HomeMy WebLinkAboutGREENLAND CONSTRUCTION, INC. (2)Recording Requested By, I
And When Recorded Mail To:
Clerk of the Council, City of Santa Ana
20 Civic Center Plaza, P.O. Box 1988 Recorded in Official Records, Orange County
Santa Ana, CA 92702 Tom Daly, Clerk- Recorder
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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 17" STREET TRIANGLE under contract entered into on NOVEMBER 28.
w 2011, with GREENLAND CONSTRUCTION INC., on which contract AMERICAN SAFETY
CASUALTY INSURANCE COMPANY is surety. The property on which such work
wimprovement was placed is in the City of Santa Ana, County of Orange, State of California, and
U c described as Project No. 09 -6035 located at: EAST OF SANTA ANA RIVER, NORTH OF 17TH
oa F STREET. The work improvement on said property was accepted as completed on May
o Z 2012.
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Dated:
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Interim City Engineer
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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 1/ 2? ,1 2-- , 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 _ r
CITY COUNCIL MEETING DATE: CLERK OF COUNCIL USE ONLY:
NOVEMBER 26, 2011
TITLE: ARFROVED 11��8'y�
CONTRACT AWARD FOR [?/As Recommended a38
SEVENTEENTH STREET TRIANGLE p As Amended �
C Ordinance on 1 "Reading
( PROJECT N0.096035 ) p Ordinance an2"tlReading
(STATE RESOURCES AGENCY GRANT plmplementingResolmion
FUNDED) p Set Public Hearirg For
CONTINUED TO
FILE NUMBER
CITY MANAGER
1. Award a contract to Greenland Constmction Inc., the lowest responsible bidder, in a�ordance
with unit bid prices for the Base Bid plus Add Alternate Two in the estimated amount of
$140,740 far construction e(lhe Seventeenth Street Triangle project.
2. Approve a Fund'mg Analysis with a total estimated construction cost of $196,900.
DISCUSSION
The Seventeenth Street Triangle Is a County awned parcel of undeveloped land along the east
side of the Santa Ana River, nodh o(Sevenfeenih Sireef (Ezhibll 1j. A lease agreement was
approved in 2010 between the City and the Coun[y of Orange for the land and the improvements
for the proposed project. The Santa Ana River Vision Plan, which was adapted by the City Council
on August 7, 2006, identified Phis area as an oppodunity to enhance trail access to Edna Parkas
well as habitat restoration, Interpretive information and scenic improvement to trail users. The
proposed project includes landscaping with native plants, irrigation utilizing reclaimed water and
rail'mg. Add Rlternate Two provides for a viewing leek and site furnishings. The improvements will
provide a space far trail users to res! as well as view the ezisling habitat area.
The project is funded with a Sfafe o(Callfomia California Rivers Parkway Program: Proposition 50
Grant, which provides funding (or the restoration and development of river parkways in accordance
v�lh the Cali(omia Rivers Parkway Act of 2004.
The Notice Inviting Bids was ativedised on September 22 and 23, 2011 and bids were opened on
November 2, 2011. A summary o(ihe hid invitations mailed, the bids received, and the bid results
follows.
ConfractAwartl far
Seventeenth Street Triangle
November 28, 2011
Page 2
Santa Ana Contractors receiving notices 14
Contractors requesting bidding documents: 15
Bids received: 5
Bids received from Santa Ana Contractors: 1
While the Ciry made outreach efforts to Santa Ana contractors regarding the Notice Inviting Bids,
only three requested plans, and only one submitted a bid as a prime conlractor All plan holders
were Telephoned on November 2, 2011 to verily receipt of Addenda and fo inquire about their
intention to bid. One Santa Rna firm indicated they did not perform the type of work required and
the second firm could not be reached.
The bids received are as follows:
NAME OF RESPONSIVE BIDDER
CITY
BASE BID PLUS ADD
ALTERNATE ONE
1. GreenlandConstructicnlno
Canoga
$72,497
2. STLLantlsrape,lnc
Los Angeles
$75,000
3. KASAConslrudlon
Ontario
$83,164
4. Hondo Company
SanfaAna
$85,660
5. Aramezz Constmclion
Chino Hills
$108,212
A total of fve bids were received and all were responsive The bidding documents require that the
lowest responsible bidder be determined based on the lowest base bid plus Add Alternate One.
The lowest bid was suhmitted by Greenland Constmcl'mn, Inc. for $72,497, which is below the
Engineers estimate of $89,480. However, due to competitiveness of fhebids, the Ci[y is able to
award Add Allemale Two, which includes a viewing deck and wood railing in addition to a wrought
iron fence as outlined in Add Rllernate One. Add Alternate Two is completely within the allocated
grant amount. The amount to be awarded will include the base bid plus Rdd Allemale Two in the
total amount of $140,140.
ENVIRONMENTAL IMPACT
Environmental Review #ER - 06.170 has been completed and a Negative Declaration has been filed
pursuant to the Calpomia Environmental Quality Act.
FISCAL IMPACT
The funding analysis shows a total estimated construction cost of $196,900 far the project
(Ezhibit 2j. Funds are available in the Stale Resources Agency Grant Fund (1611326266220) and
the Park Acquisition and Development Fund (3111326066220.
ConlractAward far
Seventeenth Street Triangle
November 28, 2011
Page 3
APPROVED AS TO FUNDS AND ACCOUNTS:
Raul Godinez II Francisco GutlerreZ
Ezeculiue Dlrecfor Ezeculive Dlrecfor
Public Works Agency Finance &Management Services Agency
Gerardo Mouef
Ezeculive Dlrecfor
Parks, Recreation, and Commudily Services Agency
aGIET
Exhibit 1: Project Location Map
2: FundingAnalysis
i irn �r� it iunyie
EXHIBIT 1
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saNra aNa �,
�i,r �ouHCa COMRACT AWARD FOR � ''�
i� acENOa 111H STREET TRIAWGI.E � I ' t
Pi WG i DATE: (PROJECTOS•6035�
����au� NDVEMBER21,2011
PROJECT N0.096035
SEVENTEENTH STREET TRIANGLE
FUNDING ANALYSIS
Construction Contract $140,740
Contract Administration $7,600
Inspection and Tesfing $9,200
Survey Staking $4115
Contingencies $35,165
TOTAL ESTIMATED CONSTRUCTION COSTS 1 p
Exhibit 2
TOTAL ESTIMATED CONSTRUCTION COSTS 1 p
Exhibit 2
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CITYOFSANTAANA
PROJECT 09.6035,17' STREET TRIANGLE
PROPOSAL& CONTRACT AGREEMENT
BID PROPOSAL
TO'. CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: (te CDfJ51Rck,TlhklllflG.
REQUIREMENT:
The undersigned declares than hdshe has carefully examined the location of the proposed work,
Thal hdshe has examined the Plans and Specifications and read the accompanying inslmclion to
BIDDERS, and hereby proposes to famish all material and do all the work required to complete
the said work is accordance with said plans, speciEoalions and special provisions, for the unit
prices) or lump sums) setforth in thefollowingschedule:
3. Landscaping
LS
f $f � Shoo
4. lrtigadonSyslem
LS
I $ Sf]�,g7
S. 20- working day Landsrapa &
LS
I S� $�F�J
Grigaiioo Maiarenance Period
TOTAL BASEBID :.............................
........_...................__$
5Z691.o0
AddAltema(eEid "P':
6. WroughthonFeneing
LF
400 $49CJ� $I��
Cl'FYOFSAN'fAANA
PROJECP09603i:11w' STREET TRIANGLE
PROPOSAL& CONTRACT AGREEMENT
TO CITYCOUNC➢,OFTHECII'YOFSANTAANA
FROM: OW100 co�3iRdcTiOrllnk,
Item q Bid Item Unit Quantify Unit Puce Amount
Add Alternate Bid °Il' ":
1. BomdwaD, and aU romponenls: LS I $ $w��"'
milNg, mesh, concrete footings
S. 9enches EA 2 $� $�,QO
9. Tmsh Recep�les EA 2 $�j $�0
Add AlternateBid'TB":
10. DonlungFouotain LS I $.�,� $,00
II. SumpDrr�n LS I $t 0 $�
12. 4S "Copper Piping LF 260 $� $�p�
TOTAGADDALTERNATEBD )'71F':..--- .-- -. —._$ �J'O�_
CITY OF SANTA ANA
PROJECf 09- W31:11�" STREEPTRIANGLE
PROPOSAL i1 CONTRACT AGREEMENT
BIDPROPOSAL
T0: CffYCODIVC`D.OFTHE CITY OF SANTA ANA
TOTAL BASE BID:.•__._._..._._._. ....___........._....._._.._..$ 2,691.00
TOTAL ADD ALTERNATEBID "1",•- •••____.__..__..._____$I9 00,00
TOTALADD ALTERNATEBID °IP'; ••••- •-- •••••_..__...__.___$ �R,042,50
TOTALBASEBID+ ADDALTERNATEBID "P':- •••••••••••••••• -•$•I2
The lowest responsible bidder shall be selected based on � TOTAL BASE BID +ADD
ALTBRNATE BID 1; 09fiO3S 1'� Street Triangle. The City reserves du,e right to award the
Base Bid and any, all, a none of �e Add Allemate Bid items.
PR0IECT 09- 6031:11'" STREET TRIAbJGIE BIDDER
Fum GR�iDvi7CO(ySiRctih�N�
Address 7G�%QwGUmou�A/e„ SWCe pV/
Phone �10�a` �YkrG1 913'03
1�19h3•hoi�
Email
BIDDER
Sig�tute
D3dtJ
CITY OF SANTA ANA
PROJECT 09-603i: 11T' STREETTRIANGLE
PROPOSAL AND CONTRACT AGREEMENT
LISTOPSUB'CONTRACTORS
Section 4100 el. seq. of the Wbhc Contract Coda requires lis�iag of all subcontractors with the bid for
all subeoeheciwork exceeding the foEowiugamouoC
SVe els, highways including bddgeprojecfs; 4�%oofihebido�$[0,000,
whichever is greater
Buildings, parks, of older U:N of ihebid
BIDDER proposes to subeomrartaar�ainpor0ons of Ifiewotk to the firmslisledbelow
NAME NAME _
LOCATION X24 LOCATION
NAME NAME
LOCATION LOCATION
PHONE PHONE
TYPE OPWORR S TYPB OF WORK $
PHONE 11W17
-9441
PHONE
TYPEOFWORI{_$p
TYTEOFWORK $
NM
NAME
NAME
LOCATIONIO ,' j�L0CATI0N
PHONE 0 - d�
PHONE
TYPE OP WORKCn+� $
�� JJ
TYPE OFWORK $
NAME
NAME
LOCATION
LOCATION
PHONE
PHONE
TYPEDFWORK $_
TYPEOFWORK $
NAME _
LOCATION _
PHONE _
TYPEOFWORK
NAME
LOCATION
PHONE
TYPE OF WORK $
BP3ofl3
CITYOFSAMfAANA
PROJECT 09fiO3S:11an STREET TRIANGLE
PROPOSAL & CONTRACT AGREEMENT
BIDDER'S STATEMENT
BIDDER understands and agrees That this written proposal (of any part (hereof specifically designated
and accepted by the Qty of Santa Ana, hereinafter AGENCY) shall constitute The entire agreement
between BIDDER and the AGENCY only after it has been accepted by the Qty 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 documem, and its execution, and
when it or an exaG copy of iT has been either defivued to BIDDER of deposited with the United States
Postal Servicepmptulyad�essed( olheBIDDERwith (fiecorrectpostageaffizrAthuem.
B]DER furthu agrees That upon delivery (as defined above) of the accepted agreement helshe will
famish AGENCY ell fequired bonds and certificaleof liability insurance within ten (IB) days (excluding
Saturdays, Sundays and AGENCY'S legal holidays), or the funds, ¢heck, draft, or BIDDERS band
substituted in lieu (hereof accompanying this proposal shall become the propefly of the AGENCY and
shall b¢ considered as payment of damages due to (fie delay and other causes suffered by AGENCY
because of the failure to famish the necessary bonds and because it is distinctly agreed that [he proof of
damages actually suffered is difficuh m asoarfain; otherwise said funds, cfieck, drafts, or BIDDER'S
bond substituted in Ireu thereof shell be returned [c the undersigned,
BIDDER understands that a bid is required for the entire work, That the eslimalyd quantifies set forth in
The bid schedule are solely for the purpose of rAmparing bids, and that final compeosa(ion uodu the
comract will bebasev upon (fie actualquantities of work sadsfaclorilycompleted.
All terms contained in the Sp¢cificaTioas, The CerGfcafion of Non�Discrimination by COn(faGOIS, and
the Workers' Compensa(ien Insurance Cerlificalc are to be incorporated by reference into (his
Agreemem and aremade specificallyaspart of tfiis bid,
NameofPirm
Signature
BIDDER
TiTle SHAYA
(if an individual, so amTe)
BP4ofl3
GTY ORSAN'fA ANA
PROJECT 09-6035;17r" STREET TRIANGLE
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S STATEMENTcontinu¢d
(If a firm or co-psdnership, stale th¢ firm name and give the dames of all individual capariners
composing fhz Grm, If a eorporarioa, stale legal name of oorporafioq and name of Prasidem,
Secretary ,Tr¢asarer and Manager, thereof)
Name of Corporafioo GREEN�RND CONSTRUCTION INC., Presideof: SHAYRN SHADR00,
Secrefary� KH05R0 SHAMSA, Treasurer: MATT MRHJOOB,
Manager ARRSH HAGHIGHIMEHMRNDARY
Awarded t��� 4 ACTION OP COUNCIL:
on �e 6a;is of kwest respoaNbk and rasporeiue
hNderat�eamourdol
ATTEST:
CLERKOFTHECO d
APPROVED AS TO FORM:
CITY ATTORNEY
ACCEP'�DFORTHECITYOFSANTAANA:
� r
EXECUTIVED OR
PUBLICWORK GENCY
BPSofl3
CIPYORSAN'fAANA
PROJECT09603S:11r" STREETTR6INGLE
PROPOSAL AND CONTRACT AGREEMENT
CERTIFICATION OFNONDISCRNI1NATfON BY CONTRACTOR
The undersigned contractor or corporate officer, during the performance of Ibis contract, certifies as
follows:
I. The ContrastorsMllnoldiscriminateagainslanyemployeeorapplioanlforemploymenlb ¢cause
of racc, rotor, religion, sex, or national origin. The Conirxmr shall fake afGrmafive ac(ioe to ensure
that applicants are employed, and that employees are treated during employment without, regard to their
rece, color, religion, sex, or national origin. Such aGion shall include, but not bt limited to, the
following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff
or tetminadon; rates of pay or other forms of compensation; and selection for Raining, including
apprenticeship. The Conlrxlor agrees to post in consptroous places, available to employes sod
applicants for employment, notices to be provided selling fort the provisions of [his nondiscrimination
clause,
2. The ConRaclor shall, in ell soliGraGors or advenisemen[s for employees placed 6y or on behalf
of the Commclor, slate that all qualifi¢d applicants will receive consideration for employment without
regard to race, color, religion, sex, o[ national origin.
9. TheComresror shall send m eesh labor union or representative of workers wish which hefshe has
a collective bargaining agreement or other contras[ or ondetslanding, a police fo he provided ad�istng
the said laborunion or workers'represematives of the Cbmracrofs commitments under [his seGion, and
shall pose copies of the notice in soaspiceous places auailable to employees and appllwms for
employment.
4. The Confracmr shall comply wish all provisions of Executive Order 11246 of September 24,
1965, aad of the roles, regulafions, and releveul orders of theSecretary of Labor.
S. The Contras(or shall famish all information and reports required by Executive Order I I� of
September 24,1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant Iherefo,
and will permit aroess O his�u books, records, and asroums by lho admirdslering agency and the
Secretary of Labor for purposes of investigation, fo ascer�in compliance with such roles, regulations,
and orders
6. In the even) of the Contractor's noncompliance with the nondiscrimination clause, of Ibis
conlraIX or with any of Ihesaid rules, regulations, or orders, the sootiest may becanseled, laminated, or
suspended in whole or in earl and the Contraslor may be declared ineligible for futrher Govemmenl
confraGs or federally asstsled conshsclion rontrects in aceordance with procedures authorized in
Bxecwion Order 11246 of Seplemhcr24,1965, and such other sanctions may he imposed and remedies
invoked as provided in Executive Order 1 1246 of September 24,1965, or by role, regulations, or order
of Che Secretary of Labor, or as otherwise provided by law
BPbofl3
CITY OF 6AN'fA ANA
PROJECT 09- 6035!17r "STREET TRIANGLE
PROPOSAL AND CONTRACT AGREEMENT
CERTIFICATION OFNONDISCRMWATlONBY CONTRACTOR (continued
7. The Conlrac(o[ shall include the podion of the sentence Immediately preceding paragraph (I)
and the provisions of paragraphs (I ) through (7) in every subcontract or purchase order unless exemp red
by rules, regulations, or orders of the Secretary of Labor issued porsoant to Section 204 of Executive
Order I f246 of September 24, 1963, so Ihat such provisions will be 6indicg upon each sub con lraG or
punhase order as the edminisre<ing agency may direct as mesas of enforcing such provisions, including
sarrclions for noncompliance; provided, however, that in the event the Conhacfor beromes involved in,
or is duearened with, litigation wi@ a subconlrador or vendor as a result of such direction by the
administering agency, dte Contrac[or may reques[ drat the United Slates enter info such litigation to
protect the in[eresls of IheUolted Stares
B. Pursuant to Cslifomia labor Code SeGion 1135, as added by ChapNr d43 Slers. (939, and as
amended,
No discrimination shall be made in [he employment of parsons upon pubbe works because of race,
rrdigioos creed, Color, national origin, ancestry, physical handicaps, menial condition, marital sfalus, or
ses of such pemons, eseepl as provided in Scelion 1420, and any confracmr of public works violating
IhisSeGionissubjeclloalltrepeoaltiesi poseAforaviolafionoftheChapler.
Signed SHRYAN SHADROU � /
Tide PRESIDENT
Firm GREENLAND CONSTRUCTIONINC
Date October 19, 2011
BP7 of 13
CITY OF SANTA ANA
PRWECT09- 003S:17rnSTREETTRIANGLE
PROPOSAL AND CONTRACT AGREEMENT
WORKERS' COMPENSATION INSURANCE CERTIFICATION
As required by California tabor Code Section 1860 and 1861, Ihe COnIfaGOr certifies as follows:
I am aware of Ihe provisions of Section 3100 0[ Ihe Labor Curie, which requirrs every employer to be
insur¢d against liability for worker's eompense[ion ur to underlakeself- insurance in aceordance with she
provisions of the Code, and 1 will comply wish such provisions before commencing Ihe performanceof
the work of lMs comraci.
If I, as the Contractor, now or al any lime during Ifie coarse of This agrcemenl, qualify as an employer
undo California Labor Cade Section 3300, unlesslhe hired employees) is (are) persons eaclod¢d by
said labor Code, I shall famish the Gty of Santa Ana with an insurance cerOGcale from my workers'
compensation insurance artier certifying Ihal I Barry such insurance and that the policy shall oat b¢
canceled nor the rauerdge reAuced except pan lhidy (30) days poor written notice to the Cily of Santa
Ana,
Signed SHAYAN SHADROU
Tide President
Corm GREENIRND CONSTRUCTION INC.
Dace Oefober 19.2011
BPBofl3
CITY OFSANTA ANA
PROJECT 09- 603S:17m STREET TRIANGLE
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.
L Ciy of Torrance; 3031 Torrance Blvd,, Torrance, CA 90503
Name and Address of Owner.
Lauren Sablan, (31 0) 618.6259
Name and Telephone Number of person familiar with pro*t
$ 890,OW.00 Torrance Blud. Rehabiliallon
2011
ConuactAmount TypeofWork
DaltComple[ed
�. CiN of Cosat Mesa;17 Fair Dr. Costa Mesa CA 92626
Nameand Address ofowner
Bart Mejia, p14) 754 -5291
Name and Telephone Number of person familiar wish projeG.
$1,200,00000 Joann St. BicVCle Trail Improvements
2011
Contram Amount Type of Work
Dal¢ Complete4
3, Ciry of Omard; 305 West Third St. Oanard CR 93033
Name and Address of owner.
_Raymond Wllaims, f805) 385.8136
Name and TelephoneNumberofpersonfamiliarwithproject.
$ 2,200,000.00 Barfolo Sg, Nodh Street & UtlliN Imprcv.
2011
Contrac[Amounl Type of Work
DateCompleted
The following era the names, addresses, and telephone numbers of all brokers
and sureties from whom
BIDDBR intends to procure insuraacesnd bonds.
PINNACLE SURETY & INSURANCE SERVICES;161 Kalmua Dr., Suite A -201, Costa Mesa 92628
Phone: (114) 546 -5100 Fa><:1546F3707
BP9ofl3
CITY OR SANTA ANA
PROJECT 09-603S:17r" STREET TRIANGLE
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S STATEMENTREGARDIX'G APPRENTICESHM REOUIIZEMEMfS
The uadarsigned BIDDER is familiar with the requiramenls of Section 1717.5 of the Slate Labor Code
regarding employmen[ of apprentices, and understands that contractors on coalrarls exceeding $30,O51
or 20 worbog days shall,
I. Apply to the joim appreadceship rommRlee admiaislering �e apprea0eeship slsndards of the
crag of wade is the areaof the sites[Ihepublic work fat acaaifica(eapproving llm cont�torunder the
apprenlicebhip sland�ds for the employment and (raining of appremices is the area or industry affeGed
2. Employ the number of apprentices or the rafiu of apprenfices to journeym¢n slipolaled in Iha
appreutio¢ship s[andards,
3. Conlribule to the toad or fwds N each craft or rtade in which he/she employs journeymen or
appreadces on the pubic work, in the same amaom or upon the acme basis and N the same msnaer as
the ocher CAnlrac(ors, eseepl coa(racmrs ooI 'geatory to the Imsl agr¢emeai shall pay a like amoum ro
the CaliforniaAppren[iceshipCouncil
Signed SHAYANSHFDROU
Title President
Firm GREENLAND CONSTRUCTION INC.
Date October 19, 2011
BP 10 of 13
CpfY OF SANTA ANA
PROJECT09- 6076:17'" STREETTRIANCLE
PROPOSAL AND CONTRACT AGREEMENT
NON-COLLUSION AFFIDAVIT
(fitla23 United States Code Section 112end
Public Contract Code Section 7106)
TotheCITYOFSA ITT AANADEPAR 'fMENTOFPUBLICWORRS
In xoordance with Title 23 United Sle[es Cade Section 112 and Public Contrac(Code 11061he BIDDER
decIares fat the bid is noI made in the interest of, or on beflal[ o� any undisclosed person, peMershig
company, assrociaGo4 organizatien, or corporation; that the bid is genuine and not collusive of sham; fat
(he BIDDER has not directly or ioNr¢ely induced or solicited any other BIDDER to put in a false or sham
hid, and has not directly or indirectly collided, conspired, connived or agreed with any BIDDER of anyone
else Ie putin asham hid,ortltatan}roce slarh rehain hombldding; ThallheBNDER has notinany manner,
directly or indirectly, sought by agreement, commanicatien, or conference with anyone m fis the bid pace
of IheBmDER crony BIDDER, orto Ba anyoverhead, profit, or cost element of lhebidprice, oro[thatof
any other BIDDER, or to secure any advantage against the public body awarding the
runtract of anyone
interested in the proposal contract, that all stateu�nts contained in the bid are Ime; and, funhar, That the
BIDDER has noh direclty or indirectly, submitted his or her bid price or any breakdown thereof, or !�
ronlents thereat, or diwlg¢d infonnahCn or data relative thereto, or paid, and will not pey, any fee to any
co�pomtbq paMership, company association, organization, bid depository, or [o any member or agent
Ihereo(lo effectuate a colosi�eor sham hid.
Note: The a6oue Non rollusicn Affidavit is pan of the Proposal. Signing this Proposal on the
signalurepotfionlhareofshallalso�' gsulotesigoawreoflltisNoncollosiooAffdavit BIDDERS
areoaotronedThalmakingaDlse catioumaysubject�hecetbfiertocnndnalproseculion.
Signed SHAMAN SHADROU
Stale of California
County of dos Aopeles
Subscnhed and swam ro (or affmned) before me on this � day of G�f. , 2WL by
s , proved ro me on the basis of salsfaerory evidence to be the peraon(si who
appeamAbeforeme
Notary Public Signalurc
PEICfl E, SCNfCHiEt
� Cammissieo X 1940192
i.,�'o: � Noltry Putlllo�Cslllorolo '
�'ij� los pog¢Iea Caunly
My Comm Eryiru Jan 1, 4015
Notary Public Seal
BPllofl7
CI'fYOFSANPAANA
PROJECT 09-60Si: 17ro STREETTRIANGIE
PROPOSAL AND CONTRACT AGREEMENT
BIDDER'S STATENIENTREGARDING "ANTI - KICKBACK" REQUIREMENTS
The undersigned is submiluag this proposal for performing by contrail the work required 6y Ihes¢ bid
documents, agrees to oomply wish the Copeland "Anti- Kickback" Act (IS USC 14) as supplemented in
the Department of labor regulations (29 CFR, Pad 3), This act provides That each mafraGor or
sobmulraclor shahbeproNbit2d Bom inducing, by any mss, any pe<son employed in the oonslmGiou
orrepairofpublicwork ,togivoupanypu flhecompensaGonlowhichhelsheisolherwiseenlided.
Signed SHRYAN SHADROU
Title president
Fircn GREENIANDCONSTRUCTIONINC
Dale October 19, 2011
BP 12 of 13
CITYOFSAN'fAANA
PROIBCTM TH
SPREETTTRIANGLE
PROPOSAL AND CONTRACT AGREEMENT
CON'fRACpOR'S LICENSING STATEMENT
The undersigned contractor, or corporate officer, declares under penally of perjury !fin[ One following is
We and correct,
Contractor's Name: GREENIANDCGNSTRUCTIGNINC.
Business Address: 70600wensmoufh Ave,, Suite 209, Canoga Park, CA 91303
Telephon¢ (818 963 -8071
Sfate Conlraclor's Lirznse No, and
Class: 982933 Calss A, B
E><piraiion
Date: 0113112013
Sign¢d; SHAYAN SHADRGU
Title: President
BP 13 of 13
MAYOR
Mlguel A PuIMo
MAYOR PADTEM
Claude C Nuuet
COUNCILMEMBEAS
David Benavides
CeNSBusfamaNe
Mlohafe Medioee
mriraN €, Sannianlo
ud ilnajero
October 4
, 2011
ADDENDUM ONE
Na.
CITY OF SANTA ANA
PUBLIC WORKS AGENCY M-36
P.O. Boa 1808
Sank Pna, Calilomia 9270?
SUBJECT: PROJECT No. 09435:11�hStreetTriangle
IMEAIM CnY MANAGER
Paul M. Wal(em
INiEAIM CIiYAi10ANF(
Joseph5(2Ya
CLERK OF THE COUNCIL
Made 0. Hurzar
The following change has been made to the specifications of the subject project:
S eoHications
1, Page V', NOTIC>: fNVITING BIDS paragraph one, replace with fhe following:
"NOTICE IS HEREBY GIVEN that the city of Santa Ana will receive at City Nall -
RossAnnex, (M -03j, 20 Civic Center Playa, Santa Ana, Cal�omia 92701, the
Public Waks Apencv Fourth Floor Receptionist, (see aNachad mapj, on or
before the hour of 2:00 p.m. on Wednesday October 19, 2011 sealed bids
andlor proposals far,,......,,,"
All othertertns and condhions remain the same.
FOR THE CITY OF SANTA RNA
1
Saud Amirani
Interim Chy Engineer
MAYOR
Mpual A. Pufdo
MAYORPRO iEM
QeudlaC.Nremz
GOUNCICMEMAENS
David Banavidm
Cadaseuslameme
Mlohele Metllnet
CITY OF SANTA ANA
VMrsnl E eermiealo
Sal ajero
October 18
, 2011
ADDENDUM No. TWO
PUBIC WORKS AGENCY M•36
P 0, Box 1988
Sank Ma, CaltlomM927D2
INiCflIM CITY MANAGCii
Paul M. Wailers
IMEAIM CITY AIIORNEY
Jo-tp151aka
IXEW(OF iHECOUNGIL
Mera0.Hurar
SUBJECT PROJECT No, 09.6035:11p Street Triangle
The following change has been made to the plans and spedficatlons of the subject project:
Plans:
Replace sheets 2 and 3 (d 8) of the plans rkh the attached sheets 2 and 3 Hof S�,
S ec'rfications
1. Page °�, NOTICE INVITING BIDS, paragraph one, replace with the following:
"NOTICE IS HEREBY GIVEN that the ciryof Santa Ana will receive at City Halb
Ross Annex, (M-03�, 20 Clvlc Center Pla>a, Santa Ana, California 92701, the
Public Works Aoencv Fourth Floor Receptionist, (see attached maps, on or
before the hour of 200 p.m. on Wednesday October 26, 2011 sealed bids andtor
2. Replace sheet BP -1 wBt the attached sheet RP -1.
3. Replace sheet BP -2 wHh the attached sheet BP -2.
4. Add the attached sheaf BP•3.
S. Replace sheet 14 with the attached sheaf 14: Add Section 2,14: Drinking Fountain.
6. Atldlheattached" Appendi>< D: DrinkingFountaidtotheAppendissecllon
All other terms and conditions remain the same.
FOR THE CITY OF SANTA RNA
Souri Amireni
Interim City Engineer
P 0 �d r988
59n1e Ana. Celiloni ®92702
October 26, 2011
ADDENDUM No. THREE
SU&IECT PAOJECTNa,09.603S;1T "Street Triangle
The following change has been made to the specifications of the subject projecC
S ecificatlons
1. Page'V', NOTICE INVITING BIDS paragraph one, replace whh the following:
"NOTICE IS HEREBY GIVEN that the city of Scrota Ana will receive at Clty Hall•
Ross Rnnex, (M•43j, 20 Civic Center Plaza, Santa Ana, Callfomia 92101, the
Public Works Aoency Fourth Flacr Receationist, jsee attached mapj, on or
before the hour of 2:00 p.m. oo Wednesday November 2, 2011 sealed bids
anNorproposalsfor....... °
All other terms and conditions remain the same.
FOR THE CITY OF SANTA RNA
Saud Amirani
Interim City Engineer
? "4
MAYOR
INTERIM CITY MANAGER
MipuefA. PMid�
Peul M. Wafters
MAYOR PROIEM
W'R�
INTERIM CITY ATTORNEY
Gautlla C Flverer
Joseph SVeNa
CONJCIIMEMBERS
CLEAROETHECOUNCIL
GaVld 9Bf2VIdBa
Ma "a G. Raltal
GINS BII6�aIIIB�IB
MloheleMaAnat
CITY OF SANTA ANA
Vnwenl F. sannienm
$2 TIII 90fa
PUBLIC WORKS AGENCY M•36
P 0 �d r988
59n1e Ana. Celiloni ®92702
October 26, 2011
ADDENDUM No. THREE
SU&IECT PAOJECTNa,09.603S;1T "Street Triangle
The following change has been made to the specifications of the subject projecC
S ecificatlons
1. Page'V', NOTICE INVITING BIDS paragraph one, replace whh the following:
"NOTICE IS HEREBY GIVEN that the city of Scrota Ana will receive at Clty Hall•
Ross Rnnex, (M•43j, 20 Civic Center Plaza, Santa Ana, Callfomia 92101, the
Public Works Aoency Fourth Flacr Receationist, jsee attached mapj, on or
before the hour of 2:00 p.m. oo Wednesday November 2, 2011 sealed bids
anNorproposalsfor....... °
All other terms and conditions remain the same.
FOR THE CITY OF SANTA RNA
Saud Amirani
Interim City Engineer
all
CITY OF SANTA ANA
.° PUBLIC WORKS AGENCY
_ 1 � ZO CIVIC CENTER PLAZA (M•3�
SANTA ANA, CA 92101
DAZE Ockobx26,T011
WPIP SUBJECTM, ADD61DIA1 ND: a ND: 69036
R9AUB(8: PAN MOM t STATION; N448
PLEASEFAXIHISP�EONLYTQ BudFurlank
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PNONE NQ: 1714) 6473641
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ATIENIIOIk s�mw�p� FAJ(NQ:1�1141641.5635
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Company Profile
Page I of 1
Agent @r Soma
Reference
Old Company Names
Information riC INDEMNITY COMPANY
NAICGrOOp List iICDR INDEMNITY COMPANY
Goes of Busio¢ss
Flmotlal Stammeo6 be tot
POF's
Moual Stat¢m¢nts Agent FOr Gervloe
Qoart¢tly iERRENCE WAIEMVICH
Stat¢mvnts SDJ WEST SIXTH SiREEi
Company Complalot
COmpnelP
Complaiols Studies
Addltlooal Info
And ACompaoy
Aepreseotatlu¢ In
YomAma
NewFloaotlal
Distlaimer
Eihtlive Date
G5�73�1995
011191199P
NAIC #r 399fi9
Ldllfomia Compeny ID p'. 286Gi
Date AuthoAae0ln Calllorola, Ot�R�19R3
Gaosenalus, ONLIMIIED�NDRMAL
CDmpaoVirpe' AopeAYN CasoaGy
Smt¢of DOmkil¢: ONIAHOMA
6ackrolap
NAIC GrauD List
NAIC Group k'. 1746 AMfPICAN SAFETY HOLDING GRP
Nadtamp
Lmes OfBUainese
SUITE E44
LOS ANGELES U 90014
Company
CerlormaoseG
back romp
Comparison Data
Company
Eofortemeof AStioo
Reference Information
ThemmpanY is authorheN to Iraosad huslo¢ss wWlo tMs¢ hoes of Inmmore,
For an esplanallon of any ofthem t¢�s, pleaserefer to Neglossary,
ADiDMOBRE
WILER AND MACHINERY
BDRGIARY
FIRE
GAGILNY
MPRINE
SDREIY
WORNER5 COMPENSATION
ha�cromp
p 1948 California Ceparlmeo[nf Insurance
http:Ifm�eraGive. web. ins> aance. ca. govlcompanypro6lelcompsnyprofile ?eveAl= oompsnyPr... III817�11
mevvrrPROFILE
Company goals
Company Search
Company Information
Company Search
_.
R¢sul6
Company
AMERICAN 6AFE7Y GAallALiY INSII0.ANCE EUNPANr
Information
109 GALLEAIA PKWY, S.E., 6URE IDG
qO Company
AilAN7A, GA 30379
Names
Agent @r Soma
Reference
Old Company Names
Information riC INDEMNITY COMPANY
NAICGrOOp List iICDR INDEMNITY COMPANY
Goes of Busio¢ss
Flmotlal Stammeo6 be tot
POF's
Moual Stat¢m¢nts Agent FOr Gervloe
Qoart¢tly iERRENCE WAIEMVICH
Stat¢mvnts SDJ WEST SIXTH SiREEi
Company Complalot
COmpnelP
Complaiols Studies
Addltlooal Info
And ACompaoy
Aepreseotatlu¢ In
YomAma
NewFloaotlal
Distlaimer
Eihtlive Date
G5�73�1995
011191199P
NAIC #r 399fi9
Ldllfomia Compeny ID p'. 286Gi
Date AuthoAae0ln Calllorola, Ot�R�19R3
Gaosenalus, ONLIMIIED�NDRMAL
CDmpaoVirpe' AopeAYN CasoaGy
Smt¢of DOmkil¢: ONIAHOMA
6ackrolap
NAIC GrauD List
NAIC Group k'. 1746 AMfPICAN SAFETY HOLDING GRP
Nadtamp
Lmes OfBUainese
SUITE E44
LOS ANGELES U 90014
Company
CerlormaoseG
back romp
Comparison Data
Company
Eofortemeof AStioo
Reference Information
ThemmpanY is authorheN to Iraosad huslo¢ss wWlo tMs¢ hoes of Inmmore,
For an esplanallon of any ofthem t¢�s, pleaserefer to Neglossary,
ADiDMOBRE
WILER AND MACHINERY
BDRGIARY
FIRE
GAGILNY
MPRINE
SDREIY
WORNER5 COMPENSATION
ha�cromp
p 1948 California Ceparlmeo[nf Insurance
http:Ifm�eraGive. web. ins> aance. ca. govlcompanypro6lelcompsnyprofile ?eveAl= oompsnyPr... III817�11
6ackrolap
NAIC GrauD List
NAIC Group k'. 1746 AMfPICAN SAFETY HOLDING GRP
Nadtamp
Lmes OfBUainese
SUITE E44
LOS ANGELES U 90014
Company
CerlormaoseG
back romp
Comparison Data
Company
Eofortemeof AStioo
Reference Information
ThemmpanY is authorheN to Iraosad huslo¢ss wWlo tMs¢ hoes of Inmmore,
For an esplanallon of any ofthem t¢�s, pleaserefer to Neglossary,
ADiDMOBRE
WILER AND MACHINERY
BDRGIARY
FIRE
GAGILNY
MPRINE
SDREIY
WORNER5 COMPENSATION
ha�cromp
p 1948 California Ceparlmeo[nf Insurance
http:Ifm�eraGive. web. ins> aance. ca. govlcompanypro6lelcompsnyprofile ?eveAl= oompsnyPr... III817�11
THE AMERICAN INSTITUTE OF ARCHITECTS
v
A1A Document AJl0
Bid Bond
Bond No, NCR
KNOW ALL MEN BY THESE PRESENTS, (hal we
Greenland Consfmdioa Inc
1050 Owensmoudl Ave., Ste 209
Canoga Park, CA 91303
Mmeiouo Ulf nmx ,anaaadenaikpliitltorgoheAV)
as Principal, he[einadar called the Po'naipaf, and
American Safety Casualty Issuance Company
amsporationduly organized under the [am oftheSlsteofoawaoru as Surely, her edraaftu called due Swety, arc held and fumly
bound win City of Sanm Ana
20 Ck Center Pkara
Sang Ana, CA 92701
Mercmrzn Nll oame,ara elAwal¢gel liileorOmu)
as Obligee; hereinafter celled Ifie Oblige, inihe sum of (10 %) Ten pero¢ntofihe a[tanh� bid amount
(I O %of bid arrow[) far Oe pamlenl of which sum well and holy fo 6e made, the said Pdnaipal
end Iha said Surety, hind owselves, ourheus, eseaulors.. adm'mishat ors, suea¢ssorsand aysigos, jointty and sevemllg 6mvy by thaw
preseNts.
WHEREAS, the PtmGpal has submiaed a hid for
17th Street Ttlangle
aloe inwl Wl�umq ¢ddrtnmtld¢wptlmolplojM�
NOW, THEREFORE, if Oe Obligee shell inept Oe bld of �¢ Ptmoipel wd tha Rincipel shall wtmimo a Conham with Vte 061igee
in euordanee witM1 thetarmsof such hld and give sash hood of hondsas may 6e specified in Ihebldding orCootrut Do¢umemswitM1
goad and sulFaienl awary for tha faithful perfortnanceofsuoh Cunhmt wd for the prompt peymrnt of labor and matuial (nmished in
d�aprosaaution ihweo� or N iheevant o[the failure of Oa Pnncipal to crow such Coahactwd givesuch band or bonds, if the
Principal shell payto the Obllgu the dilittene¢ notlo cooed <hepaoalry hereof between �fieemauol spuiftad in said 6idand rush
larger amount forwhicAthe Ohfigeemey to goad fail aonttec2 with wotherparty to perform 0e Work aovared by said bid Aen @Is
obliganoo shall6e null end wid,olherwise io rerwin in fuV fame wd ¢sect
Si�¢d and sealed on October 11, 2011
Greenland lion loo
mricenSafe Casual Insurancer��_
(Sure (Saul)
(Witness) faoekuong (fl0e) Stephani r9 Atlomepin -FeG
dW WCLMEV'TAJIO RInBOND AIAR FEBRUARY 19i0ED 171EAMEPJ CAN
MR1ITUaE OFARCHITEC7S, Iflf N .Y. PVE, N,W. WASHMGiON, eC. 2gpS I
WARNING', Uoli[mua pM1maropyegvio�sms a,S. mpytj[�I laxiaod is su6jeG to lr�posaolpo.
CALIFORNIA ALL•PURPOSE ACKNOWLEDGMENT
STATE OF CALIFORNIA
Cowtycl Orange J
On l� jl II bell me, Irene Luang,NolaryPublic
W@ Hem loWaNamaeoanuaolmallor
personally appeared Stephanie Hoang
N meo) Al SlBmhal
who proved to me on the basis of satisfactory evidence to
6e lha personls� whose namay) islara subscribed to the
within inslmmant and ad�nowl¢dg¢d to me that helsheflhey
exauutad the same iofiislhherfll�r authorised capeciry(�sl,
and that by Mslhedtheir signaturelel on the instrument the
parson(sl, or Iha eotlry upon behalf of which the persoo(sJ
IBENEIU¢NC acted, ex¢cut¢tltheinslmmenL
��� Ocmmssloogl8¢890B
'� °, ''" NaimVPuaiio. Gelilamts i IcerlltyunderPENAlTYOFPEAJUAYunderlhalawsof
�,' oraoge¢ouoly a [he SfateolCelilomfathattheloregoing paragraph iatrue
My Comm, Expires Mer11, 1014 and coned
Witness my hand offs seal.
SignaWre
Pin nolarySeol Pbo� aimm of %Ia7P Ik
OPTIONAL
Though Iha in(ormalionbelowis col required by law, if mayprove velua6le to persons relying on Ih¢ document
and couldprevenl faudulenl remoualandreallachmenl ollhis form Io another document.
Description of Attached Document
Title or Type al Document.
Numher of Pages;
Signar�s) Other Than Nemetl
Capachy�ies) Claimed by gigner�s�
Signer's Name: SYaphanieHasag
Signer's Name:
o mdieidaal
o rotlmid¢al
�Corpor¢IOONIcer— Tlllelsl.
QCaporaleOHlcer— Tlbelsl,
�Pertiler— �limheh�Generel
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O Anoroey to Fact
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O Guardlanor Conservator Top of lhumh here
OGuardranorCooserrelor Top ofthumblxre
D Other:
o Other:
xgoet is Aepresentiog,
Slgoer is Represeoltog,
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DI@ WG1559HAI, LHAVfTImSAMPFORCEAAD�fpdANOmaMPLONLYWHENIS60EDINCOWNiC170NWIM1N60RIGMAL
MEMORANDUM
Paul Walters
To: City Manager
Date: June 14. 2012
Raul Godinez II, Executive Director
From: Public Works Agency
Subject: PROJECT NO. 09 -6035
SEVENTEENTH STREET TRIANGLE
CHANGE ORDER NO. 1
Contractor: Greenland Construction, Inc.
7050 Owens mouth Avenue, Suite 209
Canoga Park, CA 91303
Project Description: Seventeenth Street Triangle
Change Order Number: 1 Amount:
Account Unit: 16113262- 66220 - 09603501028
Original Contract Cost: $140,740
$25, 343.33
of Original
Amount of The
Change Order: $25,343.33 18.01
Previously Approved $ -O- O%
Change Orders:
Total Change Orders: $25,343.33 18.01
REASON FOR CHANGES
1. The Design Engineering Section requested to infill the steps with concrete
leading down to an adjacent property to avoid a tripping hazard. Prior approval
was obtained on February 7, 2012.
FINAL COST = $365.38
2. After removing the existing fencing at the edge of bike path, the 2X12 wooden
planks which supported the pavement, gave way and caused some undermining
of the path. Therefore Design Engineering Section requested to install a
concrete retaining curb to replace the wooden planks_ Prior approval was
obtained on February 7, 2012.
FINAL COST = $7,888.58
Project 09 -6035
RFA Change Order No. 1
June 14, 2012
Page 2
3. The existing property was graded in a fashion that causes storm water to runoff
onto the adjacent property. As a result, Design Engineering section requested
to re -grade to avoid excess water runoff from entering into that property. Prior
approval was obtained on February 7, 2012.
FINAL COST = $704.82
4. To perform work in the County of Orange Flood Control District Right -of -Way,
the Contractor must obtain an encroachment permit_ However, the fee amount
was not covered under the contract. Therefore, at the request of the City, the
Contractor paid for the fee_ Prior approval was obtained on February 7, 2012.
FINAL COST = $7,024
5. Grant funding for this project is provided by Proposition 50 and requires the
installation of a sign, acknowledging the bond, during construction. Therefore, it
was recommended to install the sign per the grant requirements. Prior approval
was obtained on February 7, 2012.
FINAL COST = $908.61
6. During the irrigation coverage test, working pressure was found to be lower than
the design pressure_ To adjust for the lower pressure an additional valve and all
appurtenances was added to reduce the number of heads per valve. Prior
Approval was obtained on February 7, 2012.
FINAL COST = $2,119.24
7. Park, Recreation and Community Services Agency requested to install a steel
mesh beneath the viewing deck_ Prior Approval was obtained on April 1 O, 2012_
Raul odin II
Executive it ctor
Public Worl Agency
FINAL COST = $6,332.70
APPROVED AS TO FUNDS AND ACCOUNTS:
.�� �✓
F ncisco ti z U�
Executive Director
Finance and Management Services Agency
Project 09 -6035
RFA Change Order No. 1
June 14, 2012
Page 3
Gerardo Mouet
Executive Director
Recreation and Community Services Agency
K: \Construction \Projects \09 - 6035 \Change Ortlers \09 -6035 RFA CO 'I.doc
- _ CITY OF SANTA ANA
-_ x,. PUBLIC WORKS AGENCY
� � � � CONTRACT CHANGE ORDER
Project Number 09035; SEVENTEENTH STREET TRIANGLE Change Order Number 1
To Greenland Construction, 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 �/�/ORKS AGENCY
EXTRA WORK AT AGREED PRICE
1 . Infill steps with concrete per PCO #1 issued on February 7, 2012.
AGREED COST = $ 365.38
2. Install retaining curb per PCO #2 issued on February 7, 2012.
AGREED COST = $ 7,888.58
3. Re -grade to avoid excess water runoff from entering into adjacent property per PCO #4 issued
on February 7, 2012.
AGREED COST = $ 704.82
4. Reimburse contractor for County of Orange Flood Control District Right -of -Way encroachment
permit per PCO #5 issued on February 7, 2012.
AGREED COST = $ 7,024
5. Install Proposition 50 bond information sign per PCO #6 issued on February 7, 2012.
AGREED COST = $ 908.61
6. Modify irrigation system to include a new remote control valve and all appurtenances as directed
per PCO #7 issued on February 7, 2012.
AGREED COST = $ 2,1 19.24
7. Install 1 -inch by 1 -inch vinyl chain link mesh as directed per PCO #13 issued on April 10, 2012.
AGREED COST = $ 6,332.70
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CITY OF SANTA ANA
PUBLIC WORKS AGENCY
CONTRACT CHANGE ORDER
Project Number 09 -6035; SEVENTEENTH STREET TRIANGLE Change Order Number
To Greenland Construction, Inc. contractor
You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and
specifications on this contract.
NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER.
Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time.
Change requested by PUBLIC WORKS AGENCY
The compensation both time and cost set forth in this final change order comprises the total compensation
due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order,
including impact on unchanged work. By signing this final change order, the Contractor acknowledges and
agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes
payment for all work contained in this final change order, plus all payment for interruption of schedules,
extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative
impact on all other work under this Contract. The signing of this final change order constitutes full mutual
accord and satisfaction for all changes and work performed on this project, and that the time and cost paid
per this final change order constitutes the total equitable adjustments owed the Contractor, all
Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself,
all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any
whatsoever to file any further claim related to this project.
TOTAL COST THIS CHANGE ORDER: DECREASE � _ _ _ _ _ INCREASE � 25,343.33
By reason of this order the CONTRACT TIME completion will be adjusted as follows: none.
', 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, Oate ��5���6 /!Z Contractor �Gvyreenland Construction, Inc.
ICI BY �p�ffi'nrG.iei�r�iz+�... ��'.y Title � �IL��Iu�� /y..1��✓
Approval recommended by / �-
c� r- Date � � 22 ' � l Z-
�--/ PURL WORKS AGENCY E TIVE DIRECTOR -� c y,
Approved by �,�����_ Date � � `�� / �-
C/TY MANAGER
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