HomeMy WebLinkAboutACE CD, INC. (FAIRVIEW TRIANGLE HABITAT RESTORATION)Recording Requested By,
And When Recorded Mail To:
Clerk of the Council, City of Santa Ana
20 Civic Center PlaTa, P.O. Box 1988
Santa Ana, CA 92702
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Recorded in Official Records, Orange County
Tom Daly, Clerk-Recorder
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THIS SPACE FOR COUNTY RECORDERS USE ON LV
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NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana,
California, 92701, is the owner of the property hereinafter described, that said owner has caused
construction of FAIRVIEW TRIANGLE HABITAT RESTORATION under contract entered
? into on OCTOBER 3. 2011, with ACE CD. INC., on which contract DEVELOPERS SURETY
c? o AND INDEMNITY COMPANY is surety. The property on which such work improvement was
? w placed is in the City of Santa Ana, County of Orange, State of California, and described as
v c Project No. 08-6028 located along: SANTA ANA RIVER 8L FAIRVIEW AVENUE. The work
m ? improvement on said property was accepted as completed on MARCH 26. 2012.
0
p ? CITY O SANTA ANA, A MUNICIPAL CORPORATION
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C Dated: 'L Interim City Engineer
[ws. F TITLE
Z
________________________________________ __________ ___________ ______________
a
a VERIFICATION
I, the undersigned, say: I am the Interim 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 ? ?2 7 ?/ Z , at Santa Ana, California
????A/YI n
(Si g?a[ure of individual swearing that the
contents of No[ice of Completion are true.)
1?
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN (10) DAYS AFTER COMPLETION
REQUEST FOR ._,y:?;
COUNCIL ACTION CITY COUNCIL MEETING DATE: "'w CLERK OF COUNCIL USE ONLY:
OCTOBER 3, 2011
TITLE: APPROVED /0'a•??, tdA
CONTRACT AWARD FOR FAIRVIEW Z?As Recommended
TRIANGLE HABITAT RESTORATION Q AsAmeodetl
pordloaoceon t°Readin
(GRANT FUNDED) (PROJECT NO. g
p0rdloaoceon 2n°Reading
0860281 D ImplemeotlogReaclullan
? Se1PudlicHeariogFar
CONTINUEDTO
FILE NUMBER
CITY MANAGER
RECOMMENDED ACTION
1 Award a ceofracf to ACE CD, Ina, the lowest responsible bidder, in accordance with unit bid
prices for the base bid in the esllmated amount o($93,207 50 far construction of the Fairview
Triangle Habitat Restoration.
2. Approve a funding aoalysis with a total estimated censirucfieo cost of $123,780.
DISCUSSION
The Fairview Triaogle Is a iriangular•shapetl undeveloped dlrl lot along the Santa Ana River
Reaeatlonal Trail and FaiNiew Avenue, south of 171h Street (Exhibit 1 ?. The Santa Ana River
Vision Plan, which was adopted by Clfy Council on August 1, 2006, identified this properly as an
area of oppodunity In that it could be developed info atrail-side rest area for pedestrians and
cyclists. The proposed project includes decomposed granite paths, benches, a bike rack, drought
tolerant landscaping, and an inigafieo system using reclaimed wafer. The impmvemeofs will
provide a space for trail users to rest as well as viewthe existing habitat area.
The Notice Inviting Bids was adverllsed on August 17 and 18, 2011, and bids were opened on
September 7, 2011. A summary o(the bltl invitations mailed, the bids received, and the bid results
follows.
Santa Ana Coohactors receiving notices: 19
Contractors requesting bidd'mg documents: 26
Bids received: 10
Bids received from Santa Ana Ceofractors: 0
Contract Award For
Fairview Triangle Habitat Restoration
Page 2
October 3, 2011
While the City made outreach e((oris to Santa Ana contractors regarding the notlce'muifing bids, no
contractors from Santa Ana submitted bids. A survey was taken from randomly selected Santa
Ana contractors who chose not to bid. The results indicated that they either were oof capable of
performing this type of work, were unable to obtain insurance because the project was too large, or
they worked as a subcoNracfor fo cedain prime coefradors.
The bids received are as follows
NAME OF RESPONSIVE BIDDER CITY BASE BID AMOUNT
1. ACE CD, Inc. Gleedora $93,201.50
2. MoalejBullders Sherman Oaks $101,152.60
3. Fleming Enviroomeefal, Ina Fullerton $104,065.55
4. Native Landscaping, Inc Escondido $109,365.00
5. STL Landscape, Inc. Los Angeles $116,000.00
6. HYM Engineering, Inc. Buena Park $125,860.00
7. Ted Enterprises, lea Sao Clemente $139,150.00
8. Arame><xConst. Chino $148,295.00
9. Unique Performance Const. Inc. Costa Mesa $166,645.00
10. Atom Engineering Consf. Hemet $111,398.00
A total 0(10 bids were received and all were responsive. The lowest bid was submlded by ACE
CD, Ina, (or $93,201.50, which is below the Engineers estimate of $105,500
ENVIRONMENTAL IMPACT
Environmental Review 4ERd006-166 has been completed and a Notice of Exemption has been
filed pursuant fo the California Enviroomeefal Quality Act. In addition, a Cedlfirale of Categorical
Exclusion has been prepared in accordaece with the National Environmental Qualify Act.
Contract Award Far
FaiNiew Triangle Habitat Restoration
October 3, 2011
Page 3
FISCAL IMPACT
The funding analysis shows a total eslimafetl construction cost of $123,780 for the project
(Ezhibif2). Funds are available in the Nallonal Recreation Trails Fund Act (accounting unit
17213240-66220) and the Park Acquisition and Development Fund (accounting unit 31113260•
66220j.
Raul Godinez II
Ezecufive Director
PublicWorksAgency
APPROVED AS TO FUNDS AND ACCOUNTS:
Francisco Gutierrez
Ezecufive Director
Finance & Management Services Agency
Gerardo Mouet
Ezecufive Direct r
Parks, Recreation, antl Community
Services Agency
acrwA
Ezhibifs: 1. Project Location Map
2. Funding Analysis
SPMP PNP
CI1Y COUNCIL
P? 4CDATE?,
^?????? SEPTEM8ER7, 2011
EXIT 1 ?
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PRQECTOB?EO? 9 ` ,;
FAHYEW TligNp,E Nd9?AT I?OA4110W
FUNDING ANALYSIS
PROJECT N0.086028
FAIRVIEWTRIANGLEHRBITAT RESTORATION
Constmction Contract $93,207
Contraot Adminisfratlon $2,432
Inspection antl Testing $6,000
Survey Stak'mg $3,500
Contingencies $18,641
TOTAL ESTIMATED CONSTRUCTION COSTS 1 7
Exhibit 2
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MERFGISiFR
C
MAYOR INTERIM CITY MANAGER
MigA A Pafido Peul M, Welters
MAYgi PAC 1EM INTEAIMCITV ATiOANEY
Cleod'a C. Marva .?_?, Jwep151a4a
COUNCIIMEMBEAP CLEAN OF iHECOUNCIL
Oeud P?aritles Mada D. Nuiaei
CarloseusMmanle
MmfiMa MaAne? CITY OF SANTAANA
viocemesamlieoN
najem
Sal i PUBLIC WORKS AGENCY M46
P0. Poo 1988
Paula Ma, CeM0101a BZIOP
August 23, 2011
RDDENDUM No. ONE
SUBJECT: PROJECT No. 08-6028: Fairview Triangle Hahitat Restoration
The following change has been made fo the plans and specifications of the subject
project:
Plans:
Replaoe sheets 2, 6 and 7 (of 1) of the plans wtlh the altaohed sheets 2, 6 and 7 (of 1?.
S ecifp (cations
1. Rdd the attached Rppendix J: Drinking Founfain2. Page u, Notice Inviting BidsRevise the Coniraotor's license sentence ro read as
follows:
"The successful BIDDER must possess or obtain a valltl California Class A or G27
Contractor's Ilcense prior tolhe schedule award date of Phis contra"
3. Replace sheet BP?1 with the aKached sheet BP?1.
4. Replace sheet BP?2 wtlh the aKached sheet BP4.
6. Sheaf 19 Atltl Section 4.11: Drinking Fountain.
All oiherterms and conditions remain the same.
FOR THE CITY OF SANTR ANA
George Alvarez
City Engineer
CITY OFSAN'fAANA
PROPOSAL & CONTRACT AGREEMENT
BID PROPOSAL
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
T0: CITY COUNCIL OF THE CITY OF SANTA ANA
FROK ACE 6D lY1L
REQUIREMENT:
The undersigned declares Thal he/she has carefully examined the location of the pmpos¢d work, that
forth in the following schedule
Itemp Bid [tern Unit (hardly Unit Prior Amouin
Project 08.6028: Pairvi¢w'friangle Habitat ResloraUon
L CleanngaodCmb6ing
LS I Sa
$_ $?
2. Uoslanifi¢d Excavation
CY 10 i
S_ $ O l
3, ACSldewalk
TN SS /
$ $ .0
]. Rolledeurb
LF 6D i
$_ $?
7. Curb Drain
EA 2 f
$_ $?
4, ConsmcfSYablli'Daampos¢dC>mniie SF 6,800 $ $ $
Path, iacludmg ward control fabns.
S. RecyefedPlarlcEdging,'mslud'mgmGal LF 2,300 $_ $?3?_
stake
6. Lenduaping LS I $ $
1. Irrigation LS I $ $?
8. SileAmenifies'mcluding(4)Benubes,l2)
LS I /
$ $5?
Trash Ruep?acl¢s and (I) BlkeRack
9. Si?eSlgnage'mdud'mg(71S'ae LS I $ $3 SP.
NamelRuycled Watu Sigaage, (2lSiop
Signs and (I 17?Slded Klock, all iaslud'mg
oaerwe footings helshe has examined the Plans and Specifications and lead the accompanying pshuclimi to BIDDER
and hereby proposes lo famish all ma[eoal and do all the work requited to complete the said work in
accordance with .mid plans, specificalioas and special provisions, for the uafi prise(s) or lump sum(s) ecl
TO BE INCLUDED IN BIU PACKAGE
BPIof3l
CITYOFSANTAANA
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
BID PROPOSAL (continued)
TO: CITY COONC[LOETHECITYOFSANTAANA
FROM, ??D the
PROPOSAL & CONTRACT AGREEMENT
1(¢m N Bid Item Unit Quanlily Unit Prio¢ Amount
Id, 20-workingdayLandscape &frtigation LS I $_ $?/
?
II. R¢movableB¢Ilerds EA I $_ $ ILL
12, County Encroachment Penmi[ EA I g $ 6/'5 '
TOTAL BASE BID•-- ?7 0 7'_
Add Altwoak Bid q1
13. DnnkingPountain LS I $f? $?pp
14. S7?npDrein LS I $?35, $?
IS. ''/;'Copp¢rPiping LF 66 $? $ ? I
TOTAL Add Alt¢rnateBidgl- _..g ?h '?
Th¢ loweal respaasibleBIDDERwill behased on Ihelowest TOTAL BASE BID, Th¢ L51y re9¢rv¢s
the righ l la award fh¢ Bas¢ Bid and aoy, al l or none of ds¢ Allemat¢ Bid Item
PROIECTNO.08?6028 BIDDER
FAIRV?WTRIANGLEHABITAT Firm ?j(? f INE
-
RESTORATION
Address ? Q(;
Phon¢ ? P 9 dlr ?l? 9?7k/
Maintenance pod
Eax x.16 ?s
Email C p ? PC
BDDER
SignaNre ?'???
TOBEMD W6 MBIDPACKAG@
BP 2 of JI
ADDENDUM ONE
B. During me firstyear, aminor amount of loose aggregate will appear on due paving surface
(1116" to 1l4"). If (his material exceeds a II4", redisVibute the material over the entire
surface. Water thoroughly to the depth of f'. Compact with power roller of no less than
LOBO lids. This process should be repealed as needed.
C. If cracking occurs, simply sweep fines into the cracks, water thoroughly and hand tamp
with an 8°- t0" hand tamp plate
REPAIRS
A, Excavate damaged area (athedepth of[beStabilized aggregate andsquare olfsidewalls,
B, If area is dry, moisten damaged portion lightly,
C. Prebend the dry required amount of Slahili er powde with he grope amount of
aggregate N a concrete mixer,
D. Add wafer to the pre-blended aggregate and Stabilizer. Thoroughly moisten mix with 25
E. Apply moistened pre blended aggregate to excavated area to fiNShgrade.
E Compact with an 8° to Iry' hand lamp or 250 to 700 pound roller, Keep traffic aft grans
for 12 to 48 haws after repair has been completed.
PARENT
Payment for slabiliud decomposed granite paffiway wil6 weed control fabric sflell be paid at the
centractunit prices listed in [he Bid proposal for stabilized decomposed granite pathway with weed
centrolfabric Suchpaymenfwillbecensideredfullcempensalionforfumishingalllabor,metwials,
tools and equipment and doing all work, including gradmg necessary fo Nsall complete andin place
for the project as shown on thedrawingsand specified herein.
Payment far recyaled plastic edging shall 6e paid at the contract unit prices listed N the Bid
Roposal forrecycl¢d plastic edging including metal slakes,
4.11 DRINKMGFOUNTAINANDSUMPDRAIN
to 45 gallons per 1-ton of pre-blended material or to approximately 10%moisture content
This work shall censist of runsWcling a complelenew dunking founlaln per HAWS model k 7177
or approved equal and Haws Model #S72S EnvhoGard Bubbler Head. Contactor shall pmvid¢ and
raaneG new 9i" IPS watw supply seruice[o existing water meter sort provide I Y° IPS waste weld
chin ro TxT sump dmiq seeAppandix'7"for details sodas indiceted on pre plans Contractor shall
chlorinate onceenlhe system is ronneGedup and ready fur opeapon (lines and uxtmes?Conhaalor
shall provide acertificeuon of chlorination for City approval
Removal and replacement of sidewalk, as nroessary to facililefe existing water service meta
connection, shell 6e included as pay[ of Ihis work. All work shall conform fo City of Santa Ana
Srar?dard Nos.40I and 402.
Payment for providing and inslalhng drinking fowlaiq'/a" IPS water supply, 19," IPS waste
lines, EnvirCard Bubbler head, and chlonnauon tesHcedificelion shall 6e included in the
Drinking Fountain bid item and shall include all Labor, materials, tools and appurtenances
necessary to cemplete and "In Place" as required and no additional cempensapon will be allowed
Therefore,
Payment for Tx3' sump drain and %:' anppw piping shall be paid al Ifie runtracl unit prices
listitl in [he Bid Proposa4 and shall include full romp¢nsetion for doing all appurtenance work,
including famishing a0 malenals, laboy equipmenh tools, and incidentals as aquh¢d and no
additional cempensalion will be allowed Therefore
CITYOFSAN'fAANA
PROfECT086028 EAIRVIEW TRIANGLE HABITAT RESTORATION
Section 4100 ¢r, seq. of the Wblia Cuouae[ Cade requires listing of all subcontractors with the hid for
all su6raatraol work eae¢¢ding the following amounC
Sireels,highways including bridge projec6s? 9,N,ohhebldorSlO,(IAI,
whichever is greater
AL AND CONTRACT AGREEMENT
Buildings, parks,or other projects! V2%
BIDDER proposes 4? sub?inlractcedain purlions
a[ (he work to the firms listed below:
LIST OF SUB-CONTRACTORS
NAME
LOCATION Ri"yhp,?p, A?,
PHONE
TYPEOEWORK C f $
NAME
LOCATION
PHONE
TYPEOPWORR _$_
NAME
LOCATION
PHONE
TYPEOFWORR $_
NAME
LOCATION
PHONE
TYPEOEWORK _$_
NAME
LOCATION
PHDNE
TYPEOFWORK $_
?FC?CI? IhL
NameofE' mitfmgBid
eafBfDDER
NAME
LOCATION
PHONE
TYPEOFWORK $
NAME
LOCATION
PHONE
TYPEOFWORK $
NAME
LOCATION
PHONE
TYPEOFWORK $
NAME
LOCATION
PHONE
T1'PEOFWORK $
NAME
LOCATION
PHONE
TYPEOFWORK $
8P1of71
TO BE INCLWED IN BID PACKAGE
CITYOFSANTAANA
BIDDER'S STATEMENT
PROJECT 08-6028 PAIRVIEWTRIANGLE HABITAT RESTORATION
PROPOSAL & CONTRACT AGREEMENT
BIDDER understands and agrees Thal This wilder proposal (or any part thereof specifically designuted
and accepted by the City of Snnla Ana, hereinafter AGENCY) shall constitute the emire agreement
between BIDDER and the AGENCY only after it bas been accepled 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 Stales
Postal Service properly addressed to the BIDDER with (becotteet postage affixed (hereto,
BIDDER further agrees that upon delivery (as definwl abuvel rd, e a epted agreement helshe will
furnish AGENCY all required hands andcerlificateof liability'msurancewithin ten (10) days (excluding
Saturdays, Sundays and AGENCY'S legal holidays), or the funds, check, draft, or BIDDERS bond
substituted in lieu (hereof accompanying this proposal shall become the pmper[y of the AGENCY and
shall be rroasidered as paymen! of damages due to the delay and other reuses suffered by AGENCY
because of the failure to famish the neczssary bonds and because it is tlisllne[ly agreed Ihal the proof of
damages actually sufered Is difficult to ascetlaiq olherwist said funds, check, drafts, or BIDDER'S
bond suhslimted'm lieu thereo[ shat l he rclurntd m the undersigned.
BIDDER understauds that a hid is ieyuired far the enlirework, That the eslimmed quantities set forth in
the hid schedule me solely for the purpose of cooiparing bids, and that Gnal compensation under the
contmcl will be based upon the actual quanlili¢s of work sulisfactorily completed,
All terms contained in the Spuificaliens, the Ccrlificalion of NomDiscrimina(ion by GOatraGOrS, and
the Workers' Q?mpensadon Insurance Cerlifica[e ue to be incorporatwJ by [eferenra lulu this
Agreement and aremadesperifrally aspen of thls bid.
NumeofErrm ACS CD Ind.
Signature of
BIDDER
Title ?ffSItG?Pu?-
(if an Individual, su sWt¢)
TO BPINCLUDED IN BID PACKAGE
BP4 of JI
CITY OF SANTA ANA
PROTECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACT AGREEMENT
BfDDER'S STA1EMENTcoo?icued
(If a firm or co-padoecsh'T, smle [ha firm came and give the camea of all iedividual eo-padoers
wmpusicg the firm. if a mspomfioc, scale Iegal cume o[ curyoralioo, and namca of Presideoi,
Scarstary,Treasuruan'dMacager,ihemof,) p
v ? (?G?n y' ?frfi?Pw`f
?Pr' Se re ry
??1?d ?u?1 TTtD?lNn V
ACTION OF COUNCIL:
`'?1 Dulc ? 20 ??
ATTEST,
CLERKOPTHE000NCI
APPROVED AS TOPORM, ACCEPTEDFORTNECITYOPSANTAANA,
CITYATTORN EXECUTNEDIRE
PUBLICWORKSA CY
??ro CE Cd ,
on db bags al bwaa ro9paaiGa and Fwd
hiddar?d?aamouMoi
s 93, ?taq 5tl
TO BEINCLUDED IN BID PACKAGE
RPSof31
LyTYOFSneTnnen
PRWECTOR6028FAIRVD;WTRIANGLEHABITAfRESTORATION
EXECUTION OF THOSE CER70CATIONS WHICH AREA PART OF THIS
(THE BIDDERS EXECUTION ON THESIGNATURE PORTION OF THIS
PROPOSAL SHALL ALSO CONSTITUTE AN ENDORSEMENTAND
PROPOSAL)
TheBIDDBR ? C? IBC ,
proposed subcontrarAOr , hereby cetlifies
opponuniiy clausres, as required 6y Exeeuiive Orders f092S, 11114, or 11246, and Thal, where required,
hehas f led with the loim Repotling Committee, the Director c[ IheOff ce of Federal Conti a¢I
Cumplian¢e, a Fedual Govemmeol r?mracfing oradminislering agency, or Ihz former President's
CommiOee on Equal Employment Opportuni[y, all repar[s due under lheapplicuble filling requiremeols.
EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION
Nafe: Theabovecer[ificalionisraquiredbylheEqunlEmploymenl0pporlouilyRegulalionsoflhe
S¢cre(ary of Labur (41 CFR 60-1.1(h) (I]), and mus[ tie submiged 6y BIDDERS and proposed
subrunfracmrs only in ¢ounerxion wish conlrac?s and subruntracts which are subjera m [he ¢qual
appptlunity clause. Contracts and suMumraois which era exempt from theequal opportuni[y
elauseaitselfonhln4lCFRfiOLi (Grnuallyonlycoolracrwrsuhr?ntracfsof8'IO,OBBor
under are ex¢mpl,)
Currently, Standard Form 100(EEO-q Is the only report required 6y the EzeWlive Orders or
Iheir Impl¢menling regulations,
that he has _, has not part icipated in a previous ¢omrac[ or subcontract s6lerA to the equal
Proposed Prime Comractocs and SubcomraGOrs who have patlicipaled in'a previous mnlrac? or
subcomracl subject io the Executive Orders and davenol fled the required repods should note Ihsi 41
CFR 60-f 1(h) (I) prevents lheaward of contracts and suhcan?rac[sunless such mntireclor submiLS a
rtpatr covering (he delinquem peaiod ar Stich o(her period specified by [he ftrderal Highway
Adminisiralton or by iheDireGOr, Officeof Federal CouiraG Compliance, U.S. Depatlmenl of Labor.
TO BEINCLU?ED IN AID PACKAGE
BP6of31
PROlECT086028 FAIRVIEW TRIANCLEHABITATRESTORATION
CITY OF SANTA 'MA
CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR
The undersigned connector or corporate officer, during the performance of this conimct, cetliPies as
follows
PROPOSAL AND CONTRACT AGREEMENT
I, The ConnnGOrshall no[discriminate agains[MY employee or applicant for employment because
of race, color, religion, sins, or national origin The Contractor shall take aflirmative action to ensure
that applicants aieemployed, 'and that employees are treated during employment whhoul, regard to their
race, color, religion, sea, or national origin. Such action shots iclude, but not be limited to, the
or lerminalion, rases of pay or other forms of cempensalioo; and selection for (raining, including
apprenticeship, The Contractor agrees to pass in conspicuous places, available to employees and
chose,
following: employment, upgrading, demotion, or transfu;recmi[men[or rcemitmen[advatistog;layoff
2. The ConlraGOr shall, In all solici[alions oradvetlisements for employees placed by or nn behalf
of the Connador, state [hat all goalifled applicants will receive consideration for am In ment wit
regard to race, robr, religion, s2z, ornational origin
3. TheComraeiorshalls?ndtoceehlaboruoionorreprebemaiiveofworkerswithwhiehhelshehas
a mlleGive bargaining agreemem or other contruc[ or understanding, a police to be provided advising
the said labor union or workers' represrntalives of the Conti°actor s rommitmcn[s under Ihis section, and
shall post copirs o[ the notice in censpicuous places available to uuployces and appllrams for
employment,
4. The Comractor shall comply wi[h all provisions of Esuutive Order 11246 of September 7A,
1965, and of ihcroles, regulations, and relevant orders of the Secretary of tabor.
S. The Contrac[orshall famish all information and repods required by Esceullve0rda 112460[
September 24, 1945,'and by roles, regulations, and older o[ the Secretary of Labor, or putsuantlberem,
and will permit acecss to hislher books, records, and aceounts by (he administering agency and the
Seaerory of Labor for purposes of investigation, to ascertain compliance wish such roles, regulations,
and orders.
applicants for employment, polices to he provided setting forth the provisions of (his nondiscrimination
6, In the event of the Conlrador's noo-compliance wish [he noadtscriminalion elapses o[ [his
contract or with any of [hc said rules, regulations, or orders, the contract may becanceed, ierminmed, or
suspended In whole or in pan and the Q7nIfaG01' may he dcelered ineligible for further Government
rontracLS or ftdcrally assisted consimuion contrasts in accordance with procedores awhoriaed 'm
Eauotioo Order 1121fi of September 24,1965, and such other sanctions may be imposmtl and remedies
invoked as provided in Esaudve Order I f7A6 of Sep[ember24,1965, or by role, regulations, or ordmof the Surelaryof labor, or as othcewisz provided by taw.
TO B6INCLIIDFU IN BID PACKAGE.
EP1of31
PITY OFSANTA pNA
CERTIFICATION OFNONDISCRIMNATION BY CONTRACTOR (condnued)
PROJECT OBW28 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACT AGRESMEN
1. The CoNractor shaft include the portion of the sentence immediately preceding paragraph Q)
and [he provisions of paragraphs (I) Through (1) in wary 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 wilt be binding upon each subcontract or
purchase order as the administering agency may direct as mans of enforcing such provisions, including
sdnGions for noncompliance; provided, however, that in the event the Contractor becomes involved in,
or is threatened with, filigatinn with a suhcontiaIXor or vendor as a result of sueh dheGion by the
adminislering agency, the Contracmr may request that the United Stares eater into such litigation to
proieG the inleres(s of the United SOmes,
8. Pursuan! to California Labor Code Sutton 1735, as added by Chaplar b43 Smts.1939, and as
amend¢d,
No disaimination shall be made in the emplaymani of parsons upon pohlis works because of lace,
religious ceeed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or
sec o[ such persons, except as provided in Sutton 1420, and any ranlruGor of public works violating
this ScGion is?subjul to all?lhe penalties impowi far a violation ofthe Chapter.
Signed ??
Title In u?7 tPu.?
Firm ItCt: CO IhC?
Date ??9?11
TO BE INCLUDED IN BID PACKAGE
BPSofJI
CITYOFSAN'fAANA
PROIECf OBfi028 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACT AGREEMENT
WORKERS' COMPENSATION INSURANCE CERTIFICATION
As required by California hfror CodeSeclion 1660 and 1861, IheComramor certifies as follows:
I am aware of the provisions of Section 5700 of the Labor Code, which requires every employer to be
insured against liability for worker's compensation or to underlakeself-Insurance in accordance wish the
prouisians of theCode, and I will comply wi[h such provisioos beforecommencing Iheperformance of
the work of this comraGIf I, as the Comractor, now or at any lime during the nurse of this agreement, qualify as an employer
under (aalifornia Labor Code Sermon 3700, unless the hired employee(s) is (are) persons excluded by
said Lshor Cade, I shall Pomish IheCily of Santa Ana wish an insuraocecerlificate Gom my workers'
compensation insurance carrier certify'mg Thal I carry suoh insurance and that the policy shall not be
ceneNed nor the coverage reduced eacepl upon Ihiriy (30) days prior written notice m the Ci(y of Santa
Ana.
Signed
Tide 6PSs ,n
Firm ?C? CI) ?kC?
Date ?I7 ? 1
TO BEINCLODED IN BID PACKAGE
RP 9 of JI
CITYOFSANTAANA
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACT AGREEMENT
REFERENCES
The following are the names, addresses, and felcphone numbers for Ihree public agencies for which
BIDDER has performed similar work within the pass two years,
I ??? ?TfRCFfED
Name and Address of Owner,
ComramAmoum TypeofWork Date Completed
Nameand Addmssofowner.
Name and Telephone Number of pemnu familiar wilfi project
ConlradAmaoN TypeofWork DateCompleled
7.
Name and Addmss of owner.
Nameand Telephone Nnmbcr of pmson familiar wi[h projut,
Name and Telephone Number of peason familiar wish project.
Conlrac[Amounl TypeofWork
Da[eCompleled
The following arethe names, addresses, and telephone numbers of a0 brokers and sureties from whom
BIDDER intends to ptaure insurdnueand lands.
TO BEINCLUDED IN BID PACKAGE
BP IOnf 31
Project Descriptlon/ Location Value Year Contact Name Telephone
1 CYPRESS COEIEGETENNIS COURTS $9830000 2003 Steve Bachor 9099806116
9200VaIleyView Street Project Director
Cypress, CA 90630 PCM3 Construction Management Co.
10 Tennis Courts ,Bal1Wall, lighting, fencing 10440 TrademarkStreet
and Landscape irrigation Rancho Cucamonga, CA 91130
2 CHINOVOUTNCENTER $125,000 2002 MikeKalling 909464-0768
13220Central Avenue 13220 Central Avenue
Chino, CA 91110 Chino, CA 91710
Parking lot Remove and Replace, Concrete Curb aotl Walkways,
3 WVINAPARKS $318,000 2002 Robert Staples 818388-OS64
3locaflons Project Manager
12SEastCollegeStreet ProseGrantwritingServices, llC
Covina, CA 91723 111 E Walnut Street
Playground Equipment, Drainage, Playground Surface, Pasadena CA 91101
and Demolition PARTIAL LISTING OF PROTECTS COMPLETED I REFRENfES
4 AUTOMOTIVEREPAIRSHOP $800,000 2001RobertGharib'ren 9092609000
2036 Arrow HwV Owner
la Verne, CA 91750
Design and Construction far 3,500 sf roncrete block buildlog,
and Landscape irrigation
S SINGLE fAMIEVRESIDENCE $200,000 2001Ahrahamfakhoury 909900-2584
9S1NorfhGlendorapve, Owner
Glendora, CA 91141
Exterior antl'mterior remodel, flooring, Doors, Windows,
and Cabinets
6 SINGLEfAMRYRESIDENCE $1,900,000 2003VaIDare 3234282004
1436Taogelo lane Owner
la Habra Heights, CA 90631
Design and Construcion ground up romplefe'm plan
7 SINGIEFAMRVRESIDENCE $1,500,000 2009Ahaphboud 2061959665
1145 North Glendora Ave
Glendora, CA 91141
Design and Construction ground up complete in place
8 CURB /GUTTER AND SIDEWALK $81,000 2010 City of Glendora 626914888
Various locations
City of Glendora Debbie Woods
9 BUSSHEITEBS $BS,000 2010CItyofHuotingtonBea714S36S431
On PCH
lOBaseballfieltlp8 $151,300 2011CityofHuntmgtooBea114S36-5431
CiryofHuntingtooBeanh DuaoeWentworfh
Sports compleX on Gofhard
City of Huntington Beach Dave Verone
11ParkioglotPolireimpound $152,400 2011 CityotMontclair 909626?BS71
CityolHuntiogtooBeach SteveStantoo
Sports complex on Gothard
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
MY OF SANTA ANA
BIDDER'S STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS
PROPOSAL AND CONTRACT AGREEMEN
The undersigned BIDDER is fami[ar with the requirements of Section 1777.5 of the Slate fahor Coda
regarding employment of apprentices, and understands that contraetors on contracts exceeding $30,M)
or 10workingdays shak
L Apply to the join) apprenlirmhip commiuce adminislering the apprenticeship sanddrds of the
erafl or trade io the area of the site of the podlic work [or a ceriBicale approving the connaGor render the
apprenticeship standards [or the employment and (raining o[ apprentices in the tma o[ industry affectrA.
2. Employ the number of apprentices or the ratio of apprenlice to journeymen stipulated In the
apprenticcshlp slandards3. Contrihule to The Nnd or funds in each erafl or bade in which hedshe employt journeymen nr
apprentices on the puhlic wo[k, in the same anrounl or upon [hc same basis and in The same manner as
Iheolh¢r contractors, eacep! ronractors out signalorylo the tmsl ngr¢¢nunt shall pay a like amount to
Ih¢ California Appre`mises?hip Council,
Signed s?/gypp"'
Title J?pSIAPw1?
Flmi ?? (?? ?VIC?
Date ??Z???
TO BE INCLDDED IN BID PACKAGE
BP 11 of31
CITY OF SANTA ANA
PRWECT08-602k FAIRVIEW TRIANGLE HABITAT RESTORATION
[role 21 Uni(eA Sha[cs Code Section 112 and
PubGeConlracl Code S¢Gioo 7106)
To ?heCITY OFSANTA ANA DEPARTMENT OF PUBLIC WORKS
PROPOSAL AND CONTRAC7 AGREEMENT
NON-COLLUSION AFFIDAVIT
In accordance whh Tide 23 United SfM Cede Scefion 112 and WbBc ConEad Cede 71061he BIDDER
dcelmcs Thal the bid is not made'm [he'mleresf of, or on behalf of, any undisclosi person, partnership,
tympany, association, organization, or cotporadon; Thal the bid is genuine and riot collusive or sham, Ihal
the BIDDER has oat direGly or Indircefly induced or solicited any other BIDDER to put is a I'efse or sham
bid, and has riot dirutly or indiizclly colluded, conspired, connived er agreed wish any BIDDER or anyone
clsctopm in a sham bid,orThai anyoncshall refrain from bidding; Thal the BIDDER has aolin any manner,
dimGly or iwdirealy,sough! by agreement, commaoiralioo, or conference wish anyone to Gs the bid price
of the BIDDER orawyBmDER, or m Cu any overhead, profh, or cast elemewl of the bid pace, or of Ihal of
any other BIDDER, or to secure any advantage against to public body awarding the comrac[ of anyone
imeres9cd in fhc proposed mw[racl; ihw aft naiemenls contained in the hid are we; and, fonher, that the
BIDDER has not, diieGly er rodlmedy, submi[[ed his or her bid price or any breakdown thereof, or Ih¢
coareaas Iherenf, or divulged information ordata relative thereto, or paid, and will not pay, any fee In any
oorporadoo, partnership, company asseuafion, orgaoi¢alion, bid depository, or m any member or agent
[hereof m effeclrmlea cellusive orsham bid.
Note: The above Nomcollusieo Affidavit Is pan of the Proposal. Signing Ibis Proposal on the
signatureponionihereofshallalsoconslitufesignamreoflhisNon-cellosiooAfGdavii. BfDDERS
arc wmioncd That making a fulserea4ficu[iow may subject ?heceni6er to criminal prosceution
Signed
Slam of California
Coonlyof dOf ?y?f?Pf
Subscribed and swum fe (or afhrmrd) before me en ibis $? day of , 2d I I by
? , proved to me on the basis o[ satisfactory evidence io b¢ the person(s) who
appcare fore me.
N. SHaH
? ?uM.k ISN181 ?
NOINYPVlIGGNONA
IGNIEIEI CgNiY ?
urm?.uo s?nr,wu
NolaryPublicSlgnalore NolarypublicSeal
TO BE INCLUDED IN BID PACKAGE
BP 12 of 31
CITY OF SANTA ANA
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S STATEMENT REGARDING "ANTI-KICKBACK" REQUIREMENTS
The undersigoerl is submiUing This' proposal for performing by conirael the work required by dtesebid
doeuments, agrees m comply with the Copeland "Aati-Kickback" Am pe USC 74? as supplcmealtd in
the Deporuaeat of Labor regolaiions (29 CAR, Pad 3). This aG provides tha[ each contractor or
sub?nlructor shall be prohi6iCd from inducing, by any means, any person employed is the aoastmefioa
nr repair of publlewo?k, to giucup any part of tho compensation to which hJshelsofhonviseeniilleA,
Slgned
Fum _ ?? ?? (HC
Dale R'/v/n
TD BE INCLUDED IN BID PACIZAGB
BP13of31
CITYOFSANTAANA
PRWECTO&6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACT AGREEMENT
CONTRACTOR'S UCENSING STATEMENT
The undersigned sonGaGOr, or soToraleoffi¢er, tleclaaes andei' pally of perjury Iha[ [be following is
Irueaod eortuf,
Coa[?aalor'sName: ?CE CD 11?C
BusioassAdd«ss: ? ' Dr (' pnl?A1G1? Pr9 ? ?8hj
Taiepn?,?, X26 ?5ao?5?
Slate CooGaclor's fAaeas¢ No, and
C?-
Expi?alioo
Dale: ??3???p??.
Signed.
TO BF.INCEUD@D IN BID PACKAGE
BP 14 of 31
CITY OF SANTA ANA
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSALANDCONTRACFCLAOSES
SECTION? WNTRACTCLAUSES
The work to be perfomii under This confiner is subject to the requiremems of Sec(ion 3 of the
Housing and Urban Devclopmem Acl of 1968, as amended, 12 U.S.C,1701u (Sution J), The
purpose of Sullon 7 Is to ensure iMi employment and ofhu economic opporfurtilles generalcd
by HUD assistance or HUPassisled projects eoueied by Section 3, shall, to Ihegrea?es[ entenl
feasible, be directed to low and very tow-income persons, padinularly persons who are
iccipicnts of HUD assislencc for housing,
B. The parties to [his ainirael agrecln comply wish HUD's reulaGOns iu 7A CFR Part 175, which
implemenfS¢Gion7, Asevidrncedhyiheirexecutionofthisconhaei,fhepartiaslolhiseontraol
?lify Thal (hey arz under no commctual or other Impedimem Ihal would prevent Ihem Gum
complying with the part f7S regulalious,
The wmraalor agrees to lead to eech labor orgaoisaiion or represenlativeof workers whh which
the contractor has a collemiue bargaining agreement or other unders[anding, if any, a notice
advising the labor organisation or workers' representative of the commGor'a commitments under
Ibis Section 3 clausro, and will pose r?pies of the notice iu conspicaous places al the work site
where both employces and applleams fnr (raining and employment posilious cen see the notice,
The notice shelf describe the SeGinu 3 preference, shall set forth minimum number and job titles
subject to hire, availability of apprenticeship and traiuing positions, the quahflcations for each;
and the uameand location of thepuson(s? tak'mg applications far each of tho positions, autl the
anlieipated dale the work shall hegiu,
ThecomraGor agrees to inraude [he Sution 7 clause in ev¢ry subcoutmct suhjec[ to compliance
wish regula[ious'm 24 CFR Parl 175, and agrees m lake appropriate aGlon, as prouidl in an
appliceble provision of the subaontraa or in Ibis SeGion 3 clause, upon a boding (hat the
subconlmclor Is in violation of the regulalions'm 24 CFR Pan 135. The contractor will not
sohrontraq wish any snbrontraetor where the contraGor has notice or knowledge of Thal [he
subcenlraclm' hasbcen found in violation of fheregulatbus io 24 CFR Pan 135.
TO BE INCLUDED IN BID PACKAGE
BPISoP31
GPY OR SANTA ANA
PROPOSAL AND CONTRACT AGREEMENT
SECTION 3 -CONTRACT CLAUSE continued
PROJECT 08-6029 FAIRVIEW TRIANGLE HAMAT RESTORATION
E. The COntfaGO[ will certify that any vacant employment positions, including (raining positions,
persons other than those to wham the regulations of 24 CFR Pan 195 require employment
oppor[unitics to bedireGesi, were not filled to circumvent the runtrarlor's obligations under ?A
CFR Pan 135.
F. Noncompliance with HUD's regulations in 24 CFR pun 35 may result in sanctions, Icrmination
of this conlraG for dcfauh, and debarmen[ or suspension from future HUD assisted conlraGS,
that are (fled (I) after the comtaGOr is selected, but before the contract is executed, and (2) with
With respect to work performed in conneoion with Section 3 covwcd Indian housing assistau R
Seolion (1) b of the Indian S¢IfDGerminalion and Education Ass?lance Act (2S US.C 4SOc)
also applies to the work to be performed under this rantract. Seolion 1(b) requites That to the
grates[ cxten[ h'asible (I) preference and opportunilles far training and employment
subcoooaGS shall be given to Indians, and (iii preference in the award of contracts and
subcontracts shall b¢ given m Indian organisations and Indian-awned Economic Enterprise,.
Parties to this contract that arc suhjat to the provisions of Sution 3 and Scchon 1(b) agree to
comply wish ScGion 3 to the maximum extent feasible, but nut in derogation of compliance wish
Seolion 1(b).
Eor the purpose of training and employmeol the rimer ScGion 3 revered project area Is the
area io closest proximity ro the equal conslmolion work sire within the U.S. Census Traot in
which the projeq is totaled, II Is understood iha[ priority for employmeol opportunity Is to be
given to residenls residing within the primary Section 3 area as defined
A Section 3 area resident is any lower inrame individual residing within the ScGion 3 area,
whoa total family income does not exce9 SOWo of the median Income of the metropolitan
statistical area in which the project is located (Grange County), A public housing resident Is
deflnod by regulations as Bogies 3 resident, regardless of income.
The coGractor and each subeonlmetor certifies Iha[ (hey wd(pmvlde, (o the greGesl exrenl
feasible, opportunities far employmem to lower income residents Qocal residenLS) and job
oppurmnilies in cCnneGien whh projvcls in their n¢ighhorhoods. Par fiscal year 1996-91,
minimum goal for each project is 30r9o,
TO BE MCLUDED IN BID PACKAGE
RP 16 of 11
CI'fYOFSAN'fAANA
PROJECT 086026 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSALAND WNTRACT AGREEMENT
SECTION 5 -CONTRACTCLAUSEeao?inuod
The Coulrnc[udSuh-somme[orlS¢rvice Provider by the signature a(Gsed hare?o declares under
peuahy of perjury: QmtraemdSub-wofrucforlSorvice Pinviderhas read Secfiou 7 roqui2?neuls
and aeeep6s ell ifs requiremerilseomained Therein ibr all ol'hiEhor opumfious with'm fhe Cily of
San?aAna.
Stg PrinlN meaudTifle
Signature
Pr'm[Name and Tide
Slgomoro Prinl Nume and Tiffe
Dalc
TO BE INCLODED IN BID PACKAGE
8P 11 of 31
CITY OF SANTA ANA
FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROJECTS
OFJtlpMI, 7lrmklumRTOadtnllkfaa?lmvkdxvio?x?tl?
' Jhfonruadv filled in iwjoini wu?wrc6n%&iuinndly
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atin?amauYdfi¢eaa?o?eMd'nyomrruamuAhesdmNrdNdA 1. WhW leUnsla'n?o?.o(DB&owmnhip?
fum n reek k u? B?YG aliren.? hmSxDn I12e?a
?olcdnmk?aFyo(µ>p?y?aMnasa?unmsammavpmuYalNy _
1NIACSatll?i,'rsrcfl,<rlntlepmnd,
PA911QPA11QN RY D64DVMTA® Rl5P?tS B.Ownersh'EofjoimvrnNre(IM1lanxdrnMb:fillalioll'kanfal
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ColadFi?al iaUrjoimreoiweaprxmm4providedbygwgion(fib,
,
RrrwEVVa'ntl?F?a'dpojtnFmhaYmtiorsof?dQrk? aRohlandlasslvviog
inapraalN?an'ammpywtl?ofevtmsddreprnidan hCaniW uunuibuliara.
Irnlwllog?mOmaf
S?dihB-Ir&m?nkrG&n?J?VrrN?'?'Gy, e0?rapplir'ahk
owrvlshipinl¢2s8
A?dmet
Rrhh'IA•FAI
807A1 PROJECT 08-6018 FAIRVIEW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACFAGREEM
TO BE INCLUDED IN BID PACKAGE,
RP 18of 71
CITYOFSANTr;ANA
PRO]ECT 08-f?E8 FAIRVIEW'fRIANCLG HABITAT RESTORATION
PROPOSAL AND WNTRACf AGRGGNGNT
9,OWdddnl?ngWmio3me[ l?a'ryly?rerse
?aald'ffinY'?'u?'t?4¢(mlVtioUti')ulpaelB
f ¢ ?Y?Y ? aid ?'ry ?im? neGir?'nfiui'mF
Iwm IimAd m,V??evvhponervytivadlaylir.
aFrercaldusxvo
6?M?,?u6?'ha?,
Nanndfmn Nandfvm
S?wu¢ 9'gm? Nct Nmw
I.Fsu?anp T^B T??k
Dsc pt
2M?roi?gmdm?
1 Honsaidfili?direrr?enetl
4.PAhadr?drrepiunsas}pl'es
On dlls _ &y of ?XI kkw ne W4? Inliie;
- h me pma'fy 4mm?n, wtn, f? fly ?umn Al cmiM ?¢.5.gwisimd'faB f?'?a?viladdi19a'edWka9twas?wiy3ldldmllry(Narcoffmn;
- ?w?da?vilanlN'dwmNsalvfrs.u?ddnrt
NuFF,adrfil'?tlu',?,kho?l¢B?dkf?rctlemipktu?d'tle ?YPNc
'?.vmo?l?u¢daotlaa?alu?und6YtltlsrepJ?m.Baeis
arry9ynifiaVCha??oideidonnbmsprn?lidt4?nly
mua 'mknn tle ?, dUKr d'uaBy a fioh Ur; piom ???
mooataifVe?iuxpocho?duxaaUx?
q S?af
"Ik uded@'ed sear U? tln N?Irg 9a?ircn? are
u?md?luF2Vnwaial'mfam?nme?ygidnil'yaJ ? ?'" _ d?Y d' _?? h4ire ne Nhm'
eTla'oVelrnmaldgeagmofan,Nitl?rcrAma?dFeir?kd
?1. mircW?ulNNnmv?.wMl?gsuand'Jerawadr
p?'¢?Iryesh;Nnkm?iotlewinakYgF?}a,h
1 rem alrl ? ?u pmik m daAe cmrcid, ?'"? dfda?dmd ?l ww! UrV he a de was Fr?aly nyhNUi lry lNare of fmn;
?mrykk n?acwdF id?rc?Mg aue,birc unWe Wwr>?Ihat?Ntw?ddmuharuhmfrssyoid?l
???d?fam?nda?r?a<d?rr?r?dd??ma?ym
Ve jdm rmm? ?neaim?? ? m ?moi ? mdi ad ?'?' -
ermriragp ufVe hnkt ?df ud filmmfVe,'yary? Canml'?svaer?
mtliui? ?, nl' ?; a de fnbal fwd'h
yrcrty. Any ovk+W Magm w?l k pumY; kr ?
timo?l?gany a? vh¢M1 omy kama?i ud I'? IriBorg
u?n?hPolrala9:?BweuramolgfaEE,.
Al?mat
F?LiA•NR2
AB191
TO BRINCLUDEU IN BID PACKACB
BP 19 of JI
CITYOFSAN'fAANA
PRDPDSALANDCDNTAMU] AGREEMENT
TITIE49, WDEOFIEDERALREGULATIONS, PART29
DEBARMENT ANDSDSPENSION CERIYPICATION
The BIDDER uutle[ penally of prajmy, cedifies that ¢aeepl as noted below, he/she or any person
associated therewith in Ifierapadtyotowner, paMer, dlrec[or, of6cu, manager,
PROJECT 08-6026 FAIRVIEW TRIANGLE HABITAT RESTORATION
is not wrtenily antler suspension, dc1barmtnl, voluntary exclusion, or determination of ineligibility
byanyfederalagcnry;
has not suspended, de6an'ed, volunlerily excluded, or determined ineligible by any federal agency
within pall Ihrceycars;
hm not been indiGed, convicted, or had a tiviljudgmen[ rendered against ii by a coos of competent
jurisdiction in any maVerinvolving fraud or official misconduu within the past 7 years
If there areany exceptions to This cerlificalioq insert the exce plions in the following space
Exceplrons will not necesswily resoh in denial of award, but wi0 he amsidertd in determining
BIDDERS responsibili[y. Por any exception noted abovC indira[c below to whom if applies, initialing
agency, and darts of aGion
Note: Providing false Information may result in criminal prosuutbn or adminislrolivesanctions.
The shove todiftafion is pad of the Proposal. Signing Phis' Proposal on Ihesignature portion [hereof shall
also constitute signaWreof this Cedification.
??ECD Iht-
Nameof BIDDER
Signature of BDDER
Dale nhr?,
FED.8-22-88 ri ?/?f
TO BE INCLUDED IN BID PACKAGH
BP20at31
8zhibitlS?Gl LoealAgen¢yBidderUDBECommitmanl(CooslmslionContra?[s)
NO`fF; PLEASBR6FHRT0INSTRUC'f10NSONpPPFNDIXD
_ urcAnoM
NIRALI
FM NO.
3_ ITEM OF WORN ANDIIESCRIPTION
ASERVICESTO BE
CBCONTRACTEDOR MATERIALS
BEPROVIDED
?gs?QF? ei. No ofUDBE
AND 2RPIRATON
DATE
2215 NAMEOE UDBEs DOLLAR AMOUNT
Musa bcWifINlooih doDFld6 DBF
Nopooed iodude UDBERlldw
od On ounihrl
fib: m?C ' a YY _q,DO? _
ilav E,
- - 1c -
Ir Laal Agency to Complete:
al Ag¢n<y?Cooliuu NumRm'.
ual Aid l'roja¢I NuoiRer.
rral SM?
TololOlainmd
Punvipulioo
$?l ?Q?
-
g^??9a
ilnGAwmd DRm.
B ARPA[r PPIIIECY IW'IB IOCIXIINOWIFLIIOPILNOM&^fO WP
RNOm¢ 9'goulum
of AgeueyRupnsrnwlim
:aCodO iek MrcNumRm D,,? SipnWUmofBidd¢
rCallrenaReview: Dum IAm?,c?drlreLNO.
ll??R 665211141
Pnm NRRm WDlow?e DiR
CallmuADklnn lLUUfASSiDUOtt EnPin¢n IixalAgmy RiWn DDBR('nnuniirtwoi Mer JARO
IUI;Rp)'-hB1 Rl&ao BIYiFF IUIRo CY1110?{D'sViCI WfllI,?WiSiaof[E11I
vonda Spy is ikDLAP:wilh'io LS doss ufawardmap¢sull'm de
P.1Copy ? IoRlud¢in uwmd pR[Nng mCulliws gsfnO WzRI AD?ISIOOre
f?l?'plual-Inosl egenoy Rles
TO BEINCLUDBD IN BID PRCKAGE
BP21 ofJl
Exhibit IS-G2 l,aal Agency Bidder DBE InfoanalioB (Conslmciion Co?[raets)
NOTE; PLEp6ERRFRRT0INS'fflUCTIONSONAPPENDIXD
(Inclusive of all DBEs including the UDBEs listed al bid proposal)
rareEo-o-oEanl,mN>xn?reMOUers_
COVMACi ITEMOfWORKAM1IID65YRIY110Y Nu nfUBE ?MeOF Defs
IIDM NO NSERVICFS iOAI. NDkXPIRAPION Nusiktt?iifi¢d on iM dot<hld?
UECONIBA(?FDOa MAPhAIAIS NE n!op?nadinclude DBPodOi<ss
10 Bfea0VIDEe ?Mphone nuoi
BID DO l7 14
FaLocal Ageney loComplete:
?aI nR?¢yr?o?a N?mw
Viral PiJ huj¢n Nmi?kr.
ikral Rhurc:
11mICIuimW ?$ e?
PnniBpolion
maing¢nryrenif0?ihm ull infnm?lipt iv¢anpleus?douvmi¢.
'dotNam¢ Swosmm
.ourvl Aguiry N¢puuoiali?e
AmaCodalg¢I¢pMo? ¢N°°iYre
Far Callrana Review:
Hale Signawrc ol'NiJder
eauq?4??? (ArcaCOda1T¢I. Nu.
6g65aT f141
I'noi Wim S'pgomrc Dam
C¢Ilmpa lh'pofi 6xvl A!SiSloptt Engin¢r InWA?mgllidln-ellFlnlnmuuiaupltt NWT
ilo?mioo: @ Cq?y-Eawruan a¢ueyio IhC¢ItrumUtinn Ircal Ai?ialaoa fugi?eer?nlAR) within If Myrof eWaitl, f'mlure W
wyy is utmnnwnnm ip wp m swam moyiuwi ma¢ctloyauonul ImaF Ior OisgroJ¢¢I.
h7??e}' -N¢WQLI?Ow81e e1fkllgl'fOeDfd?8 eIS14Y ?bq? ?8616180¢C
Ol eo?oal-La¢al agurcyfl¢¢
TO BE INCLUDED IN BID PACKAGE
BP 21st 31
PRWECT08-6028FAIRVD;WTRIANCLEHABITATRFSTORATION
PROPOSAL AND CONTRACT AGREEMENT
CITYOFSA 'NJ'
NONLOBBYING
CERTIFICATION fQ1R FEDERAL AID CONTRACTS
The prospectiva padicipanl ?ifies, by signing and submhling this bid or proposal, to the best
of his or her knowledge and ballet, Ihae
(I) No Enteral approprialed funds havebeen paid or will be paid, by or on behalf of the
undersigned, to any person for influence or attempting lo'mfluence an officer of employee of
Federal commel, the making of any Federal grant, Iha making of any Federal loan, the
entering into of any cooperaliveagrcement,and theexlension, cenlinuation, renewal,
amendment or modif ration of any Federal cemrac[,great, loan, or rmoperaliveagreemenC
(2) If any funds other Ihae Federal appropriate [ands have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of ony Federal
agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in conncetion wi[h Ihls Fedeal cont[acl, grant, loan, or ceoperativc
agrennenl, the undersigned shall complete and submit Standard FormLLL, `Disclosure of
Lohhying Aslivhies;' in aanrdance wish its inslmctions.
This certification is a material representation of feel upon which relPance was placed when this
Transaction was made or entered into Submission of this certification is a prerequisite far making or
cn[cring into this transdclion impoced by Se'on 1352, Titic 71, U.S. Code. Any person who fails io
file the rzquired cerlifica(ion shall 6c subjeG m a civil penalty of not less than 810,000 and not more
than $100,000 for cash such failure.
Congress, or an employee of a Member of Congress in conncetion with theawarding of any
The proryeGive participant also agrces by sobmilfing his or her bid or proposal Ihae he or she
shall require Thal the language of this ceniliCation be included 'm all lower tier subcontraGs, which
eseeetl $I?1,U110 and Iha[ all such sob-r¢uipiems shall certify and disclose aaordingly.
BIDDER'S Slgnamrc
Fum
-q?u I I
Data
Siondo?d FimilllioRytCUblaioMfinm Csllrms and lNWAafnceF.
TO BEINCLUDED IN BID PACKAGE
BP23of31
CITVOESANTAANA
PROPOSAL AND CONTRACT AGREEMENT
DISCIASUREOFLOBBYINCACTIVITIFS
Campl¢leih'nl'nrm lodisaloulahhdnv riMirumi miI II er no
ITXX of Pahl AGioa
G 2,%US of NA Aedml ).RCpong
a.
mw Q aWo*dafgllmlion a.midal
hCrtw b,inilielawar h,mmoralehangc
aCMmAgr¢mu ¢,pnoard
d6m Fa?MaunalChmgonoly
¢,Lna cuwramee Yew
9umter
LaallInsmauce _
damoffasin m
4.NawandAddrmofRepodingFnliiy S. 11 KgmmiogFmdiyinNa4 lsSuhawardx, Hmor Naomand
oPinu 0Subwa<dr AddmsofRlme,
Tlalflnmw
Co srioml D'n4ra, ibionri Con III Dismc, i known
fi.RA LX1panmmYAgmq, FedardI Nam9L spiv
CPDANunihu,ID 11
fl. Fednsl Aeuao NundCr, Ifdioswi _
Y, AwardAmoum, fkuomn
10.aNarreardAdAetcofLobbyingFnliiy b, bdMduslPafamiagSuvlns(urcBetiN mAress?d?a¢frtniNa
(GrAddksrum,Tn(A?I Iq?l
Ihamore)Smmrm,Ml)
[a1L?Coulinumioo SM1al(s?il'nxc..)
ILAmaunfal'Poymeol lolwnkall ihma?lyP11.TyFeufPaynrni (ehrrkAllhur?lyl
8 QAaual QNarn? Qmwrairer
0 h.u?limalae
14, Pomwfpayircn4deekall lfialapnlyp, Ocauminimism
a. ?? o d. aoaliog¢al I'oe
pd.ia?kmd;?dr,aam?m_ pea??ev
value__ Qfalher,. I
14, Brial'fkutipioo of5xvlees P¢domvlrnlabe(Irrlimad and Pale(s?ofS¢rv?,imlW'mpofficer<sl,emplnyee(sl,oniambmyslmnl??,fm
A
?dyalCn II?IeHled
la IGII '.
((IflPfX ?OIIIIIII?IIOII,SbPPIIf?I IIPtYmplYl
IS.CuniiouadooSh?l(slada:hul, Yes No
16h&?rafimmyuaoldmu?,b'¢fmu'aatla¢dIy'Iryh)IL?a'ai
Lffi'I?ofHs4y'?gatiw?'?som??nsrhtindla7µcn Slg?furc _
wtahrefiattwmplamilrytlehxaMx uhatleoaeztinuarne4umhatrl
'
'
Irco,1l?sh
x4am!kmpnJryrawin310.RCL52.11?mgm?nudlYe Po
n?Nmir:
n?e1roVeMpea?n;nnmllyardwJlkma?kGpfa'elrRaixi
MyNmnulnfaf?ntlptlercY?tAdiclaut,-0uVk,vhptmaoAprahyof Tide at !
mk?da?$IOlNXI1)admmxtlanSlglpgfu?xM1srh?l?
' _.
T orcNo G 516?e
62 `??1 l?
I
?0?(kly. Au?,'?Im?mPgw,A?ow,
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
sw?IFmi-Ill
TO BE INCLUDEDlN BID PACKAGE
8P24nf71
TOB6USEDFOPPPAPUALLYI7A'lI Y PR iP,(TSONI Y
LITYOPSANTAANA
PROJECT 08-6028 FAIRVMW TRIANGLE HABITAT RESTORATION
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S STATEMENT REGARDING REQUIRED EFDERALCONTRACT PROVISIONS (Farm
FHWA-12131
The uadersignul, is su6milfiug ibis proposal fog pedormiag by oomrac? the work requir?l by ih?re bid
docomenls, agcees to comply wish the requhed Fedual CootraG Pmvisioa (Form FHWA?1217) as
shown in the apR¢odic of the spuial provisions of ibis pmjcot
Slgocd
rme ??e?
?? Y}?E CD 1t1
Dale ??????
TO BE INCLUDED IN BID PACKAG@
BP2S of 31
CI1'YOFSANTAANA
PROTECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
The prospective punicipanl eertrfles, by signing and suhmiuing Ihls bid or proposal, to the best of his or
her knowledge and belief; That
PROPOSAL AND CONTRACT AGREEMENT
(p No federal approprimed funds have been paid or will he paid, by or on behalf of the undersigned,
to any Person for InFluencing or auempling to influence an officer or employee of any Federal
of Congress in connection with the awarding of any Federal conlml, the makingof any Federal
grans, the making of any Federal loan, the entering into of any cooperative apeemem, and the
extension, ronBnualion, renewal, amendmrul, or madlfcalion of on Federal comma, gram, loan,
arrooperalive ugreemenl,
CERTIFICATION FOR FEDERAL AID CONTRACTS
hI If any funds other Federal appropriated funds have been paid or will be paid to any person for
inpuenGng or attempting to influence ao officer or employee o(aoy Federal agency, a Member of
Congr¢ss, uo offi'rxc o? emplo)Le of Congress, or an employce of a Member of Congress 'm
ceooeGloo with Federal caolraG, dam, loan, or cooperative agreemem, the undersigneA shall
complete and submit Slondatd FormLLL", "Disclosure of Lohbying AGivili¢s"'m accordance
wish its'mmmdioos.
Agency, a Member of Congress, an officer or employee of Congress, or au employee of a Memher
Thiscerlifcation ss inalerial represenlauoo of fact upon which reliance was placed oleo Ihislransaclion
was made or emered Into, Sohmissioo of Ihls uerlificalion is a prerequisite for making or entering solo This
Iraosaction Imposed by Bolton JS2, Tale 3, U.S. Cal¢. Any person who Pods to Gle the required ceAiFlcation
sfall be subject to a civil punchy of not lesslhan$10,00(1 and not mare Than $ f(q,IN10 for each such failure,
The prospective paeicipant also agtces by suhiniuNg his or her proposal That he or she shat l require thol
the language of this eeniFcalion be'mcloded'm all lower tier suh:ontrams, whl? exceed $f00,000 and Thal all
smch su6-reuipients shall certify and disclose acrordingly,
BNUER Signawre
?rf? C1? Ih?
Nom
?h?ll
Uate
aSWaderd Poem ELL may be aMaio¢d Bran CalVans or PNWA of lices,
TO BE INCLUDED IN BID PACKAGE
BP26of 3I
CI`fY OR SANTA ANA
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQUIREMENTS
FOR STEEL OR MANUFACTURED PRODUCTS
PROJECT 04028 FAIRVIEW TRIANGLE HABITAT RESTORATION
The undersigned, is submitting this proposal for pcrfocming by contract the work required by thesebid
docomeNs, certify to comply with the "Buy America" requirements of Seuion f6S of the Surface
Transportation Assistance Ac[ of 1982 and as shown in Ihespecial provisions of This project.
Signed
Title ?r?srr(P? I-
Flrm
Date _91??(I
TO BE ING,UDED IN BID PACKAGE,
BP21ofJ1
CITY OFSANfA AAA
In conformance with Public Contract Code Section 10285,1 (Chapter 316, StaIS.196S), the BIDDER
hacbydeclaaes
PROJECT 08-6028 FAIRVIEW TRIANGLE HABITAT RESTORATION
underpenalty of perjury under the lawsof theState ofCalifornia that the BIDDERhas ,hesnol
PROPOSAL AND CONTRACT AGRFEMEN
PUBLIC CONTRACT CODE SECTION 102651 STATEMENT
been convicted
wilhia the preceding three years of any offenses refarl to 'm That carton, including any charge o[
fraud, bribery, collusion, conspiracy, or any other act in violailon of any state of Federal ami0ust law in
Public Condact Code Sation I f01,wish any publiccNity, as deGni in Public CoNract Code S2Gioo
1100, including [hc Reenls of the Oniversi(y of California or lheTms(ee, of th¢ California Sla[e
University, The lam "BIDDER" is undasmod to include any pnrlner, member, officer, dirular,
reFpoosible managing off?ce?, or responsible managing employee thereof, as referred to in Seclian
10285, L
Note: TheBIDDERmaslplaceacheckmarkaf[a"has°or"hasnnl"inoaeoflheblankspaces
provided. TheahoveSlalememisparlohhepmposal. SlgninglhisRoposalonlhesignamre
porlioo Ihaeof shall also cons[iWtc signature of This SWlem¢n(. BIDDERS orecaotiooev the!
making a farce cedificelion may subject the certifier to crirruoal proseculioa
Signed
t-
Title ? f od1e q I ?/ 11
connection wish the bidding upon, award of, or performance of, any public works contract, as defined in
TO BE INCLUDhD IN BID PACKAGE
BP26of31
CITYORSAN`fAANA
PROJECT 08fi028 FAIRVIEW TRIANGLE NABITAT RESTORATION
PUBLICCONTRACPCpDESECTION IIIIfi20UESTIONAIRE
PROPOSAL AND CONTRACT AGREEMENT
In conformance with Pu61io ComraG CodeSection 10162, the BIDDER shall complete, under penally o[
perjury, the following queslionuaire,
Has the BIDDER, any officer aghe BDDER, or any employeeaf the BIDDER who has a proprielnry
inl¢res1 is [hc BIDDER, ever been disquafiGcd, r¢moved, or otherwise preveolev from bidding on, or
eomplcliag a federal, slate, or local government project because of a violation ol'law or a safety
regulation?
Yes_ No?
If the answer is yes, explain Ihecirrumsfances'm The following space
TO BF.ING,UDED IN AID PACKAGE
BP29of31
CITYOFSANPAANA
PROJECT 08-6028 FAIRVTW TRIANGLE HABITAT RESTORATION
PROPOSAL ANDCONTRACTAGREEMENT
lu roofoimunee with Puhlic Con[mci CodcSeGion IU272, fhe ?Af1118G0[, hereby stales under xnofly of
gerjury, that no more than one final unappealuhle finding of cenlempi of court by a federal coutl has
been issued against the Contractor within the immediately preceding two year penal hecausenf the
C?mraemr's Failure m cemply with an order of a federal coral whiff order, the ComraGnr io comply
wish an order of IheNalional Tabor Relations Board.
PUBLIC CONTRACT CODE SECTION 10232 STATEMENT
Nole, TheaboceS[ammenlandQueslionnaircarepanoflhePropos''al, SigdmglhisProposh
on the signature pv[ion thereof shall alsn constitute signature of [his Statement and
Qnes[ionnaire.
BIDDERS are wnlioned Thai mak'mg a false ce[IiGration may subjat the certifier to
ahninal proseceilion
Signed
Title Q?
Firm _(?? t1? IV1C.
Dale q???ll
ITT
TO BEINCLUDBD W BID PACKAGB
BPJOofJI
5 INSCO INSURANCE SERVICES, INC.
i1sc%ico Undewitinp Wrap for:
?w Developer Suety and Indemoiry Company
I'emairy CompenyofCaphroie
171W Flkh Suite 2W 1 Noe, Celaomie92814 • (949) E83?Sx0
BID BOND
BONDNO, tid84?002
KNOW ALL MEN BY THESE PRESENTS,
That we, RCECD,Ioc
as Principal, and Developers Surety and indemnity Company a carporafon
boundunfo CltyofSanlaAoa
Obligee)
inthefullandjuslsumot teopemaotolemounldld
heks, adminislrefors,executors, successom and assigns, jDlnlly and severalty, Ilrmly by these presanfs
WHEREAS, the said PRINCIPAL has submitletl the axampacyicg bid for
Projad 0&fi02U FairviewTriaople Raoovefmo
authorized to transactageneral surely business in teStale of Iowa as Surely are held and frmly
NOW, THEREFORE, If the Obligee shall acceptthe 61d of the Principal and the Principal shall anler into a
Contract with the Obligee in accordance wtlh the terms of such bid, or'm the event of the failure of the Pdacipal fo enter
such Contract, If the Pdnoipal shell pay to the Obligee the di((ereece cot fo edcead fha penally hereol behveeo the
amount specifled'm said bid and such larger amowtlor which the Obligee may In good faith conlrad with soother party
ro perform the Work mueretl by said bid, then GIs obllgaticnshad be null acd void, otl?anvise fo remain'm full form and
eKecl.
SignedandSealedfhisT? daycf5eptamder ,2011
ran
Dollars, I$ta°b lfortrepaymenlwhereoflnlawfulmooeyoltheUnitedStetes,webindocrselves,our
;CE f,D, Inc,
Ptlncipal
Developers S?kty and lodemcity Campaoy
Surly
B?BIeNe7l Pfislei AVorney'm?Fam
iou¢apemeoed?,eaavpq
CALIFORNIA ALL.-PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
Counyof orange
On September 2, 2011beforeme Sianne Nahina, Notary Public
personalNappearetl Blake A. Pfister
N8mBf50ImAABQ6
NIB TM losaaNama mtl?I,dNa oMhar
who proved to me on the basis of salisfactoryevidence to
be the personl whose name# isle subscribed to the
width instrument and acknowledged to me that he/ji
executed the same in his/ki authorised capacil
and that by hisiiiiii i aignature#ootheinstrument the
person#, or the entity upon behalf of which the persona
ailed, ezeculed the instrument.
uANNSNANINn Icertifyunder PENALTY OFPERJURY under thelaws of
Wmmissrookualb¢J Ca
NotoryPubllr Calllornla z that the foregoiogparagraph is true
OmogeCeunly and correct
hHCmmBplesSepIA2011 Witness myhantla4ohicialseal
Slgnatur ? ?
PlaoeNolarySeal Poore Siaoa ANoleryPuNlc
OPTIONAL
Though the information belowis not requiredby law, if mayprove valuable to persona relying on the document
end couldpreuent Ireudulenf removal and reattachmentof this form fo anolherdocumenG
Description of Attached Document
Bia Bcaa Ne 11-1aa-oDz
Title orType of DocumenC
Oocum¢mDate: September 1, 21)11 NumberolPages: 1
Slgn¢r?s?OtherThacNametlAbove: None
Capacitylles) Claimed by Signerlsl
StgnetsNama, Blake A. Pfister Signer's Name:
Q Individual Q Individual
?CarpefAB OICer-T(e191: QGerperefe OflCar-Tdel911
QPatl¢er-QLimitetlQGeneral QPaMer-QLlmitedQGeoeral
? Acomay N Facl Q Atlorbey in Fem
Q Trusl¢e r
Q Tmslee ¢
OGuartlia¢arCo¢senxtor Top ofthumbhare QGuartlia¢orCooservator Topolthumbhete
Q Other Q Other.
Sig¢erlsRepresesri¢g:
Developers Surety and SigoerlsRepresentiog,
Indemnity Company 1
mSSiNatlow¢upryPUxatlomsssooasa?wre,¢c,amsms-----.-?-.....`...'•'"?"",?"?""?°'?
CWswoM, CBBf7IDS10P.xxwNelMilNo?ry,n011?ne501 Awtlar.@Ilidben 18W878E9f7
POWER OFA70RNEY FOR
DEVELOPERS BOREttANOINOEMNOY COMPANY
INDFMNffYCOMPANYOFCALIFORNIA
FOBor18126,ipVINE,CA82R0 I978?P870S00
Attached to 11-189-002
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CALIFORNIA ALI,-PURPOSE
CERTIFICATE OF ACKNOWIJEDGNII?;NT
Sla(eo[ California
On $I?C '1.c1I I before me, k. Sk?l, NXa? 9''+kC
(Hm¢iratlmm¢and l?f(heoPimr)
personahyappeared en "?oher I l I ? ,
room A;
who proved to mean (he basis of satisfactory evidence to be the person( whose name(?isfwe subscribed to
the within instrument and acknowledged to me lha[ h¢IsWey executed the same in hislfti+ldreir authorized
caparety(io, and that by his(harNheir signabireo co be instrument theperson(?, or the entity upon behalfof
which lheperson(? acted, executed the iresimm¢nt.
I certify wderPENALTY OF PERJURY under
ws
fhe la ofthe Sf?k ofCalifomialhat the foregoing paragraph
is true and correct.
SHAH
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WITNESS my hand and official seal. N role vu?¢IS?uHFOIu N
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ADDITIONA40PFIONALWFORMATION
DESCRIPTIONOFTHEATTACHEDDOCOMENT
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PDRs SUSAN MOORE
Annual Statements t178D f1TLH
SUITE 200
Quarterly IRVINE LA 92614
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V2W Hnanfd
DlHdllner
DEVELOPERS SURETY AND INDEMNIBY COMPANY
0780 FIidl, SURE 100
IRVINE, CA91fi13
Date
NAIC q'. 12718
Date AuthonYed In Callfomla: 08?301t999
Llunse Status: ONLIMIIED?NORMAL
LompanyType, PropertyBLasually
Slate of DOminle, Effective
IOWA
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NAICGYOUp V: DDIS INSCO DICO GNP
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the company Is authorlaed to iransafl business within These hoes of insurance,
for an explanation of any of these terms, please referto Ne glossary,
AUTOMOBILE
BOLTER AND MACHINERY
BURGLARY
FlRE
LEG4L INSUPANCE
WBILtrI
MAPINE
MISCEUANEOUS
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Ca llfomia Company ID N'. 4606 ?0
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