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KANA PIPELINE, INC.
in 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 M -S Recorded in Official Records, Orange County Tom Daly, Clerk- Recorder �IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII NO FEE +$ R 0 0 0 4 6 7 5 0 5 9 S� 2012000174138 3:36 pm 03/27/12 10 414 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 !'+1 � � � L 7 ���, �k . ! �.� =,_ NOTICE OF COMPLETION C'�E J v J ''" �J c3 NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana, California, 92701, is the owner of the property hereinafter described, that said owner has caused construction of CONCRETE STREET WATER MAIN IMPROVEMENTS under contract °w entered into on MAY 16. 2011, with KANA PIPELINE. INC., on which contract FIDELITY c� o AND DEPOSIT COMPANY OF MARYLAND is surety. The property on which such work � w improvement was placed is in the City of Santa Ana, County of Orange, State of California, and w c described as Project No. 11 -6406 located at: VARIOUS LOCATIONS. The work improvement m � on said property was accepted as completed on MARCH 2. 2012_ 0 Q � CITY OF �` TA ANA, A MUNICIPAL CORPORATION J _ �-' by � � � QIJI/`T�. � v Dated: Z Interim Citv Engineer � C TITLE Z_ Q ____________________________________________________________ _______________________________ C � a VERIFICATION I, the undersigned, say: I am the Interim Citv Ent2ineer 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 � �_T/ � �_ 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 REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: MAY 16, 2011 TITLE: CONTRACT AWARD FOR CONCRETE STREET WATER MAIN IMPROVEMENT (PROJECT NO. 116406) CITY MANAGER RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVED S' ��' �� As Recommended 0�3� � As Amended 0 Ordinance on 1 �` Reading � Ordinance on 2ntl Reatling � Implementing Resolution � Set Public Hearing For_ CONTINUED TO FILE NUMBER Award a contract to Kana Pipeline, Inc., the lowest responsible bidder, in accordance with unit bid prices in the estimated amount of $723,755 for construction of Concrete Street Water Main Improvements. 2. Approve a Funding Analysis with a total estimated construction cost of $904,700. DISCUSSION This project provides for replacement of deteriorated and undersized water mains at various concrete streets (Exhibit 1). The improvements include installation of new water mains, fire hydrants, main gate valves, and water services. Once completed, breaks and leaks associated with the older and deteriorated water mains will be eliminated, and water service capacity and fire protection will be enhanced. The Notice Inviting Bids was advertised on March 11 and 14, 2011, and bids were opened on April 12, 2011. A summary of the bid invitations mailed, the bids received, and the bid results follows. Santa Ana Contractors receiving notices: 8 Contractors requesting bidding documents: 26 Bids received: g Bids received from Santa Ana Contractors: O Contract Award For Concrete Street Water Main Improvements May 16, 2011 Page 2 NAME OF RESPONSIVE BIDDER CITY BID AMOUNT 1. Kana Pipeline, Inc. Placentia $723,755.00 2. Dominguez General Engineering, Inc. Rosemead $748,000.00 3. T.E. Roberts, Inc. Tustin $759,899.00 4. J. De Sigio Construction, Inc. Baldwin Park $767,105.00 5. J. A. Salazar Construction 8� Supply Corp. La Habra $886,542.50 6. Mike Bubalo Construction Company, Inc. Baldwin Park $931 ,100.40 7. Paulus Engineering, Inc. Anaheim $961 ,959.00 8. Vido Samarzich, Inc. Alta Loma $1 ,028,677.50 9. Garcia Juarez Const. Inc. Brea $1,286,200.00 While the City made outreach efforts to Santa Ana contractors regarding the Notice Inviting Bids, no contractors from Santa Ana submitted bids. A survey was taken from randomly selected contractors. The Santa Ana contractors responding to the survey did not submit a bid either because they do not perform this type of work or they were not able to submit a bid that would be competitive. A total of nine bids were received and all were responsive. The lowest bid was submitted by Kana Pipeline, Inc. for $723,755, which is below the Engineer's estimate of $950,000. ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended action is exempt from further review. Categorical Exemption Environmental Review No. 201 0 -151 has been filed for this project. FISCAL IMPACT The funding analysis shows a total estimated construction cost of $904,700 for the project (Exhibit 2). Funds are available in the Water Utility Capital Projects Funds (accounting unit 06617647- 66301). APPROVED AS TO FUNDS AND ACCOUNTS: � _ Raul Godinez II Franc sco Gutierrez�� Executive Director Executive Director Public Works Agency Finance &Management Services Agency RG /ET Exhibit 1: Project Location Map 2: Funding Analysis FUNDING ANALYSIS PROJECT NO. 116406 CONCRETE STREET WATER MAIN IMPROVEMENT Construction Contract $723,755 Contract Administration $28,570 Inspection and Testing $60,000 Survey Staking $20,000 Contingencies $72,375 TOTAL ESTIMATED CONSTRUCTION COSTS $904.700 Exhibit 2 Thls space for flung stamp only 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 -6841 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: Concrete Street Water Main Impry I am a citizen of the United States and a resident of the State of Califomia; 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 California by the Superior Court of the County of ORANGE, State of California, 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 saitl newspaper and not in any supplement thereof on the following tlates, to -wit: 03/11/2011, 03/14/2011 Executed on: 03/14/2011 At Los Angeles, California I certify (or declare) under penalty of perjury [hat the foregoing is true and correct. O R #: 2060539 NOTICE INVTING BIDS NOTICE IS HEREBY GIVEN that the Ciry of Santa Ana, Califomia will receive at Ciry Hell -Ross Annex, (M -43), 20 Civic Center Plaza. Santa Ana, Califomia 92701, the P 11 A FouRh FI r n on or a ore t e our o p. m. on uestlav Aoril 12. 2011 sealed bitla and/or propoue� PROJECT NO. 11 -6406: Concrete Street Water Main Improvements (Various Locations) This work inclutles: A) The construction of approximately 1.120 linear feet of 12- PVC water main and appurtenances, including fire hydrants and water se MCea. B) The construction of aDProdmately 4,900 linear teat of 8- PVC water rtain water main end appurtenances, including fire hydrants end water services. Notice is hereby given BIDDERS [hat in accordance with [he provialone of the California Labor Code. not less than the prevailing rate of per diem wages for each craft or type of worker antl mechanic needed to execute the contract in [he locality in which the work is to be pertomted, antl not less than the general prevailing rate of per tliem wages for holiday end overtime work as determined by the Director of Industrial Relations of the State of Califomia shall be paid to all workers employetl. Each bitl shall be accompanied by cash, a cashiers or certified check payable [o the Clry of Santa Ana. or bitl bond issued by a corporate surety, for an amount not less than ten percent (10%) of the aggregate o/ the bitl, as a Quarantee that the BIDDER will enter Into the Droposetl contract if the same is awartletl to him. The algnature of the BIDDER on the bld bond MUST be noferized. The City Council reserves the right to reject any or ell bids. The successful BIDDER must possess or obtain a valid California Gass (A or C34) Contractor's license prior to the scheduletl award tlate of this contract. SubsF[ufion of securities for any monies vnthheltl by the City of Santa Ana to ensure performance is allowed accordance with the Public Contrael code. ComQlgt�t� f th PI ns antl 3`pecl 'cab'fi 'ons wl��umish a�catlon to t e ub lc o s pence. ust oor. 20 vlc nter aza. ante nag 70th oT��l 64�- There is a $27.83 charge (non- e untlable) for these Plans antl Specifications. plus a $14.42 additional lee it mailetl. Make checks payable to the Ciry of Santa Ana. DO NOT CALL PURCHASING DIVISION REGARDING AVAILABILITY OF PLANS AND SPECIFICATIONS. 3/11 3/14/11 OR- 2060639Y /�� Signature I IIIIIII IIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIII �r A O O O O O 2 O 9 6 5 8 3 +k �� �- '" C_ � A O -' 1. _: .. __ t. .. fl �; DC O LL W W J Q W V � = W _ W Q A Z � n ° o, � tJi.r ° v o a��� Q � z A � °' s �a� z O H Q v O J �_ Q '� V/ Z W W O a �_ Z Q W F- Q W W N W W U V O t� r r Z H W O a J a W 2 1- Z W F- Z 0 Q Z Q LL �_ U W H Z � � N r %"4 v ':" r Z Z r ti N � Q d Q y ova N � � � Z V a O �� J U Q Q U = V D � 7 � H d O V N y F 2 W O Q Q � V � O m D m , Y CITY OF SANTA ANA PROJECT NO_ 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) PROPOSAL 8r. CONTRACT AGREEMENT BID PROPOSAL TO: CITY COUNCIL, OF THE C1TY OF SANTA ANA FROM: �JII�. P1�t� t•�� ,, �.-.l G, REQUIItEMENT: The undersigned declazes that he /she has cazefully 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 (if any), specifications and special provisions, for the unit prices) or lump sums) set forth in the following schedule: Item # Bid Item Unit Ousntity Unit Amount Price o0 1 8" Class 200, AWWA C900 P.V.C. Water LF 4,900 $ ��—° $ 3o c7io Main - oo � 2 12" Class 200 AWWA 0900 P.V.C. Water LF 1,120 $ �� $ � ld, t38o Main _ _ 3 Construct 1" Water Service per City Std. EA 142 $ a�y� $ 3 9� � Plan 1401 _ _ 4 Construct 2" Water Service per -City Std. EA 1 $ 2,oct�� $ 2,ad°vo Plan 1402 - - 5 12" Resilient Wedge. Gate Valve EA 3 �oO $ 3,0� $ 9. o� o0 6 8" Resilient Wedge Gate Valve EA 13 $ � � B000a $ � o0 23 t�+0io — 7 4" Service Connection Including 4" RWGV EA 1 $ S, �� $ �10�°� (Resilient Wedge Gate Valve) _ _ � 8 4" Fire Line Connection Including 4" EA 1 $ - S� ��$ S, o�oy RWGV (Resilient Wedge Gate Valve) _ _ 9 8" X 8" Hot Tap Including Tapping. Sleeve EA 2 o� $ 'Loa �o $ ) 0� 4no and Valve BP1 OF13 PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) PROPOSAL 8z CONTRACT AGREEMENT BID PROPOSAL - CONTINUED Item # Bid Item Unit Quantity Unit Amount 10 12" X 8" Hot Tap Including Tapping Sleeve EA 2 $� .o_ $ Io��i'�� and Valve _ _ 11 12" X 12" Hot Tap Including Tapping Sleeve EA 1 $ (o, %a7 $ �� %�� and Valve - - 12 New Fire Hydrant Assembly, Including Gate EA 9 ao $-7� � c�0 $ %3i °tom'° Valve and Lateral Pipe _ _ 13 Traffic Control, Striping, and Pavement LS 1 �0 $ Z�, o� � $ �) � °� — Markings _ _ 14 1 1 /2" Cold 3,7 �m Mill SF 9250 $� $ 15 1 1 /z" AC Pavement Overlay Fifth St. (Baker TN 75 $�� °1 C�7 S — $ � � St. to Shelton St.) TOTAL 5-��l fcl� �'�RJ►- 1D4� -�a�7 -�'V-- ltslr��T�( `�-�� �� '►�ouo,lzs PROJECT NO. 11 -6406 Concrete Street Water Main Improvements (Various Firm Locations) Address Phone Fax Email BIDDER Signature BP20F13 LJO BIDDER 1(0� E• M1R,L��,p(�AA laY1'st•lJG "i'1.A�J�1 -TnA � G� �'L'Q�TO � 14� a �� - 1 �+� L � 4-) �=c$lfl � 14.1 � N1�c.0 e- P1�P67 -1�►E . caM D l 1a� 4.o c�-E CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) 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; 1/2% of the bid or $10,000, whichever is greater - Buildings, parks, or other projects: 1/2% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: NAME �iP'��`t � %�,+�'�L NAME LOCATION �Z �_�./PRif�bY�_ �A 66.E (� LOCATION PHONE � � cE.) � -r � - 18 S1 "n PHONE TYPE OF WORK G<tg -tNt? $ 20� ��S(� � TYPE OF WORK $ - �i ��'P � -.Rb�p -vim .NAME NAME LOCATION LOCATION PHONE PHONE TYPE OF WORK $ TYPE OF WORK $ NAME NAME LOCATION LOCATION PHONE PHONE TYPE OF WORK $ TYPE OF WORK $ NAME NAME LOCATION LOCATION PHONE PHONE TYPE OF WORK $ TYPE OF WORK $ Name of Firm Submitting Bid Signature of Bidder BP3OF13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) PROPOSAL 8z 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 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 (1 O) 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 Bic Title �—S►PE�^ - -� (if an individual, so state) BP 4 OF 13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT - CONTINUED (If a firm or co- partnership, state the firm name and give the names of all individual co- partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) KAN�- P��s t.� �� . 1 n.� L . �tZ®yc �-� c.� /S)G1-FuI�Z - Ca-ti VP- �1 � � u r�.L o��1cd�CZ Awarded to [ r`�:. ��;� � on the basis oi_��responsi end ponsive ACTION OF COUNCIL: bidder�in the anwunt of ATTEST: �R %� .7`� CLERK OF THE COUN IL APPROVED AS TO FORM: • ' Date � � � 20 ACCEPTED FOR THE CITY OF SANTA ANA: c .�. EXECUTIVE DIRE T R PUBLIC WORKS A NCY BP S OF 13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) 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 _ 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 BP6OF13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR - CONTINUED further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. 7. The 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 1 1246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance;. provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, No discrimination shall be made in the employment of persons upon public works because of race, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such persons, except as provided in Section 1420, and any contractor of public works violating this Section is subject to all the penalties imposed for a violation of the Chapter. Signed 'b�1 -t1��. LQLIG.0 Title �¢��SCD�Y -a"r Firm ���/y p l'� lam\ r-4 E � 1 r`1 L Date �{' I 1 \ I ?� \ � BP 7 OF 13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) 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 to the City of Santa Ana_ /, Signed Title '�SYp 1�?-� Firm KAti►/�. 'p1pGV \r1� � 1 a�L Date � 1l ('lam\ � BP8OF 13 CITY OF SANTA ANA PROJECT NO. 1 1 -6406: CONCRETE STREET WATER MAIN IIVIPROVEMENTS (VARIOUS LOCATIONS) 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. Gnzi c� cam/- *'WpEH CaRo.rt� 1• Y3 t''�o 2 1 -k6� -1 kt94� sT' EIA'S� -�6Ta C�L�o�cS L� �2'� �L� Name and Address of Owner. M Y v �-1 C� G\-4 v til L� �'�, 7 4 L- S�t-1 T Name and Telephone Number of person familiar wt th project. 2, O 1$ � 6'1'3 aoO y.JSStt� M�.�.,a / � �sw �t M PAN l � 1 � a ' 20a� Contract Amount Type of ork Date Completed C.i1 —C GTr L71�sT'A.'Fz� C� 2• 1 �-YZS S �w-4 �[ 1 �v-� t�Y �"'t -1 u�. OIITP�F�\ � � Cam., LL 11 6 1 Name and Address of owner. Name and Telephone Number of person familiar with project. �1 � S �}� , 4�+-:c °�'- �2¢- lu.�'l7 .�r�'T�az t-n A.� �t o s � o I Zo 1 0 Contract Amount Type of Work Date ompleted 3. 2rC �C � �= �s�i2��G�` s�.� ��H � � G.£� -r �}-o Name and Address of owner. ��v \o Sp �T-L spa) 4-� L - 2,52 7c ►'�31 Name and Telephone Number of person familiar with project. -� � s'�-. 6 ss e° w�� M.o.w `� s�� c� -��-► 1 � l� 4- / za � o 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. SV�b CSC — �'P� l�l"tY � '��� -T Co tH�s��f C�� 1`�bl2Y t�.r��T7 X01 1� - '1'�F -a.NtJ �t.N� . � i DP.L� f�L� �%112��"� '�C�'�l�'1�_ — .x.01 --1 �S�L 1 �1su1�C.G 5 ��[ \cG WEST 1 �1G 19 01. M a\ N sT - � CL� 1 � � � �s� q '3-61 � - j3o�ip � sV� -t-Y Lo�.rm.cC- SAtiI� FzEPN� C� �I-9� (� oF3 - 63G� BP90F 13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) 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 employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council. Signed 'DAB- -�lE1_ � Title 'Plz��rn �t�s� Firm �Gp.i --1 �. 'P \P � 1�\ N � � 1 hl C� . Date �' I t (, 20t � BP 10 OF 13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) 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 ana►other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non - collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Non - collusion Affidavit. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution- / Signed State of California County of �` Subscribed and sworn to (or affirmed) before me on this � � day of �� � 20 ��, by �GiY11P.� LDC.iGe__ ,proved to me on the basis of satisfactory evidence to be the persot�b'j who appeared before me. O _- otary Public Signature Notary Public Seal BP 11 OF 13 � KFI I FF ,�� � COMM. #1829630 W +,� NOTAgY PUBLIC- CALIFOFNIA OSaANGE COUNTY My Comm. Explre� Jan. OB -, 2p/3 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS (VARIOUS LOCATIONS) 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 of public work, to give up any part of the compensation to which he /she is otherwise entitled. Signed Title '1�FZ�S1fl�1 -�"T' Firm jG A��. -4 G� 'P 1 QG l� l r-S E ti \ N G - Date �I11,2p`� BP 12 OF 13 CITY OF SANTA ANA PROJECT NO. 11 -6406: CONCRETE STREET WATER MAIN IMPROVEMENTS <VARIOUS LOCATIONS) PROPOSAL AND CONTRACT AGREEMENT CONTRACTOR'S LICENSING STATEMENT The undersigned contractor, or corporate officer, declazes under penalty of perjury that the following is true and correct. Contractor's Name: �CA1Jp� �1'QLL�r -►� � 1 ti.i L Business Address: � (�3q �', jni�Vp r.ni� 6.�/1�ti�E 'P�,�„Gb�- sT"1A� GL� G2�-7p Telephone: � 1 �{-� G $ C� - I �}d0 State Contractor's License No. 8z class: �{- C� 1 4 `� � Expiration Date: Signed: Title: o�E� 3-0 � ao�2 L, � 1�P -mss CD��T- ' BP 13 OF 13 rFt� {k� � =�- � =A1� Document A310TM - 2010 Bid Bond CONTRACTOR: SURETY: !: \'trine. /erp <r/ .crarrrs nncl ndclresaJ /. \2anrr�, /r:�s, nl sYcrrus rind principn! p /rice• KANA PIPELINE, INC. o %basin e.+.ri '1639 E. Miraloma Avenue FIDELITY AND DEPOSIT COMPANY OF Placentia, CA 92870 MARYLAND This document has important legal '1400 American Lane consequences- Consultation with Schaumburg, IL 60'196 -'1056 OWNER: an attorney is encouraged with /Y'nm e. fern/ .crnic�s rand nrfdress} respect [o its completion or CITY OF SANTA ANA- PUBLIC WORKS AGENCY modification. 20 Civic Center Plaza, Ross Annex Any singular reference to Santa Ana, CA 9270'1 Contractor, Surety, Owner or Ten ercent of amount bid. other ar shall be consitlered BOND AMOUNT: (i O %ot Amount Bid) P h plural where applicable_ PROJECT: (_Vmne, /ocnri urn or crrldresti', caad Project nwnber, i!'nn vi Project No. 11 -6406 Concrete Street Water Main Improvements (Various Locations) project Nutnbc r. if any- The Conu�lctor and Surety are boutxi to the (Tyner in the ;amomtt set forth above, for the payment of which the Contntctor and Surely bind themsch�es, their heirs, csccutors, adminjstratots, successors and assigns, join3ly and sea�ertJly. as provided heneirt. The conditions of This Bond are; such that if the Oavner accepts the bid of the Contntctor within the time specified. in the bid documents, or aa•iihjn such time period as may be agreed to by the Cha�ner and Contntctor_ and tine Contractor either (1) enters into a contract with the CTa�ner in accordance aa-ith the terms of such bid, and gives such botrd or bonds as may be specified in the bidding or Contrrct 17ocunlents, a. ith a sunny aduri[ted in rite jurisdiction of xhe Project and otheraa�ise acceptable to the Owner, :for rite faithful performance of sorb Contract and for the prompt p;tyment of labor and material filrnishcd in tJre prosecution thereof; or (2) pa} s to the Owner the difference:, trot Io exceed the amonut of this Bottd, betaveen the amotnri specified in said bid and such larger amount. for avltich the Oaancr map in good (rich contrrct aaith artoeher path' to perforni the aaork covemd by said bid, Wen this obligation shall be null and c•oid_ othetu-ise to rcnurin in full force and effect. The Snre[y bench. aaetives an }- notice of an. agrecmerrt betaa °een the Owner and Contrtc[or to extend the [ante in which the pacner Wray accept. the bid. W;river of noUCC by the Surety sluall not apply to any extension excccdjng sash• (6oj days in the aggregate beyond the lirrtc for acceptance of bids specified in tlxe bid documents, and the Owner and Contactor slrtill obtai❑ tlx: Surety�s consent. for an extension beyond sixty (GO) days. If this Bond is issued in connection with a subcontactor's bid to a Contractor_ fire tern Contractor in this Bond s11�i11 be deemed to be Subcontrrctor and tiro teen Chvner shall be deemed to be Contractor_ When this Bond has been furnished to comply aait.h a statutory or other legal requirement. in the location of the project, tmy provision in this Bond conflicting with said statuton� or legal requirement sluall be deemed deleted herefrom and prrn�isians confonuing to such Statutory or other Icgal requirement shall be deemed irrcorpora[ed herein. When so furnished_ ❑re intent is that ibis Bond. strait be conslntcd as a slacut.on bond and not as a common lane bond_ Signed and sealed this 4th dad of April, 20'1 � �,(��� KANA PIPELINE, INC. X - �(Principa /) — � - -��� -- (Seal) - (I itleJ a t mot_ t_ocrlet =l 1�,.,T FIDELITY AND DEPOSIT COMPANY OF MA_R_YLAND _ � -L--- (.Stm� tVJ _ (.Beall (lY`i tnessJ .GL�� ��� (TiileJ Jane epner, Attorney in Fact AIA Document A3�0^" –2070. Copyright ®7963, '1970 and 2010 ny The American Institute of ArehNects All rtght� reservetl. CALIFORNIA ALL - PURPOSE CERTIFICATE OF ACKNOWLEDGMENT State of California County of grange Q�r� 0 4 2011 On personally appeared before me, K. Luu, Notary Public (Hare insert name and title of the officer) Janes Kaone`r who proved to me on the basis of satisfactory evidence to be the persons) whose names) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his/her /their authorized capacity(ies), and that by his/her /their signatures) on the instrument the person(s), 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 Ca$forpa that the foregoing paragraph is true and correct. ". ,. �;,,} - „mi soon � 177s64A I” �,� C oton� y i�hlic Cr:; ti /orn c� � WITNESS my hand and official seal. r °f °n � - �- o��nty 6 >�TI t 7' �' i 6. ZU7 £ �• ..: .. ., _... ,... iNti. m � �..,,., cs�� ,...... �„G. Signature of Notary Public (Notary Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT lT itle or descnption of attached document) (Title or description of attached document continued) Number of Pages Document Date __ (Additional information) CAPACITY CLAIMED BY THE SIGNER C Individual (s) C Corporate Officer (Title) C Par�ter{s) � Attorney -in -Fad C Trustees) C Other __ 2005 Version CAPA v12.10.07 800.873 -9865 www.NotaryClasses. corn INSTRUCTIONS FOR COMPLETING THIS FORM .4rry acknowle�meru eomple led in Calj%rnia must eosuen verbiage esaclly os appears above in the notary section or a separate aeknowlecigment ,/6rm must be proprrly completed and attached b 1lrat document The only exception is fl a docroneru is b be recorded outside oJCaltjorrria In such inrlarues, arty ollerrralive acknowledgment nerbtcge as may be printed on such a document m long as I{re verbi�e does not require the notary to do somefhtrg that is sllegal for a notary in Cal{fornia (i e. cerljying the aullrorized copvcity of the signer). Pleose check the documerr! carejrdlyjor proper nolw'ial wordirg arvi attach Ihis,%rm (jrequired • State and County information must be the State and County where the document sigrret(s) pats onalty appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signers) personally appeared which must also be the same date the acknowledgment is completed. The noEary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public} • notarization_ Indicate the correct singular or plural forms by crossing off incorrect forms (i.a he /she/11rey- is /ere) or circling the correct forrrrs. Failure to correctly indicate this infotration rrray lead to rejection of document recording. The notary seal impression must be clear and photographically reproducible. &repression must not corer text or lines_ H' seal impression smudges, re -seat if a sut£cient area permits, otherwise complete a difrerent acknowledgment form Signature of the notary public must match the sigtrature on file with the office of the county clerk Additional information is not required but could help to ensure this acknowledgment is not misused or ariached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity daimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CFA, CFO, Secretary). • Securely attach this document to the signed document Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary, in pursuance of authority granted by Article Vl, Section 2, of the By -Laws of said Company, are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date h e dc�s by nominate, constitute and appoint Jane KEPNER, of Irvine, California, its true and lawful �- n- make, execute, seal and deliver, for, and on its behalf as surety, and as its act and o ngs, and the execution of such bonds or undertakings in pursuan ° s on said Company, as fully and amply, to all intents and purposes, as ift xe 8 ged by the regularly elected officers of the Company at its office in Bal � r�, h rr �`Sv����r This power of attorney revokes that issued on behalf of Jane Kep�� 06��� n�`�'J\ ° The said Assistant Slec o fttat the extract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By- any, and is now in force. IN WITNESS W OF, the said Vice - President and Assistant Secretary have hereunto subscribed their names and affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 26th day of April, A.D. 2005. ATTEST: 'gyp 99EPO,p�i { �v �+ u o r w.� s ° 1TM -�' °.�.... State of Maryland City of Baltimore ss: FIDELITY AND DEPOSIT COMPANY OF MARYLAND ' � n � /���� -� By: Eric D. Barnes Assistant Secretary William J. Mills Yice President On this 26th day of April, A.D. 2005, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came WILLIAM J. MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. >;�.y, , �.,.� .,; � � . �_ Constance A_ Dunn Notary Public My Commission Expires: July 14, 2011 POA -F Ott -5025A CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § YY69 State of California County of ��A� ' 1 K� llee�ar� �»i ��- J�CriTLP_�L7i- N���� -y �,hLr� On I'ui� I � � �%`� l,i before me, ate /��- ` Here Insert Name antl Title of the Officer personally appeared .f ,C - /%�/ eel C�� Names) of Signers) KELLEE JEAN SMITH- RAMFIOT � COMM. #7829630 W m� NOTARY PV BLIC- CALIFORNIA � ORANGE COUNTY f0 My Comm- Expires Jen. 06, 2013 who proved to me on the basis of satisfactory evidence to be the personka� whose nam�(.sj- ism subscribed to the within instrument and acknowledged to me that he /�Jfl�y executed the same in hisQaeTl>yirrll' authorized capacity(jp�� and that by his /��r signature.(sj� on the instrument the person,(.ej•, or the entity upon behalf of which the person�,aj' 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 y nd off - Signat Place Notary Seal Above Signature of Notary Public OPT /ONAL Though the information below is not required by law, it may prove v luable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Dolcument �, `+ /� L" ("` `� Title or Type of Docum//e��nt: �JV U` /�� dY.rX��- �% \eGT� � � -�04�� �I � �I 0 � �Lt{'1'�DL�I -rte- {�I l/� Document Date: /��Yl 1 `-Tt'v1 .�"Z�� Number of Pages: IV�iI��- Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signers) Signer's Name: �� 1 - Signer's Name: Corporate Officer — Title(s): � �. � -- Corporate Officer — Title(s): C' Individual - = LI Indl � al - C' Partner — L] Limited ; -J General Top of th�r„b n e LJ Attorney in Fact C:I Trustee CJ Guardian or Conservator L -_I Other: I�S /�irrg�� n�e/r', Is Re`p{7r se�ntning:\ n, tVo'i I UN1�.K �� I ll. ! 1 � 1� .� I:...I Partner — __. invited CI General 7 tr,ur.,t, Here CI Attorney in Fact [J Trustee C7 Guardian or Con vator L I Other. r Is Representing: • Na[ionalNO[a ry.org 1- 800 -US NOTARY (1- BOO- B76 -6H27) Item #590 EXTRACT FROM BY -LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND "Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice - President, or any of the Senior Vice - Presidents or Vice - Presidents specially authorized so to do by the Board of Directors or by the Executive Committee, shalt have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident Vice - Presidents, Assistant Vice - Presidents and Attorneys -in -Fact as the business of the Company may require, or to authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations, policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in the nature of mortgages,... and to affix the seal of the Company thereto." CERTIFICATE I, the undersigned, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that the VPresident who executed the said Power of Attorney was one of the additional Vice - Presidents specially authorized by the Board of Directors to appoint any Attorney -in -Fact as provided in Article VI, Section 2, of the By -Laws of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 1 Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice - President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed." IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said Company, APP, 0 4 2011 this day of , Assistant Secretory Company Profile Company Profile Company Search Company Search Res u Its 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 Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1400 AMERICAN LANE, 19TH FLOOR SCH UAM BURG, IL 60196 -1056 800- 382 -2150 Old Company Names Effective Dat¢ back to top Agent For Service KAREN HARRIS C/O CORPORATION SERVICE COMPANY 2730 GATEWAY OAKS DRIVE, SUrfE 100 SACRAMENTO CA 95533 back to top Reference Information NAIC #: 39306 California Company ID #: 2479 -4 Date Authorized in California: 01/01/1982 License Status: UNLIMITED- NORMAL Company Type: Property 8a Casualty State of Domicile: MARYLAND bacK to top NAIC Group List NAIC Group #: 0212 ZURICH INS 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. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY CREDrf FIRE LIABILITY Page 1 of 2 http : / /interactive.web.insurance.ca. gov /companyprofile /companyprofile ?event= companyPr... 4/ 14/201 1 Company Profile MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS' COMPENSATION back to top © 2008 California Department of Insurance Page 2 of 2 http: // interactive. web. insurance. ca. gov /companyprofile /companyprofile ?event= companyPr... 4/ 14/201 1 M fffT TAT ♦ 1i1�Til� t MEMORANDUM Paul Walters To: Interim City Manager Raul Godinez II, Executive Director From: Public Works Agency Date: February 6, 2012 Subject: PROJECT NO. 11 -6406 CONCRETE STREET WATER MAIN IMPROVEMENTS(VARIOUS LOCATIONS) CHANGE ORDER NO. 1 Contractor: Kana Pipeline, Inc. 1639 E. Miraloma Avenue Placentia, CA 92870 Project Description: CONCRETE STREET LOCATIONS) Change Order Number: 1 Account Unit: 06617647 Account: 66301 Activity: 11640601028 Original Contract Cost: $723,755 WATER MAIN IMPROVEMENTS (VARIOUS Amount: $37,545 % of Original Amount of The Change Order: $37,545 5.2% Previously Approved $ -0- 0% Change Orders: Total Change Orders: $37,545 5.2% REASON FOR CHANGES 1. The Water Department requested to lower the new 12" PVC water main on the west side of Raitt Street from 5`h Street to Civic Center Drive. After excavation, the proposed connection was 4 feet below the depth required by the contract. Therefore, the tie -in required additional excavation, shoring, fittings, thrust blocks and pipe. Prior approval was obtained on September 15, 2011. FINAL COST = $8,076 RFA Change Order No. 1 Project 11 -6406 RFA Change Order No. February 6, 2012 Page 2 2. While installing the new water main along Raitt Street between Civic Center Boulevard and Fifth Street, a 12 -inch gas line that is shown on the plan and an AT &T encasement where in conflict with the alignment of the new water main. Since these utilities cannot be relocated, the contractor installed the water main at a depth of 6.5 feet instead of 4.5 feet at two different locations. Prior approval was obtained on September 15, 2011. FINAL COST = $16,089 3. Unmarked utilities were encountered during the water main installation at the intersections of 5th and Baker Streets. As a result, the water main was re- routed in order to avoid these utilities. Prior approval was obtained on September 15, 2011. t- -Ww I I � Raul Godinez, II Executive Director Public Works Agency FINAL COST = $13,380 APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutierrez (� Executive Director ^� Finance and Management Services Agency KAConstmctiw \Projects \11 -6406 \Change Orders \11-6406 RFA CO 1.dw LJ PUBLIC WORKS AGENCY CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number PROJECT NO: 11 -6406; CONCRETE STREET WATER Change Order Number 1 MAIN IMPROVEMENTS (VARIOUS LOCATIONS) To Kana Pipeline, 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 EXTRA WORK AT AGREED PRICE 1. Compensate the contractor to lower the 12 inch PVC water main in order to make the tie -in per PCO No. 2. AGREED PRICE = $8,076 2. Relocate the new water main around AT &T encasement and the 12 -inch gas line; as directed in the field as specified in PCO No. 9. AGREED PRICE = $16,089 3. Re -route the 12 inch water main to avoid unmarked utilities as noted on PCO No. 8. AGREED PRICE = $13,380 Page 1 of 2 PUBLIC WORKS AGENCY CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number PROJECT NO: 11- 6406CONCRETE STREET WATER MAIN Change Order Number 1 IMPROVEMENTS (VARIOUS LOCATIONS) To Kana Pipeline. 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 AGENCY The compensation both time and cost set forth in this change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER: DECREASE $ -0_ INCREASE $37,545 By reason of this order the CONTRACT TIME completion w ll be adjusted as follows: Add Zero 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,D a Contractor Kana Pipeline, Inc. BY �/ �:. �A.enw Tie Date 2•11201Z Approved by�I,(�/ Date CITYMANAGER Page 2 of 2