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Home My WebLink AboutB & T WORKS, INC.0 �o x.. Q� UO �U m F F. oZ zW c� a� o> =o �v WO wF zZ OG oa rx Recording Requested By, And When Recorded Mail To: Clerk of the Council, City of Santa Ana 20 Civic Center Plaza, P.O. Box 1988 Santa Ana, CA 92702 Recorded in Official Records, Orange County Renee Ramirez, Assistant Clerk- Recorder I III [J 11111 1111 II I I II 1111 I II 111�1 III I I 111 � � �1 II NO FEE *$ R 0 0 0 5 5 4 5 2 3 1$* 201300005346110:50 am 01128113 90 414 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 F NOTICE OF COMPLETION M NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a 1 municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana, 1 California, 92701, is the owner of the property hereinafter described, that said owner has caused construction of Bristol /17th Intersection Widening under contract entered into on March 21, 2011 with B &T Works, Inc., on which contract Western Insurance Company is surety. The property on which such work improvement was placed is in the City of Santa Ana, County of Orange, State of California, and described as Project No. 11 -6744 located at the intersection of Bristol and 17th Street. The work improvement on said property was accepted as completed on January 23, 2013. Dated: by IPAL CORPORATION City Engineer TITLE VERIFICATION I, the undersigned, say: I am the City Engineer of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof, and I declare under penalty of perjury that the facts therein stated are true. —�— Executed on /Gth�� /� 2`�j 20� 3 , at Santa Ana, California (Signature of individual swearing that the contents of Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN (10) DAYS AFTER COMPLETION CITY COUNCIL MEETING DATE: MARCH 21, 2011 TITLE: CONTRACT AWARD FOR BRISTOL /17TH INTERSECTION WIDENING (PROJECT N0.116744) �� CITY MANAGER RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: �` / — /Il c�J I'-4- APPROVED Q As Recommended 0 As Amended Q Ordinance on 1s` Reading � Ordinance on 2 "d Reading Q Implementing Resolution 0 Set Public Hearing For CONTINUED TO FILE NUMBER Award a contract to B & T Works, Inc., the lowest responsible bidder, in accordance with unit bid prices in the estimated amount of $917,673.45 for construction of the Bristol /17th Streets intersection widening. 2. Approve a funding analysis with a total estimated construction cost of $1 ,422,300. DISCUSSION The Bristol and 17�h Streets intersection widening project conforms to the previously approved Bristol Street Corridor Specific Plan_ The intersection is experiencing high traffic volume and is in need of widening in order to improve the level of service (Exhibit 1 ). Improvements proposed include the addition of southbound right- turn -only lane and northbound through -lane traffic, traffic signal modification, and resurfacing of the intersection. Once completed, these improvements will improve safety and traffic flow of the intersection. The Notice Inviting Bids was advertised on February 4 and 7, 2011 , and bids were opened on February 23, 2011. A summary of the bid invitations mailed, the bids received, and the bid results follows. Santa Ana Contractors receiving notices: O Contractors requesting bidding documents: 11 Bids received: 6 Bids received from Santa Ana Contractors: O Contract Award For Bristol /17�h Intersection Widening March 21, 2011 Page 2 NAME OF RESPONSIVE BIDDER C CITY B BID AMOUNT 1. B B & T Works, Inc. W Wildomar $ $ 917,673.45 2. H Hillcrest Contracting, Inc. C Corona $ $ 990,867.30 3. E Excel Paving Company L Long Beach $ $1 ,021 ,694.85 4. E Elite Bobcat Service, Inc. C Corona $ $1,087,278.80 5. A All American Asphalt C Corona $ $1,100,000.00 6. R R_J. Noble Company O Orange $ $1,294,685.40 Lane was approved by the City Council in 1990. In accordance with the California Environmental Quality Act (CEQA), a CEQA Addendum and Notice of Determination (State Clearinghouse No. 87071509) were filed on December 22, 201 O. FISCAL IMPACT The funding analysis shows a total estimated construction cost of $1,422,300 for the project (Exhibit 2). Funds are available in the Intersection Improvement Program fund (accounting unit 11674402028- 03217660), the Growth Management Area funds (accounting units 11674403028- 05917661 and 11674404028 - 03217660)_ APPROVED AS TO FUNDS AND ACCOUNTS: Raul dinez II Francisco Gutierrez Executive Director Executive Director Public Works Agency Finance & Management Services Agency RG /ET Exhibit 1: Project Location Map 2: Funding Analysis LEGEND PROJECT LIMITS EXHIBIT 1 CITY COUNCIL TITLE= CONTRACT AWARD FOR AGENDA DATE BRISTOL -17TH March 21. 2011 INTERSECTION WIDENING _ (PROJECT 116744) / JG p,T�o^, � \ ,,� �.° s„ � 1 ..� 11 —. i �aTl --i sTREET - - - -� i i � -- i i i I - -i I ) -I 17TH STREET i —= ' - - -- l �" W i W � i r � U� ! � �� O cn � o� m LEGEND PROJECT LIMITS EXHIBIT 1 CITY COUNCIL TITLE= CONTRACT AWARD FOR AGENDA DATE BRISTOL -17TH March 21. 2011 INTERSECTION WIDENING _ (PROJECT 116744) / JG p,T�o^, � \ ,,� �.° s„ � 1 ..� 11 —. FUNDING ANALYSIS PROJECT NO. 116744 BRISTOL / 17TH INTERSECTION WIDENING Construction Contract $917,674 Contract Administration $45,855 Inspection and Testing $68,800 Survey Staking $22,902 Contingencies $367,069 TOTAL ESTIMATED CONSTRUCTION COSTS $1.422.300 Exhibit 2 ORANGE COUNTY R E P O R T E R -SINCE 1921 - 600 W SANTA ANA BLVD, SANTA ANA, CA 92701 Telephone (714) 543 -2027 /Fax (714) 542 -61341 Dina Melgar SANTA ANA/PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA SANTA ANA, CA - 92702 PROOF OF PUBLICATION (2015.5 C.C.P.) State of California ) County of ORANGE ) ss Notice Type: BID - NOTICE INVITING BIDS Ad Description: BristoVt 7th Intersection Widening I am a citizen of the United States and a resident of the State of California; I am over the age of eighteen years, and not a party to or interested in the above entitled matter. I am the principal clerk of the printer and publisher of the ORANGE COUNTY REPORTER, a newspaper published in the English language in the city of SANTA ANA, county of ORANGE, and adjudged a - newspaper of general circulation as defined by the laws of the State of Califomia by the Superior Court of the County of ORANGE, State of Califomia, under date 06/20/1922, Case No. 13421. That the notice, of which the annexed is a printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, t0 -Wit: 02/04/201 1.02/07/201 1 Executed on: O; At Los Angeles, 1 certify (or declare) under penalty of correct. / true and space for wing stamp onry OR #: 2037389 NOTICE IN VfTING BIDS NOTICE IS HEREBY GIVEN that the Ciry of Santa Ana, Califomia will receive at City Hall -Ross Annex, (M -a3). 20 Civic Center Plaza. Santa Ana, California 92]01, the Publl�ka Agencv�rth FI r tf f tyg Rg� nom, on or e�� a our 0 200 p.m. on Tuesday. February 22, 2011 soaletl bids and/or proposals for PROJECT NO. 11 -6]44: BRISTOL ST- 1TfH ST INTERSECTION WIDENING (Work inclutles excavation, clearing and grubbing asphalt concrete pavemenq cold milling, pavement fabric, construefion of curb, gutter, sidewalks, wheel chair access ramps. installatipn of COnCrele bus patls antl traffic tlelador loops, utility atljustmen[s. traffic signal modilica[ioq signing and striping.) There will ba a PRE -BID JOB WALK e� 20 Civic Center Plaza —Ross Annex 3' Floor Conference Room 3004. on Wetlnestlay. February 16, 2011 at 10:00 a.m. The locus of the meeting will be adtlressing questions and concerns related to the contract tloeuments of the proposed project. The Contractor shall acquire contract documents and familiarize themselves with [he project prior to this meeting. Notice is herebby�. given BIDDERS mat in accordance vAth the provisions of the Calilomia Labor Code. not less than the prevailing rate of Der diem wages for each craH or type of worker antl mechanic neetletl to execute the contract in the locality in which [he work is [o be perfomretl, and not less than the general prevailing rate of per tliem ages for holiday antl oyertirtle work as tlelermined by the Director of Intlustrial Relations of the State of Califomia shall be paid to all workers emDloyetl. Each bid shall be accompanied by cash, a cashier's or certified check payable to the Ciry of Santa Ana, or bid bontl issued by a corporate surety, for an amount not less than ten percent (10%) o/ me aggregate of the bid, as a guarantee that [he BIDDER will enter into the proposed contract if the Sarre is ewerdetl to him. The elgnature of the BIDDER on IM bltl bontl MUST be noterizatl. The Ciry Council reserves the right to refect any or all bids. The successful BIDDER must possess or obtain a valitl Calilomia Class (A) Contractor's license prior to the scheduled awartl tlate of [his contract. Substitution of securities for any monies withheltl by the City of Santa Ana to ensure performance is ellowetl in accordance with the Public Contract Code. m l t th PI n n De� ^. CaUOOa WI I a Uml i a tJDOn � i n lO�b -lurk Orel oor. vac enter laze. ants na. a, om,a 92]01. D one (]141 64]- The Plans antl Specifications are ava� able in portable tlocument format (PDF) on a compact tlisk (CD) and in paper forma[. There is no cha efor these Plans antl Specifications on C�. There is a $34.43 charge (non - refundable) for these Plans antl Specifications in paper format, plus a $14A2 adtlitional fee if mailetl. Make checks payable to [he Ciry of Santa Ana. DO NOT GALL PURCHASING DIVISION REGARDING AVAILABILITY OF PLANS AND SPECIFICATIONS. 2/4, 2/]/11 OR- 203]369ft IIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIII ,tr A 0 0 0 0 0 2 0 4 7 6 3 2 � SANTA ANA CITY OF SANTA ANA � PWA , PUBLIC WORKS AGENCY _ 20 CIVIC CENTER PLAZA `h ' `� `'1BL1C1NOF�""�"'Y CITY HALL -ROSS ANNEX __ - SANTA ANA, CA 92701 CONTRACT DOCUMENTS PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING ppOFESST PREPARED UNDER THE SUPERVISION OF: »Qg� E o. p �� — _� � o �. -'l1�- m RCE NO. C3038S � Jerome Parco R.C.E. C50385 Date: February 1 , 20'1'1 s' +�- �)�t` ��-' THERE IS A^CHA RGE OF 534.43 FOR THESE PLANS AND SPECIFICATIONS. THERE IS A 574.42 CHARGE IF MAILED. PROJECT NO. ACCOUNT NO. ACTIVITY NO. 11 -6744 32'17660 Progress Pay '1'7674402028 Constr. Eng. '1'1674402027 PROJECT COORDINATION AND SERVICES: BID SlJBMITTAL3: UNDERGROIIID FACILTE3: CITY WILL -ROSS AMEX 4TH FLOOR RECEPTONST, (M 43) FlRE D�ARTMBJi (114)667 bTOO DESIGN: POLICE DF�ARTM[3Jf (114)6944801 ENGINEERING (PIBLIC WORKS AGENCY) (T1n64Tb013 PIBLIC WORK9 AGENCY (dTY YARD) (ltd)64TSB0 LANDSCAPE (RECREATION BCOMMIMY SERVICES) (/14)6714219 PIBLIC WORKS AGENCY (TRAFFIC 91G NALS) (114)6476619 CONSTRUCTION E3.GIN�i1NG: RECREAT ON 8 GO MMINTY SERVICES (MAINTENANCq (714)6714212 PIBUC WORKS INSPECTOR (714)64760/4 PUBLIC WORKS AGENCY (WATER AN] 3EWE1� (714)6413JW CO NTRACT ADMINSTRATOR (714)6676074 AOEIPHA (Tt4)Z06 -2060 PERMRS AND INSPECTIONS DEPAIZTMENT3: SOlff}ejll CALIFORNA F37130N COMPANY 1 600 422 41 33 BUILDING IN3PECTOR(T:30 -3:30 AM)(3:304:� PM) (T14)BGTE300 SOUTI -ERN CALIFORNA GAS COMPANY '1�00�4224133 ELECTIaCAL INSPECTOR (/308:30 AM)[l:30430 PIA) (714)6476800 PACIFlC BEII TELEPHONE COMPANY: PLDMBING INSPEGTOR(T3D�30 AM)(3304:30 PM) (T14)Bd /�GBW (IMAM -fiYIO PM)MONJAV - FRIDAY 1b0 0- 412 4133 30UTHE3tN PAGFlC TRANSPORTATION COMPANY (309)3418860 WEEKENDS, HOLIDAYS, AND EMERG ENCIES '1- 300421 -2668 SANTA FE RAILROAD COMPANY {909)3864000 GREAT WEST92N RECLAMATON (TRASFI COLLECTION) (T14�fi6 -7761 ORANGE COIMY TRAf�B. AUTHORITY BUS SERVICE) (!16)6354339 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH IlVTERSECTION WIDENING PROPOSAL 8c CONTRACT AGREEMENT BID PROPOSAL TO: CITY COi_7NCIL OF THE CITY OF SANTA ANA FROM: REQUIREMENT: The undersigned declares that he /she has carefully examined the location of the proposed work, that he /she has examined the Plans and Specifications and read the accompanying instruction to BIDDERS, and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans, specifications and special provisions, for the unit prices) or lump sums) set forth in the following schedule: Item # Bid Item Unit Quantity U.�nipQt, Price ACmou�n 1. Unclassified Excavation CY 1,750 $ O'er(, so /t $ cJ� /�� 2. Clearing and Grubbing LS 1 $ Qj0 � $ y�/ �0 6� 3. AC Pavement TN 3,450 � $� �_ �' $�� 4. Cold Milling SF 52,070 / $. 5(0 +� $ ��, / s� 5. Pavement Fabric SY 6,370 $ � 1; $ l 6�� 6. PCC Curb and Gutter (Type A -2 -8) LF 950 '^, w $� � $ � P1i 7. PCC Curb (Type B -1) LF 1,170 $� $��(� 8. PCC Stamped Concrete (Colored) SF 1,400 $ � �� $__� �� 9. PCC Decorative Plaza (Scored /Colored) SF 4,500 G $� n "° $ ��/ O'�a 10. Aggregate Base Course (PCC Plaza) CY 55 $� $ �� 11. PCC Sidewalk SF 5,849 $� ? $ J � � U 12. PCC Driveway Approach (Commercial) SF 1,798 $ $_[[_.��co 13. PCC Curb Ramp SF 350 I� $ `�� $�i�G, BP 1 of 14 BP2of14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH IlVTERSECTION WIDENING PROPOSAL Rc CONTRACT AGREEMENT BID PROPOSAL continued Item # Bid Item Unit Quantit Un Price Amount 14. PCC Sus Pad SF 4,010 /it $ ��s $ ?� S� 15. PCC Catch Basin — W27' (Type C) EA 1 $ /� >(JU� �Z-`_ $_� �o 16. PCC Pipe Collar EA 1 $�(�� ✓ " $ c� /� 17. 27" RCP (2000 -D) LF 35 $�� $ T_�Rr_""'_� /��(�� 18. Furnish and Install New Water Valve EA 7 .moo $ � � C � $ C SU Frame and Cover to Finished Grade 19. Adjust Existing Manhole Frame and EA 1 $ �p 5_�� /� $ (° s Cj Cover to Finished Grade 20. Adjust OCSD Manhole Frame and Cover EA 6 � $�a� .-" $__�� to Finished Grade 21. Furnish and Install New No. 6 Pull Box EA 12 $ $ •P to Finished Grade -i�� 22. Furnish and Install New Water Meter EA 4 /��/ cam'-' $�`d� v J $ Frame and Cover to Finished Grade 23. Construct New Fire Hydrant Assembly EA 2 a..+ $ �a $ 7 �(/ 24. Remove and Salvage Existing Fire EA 2 $�Vv_ $ Hydrant _ - -�� 25. Date Palm Tree EA 9 /�� $ Ui%o � $��(� 26. Platanus Acerifolia (24" Box) EA 5 ...� $� ,.,� $ ��(/ gs 27. Marathon II Sod SF 3,625 $ l $ 28. Irrigation System LS 1 $t`�J�`, ,� $ p� p i A� 29. 60 Working Day Landscaping 8t LS 1 7 � $ -3� � � $__ ,�� Irrigation Maintenance Period 30. Signal Modification LS 1 �� j $--- f��'t`c ' � , � $��G BP2of14 CITY OF SANTA ANA PROJECT NO. 11 -6744_ BRISTOL -17TH INTERSECTION WIDENING PROPOSAL 8c CONTRACT AGREEMENT BID PROPOSAL. continued Item # Bid Item Unit Quantity Unit Price Amount 31. Furnish and Install TralJic Loops EA 77 � $� /� � $ �� 32. Pothole Miscellaneous Utilities EA 5 $ d� w $ ��['� y ('�Ll�S 33. Signing and Striping LS 1 $ $�`� % /�j� T- 34. Temporary Construction Signs EA 4 $��(�� $`u 35. Signing and Striping LS 1 $ �� $ 36. 2" Conduit With Pull Rope LF 245 $� s® $�� 37. Concrete Hand Hole (10" X 17" X 24'� EA 1 � $�� $ yp� /fv 38. Concrete Hand Hole (17" X 30" X 24 ") EA 1 $__�`�vc!_ $ ��(� 39. Relocate Monitoring Well EA 3 $ -� $� Project 11 -6744 Total Bid ------------------- - - - - -- ---------- ____ -- $ -- J��! ? �s BIDDER Firm yy�� Address Phone e.� �" o �_-�- -. �'> 9 a -� 4 -� Fax gj `� /- ��6 - �� /`% Email �'. 0�-�� e � � 1/� .� Z u�.. _ mac. �- BIDDER Signature BP3of14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOLr17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT 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: - Streets, highways including bridge projects; ' /z% of the bid or $10,000, whichever is greater - Buildings, parks, or other projects: ' /z% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: NAME � ��j NAME LOCATI ,,J LOCATION _ PHONE 3 PHONE TYPE OF WOR l,�'�1 //tom $ TYPE OF WORK NAME G5 �l�L� ,c LAME LOCATIO� � LOCATION _ PHONE L%(�g t� � PHONE TYPE OF WO ��$ �`" TYPE OF WORK P�� ,. NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE �jF WORK $ Name of Firm,$ubmittins Bid Signature of NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK __ $ VBP4of14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL 8r CONTRACT AGREEMENT BIDDER'S STATEMENT BIDDER understands and agrees that this written proposal (or any part thereof specifically designated and accepted by the City of Santa Ana, hereinafter AGENCY) shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director r or his duly authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he /she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and AGENCY'S legal holidays), or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed_ All terms contained in the Specifications, the Certification of Non - Discrimination by Contractors, and the Workers' Compensation Insurance Certificate are to be incorporated by reference into this Agreement and are made specifically as part of this bid. Name of Firm � `� Signature of BIDDER Title (if an individual, so state) 8 -�- / C� I �� L �� d BPSof14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -1TTH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT continued (Lf a firm or co- partnership, state the firrn name and give the names of all individual co- partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) Awarded tc�r�� / �� 6� , �� -z.�r . on the basis of west responsible and responsive bidder in the amount of $ �� % � �-- �.�. y.� ATTEST: CLERK OF THE COUNCIL APPROVED AS TO FORM: �� ,-. �= �-%� "tom 1'� ATTORN ACTION OF COUNCIL: Date C�i:�� / //3-/>�n� ocJ., 2� �� ,— ACCEPTED FOR THE CITY OF SANTA ANA: n r EXECUTNE DIR OR PUBLIC WORKS NCY BP6of14 /(�O �� c� 1/o��i1� ��a�. C Awarded tc�r�� / �� 6� , �� -z.�r . on the basis of west responsible and responsive bidder in the amount of $ �� % � �-- �.�. y.� ATTEST: CLERK OF THE COUNCIL APPROVED AS TO FORM: �� ,-. �= �-%� "tom 1'� ATTORN ACTION OF COUNCIL: Date C�i:�� / //3-/>�n� ocJ., 2� �� ,— ACCEPTED FOR THE CITY OF SANTA ANA: n r EXECUTNE DIR OR PUBLIC WORKS NCY BP6of14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOIr17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin_ The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he /she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 1 1246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor_ 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his /her books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non - compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. BP7of14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR (continued) 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, No discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such pe ns except as provided in Section 1420, and any contractor of public works violating this Se io ubj t to all the penalties imposed for a violation of the Chapter. Signed Title �q � - �q ,� Firrn � � � lam✓ �% v - C j � � �_ Date ��a L� � � % BP8of14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT WORKERS' COMPENSATION INSURANCE CERTIFICATION As required by California Labor Code Section 1860 and 1861, the Contractor certifies as follows: I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self - insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this contract_ If I, as the Contractor, now or at any time during the course of this agreement, qualify as an employer under California Labor Code Section 3300, unless the hired employees) is (are) persons excluded by said Labor Code, I shall furnish the City of Santa Ana with an insurance certificate from my workers' compensation insurance carrier certifying that I carry such insurance and that the policy shall not be canceled nor the coverage reduced except upon thirty (30) days prior written notice S igne< "Title Firm Date BP9of14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT REFERENCES The following are the names, addresses, and telephone numbers for three public agencies for which BIDDER has performed similar work within the past two years. N e and Addre of er. � e an Telephone Number pers n familiar with project_ Contract Amount / Type of Work Date Completed e and Address of caner. Name and Telephone Number of erson f iliac with project. I� S 1� �z��w�� l �a�� Contract Amount Type of Work Date Completed Narpe and Address of o ner. 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. BP 10 of 14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall= 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he /she employs journeymen or apprentices on the public work., in the same amouni or upon the same basis and in the same manner as the o contractors, except contractors not signatory to the trust agreement shall pay a like amount to a om�a�nticeship Council_ Signed Title '✓ � �7 - G Firm � � � t-./ �-� � �� /1 � -- �--- Date � [ � �` / � BP 11 of 14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT NON - COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract 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 -co ion Afi davit is part of the Proposal. Signing this Proposal on the signature portion there f all also constitute signature of this Non - collusion Affidavit. BIDDERS are caution g a false certification may subject the certifier to criminal prosecution. Signed State of California County of °� P Subscribed and sworn to (or affirmed) before me on this ��Iday of -� %�?. 20/1, by �� \lla,O��tl� �(�:6 \t=-� ,proved to me on the basis of satisfactory evidence to be the peison(s) who appeared before me. r �... � _ � �, ��,. o Public Signature STEPNANIE NANCI Commissbn i 1r7824B2 '� � Notary PubNC - California '� Alvaro ids County M Comm. ns 29. 2019 Notary Public Seal BP 12 of 14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT BIDDER'S 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�pul�lic work, to give up any part of the compensation to which he /she is otherwise entitled. / / / /// i� Signed (' - �- `�O Title j � � r % Firm I � � 1 � / �-�- (�� , �1. Date � BP 13 of 14 CITY OF SANTA ANA PROJECT NO. 11 -6744: BRISTOL -17TH INTERSECTION WIDENING PROPOSAL AND CONTRACT AGREEMENT CONTRACTOR'S LICENSING STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that the following is true and correct. Contractor's Name: � V� � �/ ® �' -'/`� / Z�_ �/ J �" r� J �, J Business AddrCe�ss: �� `j%� G �I�� /n. �YD�1J .�- c >�"L, ,��, y—�� Telephone : / � � '�- � � S - 6 State Contractor's License No. and `� /'J �,j Class: �j �/ Expiration � _ � v _ 4 Date : n / Signed: Title: c- �- BP 14 of 14 �'-� � � =ter I �i BID BOND KNOW ALL MEN BY THESE PRESENTS, That we, B &T Works, Inc. BOND NO. N/A as Principal, and Western Insurance Company a corporation authorized to transact a general surety business in the State of Nevada as Surety, are held and firmly bound unto City of Santa Ana, Public Works Agency, Ross Annex (hereinafter called the Obligee) in the full and just sum of Ten Percent of Amount Bid Dollars, ($1 O% )for the payment whereof in lawful money of the United States, we bind ourselves, our heirs, administrators, executors, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the said PRINCIPAL has submitted the accompanying bid for Project No. 11 -6744: Bristol -17th Intersection Widening NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, or in the event of the failure of the Principal to enter such Contract, If the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and Sealed this 22nd day of February ,____, 2fl11 ___ TEAR B &T Works, Inc. Western Insurance C� m an Surety J By: Principal Ka by ntt ey -in -Fact 10.1798 (Bid Bontl) (REV. t /O7) WESTERN INSURANCE COMPANY POWER OF ATTORNEY 1 0 1 9 3 KNOW ALL MEN BY THESE PRESENTS: That WESTERN INSURANCE COMPANY a corporation organized and existing under the laws of the State of Utah and having its principal office at the City of Sandy, in the State of Utah, doe s hereby constitute and appoint Melody L. Spaur, Karen A. Eby, John A. Ruiz Of the STATE OF UTAH its true and lawful Attomey(s) -in -Fact, each in their separate capacity if more than one is named above, to sign its name as surety to, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof on behalf of the Company in its business of guaranteeing the fidelity of persons; guaranteeing the performance of contracts; and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, the said WESTERN INSURANCE COMPANY has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its President and Secretary, this 6th day of December, 201 O. WESTERN INSURANCE COMPANY SEAL (Signed) By �" �+ President (Signed) By Secretary STATE OF UTAH On this 6th day of December, 2010, before me personally came DICK ��TTMAN, PRESIDENT of the WESTERN INSURANCE COMPANY and ALICE A. MOLASKY ARMAN, SECRET -chid Company, with both of whom I am personally acquainted, who being by me severally duly sworn, said, thgt t We said 131C L. ROTTMAN and ALICE A. MOLASKY ARMAN were respectively the PRESIDENT and d S#!jTR ARY of WESTERN INSURANCE COMPANY, the corporation described in which executed the foregoing Pot�r Attomey, t "4ach knew the seal of said corporation; that the seal affixed to said Power of Attorney was sumch a seal, at i sunk a ixed by otJie* r the Board of Directors of said .corporation, and that they signed their names like order PSI ENT and 1SF�.Y��, �"I''hRY, respectively, of the Company. My Commission expires thgy¢ April tl4,,1, PATRICIA A. LFTSON EE � • — ! — Notary Public Rw,n weuc SVta WRav,W ��i!?� d) L2i�d.! This Power of Attorney is gran � EVi11e7`a"rnd by authority of the following Resolutions adopted by the Board of Directors of the WESTERN INSURANCE COMP on December 6, 2010. RESOLVED, that in connection with the fidelity and surety insurance business of the Company, all bonds, undertakings, contracts and other instruments relating to said business may be signed, executed, and acknowledged by person or entities appointed as Attomey(s) -in -Fact pursuant to a Power or Attorney issued in accordance with these resolutions. Said Powers) of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman, or the President, or a Vice President, jointly with the Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Attomey(s) -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and ,unless subsequently revoked and subject to any limitations set forth therein, any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is validly attached. RESOLVED, that Attomey(s) -in -Fact shall have the power and authority, unless subsequently revoked and, in any case, subject to the terms and limitations of the Power of Attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company to any and all bonds and undertakings, and other writings obligatory in the nature thereof, and any such instrument executed by such Attomey(s) -in -Fact shall be as binding upon the Company as if signed by an Executive Officer and sealed and attested to by the Secretary of the Company. 1 ALICE A. MOLASKY ARMAN, Secretary of the WESTERN INSURANCE COMPANY, do hereby certify that the foregoing is a true excerpt from the Resolution of the said Company wad ted by its Board of Directors on December 6, 201 O and that this resolution is in full force effect. : I '' - I, the undersigned Secretary of the WESTERN INSURANCE C@JINF:4N i''. ado herebycertfy that the foregoing Power of Attorney is in full force and effect and has not been re voked. ' - Zn . In Ta � omf nyr]ijti<e{egf a h�v��r� and the�ael� of the VV�ES'1'ERN INSVRPiNCE COMPANY on this Secretary t� CALIFORNIA ALL - PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of w '��_ _ On ZZf�brUdr4aol� before mc, �(1 �� /l �p�i � I �� \:� (He a insert name and title of [he officer) �_ personally appeared �� - F�a who proved to me on the basis of satisfactory evidence to be the persons) whose name s subscribed to the within instrument and acknowledged to me that l:e,�i jtl�y executed the same in h�tkeer authorized capacity{ -ies), and that by Yxs�ie�•ircir signatureFe -) on the instrument the arson or the anti which the person(�y acted, executed the instrument. p �' ty upon behalf of I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ASHLEY BAKER Commission • 179e326 WITNESS my hand and official seal. � � Notary Publle - Callfornla � c � Rlvarslds County \,� eyy-�. Comm, 17, 2012 Signamre of Notary Public (Notary ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date (Additional infortna[ion) CAPACITY CLAIMED BY THE SIGNER O Individual (s) O Corporate Officer (Title) O Partners) O Attorney -in -Fact O Trustees) O Other 2008 Version CAPA v12.10.07 800- 873 -9865 www.NotaryClasses. cam INSTRUCTIONS FOR COMPLETING THIS FORM Any gcknow /edgmenl comp /efed in California must contain verbiage esgctly as appears above in the notary rec[ion or a separate acknowledgmen[1w-m meert be properly completed and attached !o Thal document The only exception is ij a document is Ia be recorded outride of California. In such instoncer, any o[[erna[ive acknowledgment verbiage ar may be printed on such o doczrmen[ so long as [he verbiage does not require the notmy to do something [ha[ is illegal for a notary in California (i. e. certifying [he authorized capacity aj [he signer). Please check the doczrmen! corefu[ /y for proper nomria! wording and attach [his farm ifreyzrired. State end County information must be the State and County where the document signers) personally appeared before [he notary public for acknowledgment. • Date of notarization must be the date that the signers) personally appeared which must also be the same date [he acknowledgment is completed. • The notary public must print his or her name as i[ appears within his or her commission followed by a comma and [hen your title (notary public). • Print [he names) of document signers) who personally appear a[ the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i. e. Ha /she /they,- is /ere) or circling the correct forms. Failure [o correctly indicate [his information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. Signature of the notary public must match the signature on file with [he office of [he county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. °.• Indicate the capacity claimed by [he signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Financial Statements PDF's Annual Statements Quarterly Statements CA Supplements Company Complaint Company Performance & Comparison Da[a Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information WESTERN INSURANCE COMPANY P.O. BOX 21030 RENO, NV 69515 Old Company Names Effective Oate back to top Agent For Service SARGE KLIMOW 11023 EUCALYPTUS STREET SUITE 104 RANCHO CUCAMONGA CA 91730 bacK to [op Reference Information NAIC #: 10008 California Company ID #: 4750 -6 Date Authorized in California: 09/20/2002 License Status: UNLIMITED- NORMAL Company Type: Property &Casualty State of Domicile: NEVADA bacK to top NAIC Group List NAIC Group #: 4641 D & J Rottman Grp back to top Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. SURETY bacK to top © 2008 California Department of Insurance Page 1 of 1 http: // interactive. web. insurance. ca. gov /companyprofile /companyprofile ?event= companyPr... 3/ 15/201 1 CITY OF SANTA ANA �;.�LL...... , PUBLIC WORKS AGENCY 20 CIVIC CENTER PLAZA (M -36) - SANTA ANA, CA 92701 FAK TRANS AE COVER SEIEET DATE: February 22, 2011 PROJECT SUBJECT: ADDENDUM NO.: 2 NO.: 99 -6744 MAIL REMARKS: PAGES ATTACHED: 2 STATION: M -36 PLEASE FAX THIS PAGE ONLY TO: Sean Thomas * FAX NO.: 1 {714) 647- 5635 x' PHONE NO.: 1 -(714) 647 -5655 NOTE: UPON RECEIPT OF ADDENDUM, PLEASE SIGN THIS SHEET AND FAX IT BACK TO THE CITY OF SANTA ANA ATTENTION: Sean Thomas FAX NO_: 1 {714) 64 7 -5635 1 HEREBY ACKNOWLEDGE RECEIPT OF ADDENDUM NUMBER: PROJECT NO.rr / - t 1-/4 COMPANY: SIGNATURE: PRINT NAME:` ig ivh DATE: TITLE: (? �i J ,. CITY OF SANTA ANA ��I -' PUBLIC WORKS AGENCY J 20 CIVIC CENTER PLAZA (M -36) SANTA ANA, CA 92701 FAX TRANS AL COVER STIEET DATE: February 17, 2091 PROJECT SUBJECT: ADDENDUM NO.: 1 NO.: 11 -6744 MAIL REMARKS: PAGES ATTACHED: 3 STATION: M -36 PLEASE FAX THIS PAGE ONLY TO: Sean Tho.nas * FAX NO.: 1 -{714) 647- 5635 PHONE NO.: 1 -(714) 647 -5655 NOTE: UPON RECEIPT OF ADDENDUM, PLEASE SIGN THIS SHEET AND FAX IT BACK TO THE CITY OF SANTA ANA ATTENTION: Sean Thomas FAX NO.: 1 -(714) 647 -5635 1 HEREBY ACKNOWLEDGE RECEIPT OF ADDENDUM NUMBER: PROJECT NO.: / I 6 _� y(-/ COMPANY: %�S o-Ks ? C, SIGNATURE: PRINT NAME- DATE: �� 1l TITLE: C '� O Notice of Determination Appendix D To: From: � (alllrr of Plunnin� and Re «arch Puhlrc .1ga•ncg: Ci[y Of Santa Ana _ _.. ),�, f c v+ „i tir,�<a.,f:i<b<.,. \ddre,. 20 Civic Center PlazaM -36 P.u. Itu� 9u-t.a I -ilN.a �l -cnrh tit. Santa Ana CA 92702 _. - (.,mart: Joe Parco. Senior Civil Engineer lacrznnamu, ( -\ v�x12 -3014 Sac rann•ntu. (',1 aK>il4 Phunr 7 1 464 7 -5630 ( aunty (. Ycrk (�uunt>� uh. Orange County CIerWRecorder I.cad .'\�cncy (if <1i 17crcnt Innn above): 1<Idre.�: 630 N. Broadway. Building 12. Room 101 - _. -.. _ Santa Ana. CA 92701 1d<Ires.- C'untact: Phunc: SUBJECT: Filing of Notice of Determination in compliance with Section 27708 or 27152 of the Pub /ic Resources Code. Sale Clearinghouse Number (if submitted to Slate Clearinghouse): __ 8771 �J�g Project Tales - Addendum, Bristol Street Widening at 17th Street Project Location (include county}: Intersection of Bristol Street 8 17th Street, Santa Ana, Oran a Colin - - -- . -1 � -- - - - - -- Prolect Description: r• Jay ,r Jana Ana �s pn;po sing to widen the Snsio; Street and 1 ?th Stteet ir.[ersechon as par pl The Bristol Street Speer fie Pla � aaC the Proposed VJ�oeni r.c �.�` 5 r_s[ol Si- ?H `rDm '.Varner Ave r,ce to Memory i-ane Prc;x( ,Approved Projects for wh,ch an Envirenmeota! impact StatemenVEnvironmental Impac; Report (Ei a�E)Ri ti_,s ce ^tied �r 1550 intersection •N!dening wvouid regwre <ull take of four parcels. partial take of two parcels and dempiition of a three story commercial o °ice ocildng �.2Li OGO square reeY; -I hi. i. to a<h isr that the - Gty of Santa Ana. - _ h ;ns appr<rvcd the above <lrscntx <1 prt,jr� t un 1 .ial l¢cn.. ..� � R..pr +n.,blc Ac. nc> aepcernber �. :95C S �ecemr'zr d 2C.0 an<I has nradc the tbllowing drtcrm irrati ons rriar<ling the alx>ae de.cri bed proicct: I Unrr 1 Thr prnle<:t l ®will Qwrll Hurl hear a signihcan[ effect on the environment. _. ® ?\n Cnvir< >nmental Inalx+ct Kepa>rt way prepared ti>r thi> project purtivant to the pn,cisia>ns of C.'F(1:1. Q i\ Nc�utivc Ihelaratiun avers prcpa ro<I fur tht. pn>jret pursuam to the provisions of C'f`(_);\ \Lutantiun measure+ l ®aa�e rr Qwere nntl ma<tc n cunchrion of the appnnal o£tho project. 4 ,\ n,iu gaNun r'cportin� nr nn.n ilurin�. plan l ®wn.. Q err as nutJ adopted t>r this project �. _\ statcnacm of Ovcrndmg ('on ai<Iertlra>ns l ®wa. Q wn. null ada>ptcd Ibr lhi: project. (� FinJtn�. I ®arere �wrrc null made pursuant to the prua5sions of ('FQ:\ 1 hr. is to certi f�� that the final F'IFt av rth common+ and rrspunx•s and record of project appn>��al. or the oeganve Uerlarafiun_ u as anat,l� ter, the General Public ac 2 Civic Center Plaza. M -36, Santa Ana,. CA 92702 1'i_ rapture ( PuhGc r\ti;cnr} 1 _ �t_�— Title � e_ /� t d �-.. � Y. � �� i” 5 )a r<: � `��J'Z2. � t"a _ bate kcc. erved fbr tiling � -..... �.� Vuthnnt�. _�trd: Scrriot,� 'll)ti ., Puhhc RCna +liter. l ra1c. FteEcrcnu- �rre:� +n _' 1111 a1) -_' I I'J_ Puh Gr Ka.uurr�. C.•d �' Rea'tccal 2l N)5 S.a e . CaWcn. a T e A_sw =.es Ayen:q � L D PnPifdEN 0 rISHANDGAME 2010 ENVIRONMENTAL FILING FEE CASH RECEIPT 4714 PNQJNT C k � ti a bo.r ILJ aaF — ktt Negai,€ a,aa�en,NDikINC, d S — .•.. S,:T�ecl •c e�7f�eC R,.Guar.+y[ ;am..s;',;NP, - — _.. _.- s J f-' na!r�nw Fee _ 7 L'�NO CMC[�21CRn!na�A� GOiT. Ala .�°J' PAYMENT METN00'. _ - -- y P I Bond No. CTC 00074 Premium is included in Performance Bond Attachment A CONTRACTOR'S PAYMENT BOND KNOW ALL MEN BY THESE PRESENI S, "I'HAI: WHEREAS. the City of Santa Ana. State of Cali fornia. and B&T Works, Inc. (hereinafter designated as "Principal ") have entered into an agreement whereb}'.Principal agrees to install and complete certain designated public improvements, which said agrccntent, dated Larch 21, 2011 entitled"' Project No. 11 -6744: Bristol -17th Intersection Widening is hereby referred to and made a part hereof. and WHEREAS, under the terms of said agreement, Principal is required before entering upon the performance of the work. to file a good and sufficient C'ontractor's Payment Bond with the City of Santa Ana to secure the claims to which reference is made in Title 15, (commencing with Section 3092) of Part 4 of Division 3 of the Civil Code of the State of Cali fomia. NOW THEREFORE. said Principal and the undersigned as corporate Surety, are held firmly bound unto the CITY OP SANTA ANA, and all contractors, subcontractors, laborers, materielmen and other persons employed in the performance of the aforesaid agreement and referred to in the aforesaid Civil Code, in the sum of DOLLARS (S 917,673.45 ), for mwcrials famished or labor thereon of any kind. or for amounts due under the Unemployment Insurance Act with respect to such work or labor or for any amounts required to be deducted, withheld and paid over to the Franchise Tax Board from the wages of employees of the Principal and his subcontractors pursuant to Section 19906 ol'the Re%enuc and Taxation Code. with respect to such work and labor: that said Surety will pay the same in an amount not exceeding the amount hereinabove set forth. and also in case suit is brought upon this Bond. will pay, in addition to the face amount thereof; costs and reasonable expenses and fees, including reasonable attorneys lees, incurred by the City in successfully enforcing such obligation. to be awarded and fixed by the Lr) court. and to be taxed as costs and to be included in the judgment therein rendered. N - m IT IS I IEREBY EXPRESSLY STIPULATED AND AGREED that this Bond shall inure to the benefit of any and all persons, companies and corporations entitled to file claims under Title 15 (commencing with Section 3092) of Part 4 ul' Division 3 of the Civil Code. so as to give a right ol'action to them or their assigns in any suit brought upon this Bond. i_ Should the condition of this bond be fully performed. then this obligation shall become null and void. otherwise it shall be and remain in full force and cBL�ct. ( -3 1 'Nine Hundred Seventeen Thousand Six Hundred Seventy -Three Dollars and Forty -Five Cents The Surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of said agreement or the specifications accompanying the same shall in any manner a01et its obligations on this Bond, and it does hereby waive notice of any such change. ex(ension, alteration or addition. IN WFINESS WHFREOF, this instrument has been duly executed by the Principal and Surety above named, on 44 - - _ _- . -- 2011 . PRINCIPAL: B &T Works ,Inc. (1ypeCompany Name) By: BY: SURETY: Western Insurance Company I I'ype Company Name) / Tide: MeJ dy L. Spaur, Attorney -in -Fact `I By _/ _.__ _...... Title (Attach Acknowledgements orbolh Principal and Surety signatures) APPROVED AS TO FORM: City Attorney Payment Bond - P.W. (except subdivisions) 6l02 2 WESTERN INSURANCE COMPANY WESTERN INSURANCE COMPANY POWER OF ATTORNEY 10220 KNOW ALL MEN BY THESE PRESENTS: That WESTERN INSURANCE COMPANY a corporation organized and existing under the laws of the State of Utah and having its principal office at the City of Sandy, in the State of Utah, does hereby constitute and appoint Melody L. Spaur, Karen A. Eby, John A. Ruiz Of the STATE OF UTAH its true end lawful Attomey(s) -in -Fact, each in their separate capacity if more than one is named above, to sign its name as surety to, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof on behalf of the Company in its business of guaranteeing the fidelity of persons; guaranteeing the performance of contracts; and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, the said WESTERN INSURANCE COMPANY has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its President and Secretary, this 6th day of December, 2010. WESTERN INSURANCE COMPANY SEAL (Signed) By President • � r (Signed) By Secretary STATE OF UTAH On this 6th day of December, 2010, before me personally came DICK(1-�,WTTMAN, PRESIDENT of the WESTERN INSURANCE COMPANY and ALICE A. MOLASKY ARMAN, SECRET Q�d Company, with both of whom I am personally acquainted, who being by me severally duly swom, said, t* a said DICK L. ROTTMAN and ALICE A. MOLASKY ARMAN were respectively the PRESIDENT andp6R ARY�of e't� WESTERN INSURANCE COMPANY, the corporation described in which executed the foregoing PoQ�rbTAttomey 'bath knew the seal of said corporation; that the seal affixed to said Power of Attorney was such seal, that 'i Lav��Ye a xed by o f the Board of Directors of said corporation, and that they signed their names �p like order sigAIN1DENT end RY, respectively, of the Company. My Commission expires thgJSr h April, 20 '%1' ') ♦1 `:(1 :.................. .. .... ..._..._ ............. ``.... 1.. !� ♦ „S {� �`� `V' 1 w..rweswuaw.w l�SignaU) Notary Public This Power of Attorney is gran�eQ�004clAd by authority of the following Resolutions adopted by the Board of Directors of the WESTERN INSURANCE COMPANY on December 6, 2010. RESOLVED, that in connection with the fidelity and surety insurance business of the Company, all bonds, undertakings, contracts and other instruments relating to said business may be signed, executed, and acknowledged by person or entities appointed w Attomey(s)-in -Fact pursuant to a Power or Attorney issued in accordance with these resolutions. Said Power(s) of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chaimuan, or the President, or it Via President, jointly with the Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Attorney(s)-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and , unless subsequently revoked and subject to my limitations set forth therein, any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is validly attached. RESOLVED, that Attomey(s) -in -Fact shall have the power and authority, unless subsequently revoked and, in any case. subject to the terns and limitations of the Power of Attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company to any and all bonds and undertakings, and other writings obligatory in the nature thereof, and any such instrument executed by such Attomey(s) -in -Fact shall be as binding upon the Company as if signed by an Executive Officer and sealed and attested to by the Secretary of the Company, I ALICE A. MOLASKY ARMAN, Secretary of the WESTERN INSURANCE COMPANY, do hereby certify that the foregoing is a true excerpt from the Resolution of the said Company as adopted by.its Board of Directors on December 6, 2010 and that this resolution is in full fora effect. I, the undersigned Secretary of the WESTERN INSURANCE COMPANY do hereby certify that the foregoing Power of Attome is m full force and effect and has not been revoked. In Testimony o 16 a hereunto set the seal of the WESTERN INSURANCE COMPANY on this day of r GGV VGI�IGI� I State of CalSS. County ////of % On Alzq 01201 / Before Me �1 /� ,C `C otaPI Public // Ne of Note ✓ ✓ ✓Pubc" Personally Appeared Name(s) of Slgne s) Qx Proved to me on the basis of satisfactory evidence To be the person(ejwhose nam Is arasubscribe to the within instrument and acknowledged to me that sh Ahey-- executed the am In s a h authorized capacityeasy and that by s er their slgnaturs*on the Instrument the person(s) or the entity upon behalf CK. A. EBY of which the persons} acted, executed the Instrument. OMM. r 1804042 2 #-y NOTARY pUSUC .. CALIFORNIAN I certify under PENALTY OF PERJURY under the laws of the RIVERSIDECWNTY State of CalRomia that the foregoing paragraph Is true and correct. Comm. Expires June 26,201 r rw.v WITNESS my han and official I. Notary Stamp Slgna re of Notary P Llc�sa Num OPTIONAL Though the Information below Is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title our Type of Document: Document Date: Slgner(s) Other Than Named Above: Capacity(ies) Claimed by Signer(is) Signers Name: Individual: Corporate Officer - Tltie(a): Partner- MLimltad aaeneral Guardian or Conservator Signer Is Representing Number of Pages Right Thumb Print of Signer 1 Right Thumb Print 19 State of California ) CALIFORNIAALL- PURPOSE County of �R l 114 (L ) CERTIFICATE OF ACKNOWLEDGMENT r On before me, �KJI I L (here Insert name a d tide of the offlc personally appeared LILA, 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 PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. STEPHANIE NANCI Commiubn 1 1!02482 Notary Pulk • Cal RMrawe CowMy, Signatur � M Comm. Aw 28.2019 (Seal) OPTIONAL INFORMATION Although the information in this section is not required bylaw, it could prevent fraudulent removal and reattachment of this ackno wiedgmenr to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document The preceding Certificate of Acknowledgment is attached to a document Method of Signer Identification titled /for the purpose of Proved to me on the basis ofsansfacicy evidence. L❑ form(s) of identification ❑ credible whness(eb - - -- " -- - - "— -_ - - -- Notarial event is detailed in notaryiournal on: containing pages, and dated Page a entry u The signer(s) capacity or authority is /are as: otary contact ❑ Individualb) Other ❑ Attorney -in -Fact [_1 Corporate Officer(s) ❑ Additional Sign El Signets)Thimbprint(s) Tlde(s) ❑ ❑ Guardian /Conservator ❑ Partner - Limited /General ❑ Trustee(s) ❑ Other: representing Name(s) of Persons) m Fnnry(ses) Signer Is Representing NCopynght 2007 Notary Rotary, Inc 92529th St., Des Moines, IA 50312 3 612 FormACK03 10 /07 Tore -crde, call toil- heel -877 349 -6588 or vlsh us on the Internet at hin Hvivw nourytotary . corn Bond No. CTC 00074 Premium: $22,942.00 Auachntcni R BOND FOR FAITHFUL PERFORMANCE KNOW Al.l. MEN BY TIIFSF PRFSI=N "FS THAT: W I If RI _4S. I he ('ity ul Santa Ana. Sunc of C'aliliornia. and B &T Works. Inc. _ (hcrema tier dcs(pnatcd as •'Principal ) have entered into an agreement whereby Rrincipa I agrees to in Mall and complete certain designated public improvements. which said agreement. dated March 21, 2011 entitled" Project No. 11 -6744; Bristol -17th Intersection Widening •• is hereby relcrred to and made a part hereof. an(] Will RI AS, said Principal is required under the terns of said agreement to fimtich it Bond Iitr Faithful Per G.rolan cc of said agr cinent. NOW. I IILREFORE. we. the Principal and Western Insurance Company as Surely, are held and firmly bound unto the Citv ol'Santa Ana (hereinafter called "C ov), in the penal sum of r DOLLARS ($ 917,673.45 1 lawful money of the United States, for file payment of which suit well and truly to be made. sae hind ourselves. our heirs, successors. executors:md administrators. ioinlvand severally. firmly by these presents. the condition of this obligation is such that if the above bounded Principal, his or its heirs• executors, administrators, successors or assigns, shall in all things stand to and abide by, and well and truly keep and perlbnn the covenants. conditions and provisions in the said agreement and any alteration thereof made as therein provided, on his or their part, to he kept and lurlbrmed at the time and in the manner therein specified, and in all respects according io their true intent and meriting, and shall indemnify and save harmless City, its officers, agents and employees• as therein stipulated, then this obligation shall become null and void: otherwise it shall be and remain in full tierce and effect. As part of the obligation secured hereby and in addition at the lace auutwu apccificd thetvlia. Chore shall Ile included costs and reasonable expenses and Iccs. including reasonable anorne.Y's fees, incurred by ('ily in succcsnlully enlitreing such obligation, all to he taxed its costs and included in any judgment rendered. 1 'Nine Hundred Seventeen Thousand Six Hundred Seventy -Three Dollars and Forty -Five Cents The Surety hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the agreement or to the work to be performed thereunder or the specifications accompanying the same shall in anywise allect its obligations on this Mind, and it does hereby waive notice of any such change, extension of time, alteration or addition to the tennn of the agreement or to the work or to the specifications. IN WITNESS WHEREOF. this instrument has been duly executed by the Principal and Surety above named, on April 14, 2011 PRINCIPAL: B &T Works ,Inc. fly--- Title: SURF I Y: Western Insurance Company (Attach acknowledgements of both Principal and Surety signatures) APPROVIID AS "1'0 FORM: city Attorney b /u2 2 (Typo Company Nana) fly 4 I" lc: M od/L Spaur, Attorney -in -Fact 14y-- Title: WESTERN INSURANCE COMPANY WESTERN INSURANCE COMPANY POWER OF ATTORNEY 10221 KNOW ALL MEN BY THESE PRESENTS: That WESTERN INSURANCE COMPANY a corporation organized and existing under the laws of the State of Utah and having its principal office at the City of Sandy, in the State of Utah, does hereby constitute and appoint Melody L. Spaur, Karen A. Eby, John A. Ruiz Of the STATE OF UTAH its true and lawful Attomey(s) -in -Fact, each in their separate capacity if more than one is named above, to sign its name as surety to, and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof on behalf of the Company in its business of guaranteeing the fidelity of persons; guaranteeing the performance of Contracts; and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. In Witness Whereof, the said WESTERN INSURANCE COMPANY has caused this instrument to be sealed with its corporate seal, duly attested by the signatures of its President and Secretary, this 6th day of December, 2010. WESTERN INSURANCE COMPANY 0 (Signed) BY President (Signed) BY Secretary STATE OF UTAH On this 6th day of December, 2010, before me personally came INSURANCE COMPANY and ALICE A. MOLASKY ARMAN, SECRE personally acquainted, who being by me severally duly sworn, said, thpt Mj MOLASKY ARMAN were respectively the PRESIDENT and BIp1 4 the corporation described in which executed the foregoing PoG�r Attom the seal affixed to said Power of Attorney was such grace seal, that i V corporation, and that they signed their namesike orderPl My Commission expires therlypQ 1t April, 2l)�4��'.: ,QTTMAN, PRESIDENT of the WESTERN S id Company, with both of whom I am said DICXC L. ROTTMAN and ALICE A. of WESTERN INSURANCE COMPANY, it ( P +ach knew the seal of said corporation; that Mixed by orde(nf the Board of Directors of said T and S&'CR Y, respectively, of the Company. Q+O PATRICIA 0. LETSON ` + S.4w P fA nn 1 Ra.nwna „ j,1 i ) - . (x><n3e, Notary Public This Power of Attorney is gran tlidet�a'nd by authority of the following Resolutions adopted by the Board of Directors of the WESTERN INSURANCE COMPANY on December 6, 2010. RESOLVED, that in Connection with the fidelity and surety insurance business of the Company, all bonds, undertakings, contracts and other instruments relating to said business may be signed, executed, and acknowledged by person or entities appointed as Attomey(s) -in -Fact pursuant to a Power or Attorney issued in accordance with these resolutions. Said Power(s) of Attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company, either by the Chairman, or the President, or a Vice President, jointly with the Secretary, under their respective designations. The signature of such officers may be engraved, printed or lithographed. The signature of each of the foregoing officers and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Attorney(s)-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and, unless subsequently revoked and subject to any limitations set forth therein, any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is validly attached. RESOLVED, that Attomey(s) -in -Fact shall have the power and authority, unless subsequently revoked and, in any case, subject to the terms and limitations of the Power of Attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company to any and all bonds and undertakings, and other writings obligatory in the nature thereof, and any such instrument executed by such Attomey(s) -in -Fact shall be as binding upon the Company as if signed by an Executive Officer and sealed and attested to by the Secretary of the Company. I ALICE A. MOLASKY ARMAN, Secretary of the WESTERN INSURANCE COMPANY, do hereby certify that the foregoing is a true excerpt from the Resolution of the said Company as adopted by its Board of Directors on December 6, 2010 and that this resolution is in full force effect. L the undersigned Secretary of the WESTERN INSURANCE COMPANY do hereby certify that the foregoing Power of Attorney is in full force and effect and has not been'revoked. In Testimony WJf$u 1JhT Rer reuetu set ary�ygd atd the seal of the WESTERN INSURANCE COMPANY on this Secretary SEAL State of CalNo�mla a/ "h / 11 [��te4e SS. County of On! �APf V, v / Before Me Personally Appeared I<,. A. EBY COMW O 1804042 g 2 NOTARY PUSLIC - CALIFORMAC *y RIVERSWECOUNTY Comm. Expires Juts 25,201 Notary Stamp I fi d Public Public Name(s) of Slgner{s) Qx Proved to me on the basis of satisfactory evidence CIN To be the person(o whose name(* Is amsubscribe to the within instrument and acknowledged to me that-he{sft /4hey- executed the aem In authorized cepecitp(ies) and that by er their signatura*on the instrument the person*, or the entity upon behalf of which the persons} acted, executed the Instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph Is true and correct. WITNESS Iny had and official seal. %% Z� — ±! Signature of Note c Llcenumb�l OPTIONAL Though the Information below Is not required by law, It may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title our Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(les) Claimed by Signer(s) Signers Name: E]Indivldual: Corporate Offlcer- TlUe(a): []Partner- E3Limlted Qaenerel or Conservator Signer Is Representing Number of Pages Right Thumb Print of Signer 1 Right Thumb Print 11 ct.ro ,P r�);;o;Nni, ..----"- - - - - - - - - -- k State of Cal nia > CALIFORNIA ALL-PURPOSE Countyof I ) CERTIFICATE OF ACKNOWLEDGMENT On before me, , (/ , (here insert name nd title of the offi r) personally appeared 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 persori 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. STEPHANIE Ill WITNESS my hand and official seal. CommkUoo 1 18821!2 Notery Publle • CaN a Comm. ExWm Am 23.2013t Signatu e L tiL (Seal) OPTIONAL INFORMATION Although the information in this section is not required by law, it could prevent fraudulent removal and reattachment of this acknowledgment to an unauthorized document and may prove useful to persons relying on the attached document. Description of lid.Docurnent The preceding Certificate of Acknowledg me ttached to a document Method of Signer Identification titled /for the purpose of Proved to me on the basis of satisfactory evidence. - -- Lo forme) of identification ❑ credible witness(es) -- Notarial event is detailed in notaryjournal on: containing pages, and dated Page# Entry# The signer(s) capacity or authority is /are as: Notary contact Individual(s) Other ❑ Attorney -in -Fact ❑ Corporate Off`icer(s) Additional Signerb) ❑ Signer(n Thumbpr'inns) ❑ Title(s) ❑ Guardian /Conservator ❑ Partner - Limited /General ❑ Trusteez) ❑ Other: I representing: -- JName15J of P (1 or Entity( esl Signer is flep esen Gng al CopynghT 2007 Do(aiy Rotary, Inc 925 29Th Sr, Des Moines, IA 50312 -3612 Form ACK03. 10/07. To re -ortleC call (olplree 1 -877 349 -6 588 or visit us on The Interne( at hitp: / /ww e nolaryroury. cent Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Financial Statements PDF's Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information WESTERN INSURANCE COMPANY 9065 SOUTH 1300 EAST SALT LAKE CITY, UT 84094 Old Company Names back to top Agent For Service SARGE KLIMOW 11023 EUCALYPTUS STREET SUITE 104 RANCHO CUCAMONGA CA 91730 back to top Reference Information Effective Date NAIC #: 10008 California Company ID #: 4750 -6 Date Authorized in California: 09/20/2002 License Status: CEASE & DESIST Company Type: Property & Casualty State of Domicile: UTAH back to top NAIC Group List NAIC Group #: 4641 D & I Rottman Grp back to top Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. SURETY back to top © 2008 California Department of Insurance Page l of 1 http : / /interactive.web.insurance.ca. gov /companyprofile /companyprofile ?event= companyPro... 2/8/2012 PUBLIC WORKS AGENCY DATE FROM TO / A, *-/k SJV / _Exec. Director Vldmin. Services _City Engineer Traffic Eng. _Maintenance �_Const. Eng: _Water Resources _Design Eng. Records Trans /Development M -10 Central Services M -12 Information Services _ M -13 Treasurer M -14 Customer Service —M- 16 Purchasing M -17 Finance —Director _M -18 Police _M -19 Building Safety/Community Preservation M -20 Planning M -21 PWA Administration M -22 PWA Construction Engineering M -23 Recreation & Comm. Svs. /Comm. Events M -24 Personnel M -25 Community Development M -27 Housing M -28 Risk Management �M -29 City Attorney M -30 Clerk of the Council M -31 City Manager M -32 Management Services/Budget _M -33 PWA Central Files M -34 Employee Benefits M -37 Neighborhood Improvement/Housing M -43 PWA Design Engineering M -80 Fire Dept. Administration M -82 PWA Water Maintenance — Yard M -85 PWA Maint./Water Admin. & Eng. — Yard M -86 Downtown Development M -89 RTC M -93 PWA Transportation/Development _M -97 Police Administration/Fiscal ` COMMENTS ��.) r^ it 7cii -ri MEMORANDUM MEMORANDUM To: Paul Walters Interim City Manager LE Raul Godinez II, Executive Director From: Public Works Agency Date: May 2, 2012 PROJECT NOS. 11 -6744 BRISTOL -17th STREET INTERSECTION WIDENING Subject: CHANGE ORDER NO. 1 Contractor: B & T Works 23905 Clinton Keith Road Wildomar, CA 92585 Project Description: Bristol -17`h Street Intersection Widening Change Order Number: 1 Accounting Unit - Account- Activity Number: 03217660 - 11674402028 Original Contract: $917,673 % of Original Amount of This Change Order: $ 35,687 3.88% Previously Approved Change Orders: $ -0- 0.0% Total Change Orders: $ 35,687 3.88% REASON FOR CHANGES NEW CONTRACT LINE ITEMS 1. On the eastside of Bristol north of 171h Street there is a bus stop with a shelter that was not shown on the plans. Due to the street widening this shelter needed to be relocated. Santa Ana Municipal Code section 33 -109 (c) requires bus shelters to be illuminated; therefore conduit must be installed from Southern California Edison's handhole on the west side of Bristol to the shelter location. This compensates the contractor for potholing for utilities, boring for and installing approximately 120 LF of 3" conduit and installing pullboxes (PCO 6) AGREED COST = $109.00 LF Request for Approval of Change Order No. 1 Project 11 -6744 Request for Approval of Change Order No. May 2, 2012 Page 2 of 2 2. The contract documents show installation of a new electrical service pedestal for the irrigation controller on the eastside of Bristol south of 17th Street but do not show a point of connection. The nearest location for connection to Southern California Edison is a vault on the south side of 17th Street east of Bristol. This compensates the contractor for potholing for utilities, trenching for and installing approximately 500 LF of 3" conduit, backfilling and compacting the trench. (PCO 8) AGREED COST = $38.30 LF EXTRA WORK AT AGREED PRICES The contract documents require installation of two 5' x 6' static warning signs to be installed to notify traffic to expect delays due to the construction. Due to the large volume of traffic, two more static signs are needed to notify traffic in each direction of travel. This compensates the contractor for fabrication, installation and maintenance of the signs for the duration of the project. (PCO 5) AGREED COST = $ 3,457 APPROVED AS TO FUNDS AND ACCOUNTS: r- �'Q Raul Godinez II, EAe6utive Director Francisco Gutierrez, Executive Director Public Works Agency Finance and Management Services Agency I''v- K:\construction\projects \11- 6744 \MEM RFA 01 CCO 1 PUBLIC WORKS AGENCY CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 11 -6744; BRISTOL/171h STREET INTERSECTION WIDENING Change Order Number 1 To B & T Works. Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER, Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PI IRI Ir: Wr1RKC Ar F=mr.y NEW CONTRACT LINE ITEMS Item # New Bid Item Unit Quantity Unit Price Total 40 41 Bore 3" conduit Trench 3" Conduit LF LF 120 $109.00 500 $38.30 $ 13,080.00 $ 19,150.00 EXTRA WORK AT AGREED PRICES 1. Install two 5' x 6' static warning signs on 17th Street per (PCO 5) Page 1 of 2 $ 32,230.00 AGREED COST = $ 3,457.00 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 11$744; BRISTOU17r" STREET INTERSECTION WIDENING Change Order Number To B & T Works, Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this final change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this final change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this final change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this final change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ _ _ _ _ _ INCREASE $ 35,687.00 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Twenty Five (25) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specked, and will accept as full payment therefor the prices shown above. Accepted, Date 5,'/ Contractor B & T Works, Inc. 77 ;Approval y !ff Title � - AAA recommended by KP67!V4 T, Date 5.21.2012.. PUBLIC WORKS AGENCY UTIVE DIRECTOR Approved by S`Z Date Se—C /Z CITY MANAGER Page 2 of 2 MEMORANDUM � ' � . �. , Paul Walters To: City Manager Date: July 23, 2012 Raul Godinez II, Executive Director From: Public Works Agency PROJECT NOS. 11 -6744 BRISTOL -17tH STREET INTERSECTION WIDENING Subject: CHANGE ORDER NO. 2 Contractor: B 8� T Works 23905 Clinton Keith Road Wildomar, CA 92585 Project Description: Bristol -17tt' Street Intersection Widening Change Order Number: 2 Accounting Unit - Account- Activity Number: Original Contract: $917,673 Amount of This Change Order: $ 8,698 Previously Approved Change Orders: $ 35,687 Total Change Orders: $ 44,385 REASONS FOR CHANGES EXTRA WORK AT AGREED PRICES 03217660 - 11674402028 of Original .09% 3.88% 4.83% 1 _ On the southeast comer of Bristol and 1 7tt' Street, the plans direct the contractor to remove and salvage a fire hydrant_ Water Engineering has requested that the entire lateral line and valve be removed and a blind flange installed on the existing main line connection. Final Cost = $1402.00 Project 11 -6744 Request for Approval of Change Order No. 1 May 2, 2012 Page 2 of 2 2. Due to the widening of the intersection of 17th and Bristol Streets, the contract documents require all the traffic signal poles and equipment to be replaced with exception of the northeast corner which is not being widened. The signal heads on that corner are old and deteriorated; therefore Traffic Engineering has requested that the signal heads on that corner be replaced with new LED signal heads to match the remainder of the intersection. Agreed Cost = $6,000 EXTRA WORK AT TIME & MATERIALS 1. During trenching for the proposed 2" irrigation water service on the east side of Bristol south of 17th Street, a 6' deep utility line was encountered. This line had been backfilled with concrete; therefore the proposed 2" service line will have to be installed below the conflicting utility. Final Cost = $ 3,457 APPROVED AS TO FUNDS AND ACCOUNTS: Raul Godinez II, ecutive Director Francisco Gutierrez, Executive Director Public Works Agency Finance and Management Services Agency ,� K= \construCtion\projects \1'1- 6744 \MEM RFA CCO #02 __ _ CITY OF SANTA ANA „- S -- . PUBLIC WORKS AGENCY I CONTRACT CHANGE ORDER Project Number 11 -6744; BRISTOL /17`h STREET INTERSECTION WIDENING Change Order Number 2 To g & T Works, Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless �herwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by Pt tRt to WCIRKC Qr'�FNr"Y EXTRA WORK AT AGREED PRICES 1. Remove existing 4" water valve and install blind flange as directed per response to RFI #13. AGREED COST = $ 1402.00 2. Replace 4 existing signal heads with 4 new LED signals as directed in PCO #14. AGREED COST $ 6560.00 EXTRA WORK AT TIME 8� MATERIALS 1 . Relocate new 2" water service under conflicting utility as directed per response to RFI #14. Page 1 of 2 FINAL COST = $ 736.00 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number � � -8744; gRISTOL/17t" STREET INTERSECTION WIDENING Change Order Number 2 To g & T Works. InC. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this final change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this final change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this final change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract_ The signing of this final change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE � _ _ _ _ _ INCREASE � 8698_OQ By reason of this order the CONTRACT TIME completion will be adjusted as follows: Twenty Elght (28) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date 7_ /�� //� Contractor g & T Works, Inc. -� _ �Y �C�. —� -zv Title �/ -�.; �:r �� '/c ,...�c c�t�� ^ Approval recommended by !/ --� Date �� -/' l��Z PUBL O S AGENCY E CUT /VE D /RECTOR Approved by (R� (�� Date � � ff — % _L CITY MANAGER Page 2 of 2 MEMORANDUM To: From: Subject: Paul Walters City Manager Date: August 20, 2012 i Raul Godinez II, Executive Director _ ��u �o Public Works Agency � ^^� u' PROJECT NOS. 1 1 -6744 _ ` � �� BRISTOL -17t" STREET INTERSECTION WIDENING �:� �c�'"` "� CHANGE ORDER NO. 3 : _;� ._, Contractor B & T Works 23905 Clinton Keith Road Wildomar, CA 92585 Project Description: Bristol -17t� Street Intersection Widening Change Order Number: 3 Accounting Unit - Account- Activity Number: 03217660 - 11674402028 Original Contract: $917,673 of Original Amount of This Change Order: $ 10,976 1.19% Previously Approved Change Orders: $ 44,385 4.83% Total Change Orders: $ 55,361 6.03% REASONS FOR CHANGES EXTRA WORK AT AGREED PRICES Prior to the start of construction, and within the limits of this project, the Water Division replaced a section of water main. The trench and service cuts currently had temporary paving and needed to be permanently paved prior to the final surfacing of the intersection under this contract. In order to reduce traffic congestion and conflict between contractor's schedules, it is recommended to have the trenches and service cuts base paved under this contract. Agreed Cost $10,976 Project 11 -6744 Request for Approval of Change Order No_ 3 August 20, 2012 Page 2 of 2 Raul Godinez II, xecutive Director Public Works Agency K:\construction\projects\l 1- 6744 \MEM RFA CCO #03 APPROVED AS TO FUNDS AND ACCOUNTS_ Francisco Gutierrez, Executive Director Finance and Management Services Agency CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 11- 674.4; BRISTOUI7 "' STREET INTERSECTION WIDENING Change Order Number 3 To g & T Works, Inc. contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and spec cations on this conUacL NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCILOR CITY MANAGER Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance wi II be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this final change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this final change order, the Contractor acknowledges and agrees on behaff of himseff, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this final change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract_ The signing of this final change order constitutes full mutual accord and satisfaction for all changes and work pertorrned on this project, and that the time and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work pertormed on this project. The Contractor on behaff of himseff, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ _ _ _ _ _ INCREASE $ 1 O, 97E7 _ �� By reason of this order the CONTRACT TIME completion will be adjusted as follows: Five (5) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may othewise be noted above, and pertorm all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date � - � L- contractorg & T Works, Inc. BY - ,� ,.-.., z�LC>✓ Title , Y �L J _ -'.�.. J "�7G,r`�� Sc' i"'r. e� f'_"- '' /' .-� — '% Approval recommended by "`' Date PUBLIC WORKS AGENCY EX /VE DIRECTOR Approved by �hC�l \n �_L�_r_ .`1�� Date � l \q 1 'Z -��L, ��JTY MANAGER Page 2 of 2 �" ��'� �� y CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 11- 674.4; BRISTOUI7 "' STREET INTERSECTION WIDENING Change Order Number 3 To g & T Works, Inc. contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and spec cations on this conUacL NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCILOR CITY MANAGER Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance wi II be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this final change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this final change order, the Contractor acknowledges and agrees on behaff of himseff, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this final change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract_ The signing of this final change order constitutes full mutual accord and satisfaction for all changes and work pertorrned on this project, and that the time and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work pertormed on this project. The Contractor on behaff of himseff, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ _ _ _ _ _ INCREASE $ 1 O, 97E7 _ �� By reason of this order the CONTRACT TIME completion will be adjusted as follows: Five (5) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may othewise be noted above, and pertorm all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date � - � L- contractorg & T Works, Inc. BY - ,� ,.-.., z�LC>✓ Title , Y �L J _ -'.�.. J "�7G,r`�� Sc' i"'r. e� f'_"- '' /' .-� — '% Approval recommended by "`' Date PUBLIC WORKS AGENCY EX /VE DIRECTOR Approved by �hC�l \n �_L�_r_ .`1�� Date � l \q 1 'Z -��L, ��JTY MANAGER Page 2 of 2 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 1 1 -6744• BRISTOU17`" STREET INTERSECTION WIDENING Change Order Number 3 To B & T WOrkS. InC. Contractor You are hereby directed to make the herein changes fmm the plans and specifications or do the following described work not included in the plans and specfications on this conVact. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCILOR CITY MANAGER Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by Pt rcet rr \N�akc A�cnrr -v EXTRA WORK AT AGREED PRICES Remove temporary asphalt, compact and pave water trench and service cuts in the intersection of 17th Street and Bristol Street_ Page 1 of 2 AGREED PRICE $10,976 - •- MEMORANDUM ., � - - - c:��ri: -lk c�a-, Paul Walters ,u�t1i ' `��P'`�' ��' To: City Manager Date: October 4, 2012 Raul Godinez II, Executive Director :'__i From: Public Works Agency _ ::. ,..,� _ _ PROJECT NOS. 11 -6744 BRISTOL -17`" STREET INTERSECTION WIDENING Subject: CHANGE ORDER NO. 4 Contractor: B & T Works 23905 Clinton Keith Road Wildomar, CA 92585 Project Description: Bristol -17`h Street Intersection Widening Change Order Number: 4 Accounting Unit - Account- Activity Number: 032 1 7660 - 1 1 6 74402028 Original Contract: $917,673 of Original Amount of This Change Order: $ 15,654 1.7% Previously Approved Change Orders: $ 55,361 6.03% Total Change Orders: $ 71,015 7.74% REASONS FOR CHANGES EXTRA WORK AT AGREED PRICES On the North West and North West corners of Bristol and 1 7th Street there are two P.C.C. catch basin decks that have been heavily damaged by truck traffic. Due to the extent of the damage, these decks have become a safety hazard. It is recommended to remove and replace the catch basin decks under this contract. Agreed Cost $15,654 Project � '1 -6744 Request for Approval of Change Order No. 4 October 4, 2012 Page 2 of 2 APPROVED AS TO FUNDS AND ACCOUNTS: -dr 11� Rau odinez II, ecutive Director Francisco Gutierrez, Executive Director Public Works Ag cy Finance and Management Services Agency K:\ cons trtiction\projects \11- 6744WAEM RFA CCO 0 04 �`��`� CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 1 � -6744; BRISTOU17d' STREET INTERSECTION WIDENING Change Order Number 4 To B 8r T Works, Inc. contractor You are Hereby directed to make the herein changes from the plans and specifications or do the fdk>wing described work not induded in the plans and specdcations on this conVad. NOTE: THIS CHANGE ORDER IS NOT EFFECTNE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER Unless otherwise stated, rates for rental of equipment carer only such time as equipment is adually used and no allowance will be made for idle time Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICES Remove and replace damaged reinforced concrete decks on two catch basins as directed in PCO #18. Page 7 of 2 AGREED PRICE $� 5,654 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 1 � -6744; BRISTOU17d' STREET INTERSECTION WIDENING Change Order Number 4 To B 8r T Works, Inc. contractor You are Hereby directed to make the herein changes from the plans and specifications or do the fdk>wing described work not induded in the plans and specdcations on this conVad. NOTE: THIS CHANGE ORDER IS NOT EFFECTNE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER Unless otherwise stated, rates for rental of equipment carer only such time as equipment is adually used and no allowance will be made for idle time Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICES Remove and replace damaged reinforced concrete decks on two catch basins as directed in PCO #18. Page 7 of 2 AGREED PRICE $� 5,654 CITY OF SANTA ANA PUBLIC WORKS AGENCY E CONTRACT CHANGE ORDER Project Number � T�744; BRISTOU'17t^ STREET INTERSECTION WIDENING Change Order Number 4 To B & T Works, Inc. contractor You are hereby directed to make the herein changes from the plans and specifx:ations or do the fdlowing described work not included in the plans and sperm cations on this contract NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER Unless otherwise stated, rates for rental of equipment corer only such time as equipment is actually used and no allowance wi II be made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation bath time and cost set forth in this final change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this final change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this final change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing Of this final change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project_ The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further Gaim related to this project. TOTAL COST THIS CHANGE ORDER' DECREASE $ _ _ _ _ _ INCREASE $ 1 5,654.00 By reason of this order the CONTRACT TIME completion will be adjusted as fellows: Thirty Five (35) Working Days We the undersigned contractor have guar careful cansidera6on to lire change proposed and hereby agree, if this proposal is approved, that wee will provide all equipment, famish all materials, except as may otherwise be rested above, and perform all service necessary for the worts above specified, and will accept as full payment therefor the prices shown above. Accepted, Date 9 - ..� - l t COnt�Of B & T Works, Inc. c�"j -4-.+ .�--� Title �rr=� v P .�_fi %r� cr. r'r c_ °:� .� � � Approval recommended by Date �' • � ��- PUBL/ RKS AGENCY EXEC lVE D /RECTOR Approved by �' �S�>`�nc •� � �. � _ � Date � � f ��'l \ Zd�.�Z� CITY MANAGER Page 2 of 2 MEMORANDUM To: From: Subject: Paul Walters City Manager Raul Godinez II, Executive Director Public Works Agency Project No. 1 1 -6744 Bristol -17 "' Street Intersection Widening Change Order No. 5 Date: December 14, 2012 "'S `" Contractor: B & T Works • -•.� 23905 Clinton Keith Road ` ' Wildomar, CA 92585 _..:.__ ,a Project Description: Bristol -17`h Street Intersection Widening �� ,� Change Order Number: 5 Accounting Unit - Account - Activity Number: 03217660 - 11674402028 Original Contract: $917,673 of Original Amount of This Change Order: $ 35,685.93 3.9% Previously Approved Change Orders: $ 71 ,015 7.7% Total Change Orders: $ 106,700.93 11 .6 %" "Contingency for this project = 39.9% REASONS FOR CHANGES EXTRA WORK AT AGREED PRICES 1 . Due to delays caused by Southern California Edison and time extensions related change order work, the City requested the contractor to maintain the four illuminated changeable message signs for the extended duration of the project.(93 additional days) This compensates the contractor for all costs pertaining to maintaining the CMS signs. Agreed Price $14,225.35 Project 1 � -6744 Request for Approval of Change Order No. 5 December � 4, 207 2 Page 2 of 2 2. The City directed the contractor to construct an additional � � ,220 SF bus turn -out on the northeast corner of Bristol and 17th Street. The cost of the bus turn -out was covered by bid price line items; however, there was no compensation allowed for traffic control to close one eastbound lane of � 7th street to allow construction of the bus turn -out. This compensates the contractor for all labor and equipment costs to provide, install, and maintain traffic control for the duration of the construction of the additional bus turn- out. Agreed Price $ 7,240.32 3. Per the direction given in PCO #8 the contractor installed SOOLF of conduit to make the electrical service connection for the irrigation controller service pedestal. Southern California Edison requires their own contractor to install the wiring and make the final connections, thus delaying the completion of the work. Due to the proximity of Santa Ana College the contractor was directed to maintain the traffic control and barricading to ensure public safety. This compensates the contractor for all labor and equipment costs to provide, install, and maintain the traffic control and barricading until SCE completed their portion of the work. Agreed Price $ 9,626.02 4. The contractor was directed in PCO #� 9 to import sand, backfill and compact the unplanted palm tree excavations flush with the adjacent sidewalk to ensure public safety until the palm trees are planted. This compensates the contractor for all labor and equipment costs to import sand, backfill, and compact the excavations. Agreed Price $ 4,594.24 APPR ED AS TO FUNDS AND ACCOUNTS: Raul Go Inez I1, Executive rector Francisco Gutierrez, Executive Director Public W s Agency Finance and Management Services Agency K:\construction\projects \11- 6744 \MEM RFA CCO #OS CITY OF SANTA ANA '• _. ,'''Y _ PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number 11 -6744; BRISTOV17�h STREET INTERSECTION WIDENING Change Order Number b To B & T Works, Inc. contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCILOR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY k i EXTRA WORK AT AGREED PRICES y 1 . Maintain four (4) changeable message signs for the extended duration (93 days) of the project per direction from City of Santa Ana dated 5/7/2012_ a AGREED PRICE $14,225.35 i i 2. Provide traffic control for added bus pad replacement work per direction from "' City of Santa Ana dated 3/12/2012_ (PCO #7) h AGREED PRICE $ 7,240.32 3. Provide, install, and maintain traffic control and barricades for public safety $ during period of delays caused by Southern California Edison per direction from s City of Santa Ana dated 4/3/2012. (PCO #8) 9 AGREED PRICE $ 9,626.02 ' 4. Backfill and compact unplanted palm tree excavations per City of Santa Ana t direction dated 12/12/12. (PCO #19) e AGREED PRICE $ 4,594.24 Page � of 2 ��.. CITY OF SANTA ANA -_` � PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER �, Project Number � � -8744; gRISTOL/17`h STREET INTERSECTION WIDENING Change Order Number 5 To B & T Works, Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications on this contract. NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will Ge made for idle time. Change requested by PUBLIC WORKS AGENCY The compensation both time and cost set forth in this final change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this final change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this final change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this final change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this final change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE � _ _ _ _ _ INCREASE $ 3S, 685.93 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Twenty FIV@ (25) Working Days We the undersigned conVador have given careful consideration to the change proposed and hereby agree, 'rf this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted alwve, and perform all service necessary for the work above spec'fiied, and will accept as full payment erefor the prices own Gove. � Accept at 2 /y / contractor g & T Works, Inc. y6y Title - � ,� U Approval recommended by --� Date � ' o• 20/3 PUBL WORKS AGENCY EXECUTIVE lR CTOR � % �. 7�- _ Approved by �z-� -t,� b .. �- -- Date +` - C �- � ? CITY MANAGER t Page 2 of 2