the contract Written mnsant wet be g ven ONy sitar lte contracting agency has assured that ouch subcontract s evhdercad In wiring and that a contains all painont pnWsions and requirommis of me prime contract 5. The 30% self•podormonce requirement of paragraph (1) is rot appkablo todesign•butd contracts; howwvor, contending agencies may ostabhsh thatr own sot-POrbrmenco regdremords. VI. SAFETY: ACCIDENT PREVENTION T his p r o v i s i o n is epPicatla la all Federal -aid cdnslfuclbn canlmds and to al related subwnlmcW. 1. In the performance it thiscmtrecttrrecahactasheil comply with all applicable Federal. Stdo, and khcd laws governing sefaty, heallh, and sandatim (23 CFR635). The conhoctW shag prfvde erg safeguards, safatydevkes and protoclNe aquyfmor i and lake anyother noodod ectiensas a delarminas. or m tho "ttachngofgcer may delem ire. 1060 re wflhdy neoessery to protect the Ise and resign of employees on gte Job and to safety OI the public and to Panted property In confection with the palormonw of he work covered by ha contract 2. it is a conddimn of this comma, and she# be made a condi00n of each subcanlmd, which the corsrncbr odors Into PulOWnl to this Oantnad, ghat the cartmdW and on7 subcanlmctor stet net peril any employee, in performance Of the contract to work in surroundings or under esndtbns which we unwritary, hozrsdous ordangumus to hsNe, health or safety, as determined undercamumctansafety and health standards (29 CFR 1926) promulgated by flee Sacretay or Labor, in accordancowfih Section 107 of Iho Cenbacl Wad, (bursand Safely Standards Ad (40 V.S.C. 3704). 3. Pursuant to 29 CFR 1026.3. 11 Is a condition of this cardiac that the Secrolary of Labor or adho izod repesanauvo IhOM01. shag have right of entry to any sae Of contract Performance to inspect W IWait tgate the matter of oompYance with the cornbuetnn safely and huff m slandeds and to arty, Out Ye dubs of the Sea dory coder Suellen 107 of Its Contmci Work Hours and Safety Standards Acl(40 U.S.43.3704). VII. FALSE STATEMENTS CONCERNING HIGHWAY PROJECTS This p r o v I s i o n is appYcabe to all Fedem4ad construction contracts and to all related subcontracts. In orderto assure high quality and doable construction in conformllywith approved plans and spedfbofims and ahigh degree of reYadlity w stabmods and raprasenlal" made by engneors, contractors, suppllars, and workers an Federal. aid highway pro(ods, It Is essential that all parsons ooncomod With the projocipodorol their functions us caofuity hor uglily, and honestly as possbb. Wilful labilicalbn, distortion, of misrepresentation with respect b any facts related lathe Project is a violation of Federal low, To provad any misunderstanding regadng thesorfoeararm dtheseand similar acts, Form FHWA• f022 shag be posted on each Fedsrabad highway paect (23 CFR 635) in One ormom Places whom 4 is wedgy available to ON persons concarad with the project: 18 U.S.C. 1020 rends as foYOws: P-26 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) `Whoomr, being an oflcw, agent, a employes d the United States, w of any Slate wTask", of whoever, whether a Perim, association, tmh, wcwpwation, know47gly makes any iske atakmed, false rapresmlalbn, Of false Milan as b the character, qubly, quao"ly, or will of the material used a to be used, or the quadlty w quaglya Ithework performed of to be performed, Or the cost thereof in connection with the aWmisabn of plans, maps, sPeckkations, contacts, or calls of construction on any highway or mleled Project Submitted fa approval to Iva Secretary of Transportation; or Whoever knmkVIy makes any false statement, fake aPmsentatim, false (matt w (at" claim with respect to the character, quality, gwmny, w cos of sty work performed a to be Pedwmed, w materials furni8hed or to be furnished, in cmirection with the construction of airy highway wreland Project approved by the Secretary of Transportation; a Molavw knowingly makes any fake stabmenl a fake representation as to material fad In any statement, cakficate, Of reps! submalad Pursued to Provisions of the FedaaWid Roads fit approved July 1, 1915, (39 Slat. 355). ea amended and supplemented; Shall be good uMet this "tie aritprkoned notmove ban 5 years a both." IX. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL. WATER POLLUTION CONTROL ACT This Provision is applicable to as Fedomlakl owlslmdlm contracts and ball misted subconumbi, By submission of the bldiproposal ot he execution of this dwdmd, w subcontract, as appropriate, the bidder. proposer, Fededkam construction contractor, or subcodraclw, as appropriate, will be deamod to have stipulated as follows: 1, That sly Person w110 k w will be utilized In the Periwmarwe of Inds contract is net prototided front receNrg an award due to 8 violation of Section 505 of the Clean Wrier Act a Section 306 of he Clean Air Ad. 2. That he cmlragw agrees in Whirls w cause to W Imkidad the requirements of paragraph (1) of this Section X In Ovary s Wcontmd, and furhw agrees b Who such action as IN MOOR c"ng agency trey diced as a means of onfadng Wi:hrequramems. X. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION This provision is applicable to ell Federalaid construction contmdsAftgn-fund contacts, subcontracts, ImW41W subcontracts, purchase "tiara, lease agreements, consultant contacts or any other covered ranaacfion requiring FHWA approval or that Is estimated to cost $25,000 at mom — as definer! In 2CFR Paris 180 and 1200, I. Instructions Iw tariff ballon - First Tier Participants: a By signing and submd"ng this proposal, tiu proapeclve fad llarpan"dPart k ptovidlog the codification set out below. b. The hillbilly of a person In, provide the catlYkal on set od below will not necessarily fesub In denial of Participation In this coveed transaction, The prospective Yrsl "a participant shay submit am oxplanatbn ofwhy n cannot proviso the certification set out bebw. The 00011on Of exptanaYon will be cwtsidemd in connection wah the depadmml wagencys determination whether to enter into the trensadbn. However, failure Of the prospective first tier participant b famish a ceitificallort wan MPIMaliD n Shell C1e41,19liy a Udl a person from Podbpetion in this transaction, c. The certkicdbn In this clause is a material rnp WOfiratlon of foci upon Much reliance was placed when Ito contracting agencydeteanbed to enlerblo Ma transaction, n it is tenor datermbad that her Prospedkie Panigpanl knowingly rendered eA anolwous conkketion, in addition b other mmadios available to the Federal Goverment, Iva contracting agency may terminate the Imnsectm for MOW of default d. The prospective first Iles padicpan shag provide immediate vwktan notice to the contracting agency to whom this Proposal Is submitted if any time the prospective fist get participant ]same that As "IWCNIDA was erroneous when submitted Or fee become sraboua by mason of changed circumstances. e. The Imre'coiemd transaction' debarred;' `suspended,"inatgmlo,"`particpan,"person` 'pdncipd: anti "vokanlaYy excluded,' as used in this clause, am dotted in 2 CFR Pala 180 and 1200, "Fib Tier Covered Tenn imallo tw'ralars to any covered transaction between a grant" a subgantee d Federal funds and a Participant (sucb as the Palms of p rural contract). 'Lowy That Covered Tmnsaidbre'parole to any opvemd"Mad al under a First Tlar Covered TIMISK(lm Ouch as eubpmntrade), 'Flral Tian PatbpanP talent to the Panidtxant who has entered Into a coronet transaction Wei a grantee w subgmnbe Of Federal funds Oudn as tlu Palm apensral cant air", -Lays Tier Psdn*aarr 10111111111 any padbparA who has antlered Vold a tiered transaction W1) a First Tier Poabpanl of other Lower Th r Participants (such as subcontractors and suppiem). f. The prospective brat ON palicipad agrees by submatng this Proposal that. should the proposed covered ransaction be entered Into, k shall not knowingly enter Into any lower liar covemtl tmnsadbn with a Racoon Win is debarred, suspended, declared ineligible, or voluntarily excluded kin parlicipatbn In this covered Irareac"an, cokes eultortEm by the department oragency emoring into this lrenssctim 9. mes sWiWkhg this proposal 111N II 41 fir Ludo thgspoolivit first titur participant h drly aw9lkd "CerUFcation Regarding Ooli mlod, Suspension, Ineligibility and Voluntary Fxdrekvrlower Tier Covered Transactions,' Provided by the department or contacting agency, entering into this covered transaction, without modification, In all lows, Her covered transoMms and it all s oicitatlwe fa lower mar favored tramiWOOM exoaeding the S25,000 threshold. h. A participant in a covered transaction may rely upon a certification of a Prospective particpant in a lows, tier Covered transaction that Is not debated, suspended, ineligible, a volunlatty excluded from the owered transaction unless it Nnaws Thal thecmkicalon is eroneous. Apelticipantk mepmsible for ereaag fell its PdndPak NO not suspended, debated, or otherwise InafgkNs to Participate in covered trareacYons, To verify Ibe elg"ty of ns prk*als, m wd as he e1g,Yility of artylowartier PfmPrrc"ve paricpanta, each PmkiPOMmay, but is nol required to check ton Excluded Panes list System wabake MIDMI Avww colation. wfiicn k nnmpfled ty the General Services AdmInktration. P-27 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) i. Nolhkmg contained In the foregoing shall be cAmq ed to aquae the edablstmenl of a system of records in order to render In good Falh the cedifxalion r nuked by this douse The knowledge end idormution of the prospedive, participant is not requked b exceed that which is norm ely possessed by e pmdenl person In Ills ordinary coWee Of busineeS deaWgs f Except Ion hanSaellane auludzed under paragraph (I) of these instructions, if apmlcparll In a covered transaction knowingly enters into a lower tier covered Irenseciton with a Person who Is suspended, debarred, Ineligible, or vdudeff y excluded from participation In Ira transaction. in addition to other remedies WOH0016 10 he Federal Dovemmerd, the department or agency very terminate this trmeaclim for cause a default. 2, Certification Regarding Debarment, Susparrslon, IosllglbBity and Voluntary Es cluston —First Tier participants: a, The prospective first tier padicipml certifies b he heal of is knowledge and belief. that it and is principals: (1) Am mil presently debarred, suspended, proposed for debarment, declared ineligible, orvoanlarsy, excluded (mm part0poting In corered lansatlons by any Federal depadmem OF agency: (2) Have not wihin a Ihrse-yea Period Preceding Ibis proposal been convicted of or had a civa edgment rendered el l them forconln iaslon of Baud or a criminal offense in connechon vxlh oblairing, attempting to obtain, or performing a Pubic (Fademi. Slate or local) Uarsacdon or conlred under a pubic Irensadlon; violation of Federal or Slate aMartial sleldes a commission olembw.amenl, ", forgery. bribery, falolicalbn adesaudion of records, making false Vaaments, orrecelving stdon property, (g Am not presently indicted bra chemise aims navy OF oMlIv changed by o governmental Artily (Federal, Slate or WA) with commission of ally of the Offenses emmeraed in pamgmph (s)(2) of this certtficeton and (a) Have nor within a Ihreayear period preceding this applcalbNproposal had we a more Public Baneddions (Federal, Stale or local) terminated for cause a deadt. o Whore the prospedNep r dpenl b u cable to snit' to awl Or Via statements in this canif"llon, suchprospective panapari ahallauach an explanation to this proposal. 2. Instruction s fa Certifleabon • Lower Tier Particlpanls (APpicOde to all a,tconlrads, purchase Orders and other over tier Ifanseclors requiring Aria FHWA approval Or eslimaled to cost S25,000 wmora • 2 CFR Parts 180 and 1200) a By agriug awl wbmt ing the proposal. the prospective lower liar is providing the catficabon sal our below. IF The cenitcalion in this cause is a natenaf Fepresentelan Affect upon wNch reliance was paced when this bansedlon was allerad 1010. l it is later determined that the prospective I w f tier participant knowingly rendered an ernow u, carlficalm, IF eddsion to other remat iesavetaae to the Federal Gevemmert, he depaMwrt, a agency wish which this BaaacUm originated may pursue available remedies including suspension aMla debarment, c. The prospecive lower Ow Pencil shag praide immediate written notice to the parson to which his proposal Is submitted If at any Ma the prospective lower liar participant lenrne trot its cedlkdim was erroneous try reasonol changed ehatmalances. d. The was 'CWflAd lansactipm; 'debarmd,' 'suspended" nelgble,'participant: person,''princial,- and'voluntersy exdudad; as used in this disuse, we dented in 2 CFR Pads 180 and 1200. You may amlact the person to which Ibis proposal is submitted or assistance in obahkmg a copy 011howmgualns. Fist Titer COVKWTraneacoom, ,stare to my covered transaction belween a grenlee a subgmnlee of Federal funds aid a participant (such as the Prill Water cordarA, 'Lower Tlar Covered Twitedsil liters to any covered Ironaa:bon under a Fill Tier Covered Transaction pu ch As subrwrtlads). -Fhl Tier PaWdpaN' refers to the partidparl who hall 9rtened Into a covered trmsacltun with agadee a subgranas of Federal funds (such as the prime agenemi convador). taus, Tier Pulgdpent' offs any pergdpant who has enured Into e covered transaction with a First Tier par Imprint or dher Lower Tier Participants (such a subrontlactors and suppters) e. The Rmspoofwe lower Ilex parlicipar nl agrees by aubmging this proposer that, should the paused cover ad transaction he enlsred Into if short not knowingly anfor Into awl lower lief covered Ireraactlon with a person who Is debarred, suspended, declared Ineligible, a volmlanty oxdaled from palicipalbn in Inds covered transaction. unless authorized by the department Of agency with will Ibis trmsactionorginded. I. The prospedi" laver tier panicipanl IWllar agrees by submilling this proposal that it will Include Ibis clause liked 'Celaeelm Regarding Debarment. Suspension, lnelgibli ly and Vobmary Exclusion -Lower Tier Covered Transaction. - without modification, in ON lower tiorcovared Ianspdtons and In at sdidlehms for lower liar covered transactions exceeding the $25,00011reshdd g. A pedidpanl in a covered Imnanclion may my, upon a ceificalon At. pospOctve POdbpenl In O lower liercwaed transaction theirs not debarred, suspended Ineligible, or voluntarily excluded from the covered trarseedon unless II knows that the certification is erroneous, A padicipart is responsible f rransuring gat Its pnndpas aro not suspended, dabaaed, a olhervase Invertible to panicipale in covered trarlsadfana. To verify the elgbgy of ills pnndpals, as was as 11100/91 ihy or any lower tier prospective participants, each Participant may, but is nor required to, check the Exduded Parties List System webahe ((gig Is v ), which Is compiled by the General Services 4dmim5hrebon. In. Nothing conleinedin he foregoing shall be construed to recluse asabtetrea of asystem of raeatb In order tormder in goad faith the cedsicalon required by his clause. The knowledge andirlonnalion of podfcipunt Is not mq,Ued to exceed that which is normally, possessed by a pmoenl parson in he Ordinary course of business dealings. I, Except for transactions W horued under paragraph a of these ins0uclone, if a participant in a covered gansedion knowingly eners Inlos lower liar covered transeclion wih a Person who is stwimdad, debarred. ineir lHe, Or voanlar ty excluded from Pen"lon in Ws transaction, In addition to other remades available to the Federal Government, the P-28 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) department or agency writ Wddl this IM116=101 originated may PMUO avo/oblo rowdies. Including suspension and/or Cebament. Cxafimlim Rog Fund Ing Debarment, Sir Wmaim, Insllglbll Ry and Voluntary EMS usim.{oww Ti W ParllcheMs: 1. The plospoclNe laver Out participant Writing, by subMssbn of this proposal, that Wflba I nor its pdnclpnls Is prosonlly dobamad, suspended, propertied for dobam W 1, declared InotiObIc Or vohNadly excluded tram parttlps ind in covered transactions by tiny Federal dopaMunl a ogamy. 2. Where lllo cgvo Iowa( ga pa ant is unobk to catty In arty d her slnlum W Is In this W dliWdm Wch p(ospeCUP0 participant dial allach an explanation to INS proposal. XL CERTIFICATION REGARDING USE OF CONTRACT FUNDS FORLOBBy1NO This provision is breakable to all Fidli construction contracts and to nl rented w it animas which exceed 3100,000 (49 CFR 20), t. The PIOapemlye perldirmt coddles, by all and submfiling Orts bid IN proposal, In tha bast of Ns or her hnu%fadga nod bola, that a. No Fadmit approprnlm fulls have bean paid awll be Paid, by Or an bphWfof the undoolaned. to ary parson to hmrenclng OF atlanpting Ioinfluonce an officer of mopbyV a of arty Fodarl o0omy, aMomba of Congress. an officer or mrphyco of Cmgross, or an employee of a Nnmbor of Congress in connection wan 0o avodbg of my Federal contract, the me" army FoderaigrM, memeidng of any Federal Icon, the ontorhg Into of my cooperative agroanon,. and ma extension, continuation renwi amananmt a modax:ation of any Fodoral contract, grant, loan u( ccopemtivo agmomoH. IF I any fmns oma hao Federal eppmpriatedfunds hme bran pant a wi' be paid to anypersm fa laluermd� a attompbnq to hguunco an officer a ompkyoo oiary Fodoml FAUsray, a Mother of Cangross, on officer aarnpbym of Congress, or an employs of a Weber of Cmgmss in mnnocifon With mls Federal contact, grant, am, a ceopemOve agroommt. the andaraignod slnl complete an stbma Stallard Form LLL, "Dbaosm, Femm to Repro LobbybV, In naordarcn with Its lnstrocgWs. T. Thb codlkulkn ls a molalol mM"Illoilm olfaciupon watch ralance was &Cod w/rW Oils Imnsaclim was made a ordmidinto. SubnisslonotmiscodBkalbnhopromgdsgo t"Fer"q a entering trio this transaction hmposod by 31 U.S, C. 135Z Any prim 40 fails In file lie requi id Wdlkalon Final be subject toFir d4 pmWty Inot Yale Iron $10.000 and not rtore than SiMpoo fo each such failure. 3. The pmMmctlw padkpml also agrees by aubmsting ga Ud of PMPMI that the ponklpant sing Fact like that the IMIOM o of this certification be Ionhdod In all bwor Ua subcoatracls, which oxwed $100,000 am that all such (aclphrts shnl Godly and disclose accordhtjy. P-29 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) ATTACHMENT A- EMPLOYMENT AND MATERIALS 6Tecorbetershallooludale provislesol Sectors PREFERENCE FOR APPALACHIAN DEVELOPMENT through 4 of this Attachment A it every subaorhacl for work HIGHWAY SYSTEM OR APPALACHIAN LOCAL ACCESS which is, or mosonably may be, donnas on -silo work. ROAD CONTRACTS This provision Is OPptloable Io at Foduml-aid projects funded moor the Appalachian Regional Oevolepmont Act of j%S, 1. Oaring the performance of (his contract, Ito mnlmCter u dertaking to do work which Is, orreesatabry maybe, done as onto work, shoo give preference to quolFod persons who regularly reside h the labor area as das)gehrd by he Col. whemin the contract weak is sdualod, or the submglm, atho Appalachian m motion of We State waaah file contract work lo situated, except: a. To the uHenl that qualand porsom ragcany melding in the arse am M available, b. Fa the reasonado mods of the contractor to anpby stporvieory orspocopy oxpodoncnd personnel necessary to assure an efficient execution of the contract work. c. For Irk ob6galon of the renlmclm la atof amploymem to Present Or khmor employees as he resut of a lawful collective baganng contract. provided that the number of ronresklert Persons employed under M subparagraph (1c) sh it act WOOOd 20 Pori of the total number ofompbyeas smployod by the contractor on thocotlmct work, except m provided in subpersgmph (4) below 2. The contractor shot place ajob ortler war, W Smie Employment SerAceindicaling (a) the classifications; of the laborers. mochanics and other omplayeesroqukod to perform the contact work, (b) We numbaof omPloyoosregorod in each cassftcallon, (c) the date on whlcb the pancpant eslinales such empoyaos hwllbe required, and (d) any other prlimnl intonmotionmquired by [he Slate Employment Sonko to oomPhlo the )orb order form. The job order may W placed with The Slate Employment SONice h writing a M lelophone. If during to course Or to contract work, he Information submitted by Ifs ccrimcla is tha aigilml job Omer Is substantially modelled, thepmtiipam shoo pmmpgyaooty. the Stale Employment Service, 3. The contractor shoo give full consideration to at qualified pb OPPSGOme reformd to him by the Stale En, ploynml SpVics. The contmcorisnolraquiad to grmtemployenenl la shy (orb OPPgrenlswho, inks OPinfm era rot quoTod to perform the dessifoation of work required, 4. If, within One weak foamvirtg he pacing of a too order icy the contractor wMt the Slate Employment Soako, Iho Star to Employment Service, is unable to rota( any qualified job applicants to Theo arlraclor, orlass Then me number requested, the Sole Employment SPrVIre wit fomard a redirects to thecmheetorindicaDg he umvaiublaty of tppYcants. Such edificate shoo be made a port of the momctufspemtanoN Po)oct roman. Uponrocegl oflns Cent grab), Iho conlmctormayemploypersate whodo el normahy 106410 In Iho oboe nrm to flit Postons mvomd blithe cea4fa110. notwithstanding he Prov(slonsd subparagraph (1c) above. Sr The provisbnsc 23 CFR833.267(e)aim he contracting agency to provide a motract air prefomnce fa the use Of mherol resource materials native to lire Appolechim reglaa. P-30 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The bidder Elecnor Belco Electric, Inc. proposed subcontractor hereby certifies that he has X , has not _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signed Title Firm Elecnor Belco Date P-31 of P-52 CITY Or SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EQUW- EMPI OYMF�f OgPORT I'IY CERTIFICATION The bidder proposed subcontractor `Five - --r,�C w3 hereby certifies that he has � has not participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a. Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements, Note; The above certification is required by the .Equal Employment Opportunity Regulations of the Secretary of Labor (4]. CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CPR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S, Department of Labor. Signed Title Finn ph1�/t 115tinCN ��C,I ( At j`•..— -- Date /I ho �i P-31 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL, PROJECT NO: HSIPL 5063 (l 89) "QUAD EMFLQYMEfy"l' OPPORTUNITY CERTIFICATION The bidder proposed subcontractor Superior Pavement Markings Inc hereby certifies that he has �/, has not _, participated in a previous contract or subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60-1.7(b) (1)), and must be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60-1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO-1) is the only report required by the Executive Orders or their implementing regulations. Proposed prime contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60-1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. Signed / Title Darren Veltz, C.F.O. Firm Superior Pavement Markings Inc. Date 11/15/2021 P-31 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the bidder hereby declares under penalty of perjury under the laws of the State of California that the bidder has _ , has not X been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The term "bidder" is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. Note: The bidder must place a check mark after "has" or "has not' in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed Title Vice Firm Eleenor Belco Electric, Inc. Date 111unro1 John P-32 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PUBLIC CONTRACT CODE SECTION 10232 STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board. Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. Bidders are cautioned that making a false certification may subject the certifier to criminal prosecution. Signed Title Firm Elecnor Belco Electric, Inc. Date 11/8/2021 P-33 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) TITLE 49, CODE OF FEDERAL REGULATION PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The bidder under penalty of perjury, certifies that except as noted below, he/she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space. Exceptions will not necessarily result in denial of award, but will be considered in determining bidder's responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. Signed X4 1 �- u1....- Title vice Firm Elecnor Belco Electric, Inc. Date 11/8/2021 P-34 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) NON -LOBBYING CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influence or attempting to influence an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriate funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub -recipients shall certify and disclose accordingly. Signed Title Vice Firm Elecnor Belco Electric, Inc. Date 11/8/2021 • Standard Form LLL may be obtained from Caltrans and FHWA offices. P-35 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) DISCLOSURE OF LOBBYING ACTIVITIES DISCLOSURE OF LOBBYING ACTIVITIES COmPlete this form to disclose bbbYlng activities pursuant to 31 U.S.C. 1362 APPmwdM Ria9mJb 1- Type o ederal Action 2. ns Staiof Federal Action:'V �• V S_ Report Type: ❑ a. ct � a. bidlef riappiftc h n a. initial filing b. grant b. Initial award b. material change e. coopera agreement c. Post -award For Material Change On tl_ ban year qu e. ban guard,•It dale rat last report f. loan insurance a. Name and Address of RRporfing Entity: S. N Reporting Entity in No. l is a Sub a rdee, Ender Name Elfiti ❑ a and Address of Prime: Tier ffknevm- C essioeal District, rlkfrown: Co ressional District, frown: 7. Federal Program N Descrption: 6. Federal DepartrnenURgenoY: CFDA Number. df lira te: e. Federal Action Number, ifknroon: 9_ Araao t. dknoan: S 10. a. Name and Address of Lobbying Entity b_ Indtvi Is Performing Services (Inrl(MAg address if (ifindividual, fast name, fast aamme. Mf)z dr!/e t r No. 10a) name, 's( name, AN): y laf"c4aurvuWnAff Pi• 11. Amount of Payment (crock all Mal apply): 13. Type of Payment ( ak dtat apply): S ❑ scrum ❑ PI— ❑ a tabwer ❑ 0. o11eJ1ala rra ❑ c. awmtlwon 12l=arm of Payment (check ak Mat apply): a cfen ❑ a. conMqud laa b. rnrinc aNcey: nature a. ueninad value r ovuv,- vaelfy: 14. Brief Description of Services Flmftnned or to be Performed and Date(%) of Service,. entludog empfoyee(s), or Members) laded, for Payment Indicated in Hem 11: amM Cprraaaalbn SlY a SFiLlt ynam 15. Continuation S s SF-LLLA attached: Yee rem..an�re maw ro.n ..mwxx 4ab al uac w, 1g. n!t flw Signature. ram.. eaw•a sErr Y � mmwY +germ w M '•e.a Pdnl Name: J If Wnnal onto . w �..`.d w..mr c ate unn K Vbn�mii IRUWmaw Gle��l.en,reMi4meaY,b Vice P e51 Cnl ... �Iram.l�eceawem.alrm.. run uoeemb Tete hone No., 909- -54i0 P Date: 1 U8/2021 Fade the Ody: ma�nnaatartara Rayroarpfun abEaLJ Farrra LLL REV, ]31 P-36 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) INSTRUCTIONS FOR COMPLETION OF SF-LL DISCLOSURE OF LOBBYING ACTIVITIES INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES ThI6 aacb61r21mn mall Ee CanptE9ea by pie Rpgtlngerdlly. 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CIRV[EMapprtprlatepp%[e6).gletll albOtE61n3t dp)Ny, a pa}m[nll6 rraW Uyplgta, IMlnaoonTUWm,6peLRf 11p nlLreanE vallla Doe h�1rq parrrlem. la. CIIeW me apprgpm4e bdge6). Ctcca at b m oaf apply. "Whey. &Peary raise. 14. Plusses bpeam aU0e611kaae6arPtl6n a Itte 6eM1lop6 aIW iM IWgwLm6permrmea,a W P be aPCCteaMpenpm, ala ale mla[6) a any &ervlOe6 ,@peso. Im" aF P W IAItCWY ' Rlil2a amNy. M IW ame 6pern In X ll w Win F2atR1 MW I6. 1 M a'2 FNlpfa pEkGyl6) p allpnyee(s)ccn a ame a"Degs), empeyee{6), a M.W,16) a Conge&6 tlut acre Wass_,, 15. Clrna r11mv amea SFi Oal!11 roam, sbeeg6) I&a0acnen. In. Ar oarlVaJ rMaa Wct sign a Uate ft ,A. pmtlll6dla mine.late. aw vepinnenutlA,, /1000Im1g W W PaPOANWkI EaublpnACL d631glaeq no Per6al6are "•Valeab rafpanb„a WlkcaM 0A IIIIGTtaamYnp66 IL al6pry6 a.wl ONO CWllp rlamer. The Ialla ONB atlllha nrllba mr arc „„rlyldtlon WleerW b OMB sap Doan-nDi6 wua repera^g a.aetl ar aYs Wlacm. a Iilbma„n k eaartlabab areragea0 m„Iles Pa re&Pa'I&a. YMUTng row Nr nMMlaJmarwU0�. am" esl6ntg mu w "r gwwn9 ono maII1LVm me mn „Il „owrptang alP I[eleWngale misfnitar Inmrimupf. sans wll„ICII6 rtyaylg me bald, a�lna[ea a,y ofllpf ayteamaa6 wleyaata dWag rmggemmc far mm" W, aWen. IPiM clue a Alanagenmltar BudgK Papa»vYRea0a1LT progea(aac"w), Wun„gat, be 20W. P-37 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS (DBE AND NON DBE) PART I PART I The bidder shall list all subcontractors (both DBE and non -DBE) in accordance with Section 2-1.054 of the Standard Specifications and per Title 49, Section 26.11 of the Code of Federal Regulations. This listing is required in addition to listing DBE Subcontractors elsewhere in the proposal. Photocopy this form for additional firms. Local Assistance Procedures Mamm[ Exhibit 12-0 Bidder's List of Subcontractors DBE and NON -DBE) Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 1 As of March 1, 2015 Contractors (and sub-conlmctom) wishing to bid on public works contracts shot[ be registered will, the State Division of fnduslrial Relations and certified to hid on Public Works contracts, Please register at: hhU5;//wmy.dir.ci ROy/Publit-Works/Contractor-Repistration html In accordance with Title 49, Section 26.11 of the Cade of Federal Regulations, and Section 4104 of die Public Contract Code of the State OfCi lifamia, as amended, die following information is required for each subcontractor who will perform work amounting to mare than one half of one percent (0.55e) of life Total Base DiOr S I0,000 (whichever is greater). Photocopy this form for additional firms. Federal Project Nmnber; B$1PL-$U63(I $4) Suhcantmctar Name and Location Line Item A. Description Subcontract Ammint Percentage of Bidltem5ub• contracted Contractor License Number OBE (y/Nf DBECert Number Annual Gross Receipts 0111 Rest Number �I yYll�� �' y� Fj Ili IS / 7 /g Isr .+) I 1. 4 Pilo 11r..n,,.ni An,,,re..,e.an--�..-_ /�l� �) t /1%f� Lila U(O (� I -77b3°YJ Al<$5 qq -- <$l million City, State: Gy/Pess, 64g06x? Name: / N ' ndlllon / -1 �,/ l V �' ( l <$mmillion <$lsmllllon Age of nrmr Vas. ❑ <$1 million dly, State. / s+rt to y ' /1 G( lf1 L-f7 Name: <55 mllllon CO ut"�,L <$30 million <$15 million Age of Firm; yrs. <$lmillion City, State: Name: 45 million <S10 mllllon ❑ <$35 million eof Firm' M. <$1 Million City, State: Name: 17 $5 million <$10 million <$15 million As affirm: rs. < 1 million City, State: Name: <$5 million TT <$10 million <515 mllllon e of Firm: yrs. <$1 million city, state: D[Stributlon:11Orieinel-Inral Aupna <SS mllllon ❑ <510 million <$15 Million eof Firm: rs. Page I of 2 .lanuary 2919 P-43 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EXHIBIT 12-B BIDDER'S LIST OF SUBCONTRACTORS/DBE AND NON -DBE) PART II PART ❑ The bidder shall list all subcontractors who provided a quote or bid but were not selected to participate as a subcontractor on this project. This is required for compliance with Title 49, Section 26 of the Code of Federal Regulations. Photocopy this form for additional firms, Local Assistance Procedures Alamorl Exhibit i2-9 Bidder's List of Subcontractors (DBE and NON -DBE) Exhibit 12-B Bidder's List of Subcontractor (DBE and Non -DBE) Part 2 In accordance with Title 49, Section 26 of the Code of Federal Regulations. the Bidder shall list ail subcontractor who provided a quote or bid but were not selected to Participate as a subcontractor on this project Photocopy this form for additional firms. Federal Project Number: HR L 51163_(I R9) subcontractor Name and Location tine ltemaDesoiptfon Subcontract Amount Perunlage of Did llem Sub. contracted Contractor Dmme Number DDE (V/N) DBE Cert Number Annoal0ross Receipts DIR Reg Number Name: <$1 million City, state: <$s on <$10 million <$15 million A of Flrm: rs. Name: <$1 million city, tare: ❑ <$5 million 77 410m1111o0 < million FII li�e of Flrm: rs. Name: <$1 million < smilliOn City, rate: ❑ 410 million ❑ <$15 million Ageol`Nrm: Vrs. Name: ❑ <$l million City, state: Name: mil lion ❑ffli ❑million million : ym. ❑illionCity, State: RH mlllI'mmilllonmillionName: : rs.illion❑ty,State: illion ❑ <$30 million <$15 million Age of Firm: Vrs. Distribution: 1) Drlginal-local Agenry File 2) Copy-DLAE w( Award Package P-44 of P-52 Page 2 of 2 January2019 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) PROMPT PAYMENT OF FUNDS WITHHELD TO SUBCONTRACTORS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: The agency shall hold retainage from the prime contractor and shall make prompt and regular incremental acceptances of portions, as determined by the agency, of the contract work, and pay retainage to the prime contractor based on these acceptances. The prime contractor, or subcontractor, shall return all monies withheld in retention from a subcontractor within 30 days after receiving payment for work satisfactorily completed and accepted including incremental acceptances of portions of the contract work by the agency. Federal law (49CFR26.29) requires that any delay or postponement of payment over 30 days may take place only for good cause and with the agency's prior written approval. Any violation of this provision shall subject the violating prime contractor or subcontractor to the penalties, sanctions and other remedies specified in Section 7108.5 of the Business and Professions Code. These requirements shall not be construed to limit or impair any contractual, administrative, or judicial remedies otherwise available to the prime contractor or subcontractor in the event of a dispute involving late payment or nonpayment by the prime contractor, deficient subcontract performance, or noncompliance by a subcontractor. Signed Title Firm Elecnor Belco Electric, Inc. Date 11/8/2021 John P-45 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) EXHIBIT 16-B — SUBCONTRACTING REQUEST Local Assistance Procedures Manual Exhibit 16-B �•,,••••,•L�••�•,•••� ElecnBelco Electric, Inc. COUNnor San Bernardino ROUTE BUSINESSADDRESS 14320 Albers Way CONTRACTNUMBER CITY AND STATE Chino, CA ZIPCODE FEDERAL-AIDPROJECTNUMBER 91710 HSIPL-5063(190) A. SUBCONTRACTOR B. BM ITEM C. PERCENTAGE OF D, SUBLISI'ED E. CERTIFIED F. DERIBE WORK G.DOLLARAMOUNT (Name amfness Address, PM1wie) NOMBER(S) BN ITEM AT BID TIME DBE WHEN 1E THAN BASED ON THE BID SUBCONTRACTED 100%OF WORK Is AMOUNT SUBCONTRACTED Yes No Yes No ❑❑❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ Yes No Yes No ❑ ❑ ❑ ❑ - ��• Wr u.u•. • The Standard Provisions for labor set forth in the contract apply to the subcontracted work. • If applicable, Form FHWA-1273 of the Special Provisions has been inserted in the subcontracts and should be incorporated in any lower -tier subcontract. Written contracts have been executed for the above noted 11/8/2021 This section is to Icomp) t U by th resident engineer. 1. 'fulat of bid R 2. Contractor raw perfor own forces (line 1 X contract req. %) 3. Bid items previously subcontracted (taken from previously approved 16-➢) 4. Bid items subcontracted (this request) 5. Total bid items subcontracted (line 3 plus 4) - 6. Balance of work contractor to perform (line 1 minus 5) $ Copy DistribuEon:Original-Contractor Copy -Resident Engineer Copy-OB6Q sm dlbusittvssedvocrle fol oor fax to (916) Page 1 of 2 January 2018 P-46 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) Local Assistance Procedures Manual Exhibit 16-B Subcontracting Request INSTRUCTIONS FOR COMPLETING SUBCONTRACTING REQUEST FORM All first -tier subcontractors must be included on a subcontractor request. Before subcontracting work starts, the contractor will submit an original CEM-1201 for approval according to the Standard Specifications. After approval, the RE returns the original to the contractor and complete the remaining distribution as listed on the bottomof the form. D. If subcontractor was listedat bid time per the Fair Practices Act check yes, otherwise check no. E. If subcontractor is a certified DBE contractor, check yes, otherwise check no. F and G. When a portion of an item is subcontracted, describe the portion and show the percentage of the bid item and value. G. When an entire item is subcontracted, show the full bid item value. THIS FORM IS NOT TO BE USED FOR SUBSTITUTIONS OF SUBCONTRACTORS AND UDBE, DVBE OR SMALL BUSINESS ENTITIES. Page 2 of 2 January 2018 P-47 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) DIFFERING SITE CONDITIONS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the following: a. Contractor's Notification Promptly notify the Agency's Engineer if you find either of the following conditions: I. Physical conditions differing materially from either of the following: • Contract documents • Job site examination 2. Physical conditions of an unusual nature, differing materially from those ordinarily encountered and generally recognized as inherent in the work provided for in the Contract Include details explaining the information you relied on and the material differences you discovered. If you fail to promptly notify the Engineer, you waive the differing site condition claim for the period between your discovery of the differing site condition and your notification to the Engineer. If you disturb the site after discovery and before the Engineer's investigation, you waive the differing site condition claim. b. Engineer's Investigation and Decision Upon your notification, the Engineer investigates job site conditions and: 1. Notifies you whether to resume affected work 2. Decides whether the condition differs materially and is cause for an adjustment of time, payment, or both Signed Title Firm Elecnor Belco Electric, Inc. Date 11/812021 P-48 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQUIREMENTS FOR STEEL OR MANUFACTURED PRODUCTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the "Buy America" requirements of Section 165 of the Surface Transportation Assistance Act of 1982 and as shown in the special provisions of this project. Signed Title Vice Firm Elecnor Belco Electric Inc. Date 11/8/2021 P-49 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) NEPA COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the Categorical Exemption/Categorical Exclusion Determination Form including and not limited to the National Environmental Policy Act (NEPA) requirements and environmental commitments found in the appendix of the Contract Documents of this proj--+ Signed Title Firm Date 11/8/2021 Elecnor Belco Electric P-50 of P-52 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 18-6918 MAIN ST & 15TH ST TRAFFIC SIGNAL INSTALLATION FEDERAL PROJECT NO: HSIPL 5063 (189) TMP COMPLIANCE FOR FEDERAL AID CONTRACTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, certify to comply with the Traffic Management Plan (TMP) commitments found in the appendix of t15Contract Documents of this project. Signed Title Vtce Pre ii Firm Elecnor Be Date 11/8/2021 John P-51 of P-52 Recorded in official Records, Orange county Hugh Nguyen, Clerk -Recorder IIIIIIIillillllllllll111111lllllllllllll1111IIIIIII111111I NOFEE n + $ R 0 0 0 9 5 2 0 1 2 5 $ f{\jam 20178500089711'.25 am 08/28/17 355 304 Z01 �lf 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 v MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCIL MEMBERS 6 P. David Benavides �- Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villages CITY OF SANTA ANA PLANNING & BUILDING AGENCY I 20 Civic Center Plaza (M-20) P.O. BOX 1988. Santa Ana, California 92702 (714) 667-2700 • Fax (714) 973-1461 w .santa-ana.org NOTICE OF EXEMPTION ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK From: City of Santa Ana County of Orange Planning & Building Agency P.O. Box 238 20 Civic Center Plaza M-20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Traffic Signal at Main Street and 15th S Date of Approval: 04/28/2017 Project Number(s): PWA-2017-1344-CITY Project Location: 1 CityWide (Partial) City: Santa Ana County: Orange ER Number: ER-2017-100 Project Description: The construction will include the installation of new trffic signal poles, foundations, conduits, sign equipment and minor concrete work on sidewalk. Applicant Name: Zdenek Kekula, City of Santa Ana Public Works Agency Applicant Address: 20 Civic Center Plaza M-43 SANTA ANA, CA 92702 Name of Public Agency Approving Project: City Council Name of Person or Agency Carrying Out Project: Kekula, Zdenek Exempt Status: ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) ❑ Emergency Project (Sec. 15269 (b through a)) ❑ General Rule (Sec. 15061(b)(3)/(5)) ❑ Statutory Exemption: 10 Categorical Exemption: 15301(b) Reason(s) Why Project is Exempt From CEQA: 15301(b) consists of repair/maintenance of existing public facilities. RLED AUG 2 8 2017 ORANGE COUNTY CLERK - CORD RDEPARTMENT BY., DEPUTY POSTED AUG 2 8 2017 HUGHNGUYEN,CLERK• CORDER City Contact: Zdenek Kekula Telephone: (714) 647-5605 Signature: ` � Title: 31- a: Q F-1 qZ� Date: 8 -2 1 - 1 7 SANTA ANA CITY COUNCIL Miguel A. Pulido Michele Martinez Vincente Sarmiento Jose Solorio P. David Benavides Juan Villegas Sal Tinajero Mayor Mayor Pro Tern, Ward 2 Ward Ward Ward Wards Ward mouldoAsanta-anaora m'martinezOsanta-ana-are vsarrriento@santa-anaora isolono0santa-anaorg dbenavidesrcDsanta-anaora IVIIIenas(ni5anta-anaory srn'erora)anta- or The Orange County Register 1771 S. Lewis Street Anaheim, CA 92605 714-796-2209 5211379 CNSB / CNSB-ACCOMMODATIONS 915 E 1ST ST ORDER EXPEDITING LOSANGELES, CA 90012-4050 FILE NO. CNS-3522928 AFFIDAVIT OF PUBLICATION STATE OF CALIFORNIA, SS. County of Orange I am a citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of The Orange County Register, a newspaper of general circulation, published in the city of Santa Ana, County of Orange, and which newspaper has been adjudged to be a newspaper of general circulation by the Superior Court of the County of Orange, State of California, under the date of November 19, 1905, Case No. A-21046, that the notice, of which the annexed is a true printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to wit: 10126/2021,11/02/2021 I certify (or declare) under the penalty of perjury under the laws of the State of California that the foregoing is true and correct: Executed at Anaheim, Orange County, California, on Date: November 02, 2021. Signature PROOF OF PUBLICATION n- respective *In oacardanse with the provl• stons of the Cali- fornia tabor Code, prevailing wage rates up - Rix. 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