HomeMy WebLinkAboutJ.A. SALAZAR CONSTRUCTION & SUPPLY CORPORATIONRecording Requested By,
And When Recorded Mail To:
Clerk of the Council, City of Santa Ana
20 Civic Center Plaza, P.O. Box 1988
Santa Ana, CA 92702
Recorded in Official Records, Orange County
Tom Daly, Clerk-Recorder
111111111111 NO FEE
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2012000359845 9:11 am 06126112
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SID
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 DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
W IMPROVEMENTS under contract entered into on NOVEMBER 28. 2011 with J.A. SALAZAR
M CONSTRUCTION & SUPPLY CORP., on which contract FIRST NATIONAL INSURANCE
COMPANY OF AMERICA is surety. The property on which such work improvement was
w o placed is in the City of Santa Ana, County of Orange, State of California, and described as
a F Project No. 10-6404 located at: CENTER STREET & S. OF EDINGER AVENUE. The work
o w improvement on said property was accepted as completed on JUNE 15, 2012.
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W CITY O ANTA A, A MUNICIPAL CORPORATION
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w o ? 2S y by \
w E~ Dated. Interim City Engineer
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Z Q TITLE
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o?
U rs,
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 111 / /? Z' , 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
-, Af,
COUNCIL ACTION
CITY COUNCIL MEETING DATE: CLERK OF COUNCIL USE ONLY:
NOVEMBER 28, 2011
TITLE: APPROVED 11.o38 yl
CONTRACT AWARD FOR DIAMOND Ly As Recammeodedi zc
D ordinanceool"Reading
WATERMAIN IMPROVEMENTS
(PROJECT N0,106404 REBID) D Implememiog Resolmiao
PROPOSITION 84 GRANT 0 SetPubllsHeaMg Fo?_
CONTINUED TO
FILE NUMBER
PARK MUTUAL WATER COMPANY OPsAmended
1. Approve an appropriation adjustment accepting funds in the amount o($1,121,727 it the
Miscellaneous Revenue Fund for State Grants (accounting unit 16417002.52025) and
appropriating $1,121,127 fo the Public Works Water Qualify and Control Expense Fund for
Water Capital Improvements (accounting unit 16411640-66301)
u Ordioanceon Tn°Aeadirig
2. Award a contract to J.A: Salaiar Construction and Supply Corporation, the lowest responsible
bidder, in accordance with unit bid prises (or es0mafed amount of $593,068.50, for
construction of Diamond Park Mutual Water CompanyWater Main Impreuemenis.
3. Approve a Funding Analysis with a total estimated construction cost o($171,000.
DISCUSSION
VITY MANAGER
The Diamond Park Mutual Wafer Company (DPMWC) is a pdvafely owned water system that
provides domestic water service to approximately 144 residences in the Cify of Santa Ana (Exhibit
1) The well serving DPMWC is contaminated with high levels of nitrates and does not meet Title
22 drinking water standards. Moreover, DPMWC does not have regular cedifed waterdlsiributlon
operators and cannot afford to purchase a water treatment system. Therefore, the State
Depadmenl o(Public Health (DPH) together with the DPMWC is requesting that water service be
provided by the City of Santa Ana. In order for service to be provided, water services must be
connected to the Santa Ana public water system. Improvements include distribution mains,
services, hydrants and isolation valves and abandonment of the existing private well. Once
completed, the residents will have access to City water.
In accordance with Safe Drink'mg Water, Water Quality and Supply, Flood Control, River and
Coastal Protection Act of 2006 (Proposition 84 Grant) requirements, a resolution was adopted by
the City on July 18, 2011 allowing the Clly to accept State Grant Funding, construct public water
system improvements and provide service to former customers o(DPMWC. Following adoption of
ConfractAward ForDiamond Park Mutual Water Company
Water Main Improvements
November 28, 2011
Page 2
the resolution, the Clly received a Letter of Commitment that promises funding and authorizes
construction of the wafer improvements for DPMWC while awaiting completion of the Proposition
84 Grant funding application.
This project was previously bid in September 2011. Originally, a combination of Proposition B4
Grant funds and a 5tafe Revaluing Fund (SRF) loan were intended to be used (or the project. The
SRF loan required a Disadvantage Business Enlerpdse goal be applied to the project. Sincethen,
Proposition 84 has been Identified as the sole (unding source far this project and the
disadvantaged business goal was no longer required On this basis, the City Council rejected all
bids and directed staff lo rebid with a revised bid package that excluded the SRF requirements
from this project.
The Notice Inviting Bids was advertised on October 19 and 21, 2011 and bids were opened on
November 9, 2011. A summary of the bid invitations mailed, the bids received, and the bid results
follows.
Santa Ana Contractors receiving notlces6
Contractors requesting bidding documents: 18
Bids received: 11
Bids received from Santa Ana Contractors: 0
While the City made outreach e((ods to Santa Ana contractors regarding the Notice Inviting Bids,
only one requested plans. The five remaining plan holders were telephoned to inquire about intent
to bid. One Santa Ana (Irm Indicated They did not perform the type of work required, one'mdicated
they didn't received the notice, and the olherfrms could not be reached.
The bids received are as follows.
NA ME OF RESPONSIVE BIDDER CITY BIDAMOUNT
1 . J.A. SalazarConsirucfion & Supply La Habra $593
068
50
Corporation ,
.
2 . Dom'mguez General Engineering, Inc. Rosemead $652,050.00
3 . T.E. Robeds, Inc. Tustin $657,093.00
4 . Kona Pipeline. Placentia $674,443.00
5 . Stephen Doreck Equipment Rentals Pico Rivera $678,285.75
6 . Garcia Juarez Brea $729,305.00
1 . Jahn T. Malloy, Inc. Los Angeles $148,029.00
B . VCI, Ina Upland $171,490.00
9 . Paulus Engineering Anaheim $894,554.00
1 0.Ezcel Paving Company Long Beach $918,495.00
1 1. TBU, Inc. Beaumont $920,224.50
A total of eleven bids were received and all were responsive. The lowest bid was submitted by J.A.
Salazer Construction $ Supply Corporation for $593,068.50, which is below the Engineer's
Estimate of $978,026. The low bid is a result of the downturn of the economy, the competitive
Contract Award For Diamond Park Mutual Water Company
Water Main Improvements
November 28, 2011
Page 3
market and the fact that the Engineer's Estimate was based on the original State Revolving Fund
Grant application.
ENVIRONMENTAL IMPACT
In Accordance with the California Environmental Quality Act, the recommended action is exempt
from further review. Categorical Exemption Environmental Review No. 2010139 has been filed far
this project.
FISCAL IMPACT
The funding analysis shows a total estimated construction cost of $771,000 for the project
(Ezhihit 2j. Upon approval of the appropoafion adjustment,funds will be available in the Public
Works Water Quality and Control Expense Fund (ancounting unit 16417640-66301).
Raul Godinez II
Executive Dlre r
Public Works Agency
APPROVED AS TO FUNDS AND ACCOUNTS:
Francisco Gutierrez
Executive Director
Finance & Management SeNices Agency
RGIET
Exhibit 1: Project Location Map
2: Funding Analysis
VICINITY MAP
EXHIWi t
3,160 L.F. OF 8" P.V.C. WATER MAIN
1,100 L.F. OF 12" P.V.C. WATER MAIN
r ?. rae, ploy
? Tille
n City Cowcil DIA1dOND PARK MUTUAL WATER COMPAM' I?
Ageode Date WATER MAIN IMPROVEMENTS ? ?`
V NCVEh?R 28, 200 (PROJECT 10-6404)
?ti „4„
PROJECT N0.106404 (REBID)
DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN IMPROVEMENTS PROJECT
FUNDING ANALYSIS
Construction Contract $593,669
CootradAdministratioo $36,504
Inspection and Tesfmg $50 467
Contingencies $66,960
TOTAL ESTIMATED CONSTRUCTION COSTS 711
Exhibit 2
JAS41pZpRCONBTRUCTIpN68UPPLYOORP,
619 N. HARBOR BLVD,
CITY OF SANTA ANA LARABPA,CAW
PROJECT N0. IOfi4K DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEMENTS (REBID)
PROPOSAL @ CONTRACT AGREEMENT
BID P OPOSAG TO CITY COUNCIL OF THE CITY OF SANTA ANA
FROM;
REQUIREMENT;
Theundersign¢ddeclares that helshehas carefully examined lhelocation of theproposedwork,that
helshe has examined the Plans and Specifications and mad the accompanying instruction to
BIDDERS, and hereby proposes tofunish all material and do all the work required 0 complete the
said work in accordance with said plans (if any), specificat ions and special provisions, for the writ
price(s)orlump sum(s)setforth inthefollowingschedule:
Diamond PerkMulual Wafer Company Water Main Im provements
Itemd Bidltem Iloit ueofi UnitPoae Amount
1 B" Class 200, AWWA C90U, P.V.C. LP
3160 $ ??' I.
$ ZZJ, ?
WaluMain --
2, 12" Gass 2W, AWWA C90p, P.V,C. LF 100 $ ?? ?
1 $ ?Li??
WaterMaln , i',
7, I"Copper Wata Service EA IIO$?
S7 $ ? r{5s1UU' E
$'_ __ `
i
4. 2"CopperWalwServiee BA 2 $??" g S?DUD' ii
FirellydrantAssemblyperCitySid.
f?? (
42
Db?
S. PlaoNo.140S. (InoludesGekValve EA 1 $ ? ,
$
andLetetalPipe) ??j
6. 8"Gate Valve 8A S $ , 300' $ ?, ?' ,
7. 12"Gale Valve EA 2 $ l?¢R? S ?,?_
B 12"X12"Hot Tapwi(hTapp?g ? i $?,OUO" gSaCUU?
Steeveandl2"Tapping Valve ---
?
9, 8" x 8"Hot Tap with Tapping Sleeve EA 2 $ ? p??? $ eV00 ? ?
and S"Tapping Valve ?- <I i
10, TmRicConkol,S[nping,andPavement LS 1 $? $4??' ???
Markings _
Il. PCCCrossOu[ter SP 11S $ ? $ 3'?
'TO BEINCLUDEDMBIDPACKAGE
BP1OF]4
J R BVA1AR CONSYRUCTION & $UPPLY CORP.
61SN.R4RBCRBL&
CTTYOFSANTAANA ??BPNGll669t
PROTECT N0. IU64114; DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVBMENTS (KERB))
BID PROPOSAL • CONTINUED
hemp Bidlt¢m Uoif uauti UuitPriee Amount
12. 2" Cold Mill SP 40100 $ ¢ ?'?' $ ' ? !,
13. 2"A.C,Pavem¢rt TN 510 $? ????? $_?3??? ? ',j
14, Repay Work LS LS $20
_,001
$20?_ i
IS, LoopDeteLtors EA 6 $ ??? $ ?`? f
16. Well Abandamnent&D¢sWcficn LS I $ 2p,9'T? $?fl
Total Bid PROPOSAL & CONTRACT AGREEMENT
PROJECTNO.Ip-641W B l?lE
DIAMOND PARK MU f UAL WATER
COMPANYWATERMAN' JASau¢gR00NSrRUanoNa6uPplYCgepIMPROVEMENTS (REBID) Fum staN.NanROneiun
LAHBBRR,CA 90(31
Address
Bidder
Si?alUre
1ASA?Aza? 111C
@9maiLrorn
'i
TOBEINCLUDEDINBIUPACKAOE
BP20F 14
J A SALu7AR CONSTRUCTION & SUPPLY OORP
618N HARBOR BLVD.
CITY OFSANTAANA IANABR&OAmm
IMPROVEMENTS (REBID)
PROPOSAL AND CONTRACT AGREEMEN
PROJECT N0.10.6404: DIAMOND PARK MUTUAL WATER COMPANY WATER MAN
LIST OF SUBCONTRACTORS
Sec6an 4100 et, seq. o£tbe Public Conuact Cade requires listing of all subconhaetors with the bid
for all subconhaa work exceeding the following amount:
- Streets,hiowaysincludingbndgeprojects; I f2%oflhehidorS10,000,
• Buildings, parks, or other projects: 112%of the bid
NAME LRQ 46
NAME
LOCATION FuIIWhn,CA LOCATION _
PHONE ?114? fP31 62fl4 PHONE
TYPEOFWORK h?S $? 'fYP80FWORK $?
NAME Qf I ? (?_ NAME
LOCATION ?Dn j ? Ch LOCATION
PHONE (RE9 ry9??9?0? PHONE _
TYPBOFWORK 4Jffl?$?C9? 6' TYPEOFWORK $__
NAM NAIv?
E
LOCATION R 'IA _
LOCATION
PHONE I ?4- ? _
PHONE
TYPEOFWORK lid S TYPEOPWORR $
P?
NAME NAME
LOCATION _
LOCATION
PHONE PHONE
TYPEOPWORK $ whichever is greaocr
__
TYPEOPWORK $
BIDDER proposes to subcontract oertaia porWOns ofllrewarktothefumslistedbelow:
r
i
Nameaf ' ?' mhUngBid
SignahueofBid
TO BEWCLUDED IN B[D PACKAGE
BP30F14
JAMUWRD9NSTflNCpONa9UPPLYWRP, j
819N.HAgBORBLVD, a
CITVON'SANTAANA ?G48?1
PROJECT NO. I044. DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN ' ..
IMPROVEMENTS (REBID)
PROPOSAL &CONTRACT AOREEMENT
BIDDER understands and agrces Viet tale written proposal (or any part thereof specifically
designated and accepted by the City of Santa Ana, hereinafter AGENCY) shall con NMe the ¢r6v¢
agreement between BIDDER and the AGENCY only after it has been auepird by the City Council,
endorsed by the Clerk of the Council with her sigoatme and odirdal seal noting hereonihe action of
approval of the Council, sigoed by the Public Works Agency F?ecNive Dircetor or his duly
authorized agent, and signed by the Gty Attorney, denoting his approval of lh¢ fomr of this
document, and hs execution, and when it or an enact wpy of it has been either delivered 6a
BIDDER or deposif? with [he United States Postal Service propwly addressed to the BIDDER
with the correclpostage affixed (rerete,
BIDDERfui(herepasthaatupond¢livery(asdefuud?hove)ofiheamepkdagreemeaChelshewill
famish AGI?'CY ell required bonds and cer6ficare of liabhity ?surance within ten (10) days
(exoluding Salmdays, Surdeys and AGENCY'S legal holidays), or the funds, dreck, draft, or
81DDERS band subsfitored in I? t?roof accompanying this proposal shall b¢come thepmpedy of
the AGENCY and shall b¢ considered as payment of damages due to Flre delay and other ¢atnes
suffered by AGENCY because of the fdlwe to famish the necessary bonds and because i[ is
distinudy agreed that the proof of damages eduelly suffered is difficult ro a7¢enain; otherwise said
£wds, chcek, ?atls, ac BIDDER'S bond substiNfed in lieu thereof shall 6e rotutned ro fhe
undusign¢d,
BIDDERwdersfandsthatabidiareguiredforthaentirework,thatthetsfimattdquantititeserforfh
in>he bid schedule are sol¢ly for (he purpose of competing bids, and that Baal compeusatien order
Ue contract will be bayed upon the ecru al auangties of work satisfactorily completed,
All tarots confa?ed in the Sp¢ufficaBons, fhe CerBlication of NomDi?aimination by Contrartars,
and the Workers' Compersavon Insuren CemBcafe are ro be inceg+oml¢d by reference info this
Agreement and are made specifically as p?t of ? bid,
NamecfFimr ?,II,`1fIV?CP?A 11W1??B?1???
SignamreofBidder
Title ?Y?UIW
(ff m individual, so
TOBEINCLUDEDINBIUPACKACiE
BP40F14
JABAIAPARIXiN9TRUCt?ONdaUPPLYCORP,
819 H, tI?P90R BlVO.
IAHRBRq,CA 90631
ClTYOFSANTAANA
PROJECT NO, I44K DIAMOND PARK MUTUAL WATER COMPANY WATER MItM
IMPROVENIEN'f S (REBID)
Qf a firtu or eo•paafiership, sata the fine name and give the names of aU individual eo•pat?ers
composing the firm, If a rurporatlon, stale legal name of w?prnadoq snd names of P?sident,
Sarelary,Treasurerand Managcr,ihweoP.)
PROPOSAL AND CONTRACT AGREE
BIDDER'S STATEMENT -CONTINUED
ACTION OF COUNCIL,
Awardadto p
oalhaD?a raspoRSi aM?apaa9iua ?tl.
hitl0ariR?eamouRlol
$ 5?3 ??n8"'?? Date fir- a8 20 ??
ATTEST;
CLERKOFTHEC CIL
APPROVED AS TD FORM:
TYATTORNEY
ACCEPTED POR TBE CITY OP SANTA ANA:
EXECUTIVED TOR -?
PUBLICWORKS GPNCY
TOBEINCLUDEDIlVBIDPACI?IGE
BPSOFI4
dA9,gLGIpAC9N3RAUCTI0Nd8?iPLY00FP819N.HaABOfl9LM.
IARRBRN,Ch 98831
CITYOFS.INPAANA
PRDJECf ND.10.6404: DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
1MPRDVEMENTS(REBID)
EXECMONOFTHOSE CERTIFICATIONS WHICHAR&APART OF
THISPROPOSAL)
EQUAL Eh1PL01`MEN'f OPPORTUNITY CER'f IFICA'f lON
7heBIDDER ??,? ?U Ppd_W?14? ? ?141 w'
(THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS
PROPOSAL SHALL ALSO 00N5TffUPEANENDORSEMEMfAND
proposedsubwntractor hereby
cer[ifiesthatbe has? has not _,paAicipaledin apreviouacontract or subcouUactsubjrctto
lfie¢qual opportunity cleaves, as required by Executive Orders 10925,11114, or 11246, and thah
whereregtir¢d,hehas6ltdwilhihelaintReporBngComminee,theDveo[oraftheOfGoeof
E?eralContraetCompliance,aFederalDouemmenlrAnirecdngoradoviisfertngegarcy,orfte
former President's Committee on Equal Employment Oppor6udty, al I reports due order the
eppficablefilliug[equiremenls,
Note; TlmabovecedifioationisroquiredhytheEqualEmploymentOppommiryRegalationsof
iheSeoretaryofhabor(41 CFR60.1.7(b)(I)),aedmus<besubmidedbyBIDDERSand
proposed subconimators only in coMectioe with contracts and subcmtrsrts wluchare
subjecttotheequaloppodwvitycleuse Conlmclssndsubcoouz?swhichareexemptfiom
theoqualopporluni(yclauseare setfarth in 41 CFR60•I,f, (Generallyoulycontraets or
subwntractaof $10,000 erwderare ¢xempt.)
Cuneutly, S andard Form 100 (EE01) is the only report required bythe Executive Orders
or their implemenfing regulations.
Proposed Pume Conhactors and SubconUactors who have participated in a previous conUad ar
subcontract subject to ?e ExeeNi ve Drders and have not filed the required reports should note that
41 CPR60.1,7(b) (I) preventstEeawardofcoNracls and suboontraciswless suehcontractor
suhmitsareportooveringthedelinquenfpenudorsucNotherperiadspeLified6y(heFedersl
Highway Adminishafionorbythe Director, OfEceofFederal ContradCompliauce, U.S.
Depatunenf oFLabon
TOBEINCbUDEDINBIDPACKAGE
BP60P (4
d A B4lAYAR cuHSrnuerioN a au 7RLr WRR.
619 N. HARBOR BLVp.
lAHa9RA,CA 9081
CITY OR SANTA ANA
PROJECT N0. 10404: DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEMENTS (REBID)
PROPOSAL AND CONTRACT AGREEMENT
CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR
The uudersignd coufractor or corporate officer, during the performance of Ibis contract, cer6fies as
follows:
1. The Conhactat shal(not diseruainafa against any employee or applicant for employment
because of race, color, religion, sea, or rational origin. The Conractor shall at eflirruative aclioa
fo ensure that applicants are employed, and that employces are treakd during employment wi?ouf,
regard to their race, color, religion, sex, or national angN, Such action shell include, but not b¢
limited to, le following: employmeop upgrading, demotion, or transfer; recruitment or fecdtneut
dverfising; layoff' or termination; rafts of pay or offer farms of compensation; ad selection for
employers and applicanfs fo.
employment, notices m beprovidtd setting forth lheprovisions of this
uondiscrimina[ioarlause.
2. The Conbxlor shall, in all snliafafiona or dvefisemeuts for employces placwt by or on
belmlf of the Contactor, slate fat all qualifid appRcenb wvl motive considerallon for
I employment without agard to race,color, raligiory sex, or natiooul orig.
3. The Coohaclor shall send to each labor uNOn or representadvr of workes with which he
has a caBecOve bargaining agreement or othu conVact or understaudiag, a nonce to he providd
advising the aid labor union or workers' reprtsentadves of the Conmae(or's comniitmenls under
inis section, and sl>all post copies of thr notice in censpicuous places available m employes and
appdcan[sforemploymenL
4, The Contractor shall comply wi(h allprovisions of Ezecugve0rdtr 11246 of September 24,
1965, and of the roles, regulafious, and re?evsm orders of the Secretary of Labor.
S, The Conta?or shall famish all id'orraadon and reports requhed by Earcubve Order 111A6
of September 24,1965, and by roles, regulafiona, and orders of the Secretary of labor, or pursuant
fNeretq and will pe<mit access fo hislbes books, recerds, and accowis by 6eadmwsfeilng agecey
and the Scerefary of Labor far purposes of inves4gatioq to asce?in compliance with sorb riles,
regulations, and orders.
training, inclufigapprrnfictship. TheConnector agreeslopost inconspicuous plaets,aveilablclo
6. In the event of the LbnlraUo;'s non•cemphanre with ? nodiacmniuakon clauses of his
centtacf or with any of the said roles, reguldora, or oilers, the conEact may be canceled,
tertnina[d,orsuspenddiuwMleorinpanendtheConfredormaybedeclartdineligiblrfor
TOEEWCIWEDINBIDPACKAGE
BP 10F 14
lAHdBPH,CA 93Gi1
C9TY OF SANPA ANA
f13 N. HARBOR BLVD,
PROJECT NO. 10.64 DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEMENTS (REBID)
PROPOSAL AND CONTRACT AGREEMENT
CERTIFICATION OF NONDISCRIMINATION BY CONTRACTO -CONTINUED
futlher Government contracts or federally assisted conshedon contracts in accordance Ail
procedures aulhoriud in Execu[ion Order 11246 of September 24,1965, and such other sanctons
may be imposed and remedfies invoked as provided in EzccNivc Order 11746 of September 24,
1965, or by tile, regulations, or order of the Secretary of Labor, or as olhenviae provided by law.
7. The ConhacNr shall includelhe portion of the sentence imm?iately prec¢d?g paragraph
(1) and the provisions of pame<apl>a (I) tiuough (? in every subconta?Cor purhase order unless
¢xempkd by sties, regulafious, or orders of the Sccrotanof Labor issu¢d pmsuan[ to Sccfien 204
ofEx¢cutive Order 11246 of $eplemb¢a24,1965, se tlsatsuchpmvisionswillhe bmdingupoaeech
subconlmct or purchase order as the adlnhrisl¢nng agency may direct as means of enfore?g such
proviEons, including sanctions for nonccmphance; provided, however, that in the event the
Contractor beccmes involved in, or is tiuealened ?ih, lifigation wig a aubccnVa?or orveudor as a
resuh of such du¢cdon by ? admhtistering agency, the ConheNor may request that ?e Unitai
States enter info such Rdgation to proRct the interesGc of dre United States.
8. Pursuant to California le6or Code Semien 1135, as added by Chapter 643 Sta(s.19J9, and
as amended,
No discrimination slwll be made N the employment of persons upon pubheworks buause of race,
religious creed, wlor, nvliooa[ on ' anceshy, physical har?ticeps, me>rfal ccudition, marilsl Deis,
or sex of such parsons, exoe as mvided in Sermon 1420, end any ccn6actor of public works
violafingiMsSectionissubjat? lhepenalfiesirapos¢dforaviolatienofdreChapter.
Tdle
Finn
Dale
TO BE INCLUDED IN BID PACKAGE
BPBORI4
Cfl'1'OPSAPiTAANA
PROTECT N0,10.6404: DIAMOND PAWL MUTUAL WATER COMPANY WATBR MAIN
1MPROVEIvBiNTS ptEBlp)
(fNE91DDER'SEYEI'UTIONONTNESfONA1'UREPORPfONOFiyIIS
PROPOSAGSNAGLAL50 CONSIffUfEANENDOpSEgNTAND
EXECEN10NOFtN05ECERTIFIC9T14NSW111CNAREAPART OF
RQUAL EIYIPLOYMEPIT OPPORTUNITY CERTIFICATION
TVs PROPOSAL)
? ` ThoBIDDeR ? A ?J,IQZ?
i propose subcannactor ,f17 5Lr'S -??
cerliBestw he GasI hasnot,,pmficipeted'sepreviousconkemmsubcenoactaubjectto
theequslappomudtyclauscs,asrequiredbyEzecuVveOrdds1092S,11114,0¢111,Ifi,3udrhat,
?? whererequirai,behasfiledwiththelaiNReporSngCommitke,?eDireu(araftheOfGseof
Fcdmal Conhuet Compli?ce, a Federal GovemmeN amrecdug ar edminisfering agency, or the
I fmsuerPrcaldeut'sCammigxonEqualEmplopmum
Opportusity,dlseportsdueundortbe
? applicablefil?grequiamenls.
Note; 1'haabov¢certiBcationisrequiraibydscEquslBmploymentOpporSUUtyReg?aVonsof
tMSeuro6vyoflabm(41 CFR60•I,1(6)(I)),sndmustbesubmit?dbyBIDDERSand
proposed subrgnnacWm only in comtacdon with comrscp tnd subcan4ams which me
subjxttodtoa0ualoppormnitycleusu Camraetsatdsubcout?+swbishureeaemptfi'oro
rleequeloppwtup?Ycleusaa?esecfodG in41 CFR6PI,S(Generallyonlyuontra?sor
subcontracts of 510,000 m under era etcmp(,)
f?arreudy, Staodazd Foms I00 (EEO.1) is the only report requirod by ?C Executive Orders
ar thek implstt?ling rogulafions,
weby
Proposed Prime Cookacfots end Subcontreclora who hays pattirdpaced in a prvvious coopacc or
suVcoMractsubjeoYmftiaBzECUtlveprdersendhavenotfil?dArequiredreporLishpuldnohthat
41 CFR60.1,9(b)(1)prcyentspy?dofsAnlteetsaodsu?onu'aelaunlesssucheomaedor
suhuuta a report Wvenng the deBsquenl period m such ever period spxified by dte Fuderal
HighunY Aeon or byth¢Director, ODice of Fedotal C?kemComplienm, U.S.
pepar?entofLabq.
TO BE MCLUDED ]N BID PACI{AOE
BPfi0Fl4
l?1U-09-2011 09:07 From: ID:dA Sala:ur f? Pa9e:001 R=98r
C1T40F SANTA ANA
PROTECT NO 10-6404: DIAMOND FARK Ml!'N1AlWATER COMPANY WATER MARY
IMFROVEMEMS(REBfO)
PROFOC? C?NT?A A REF6?ry?
C FE-?7 fCA119N OF NQND1SC Ai[ONEYCO TDgr7gn,
Th¢ undersigapi cordractm or onrpmale officer, during 6a pe>fOrmaaee of tf4s canhnd, cerdfiea as
follows;
I. The Conhaelor shall oat distrimlaate agaipst azry emplnyte or applicant for employmem
? beceuseofraee,color) reRgon,sez,aradionalorigin, The ContecnNSballtie afiroutiv¢acdaa
to ensure that app Gams are employed, aodthat employces are treated daiug ¢mpleym¢at arrdsoul,
? limited to,thefollovring; empleymen4upVadlr,&demotion,or haosfes;aectuitmentor radtdtment
advcrdsing; layoff ar faminatioa; mros of pey as o?rc forms ofcnmpensaGon; and seledien for
oaioing,iuclud?gapprwGceship. TI?CoaSaatoregreestoposlineoaspiewuaplaces,avsilaM¢lo
employees and applicants fm anploymepy notices to be provided satipg fogb rise pmvisious of ttus
nonsGscmminaienelause.
2. The Coapator shall, al all sohoifalions a advefiaensents for employees placed by or on
behalf of the Conbactor, sate that alt qualifi¢d epphraats wRl receive aopsid¢taGan for
¢mploymenl witbout rogartl to aae¢, coke, teRgion, rea, OF national orlg?.
3, The CorMactor shag send k earE labor union a ropreseuiaGv¢ of wotkas wit<t vlnich he
bas a collective 6orgaining agreement m otha aouhact or tvAers?andiag, a aor ue to be proiided
advising the said labor avian or wallas' repmsenmtiy¢p' aP fbe Carthaaa's mamniVnerGs node
pia srcGwy ark shat/ post copies of the entice k mrupieuoup plan available ro employees end
apptiranfs for employmem.
4. TheConhactorshaRroruplywithaRprovisiansoflkamtive0rda11246ofScpkmber24,
1465, sod of the mks, regulations, and relevant ostlers of ?a Seaesvy of labor,
regard to Their race, color, reVgiary sex, or asfierlal origin, Snch 'Orion dull include, but cot be
S. The Con¢gemrshall futadsh al(infonnadop and repoAs fequised 6y Exearrtive Order 11246
of September 24,1965, and k/rules, regulations, and orders of the S?etay of labor, a pursunnf
t6'ereto, and will pemut guess to 6islhcr hooka, rerords, and accou?s 6y du admiNStering agency
and tlu Sareary of labor for purposes of iaeastlgapan, ro aacertaln comppaace with such roles,
regulatioru, and orders.
6. Ip the emas of 1<e Conaaomr's aonaompliaace utirV the ne?iseomination clauses of Ale
eonhact a aiW any oP rise said odes, tegulatiora, a ordes, the conuace may bo oancelad,
terminated, or auspeaded in wMla a in port and tin Cmaractor may b¢ declared iacligmle for
TOEEWCLWEOPIEIDFACiGIGE
ER1DF14
NOU-89-?11 09:08 From: ID:dA Salazar 07 Paae:002 R=98%
CITYDFSAN'PAANA
PROJECT N0.10.6404: DIAMOMI PARK hNTUAI WATER COMPANY WATER MAIN
IMPROVEMENT$(RER1D)
PROPOSAL AND CAN1'Ra CTCT A--
CE ???"vN°S'""Tii A?.CDM'EVl1PD
tuttha GOVaramall wetsacls m federally assisted aonsNscdon coattacls in accordanae veils
procedums aulhariud in Erxutlon Order 11246 of SepwmEa A, 1965, and suelt atha saactions
may he unposed and remedies invoked as pronitled in Ezecudve Orda 11246 at Septembu 24,
1963, orbyrele,regolwioes,ormduofNc9a4ttaryoff.?pr,masoll>aviseprevidadbylaw,
7. The Conaaam shill include Ow pow of the sentence immaliawly Prea?k pak
(i) ad the provisions of paraFpys (I) Ifrougp M in Quay subeadlmef at puatasc ardor unie9s
exempted by roles, regulations, of ordas 01 & Seadary of LaNor issued pursasnt to
1965 Swtioa 204
of Hxtoufive0rdull246oPScptenber24,,sothattauchprov?iora?IlbebindNgupanemh
subwahact or purchase otdm as sLe adutiniswnag agency rcay decd a aseaas of adorning such
provisions, including sanctions for aoawmpliance; provide, havsevey fret iu fbe evad the
Cantracwr Ikcomea involved in, or is tiuealened with, lit?aien xitV o sobootmacsbr m vendor as a
sesulE of such diractian by the adminialeeng agency, the Coohactor may regneal tEat the United
Stales enla into such lidgaf ioa m pmha the igteresls of ?e lluited Stews.
A. Pumuanl m Cali?ia laboA Coda SMon 1135, as adds by Chapter 643 9a4s 1939, aril
asamended,
_ No dwsctimiraaliaa shall 6e mak N the employment of pasons upon public works because of race,
religious aetd, wlm, nafiooal origig aceypy, DhYsiasi handicaps, tnenW roedidag raatiW s?tus,
or sex of such puaons, except as provided ut 8wdon 1420, and any WnVactor of public wofas
violating This Section h suisjwt a all 0? penahies imposed £ar a violation. of the Cbapta.
gaph
S?" ? ? nrnrt'n n ?
Tide ?JIQ° ?'
Hate e q aAll
TO BE D4ClUDED WE10 PACKAGE
BPBOFI4
ICJ-09-2091 09:08 Fram; I?:SR Salazar CO Paae,003 R=98%
CITYOFSANTAANA
PROJECT N0. IOfi404, DIAMOND PARR MUTUAL WATER COMPANY WATER MAIN
INIPROYENIENTS (REBID)
(fHEBIDDER'S EXECUTION ON THESIGNATUREPORTION OFTHIS
THISPROPOSAL)
EQUAL EMPLOYMENT OPPORTUNIZ'1' CERTIFICATION
The BIDDER. J(AJ00'I0J L.BVIJ"Wilffa1 ?2 UIV
PROPOSAL SHALLALSO CONSTITUTE ANENDORSEHEATAND
EXECUTION OFTHOSECERTIFlCAT10NS WHICHAREA PART OF
propos¢dau6conVactorl?0? ?'IIVDfD CO -,hereby
cerfifiesthafhe has _,hasnot?parOuipafedioapreviouscontremasuhcantractsubjcetto
?aequaloppoMnityoleuros,asrequirtdbyRzecudve0rdom10923,1111h,or111A6,aodthat
where required, he has lied with Oro Joint Reporting Coromittee, the Direclar of fbe OJTme of
Federal Contract Compliance, a Federal Gavcroment comracGng or adotirdslering egcecy, of the
formerPmsident'sComotit!¢eonllqualBmploymantOppoAuairy,allrepoiadueundalbe
appliceblefill?grtquimmenls,
Note; 1lmahuvecertificaionisreyuiredbytluEgualEmploymenfOppommiryRegulabonsof
thaSa?relaryofLabor(41 CFRfiO•L1(h)(I)),andmuatlwsubmiRedbyBIODBRS and
proposed subconUactors only m connecd an with contacts and subcanhacts which ace
su6jectmOte¢qualoppmhudtyclauae, ConVaclsandsubwntmctswhichareosemplBnm
?Cequalapporhudlyclauseares¢tfarthla4l CPR60•I,S. (Ceaerallyo?vcontractaor
suhwntmets of $10,000 or under are esempl,)
Currently,StarsdardFarm 100(BPA•1)isOuonlyrepodrEa)uiradbylheEreoutlve0rders
or theh iraplementiog regulations,
PropoudPrimeConlmdomeudgubronkaclaswhahauapaAiupal?inepreviousceatrector
subconlmcl subject to 9re 6zeeudve Orders end have not filed the required rcpoDs should sale that
41 CFR6U19(b)(I)Prevenlstheewazdofoontreclsandsu6eantramawlessaunheenkaafor
auhmilsarepa1covepnglhedelirnquaNperiodorsucholhapenodsprod'iadbyfhePcdeml
Highway Admirdshatian ar by the Director, Office of Federal Canhact Complieuce, U,S,
DaparhnemofLabor.
TOBBMCLUDI',DINBIDPACKAOE
BP60F 14
I
c?TYOasnmrAANA
PROIECf N0,106404; DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
C?'$, ?1FICATIONOFNONDISCRIMMATIONEYCONTRACl'OR
The undersiped aontrador or corporate officer, Mg the performance of this coob`acti certiEes as
follows:
IMPROVEMENTS (REBID)
h The Contractor shall not discriminate against any employee or applicant for employment
6e0 auseafrace,co18 r,mliIon,cex,ornationaloriThe Conuactorshallmkeafbmsauvaecfion
m ensure that applicants are employed, and that employees arc treated during employment wldloul,
regard m tbeh race, color, refigiaq sex, or nefiooal origin. Such action shall include, but not be
limiledlo,thefoUowiog: eu>ploymenhupgrading,demo9 ou,orCanafa;recmipnentorrecrui4nent
advertising; layoff or lermiaatien; notes of pay or odser forms of compensation; and selection for
h1'01ug,1ncludimgapprer6cesbip. TneContrecloragrcestoposlinc?nspicuousplaceD,availableto
?' ¢mployeesandepplicanlsFor¢mployman4nofiusto6eprovidedaemngfoAhtheprovisiousaftala
nomdiscchmme6onclaus¢,
2. Tlm Confraac4or shall, m all sohcitatiops or adverdsemenb fm emplaycea placed by or on
behalf rf the ConUacmr, slate that all gualiBed applicants wBl mceive camidcra6on for
employment svidlom regard to mce, rolar, reGgian, sex, m nmional orig?,
3. The Conhactor shall cemd to each labor wino or representative of workem with vloich he
? has n cop¢dive bargaiuimg agrcam¢N or other conhaet or umd¢rssnding, a nofica to be provid¢d
advising the said labor union ar workem' repwsantelives of the Contracmr'a commitments wtler
this s¢clion, and shall post spies of tim notice inconspicuous places avavebla m cmployces and
? applicantsFrremployment.
4. ThaConlreotorshallromplywifhallpmvisionsofEr?cubvaOrdar1124bofSepf¢mbar24,
[ 1965,andofthendes,vegulations,andrel?vantordersofdmSecremryoPLabor.
S, Tne ConVecmr shall famish eB infommtion and reports iequh¢d by Bxeaufive Ord¢r 11246
of gepkmber24,1965, endbymles,regulations, andorders ofthe SceaehryofLabor, mpursuant
Iharelo,andvdllpemtitarcesstoWs?6ooks,records,audacenwdbylbeadmiaisimingag¢oey
and the Secretary of Labor for purposes of imvasfigation, to ascertain compliance vdlh such riles,
mgulatiom,andardms.
6, to dse event of the Conuactm's non?compGaece with ?enondiscdmine(ion clouvrs of tiffs
contract m with any of dse said odes, regulations, a orders, Ou corllad may be cancel¢d,
temtinaled;orsaspand¢diuwholaminpazlaud?eConhedoY'megbtdcelaredinoGgiblefor
TO EE INCLUDED IN Bm PACKAGE
BP10F14
CITYOPSANTAANA
PROJECT N0.10.6404; DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEfv1ENTS pJD)
PROPOSAL ANDCONTRACLOEM2T
CERTIFICATIONOFN 15CRMMAnnlJnvrnrsrupCroa.CONTINUED
fudher 00vemormt conbads or federally assiskd ea melon canuacts in accordance wilh
procedures aufhoriatd in Execution Order 11246 of September 24,1965, and such Other sanctions
my be imposed aad Temedies invoked as provided in Executive Order I IN6 of Sepkmber 24,
1965, or by nde, aegulalioa s, or order of the Secretary of Labor, or as otheradse provided by law.
T, Ire CouOador shall include ibe podion of the semencs imm?iakdy pmOediag paragraps
(l) and the }uovisiOns of paragraphs (I) 0uougV (1) in every subcoakad or purchase order uOless
exempkd by nA¢s, tsgula0ons, or ordms of tEe Secrokry of Labor issued pursuant k Section 204
ofE»¢audve0rd¢r 11?A6ofSepkmbm24,1965, soihalsuchprovlaionswillb¢ bind?guponaach
subconkecl orpumhsae order as fhe adlninidenng agency may direc4 as means of enforcing such
provisions, inclu4ing sancdoas far noncompliance; provided, hatuevar, fMf in the even( the
Cantrador beromcs involved N, or is Ihreat¢ned wish, litigatlon with a subronhackT or vendor as a
result of such duection by the admwskring agency, the Cankador may requral that the Unikd
States Omer mlo such R6gafiun W prokcf dre inknsk of Ore United Smka,
B, Pursuant k California labor Code Sidon 1735, as added by Chapkr 643 Skls.1939, and
asamsndcd,
No tismiminatlon ahaB he made a the employamnt of persons upon public wotas because of rocs,
roligious creed, color, nafional orighy ancestry, Physical handicaps, menial roadidoq madkl dales,
or sex of such pmsoOS, except as provid¢d is Scodon 1420, and any oondlaador of public works
violetingtMsSer4ionismbjedto pe?l0?imposedfareviolafioaol"IheChapkn
Signed
Title
Fhm _?18VI8J- I PU b_ DTnVV ?YIC,
1b BE MCLUDED IN dN PACKAGE
BPSOFI4'
CITYORSiN"1'AANA
PROTECT N0. IO
IMPROVEMENTS
': DIAMOND PARK MUTUAL WATER GbMPANY WATBR MAOV
7N ON THE SIGNATURE POR TION OF THIS
OCONSfITUTEANENDORSEMEMAND
CERTIFICATIONS WHICflAREA PART OF
TNISPROPOSAG?
EQ[1AL
sapTus&bc
whemrequrtad,l
Fcdaral Cooascl
Notx Tha
proposed sub
subjenmVu
or their
?/Nn I +L6FFYEKy yNC, hrre6y
hss nN. J pwticipated N ap>avious eontrut or subconbacl subject to
as,esrryuiredbyEsxudve Ordms 10925,11114,os 11246,wd0at,
Iwi>b?lointReporliogCommidso,thaDi?moffb¢OfGroof
:a,aFedoralGovaommtrnnhudngoradrtwishtingsgimy,ark
tea on Equal Employment Oppotnuriry, tll cepoAS due under Ore
OPPORTUNITY CERTIFICATION
IsrequiredhythaEqualEmploymatOppomwiryReguledonsof
41 CPR?.1.1(b)(I)), wd mus1baaubmitudby BNDERS wd
r oalyia comreofi on wnh rontracis aad subcontracts wtich aro
aamilyclanse. Canua?isandsu6romrxtswhiehanee®pt@om
auxwtutfur? ie41 CFR6BI5, (Gelrually rolyron6aclyor
munderveezmµd,)
100 (EBOd) isiht only repod required by ma EzecufNe Ordem
PmposadPsimeCon and Sbbcontracmrswhohevepmlieipa?dinapeviaosaontraclor
subwatraclsubjamm eEna^ufivcOrdarswdhan?at9adtharaquiredrepoAashoplduouthat
41 CFR6D•1.1(b)(I) rntsthaawardofroatractsandsubroatracsswlesssuchaonVactai
aubmi>serepatrov ngihaddmqum(pgiodasuho0urpuiodsprifedbyNePedaral
HighwayAdministra narbytbeDutefot,OfficeotPedenlCoatractComplianre,U.S.
TO BE BgCLWED M BB) PACKApB
BP60F Id
CITYOFSANTAANA
PROJECT No.
I. N Contracmr hall
because of tee, wlor,
to ensure Nat applireni
regard W Iheir rece, a
lunitad lo, defall¢win
advertising; IaycO or I
ttaialng, i ucltaliag app
DIAMOND PARK MUTUA6 WATER COMPANY WATER MAN
?, t?l'tEes as
not disraim?e(e against any dnployae or applies for ao?loym?t
Iigoo,rcz,ornatienala ng? 1teConhaGarshegtakeafB®adveacdun
me ¢mployed and & aaployas arc mod during employment without
n, reggiaq n or rado?l origin Such action shall include, but ooi be
e?oloymeol, upgrading, demotion, or =16r; rccmitrnem or recruitment
miatlian; mks of pay or Other forms of rompeosadoa; and xlatiun for
rtiaship. ThaCasroaclmagrcestopoatinwaspimmoaplecre,evdBblolo
a for employman4 nodva ro be pmvdd acging forte tl? pmvisiosn of
2. 1be Contrxtor shall, in ag rogapdons or adv¢Neemenb for anplayas plmed by or on
behalf of Vu C , spte Thal all qualified appGwats wall rcroive caosideMian for
employmunfwilgpa ardtoraa,rotor,rpligiogsea,or?iouslurigin.
follows: rorporek offiar, ding the paformm of bsaoutr
3. 'fie lbahacf shall send (o each lobar uvon a repasenV>frve of workas with which he
bas a eagxdve agreemrnt at afha romaaG or mdmslardir?g, a mdea m 6e pmv?d
sdn`dng dZ reid h urtion or workas' mprcewadves aF fhe Cantranor's egomitnadr undo
scetioq wd shall sr copies of ?e nods m conspicuous places avageble W employees and
appgcmhforemplo rnt.
4. The COnnaWe a6all romply ufd all pioviaionsaf Eraudve (hda 1;246 of Septrmba 1A,
196S,andofih¢mles, 'ono.andrelevantnrderanftlvCmalarvnflaMr
S. 9be Contra shall fwiisU ell iufortaaboo and rcporq raGuircd by Ezewtlve Orda 11246
of Seplembar 2-0,196 , and by mla, rcgulatioro, and orders of the 3aretary of labor, a p?snuaa!
(h?ta, and wig f access to Nsm¢r books, records, and aroaunty by the sdmhJneong agency
and flte SaCrerary of r for purposes o{invaggelioq W asewpin eompliana with such mlrs,
reguladans,ando ,
6. la ? ¢vml n Iln Contraemr's nomrompgsnce ui? the riondis?adon dausa of his
contract or mth any of the said ml¢s, mguladons, a orders, dsi umtrrst may be canceld,
kradmttd,orsuspen inwhol¢orinparaandU>eConlrectormayb¢declar?iroligiblafor
TO BE INCLUDED W Bm PACKAGE
BP10F14
PROJECT N0, 10
IMPRQVEMENf$
DIAMOND PARK hfUTUAI, wA'3ER WMPANY WATER MAM
CITY OF SANTA ANA
fialfar Govtmmtnt W heats or fedNally wind FcuU ?on wnhacts in euordaott vmh
proadorcs aodsarited' Ezxutloo Omer 11246 of S24,1965, and such o?5a sanctions
may be i?m1pas? and a invoked as provided vc Omer f 1246 ofSepumber Z4,
1965, or V7 NIP, Itgniall n3, N OmEf of 6c $PCfenlrv oflaMr ru oe mA.m.e......,,a.a L.. i...l The Contract, U l ioeNde 0a poldoo of the amtrnn immdlamly plecedio6 ParaBaPh
WN&Mu_n P oil 4 n c Y ' . CON'f INUED
(I) ? ebe provisons o pragrephs (I) though (7) in tvuy suhwnlNq or putchast mda wlus
crPmpkd 6y nhd, tiora, m mdms of the Sanmry of [ahor isnud pumiaat a Sedioa 204
afBxewtive0rder1l ofSepttmba24,I96S,sot}alaur5?avisi?s,wip6eb?dloguponeuA
Nhcoamact ar purPJmae as ON dm?isleNn6 ?Y may dircq se Naas of ¢nfoNing such
provisions, uroluding om for neaeompEaax; bonded, Irowtver, Lu in BN even( 06
Cor?aarrmbce?es inv Ived N, ar is Ihrcatermd wilt, Eflgafiao with s sumo?ador or v01$nI as a
rosuh of axh diRCfion y the edmnisfeting agency, tht Conheclor mry requ?al dal NP Unitm
S?amsParorinmauchE 'antoprokcltbeiartrcslsoffbeUNrtdSlmes,
o. rNwmr m tar?mia LabN Code Sxtion 1135, as added by Ctvaphr 643 Smis.1939, and
? I
No diseimioadon shag made a ? Wploymmt of pmsons upon pubGeworks bxause of race,
Nligiaus aePJ, wkr, ' nal Ni?4 aoresny, physiral lumdicaps, Nenral ronditiaq Nariml SINUS,
or sax of such except as prmddod In $endon 1420, a? any wnhacmr of pubiiu works
valahgCus9rodonis 'dtmilltheptasltiesimposultoravialadanofdteChapler.
11da ?,ea?E ?,?r,?'?x ElTiM,Ynk
Fum ARV 6R? A,S C"
Date ?
1'0 BE INCLUDED M B1D PACKAGE
EP$OFI4
J A SALg1AR OONBTRUOTION & BU PPLY CORP
BfaN.HPABORBLVD.
tANgBPACA 80891
CITY OF SANTA ANA
PRO]ECT N0.10-6404, DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEMENTS (REBID)
PROLANDCONTRACTAGREEMENT
WORKERS' COMPENSATION INSURANCE CERTIFICATIO
As requird by Califamia Labor Code See[ioa 1860 end 1661, the ConVactor certifies ss foRov?:
are of the provisions of Section 3700 of the Labor Code, which requves every employerto
be wured ageins(hsbhity for worker's oomperdsalion or fo wderlake selfiasmwce io accorclauoe
with the provisions of the Code, and 1 will comply with such provisions before commencing the
performance of the work of tltis conpact
If I, as ?e ConVaefor, now or at any time during the course of AE agreement, gwlify as an
wnployer wilder California Labor Cade Section 3300, unless iM hid employeds) is (are) persona
excludd by said Labor Code,1 shall furnish the Gry of Sand Ana with w iuswwce ceNfiwte
Gommywarkers'mmpensalionin wcecarnercertifyingihallcwysuchinsurancewdthallhe
policy shaft not be cwceld nor cavemge rdwed except upon thhty (30) days prior wnneu
noticeto?eCityofSwtaAna?
lama,
Sigrid
Title
Firm
Date
TO BE INCLUDED M BID PACKAGE
BP90F 14
J A SAl AIAA CON6IAUCTaN 8 sUPPLY coAP
uBACAA,ca sort
CITY OF SANTA ANA
613 N. HARBOR BLVD.
PROJECT NO, 10-6404: DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEMENTS (REBID)
REFERENCES
PROPOSAL AND CONTRACT AGREENOT
The fallowing are the names, addresses, and telephone numbers for three public agencies for which
BB)DER has performed svrti lar work with the pas(lwo yoats,
L?d1l',RI?
Name and Address of Owner.
? Nameand Telephone Nuraberofpeasonfamiliar witlrprojeck
2.
Name and Address of owner.
I
NameandTalepboneNumherofpersonfamiliarwithproject
i CoatreclAmouof Type of Work Date Completed
3.
?? NameandAddressofovmen
NameandTelephoneNumberofpersonfamiliarwit6projeN,
Contract Amount TypeofWork DateComplefed
Contract Amount Type of Work Date Completed
', The following are ?e name<c, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER inuads a procure irlamanceand bonds,
T08E1NCLUDEDINBIDPACKAGE
BP 100E 14
a
a
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zmD?N
DoN>?N
wur,mo.,
Nm?pm?
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WZImn
E+u=ZIN
ZW?NJm
¢ N
OW a
a?
N
m
ti
Q
0 0 0 0 0 0 0 0 0 0 0 0 0 0
w 0 0 o a o 0 0 0 0 0 0 0 0 0
U O N m m N N m m N m N
0 0
°m
A m N CO 0 m it 0 M l0 m m
«
m ro
n 0
0 c
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n N
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N 0
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a to
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m N
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u a u m m m m ? m N a r m ry m
N
» 0 m w w w w N w w
N
0 n
0 m N W N 0 0 0 N
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N
m
m 0
q, 0
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JA, SALAZAR CONSTRUCTION & SUPPLY CORP
GENERAL ENGINEERING CONTRACTOR
license No. A743587
613 N. Harbor Blvd
La Habra CA 90631
Tel 15621691-3647 -Fax l562? 6911092
ATTACHMENT "B"
Insurance and Bonding Information:
Insurance Type GLIAufo
Insurance Firm: IP Insurance Services
2107 N. Broadway, Ste 108
Santa Ana CA 92706
(714) 2854800
Insurance Type WorkersCGmp
Insurance Firm State Compensation Insurance Funtl
PO Box 420807
San Francisco CA 941420807
(817) 4054545
Bonding Agent: C&D Bonding
534 E. Batlillo St
Covina CA 91723
X626) 8591000
;.,,Surety 1st NationallnsuranceCo
175 Berkeley Sf
, Boston MA
Ircvew&riNiglolo
JASNL7Z4AWNBTAUCT10N68lIPPLYQORP613N.HAABOABL'N,
CffYOESAN'1'AANA ?HaB?CAW?t
IMPROVEMENTS
BIDDER'S STATEMENT REGARDING APPRENTICESHIP REOUIREMENIS
PROJECT NO. 104904: DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
PROPOSAL AND CONTRACT AGREEMENT
The wdersigned Bidder is familim w th fhe requvemwts of SeLUon 1117.5 of the S ete Labor Code
regarding employment of appmatices, and wdasfands fat runwaolors an oontreus eaeeedlag
$30,000 or 20 worLg days shall:
rRShip commilVe sdministenag fhe apprendoesNp steodtuds of
the raft or Veda is the mea of the silo of the puhha work for a eerfi$eate approving the ruatreclor
wrier the apprenticeship saudards for the employment and VaWng of apprentices is the mea or
indastrya6ecled,
2. Employfheaumbero(apprenticesortherahoofapprwti?stojoumaymensbpulatedinihe
apprenfir?ip sandards.
7. Contribute to fha fwd or fiords in each Draft or Vede in whieh ha employs jourueymeo or
epprenfioes on the public work, in the a amowt or upon the samebasis and in the soma raaocer
as (he other coahacfore, except POn rs not sigaafory to the Wsl agreement shall pay a tike
1. Apply to ihejoiM apprenti
Sigoed
Title ?s??o?
Firm Q ip ? J Wr44 ???
Dale I I U"I I ??
TO BE MCLUDED IN Bm PACKAGE
BPilOPl4
dASamtpaoousrauonoNasuaatraoaa.
siaN fu,Aaoaatuo.
CITY OF SANTA ANA
LAHaBRA cA. sosaa
PROJECT NO. IaM04DIAMOND PARK MIITUA6 WATER COMPANY WATEk MAW
IMPROVEMENTS (REBID)
(fiide 23 UNk4 States Code b`ealion 112 and
Public Contract Cade Section 1106)
ToIIwCIfYOFSANfAANADEPARTMENTOFPUBIICWORKS
PROPOSAL AND CONTRACT AGREEMENT
NON-COLLUSION AFFIDAVIT
In aaordancewith rile 23 UNfed Sys Cade Section 112 and Publio Contrail Cade 1106 the bidder
declares that the bid is not made m k imeresl of, or on behalf ot; any undisclosed person, partnership,
company, association, argaNiatiorti or oaporatioo; that tbe bid is genudde and not ceGusiva or sluvn;
that lbe bidder has no(duedy or indirectly induced or solicikd any other bidder to put in a Blse or
shambid, andhas notdirecdyorindirectly colluded, conspv?, coanivedaegrced wi0any biddaar
anyone else ro pu[ ins sham bid, or het anyoneshan refrain Gram bidting; Vmtthe bidder has not in
any manner, diraAy or indvady, souglil by agreemerrt, commwica6 oq or conference wills anyone la
Gz thebid price of tl?e bidderor any biddea, or to fix any avefiead, profit, or cost clamant of the bid
price, or of tbat of any offer bidda, or N score any advantage agavst the public body awarding the
coohacE of anyone mlaesled in thepropo ell conbact; that aU amiements contained N the bid are hue;
and, finGur, that Ore bidder bas nod directly or indirectly, submitted fIE a fier bid puce a any
breakdown thereof, or the cantrnls thereof, or divvlg¢d formation or date reaative thaeto, or did,
and will not pay, any fee to soy corporatioq pa?lerstdp, company associatioq orgaoaafioq bid
deposi(ory, or to any member or agent iherrof fo eft¢ctuate a coGusive or sham bid
NOTE, lheaboveNon<ollusion uitis?lafthePropoanLSigaing?isProposalonthe
signa6ueporGonth¢reofsaBacjisyMesigoadueofdrisnan?colludonAffidavil, Bidders
azecau6oneddratumaMnge ce? cadoumaysubjedGucerfifiertoctirnuaaiprosaudon.
Sign¢d J 0$C J(1?Q1?
Sfa(eofCalifomia
Counryof (ypd QP$a?0.2d?COngE
Subscribed and swum m (or adwaed) before me on Vtis _ day of ? NI_, by
prov¢d to ? on the basis of salisfadory evidence to be the person(s)
whoappearedbeforeme.
NmaryPoblicSigneNre NofsryPoblioSeel
TO BE WCEUDED IN BID PACKAGE
BP 120E 14
CALIFORNIA AL4PURPOSE eckcanun eaanueu*
Slate of Califamia(
County of
111 ??
On !????II beforeme,
°* vwaeaa I?d,'?»iow, auCrcl ,
personally appeared s OAg
arzedaprwa
0 proved fa me on the basis of satisfactory
?idence
to 6e the persons{? whose name(s) islare
suhsaibed fo the within inslmmenl and
COMpspvluC°alyM? M191193a a the same in NOW* authorised
z NaOryPuDlk GIiMNa a cepadl?*) and that by hislhwrAhwk
: los
r,?,, Hw,It,NA sigrlaluml?onfheinslmmentfhaperson?,or
the enttly upon behalf of which the personp)
acted, eXeculed the inslmmeN.
WITNESSmy hand and o?Cial s?.
vhcerhmry&mlwwe ?mtlntlFtbry NElu
A personally known to me
OPTIONAL
iMugh Ne Nr°nnalron Dabwis narepuredDylaq, p meypure vaNreNe lapers°asreFving°n Ihedavmml
and c°Wd preuenl M1audWenl removal arAreetlarNmenl °I Nis hm 1° anmner document
Descrip{on of Attached Docomenl
The orType of Oocumenl _
Ooaomem Date' NumLer of pages.
Signerls) OtherThaa NamatlAbmre:
Capacltylles) Claimed by Signer
Signer's Name:
acknowledged to me that hel*&Jiy executed
0 IMivitlual
0 Capomte0lfcer-?itlelsl: ?°oain°mehee
0 Pzdoer-0 Limbed D General
0 Allamey N Facl
? Tmslee
? GuardianmCaservala
0 olha:
Signer Is Represanfing
--.•-?.+?a?•,wibemo?,•vnaw>@•am„nunvswm••.+r*amnw v,mw,wm apn,om°wmu¢mmswn
?A9hlP1gRWNS1ABCTION&60PPlYCORP,
613 N. HARBOR BLVD,
CITY OF SANTA ANA LAWGkWj
PROJECT NO, 10.6404; DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEMENTS (REBID)
PROPOSAL AND CONTRACT AGREEMENT
The wdersignad is submiping this proposal for perforndng by contract the wak required by ?eae
bid documentq s?eea m comply with the Copeland "Anfi•Kickback" Act (18 USC 74) ae
supplemented in the Department of Labor regulations (29 CFR, Parl3), This act provid¢s that caeh
contractor or subcontraGor shall be prohibited fiom inducing, by any means, any person employed
inihe constluction orrepaucf ?blic?NOrk, to weup any padoPiha compensationlowhichhelshe
isclherwiseenteled.
BIDDER'S STATEMENTREGARDING "ANTI-KICKBACK" REQUIREMENTS
Signed po??
Title 7? lJ??
Firm V, fT. Q
Dale II?o???
TO BE INCLUDED M BID PACKAGE
BP 13OF 14
dA9?gipR CANSTRUGI aa. [.r-r .` ;. ,,
813N.HaRBOR9lVO,
IABPBRgCA M1
CITY OF SANTA ANA
PROJECT N0.10.6404: DIAMOND PARK MUTUAL WATER COMPANY WATER MAIN
IMPROVEMENTS (REBID)
PROPOSALANDCONTRACT AGREEMENT
WNTRACTOR'S LICENSING STATEMENT
The wdersign¢d contra?or, or corporate officer, declares under penally of perjury that the
following is hue and correct.
Conhacfor'sName: dASAL4IARCONBTRUCTI0Na9UPPUY?QRp,
Business Address: ?7?\ ??'? ?t
Telephone: (JLL, ?Q?I' 3W??
StateConhactor's
larese No. @ Class:
Exphation Dafe:
Signed:
Tide:
TO BEINCLUDFD INBNPACKAGE
BP 140F 14
MAYOR BrfERQ.,CHTMANAOBR
MjFoA. Nlih Faalwdlws
MAYORPROT'EM NON CITY ATTORNEY
Club CC Alm h: Soh
CODNCRMEMBERS W.r CA.ERROFTHECWNCa
CvhsBuMnaale MaiaD, Hnw
David&narid<s
?"elaM?? CITY OF SANTA ANA
hl Taajao
vlnaaESamutma PUBLIC WORI(6AGENCY
110 S, DarsyAvw,M-Ba • P.O. Boa 1988
9aauMgCdifamia92102
J A BpIAEAR CONBTRUCTION B SUPPIY DOflP.
OR BLVD.
OcdDber 2S, 2011 IAfIRBRR10A.80831
ADDENDOMkI
SUBdECf: PROJECPN0Ia6404
,
-DIAMONDMOTDALWAPBRCOMPANYWATERMAIN
IMPROVEMENTS (REDID)
613 N. HARE
Standard So¢¢iBcafiaus
1, BidOp¢amgDate
Th¢Bid Opening Datehas been ¢ztended to Wednesday November 9n, 2011 at2:00PM
Ah o9rer terms snd conditions remain ?¢ same
The following additions and changes have been made to the standard specificafions of the subject project:
FOR TiIE C]TY OFSANTAANA /`
Cesar E, Banua, S, P,E.
Principal Civil Engin?r
YNtajaaal klivAlOd404DamadMutual WaWCompMyWaaMein ImpsmtvmgNoeumtndliwlAdda?duml Projall(a6164UiemoMMMUIWab
CarpmYWaa Mainhrysovarcrta¢doca
MAYOR
Mipu¢I A. PuliJu
MAYOR 4R0IFAI
GwdiaC, Alvmun
WUNCIlMEM9ER5
aaroRY91B0dNf
F11ofielcManirrea
Sal1iwjero
ViouoiFSaioiirnm
o?n?> 312011 ADDENDUMW2
David Wivios
CITY OF SANTA ANA
PUBLIC WORKS AGENCY
270 S. Uaisy pn., MRS Y0. HnK 1988
Saao Aoa.('ullfpnio92702
NTERIMCIIYMANAGEN
7aul WBIla1
IN9'F&IM CIiY ATrORNkY
1?SVOIu
Mara n,Nuiu?
CLERK OF THE COU
aasausuCONSTRUCTION a6UaAirooRP613 N, HARBOR BLVD.
SUBIECT; PRO.IECTN0.10.6QO4-DIAMONDMUPUALWATERCOMPANYWAEERMAIN
IMPHOVEMENTSIREBIDI
The following additions and changes have been made to the contract documents of the subiecf project:
Standard SoeciGcalinns
Afield mining has been scheduled at 1532 S. Diamond Suee1, Santa Ana, CA 92701, ju allow
Commu[ors to bells assessthe field cundilionspadainiag to theWrAl Abundoomentand DesGuetinn
(S¢clion 2.16 of (he speGal provisions) ponion of the subJ'es project. All imsest¢d pmtias ure imded
to al?nd.
T(iemesinghasbeenscheduledforFriday,November4w,2O11 m IO:Wam. ThlsisaNON•MANDATORY
IrieGmg,
All other terms and condilioos remain the same.
FOR THECITY OF SAMfA ANA
tsar E. DaRera, MS, P.E.
PrioGpaiCivilEngines
NNmjaua?AUivd10fi4o7 DianwnaMuNal WaGACanipaoyWamrMain ImprovunanlslDxurtwt&ionNddendom7 ftojui 14GOeDlmiwoo MON91 We?u
CompmyWofa Maio Rlpronmanu.Jrct
Company Profile
Page 1 oft
COMPANYPROFILE
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Results
Company FIRST NATIONAL INSURANCE COMPANY OF AMERICA
Inonnallan 175 BERKELEY STREET
Old Company BOSTON, MA 01116
Names
Agent for Service
Old Company Names Effective Date
Information
NAIC Group list had to top
Lines of Business
Agent FOr Servia
flnandal5talemenls
PDF's KAREN HARRIS
Annual Gfafemeo6 CID CORPORA
IION SERVILE COMPANY
7730 GATEWAY OAKS DRIVE
SUITE 100
Quarterly ,
SACRAMENTO CA 95033
Slatemenls
Company Complaint bad to tap
Company
PedarmanceB Reference Intonation
Comparison Dala
Reference
Company
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Addkiaoal Info
hod p Company
Representative In
Your Area
View Flreodal
Disdaimer
NNC W', Cg7Eq
Calltorn ia Company ID a. 09787
Date Authodeed in Lallforola, Bl?D3ft919
Llmnse Status: ONLIMITED?NORMPL
LompanyType, Property®Casualty
Stateo(Domltlle, WASHINGTON
6e<N to top
NAIL Group List
NAICGroup k: 0111 LIBERTY MUT GRP
bad to top
Lines Of Business
Themmpaoy Is auNorl:ed to traosati husiness wllhlo lhesellnes ofinsuran?e,
Foran eaplaoatlan of any of lheselerms, please referto Neglassary,
AIRCPAfi
AUTOMOBILE
BOILER AND MACHINERY
BURGLARY
COMMON CARRIER LIABILITY
CREDn
FIRE
IIABnnY
httpalmfetaclive.web.insuranceeagovlaompanyproFilelcompanyprofile?event?ompsny... 1111012011
alo eaNo
KNDWALLBYT}IuSEPRESENTS,Themwq J.A,SRlR7ARCONSTROCTION&SUPPLYCORP.
of 61BNHNRBORBWD,IAHABRACN90631 (hereinaEU RIledlhePriripal),
aspriscipal,and FIRSTNATIONRBINSURRNCECOMPRNYOFRMERICR
(h¢?unoffeiralledlh¢Surely), asSmeryarehaldaddfumlyhoundunlo CITY OFSRNTRRNR
(?ereina0u¢slled?he061iger?mul¢penalsumof TEN PERCENi0FAM0UNTBID
aollars(? 10% ?
(m' the paymeol o(whiah the Priuoipel usd the Surey bind Themselves, Ih¢ir heirs, eXewlors, adminialramors, su?essors and ossigos,
joiomly ood severally, finely 6y Ihesepiesenld
THE CONDITION OF THIS OBLICATfON IS SUCH, Thsf WHE2CAS, lhePrinoipal had suhmilled or Is shoal mo suhmil a pi?posal
mUuOhligeeaoacon!iaalfol DIAMON?PARKMUTUABWATERWMPANYWATERMAINIMPROVEMENTS
NOW, TNBREhb2E, If the said Conlraol h¢ lim¢ly awarded m the Prio¢ipal and the Pria¢ipal shall, wi?hio suoh mimeumsy h¢
speuGrA, enter loco the Conlreoi in wriliog, and give band, If hood is mqulred, wiEh survey aoupfahle to the 061igoe (or the failhpal
performance of the said Canlra¢f, Then IM1isabf?galion shall he void, olmrwiaeln remain in full fame end eff¢el,
Slgo¢daodaenledmhis4TH dayo(NOVEMBER
Whs¢ss
Wilsess
1l FIBST NAifONALIN511PANCE COMPANYOFAMEPICA
l By2?._
KEVIN E. VELA Ammm¢yin.Fam
MAW1
herein stared
This Power of Attorney IImiH the eoN of those aemed hereto, and they have no eulhodty to bind the Company ava¢pt in the maooer and to the extent
FIgSi NA110NAL INSGRANCE COMPANY OF AMERICA
,
pursuant to and 6y suNori(y of the By law and lwiharirenoo hei¢ioaNeiset log, does her¢6y name, censlllule and eppoinL PHILIP E,VEGA,
FRANK MORONES, KEVIN E. VEDA, BC{ITiON CNRISiIANSEN, JADON H. SMITH, MYRNA SMITH, ALLOF THE CITY OF COVINA,
STATE OF CALIFORNIA .?.... ?.?............ ?...?.?.?.?............. ?.?...... ?...?...? .............?.?......?..?.?.?....?.?..?.?.?.?....?.?...........?.....?...?..?.?.?....?.,,..?...?,...?.?.
SEATTLE, WASHINGTON
POWER OF ATTORNEY
KNOW ALL PERSONS BY iHESEPgESENiS: That PIN Nalbnel lnsaeoceCompany olAmerica ?Na'Comi eWaehlogloosta^klosmaooecompany
eeN Ind'witluellydNer¢ b¢ marathon Doe named, Ilslrua and lawful enomeylo-fact lo make, ereoula,seal, aeHnowledgaanddellrer, [or and on laterals
s
surely and as 'AS eN and deb, any and an undertakings, hoods, ieoogolcanres and other surety obligations N the penal sum not eca¢ed'mg
ONE HUNDRED A<IILLION AND ON1W"'° e??to DOLLARS I$ 100 WG,GW.00°""" ` °` ?^?ttq aaoh, and fire eaeoNloo d such
uodetlaNege,hoMs r?irarcessndoffer smeycNigalicry, MpuremaoosofNesaMeant, shall 6aas61odYg upon lheCompanyasdNeyhedbeen di
GyNapreetlmlardahesled hyNempalarydNeCO?erryl?Nalrampiopwp¢rmos
1 That this pnweru made and executed pureuenitoentl 6yeulhonry ofihefollrnvmg By In and puNooratioo
AA?CLE IV Everulmo of Conireels Section 12 Sure[y Bonds and Codarlekiogs
ereama,s¢aL aemaNedga and tlallveres si em and allundertakings, boAda; recogo6s¢oes and oNar auralyobligefwoalSuch allaneywlo
,
PwsuamtoANoleIV,SacVool2attheBydaws,Barron W:Effect, PswslaASaerefary of First National linsurance Company of Air is auAarHtt
Nappoint suah ahomW¢aoladas may be 3eoassery to ad In behalf ofAaCorporation lo maNa, 3zecula, saal, acknowledge asddeliver essura)
any and at undanaNinga, bonds, repogoirzao¢se¢tl oNeraurety obligations.
That the gµlewend lheAUNoration art form shine are true copies thereof aodareoowlo Wlface eod efle.
f119t Neno38NaSamnC3GOmpeny aAmBnCe n99 B9an aAlMed NafaI010MAfI0Nh MaBIng,PRlneyV3rll3ih6 ?E?N. day d FaBNBN
2011
un .FIRST NATIONAL INSURANCE COMPANYOFAMEACF
F SF,dI, ? ,SV 19-iw?ll G?• 1-GE.%(;
a ,yye G¢metWElliotl PsaistaniSeerelary
COMMONWFALIH-0FPENNSYLVAIJIA ss Rrti?
COI1NiY0FMONiGOMEAY
On Nis 281h tley of Fa6NarY. N711 belae me, a Notary PuBlla, peraooelly came Darnel W. EI'ott, to me komm, ern
aeHoowLMg¢d that he Is an Pssiskol Seaetary d Flrsl NaVo?l l?uranae Company of Amerks, Act he knowsihe seal ot?id mipaenoo,, and Maf hr
esecut¢tl the eBore Power of Atlorney artl aKLred iheeoROarfeseal of Flrsl Natlonal Insurance Canpary of Amens iherNo wRh the eNhoNy and et Nr
dir¢dioo of said corpaaCOO.
u IN TESTIMONY WNEHEOF ?avWher? to suhaod6e3 my name ard efllaed my oofedd gel el Plymouth Mewlo Pao¢sylvarla, on Ne day end year
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CEATIFICAiE
? I?mis PooovyNOUa Pua?ndNUaire j
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NaaOde[sgned, ASS
let NaBanN 09afaaCa TAmpany Ol Amaara d0 ha13By Calbhf Nat Na oagne ppW¢f Ot aBOfneY OI WhCh
Iha tOfe001ng 5BNhtNe ?f Y, 19 Nta taf?and Ey&,1 Op NB Bete at N9 pBNnC3e flnddO taNhef Caw, bat the oMlCaf of ONCI3 Who
aN3aaled h¢ sold paW3f O a Oma 19 en A3915IAm $aefe)0W 9paCI3y aNhanied BYNa Chwlman Of the pf9aldeo? W appOm AlOfney9oWM ea
pfaVlded In AWCa V, SeA0n l2 otlh¢Bµaws Ol Ff51 NBaAattOEUfanaa ComPBlry OI APiEnCB
TIIIe ceflYIC2IE anC iha 3BOVa pewef ? BBOfnaY may Ba Slgnad By hcsimia 01 maCBanCBy IapfOdaCed BgnwMa9 aadaf end BY wthOrly Ot iha
NtOUdng Vole at NB BO9fd atdlfaCOr¢OtAfst NarlOnNtaaaanaa Gempany otAmeflCa aBMaahog HaYCaad 3Rd bald WihetEA day ofAaptamBaA
Zaas
VOTED BAthataCSNlna of m9ahamaeyfapfaEaCEO''91?netOr30l2nya9a13ANS3af3tAA'Otiha Compflny,WngfaVaf eppaedng Opana?fNad
Copy Ot any pWlaf Naa0may 16apad Bythe COMpM?IttOOnflaClOn'Mih Sa[3N BOnQB shall Be VBld end badNg agOn Ba COMp9nyWVIBI3
same larva and eN?l es though manually eH'ued-
M TESTIMONY WHEREOF th3Va hafBaata 9aB3CfIBBd my nB Bd theCOfpOfBia 693l at iBBeald COmpeny lNsATN day Ol
NOVEMBER ,2011. O'auswwy .
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? Ravi M Carey A shN Secrakry fact, subject to the Ilmheticosact fair in their iespeMlre powers d attorney, shall have lultpmvar to bind He Corycrenon hYtheir signature an:
executed, such IN gnashes shalt bass binding as if signed hythepresident and etlesledbyNasserakry
By the following lnalmmenfNe chairman or Na pre Ndwd haseuthatred the oNlcer or oN¢r official namedtherelnto eppoiNattorneys in fad:
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized office[ or oNmiel of the Company and the corporate seal o
Slate of Calllorsia
Caunryaf LosAogales
CALIFORNIA ALL-PURPOSE ACKNOWLEDOMiNT
Hale aat msm moos u? '
personally appeared KEVIN E VEGA
ono: o oo?fl
on 1114111 haforeme, PhIIIpVega,NolarypubPp
M
PNIMP VEGq
CammMsloo 1 e same to hl B'IYauIhOrIZAd
1]88868
' IXauryPu6liaCsllloroi
los go6elx Couoly
M Csmm, IrasMq 31,2812
plaPoNoorys¢allwWa
who provadb ma on the basis of saG'sf2?Oryevitlanpa m
I?I?4e subsaribeU la the
whdhlln IngirumaN and aokoowledg????fo ms that
ha?h?4?9 2kBCUtatl th
oapasiry(Iis), and that by hl'da6eir sigaatusl an me
mstrumerrt the pereon(gJ, or the ¢nli(y upon deal ai
whloh the p6rsonId) acted, executed tre instrument.
I nedlty under PENAl1Y OF PSRJURY under the laws
of the State of Calrtomia thale loregoing parai is
irueantlcorrect, ??/ /
WITNESS my h?d and oH'mlal sell
--?-- - OPTIONAL
IDo?h Ilmiofcrmelioo Celowis ooraquirod6ylaw, II mayprow
and r?oldpreveor laudNwuemovalacdre2i?mer
Description of Atlachad ?ooum2nl
be me person(@) whose rani
Tilt ar Type of gao¢menll
Cocumem cafe', Numhar of PagasSignerls0?h¢rPheo Nometl Abooe,
Capapity(ies? Claimed by Signer?6?
Slgoefs Name,
D fodividual
Corporele0111oar-Tllle?s?,
>J Padoer-0 Llmhad D Geoaral
U gMomeyloFaol
f> lrusiee Top of ?ooai¢
I] Guetdlan of Coosamdl0r
p omen,
Signer Is F¢prsssmisg.T
rha docum¢nl
Slgn¢r's Nama,
O lotliuitlual
0 Corporate OHlccr-Tille?sg
p Partner-? Cimitatl ? Caes¢reI
?AtloroeylnFacf ? ?•
[ITNSI¢A Tap of mombinlt
p Guerdlan or Pooseruamr
QONer
Slgsar Is R¢piosaofing®PONNnbo&rvwa7ldo?um9e?Aoo Eom AUp,P,A&weiOiQnawNl?Bf1i62elp.w.w,Nalboarnx'Bty,Wq IItm?Hei PaAvCalrqAaaYPfU91E?i
CALIFORNIA ALL•PURPOSE ACRNOWLEDDMENT
Slale of Caltloroia
County of ? ?'
Cn ?I?bpl before
oae .?ma Iwan.Neerv ?
personally appeared ,
mmntmshewl
iYpersonalty known to me
0 proved to mw on the basis of saGsfaclory
evidence
subscribed to the wghin instrument and
acklrowledged to me thathelsl?Yhay executed
the same in hislpadWair authorized
k CkS11l10 cap8city(4), and that by hisllar410r
COMM.MI912938 z signaNm(Il OntheinsWmenltheperson?l,or
z Noury PvElk mu'Pomia o the softly upon behalf of which the person??
_ ????? h Atl ailed, executed the insWment.
WITNES yhanda dal sal.
PoaaNdarySWlEme
Slpahm ANdary REk
to he the persons whose name(l) isles
OPTIONAL
ihaugh Na mlamrslion Oelmv a not remYred 6y ter, a may pmm uahmhle Po persona mFydng on the dxumenl
and caAM preuenllreuduMnl removal a7d reaNaaAmenl al Ihis Mme to anWhar tlowmenr
Descdption of Allachetl Document
The arType of Dacumenl:
Document Dale: Number of Pages:
Sigrcerls) Otl?Than Namatl Above:
Capacity?ies? Claimed by Signer
Signer's Name;
0 Individual
? CnrporaleOMcer-?illelsl: iopAMUmhhere
0 P?iner-Olimketl OGenerM
0 Atlamey in Facl
E Tmslee
0 GuardianarCmserualor
0 Oder:
Signer Is Repmsanlirg:
®?SwlYimnMWigAmhlhn.lW fn9ocr+llA?N@?OWf?GT'IIWI@•wvreltr+MR Rol lhfn MeavGfaiix Hromq%