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MIKE PRLICH & SONS, INC.
INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES 1L�24 A-2024-069-02 CITY CLERK DATE: 2.1,24 JUN 1 7 2024 0; (tow is)(2) CONTRACTOR AGREEMENT BETWEEN THE CITY OF SANTA ANA AND MIKE PRLICH &SONS,INC.FOR ON-CALL EMERGENCY ASPHALT CONCRETE, LE. Tdt 5° € l-' CONCRETE AND STORM DRAIN REPAIR SERVICES THIS AGREEMENT is made and entered into on this 21'day of May,2024 by and between Mike Prlich &Sons, Inc., a California corporation("Contractor"), and the City of Santa Ana,a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California("City"). RECITALS A. On January 9, 2024,the City issued Request for Proposal ("RFP")No. 23-182,by which it sought to retain a Contractor having special skill and knowledge in the field of on-call emergency asphalt concrete,concreate and storm drain repair services. B. Contractor submitted a responsive proposal that was among those selected by the City. Contractor represents that it is able and willing to provide such services described in the Scope of Work that was included in RFP No.23-182. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth,the parties agree as follows: 1. SCOPE OF SERVICES Contractor shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services described and set forth in Scope of Services -Exhibit A, attached hereto and incorporated herein, and as further described in Contractor's Proposal - Exhibit B, attached hereto and incorporated herein. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Contractor's Fee Proposal, which is attached hereto and fully incorporated herein by this reference as "Compensation - Exhibit C." Contractor is one of three (3) separate contractors selected to provide services on an on-call basis under RFP 23-182. The total compensation for services provided by all contractors selected under RFP 23-182 shall not exceed the shared aggregate amount of $3,000,000.00 during the term of this Agreement, including any extension periods,as set forth in Section 3, below. Page 1 of 10 b. Payment by City shall be made within forty-five(45)days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. City and Contractor agree that all payments due and owing under this Agreement shall be made through Automated Clearing House(ACH)transfers. Contractor agrees to execute the City's standard ACH Vendor Payment Authorization and provide required documentation. Upon verification of the data provided,the City will be authorized to deposit payments directly into Contractor's account(s) with financial institutions. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and end on May 20,2027, with the option for the City to grant up to one(1),two(2)year extension,exercisable by a writing by the City Manager and the City Attorney, unless terminated earlier in accordance with Section 16,below. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on"public works"and"maintenance"projects. If the services being performed are part of an applicable"public works"or"maintenance"project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to filly comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however,the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services.Contractor shall pay all salaries and wages,employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings,estimates, and other documents or works of Page 2 of 10 authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes,which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 7. INSURANCE Contractor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder and the results of that work by the Contractor, his agents, representatives, employees or subcontractors. Minimum Scope and Limit of Insurance. Coverage shall be at least as broad as: • Commercial General Liability(CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage,bodily injury and personal&advertising injury with limits no less than$2,000,000 per occurrence.If a general aggregate limit applies,either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. • Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code 1), or if Contractor has no owned autos, hired, (Code 8) and non-owned autos (Code 9), with limit no less than$1,000,000 per accident for bodily injury and property damage. • Workers' Compensation: as required by the State of California,with Statutory Limits,and Employer's Liability Insurance with limit of no less than$1,000,000 per accident for bodily injury or disease, If the Contractor maintains broader coverage and/or higher limits than the minimums shown above, the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. Other Insurance Provisions. The insurance policies are to contain, or be endorsed to contain,the following provisions: Additional Insured Status. The City,its officers,officials,employees,and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials,parts,or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form of an endorsement to the Contractor's insurance(at least as broad as ISO Form CG 20 Page 3 of 10 10 11 85 or if not available, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 3 8;and CG 20 37 if a later edition is used). Primary Coverage. For any claims related to this contract, the Contractor's insurance coverage shall be primary coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self-insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Contractor's insurance and shall not contribute with it, Notice of Cancellation. Each insurance policy required above shall provide that coverage shall not be canceled,except with notice to the City. Waiver of Subrogation. Contractor hereby grants to City a waiver of any right to subrogation which any insurer of said Contractor may acquire against the City by virtue of the payment of any loss under such insurance. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation,but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. Self-Insured Retentions. Self-insured retentions must be declared to and approved by the City. The City may require the Contractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations,claim administration,and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self- insured retention may be satisfied by either the named insured or City. Acceptability of Insurers. Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. Verification of Coverage. Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage required by this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. However,failure to obtain the required documents prior to the work beginning shall not waive the Contractor's obligation to provide them. The City reserves the right to require complete,certified copies of all required insurance policies, including endorsements required by these specifications, at any time. Special Risks or Circumstances. City reserves the right to modify these requirements, including limits,based on the nature of the risk,prior experience,insurer,coverage,or other special circumstances. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents,employees, contractors,special counsel,and representatives from liability: (1)for personal injury,damages,just compensation,restitution,judicial or equitable relief arising out of claims for Page 4 of 10 personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages,just compensation,restitution,judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement.This indemnity and hold harmless agreement applies to all claims for damages,just compensation,restitution,judicial or equitable relief suffered,or alleged to have been suffered,by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City,regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution,judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising front this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding.Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence,recklessness,or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend and indemnify the City, its officers, agents, representatives, and employees against any and all liability, including costs, for infringement of any United States' letters patent,trademark,or copyright infringement,including costs,contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three(3)years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement, All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work,data, documents, proceedings, and activities related to this Agreement for a period of three (3)years from the date of final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance,but in no event less than reasonable care. "Confidential Information"shall include all nonpublic information. Confidential information includes not only written information, but also Page 5 of 10 information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that(a)has been disclosed in publicly available sources;(b)is,through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or(e) is independently developed by the Contractor without reference to information disclosed by the City, 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interests and shall not have interests,direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NON-DISCRIMINATION Contractor shall not discriminate because of race,color,creed,religion,sex,marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age,national origin, ancestry,or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion,termination or other employment related activities or any services provided under this Agreement. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto,the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to,the terms and conditions hereof,shall not bind or obligate Contractor or the City.Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any patty,which is not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign,transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. Page 6 of 10 16. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event,Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination,subject to the following conditions: a. As a condition of such payment,the Executive Director may require Contractor to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 17. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure,right or remedy.No waiver of any breach,failure or right,or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 18. JURISDICTION-VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of,in connection with or by reason of this Agreement. 19. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits,approvals,waivers,and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California,the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 20. NOTICE Any notice,tender, demand,delivery,or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section,to the following persons: Page 7 of 10 To City: City Cleric City of Santa Ana 20 Civic Center Plaza(M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714-647-6956 With courtesy copies to: Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza P.O. Box 1988 Santa Ana, California 92702 To Contractor: Mike Prlich Milce Prlich &Sons,Inc. 5103 Elton Street Baldwin Park,CA 91706 Fax: 626-813-1770 A party may change its address by giving notice in writing to the other party. Thereafter, auy communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four(24)hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames,weekends,federal, state,County or City holidays shall be excluded. 21. CALIFORNIA AIR RESOURCES BOARD COMPLIANCE Contractor shall comply, and shall ensure all subcontractors comply, with all applicable requirements of the most current version of the regulations imposed by California Air Resources Board ("CARB") including, without limitation, all applicable terms of Title 13, California Code of Regulations Division 3, Chapter 9 and all pending amendments ("Regulation"). Throughout the Project,and for three(3)years thereafter, Contractor shall make available for inspection and copying any and all documents or information associated with Contractor's and its subcontractors' fleets including, without limitation, the Certificates of Reported Compliance("CRCs"), fuel/refueling records, maintenance records, emissions records, and any Page 8 of 10 other information the Contractor is required to produce, keep or maintain pursuant to the Regulation upon two (2)calendar days' notice from the City. Contractor shall be solely liable for any and all costs associated with compliance with the Regulation as well as for any and all penalties, fines, damages, or costs associated with any and all violations, or failures to comply with the Regulation. Contractor shall defend, indemnify and hold harmless the City, its officials, officers, employees and authorized volunteers free and harmless from any claims, liabilities, costs, penalties or interest arising out of any failure or alleged failure to comply with the Regulation. 22. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City filly, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact,held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if filly set forth in the body of this Agreement. [signatures on following page] Page 9of10 SIGNATURE PAGE TO CONTRACTOR AGREEMENT BETWEEN THE CITY OF SANTA ANA AND MIKE PRLICH&SONS,INC.FOR ON-CALL EMERGENCY ASPHALT CONCRETE,CONCRETE AND STORM DRAIN REPAIR SERVICES IN WITNESS WHEREOF,the parties hereto have executed this Agreement the date and year first above written. ATTEST CITY OF S TA ANA 1 f 9Nf ennifer L. zl1 Alvaro Nunez C'+ " -r °•" Acting City Manager APPROVED AS TO FORM CONTRACTOR: SONIA R. CARVALHO City Attorney )?3 athan T.Martinez By: MICHAEL A. PRLICH Assistant City Attorney Title: PRESIDENT RECOMMENDED FOR APPROVAL abil Saba A Executive Director Public Works Agency Page 10 of 10 C�® DATE(MM/DD/YYYY) A C� CERTIFICATE OF LIABILITY INSURANCE 5/30/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Patriot Risk& Insurance Services PHONE FAX 18952 MacArthur Blvd., Suite#300 IA/C.No.Ext): (949)486-7900 (A/C,No): Irvine, CA 92612 • AlLig ItaillFyR{°J ig It Aby NAIL# www.patrisk.com , . 6 II INSWRERA: Zurich A ericanlnsuranc Company 16535 INSURED 'N gleA) GelVeldfanpany 16691 Mike Prlich &Sons, Inc. in Allied World National Assurance Company 10690 Elton St. � Baldwin Park CA 917 C eveINSURER o IN� ► ate: 2024.06. 004:24 071nn' COVERAGES CERTIFICATE NUMBER: 30.12794 REtlIStON NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRINSR TYPE OF INSURANCE INSD yyyp POLICY NUMBER /YPOLICY EFF POLICY EXP LIMITS {MMIDDYYY) IMM/DD/YYYYL A i COMMERCIAL GENERAL LIABILITY ,/ / GL07143499-00 8/1/2023 8/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ✓ OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $300,000 ✓ $5,000 Deductible MED EXP(Any one person) $5,000 _ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ✓ ,,pi LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP7143502-00 8/1/2023 8/1/2024 (EOa aBcideDtj INGLE LIMIT $1,000,000 `/ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY _ AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) B UMBRELLALIAB I OCCUR TUE405237302 8/1/2023 8/1/2024 EACH OCCURRENCE $10,000,000 — ,,/ EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ A WORKERS COMPENSATION / WC7143497-00 8/1/2023 8/1/2024 f STATUTE ERH AND EMPLOYERS'LIABILITY YI N ANYPROPRIETOR/PARTNER/EXECUTIVE n N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED9 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $1,000,000 C Pollution Liability/Professional Liab 03139429 8/1/2023 8/1/2024 $10,000,000 Policy Aggregate Professional:Claims Made Poll:$5,000,000 Occur/$10,000,000 Agg Retro Date:5/9/22 Prof Liab: $2,000,000 Occur/Agg Pollution: Occurrence DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: RFP#23-182:On-Call Emergency Asphalt Concrete,Concrete,and Stormdrain Repair City of Santa Ana,its officers,officials,employees,and volunteers are named as additionally insured as respects General Liability per endorsement attached. Primary/non-contributory endorsement attached. Waiver of subro as respects GL and WC attached. Excess Liability dec page attached showing the GL in the schedule of underlying 30-day notice of cancellation/10-days for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PRC\ /y 20 Civic Center Plaza, 4th floor e µ,R,�a „t Division ii Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE ti lldi ''i REVIEWED&APPROVED BY: Y•4l , `�. d1 li' A ,r r'Ia414Ce :13EMES i I Dave Jacobson Risk Management Specialist 9 P ©1988-2015 ACORD / \ ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 50272794 23/24 GL/AU/UMB/WC/POLL 1 Tina Wolter 15/30/2024 1:37.56 PM (PDT) Page 1 of 7 This cer ificate cancels and supersedes ALL previously issued certificates. Appendix ATTACHMENT 1 SCOPE OF WORK CITY OF SANTA ANA REQUEST FOR PROPOSALS FOR ON-CALL EMERGENCY ASPHALT CONCRETE,CONCRETE AND STORM DRAIN SERVICES RFP NO.23-182 INTRODUCTION/BACKGROUND The City of Santa Ana (City) desires to enter into an agreement with a qualified construction company for the repair of roadway asphalt concrete and concrete, underground, street lighting and/or electrical conduit installation, storm drain, and/or other infrastructure within the public right of way (with the exception of water and sanitation systems) that may experience failures within the term of the agreement on an on-call and emergency work for general improvements, on an as needed, Task Order basis. Ancillary related work includes, but is not limited to, occasional replacement traffic pavement markings and sign replacements and related support services and paid for as described in Section I "Nature of Work." The purpose of this request for proposals is to obtain qualified construction firms to augment the City's capacity to perform emergency roadway and storm drain repair water service in the event of system failures. DESCRIPTION OF WORK On an on-call,as needed basis,the selected firms)may be asked to provide professional services on specific,project-by-project basis,based on an agreed-upon specific scope of services and fees. The scope of work will vary per Task Order within the public right-of-way. It may include, but not be limited to, the procurement and/or removal of materials, excavation, installation,backfill, compaction, grading, sidewalk and paving, curb and gutter, fencing, guardrail, barrier, catch basins, removing and/or replacing pipe and related appurtenances, street lighting, electrical conduits, wiring, and pavement markings, signs, sign posts and miscellaneous other street furniture,and repairing various items within the public right-of-way,traffic control,mobilization, compliance with this agreement and all other work necessary to complete on-call emergency Task Orders specified per incident. The work completed shall be in compliance with the City's Standard Plans, Caltrans Standard Plans and the "Greenbook" and Caltrans' Standard Specifications and as specified in this agreement.Work shall also be in compliance with the City's Standard Plan No. 1160, "Street Work and Utility Permit General Provisions." City of Santa Ana RFP 23-182 Page Al-1 QUANTITIES FOR FEE SCHEDULE(UNDER SEPARATE COVER) For the purposes of providing a Fee Schedule based on the below Sample Task Orders, the following work items and quantities are provided. The Fee Schedule in Attachment 5: Each Fee Schedule shall include a schedule of the hourly billing rates for ALL contractor and subcontractor staff and labor personnel. Additionally,for each discipline that a company seeks to be considered, the below table(s) shall be completed. For example, if a General Contractor is submitting for Asphalt Concrete and Concrete Work, Sample Task Orders A and B would both be required to be completed as part of the Fee Schedule. Each table shall include the filling in of the last two columns for the relevant sample task orders for whichever category(ies) are being submitted for consideration. However, actual work will be paid for as described in Section I "Nature of Work." Sample Task Orders for Asphalt Concrete,Concrete Paving, Stormdrain,and Street Lighting within the public right-of-way related work are, respectively: Sample Task Order A—Asphalt Concrete Item Description Qty Unit Unit Price Total 1 Unclassified Excavation 550 CY 2 AC Pavement 130 TN 3 Furnish and Install#6 Pullbox 4 EA 4 Adjust Manhole to Finished Grade 5 EA 5 PCC Curb&Gutter(Type A-2-8) 100 LF 6 Signing& Srtiping 1 LS 7 Traffic Control Work 1 LS Sample Task Order B— Concrete Paving Item Description Qty Unit Unit Price Total 1 Unclassified Excavation 550 CY 2 PCC Sidewalk(T=4") 2,500 SF 3 PCC Curb Ramp 3,000 SF 4 PCC Curb&Gutter(Type A-2-8) 100 LF 5 Furnish and Install#6 Pullbox 4 EA 6 Adjust Manhole to Furnished Grade 5 EA 7 Catch Basin(Type`B",W=10') 1 EA 8 Remove and Replace 30"Reinforced Concrete 75 LF Pipe 9 Guard Rail Replacement(Caltrans RSP A77N4) 50 LF 10 Guard Rail Replacement(Caltrans) 1 EA 11 Remove and Replace Chain Link R/W Fence 50 LF 12 Concrete Barrier Type 83 (Caltrans) 50 LF 13 Traffic Control Work 1 LS City of Santa Ana RFP 23-182 Page Al-2 Sample Task Order C— Stormdrain Item Description Qty Unit Unit Price Total 1 Unclassified Excavation 550 CY 2 AC Pavement 130 TN 3 Remove&Replace 18" Corrugated Metal Pipe(CMP) 75 LF 4 Remove&Replace 18"Reinforced Concrete Pipe(RCP) 75 LF 5 Remove&Replace 30"Reinforced Concrete Pipe(RCP) 75 LF 6 Catch Basin(Type"B", W=10') 1 EA 7 Traffic Control Work 1 1 LS Sample Task Order D— Street Lighting Description Qty Unit Unit Price Total Furnish and Install Streetlight Pole 10 EA Remove Existing Wooden Pole 5 EA Remove Existing Steel Pole 5 EA Install Electrical Meter Pedestal 1 EA Install 2"PVC Conduit 4000 LF Install No. 5 Pull Box 3 EA Pothole Street Light Pole Location 10 EA Traffic Control Work 1 LS SURETY BOND For each Task Order Issued by Public Works Agency, the Contractor shall provide cash deposit or surety"Payment" and "Performance"bonds in the amounts specified by the"Greenbook"and City of Santa Ana upon approval of the proposed itemized cost estimate for each approved on- call or emergency Task Order which will be based upon the City's Standard Plans,As-Built Plans, or other direction from the Public Works Agency. The cash deposit or the surety bonds shall guarantee the construction of all necessary improvements for the Task Order, however, Bid Bonds shall not be required at the time of the submittal of RFP Proposal. The City also reserves the right to retain 10% of progress pay amounts for the one-year warranty work. The cash deposit shall be released approximately 135 days after all related permits and/or other approvals required are signed off by the City's Construction Inspector, and the passage of any lien periods. In the event the work is not completed within one year of the date that a street work permit or Task Order is signed, applicant agrees that the City may apply the cash deposit to the cost of completing the work and such work may be completed at the sole convenience of the City of Santa Ana. The deposit amount will be determined based upon the surface drainage and street improvement plans. City of Santa Ana RFP 23-182 Page Al-3 CONTRACTOR RESPONSIBLITIES Contractor must be able to respond to City's request for emergency repair work on a timely and urgent manner. The contractor shall be available on an on-call basis, 24/7, and ready to respond in the event of an emergency. Service calls shall be responded within one hour.Contractor's repair crews must be able to arrive at job site within 8 hours of approval from City to commence work. Regular business hours are considered from 7:00 am to 5:00 pm (Monday through Friday). Anytime outside of business hours of operation may be considered after hours/weekends. The Contractor shall, prior to award of contract and without additional expense to the City, possess all licenses and permits (unless waived by the City) required for the performance of the work required by this contract, including but not limited to a California Class (A, C-8 or C34) Contractor's license and a City of Santa Ana Business License. 1. Street work shall be required to be performed by a licensed contractor for any and all the work in the public right of way. The contractor must provide the following prior to initiating Task Order work. a. A City of Santa Ana business license. b. A Certificate of Insurance of general liability containing requirements as set forth by the City Attorney and per the Standard Agreement. c. A Contractors license (with appropriate classification). d. Proof of Worker's Compensation Insurance. 2. Provide BMPs and/or erosion control plans for planned Task Order work unless directed otherwise by the City: 3. If required,the Contractor shall submit,for review and approval, a surface drainage/grading/erosion control plan, prepared by a registered civil engineer, showing the direction and means of flow within the street. SUBCONTRACTORS Any Subcontractors intended to be used, shall be listed in the proposal. Any additional subcontractors that may become necessary, shall require approval by the City prior to start of any assigned work. When a Subcontractor performs all or any part of the work, a markup shall be applied to the Subcontractor's actual cost of such work. The Contractor may add a markup of 10 percent on the first$5,000 of the subcontracted portion of the extra work and a markup of 5 percent on work added in excess of$5,000 of the subcontracted portion of the work may be added by the Contractor. City of Santa Ana RFP 23-182 Page A1-4 PAYMENT AND INVOICING: Selected Contractor shall invoice the City based on time and material according to the City's standard invoice template. Tasks and hours shall be clearly identified and all rates must match those included in the approved agreement. City shall retain ten percent (10%) of the invoice amount from each payment until the completed Project has been accepted by the City. CITY RESPONSIBILITIES: The City will provide information in its possession relevant to the preparation of the required information in the RFP. The City will provide only the staff assistance and the documentation specifically, in referred to herein. • Furnish scope of work and provide general direction as needed for any assigned Task Orders • All plan check coordination within the City • Construction administration • Electronic files (sample plans & specifications, City of Santa Ana's CADD Standards), if needed • Electronic files for title sheets and sheet borders, if needed DEFINITION OF ITEMS (SAMPLE TASK ORDERS A,B, C, & D): The unit prices paid for the items listed in the Contractor's Proposal as defined herein include full compensation for furnishing all labor, materials, tools, and equipment, and doing all work involved in furnishing and installing the materials complete and in place, in accordance with the details shown in the Task Order, Standard Plans, Sketch, Other Plans, as directed by the Engineer. All incidental work which is not otherwise specified, and which is necessary to complete the improvements shall be furnished and installed as though such work was specified, and no additional compensation would be allowed therefore. If not stated otherwise, work shall be in conformance to the "Greenbook"Standard Specifications for Public Works Construction, 2018 Edition. Each Sample Task Order's work items include, but are not limited to, the following listed below for the Fee Schedule Submittal. Actual Task Order work, if granted, will generally be on a Time and Materials basis in accordance with labor rates for the type of work and material required per Task Order granted and according to the schedule of rates provided as part of this proposal. The Sample Task Order information provided will primarily be used to compare various proposals. City of Santa Ana RFP 23-182 Page Al-5 Sample Task Order A Items of Work Item No. 1 -Unclassified Excavation Payment for Unclassified Excavation shall be at the contract unit price per Cubic Yard listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment, tools, and incidentals as required and no additional compensation will be allowed therefore. Payment for unclassified fill, if any, is considered as included in the unit price paid for unclassified excavation. Payment for over-excavation shall be paid for at the unit price for unclassified excavation. Item No. 2 -Asphalt Concrete (AC) Pavement Payment for Asphalt Concrete (AC) Pavement shall be at the contract unit price bid per Ton as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor,equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Payment for asphalt concrete pavement used in areas of over-excavation to mitigate unsuitable subgrade materials shall be paid for at the contract unit price bid per ton. Item No. 3- Furnish and Install New#6 Pull Box The work under this item for Furnish and Install New#6 Pull Box shall be in accordance with the latest CA MUTCD, Caltrans and any City Standard Specifications, plans, and/or any City's Special Provisions/Contract Documents to be provided for each Task Order Work. The assumed material for placement shall be concrete and any removal of an existing pull box shall be included in the price paid to furnish and install a new pull box and no additional payment will be allowed therefore. Payment for Furnish and Install New #6 Pull Box shall be at the contract unit price paid per Each as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Item No. 4-Adjust Manhole to Finished Grade Payment for Adjust Manhole to Finished Grade shall be at the contract unit price bid per Each as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. City of Santa Ana RFP 23-182 Page Al-6 Item No. 5- PCC Curb & Gutter(A-2-8) The work under this item consists of grading, compacting subgrade, constructing 12"wide by 12"deep AC Hot Mix on compacted subgrade, and constructing PCC Curb&Gutter(outside of the curb ramp footprint, beyond the BCR or ECR) in accordance with the provisions of Section 301-1, "Subgrade Preparation," and Section 303-5, "Concrete Curbs,Walks,Gutters, Cross Gutters, Alley Intersections, Access Ramps, and Driveways" and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for PCC Curb & Gutter(A-2-8) shall be at the contract unit price bid per Linear Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment, tools, and incidentals as required and no additional compensation will be allowed therefore. Item No. 6-Signing& Striping The work under this item for Signing and Striping shall be in accordance with the latest CA MUTCD, Caltrans and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents to be provided for each Task Order Work. Payment for Signing& Striping shall be at the contract Lump Sum listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment,tools,disposal of all removed materials and incidentals as required and no additional compensation will be allowed therefore. Item No. 7—Traffic Control The work under this item for Signing and Striping shall be in accordance with the latest Watch Manual, CA MUTCD, Caltrans and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents to be provided for each Task Order Work. Payment for Traffic Control shall be at the contract unit price per Lump Sum(LS) as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials,labor, equipment, tools, and incidentals as required and no additional compensation will be allowed therefore. City of Santa Ana RFP 23-182 Page Al-7 Sample Task Order B Items of Work Item No. 1 - Unclassified Excavation Payment for Unclassified Excavation shall be at the contract unit price per Cubic Yard listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Payment for unclassified fill, if any, is considered as included in the unit price paid for unclassified excavation. Payment for over-excavation shall be paid for at the unit price for unclassified excavation. Item No.2 - PCC Sidewalk(T=4") The work under this item consists of grading, compacting subgrade, and constructing 4-inch thick PCC Sidewalk shall be in accordance with the provisions of Section 301-1, "Subgrade Preparation," and Section 303-5,"Concrete Curbs, Walks, Gutters, Cross Gutters, Alley Intersections, Access Ramps, and Driveways,"of the Standard Specifications,plans, and contract document specifications. Payment for PCC Sidewalk(T=4") shall be at the contract unit price bid per Square Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor,equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Payment for thickness (T=6") shall be paid 1.5 times the unit price. Item No. 3 -PCC Curb Ramp The work under this item consists of saw-cutting,removing, grading, compacting subgrade, constructing 12"wide by 12"deep AC Hot Mix on compacted subgrade, and constructing PCC Curb&Gutter and shall be in accordance with the provisions of Section 301-1,"Subgrade Preparation," and Section 303-5, "Concrete Curbs, Walks, Gutters,Cross Gutters,Alley Intersections,Access Ramps, and Driveways"and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for PCC Curb Ramp shall be at the contract unit price bid per Square Foot as listed in the Fee Proposal,and shall include full compensation for doing all work, including furnishing all materials, labor, equipment, tools, and incidentals as required and no additional compensation will be allowed therefore. The area included in this bid item shall be measured from the gutter lip to the back of walk, from BCR to ECR. Item No. 4- PCC Curb & Gutter(A-2-8) City of Santa Ana RFP 23-182 Page Al-8 The work under this item consists of grading, compacting subgrade, constructing 12"wide by 12"deep AC Hot Mix on compacted subgrade, and constructing PCC Curb& Gutter(outside of the curb ramp footprint, beyond the BCR or ECR) in accordance with the provisions of Section 301-1, "Subgrade Preparation," and Section 303-5, "Concrete Curbs, Walks, Gutters, Cross Gutters,Alley Intersections,Access Ramps, and Driveways" and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for PCC Curb & Gutter(A-2-8) shall be at the contract unit price bid per Linear Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Item No. 5-Furnish and Install New#6 Pull Box The work under this item for Furnish and Install New#6 Pull Box shall be in accordance with the latest CA MUTCD, Caltrans and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents to be provided for each Task Order Work. The assumed material for placement shall be concrete and any removal of an existing pull box shall be included in the price paid to furnish and install a new pull box and no additional payment will be allowed therefore. Payment for Furnish and Install New#6 Pull Box shall be at the contract unit price paid per Each as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Item No. 6-Adjust Manhole to Finished Grade Payment for Adjust Manhole to Finished Grade shall be at the contract unit price bid per Each as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor, equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Item No. 7- Catch Basin(Type`B," W=10') The work under this item consists of grading, compacting subgrade, and constructing Catch Basin and shall be in accordance with the provisions of Section 301-1, "Subgrade Preparation," and Section 303-1, "Concrete Structures" and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Catch Basin (Type "B," W=10') shall be at the contract unit price paid per Each as listed in the Fee Proposal, and shall include full compensation for doing all work, including removal or replacement of existing catch basins and/or other appurtenances, including furnishing all materials,labor, equipment,tools,and incidentals as required to construct a new catch basin, soil preparation and compaction, and no additional compensation will be allowed therefore. City of Santa Ana RFP 23-182 Page Al-9 Item No. 8—Remove and Replace 30"Reinforced Concrete Pipe The work under this item consists of grading, compacting subgrade, and constructing Remove and Replace 30"Reinforced Concrete Pipe and shall be in accordance with the provisions of Section 306, "Underground Conduit Construction" and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Remove and Replace 30"Reinforced Concrete Pipe shall be at the contract unit price paid per Linear Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including removal or replacement of existing pipe, furnishing all materials,labor, equipment,tools,and incidentals as required to install new pipe,bedding preparation, and no additional compensation will be allowed therefore. Item No. 9—Guard Rail Replacement(Caltrans RSP A77N4) The work under this item consists of grading, compacting subgrade, and constructing Guard Rail Replacement(Caltrans RSP A77N4) and shall be in accordance with the provisions of Section 301-1,"Subgrade Preparation,"with the provisions of Section 204,"Lumber and Treatment with Preservatives," Section 304-2.2 "Flexible Metal Guard Rail,"any City Standard Specifications, plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Guard Rail Replacement(Caltrans RSP A77N4) shall be at the contract unit price paid per Linear Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including removal or replacement of existing guard rail, furnishing all materials, labor, equipment, tools,and incidentals as required to install new guardrail,foundation preparation, and no additional compensation will be allowed therefore. Item No. 10-Guard Rail Replacement Termination (Caltrans) The work under this item consists of grading,compacting subgrade, and constructing Guard Rail Replacement Termination(Caltrans) and shall be in accordance with the provisions of Section 301-1, "Subgrade Preparation,"with the provisions of Section 204,"Lumber and Treatment with Preservatives," Section 304-2.2 "Flexible Metal Guard Rail,"any City Standard Specifications, plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Guard Rail Replacement Termination (Caltrans) shall be at the contract unit price paid per Each as listed in the Fee Proposal, and shall include full compensation for doing all work,including removal or replacement of existing guard rail termination, furnishing all materials, labor, equipment, tools, and incidentals as required to install new guardrail termination, foundation preparation, and no additional compensation will be allowed therefore. Item No. 11—Remove and Replace Chain Link R/W Fence City of Santa Ana RFP 23-182 Page Al-10 The work under this item consists of grading, compacting subgrade, and construction of foundations to support the posts for Remove and Replace Chain Link Fence and shall be in accordance with the provisions of Section 301-1, "Subgrade Preparation,"and Section 303-5, "Concrete Curb, Walks, Gutters, Cross Gutters,Alley Intersections,Access Ramps,and Driveways"and Section 304-3 "Chain Link Fence"of the Standard Specifications any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Remove and Replace Chain Link R/W Fence shall be at the contract unit price bid per Square Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including removal or replacement of existing chain link fence(and posts/foundations), furnishing all materials, labor,equipment, tools, and incidentals as required and no additional compensation will be allowed therefore. Item No. 12—Concrete Barrier Type 836 (Caltrans) The work under this item consists of grading, compacting subgrade, and removing and/or construction Concrete Barrier Type 836 (Caltrans) and shall be in accordance with the provisions of Section 301-1, "Subgrade Preparation,"Caltrans Standard Specifications, any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Concrete Barrier Type 836 (Caltrans) shall be at the contract unit price bid per Lineal Foot as listed in the Fee Proposal,and shall include full compensation for doing all work, including removal or replacement of existing concrete barrier or other appurtenances,furnishing all materials, labor, equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Item N o. 13—Traffic Control The work under this item for Signing and Striping shall be in accordance with the latest Watch Manual, CA MUTCD, Caltrans and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents to be provided for each Task Order Work. Payment for Traffic Control shall be at the contract unit price per Lump Sum(LS) as listed in the Fee Proposal,and shall include full compensation for doing all work,including furnishing all materials, labor,equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. City of Santa Ana RFP 23-182 Page Al-11 Sample Task Order C Items of Work Item No. 1 - Unclassified Excavation Payment for Unclassified Excavation shall be at the contract unit price per Cubic Yard listed in the Fee Proposal,and shall include full compensation for doing all work,including furnishing all materials, labor,equipment,tools, and incidentals as required and no additional compensation will be allowed therefore. Payment for unclassified fill, if any,is considered as included in the unit price paid for unclassified excavation. Payment for over-excavation shall be paid for at the unit price for unclassified excavation. Item No.2- Asphalt Concrete (AC)Pavement Payment for Asphalt Concrete(AC) Pavement shall be at the contract unit price bid per Ton as listed in the Fee Proposal, and shall include full compensation for doing all work, including furnishing all materials, labor,equipment,tools,and incidentals as required and no additional compensation will be allowed therefore. Payment for asphalt concrete pavement used in areas of over-excavation to mitigate unsuitable subgrade materials shall be paid for at the contract unit price bid per ton. Item No. 3—Remove and Replace 18" Corrugated Metal Pipe (CMP) The work under this item consists of grading, compacting subgrade, and constructing Remove and Replace 18"Corrugated Metal Pipe(CMP) and shall be in accordance with the provisions of Section 306,"Underground Conduit Construction"and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Remove and Replace 18" Corrugated Metal Pipe(CMP) shall be at the contract unit price paid per Linear Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including removal or replacement of existing pipe, furnishing all materials, labor, equipment,tools, and incidentals as required to install new pipe,bedding preparation, and no additional compensation will be allowed therefore. Item No. 4—Remove and Replace 18" Reinforced Concrete Pipe The work under this item consists of grading, compacting subgrade, and constructing Remove and Replace 18"Reinforced Concrete Pipe and shall be in accordance with the provisions of Section 306, "Underground Conduit Construction" and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. City of Santa Ana RFP 23-182 Page A1-12 Payment for Remove and Replace 18"Reinforced Concrete Pipe shall be at the contract unit price paid per Linear Foot as listed in the Fee Proposal, and shall include full compensation for doing all work, including removal or replacement of existing pipe,furnishing all materials, labor, equipment, tools,and incidentals as required to install new pipe, bedding preparation, and no additional compensation will be allowed therefore. Item No. 5—Remove and Replace 30"Reinforced Concrete Pipe The work under this item consists of grading, compacting subgrade, and constructing Remove and Replace 30"Reinforced Concrete Pipe and shall be in accordance with the provisions of Section 306, "Underground Conduit Construction"and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Remove and Replace 30"Reinforced Concrete Pipe shall be at the contract unit price paid per Linear Foot as listed in the Fee Proposal,and shall include full compensation for doing all work, including removal or replacement of existing pipe,furnishing all materials, labor, equipment,tools,and incidentals as required to install new pipe, bedding preparation,and no additional compensation will be allowed therefore. Item No. 6-Catch Basin (Type`B,"W=10') The work under this item consists of grading, compacting subgrade, and constructing Catch Basin and shall be in accordance with the provisions of Section 301-1,"Subgrade Preparation," and Section 303-1, "Concrete Structures" and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents provided by the City for each Task Order. Payment for Catch Basin (Type "B," W=10') shall be at the contract unit price paid per Each as listed in the Fee Proposal, and shall include full compensation for doing all work, including removal or replacement of existing catch basins and/or other appurtenances,including furnishing all materials,labor, equipment, tools, and incidentals as required to construct a new catch basin, soil preparation and compaction,and no additional compensation will be allowed therefore. Item No. 7—Traffic Control The work under this item for Signing and Striping shall be in accordance with the latest Watch Manual, CA MUTCD, Caltrans and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents to be provided for each Task Order Work. Payment for Traffic Control shall be at the contract unit price per Lump Sum(LS) as listed in the Fee Proposal,and shall include full compensation for doing all work, including furnishing all materials, labor, equipment, tools, and incidentals as required and no additional compensation will be allowed therefore. City of Santa Ana RFP 23-182 Page Al-13 Sample Task Order D Items of Work Item No. 1 —Furnish and Install Streetlight Pole This work consists of furnishing and installing Ameron 4B 127 Street Light Pole including foundation,2"PVC (stub out) conduits, Grout cap, 8' Clamp-On Arm Assembly, Overhead Pin &Insulator, LED Luminaire, 8-8 Bard Duplex Aluminum Conductor wiring, and any other work required to provide the intended operation at the locations shown on the project plans per City of Santa Ana Special Provisions and Standard Plans 1126H-3 and 112614-2 and 1104. The unit price for each Street Light Pole shall be considered full compensation for furnishing all labor,materials, tools, equipment, removals, excavation, landscape repair,turf repair, hardscape repair, irrigation repair, root shaving,tree trimming, sidewalk restoration, and appurtenances for all related items of work necessary for the installation.No additional compensation will be allowed therefore. Item No.2—Remove Existing Wooden Pole This work consists of removing and discarding Street Light Pole including luminaire arm, existing overhead wiring, and any other appurtenances. Salvage equipment as directed by Engineer. The unit price for each removed Street Light Pole shall be considered full compensation for all labor,materials,tools, equipment, removals, excavation,paving, landscape repair,turf repair, hardscape repair, irrigation repair, sidewalk restoration, and appurtenances for all related items of work necessary for the removal.No additional compensation will be allowed therefore. Item No. 3—Remove Existing Steel Pole This work consists of removing and discarding Street Light Pole including foundation, luminaire arm,overhead wiring, and any other appurtenances. Salvage equipment as directed by Engineer. The unit price for each removed Street Light Pole shall be considered full compensation for all labor,materials,tools, equipment,removals, excavation, paving, landscape repair,turf repair, hardscape repair, irrigation repair, sidewalk restoration, and appurtenances for all related items of work necessary for the removal.No additional compensation will be allowed therefore. Item No. 4—Install Electrical Meter Pedestal This work consists of furnishing and installing Electrical Meter Pedestal including foundation, circuit breakers,photocell, contactors, conduits,wiring, SCE coordination, electrical permit and any other work required to provide the intended operation at the location required per City of Santa Ana Special Provisions, Standard Plan 1126M and any approved Southern California Edison Design Plans. City of Santa Ana RFP 23-182 Page Al-14 The unit price for each Install Electrical Meter Pedestal shall be considered full compensation for furnishing all labor,materials,tools, equipment, removals,paving, landscape repair, irrigation repair,root shaving, sidewalk restoration,and appurtenances for all related items of work necessary for the installation.No additional compensation will be allowed therefore. Item No. 5—Install 2" PVC Conduit This work consists of furnishing and installing Polyvinylchloride (PVC) street lighting conduit including pull tape, ground wire,fittings, duct seal,utility potholing, concrete or asphalt restoration and appurtenances complete and in place,of the size indicated on the plans. The unit price bid per linear foot of PVC Conduit shall be considered full compensation for furnishing all labor,materials,tools, equipment, removals,paving, landscape repair, irrigation repair,root shaving, sidewalk restoration,pothole and/or trench backfill per City Std. Plan 1150, permanent asphalt replacement,permanent PCC replacement, striping and appurtenances for all related items of work necessary for the installation.No additional compensation will be allowed therefore. Item No. 6—Install No. 5 Pull Box This work consists of furnishing and installing and/or replacing pull box including Concrete Lid, the removal and/or modification of any interfering portions of existing pull box, conduit, PCC, concrete and asphalt restoration,as indicated on plans and directed by the Engineer. The unit price for each Pull Box shall be considered full compensation for furnishing all labor, materials,tools,equipment,removals,paving, landscape repair,irrigation repair, root shaving, sidewalk restoration, and appurtenances for all related items of work necessary for the installation. No additional compensation will be allowed therefore. Item No. 7—Pothole Street Light Pole Location Payment for Pothole Street Light Pole Location shall be considered full compensation for furnishing all labor,materials,tools,equipment, removals, excavation,paving, landscape repair, irrigation repair, root shaving, sidewalk restoration, pothole and trench backfill per City Std. Plan 1150,permanent asphalt replacement,permanent PCC replacement and appurtenances for all related items of work necessary for the installation. No additional compensation will be allowed therefore. Item No. 8—Traffic Control Work The work under this item for Signing and Striping shall be in accordance with the latest Watch Manual, CA MUTCD, Caltrans and any City Standard Specifications,plans, and/or any City's Special Provisions/Contract Documents to be provided for each Task Order Work. City of Santa Ana RFP 23-182 Page A1-15 Payment for Traffic Control shall be at the contract unit price per Lump Sum(LS) as listed in the Fee Proposal, and shall include full compensation for doing all work,including furnishing all materials, labor, equipment, tools, and incidentals as required and no additional compensation will be allowed therefore. City of Santa Ana RFP 23-182 Page Al-16 REQUEST FOR PROPOSALS STATEMENT OF QUALIFICATIONS FOR ON-CALL EMERGENCY ASPHALT CONCRETE, CONCRETE AND STORMDRAIN REPAIR SERVICES CITY PROJECT NO. 23-182 SUBMITTAL DATE: February 13, 2024 Mike Prlich and Sons, Inc. 5103 Elton Street Baldwin Park, CA 91706 Tel: (626) 813-1700 Fax: (626) 813-1770 raj 1 Mike Prlich and Sons, Inc. 5103 Elton Street Baldwin Park, CA 91706 Tel: (626) 813-1700 Fax: (626) 813-1770 COVER LETTER CONFIDENTIAL January 30, 2024 City of Santa Ana Public Works Agency Attn: Edward Torres Project Manager 20 Civic Center Plaza; Ross Annex Santa Ana, CA 92701 Re: ON-CALL EMERGENCY ASPHALT CONCRETE, CONCRETE AND STORMDRAIN REPAIR SERVICES RFP No. 122-182. Dear Sir/Madam: Mike Prlich and Sons, Inc. (MPS) is a local California corporation. Mike Prlich and Sons, Inc. understands the scope of work for the above-referenced project. Briefly, the work includes providing men, material, equipment, and expertise at a moment's notice to complete any asphalt concrete, concrete paving and stormdrain repair in the City of Santa Ana. Mike Prlich and Sons, Inc. understands the completion of the specific emergency may require 24 hour manning and management of the operation. Likewise, prevailing wage, safety, proper documentation, and City/Contractor coordination is a requirement. Mike Prlich and Sons, Inc. acknowledges the receipt of Addendum No 1 dated Jan. 24, 2024 The following persons have authority to make representations for Mike Prlich and Sons, Inc.: Michael A.Prlich (213)200-6246 map a.mikeprlichandsons.com Erhong Ling (626)813-1700 erhoncaa.mikeprlichandsons.com Tom Vukojevic (213)813-1700 tomv@pipetec-inc.com Milenko Eres (213)305-0419 NA Lance Leven (626)826-9186 lance(a�mikeprlichandsons.com John Milosevich (213)761-0504 NA Rene Maldonado (626)213-8899 NA Sincerely, Michael A. Prlich 1-21 2 I1 Mike Prlich and Sons, Inc. 5103 Elton Street Baldwin Park, CA 91706 Tel: (626) 813-1700 Fax: (626) 813-1770 Contents SECTION B: AGREEMENT STATEMENT 4 SECTION C; FIRM AND TEAM EXPERIENCE 5 SUPERINTENDENTS 8 FOREMAN 8 SECTION D: UNDERSTANDING SCOPE OF SERVICES 9 SECTION E: RELEVANT PROJECT EXPERIENCE 11 SECTION F: REFERENCES 12 SECTION 2: FEE SCHEDULE: LABOR AND EQUIPMENT RATES 13 SECTION 3: CERTIFICATIONS 14 Wei 3 SECTION B: AGREEMENT STATEMENT Mike Prlich and Sons, Inc. is in general concurrence with all provisions as contained in the Agreement attached as Attachment 2, Standard Agreement in RFP 23-182. il 4 SECTION C: FIRM AND TEAM EXPERIENCE Mike Prlich and Sons, Inc. is general contractor that works in engineering construction and infrastructure improvements, and specializes in underground utilities including sewer, storm drain, and trenchless pipeline installation throughout Southern California. We have completed over 500 public works projects of varying size and scope since 1954. We have worked primarily in the public works sector. A few of our main clients are as follows: City of Los Angeles, Los Angeles County Sanitation District, Orange County Sanitation District, City of Anaheim, City of Garden Grove, City of Redondo Beach, City of Cypress, City of Carlsbad, South Coast Water District, Long Beach Water Department and Los Angeles County Department of Public Works. Mike Prlich and Sons, Inc. is a California corporation. We have accounts with and are in good standing with all major industry material suppliers and specialized subcontractors. Mike Prlich and Sons, Inc. has the availability, capability and experience to handle emergencies as demonstrated by over 400 service calls to various agencies within Southern California in the last 20 years. For your reference we have enclosed a list of our most recently completed projects (see attached). In addition, major public agencies and cities have repeatedly put their faith in Mike Prlich and Sons, Inc. as a sign of our quality and ability to complete work. Mike Prlich & Sons, Inc. is currently installing RCP Stormdrain, roadway improvements and various structural facilities throughout Southern California. We have completed over 500 public works projects varying in pipe size diameter since 1954. To date, Mike Prlich & Sons, Inc. has installed over 3,000,000 linear feet of utility lines throughout California. Approximately 50 percent of the projects had pipe diameters greater than 18". In addition, 50 percent of the projects were installed with a depth of over 20'. Michael A. Prlich is the experienced senior individual and director responsible for delivery of service. In addition, the following list of key project personnel employed Mike Prlich & Sons, Inc. are also capable of acting on the company's behalf: 1. Mike Prlich Owner/Superintendent 30 years 2. John Milosevich Foreman 35 years 3. Milenko Eres Foreman 30 years 4 Rene Maldonado Foreman 20 years 5. Javier Corona Foreman 30 years 6. Tom Vukojevic Superintendent 16 years 7. Lance Laven Project Manager 16 years 8. Phillip Wilson, P.E. Project Manager 30 years Mike Prlich &Sons, Inc. has a 2 Million Dollars Line of Credit to tackle almost any size of emergency contract. In addition, MPS has bonding capabilities of 50 Million Dollars. 5 Stormdrain repairs range from installing new stormdrain system, point repairs and complete removal and replacement. Structural improvement includes asphalt roadway and concrete curb and gutter. Site Specific detailed repairs will be assessed on a case-by-case basis. Each pipeline or appurtenant structure to be repaired or replaced will be assessed for access, bypass needs, and traffic control requirements. Materials such as pipe, couplings, concrete, asphalt, bedding etc.will be sourced from the closest feasible source to ensure project execution is not hindered by a lack of material. MPS, Inc. owns and maintains all of our equipment, shoring and trench plates which will commonly be required for any excavation. We have a primary yard in Baldwin Park, This assists us with prompt response anywhere in Los Angeles county. As with all construction projects, safety and effective communication will take priority over any work activities. All of our personnel maintain certification in First Aid/CPR and Confined Space Entry, as well as Competent Person Training. Prior to entering any work zone, we will perform a visual site assessment to identify potential risks and hazards associated with site access for both personnel and equipment. Once the risks and hazards have been identified, mitigation as needed will be implemented. All of this information will be communicated to the County and Interested parties, as well as to our own workforce and subcontractors. Any emergency repair work will only be implemented with consent from the County. Inspections and safety meetings are performed weekly at a minimum. Corrective actions for deficiencies are implemented immediately. Inspections will be performed jointly with the Field Managements, County, and Inspectors when available. The inspections will be documented with copies made available to all concerned parties, including the follow-up corrective actions needed. The below Organizational Chart illustrates the team Mike Prlich and Sons, Inc has established to complete all types of emergency projects from concrete, asphalt and stromdrain structures of various size and complexity. We have open accounts with vendors all through Southern California for emergencies. The prime contact is Mr. John Milosevich, an 18 year veteran of Mike Prlich and Sons, Inc. and a 40 year plus industry employee in underground utilities construction. He has the skills to attack any project timely and has key personnel with phones available on a 24 hour basis, We also have experience In trenchless applications such as pipe bursting, pilot tube installation, and directional drilling. We are a self-sufficient company in all areas of utility work and have company depth to tackle any job described in the Request for Proposal. Agencies we are currently under contract for emergency work are the following: • Long Beach Water Department > Los Angeles County Sanitation District > Los Angeles County Department of Public Works > City of Los Angeles > City of Glendale > City of West Hollywood > County of San Bernardino > City of Thousand Oaks. • Port of Long Beach > South Coast Water District > City of Anaheim VAZ 6 Following is a list of key personnel that may be assigned to the project: Michael Prlich —President/Owner of Mike Prlich and Sons, Inc. (Est. 1998) From 1985 to 1998, worked for Mike Prlich & Sons Partnership. Mr. Prlich holds a Bachelor of Arts degree in Economics ('89) University of California at Berkeley. Erhong Ling--Accounting / Office Administration Purchasing agent, dispatching, material supplying, safety training, safety compliance, drug testing program, driver compliance. Mike Prlich and Sons, Inc. 2022- Present Bachelor of Science in Business Administration/Accounting, California State University, Los Angeles '2012 Lora Hernandez—Compliance Officer/Certified Payroll Billings, Certified Payroll. Mike Prlich and Sons, Inc. 2023— Present. Tom Vukojevic—Superintendent responsible for project planning,technical submittals, project schedules, traffic control plan preparation, management of subcontractors and material suppliers, and direct communication and interaction with project Owners, Designers, and Inspectors. Has more than 18 years of experience in ... I Mr. Vukojevic joined the MPS, Inc. in 2005. Lance Laven —Project Manager/Estimator responsible for project planning, technical submittals, project schedules, traffic control plan preparation, management of subcontractors and material suppliers, and direct communication and interaction with project Owners, Designers, and Inspectors. Lance has more than 16 years of experience in assisting with engineering design and construction involving underground utilities, water&wastewater transmission/treatment facilities, roadway rehabilitation, and reinforced concrete structures. Mr. Laven joined the MPS, Inc. group in 2016. B.S. Environmental Analysis and Design '2008, University California Irvine a 7 SUPERINTENDENTS Javier Corona—Superintendent-worked for T.L. Pavlich Construction Inc., Spinello Companies and Mladen Buntich for combined 30 years. Mr. Corona joined the MPS, Inc. group in 2016. Has completed various types of projects for including waterlines, sewers, storm drains, grading, slip lining, etc. Has managed jobs for our following Clients: City of Los Angeles, Orange County Sanitation District, Los Angeles County Sanitation District, and City of Long Beach. Mr. Corona maintains his membership in the Operating Engineers Union. Milenko Eres—Superintendent for Mike Prlich &Sons, Inc. He joined the company in 2009. He previously was employed by Mladen Grbavac Construction for the period of 16 years as a Superintendent. Mr. Eres maintains his membership in the Operating Engineers Union. FOREMAN John Milosevich—Worked for Mike Prlich & Sons, Inc. for 19 years— 1998 to Present Steve Newton—Worked for Mike Prlich & Sons, Inc. for 15 years—2003 to Present Rene Maldonado—Worked for Mike Prlich & Sons, Inc. for 4 years—2014 to Present Subcontractor Relationships Mike Prlich &Sons, Inc. utilizes Pipe Tec inc., a company owned by Michael Prlich for pipe cleaning, CCTV inspection. In addition, Mike Prlich and Sons, Inc. has developed relationships within the industries over the past 30 years with several Structural Contractors which build maintenance holes, storm drain catch basins and other miscellaneous concrete structures; multiple Pipe Suppliers for sewer pipe storm drain pipe and utility conduit. We utilize Professional Engineers to provide Structural Details, Shoring Plans and Traffic Control Plans. Also, we have working relationship with several Professional Surveyors for laying out job sites, pipe lines and various structures; (MPS) has working relationships with asphalt and concrete flatwork subcontractors capable of performing larger street restoration; Electrical subcontractors for traffic signal loop restoration; and various subcontractors specializing in all forms of trenchless pipe restoration and repairs. 8 SECTION D: UNDERSTANDING SCOPE OF SERVICES Mike Prlich and Sons, Inc. anticipates that City will provide a location of repair. Additionally, MPS assumes that, if necessary, the City will provide surveyed line and grade and geotechnical services. MPS assumes all work will be performed under WATCH manual traffic control. If required MPS can provide engineered traffic drawings by Traffic Control Engineering, Inc. or other similar vendors at the direction of the City. Mike Prlich and Sons, Inc. has a proven track record of timely responses and rapid repairs to existing facilities for numerous emergency projects with several local agencies in Southern California. The response time excluding travel is always less than 1 hour, and typically within 10-minutes plus travel time. As provided in the Cover Letter, the direct cell phone numbers are listed for all key personnel directly authorized to respond to any given emergency. These numbers can be used 24-hours per day, in addition to the Office Phone number during regular working hours. Mobilization efforts are initiated promptly by Key Personnel to line-up labor, equipment, materials, and subcontractors for the given emergency. The project supervision has the authority to direct the deployment of resources to meet the needs to an emergency. As with all construction projects, safety and affective communication will take priority over any work activities. All of our personnel maintain certification in First Aid/CPR and Confined Space Entry, as well Competent Person Training. Prior to entering any zone, we will perform a visual site assessment to identify potential risks and hazards associated with site access for both personnel and equipment. Once the risks and hazards have been identified, mitigation as needed will be implemented. All of this information will be communicated to the Owner and Interested Parties, as well as our own work force and subcontractors. Any emergency repair and/or maintenance activity work will be implemented with consent from the City. Staffing Plan The projects will be staffed full time by at least one Working Superintendent or Foreman. Additional Superintendents and Project Management!Project Engineering will be readily available depending on the nature of the emergency. The crew make up will be project specific, but typically craft specific Foreman with supporting Operating Engineers, Laborers, Teamsters, Pipe Layers, Carpenters, Tec. Will be used as necessary. A Quality Control inspector will be utilized as necessary. Our in-house Project Engineering staff, along with the Project Managers will ensure that compliance with the contract documents, as well as additional local, state, and federal requirements are being met. In addition to sewer pipeline repairs, MPS has experience with all of the following tasks: Dams, debris basins, spreading grounds, pump stations, low flow diversions, seawater barriers projects, channel walls, channel inverts, channel access roads and ramps, channel drop structures catch basins, inlet/outlet structures, ocean outlet structures, corrugated metal pipes (CMP), reinforced concrete pipes and boxes, and associated appurtenant structures. Personnel will be adjusted and allocated to accommodate the City's emergency needs. This will be Priority One of our Work Plan. In addition, we have depths to run projects on a 24-hour basis 7 days per week. Likewise, we are signatory with multiple trades. As such, additional IZZ 9 labor resources are available and will be vetted accordingly. MPS will work with the City to have additional subcontractors approved necessary. MPS will work with the City to provide cost estimates for any specialty subcontractors needed to complete the work(ie. Lining, grouting, striping, soils stabilization, pipe supply, etc.) Lik#•„ 10 SECTION E: RELEVANT PROJECT EXPERIENCE Project:Burwood and Figueroa Street and Stormdrain Owner: City of Los Angele Contact Information:TK Lee, 213-485-4528 Total Value: Completion Date: 8/04/2023 Description: Install City Stormdrain Facilities,Reconstruct asphalt roadway and concrete curb,gutter and sidewalk. Project:Arroyo Seco Low Flow Diversion Structure and Via Marisol Street Reconstruction Owner: City of Los Angeles Contact Information: Naushin Kamal 213-847-0342 Total Value: Completion Date: 12/20/2023 Description: Install stormdrain structure and reconstruct asphalt roadway,concrete curb and gutter Project: ESR—NCOS Jefferson Holdrege Vault Rehab Owner:City of Los Angeles Contact Information:Stephen Chao, 213-485-1626 Total Value: Completion Date: 10/15/2023 Description: Refurbish concrete vault with subsurface grouting design/build structural wall, replace 36- inch RCP ventilation line, remove and replace 8'CMU wall concrete curb and gutter Project: Crescent Drive Bulkhead Owner:City of Los Angeles Contact Information: Michael Womack 213-847-0494 Total Value: Completion Date: 12/09/2023 Description:Construct structural bulkhead 10-foot wall with 20 foot I beam caissons. Construct city roadway with curb and gutter Project:Vista Del Mar Slope Stabilization Owner:City of Los Angele Contact Information: Daniel Orris 213-847-0488 Total Value: Completion Date:8/14/2023 Description: Install stepped slope stabilization "Pipe and Board"Retaining walls. Reconstruct roadway following slope failure. 11 SECTION F: REFERENCES Project:On-Call Services Agreement Owner:City of Newport Beach Contact Information:Josh Rosenbaum 949-644-3057 Total Value: $500,000.00 Completion Date: On-Going Description:storm drain piping, catch basins,excavation of trenches,grading,Tide valves and structures. Project:On-Call Emergency or Immediate Construction and Maintenance Services Owner:South Coast Water District Contact Information: Megan Geer-949-499-4555 ext.3134 Total Value: $100,000/fy Completion Date: On-Going Description: Maintenance and Repair of all District Facilities Project: Emergency On-Call Geotechnical/Structural Construction Service Owner:City of Los Angeles Contact Information: Patrick Schmidt 213-847-0492 Total Value:500,000/per C.O. Completion On-Going(2024-2029) Description: In addition to/construction of bulkheads,retaining walls,slope stabilization,street repair, traffic control.Sidewalk and curb ramps,other public work construction per City Standard Plans Project:City of Los Angeles—Emergency Sewer/Storm Drain Response Owner:City of Los Angeles Contact Information: Bill Benson—Chief Construction Inspector 213-440-9138 Total Value: 3 million plus Completion Date: On-Going(2023-2028) Description:As needed emergency—Sewer&Storm Drains 12 SECTION 2: FEE SCHEDULE: LABOR AND EQUIPMENT RATES See attached separate submission. 13 SECTION 3: CERTIFICATIONS See attached separate submission. 14 CERTIFICATIONS FOR ON-CALL EMERGENCY ASPHALT CONCRETE, CONCRETE AND STORMDRAIN REPAIR SERVICES CITY PROJECT NO. 23-182 SUBMITTAL DATE: February 13, 2024 Mike Prlich and Sons, Inc. 5103 Elton Street Baldwin Park, CA 91706 Tel: (626) 813-1700 Fax: (626) 813-1770 1 Appendix ATTACHMENT 3-1: NON-COLLUSION AFFIDAVIT CERTIFICATIONS NON-COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Cannot Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of; or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non-collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Non-collusion Affidavit. BIDDERS are cautioned that malci a cer a 'on may subject the certifier to criminal prosecution. Signed - 1 3 2. State of California County of Subscribed and sworn to (or affirmed) before me on this day of , 20 , by , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Notary Public Signature Notary Public Seal City of Santa Ana RFP 23-182 Page A3-1 • • A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California Los Angeles County of On 2_'` i3 L`j before me, Gregg Arden Alfvecjren Notary Public (insert name and title of the officer) personally appeared Michael A. Prlich who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENAL I Y OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. I %� � GREGG ARDEN ALFVEGREN II c COMM.#2329628 N WITNESS my hand and official seal. NOTARY PUBLIC-CALIFORNIA Si. �` i�% LosANceLEs couNTY My Comm.Expires JULY 11,2024 Signature (Seal) • Appendix ATTACHMENT 3-2: NON-LOBBYING CERTIFICATION CERTIFICATIONS The prospective participant certifies,by signing and submitting this bid or proposal,to the best of his or her knowledge and belief,that: 1. No federal appropriated funds have been paid or will be paid,by or on behalf of the undersigned,to any person for influencing or attempting to influence an 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 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 appropriated funds have been paid or will be paid to any person for influencing or attempting to influence any 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,loan or cooperative agreement,the undersigned shall complete and submit a"Disclosure of Lobbying Activities". 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. Firm NUKE PRLICH AND SONS dNC. Signed and Printed Name: MICHAEL A. PRLICH Li--QL4-C4 PRESIDENT Title Date 'Li 13 I .2-0 24 City of Santa Ana RFP 23-182 Page A3-2 Appendix ATTACHMENT 3-3: NON-DISCRIMINATION CERTIFICATION • CERTIFICATIONS The undersigned consultant or corporate officer, during the performance of this contract, certifies as follows: 1. The Consultant shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin, The Consultant 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 Consultant 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 Consultant shall, in all solicitations or advertisements for employees placed by or on behalf of the Consultant, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Consultant 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 Consultant's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4• The Consultant 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 Consultant shall finnish 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 Consultant'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 Consultant 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. 7. The Consultant 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 City of Santa Ana RFP 23-182 Page A3-3 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 Consultant becomes involved in, or is threatened with, litigation with a sub-consultant or vendor as a result of such direction by the administering agency, the Consultant 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 consultant of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed: MICHAELA. PRLICH Title: MIKE PRLICH AND SONS CNC. Firm: Date: 24 13 f City of Santa Ana RFP 23-182 Page A3-4 Appendix ATTACHMENT 3-4: FLEET COMPLIANCE CERTIFICATION CERTIFICATIONS Bidder hereby acknowledges that they have reviewed the California Air Resources Board's policies,rules and regulations and are familiar with the requirements of Title 13, California Code of Regulations, Division 3,Chapter 9, effective on January 1,2024(the"Regulation"). Bidder hereby certifies,subject to penalty for perjury, that the option checked below relating to the Bidder's fleet, and/or that of their subcontractor(s)("Fleet")is true and correct: I(The Fleet is subject to the requirements of the Regulation, and the appropriate Certificate(s) of Reported Compliance have been attached hereto. ❑ The Fleet is exempt from the Regulation under section 2449.1(f)(2), and a signed description of the subject vehicles, and reasoning for exemption has been attached hereto. ❑ Bidder and/or their subcontractor is unable to procure R99 or R100 renewable diesel fuel as defined in the Regulation pursuant to section 2449.1(f)(3). Bidder shall keep detailed records describing the normal refueling methods,their attempts to procure renewable diesel fuel and proof that shows they were not able to procure renewable diesel (i.e. third party correspondence or vendor bids). O The Fleet is exempt from the requirements of the Regulation pursuant to section 2449(i)(4) because this Project has been deemed an Emergency, as defined under section 2449(c)(18). Bidder shall only operate the exempted vehicles in the emergency situation and records of the exempted vehicles must be maintained,pursuant to section 2449(i)(4). O The Fleet does not fall under the Regulation or are otherwise exempted and a detailed reasoning is attached hereto. Name of Bidder: .M h �� G1 cti 11 1S vtc_ Signature: Name: vv` ; G kc\ L \ 1 �� c �1 Title: Tr-e S ► A-e ni Date: "t—( t .7 '2,40 —4 City of Santa Ana RFP 23-182 Page A3-5 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: MIKE PRLICH AND SONS INC.. Business Address: 5 t 0 3 '=1 /1 `-• , 3 a1.60,4) R rk , C.N, 11106 Business E-Mail Address: b, e .- , ?r l:C k c,,n ci s 6n0 . Lc)v✓► Telephone: (c 2- . ) O 12 - ►1 o 0 State Contractor's License No. and Class: r1 t..o 0 `119- License Expiration Date: 3 131 State Dept. of Industrial Relations (DIR) Registration No.: 1 0 0 o u t ?L; State Dept. of Industrial Relations (DIR) Registration Expiration Date: �' I Signed: MICHAELA. PRLICH :V„,c) Title: PRESIDENT City of Santa Ana RFP 23-182 Page A3-5 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 $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request,and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct. Name of Firm woke PRLICH AND SONS INC. Signature of BIDDER H PRESIDENT Title (if an individual, so state) City of Santa Ana RFP 23-182 Page A3-6 OWNERSHIP AFFIDAVIP STATE OF CALIFORNIA COUNTY OF ORANGE )SS: CITY OF SANTA ANA • t_ct.t Y}df—L. A• • ?y-t_.LL or,being duly sworn,deposes and says: ❑INDIVIDUAL That he/she is the party making the foregoing proposal: ❑PARTNERSHIP That he/shc is a member of the co-partnership firm designated as: and who has been and is duly vested with the authority to make and execute instruments for the co- partnership by: �P who constitute the other members of the co-partnership, I�t;ORPORATION That he is of pR �'\ l� t1G� Qt�t.�L4- sty a corporation which is making the foregoing proposal: `3ar.J$ ❑JOINT VENTURE That he is of: one of the parties making the foregoing proposal as a joint venture,and the he/she has been and is duly vested with the authority to execute instruments for an on behalf of the parties making said bid who are: that such a bid is genuine and not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for himself or an of r person. Signature of Bidder Subscribed and sworn to before me this day of 20 Signature of officer Administering Oath(Notary Public) • City of Santa Ana RFP 23-182 Page A3-7 A notary public or other officer completing this • certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California Los Angeles County of l ) On 2- 2--1 before me, Gregg Arden Alfvegren Notary Public (insert name and title of the officer) personally appeared Michael A. Prlich who proved to me on the basis of satisfactory evidence to be the person(s)whose names)is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. GREGG ARDEN ALFVEGREN II /„�' �.,,:?, COMM.�✓2329628 � WITNESS my hand and official seal. 1 '� NOTARYPUBLIC-CALIFORNIA \. `l.TO/ ' LOSANGELES COUNTY My Comm.Expires JULY 11,2024 • Signature / (Seal) 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$10,000,whichever is greater o Buildings,parks,or other projects: '''A%of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations(DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name r,ca -As pi f•f Name License #/Exp. 2la i d' 3 / 1- 31 -2,, License#/Exp. DIR Reg.#/Exp. )o cc o 0 01,,5 I J co-i o -L(, DIR Reg.#/Exp. Location ,o,� / cA Location Phone (q s -1 Io - to 0 o Phone Type Of Work "Po‘.v:n� «ncl rK Type Of Work Amount$ — Amount$ Name Name License #/Exp. License#/Exp. DIR Reg.#/Exp. DIR Reg.#/Exp. License # License# Location Location Phone Phone Type Of Work Type Of Work Amount$ Amount$ Name Name License #/Exp. License#/Exp. DIR Reg.#/Exp. DIR Reg.#/Exp. License # License# Location Location Phone Phone Type Of Work Type Of Work Amount$ Amount$ City of Santa Ana RFP 23-182 Page A3-8 REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER has performed similar work within the past three years. 1. t'_-% .f o -� N e po r4 Name and Address of Owner. °51n ?--1D5c r1 'bcuA. yM (°l`E0I) Lo 'A-`+ - 3o S-1 Name and Telephone Number of person familiar with project. k5 oc, o d rot:,Yl O n - o ,n Contract Amount Type of Work Date Completed 2. 5 0 C,.p 1c4 T Name and Address of owner. ,M-ecrA GI c-e� (°t� 1 � `F°Iq - 4553 -7-)I31- Name and Telephone Number of person familiar with project. 100,dO0 -r-1 \h^o.;nle-11ciertCP a1icJ fe&. ( O,n - v,v-1yy Contract Amount Type of Work Date Complet T 3. a ,c Lo S A .e S - L7 c -e--rqns1, C G i f o •--(i> Name and Address of owner. &N--lv-, c- �c In ivi i c� (2t')) 84-1 - a `-'s-q 2 Name and Telephone Number of person familiar with project. 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. C._0•/1/4,-0...-rrc;w1 47.trt-1y 3�r\c neicr. , is ACo o.Io. (I‘Lk) Sie -tZ�z 1 i- r.1. i�,a-1 �./; St Site a 1 D ra n Q CA I "2-El Cal '�a-{r v(c)k t eLc c o.,e.n`f t e c.it-Ei V C (61 4q)M-4 b-101 3 z S '3151 L( Nr1'1ncir 3l. 3°0 ) 1� �/� ne G-A °'l 1_191 2L City of Santa Ana RFP 23-182 Page A3-9 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. v 4- L., s e QS — Sew-e.r- t),r ivtcid"LZt Name and Address of Owner. 11 �.�1 nSJrl U���-� CoA�`h� {�a� Srt � ?cG(o‘n (Z► *A-`f0 -913s Name and Telephone Number of person familiar with project. ; ;tL.Qn 517, oA— c3oy Contract Amount Type of Work Date Completed 2. Name and Address of owner. Name and Telephone Number of person familiar with project. i I Contract Amount Type of Work Date Completed 3. Name and Address of owner. Name and Telephone Number of person familiar with project. 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. • II I i L City of Santa Ana RFP 23-182 Page A3-10 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: MICHAEL A. PRLICH PRESIDENT 5.24 Title: Firm: MIKE PRLICH AND SONSlNC:. Date: 7( k ( � Z-+ I City of Santa Ana RFP 23-182 Page A3-12 PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete,under penalty of perjury,the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local` government project because of a violation of law or a safety regulation? /Yes No < If the answer is yes, explain the circumstances in the following space, City of Santa Ana RFP 23-182 Page A3-13 I STATEMENT REGARDING COMMUNITY WORKFORCE AGREEMENT(CWA')REQUIREMENTS This is to certify that the undersigned BIDDER, and subcontractors, have read and understood the CWA • entered into by and between the City of Santa Ana, the Los Angeles/Orange Counties Building and Construction Trades Council, and the signatory Craft Councils and Local Unions, effective as of June 6, 2023. The undersigned BIDDER hereby agrees to comply with all terms and conditions of the CWA, and is capable of completing construction of the project continuously, and without interruptions or delays. If awarded any work covered by the CWA, BIDDER will also be required to sign the Letter of Assent that appears as Attachment A to the CWA. The undersigned BIDDER has reviewed the Public Works Construction Permit and required deposit described in Section 2-2a and the Notice of Inviting Bids. Signed: MICHAEL A. PRLICH PRESIDENT Title: Firm: MIKE PRLICH ANDSONSCNC,. Date: Z.l 13 ( L" City of Santa Ana RFP 23-182 Page A3-14 FEE PROPOSAL FOR ON-CALL EMERGENCY ASPHALT CONCRETE, CONCRETE AND STORMDRAIN REPAIR SERVICES CITY PROJECT NO. 23-182 SUBMITTAL DATE: February 13, 2024 Mike Prlich and Sons, Inc. 5103 Elton Street Baldwin Park, CA 91706 Tel: (626) 813-1700 Fax: (626) 813-1770 i 1 City of Santa Ana ON-CALL EMERGENCY ASPHALT CONCRETE,CONCRETE,STOMDRAIN REPAIR SERVICES Mike Prllch and Sons,Inc. Labor Rates w/20%mark-up CRAFT TIME 2024 Rate 2025 Rate 2026 Rate Laborer App.6 ST $ 74.00 $ '•`'77.00 .$ -81,00 OT $ ':102.00 $ 107.00 '$ 112.00 DT '11$ 129,00 $):135.00 $ '141.00 Laborer Grp.4 ST $ "'=99.00: $ '103,00 $ 108,00 OT $ 133.00 $ 139,00. $.-`145.00 DT :$ 166.00 $<173.00 $ "`180,00. Teamster Grp.5 ST $`:11100. $` 116.00 $'1.-".121.00 OT $.1:`147.00 $1`153.00 $ '160.00 DT $i°182,00. $'='190.00 $i.i`:198.00 Operator Eng.Grp.8 ST $%15126.50 $`-''132,00. $"'138,00 OT $'`•171.00 $'r178.00 $ 186.00 DT $ 215,0.0. $11224.00 $ 233.00. Foreman ST $.::-1174.00 $ '1810O $`V:189.00 OT $1=228.00 $'.238.00 $ -24800. DT $''292.00. $.=304.00 $.1317,00- Project Manager ST $ 180.00 $ -188.00., $ 196,00 OT $ "235.00: $.: 245.00 $ "255.00. DT '$ :300.00. $ 312.00 $.`-1325.00 City of Santa Ana-ON-CALL EMERGENCY ASPHALT CONCRETE,CONCRETE,AND STORMDMIN REPAIR SERVICES REP No.23-182 Fee Schedule Part 2-Major Task and Task Table NO. MAJOR TASK NO, SUB-TASK HOURLYEFFORT COST 1 Asphalt Concrete 1 Unclassified Excavation Removal of existing site work Labor Cost$5,500.00/Day Labor Crew:(1)foreman(I)operator(4)laborers Equipment cost$4,300/day Production Rate:100 SF/Day 2 Install AC Paving Grade and place base.Install AC Asphalt with Wearing Surface Labor Cost$7,50060/Day Labor Crew:(1)foreman(3)operator(5)laborers Equipment cost$6,400/day Production Rate:200 SF/day 3 Concrete Curb and Gutter Form and Place concrete flatwork Labor Cost$11,000.00/Day Labor Crew:(1)foreman(6)laborers Equipment cost$1,870/day Production Rate:200 LF/Day 2 Concrete Paving 1 Unclassified Excavation Removal of existing site work Labor Cost$5,50D.00/Day Labor Crew:(1)foreman(1)operator(6)laborers Equipment cost$4,300/day Production Rate:100 SF/Day 2 Install PCC Sidewalk Grade and place3"concrete sidewalk Labor Cost$11,000.00/Day Labor Crew:(1)foreman(6)laborers Equipment cost$1,870/day Production Rate:200 SF/day 3 Install FCC Curb Ramp Form and Place concrete access ramp Labor Cost$11,000.00/Day Labor Crew:(1)foreman(8)laborers Equipment cost$1,870/day Production Rate:100 SF/Day 4 Install PCC Curb and Gutter Form and Install PCC Curb and Gutter Labor Cost$11,000.00/Day Labor Crew:(1)foreman(6)lahoers Equipment cost$1,870 May Production Rate:250 LF/day 5 Build Catch Basin Form and construct Concrete Structure Labor Cost$9,500.00/Day Labor Crew:(1)foreman(4)laborers Equipment cost$1,50D/day Production Rate:1 EN 3 Days 3 Stormdrain 1 Unclassified Excavation Removal of existing site work Labor Cost$6,000,00/Day Labor Crew:(1)foreman(1)operator(4)laborers Equipment cost$5,000/day Production Rate:100SF/Day 2 Install AC Paving Install AC Paving over SD Trench Labor Cost$6,000.00/Day Labor Crew:(1)foreman(1)operator(4)laborers Equipment cost$5,000/day Production Rate:400 LF/day 3 Remove and Replace 18°C.M.P Excavate,place bedding,laypipe,backiillto below surf ace layer Labor Cost$6,000.00/Day (10 foot depth) Labor Crew:(1)foreman(4)laborers (1)operator Equipment cast$5,000/day Production Rate:80 LF/Day 4 Re move and Replace 18"R.C.P Excavate,place bedding,lay pipe,backfill to below surface layer Labor Cost$6,000.00/Day (10 foot depth) Labor Crew:(1)foreman(4)laborers (1)operator Equipment cost$5,000/day Production Rate:60 LF/Day 5 Remove and Replace 30"C.M.P Excavate,place bedding,lay pipe,backlit(to below surface layer Labor Cost$6,000,00/Day (201cot depth) Labor Crew:(1)foreman(4)laborers (1)operator Equipment cost$6,000/day Production Rate:60 LF/Day 6 Build Catch Basin Form and construct Concrete Structure Labor Cost$4,0110.00/Day Labor Crew:(1)foreman(4)laborers Equipment cost$2,000/day ' Production Rate:1 EA/3 Day QUANTITIES FOR FEE SCHEDULE(UNDER SEPARATE COVER) For the purposes of providing a Fee Schedule based on the below Sample Task Orders, the following work items and quantities are provided. The Fee Schedule in Attachment 5: Each Fee Schedule shall include a schedule of the hourly billing rates for ALL contractor and subcontractor staff and labor personnel.Additionally,for each discipline that a company seeks to be considered, the below table(s) shall be completed. For example, if a General Contractor is submitting for Asphalt Concrete and Concrete Work, Sample Task Orders A and B would both be required to be completed as part of the Fee Schedule.Each table shall include the filling in of the last two columns for the relevant sample task orders for whichever category(ies) are being submitted for consideration. However, actual work will be paid for as described in Section I "Nature of Work."Sample Task Orders for Asphalt Concrete,Concrete Paving,Storrndrain,and t Street Lighting within the public right-of-way related work are,respectively: Sample Task Order A—Asphalt Concrete Item Description Qty Unit Unit Price Total 1 Unclassified Excavation 550 CY 5 S p 30 z,Soo- 2 AC Pavement 130 TN 3 5c.0 '1-S S o'- 3 Furnish and Install#6 Pullbox 4 EA 2 ,a�03,0 o o"' 4 Adjust Manhole to Finished Grade 5 EA 1 19 o a q, coo- , 5 PCC Curb&Gutter(Type A-2-8) 100 LF 1 1 0 1-7.aoo- 6 Signing&Srtiping 1 LS -I, o v 7, ooJ 7 Traffic Control Work 1 LS t 5, a o g.p t c, 0 o c - i Sample Task Order B —Concrete Paving Item Description Qty Unit Unit Price Total 1 Unclassified Excavation 550 CY 5 50 3 07- goo 2 PCC Sidewalk(T=4") 2,500 SF • .t. c S,000 - 3 PCC Curb Ramp 3,000 SF `(— 1 3 S o00- _ 4 PCC Curb&Gutter(Type A-2-8) 100 LF 1 10 17, a ao 5 Furnish and Install#6 Pullbox 4 EA •..., oao S o a - 6 Adjust Manhole to Furnished Grade 5 EA ( )9 o c7 y 5-co 7 Catch Basin(Type`B",W=10') 1 EA 71 3,oc9u 3 5 OOP- 8 Remove and Replace 30"Reinforced Concrete 75 LF Pipe 2?o o -2_o 2,5 00 9 Guard Rail Replacement(Caltrans RSP A77N4) 50 LF to oO 30,o oa - 10 Guard Rail Replacement(Caltrans) 1 EA '-)o, oo 0 3o,o00 11 Remove and Replace Chain Link RJW Fence 50 LF 4- yo •zl ao o - 12 Concrete Barrier Type 83(Caltrans) 50 LF -1 .7...c� 3(0,0 0 0 13 Traffic Control Work 1 LS 1 S poc !L3 oaQ' City of Santa Ana RFP 23-182 Page Al-2 (-3..D Sample Task Order C—Stormdrain Item Description Qty Unit Unit Price Total 1 Unclassified Excavation 550 CY i 50 *,02,•oo 2 AC Pavement 130 TN 2)50 sl5,ii,,o - 3 Remove&Replace 18"Corrugated Metal Pipe(CMP) 75 LF Z,0o0 ! 5'0,00 a 4 Remove&Replace 18"Reinforced Concrete Pipe(RCP) 75 LF 2,3 0 o 112,so0— 5 Remove&Replace 30"Reinforced Concrete Pipe(RCP) 75 LF L,S e'° i$7 55"— 6 Catch Basin(Type`B",W=10') 1 EA 35,000 35,0 00 7 Traffic Control Work 1 LS 3-2-,0oo 2.2,oc — Sample Task Order D — Street Lighting Description Qty Unit Unit Price Total Furnish and Install Stre ' ht Pole 10 EA,--- Remove Existing Wooden Po e A Remove Existing Steel Pole __________________I EA Install Electrical Meter Pedestal 1 EA Install 2"PVC Conduit 4000 LF Install No. 5 Pull Box A Pothole Street Ligl ole Location • 10 EA _ Traffic Control Work 1 LS SURETY 1OND For each Task .der Issued by Public Works Agency, the Contractor shall provide cash deposit or surety"Paymenf' nd"Performance"bonds in the amounts specified by the"Greenbook"and City of Santa Ana upoh\\approval of the proposed itemised cost estimate for each approved on- call or emergency Task Orde�•which will be based upon the City's Standard Plans,As-Built Plans, or other direction from the Ph llic Works Agency. The cash deposit or the surety bonds shall guarantee the construction of all ecessary improvements for the Task Order, however, Bid Bonds shall not be required at tlie,time of the submittal of RFP Proposal. The City also reserves the right to retain 10% of pro • ess pay amounts for the one-year warranty work. The cash deposit shall be released approxima ' 135 days after all related permits and/or other \giapprovals required are signed off by the City onstruction Inspector, and the passage of any lien periods. In the event the work is not complete2l within one year of the date that a street work permit or Task Order is signed, applicant agrees that e City may apply the cash deposit to the • cost of completing the work and such work may be comp ed at the sole convenience of the City of Santa Ma. The deposit amount will be determined based uon the surface drainage and street improvement plans. City of Santa Ana RFP 23-182 Page Al-3 712/1/2025 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Tina Wolter Acrisure Southwest Partners Insurance Services, LLC PHONE FAX 4000 Westerly Place A/C No Ext: 949-486-7932 A/c,NO): E-MSuite 110 ADDRESS: twolter@acrisure.com Newport Beach CA 92660 INSURER(S)AFFORDING COVERAGE NAIC# License#:BR-1801370 INSURERA:Zurich American Insurance Company 16535 INSURED MIKEPRL-01 INSURERB:American Guarantee&Liability Insurance Company 26247 Mike Prlich &Sons, Inc. INSURERC: Great American Insurance Company 16691 5103 Elton St. Baldwin CA 91706 INSURERD: Navigators Specialty Insurance Company 36056 INSURERE:Allied World National Assurance Company 10690 INSURER F: COVERAGES CERTIFICATE NUMBER:457659116 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y GL0714349902 8/1/2025 8/1/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y BAP714350202 8/1/2025 8/1/2026 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED FIR ERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C UMBRELLALIAB OCCUR Y Y TUE405237304 8/1/2025 8/1/2026 EACH OCCURRENCE $15,000,000 X D LA25EXCZOM3NFIC 8/1/2025 8/1/2026 X EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED RETENTION$ $ A WORKERS COMPENSATION Y WC714349702 8/1/2025 8/1/2026 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE FN] N/A E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Pollution/Professional Y Y 03139429 8/1/2025 8/1/2026 Aggregate $10M Professional Liab $2M Occ/Agg Pollution Liab $5M Occ/$10M Agg DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:On-Call emergency Asphalt Concrete, Concrete,and Storm drain Repair" Tu Tran Tu TralnyNguye by Agreement#A-2024-069-02 RFP#23-182 The City of Santa Ana, it's officers,employees,volunteers and representatives are named as Additional Insured as respects to Date:2025.12.3 General Liability as per endorsement attached as required by written contract. N 9 Uyen 10:14A7-0e'o Primary/non-contributory endorsement included.Waiver of Subrogation as respects general liability,auto liability and workers comp. 30-day notice of cancellation/10-days for non-payment of premium. APPROVED CERTIFICATE HOLDER CANCELLATION By Tu Tran Nguyen at 10:14 am,Dec 03,2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana CA 92702 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Coverage Extension Endorsement ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I Prem. Return Prem. BAP 7143502-02 08/01/2025 08/01/2026 43001176 INCL THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II—Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law,any person(s) or organization(s)where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance—Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident",will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured"will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment—Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident"we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. U-CA-424-F CW(04/14) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 6 C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II—Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II—Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and b. Any: (1) Overdue lease or loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage— Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: U-CA-424-F CW(04/14) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 2 of 6 (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of$3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for"loss"to personal effects which are: (1) Personal property owned by an "insured"; and (2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for"loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph 113.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 113.2.c. of Section IV— Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured"; and (b) Are in a covered "auto" at the time of"loss". The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such "loss". U-CA-424-F CW(04/14) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 3 of 6 K. Airbag Coverage The Exclusion in Paragraph 113.3.a. of Section III—Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph 113.4.a. of Section IV— Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto"on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller(or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller(or smallest) deductible, it will be reduced by the amount of the smaller (or smallest)deductible. M. Physical Damage—Comprehensive Coverage—Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all "loss"from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos—Physical Damage 1. The following is added to Section I—Covered Autos: Temporary Substitute Autos—Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos"for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto"you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos—Physical Damage We will pay the owner for"loss"to the temporary substitute"auto" unless the"loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a.of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of"accident", claim, "suit" or"loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner(if you are a partnership), a member(if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any U-CA-424-F CW(04/14) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 4 of 6 agent, servant or employee of the"insured"to notify us of any"accident", claim, "suit" or"loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or"suit" including, but not limited to, the date and details of such claim or"suit"; (2) The"insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the"accident" or"loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. Q. Employee Hired Autos— Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance— Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto"you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any"auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of"autos"or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto—World Wide Coverage Paragraph 7a.(5)of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of"bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U-CA-424-F CW(04/14) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 5 of 6 U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II—Covered Auto Liability Coverage is replaced by the following: Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. V. Physical Damage—Additional Temporary Transportation Expense Coverage Paragraph Aka. of Section III— Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of$1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of$2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos"for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F CW(04/14) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 6 of 6 Waiver Of Subrogation (Blanket) Endorsement ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'I Prem. Return Prem. GLO 7143499-02 08/01/2025 08/01/2026 43001176 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: If you are required by a written contract or agreement, which is executed before a loss, to waive your rights of recovery from others, we agree to waive our rights of recovery. This waiver of rights shall not be construed to be a waiver with respect to any other operations in which the insured has no contractual interest. U-GL-925-B CW(12/01) Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4 84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement, effective on 08/01/2025 at 12:01 A.M. standard time, forms a part of (DATE) Policy No. WC 7143497 - 02 Endorsement No. of the Zurich American Insurance Company (NAME OF INSURANCE COMPANY) issued to MIKE PRLICH &SONS, INC Premium (if any) $ Authorized Representative We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' compensation premium otherwise due on such remuneration Schedule Person or Organization Job Description ALL CA Operations WC 04 03 06 (Ed. 4-84) Page 1 of 1 9 Additional Insured — Automatic — Owners, Lessees Or ZURI 0 Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 7143499 -02 Effective Date: 08/01/2025 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II—Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or"personal and advertising injury" arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or"property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury", "property damage" or "personal and advertising injury" is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, U-GL-2162-A CW(02/19) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 1 of 4 in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (i) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or"property damage" caused by "your work"and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that"bodily injury", "property damage" or"personal and advertising injury" is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury", "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products-completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury" or "property damage" is caused, in whole or in part by "your work" and included in the "products-completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or"property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and U-GL-2162-A CW(02/19) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 2 of 4 (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products-completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV—Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an 'occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or"suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or"suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. U-GL-2162-A CW(02/19) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 3 of 4 F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III— Limits Of Insurance: Additional Insured—Automatic—Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Section A.of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. U-GL-2162-A CW(02/19) Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Page 4 of 4