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PTM GENERAL ENGINEERING SERVICIES INC.
Recording Requested By, And When Recorded Mail To: Recorded in Official Records, Orange County Clerk of the Council, City of Santa Ana Hugh Nguyen, Clerk- Recorder 20 Civic Center Ana, CA 92702 ox 1988 Santa I IIII I I IIIIII III VIII VIII VIII I III VIII I I I I VIII II VIII NO FEE *$ R 0 0 0 6 7 0 9 4 4 0$+ 2014000195625 3:37 pm 05/20/14 63 415 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 a construction of Traffic Signal Modification on McFadden Avenue & Lyon Street„ H-ISIPL- 50630401 under contract entered into on May 6, 2013 with PTM General Engineering Services vo w Inc., on which contract International Fidelity Insurance Company is surety. The property on owhich such work improvement was placed is in the City of Santa Ana, County of Orange, State o z of California, and described as Project No.12 -6760 located at: McFadden Avenue and Lyon aStreet. The work improvement on said property was accepted as completed on January 24, 2014. �aW 0 CITY OF SANT /AA-M� UNICIPAL CORPORATION LO of by !� L / J( yl?aAu� w F, Dated: Acting City Engineer q TITLE X ai VERIFICATION I, the undersigned, say: I am the Acting 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 I T at Santa Ana, California (Signature of individual swearing that the contents of Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN (10) DAYS AFTER COMPLETION 2� A- kP REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: MAY 6, 2013 TITLE: CONTRACT AWARD FOR TRAFFIC SIGNAL MODIFICATION AT MCFADDEN AVENUE AND LYON STREET (PROJECT NO. 126760) RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVED 6--6-13 As Recommendedl%:)'3, M1 ❑ As Amended ❑ Ordinance on 1st Reading ❑ Ordinance on 2ntl Reading ❑ Implementing Resolution ❑ Set Public Hearing For CONTINUED TO FILE NUMBER 1. Award a contract to the lowest responsible bidder, PTM General Engineering Services, in accordance with the Base Bid plus Add Alternate A, totaling $289,923 for the traffic signal modifications at McFadden Avenue and Lyon Street. 2. Approve the Cost Analysis, as shown in Exhibit 1, for a total estimated project delivery cost of $362,402. DISCUSSION This project consists of installing a phased left -turn signal which includes upgrading the signals and enhancing the signage at the intersection of McFadden Avenue and Lyon Street, as shown in Exhibit 2. Once completed, these improvements will permit improved left -turn movements and communication with the traffic signal, and will allow traffic signal timing adjustments as necessary, based on real -time traffic conditions. The improvements will enhance traffic flow and increase safety at this location. The Notice Inviting Bids was advertised on March 11 & 12, 2013, and bids were opened on April 3, 2013. A summary of the bid invitations mailed, bids received, and bid results are as follows: Contractor Participation Data Santa Ana contractors receiving notices: 18 Contractors requesting bidding documents: 11 Bids received: 5 Bids received from Santa Ana contractors: 0 Contract Award for Traffic Signal Modification May 6, 2013 Page 2 Bid Results Summary RANK BIDDERS NAME LOCATION BASE BID 1 PTM General Engineering Services Riverside $259,331.00 2 Siemens Industry, Inc. Anaheim $259,967.00 3 Steiny & Company, Inc. Baldwin Park $273,744.00 4 California Professional Engineering La Puente $275,020.50 5 Sully - Miller Contracting Company Brea $332,155.00 The Engineer's estimate is $260,125. A total of five bids were received and all were deemed responsive. The bid documents require that the contractor is selected based on the lowest base bid. The lowest base bid was submitted by PTM General Engineering Services for $259,331. Staff recommends including 'Add Alternate A' to upgrade signage in the surrounding area of the intersection as part of the contract, in the amount of $30,592, for a total construction contract cost of $289,923. Total project delivery, including contract administration, inspection and testing, and contingencies, is $362,402. ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended action is exempt from further review. Categorical Exemptions Environmental Review No. 2011 -80 was filed for this project. In addition, a Certification of Categorical Exemption and a Statutory Worksheet have been prepared in accordance with the National Environmental Policy Act. FISCAL IMPACT Funding to cover total project delivery costs is available in the Select Street Construction Account (05917660- 66220) and the Traffic Congestion Relief Account (05917663- 66220). Raul— Godinez I I Executive Direct &Y Public Works Agency RG /ET Exhibits 1: Cost Analysis 2: Project Location Map APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutierrez Executive Director Finance & Management Services Agency COST ANALYSIS PROJECT NO. 126760 CONTRACT AWARD FOR TRAFFIC SIGNAL MODIFICATION AT MCFADDEN AVENUE & LYON STREET Construction Contract $289,923 Contract Administration Inspection and Testing Contingencies $17,395 $26,092 $28,992 TOTAL PROJECT DELIVERY COST 362 402 Exhibit 1 Description: This project consists of installing a left -turn signal phase by modifying the existing signals and upgrading signage at the intersection of McFadden Avenue and Lyon Street. The improvements will permit city staff to communicate with traffic signals, make traffic signal timing adjustments as necessary based on real time traffic conditions, and will enhance traffic flow and increase safety at this location. MWA ARA City Council Project No. 12-6760: Traffic Signal Modification at P Agenda Date McFadden Avenuell-yon Street xmx w�a xrsw;v Mav 6. 2tf13 Exhibit 2 ƒ \ � \ & .m \ . ! ) \ tz � ■, \\§ )(■ E;| { \ /�/ 2 | !!) k !2 THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796 -7000 / Fax (714) 796 -6059 (2015..5 C.C.P.) State of California J County of ORANGE ) ss Notice Type: BID • NOTICE INVITING. BIDS Ad Description: Traffic Signal Modification on McFadden at Lyon I am a citizen of the United States and a resident of the Stale of California; I am over the age of eighteen years, and not a party to or Interested in the above entitled matter. I am the principal clerk of the printer and publisher of the THE REGISTER, a newspaper published in the English language in the city of SANTA ANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the State of California by the Superior Court of the County of ORANGE, State of California, under date 11/19/1905, Case No. A21046. That the notice, . of which the annexed Is a printed copy, has been published in each regular and entire issue of said newspaper and not in any supplement thereof on the following dates, to -wit: 03/11/2013, 03/12/2013 Executed on: 03112/2013 At SANTA ANA, California I certify (or declare) under penalty of perjury that the foregoing is true . and correct. V ace rar ftlnv...' 11 III MAYOR Miguel A. Pulido MAYOR PRO TEM Claudia C. Alvarez COUNCIL MEMBERS P. David, Benavides Carlos Bustamante Michele Martinez Vincent F, Sarmiento Sal Tinaiew ,._ fell, CITY OF SANTA ANA CITY MANAGER David N. Ream CITY ATTORNEY Joseph W. Fletcher CLERK OF THE COUNCIL Maria D. Huizar PLANNING. & BUILDING AGENCY 20 Civic Center Plaza (Ill. P.O. DO ;K 1969.. SantaAna, CAlifornia 92702 g14) 667 -2700, - Fax (714) 973 -1461 www.,§anfa-ana.org NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK From: City of Santa Ana County of Orange Planning & Building Agency P.O. Box 238 20 Civic Center Plaza M -20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Traffic signal at McFadden Ave Date of Approval: 06/21/2010 Project Number(s): NONR- 2011 -663 -ALT Project Location: 1 Citywide (Partial) City: Santa Ana County: Orange ER Number: ER- 2011 -80 Project Description: The construction will include the installation or new traffic signal poles, foundations, conduits, signal equipment, and minor concrete work on sidewalk. Applicant Name: Applicant Address: Name of Public Agency Approving Project City Council Name of Person or Agency Carrying Out Project: Amirani, Souri Exempt Status: ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) • Emergency Project (Sec. 15269 (b through e)) • General Rule (Sec. 15061(b)(3)/(5)) ❑ Statutory Exemption: 0 Categorical Exemption: 15301(b)(3) Reason(s) Why Project is Exempt From CEQA: This project involves existing facilities in a previuosly developed community. City Contact: Vally Soboieske Telephone: (714) 647 -5842 Signature: rte' Title: a ,4an Date: CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: PTM General Engineering Services Inc. REQUIREMENT: The undersigned declares that he /she has carefully examined the location of the proposed work, that he /she has examined the Plans and Specifications and read the accompanying instruction to BIDDERS, and hereby proposes to furnish all material and do all the work required to complete the said work in accordance with said plans, specifications and Special Provisions, for the trait price(s) or lump srun(s) set forth in the following schedule: Item # Bid Item Unit Quantity Unit Price Amount Proiect # 12 -6760 — McFadden Ave at Lyon St BASE BID 1• Traffic Si n l In- 11-i M F dd g a s a a on on c a en Ave & Lyon St LS I $ P)Ws _ $ &-�'500o� 2. 3M Emergency Vehicle Preemption System per Plan LS 1 $ loom— $ 60CC`>D� *3. Install 2" PVC Conduit per plan LF 420 $ Z5 *4. Install 3" PVC Conduit per plan LF 25 $ V - $ -1150- *5. Install No. 6 Pull Box EA 6 $ s2) � $ Z10(3- *6. Install Traffic Signal Loop Detector EA 20 $ Z `�� $��� *7. Install Bicycle Loop Detector (Modified Circular Type D) EA 1.1 $ $ 8. Install IP Communication Equipment LS 1 $ V-1'700 _ $ 1`7'700- 9. Install IP Based CCTV System LS 1 $ 15 - $ Tj�?- 0 ` *10. Install New Sign EA 16 $ Z.`iZ° $ q(v`7Z,° *11. Remove Existing Sign and Install New Sign EA 189 $ Z 9 Z - $ J M *12. Remove Existing Sign EA 28 $ (y(0 ` *13. Remove Existing Street Name Sign and Install New Street Name Sign EA 44 $ L/9 Z $ T *14. Remove Existing Sign and Install New Sign on Traffic Signal EA 83 $ Zrj6 $ *15• Remove Existing Reflective Street Name Sign and Install New Reflective Street Name Sign on Traffic Signal EA 35 $ -150-- $ Uf 7-56- *16. Pothole for Utilities Not Shown on Plans EA 10 $ 100-- TO BE INCLUDED IN BID PACKAGE BP I of 27 TOTAL BASE BID FOR PROJECT: 12 -6760: ADD ALTERNATIVE A - PROJECT: 12 -6760 Item # Bid Item *17• Install New Sign *18• Remove Existing Sign and Install New Sign *19• Remove Existing Sign Unit Quantity Unit Price EA 3 $ '350` EA 45 $ —LrdO __ EA 10 $ 1,00— *20' Remove Existing Street Name Sign and Install New Street Name Sign EA *21' Remove Existing Sign and Install New Sign on Traffic Signal EA 16 $ 6 $ `70C1" Amount $1056- $ 16 -750° $ 1000- TOTAL ADD ALTERNATIVE A FOR PROJECT NUMBER: 12 -6760: 0592 TOTAL BASE BID PLUS ADD ALTERNATIVE A: $ Z8qqzg- The lowest responsible bidder shall be selected based on the Total Base Bid. The City reserves the right to award the Base Bid, and any, all or none of the alternate Bid Items. * The quantity for this bid item is shown forbid comparison only. This bid item shall not be subject to the "25 %" limit as stated in Section 3 -2 of the latest Standard Specifications for Public Works Construction. The actual amount for this item will be dictated by the actual quantity used, and the Agency reserves the right to increase or decrease the quantity of this item accordingly. TO BE INCLUDED IN BID PACKAGE BP 2 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL, continued PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON McFADDEN Firm AVE & LYON ST Address BIDDER PTM General Engineering Services Inc. 5942 Acorn Street, Riverside, CA 92504 Phone 951 - 710 -1000 Fax 951 - 710 -1006 Email izabeth @ptm- eng.com BIDDER Signature Elizabe H. Mendoza de McRae, President/CFO TO BE INCLUDED IN BID PACKAGE BP 3 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT LIST OF SUB- CONTRACTORS Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all subcontract work exceeding the following amount: -Streets, highways including bridge projects; t /z% of the bid or $ 10,000, whichever is greater - Buildings, parks, or other projects: 't /2% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: Crosstown Electrical & Data, Inc 5463 Diaz St, Irwindale, CA 91706 _ License No. 756309 Exp 11- 30 -14, Class CIO Tel: 626) 813 -6693 Fax: 626) 813 -6604 TYPE OF WORK': ` 0r8 1 ct $ L9ry00- Traffic Loops Crackfilling, Inc. 946 S Emerald Street, Anaheim, CA 92804 License No. 652956 Exp: 8/31/14, Class CIO, C32 Tel: 714520-4026, Fax: 714 -520 -4027 TYPE OF WORK ?� a b 1-1 $ '-13 i SC Traffic Specialist 638 W Southern Ave, Orange, CA 92865 License No: 877686 Exp: 5- 31 -14, Class: e, C31, C32, D42 Tel(714)974 -1190 Fax(714)974 -1753 TYPE OF WORK VV ;171 6 T-) $ � NAME LOCATION _ PHONE TYPE OF WORK NAME LOCATION PHONE NAME LOCATION _ PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORI{ NAME LOCATION PHONE TYPE OF WORK $ NAME LOCATION PHONE TYPE OF WORK NAME LOCATION PHONE YPE OF WORK $ TYPE OF Narne of Firm Submitting Bid PTM General Engineering Services Inc. Elizabeth H. Mendoza de McRae, President /CFO ig ire of BIDDER BP 4 of 27 WORK TO BE INCLUDED IN BID PACKAGE CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL & CONTRACT AGREEMENT BIDDER'S STATEMENT BIDDER understands and agrees that this written proposal (or any part thereof specifically designated and accepted by the City of Santa Ana, hereinafter AGENCY) shall constitute the entire agreement between BIDDER and the AGENCY only after it has been accepted by the City Council, endorsed by the Cleric 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 forni of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he /she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and AGENCY'S legal holidays), or the finds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said finds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. All terms contained in the Specifications, the Certification of Non - Discrimination by Contractors, and the Workers' Compensation Insurance Certificate are to be incorporated by reference into this Agreement and are made specifically as part of this bid. Name of Firm 7 General Engineering services Inc. Signature o BIDDER 'zaWh H. Mendoa de McRae Title President/CFO (if an individual, so state) TO BE INCLUDED IN BID PACKAGE BP 5 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT continued (If a firm or co- partnership, state the firm name and give the names of all individual co- partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) PTM General Engineering Services Inc. - Corproation Elizabeth H. Mendoza de McRae, President/CFO Brian Mendoza, Vice President /Secretary Awarded t ^��� IP Aoa�C�ya[lr. �ng r� 0-- on the basis of lowest responsible and respo ive ACTION OF COUNCIL: bidder in the amount of Date _,APAI� 2013 ATTEST: //�� .� j G CLERK OF THE COW IL APPROVED AS TO FORM: CITY ATTORNEY FOR THE CITY OF SANTA ANA: WORKS TO BE INCLUDED IN BID PACKAGE BP 6 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST (THE BIDDER'S EXECUTION ON THE SIGNATURE PORTION OF THIS PROPOSAL SHALL ALSO CONSTITUTE ANENDORSEMENTAND EXECUTION OF THOSE CERTIFICATIONS WHICH ARE A PART OF THIS PROPOSAL) EQUAL EMPLOYMENT OPPORTUNITY CERTIFICATION The BIDDER PTM General Engineering services proposed subcontractor C}roa5�u % 'LC `ivtic� ivQ��;c. Iac 17 hereby certifies that he has X , has not—, participated in a previous contractor subcontract subject to the equal opportunity clauses, as required by Executive Orders 10925, 11114, or 11246, and that, where required, he has filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filling requirements. Note: The above certification is required by the Equal Employment Opportunity Regulations of the Secretary of Labor (41 CFR 60- 1.7(b) (1)), and must be submitted by BIDDERS and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 60 -1.5. (Generally only contracts or subcontracts of $10,000 or under are exempt.) Currently, Standard Form 100 (EEO -1) is the only report required by the Executive Orders or their implementing regulations. Proposed Prime Contractors and Subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders and have not filed the required reports should note that 41 CFR 60- 1.7(b) (1) prevents the award of contracts and subcontracts unless such contractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director, Office of Federal Contract Compliance, U.S. Department of Labor. TO BE INCLUDED IN BID PACKAGE BP 7 of 27 CITY OF SANTA ANA PROJECT NO, 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 1. The Contractor shall not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The Contractor shall take affirmative action to ensure that applicants are employed, and that employees are treated during employment without, regard to their race, color, religion, sex, or national origin. Such action shall include, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2. The Contractor shall, in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin. 3. The Contractor shall send to each labor union or representative of workers with which he /she has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said Labor moon or workers' representatives of the Contractor's connnitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 5. The Contractor shall furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his /her books, records, mud accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non - compliance with the nondiscrimination clauses of this contract or with any of the said Hiles, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. TO BE INCLUDED IN BID PACKAGE BP 8 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION OF NONDISCRIMINATION BY CONTRACTOR (continued) 7. The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and the provisions of paragraphs (1) through (7) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontract or purchase order as the administering agency may direct as means of enforcing such provisions, including sanctions for noncompliance; provided, however, that in the event the Contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request that the United. States enter into such litigation to protect the interests of the United States. 8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as amended, No discrimination shall be made in the employment of persons upon public works because of race, religion reed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of persons, except as provided in Section 1420, and any contractor of public works violating thi - t o is subject to all the penalties imposed for a violation of the Chapter. Elizabeth H. Mendoza de McRae Title President /CFO Firm PTM General Engineering Services Inc. Date 4 -2 -2013 TO BE INCLUDED IN BID PACKAGE BP 9 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT WORKERS' COMPENSATION INSURANCE CERTIFICATION As required by California Labor Code Section 1860 and 1861, the Contractor certifies as follows: I am aware of the provisions of Section 3700 of the Labor Code, which requires every employer to be insured against liability for worker's compensation or to undertake self - insurance in accordance with the provisions of the Code, and I will comply with such provisions before commencing the performance of the work of this contract. If I, as the Contractor, now or at any time during the course of this agreement, qualify as an employer under California Labor Code Section 3300, unless the hired employee(s) is (are) persons excluded by said Labor Code, I shall furnish the City of Santa Ana with an insurance certificate from my workers' compens insurance carrier certifying that I carry such insurance and that the policy shall not be canceler a the coverage reduced except upon thirty (30) days prior written notice to the City of Santa Elizabeth H. Mendoza de McRae Title President/CFO Firm PTM General Engineering Services Inc. Date TO BE INCLUDED IN BID PACKAGE BP 10 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST 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. County of Riverside, 3525 14th Street, Riverside, CA 92501. Name and Address of Owner. Mr. Ivan Mendoza Name and Telephone Number of person familiar with project. $211,939 Traffic signal and lighting at Clay St. & De Anza Plaza Dr. 6/2011 Contract Amount Type of Work Date Completed 2. City of Newport Beach 3300 Newport Boulevard Newport Beach CA 92658 Name and Address of owner. Mr. Brad Sorr Name and $597,619.65 Tel: 949 - 644 -3326 Contract Amount Number of person tamiliar with project. Traffic signal modification at 3 locations Type of Work 3. Cal Trans, 1727 3ath St. Sacramento, CA 95816 Name and Address of owner. Mr. Dann Thai, Tel: 949 - 279 -8803 Name and Telephone Number of person familiar with project. 2/2013 Date Completed $434.609.02 Industrial Way to 16th St on Rte 55 Traffic Signal 312013 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Bonding: Contractors & Developers Bonding, 534 E. Badillo Street, Covina, CA 91723 Attn: Phil Vega, Tel: 626 - 859 -1000 Commercial Insurance: McRae & Associates, 1290 N. Hancock Ave. #210 Anaheim CA 92806 Attn; Patrick McRae, Tel: 714- 779 -6999 TO BE INCLUDED IN BID PACKAGE BP 1 I of 27 Brian Mendoza P.0.13 ox 7745 Riverside CA, 92513 -7745 Email:brian @ptm- eng.com Cell 951.722.5755 Chief Estimator and Supervisor of Outside Operations Supervisor of Outside operations with over 18 years of experience electrician with over 20 years of experience An effective communicator and team leader, experienced in coordinating and executing large and fast paced projects. CAREER EXPERIENCE Freeway Electric/ PTM Engineering Services, Inc. Riverside CA 06/2006 to Date Chief Estimator /Supervisor of Outside Operations In charge of managing the estimating department and finalizing bid packages: coordinating the beginning phase of an awarded project between the company and agency. Project submittals, contract review Coordinated and manage crews California region: handled various sized projects ranging in size from $1,000 to $4.5 million dealing with dry utilities, wet utilities, traffic signals, and road improvements, maintained coordination Freeway Electric / PTM General Engineering and subcontractor, and project owners. In charge of handling project's administrative work: monthly gross estimates, project progress schedule, materials requisitions, contract change order negotiations and equipment purchase and rental. High Light Electric Inc. / Pete & Sons Construction Inc. Riverside, CA 10/1995 to 06/2006 Chief Estimator In charge of managing the estimating department and finalizing bid packages Coordinating the beginning phase of an awarded project between the company and agency or prime contractor that include project submittals, contract review. Successfully bid on projects totaling $12 million with an average spread 6 %. Area Supervisor Coordinated and manage 10 crews consisting of 6 members per team in the southern California region: handled various sized projects ranging in size from $1,000 to $4.5 million dealing with dry utilities, wet utilities, traffic signal, and road improvements. Maintained coordination between High Light Electric Inc. and subcontractor, general contractor and project owners In charge of handling project's administrative work; monthly gross estimates, project progress schedule, materials requisitions, contract change order negotiations and equipment purchase and rentals. Page 1 of 4 Brian Mendoza CAREER EXPERIENCE CONTINUED MBE Electric, Inc. in Riverside, CA 10/1989 TO 10/1995 Vice President and Head of Outside Operations Manage outside operations for all projects ranging in size from & 1,000 to 2.5 million. Headed an around the clock electric crew and coordinated with CC Meyers to repair the I -10 Santa Monica Freeway after it collapsed during the 1994 Northridge Earthquake to complete the fast paced project in 66 days. Maintain coordination between MBB Electric and subcontractors, general contractor and project owners: implemented and enforced safety guidelines. Handled administrative work: monthly progress estimates, material requisitions, contract change order negotiations. Vasco Corporation in San Fernando, CA 10/1987 to 06/1989 Foreman (Part Time) Managed day to day operations of work crews and various project ranging in size from $1,000 to $5,000 in Eastern Los Angeles County: traffic signals, street lighting, signal interconnect. Raymore Electric in Rosemead, CA 06/1986 to 10/1987 Crew Lender (Part Time) In charge of working crews on projects that ranging from $25,000 to 250,000 throughout Los Angeles County. WORKING SKILLS • Capable of operating heavy equipment such as skip loaders, cranes, and backhoes • Hands -on experience with hand tools and power tools • Capable of overseeing fast -paced and high profile project • An effective communicator and leader EDUCATION • International Brotherhood of Electrical Workers • Completed training course (1988 -1989) in street lighting and traffic signal installations, code enforcement and blue print reading. • South Gate High School • Received High School Diploma in 1988 Page 2 of 4 • English (Native) • Spanish (Fluent) BRIAN MENDOZA CONTINUED LANGUAGES AWARD RECEIVED • Recipient of the U.S. Small Business "Young Entrepreneur of the year" Award in 1996, nationally. • Recipient of the Certificate of Recognition by the City to Los Angeles for "Small Business" in 1997. • Recipient of the Certificate of Recognition by the State Assembly, Assemblyman Mr. Rod Pacheco, for the "Top 500 Inland Empire Small Business" in 1997. • Ranked among the "Top 500 Inland Empire Hispanic Owned Companies" Since 1997. • Certification of Appreciation for our participation and maximization in the " Century Freeway Affirmative Action" by CFAAC PROFESSIONAL AND PERSONAL REFERNCES Caltrans projeet#071224U4 (Electrical contract amount $4.5 million) Description of project: Installation of traffic signals, ramp metering, sing illumination, Highway Lighting, Fiber option communication and electrical irrigation along the I -10 Freeway in Los Angeles County. Doug Dawson — Project Manager for prime contractor, Balfour Beatty Cell (949) 232 -3276 and Office (909) 397 -8040. Patty Galvan — Resident Engineer, Office (909) 594 -4270 Veronica Ross — Electrical Inspector, Cell (714) 606 -6311 Page 3 of 4 BRIAN MENDOZA REFERNCES CONTINUED City of Redlands Contract 9208300 - 72304/41008 (Electrical contract amount is $218,800) project Completed in 2003 Description of project: Installation of traffic signals, modification of ramp metering, lighting and sign illumination. • Bill Hensley— Senior Civil Engineer— Office (909) 798 -7586 ext.2 • Juan Olvera — Project Manager for general contractor, H &H Construction —Cell (951) 453 -7712 and Office (909) 473 -7331. Caltrans project 408- 4567V4) Electrical contract amount is $ 938,238) project completed in 2005 Description of project: Installation of lighting system along the I -15 Freeway in San Bernardino County. • Gary Vogel — Project Manager for prime contractor, Granite Construction Cell: (661) 549 -3953 and Office (661) 726 -4447. Sandbag Projects, Segment 1, 2, 3 early segment 9, and alder Ave. (Total electrical contract amount was $3.2 million) Project completed in 2004. Description of Projects: Installation of traffic signals, ramp metering, sign illumination, highway lighting, fiber optic communication, and electrical irrigation along the I -10 Freeway in San Bernardino County. Harold Lantis — Sandbag Contract Manager — Cell: (760) 802 -7730 and Office (909) 875 -8029 ext.213. Tim Hanable — Caltrans Inspector— Cell: (951) 712 -0021 Al Ortega — Project Manager for prime contractor, Yeager Skanska — Cell: (714) 240 -5333. City of Indio Prcject4ST0137 (Electrical contract amount was $1.4 million) project completed in 2005. Description of project: Installation of street lighting system, traffic signals, electrical irrigation, and dry Utilities. Gary Bexter — Area Manager for prime contractor, Yeager Skanska Construction Cell: (909) 721 -9749 and Office (760) 343 -5472. Tommy Young — Project Manager for prime contractor — Cell: (951) 232 -6618 and Office (760) 343 -5472. Mehran Sepehri — City Engineer — Cell: (760) 250 -2201 Additional Professional References: Zale Harris — Caltrans Inspector — Cell: (951) 289 -0047 Ray Robles — Caltrans area supervisor — Cell: (909) 799 -0646 Page 4 of 4 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and widerstands that contractors on contracts exceeding $30,000 or 20 working days shall: 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or finds in each craft or trade in which he /she employs journeymen or apprentice n the public work, in the same amount or upon the same basis and in the same manner as the other mractors, except contractors not signatory to the trust agreement shall pay a like amount to the C o ' Apprenticeship Council. Signed Elizabeth H. Mendoza de McRae Title President/CFO Firm PTM General Engineering Services Inc. Date 4/2/2013 TO BE INCLUDED IN BID PACKAGE BP 12 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT NON - COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) To the CITY OF SANTA ANA DEPARTMENT OF PUBLIC WORKS In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sharp bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or dram bid. Note The above Non - collusion Affidavit is part of the Proposal. Signing this Proposal on the sh portion thereof shall also constitute signature of this Non - collusion Affidavit. BIDDERS e tau tned that malting a false certification may subject the certifier to criminal prosecution. abeth H. Mendoza de McRae, President/CFO Signed PTI General Engineering Services Inc. State of California County of Riverside Subscribed and sworn to (or affirmed) before me on this day of , 20 , by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Notary Public Signature Notary Public Seal TO BE INCLUDED IN BID PACKAGE BP 13 of 27 Stale of California County of ORANGE On '4113 12`1-J before me, oa,e Philip Vega, Notary public Hate loam Name aod 77 P1 he OHcat personally appeared ELIZABETH H. MENDOZA de MCRAE who proved to me on the basis of satisfactory evidence to be the person(4) whose namos) is/gre subscribed to the within I strument and acknowled to me that exocutad the same in hid / 16lr authorized • PHILIP VEGA capac'fty(� s), and that by hid /tile) /Heir aignatA(s) on the coma n1s77oae y instrument the personO, or the entity upon behalf of i NOTARV Rrtp1,IC.CALIFORNA o LCSANGeps COUNTY which the psrseni�) acted, executed the Instrument. C""MF91111 MAY 31,2016 ; I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and corregt. WITNESS my hand and Signature MAW Notary Soal Phovo OIA of Mo,ary P.W. - OPTIONAL — Though the information below is not required by law, It may prove valudblu to pars s r lyin on the doaurnenf and could prevent fraudulent removal and roattaChrnenf of Y'hls form to anothord omont, Description of Attached Document Title or Type of Document. Document Date: Number of Pages, Signer(s) Other Than Narrled Aheve. _ Caparity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual ❑ Corporate Officer — Title($): _ ❑ Partner — L1- Imited ❑General ❑ Attorney in Fast F-1 Trusts@ ❑ Guardlan or Conservator ❑ Other: Signer Is Representing: eIGF1TT41UM9PgIWi Sigrtar's Nama: Cl Individual ❑ Corporate OffIrw — Title($); ❑ Partner —[I Limited ❑ General ❑ Attorney in Pact El Trustee n Cuardlan or Conservator ❑ dther: Signor Is Reprasenting: F11pli•ryT GNE �. aa2 007 Nallonel Plolary Aaoociatlen• 9350 oo Solo Avo „P,t7,0ox 2ga2•CnawWOAt1,CA 91319 .2gn2•v+arvr,NallcnalNOlnryAfd Ilem 115907 pmrder, Call 7oll•Plee L800•87AA927 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING "ANTI- KICKBACK" REQUIREMENTS The undersigned is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the Copeland "Anti - Kickback" Act (18 USC 74) as supplemented in the Depa nt o£ Labor regulations (29 CFR, Part 3). This act provides that each contractor or subcontrac r shall be prohibited from inducing, by any means, any person employed in the construction or r air ublic work, to give up any part of the compensation to which he /she is otherwise entitled. Signed izabeth H. Mendoza de McRae Title President /CFO Firm PTM General Engineering Services Inc. Date 4/2/2013 TO BE INCLUDED IN BID PACKAGE BP 14 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT CONTRACTOR'S LICENSING STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that the following is true and correct. Contractor's Name: PTM General Engineering Services Inc. Business Address: 5942 Acorn Street, Riverside, CA 92504 Telephone: 951 - 710 -1000 State Contractor's License No. and Class: 891265, Class A, C10 Expiration Date: Signed: yl,�. ). Elizabeth H. Mendoza de McRae Title: President /CFO CITY OF SANTA ANA TO BE INCLUDED IN BID PACKAGE BP 15 of 27 N/A = Not Applicable PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT FEDERAL REQUIREMENTS FOR FEDERAL -AID CONSTRUCTION PROJECTS GENERAL —Tbe wodcberempropazxl w0 be fnhvicecl un whole or mlxd with Fedoua( finds, andthaefote all of die sladihu, ndes andnegtations pun iilgacd by the Fedora Govannart and applicable to woiic tinatxed in whole a in lu t wilt Feder lfianclswiltapplytosuchwalc Tlv'RaputedCa ta�tRuvisicm Fecb d— Aid Constriction Contracts, `Fbrn IT WA 1273, me included in this Satiot 14. W knem in saicl tegttital corlact provisions relaences hue trade to "SHA Cot>hacti ollicet" " SFIA imcfart engam," or "atllbaiw l relnesentative of the KW' suchtefiuences shalt beoownwtomatn "Flip "asdetrctedniSection 1 -1.18 ofere Standa¢f SPoetimfions PERFORMANCE OF PREVIOUS CONTRACT - In addition to the luovfsuuvs in Sector II, `Nondisanninatoq" vhcl Swim VIt, "Subleting or Assrg ring the Contract," of dne negntaed contract provisions, the Contrachu shall complywi4n the followfitg The BIDDER shill c3mtb the CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SOBIECT TO THE EQUAL OPPORTUNITY CLAUSE AND TFIEMING OF REQUIRED REPORTS locate] in the pigxx,A. No request to, subletting of assignmg urylxnticn of the contact m exoemof$10,000willbemnsicletedL la-diepinvisionsefSwhonVI[cfdne tafivcf contract provisions runless such request is accoingumed by the CERTIfTCATTONiifinecitoabove,e ibd'bydiepn)osmisul olAucha. NON- COLLUSION PROVISIONS - The punmsioas it this sectra are applunbletoallcontracts cLI)tmnvactsfixFedaalAiciSa ictuypmje(:k Tnte 23, Unital States Code, Section 112, reg6tes as a coxlilion luaxdart to approval by be Federal Highway Adtninishntor of the contract fu his wodc that eactnBIDDERgo a swan shfe mem execukA by, or or bedhalfo'taw pamn, firro, wsoemtoq o cogpratioa err whom such contract is Ai be awmded, certifying that suds paw, Win, i-issouitoq or crnporaton has not eiHna' diiecdy a militcedy, artaed into any ag=mant luuticipa d. in any w1lusion of otxtwise raker ally aclioimrennaitrtoffreecmnlxtitivebuklmgunmruxetianwidntnes2ibnvltedbid A fonn to nub the norailltisicn aHi &avit shataxnrt ialuual by Sin 112 as a ceitficatonuixl- ip3hahyofpetpuyrffiTradhviasaswanshataizfnta peliT lWby 28, USC ,Sec.1746Jsiwkxledinthepnr>fx> d, PARTICIPATION BY DISADVANTAGED BUSINESS ENTERPRISES IN SUBCONTRACI ING - Part 26, Tice 49, Cade ofFeclend Regilakonsmhpphi totoFectaal-aidlxojccY PaltnentrectrotlaofseidCode to iiieopoatedmluutounus ailuetyw9}» uodnerscxSiousofdx�slnaialprovisicros, ScheduhoB- Infinmation for lkternuhugJointvenhurElipbility. Attachment Fxbd)ftA -FRI 8.07 - -97 (This form need not be, filled in if alljoint venture fnms ate DBE owned) 1. Nwrio ofjohrtventtae N/A 2.Addressofjoinventtue N/A 3. Phone numberofjointventure N/A 4. Identify the f'inns which comprise the joint venture. ('The DBE padna must complete Schedule A) N/A a. Describe the role of the DBF fnm iin thus joint venture, b. Describe very briefly the experience and business quahticationss of each non- MBE joint venhue:_ 5. Nature of tlnejoint ve ntnte's lnisineas N/A 6. Provide a copy of tie join venture agreement . N/A 7. WluatistheelaimedperecittageofDBFownasbip7 N/A 8. Ownership ofjonrt venture: (This need not be filled in if described in tie jointventtue ageement,provided by question (6). a. Profit and loss sharing b. Capita contributions, including equipment. c. Other applicable ownership interests TO BE INCLUDED IN BID PACKAGE BP 16 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREE 9. Control of and pauticipiiition m this contract. Identify by came, rev, sex, and "&&' fliose mdivllards (acrd diett titles) wlto me responsible for cl<ay-today nkukrgaiaart and poky decision nkalcn& including, but not Innited to, those m1i prime resprmmbilityfor. a.FinancWclecisions N/A N/A Nmne ofFllm Nam2of rm SWmatue 4.Pui dmpgofuiajariiamorsupplies c,Supavisionoffieldolmabons Note: If, ,-& fifing fliis ScliedLiL B micibefae flie ccuiTletion of fliejomtverilrue's wak otitlie conllract cowLxlbythis rugulatiai, there is mry significant cdkange in flie irrfori ton simuttt=cl, flie join[ venture unnt urtorn flie grantee, cubes (litmily orthroughtl)e mine eonttaetor ifilie joust venhue is a subconi tnetcx. Affidcmil "flie umdasigied swem diat the foregoing stiwinents are conect and include all material information ricc sTy to identify and explain the terms and upxiation of our joint vonlrue mxlflie intencled participation by each joint venturw in the tnda4aldng. Frufl>er; theumdasigied coveriant and agree to provide to grantee anent complete and iccu ate information regvdnig actual joint v atmeworicmrdiliepaymentfliavfoiemidmrypmpceecicharges iamyof &- jointvenhuemmWinents and to vuritihemuditand mininalion of die books, records, and fits of tliejoirtvaitue,tiy authorized iep etesentitrws of die grantee or lie Federal funchng agarry. Any material misrepvesellation will be putnds for taniukadrg mry contract whidi may be awarded and fa initiating action underFedi or,%Ie lam, conc =iugfa sse slatesner6s." Attachment ExImbi(A FR2 W -97 Siwkahue Name On this _day of 20 befrne are app med (amore) to im personally ImNvA vdio, being drily swoni, clid exociite die fowguing affidaviC mid clid state that he of slue was pmpaiy audiouzed by (None of litm) to exead die affidavit and clid so as his or her line out aid deed NolaryPubh Conmtissionexpires 1103eal) Date Camityof On finis dry of 20 Before nic ,fT)Mv'ri (N,%1* tornepetsci tuillylmown ,whot-cingsvvcandidexxuL,die foegoing affidavit mtd did state flint he or slie was piopaiy mrdini cd by (Name of fwn) m execute die affidavit mxl clid sro as his orher five ad and deed. NomiyAiblic Commissionexpues (ill 'PTM General Engineering Services Inc. is not bid as joint venture TO BE INCLUDED IN BID PACKAGE BP 17 of 27 Name b. N)<mWieutdecisions, sudias: Title I. Esitmitnig Date 2.N1rukcfingandSates D e- Stiteof_ 3.I -Iidrg end f uuig ofnkauageotent Coturiyof 4.Pui dmpgofuiajariiamorsupplies c,Supavisionoffieldolmabons Note: If, ,-& fifing fliis ScliedLiL B micibefae flie ccuiTletion of fliejomtverilrue's wak otitlie conllract cowLxlbythis rugulatiai, there is mry significant cdkange in flie irrfori ton simuttt=cl, flie join[ venture unnt urtorn flie grantee, cubes (litmily orthroughtl)e mine eonttaetor ifilie joust venhue is a subconi tnetcx. Affidcmil "flie umdasigied swem diat the foregoing stiwinents are conect and include all material information ricc sTy to identify and explain the terms and upxiation of our joint vonlrue mxlflie intencled participation by each joint venturw in the tnda4aldng. Frufl>er; theumdasigied coveriant and agree to provide to grantee anent complete and iccu ate information regvdnig actual joint v atmeworicmrdiliepaymentfliavfoiemidmrypmpceecicharges iamyof &- jointvenhuemmWinents and to vuritihemuditand mininalion of die books, records, and fits of tliejoirtvaitue,tiy authorized iep etesentitrws of die grantee or lie Federal funchng agarry. Any material misrepvesellation will be putnds for taniukadrg mry contract whidi may be awarded and fa initiating action underFedi or,%Ie lam, conc =iugfa sse slatesner6s." Attachment ExImbi(A FR2 W -97 Siwkahue Name On this _day of 20 befrne are app med (amore) to im personally ImNvA vdio, being drily swoni, clid exociite die fowguing affidaviC mid clid state that he of slue was pmpaiy audiouzed by (None of litm) to exead die affidavit and clid so as his or her line out aid deed NolaryPubh Conmtissionexpires 1103eal) Date Camityof On finis dry of 20 Before nic ,fT)Mv'ri (N,%1* tornepetsci tuillylmown ,whot-cingsvvcandidexxuL,die foegoing affidavit mtd did state flint he or slie was piopaiy mrdini cd by (Name of fwn) m execute die affidavit mxl clid sro as his orher five ad and deed. NomiyAiblic Commissionexpues (ill 'PTM General Engineering Services Inc. is not bid as joint venture TO BE INCLUDED IN BID PACKAGE BP 17 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29 DEBARMENT AND SUSPENSION CERTIFICATION The BIDDER render penalty of perjury, certifies that except as noted below, he /she or any person associated therewith in the capacity of owner, partner, director, officer, manager: is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency; has not suspended, debarred, voluntarily excluded, or determined ineligible by any federal agency within past three years; has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years. If there are any exceptions to this certification, insert the exceptions in the following space Exceptions will not necessarily result in denial of award, but will be considered in determining BIDDERS responsibility. For any exception noted above, indicate below to whom it applies, initialing agency, and dates of action. Note: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification. FED.8 -22 -88 Name Of BIDDE General Engineering Services Inc. Signature of BIDDER Elizabeth H. Mendoza de McRae Date 4121 P""dentlCFO TO BE INCLUDED IN BID PACKAGE BP 18 of 27 EXHIBIT 15 -G LOCAL AGENCY BIDDER DBE COMMITDIENT (CONSTRUCTION CONTRACTS) NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: City of Santa Ana LOCATION: PROJECT: I2 -6760: TRAFFIC SIGNAL MODIFICATION ON McFADDEN AVE AT LYON ST PROJECT DESCRIPTION: Traffic signal modification on McFadden Ave. & Lyon St. TOTAL CONTRACT AMOUNT: BID DATE: 4/3/2013 BIDDER'S NAME: PTM General Engineering Services Inc. CONTRACT DBE GOAL: 9.65% CONTRACT ITEM O. ITEM OF WORK AND DESCRIPTION OR SERVICES TO BE SUBCONTRACTED OR MATERIALS TO BE PROVIDED (or contracted if the bidder is a DBE) USE CERT NO, AND EXPIRATION DATE NAME OF EACH DBE (Must be certified on the date bids ire opened - include DBE address and phone nrunber) DOLLAR AMOUNT DBE For Local Agency to Complete: Local Agency Contract Number; Federal -aid Project Number: _ Federal Share: $30,050 Total Claimed DBE Participation k�'El,mb,th $ Coutract Award Date Local Agency certifies that all DBE certifications have been i mifed and information is complete and accurate, H. Mendoza de McRae, President/CFO PTM General Engineering Services Inc. Signature of Bidder 4/2/2013 951 - 710 -1000 Date (Area Code) Tel, No. Elizabeth H. Mendoza de McRae Print Name Signature Date Local Agency Representative (Area Code) Telephone Number: Person to Contact (Please Type or Print) Local Agency Hiddcr DHE Conmtifmavt (COnstnmtien ('ontracts) (Rev 6/26/09) Distribution: (1) Copy —Fax or scan a copy to the Caltrans District Local Assistance Engineer (DLAE) within 30 days of contract execution. Triton, to send a copy to the DLAE within 30 days of contract execution miy result in de- obligation of fiords for this project. (2) Copy— Include in award package to Caltrans District Food Assistance (3) Original — Local agency files TO BE INCLUDED IN BID PACKAGE BP 19 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT NONLOBBYING CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influence or attempting to influence an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of ally Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriate funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for malting or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required . certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her bid or proposal that he or she shall ire that the language of this certification be included in all lower tier subcontracts, which exceed 10 000 and that all such sub- recipients shall certify and disclose accordingly. Elizabeth H. Mendoza de McRae, President /CFO BIDDER'S Signature PTM General Engineering Services Inc. Firm Date • Standard romt LLL maybe obtained from Caltrans and PHWA offices. TO BE INCLUDED IN BID PACKAGE BP 20 of 27 N/A = Not Applicable CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT DISCLOSURE OF LOBBYING ACTIVITIES Conwlete this fowl to disclose lobbying activities uursuant to 31 U.S.C. 1352 1. Type of Federal Action N/A 2. Status of Federal Action N/A 3. Report Type: N/A ❑ a. Contract ❑ a. Bid /offer /application ❑ a, initial b. Grant b. initial award b. material change c. Corporate Agreement e, post -award d. Ban For Material Change only: e. Loan Guarantee Year _ quarter_ f Loan Insurance date of last report 4. Name and Address of Repotting Entity 5. If Reporting Eutity ii No. 4 is Subawardee, Enter Name and N/A Address ofPtitne: N/A ❑ Prune ❑ Subwardee Tier= Ifkmown Congiessional District, i known Congressional District, if/m msi 6. Federal Departtnent/Agency: N/A 7. Federal Program Nanle /Description N/A CFDA Number, If applicable 8. Federal Action Number, ifknown 9. Award Amount ifknounv NIA NIA S 10. a. Naule aid Address of Lobbying Entity N/A b. hzdividual Performing Services (nvcludmg rxkfi�ssifc/, rptt from No. r�indnzk .alkaslrr�nrG.firsl,A'4J I(k) (Ia lticang fnshvcmle ko ( attach Continuation Sbeet(s) if necessary) 11. A lwltnt of payment (clmeok all that apply): 13. Type of Payment (check all that apply) $ E] Actual ❑ Planned N/A ❑ a. retainer N/A ❑ b. one -time fee ❑ c. comulission 12. Form of payment (check all that apply): N/A ❑ a. cash ❑ d contingent fee ❑ b. in -kind; specify: nature ❑ e. deferred value ❑ f other, specify 14. Blief Description of Services Performed or to be performed and Date(s) of Service, including officer(s), employee(s), ormnenmbei (s) contacted, for Payment indicated in item 11: N/A (attach ConkmvalionS ieet(5) z necessar �) 15. Continuation Sheet (s) attaclmed: 01 es ® No 16.Inf ainationasIuLstzdduoug1141isfouuisauaborizedbyTitle31USCSecam 1352. Signature / whidlreliancewasplaredbytl> etierabovewhernd�hansactionwnsnladeoran� red t unto. 31U.S.C1352 Tbisinfoinia ionwillbe PrintNaille Elizabeth H. Mendoza de McRae ivpoitcd CO tint'�`011�PU Se(nl- aCRIlliif�at]dWlll Ile ll�lelOrpabhClCLSl.1EC`110n AnypetsonwliokEsh) fir- drlcgireddisclosuteshallllesabjecttoaciv itNi,,ayof Title President /CFO notle3gdranSlO,( h) Oandnotnaole4 ><w$100,IX10foreach�.ich�ihue Telephone No. 951- 710 -1000 Date 4 /2/2013 FcnletalUseOnly: I Ai., r izedforLocnlRgrocTmtiou Stan lat'dPonn—LLL TO BE INCLUDED IN BID PACKAGE BP 21 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING REQUIRED FEDERAL CONTRACT PROVISIONS (Form FHWA -12731 The rmdersigta d, is submitting this proposal for performing by contract the work required by these bid docLmients, es to comply with the required Federal Contract Provision (Form FHWA -1273) as shown in the appen o cial Provisions of this project. Signed ( Elizabeth H. Mendoza de McRae Title Flrin PTM General Engineering Services Inc. Date 4/2/2013 TO BE INCLUDED IN BID PACKAGE BP 22 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT CERTIFICATION FOR FEDERAL AID CONTRACTS The prospective participant certifies, by signing and submitting this bid or proposal, to the best of his or her knowledge and belief, that: (1) No Federal appropriated far ds'have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any Federal Agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in eormection with the awarding of any Federal contract, the malting of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, grant, loan, or cooperative agreement. (2) If any funds other Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form -LLL *, "Disclosure of Lobbying Activities" in accordance with its instructions. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The ,prospective participant also agrees by submitting his or her proposal that be or she shall require that the e of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such sub- Ls-jshall certify and disclose accordingly. Elizabeth H. Mendoza de McRae, President/CFO BIDDER Signature PTM General Engineering Services Inc. 4I2I2013 Date TO BE INCLUDED IN BID PACKAGE BP 23 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT BIDDER'S CERTIFICATE OF COMPLIANCE REGARDING "BUY AMERICA" REQUIREMENTS FOR STEEL OR MANUFACTURED PRODUCTS The undersigned, is submitting this proposal for performing by contract the work required by these bid documents, rtify to comply with the "Buy America" requirements of Section 165 of the Surface Transportat�Assistance Act of 1982 and as shown in the Special Provisions of this project. Signed Title Firm PTM General Engineering Services Inc. Date 4/2/2013 TO BE INCLUDED IN BID PACKAGE BP 24 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10285.1 STATEMENT In conformance with Public Contract Code Section 10285.1 (Chapter 376, Stats. 1985), the BIDDER hereby declares under penalty of perjury under the laws of the State of California that the BIDDER has —I has not been convicted within the preceding three years of any offenses referred to in that section, including any charge of fraud, bribery, collusion, conspiracy, or any other act in violation of any state or Federal antitrust law in connection with the bidding upon, award of, or performance of, any public works contract, as defined in Public Contract Code Section 1101, with any public entity, as defined in Public Contract Code Section 1100, including the Regents of the University of California or the Trustees of the California State University. The tern 'BIDDER' is understood to include any partner, member, officer, director, responsible managing officer, or responsible managing employee thereof, as referred to in Section 10285.1. Note: The BIDDER must place a check mark after "'has" or "has not" in one of the blank spaces provided. The above Statement is part of the Proposal. Signing this Proposal on the signature portion thereof shall so constitute signature of this Statement. BIDDERS are cautioned that making a false certi cation may subject the certifier to criminal prosecution. Signed/ Elizabeth H. Mendoza de McRae Title Finn PTM General Engineering Services Inc. Date 4/2/2013 TO BE INCLUDED IN BID PACKAGE BP 25 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE In confonnance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes No x If the answer is yes, explain the circumstances in the following space. TO BE INCLUDED IN BID PACKAGE BP 26 of 27 CITY OF SANTA ANA PROJECT NO. 12 -6760: TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AVE & LYON ST PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10232 STATEMENT In conformance with Public Contract Code Section 10232, the Contractor, hereby states under penalty of perjury, that no more than one final unappealable finding of contempt of court by a federal court has been issued against the Contractor within the immediately preceding two year period because of the Contractor's failure to comply with an order of a federal court which orders the Contractor to comply with an order of the National Labor Relations Board. Note: The above Statement and Questionnaire are part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Statement and Questionnaire. BIDDERS are cautioned that making a false certification may subject the certifier to criminal prosecution. ,Signed I _ _ Elizabeth H. Mendoza de McRae Title PresldenUCFO Firm PTM General Engineering Services Inc. Date 4/2/2013 TO BE INCLUDED IN BID PACKAGE BP 27 of 27 • ;NOW ALL BY THESE PRESENTS, That we, PTM GENERAL ENGINEERING SERVICES INC. of 5942 ACORN ST. RIVERSIDE, CA 92504 (hereinafter called the Principal), as Principal, and INTERNATIONAL FIDELITY INSURANCE (hereinafter called the Surery), as Surety ere held and firmly hound unto CITY OF SANTA ANA (hereinafter called the Obligee) in Ilia penal sum of TEN PERCENT OF AMOUNT BID Dollars (,$ 10°% for the payment of which the Principal and the Surety bind themselves, their heirs, executors, administralars, successors and assigns, jointly and severally, finely by these presents, THE CONDITION Of^ Tlt1S OBLIGATION 15 SUCY1, That W11EltLAS, the Princlpal has submltted or Is about to submit a proposal (o the Obligee on a eontracl for TRAFFIC SIGNAL MODIFICATION ON McFADDEN AVE. AND LYON STREET NOW, THEREFORE, If the said Contract be timely awarded to the Principal and the Principal shall, within such time as may be specified, enter into the Contract in writing, and give bond, if bond is raquirod, with surety acceptable to the Obligoe for the faithrol performance of the said Contract, then this obligation shall be void; otherwise to remain in Full force and effect, Signed and sealed this 22ND day of Witness Witness , 2013 PTM GENSRA GINEERING SERVICES, INC. (Seal) {(l J ' Y7 � C� AaA Tlllc �j INTERNATI L F6D'6ITY INSURANCE COMP. P I E. VEGA Attoney -in -Pact Tel (973) 324 -7.00 POWER OF ATTORNEY INTERNATIONAL FIDELITY INSURANCE COMPANY ALLEGHENY CASUALTY COMPANY ONE NE'NARK CENTER, 20TH FLOOR NEWARK, NEW JERSEY 07102-5207 KNOW ALL MEN BY THESE PRESENTS: Thal INTERNATIONAL FIDELITY INSURANCE COMPANY , a corporation oigini_ad slid eslsting uncle the laws of the Stele of New Jersey, and ALLEGHENY CASUALTY COMPANY a corporation organized and exlstinp under the laws of the Stale of P ennnysylva ilia, having thelr principal office ill the City of Newark, New Jersey, do hereby constltule and appoint KEVIN E, VEGA, BRITTON CHRISTIANSEN, WRNA SMITH, PHILIP E, VEGA Covina, CA their Irue. and lawful altorney(s) -in -fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, conlracls of indemnify and other writings obligatory m the nature !hereof, which are or may be allowed, required of permilled by law, slalute, rile, regulation, contract or otherwise, and the execulion of such instrument(sl in pursuance of these presents, shall be as bindin0 upon the said INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY, as fully and amply, to all intents and purposes, as if the same had been duly executed and acknowledged by Iheir regularly elected officers at Iheir principal offices, This Power of Aucirlayy is executed, and may be revoked, p[nsuant to Iand b authority of the By -Laws of INTCRNATIONAL FIDELITY INSURANCE COMPANY and ALLEGFIENY CASUALTY COMPANY and is granted under and by aulhorily of the following resolution aclopled by the Board of Dlrcctors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a inoeting dull held on the 20th clay of July, 2010 and by the Board of Directors of ALLEGHENY CASUALTY COMPANY at a meeting duly held on the '15th day of August .0001 'RESOLVED, that ('I) the President, Vice Presldent or Socrolary of the Corporation shell have the power to appoint, and to revoke the appointments of Allorneys -In -Pact or agents will] power end author] ly as defined or broiled in Ihei1' respective powers of attorney, and to execute on behalf of Ore Corporallon end affix the Corporations seal Iherelo, bonds, undertakings, recognizancas, conlracls of indemnity and other wrillen oblipaGons in Ilia nalurp thereof or relatocl lharelo; and (2) any such Ofllcers of the Corporation may appoint and revoke the appoinlmenls ofjoint- control euelodians, agents for acccplI ( :of process, and A�tornoyys- in -facl will] aulhorily to execute waivers slid consents on behalf of lie Corporation; and (3) Ihr. slgnalure Of any such Olficer of the Corporation and the Gorpore Ban's seal may be afnixed by facsimile loan power of attorney or eerlificallon given for line ex petition of Illy bond, uncei rlt ing, 'ecognizance Coll of !I clemni ly or other wrillen obligation In the nature Ihercof or related thereto, such sionature and seals when so used whelhev hcrclofore or poll the r, bping her Mir cod by tine Coy FIi.oiaClon as Iho ouginal F fly n w p of such officer and the of lglnal seal cl' Ihr.'. Corporation, to 6p vallr;l ;Ind binding upon fine Corporallon wil.lr Ihr. same force and effect as lineal lh iiiadLit) cfflx ii, d. IN WITNESS WHEREOF, INTERNATIONAL FIDELITY INSURANCE COMPANY and ALLEGHENY CASUALTY COMPANY 11;avoe;ach executed nn ollrctpd those pipireits on This 121h clay of March, 2012, STATE_ OF NEW JERSEY Ca County of Essex / 1'. ROBERT w. MINSTER Executive VLCC PrnairloullCl iiel 01)0181bill;) C$icer (International Fidelity Insurance Gornpcuiy) and President (Allogheny Casually Company) On This 12th day of March 2012, before me came the Iridivldrial wine axpculed the preceding Instrument to me personally known, ,end, balrig by Murkily sworn, said he Is line Iheretn described and authorized officer of INTERNATIONAL- FIDL °LIT Y INSURANCE COMPANY and AUJEGHENY CASLIAL'I'Y COMPANY ; Chat (lie scald affixod to said instrument air, the Corporate Seals of s,ir d Companies; Chat the said Corpoi ilc e als ant his dlranrliUIQ worn ,:lily affixed by orck r of Clio Boards of Direelors of said Companies, "1•"110 CERTIFICATION I, thu und,,r,igned offincr of IN I ERNA I IOIJAL FIDELITY INSURAINICE COMPANY and ALLEGHENY IENY OAFHAL.I COMPANY r do hen by ccrllfy Ifi it I Iiavr.! comp �rcrJ Iho, foringoing copy of the Power of Attorney and affidavit and II're copy of Iho Sections of Iho By -Laws dws of said C,orripanios s, set forth in sold Peron of Attonloy, will] the cinrprials on file In the homy office of said nornpanles and that the same are coirrcl Iron „crlpts Ihoruof, and of tho who1c, of no said originals and Lhol. Ihr said Power of Atlornny has nol been rovolwd and is now in full farce and effect IN "'ESIIMONY WHEREOF, I have hereunto set my hand his 22ND day of MARCH, 2013 MARIA FRANCO, Asslstanl Serreiary IN TESTIMONY WHEREOF, I have hoi'eunto so;.I Illy hand affixedI lily (illicit Sewl, .... at the City of Newark, Blow .Jersey the daffy and year lirsl shove written. ,., ,nr g�,` ' 1,t A NOTARY PUBLIC OF I +IGW JERSEY My Commission Expires Mar. 27, 21) It f-wEW "1•"110 CERTIFICATION I, thu und,,r,igned offincr of IN I ERNA I IOIJAL FIDELITY INSURAINICE COMPANY and ALLEGHENY IENY OAFHAL.I COMPANY r do hen by ccrllfy Ifi it I Iiavr.! comp �rcrJ Iho, foringoing copy of the Power of Attorney and affidavit and II're copy of Iho Sections of Iho By -Laws dws of said C,orripanios s, set forth in sold Peron of Attonloy, will] the cinrprials on file In the homy office of said nornpanles and that the same are coirrcl Iron „crlpts Ihoruof, and of tho who1c, of no said originals and Lhol. Ihr said Power of Atlornny has nol been rovolwd and is now in full farce and effect IN "'ESIIMONY WHEREOF, I have hereunto set my hand his 22ND day of MARCH, 2013 MARIA FRANCO, Asslstanl Serreiary Company Profile Company Profile Company Search Company Search Results Company Information Old Company Names Agent for Service Reference Information NAIC Group List Lines of Business Workers' Compensation Complaint and Request for Action /Appeals Contact Information Financial Statements PDF's Annual Statements Quarterly Statements Company Complaint Company Performance & Comparison Data Company Enforcement Action Composite Complaints Studies Additional Info Find A Company Representative In Your Area View Financial Disclaimer COMPANY PROFILE Company Information INTERNATIONAL FIDELITY INSURANCE COMPANY ONE NEWARK CENTER 20TH FL NEWARK, NJ 07102 -5207 Old Company Names Effective Date Agent For Service DOROTHY O'CONNOR- MANSON 2999 OAK ROAD SUITE 820 WALNUT CREEK CA 94597 Reference Information NAIC #: 11592 California Company ID #: 4341 -4 Date Authorized in California: 02/09/199 License Status: UNLIMITED- NORMAL Company Type: Property &Casualty State of Domicile: NEW JERSEY back to top NAIC Group List NAIC Group #: Lines Of Business 4705 AIA Holdings Inc Grp The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. SURETY back to top © 2008 California Department of Insurance Page 1 of 1 http : / /interactive.web.insLirance. ca. gov /companyprofile /coinpanyprofile ?event= companyPr... 4/10/2013 0M,3FQ'3WAgA ALL-LuUnPOSE ACKNOW(LEDW)ENT &we oP California County of ORANGE On P/2,00 0 laefore me, Philip Vega, Notary public nele Hole Inean Name a6d Tit I. a I the Of cer personally appeared ELIZABETH H. MENDOZA de MCRAE who proved to me on the basis of satisfactory evidence to be the person(/) Whose namEq/s) IsVre subscribed to the wtthl Instrument and acknowled to me that het k6 ihi executed the same It hIs/ /�� y gslr authorized capacrty(� s), and that by hI� /hrel/ /their signature e) on the PHILIP VEGA instrument the person(g), or the entity upon behalf of COMM. N 1977088 to t =' { which the personO acted, executed the Instrument. NOTARY PIIpLIC- CALIFORNIA o LOS ANGELES COUNTY My Comm. Expires MAY 312016 I Certify Under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and CDrreot. WITNESS my hand and offiol seal. Signature plaaa Natery Seal Abova (bra at Natmy Puhlle OPTIONAL — Though the information below is not required by law, If may prove velutable top rsons relying on the document and could prevent fraudulont removal end reetteohment of this form to another document, Description of Attached Dooument Title of Type of QOCUrnentl Document bate: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer($) Signer's Name: ❑ Individual ❑ CoTo rate Clio nr— Title($): _ ❑ Partner_ 11 Limbed ❑ Ceneral ❑ Attorney In Fact Fl Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages; Signer's Name:_ ❑ Individual ❑ Corporate CNIoer — Title(s): C ParCnor — ❑ Limited ❑ Ceneral ❑ Attorney in Fact Top of (humb nary M Trustee Top of (hbmh here fl Guardian or Conservator ❑ Other: Signer Is Representing cz t*d1'9360aetir .. PJ2007 National Plolary Aaeodfl06rr 9350 Do Solo Avo., P,0,0o><2902•GhnalWoph,CA( 11310290 ?•wWw,NallanfllNOlNry.olp IIom 115907 RooNor.Cal Yall -Flee 1 •e00-0764027 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 State of California l Cou t of Los Angeles Ji rVAR 2 2 2013 On before me, Monica Blaisdell, Notary Public Date Here Insert Name and Title of the Officer personally appeared Philip E. Vega Nanne(s) of Slfiner(s) who proved to me on the basis of satisfactory evidence to be the personX whose name' is /ara subscribed to the within instrument and acknowledged to me that he /sge/tlaey executed the same in MONICA BLAISDELL his /oar /thair authorized capacity(ie&), and that by • commission # 1970045 his /qer /tfaek signati on the instrument the Notary Public - California > person* or the entity upon behalf of which the Orange County persoi acted, executed the instrument. My Comm. Expires Mar 26, 2016 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal Above Signe. of Notary Public CERTIFICATE OF CORPORATE RESOLUTION I, Brian Mendoza Secretary of PTM General Engineering Services Inc. (Corporation) do hereby certify that at a duly constituted meeting of the Stockholders and Directors of the Corporation held at the office of the Corporation on December 30 , 2007(year), it was upon motion duly made and seconded; that it be VOTED: Elizabeth H. Mendoza de McRae, President /CFO ..... OR.... Brian Mendoza, Vice President /Secretary Authorized to sign & execute contracts and submit bids with either one of the corporate officer's signatures. It was upon further motion made and seconded that it be further VOTED: That Elizabeth H. Mendoza de McRae, President /CFO ..... OR.... Brian Mendoza, Vice President /Secretary in the capacity as of the Corporation is empowered, authorized and directed to execute, deliver and accept any and all documents and undertake all acts reasonably required or incidental to accomplish the foregoing vote, all on such terms and conditions as he in his discretion deems to be in the best interests of the Corporation. I further certify that the foregoing votes are in full force this date without rescission, modification or amendment. Signed this 'MA day of A TRUE RECORD ATTEST (Corporate Seal) 53 (year). 6 Secretary /Clerk Brian Mendoza Vice President /Secretary DATE: CITY OF SANTA ANA �-i PUBLIC WORKS AGENCY A -36) 20 CIVIC CENTER PLAZA (M SANTA ANA, CA 92701 March 25, 2013 PROJECT SUBJECT: ADDENDUM NO.: 1 NO.: 12 -6760 MAIL REMARKS: PAGES ATTACHED: 27 STATION: M -43 NOTE: PLEASE FAX OR EMAIL THIS PAGE ONLY TO: PHONE NO.: (714) 647 -5606 UPON RECEIPT OF ADDENDUM, PLEASE SIGN THIS SHEET AND FAX OR EMAIL IT BACK TO THE CITY OF SANTA ANA ATTENTION: ZED KEKULA FAX NO.: (714) 647 -5670 I HEREBY ACKNOWLEDGE RECEIPT OF ADDENDUM NUMBER: PROJECT NO.: 12 -6760 DATE: 4/2/13 1 PRINT NAME: Elizabeth H. Mendoza de McRae TITLE: President/CFO MAYOR Mlguol A. PL11Id0 MAYOR PRO I EM solTinajoro COUNCILMEMBEFIS Angefloa Amowua P. David Bonavides Michele C. Martinoz Roman A. Heyna Vincent Sarmlento March 25, 2013 ADDENDUM No. ONE , 5 �� " 1� E�p CITY OF SANTA ANA PUBLIC WORKS AGENCY M-43 P.G. Box 1988 Santa Ana, California 92702 INTERIM CITY MANAGER Kovin oTloud(n CITY ATTOIF NEY S0111a Calvalho CL EM OF r1 IL COUNCIL malir,t 1). H(ftar SUBJECT: PROJECT NO. 126760: Traffic Signal Modification on McFadden Ave & Lyon St The following changes have been made to the specifications of the subject projects: Specifications 1. Appendix E "Federal Wage Scale," replace with attached Appendix E, All other terms and conditions remain the same. FOR THE CITY OF SANTA ANA G a e ( ne Edwin JV �,,p City Engineer APPENDIX E FEDERAL WAGE SCALE General Decision Number: CA130035 03/08/2013 CA35 Superseded General Decision Number: CA20120035 State: California Construction Types: Building, Heavy (Heavy and Dredging) and Highway County: Orange County in California. BUILDING CONSTRUCTION PROJECTS; DREDGING PROJECTS (does not include hopper dredge work); HEAVY CONSTRUCTION PROJECTS (does not include water well drilling); HIGHWAY CONSTRUCTION PROJECTS Modification Number Publication Date 0 01/04/2013 1 01/11/2013 2 03/01/2013 3 03/08/2013 ASBE0005 -002 06/28/2010 Rates Asbestos Workers /Insulator (Includes the application of all insulating materials, protective coverings, coatings, and finishes to all types of mechanical systems) .....$ 32.79 Fire Stop Technician (Application of Firestopping Materials for wall openings and penetrations in walls, floors, ceilings and curtain walls ) ...........................$ 24.21 ASBE0005 -004 06/28/2010 Rates Asbestos Removal worker /hazardous material handler (Includes preparation, wetting, stripping, removal, scrapping, vacuuming, bagging and disposing of all insulation materials from mechanical systems, whether they contain asbestos or not) .... $ 18.70 * BRCA0004 -010 05/01/2012 Rates Fringes 16.31 13.76 --------- --- - - - - -- Fringes 8.65 ------- ----- - - - - -- Fringes BRICKLAYER; MARBLE SETTER ........ $ 35.26 12.26 *The wage scale for prevailing wage projects performed in Blythe, China lake, Death Valley, Fort Irwin, Twenty -Nine Palms, Needles and 1 -15 corridor (Barstow to the Nevada State Line) will be Three Dollars ($3.00) above the standard San Bernardino /Riverside County hourly wage rate BRCA0018 -004 06/01/2012 Rates Fringes MARBLE FINISHER ..................$ 27.04 10.66 TILE FINISHER ....................$ 22.37 9.19 TILE LAYER .......................$ 33.55 13.55 ----------------------- BRCA0018 -010 09/01/2009 Rates Fringes TERRAZZO FINISHER ................$ 26.59 9.62 TERRAllO WORKER/SETTER ........... $ 33.63 10.46 CARP0409 -001 07/01/2010 Rates Fringes CARPENTER (1) Carpenter, Cabinet Installer, Insulation Installer, Hardwood Floor Worker and acoustical installer ...................$ 37.35 11.08 (2) Millwright ..............$ 37.85 11.08 (3) Piledriver /Derrick Bargeman, Bridge or Dock Carpenter, Heavy Framer, Rock Bargeman or Scowman, Rockslinger, shingler (Commercial) ................$ 37.48 10.58 (3) Piledrivermen /Derrick Bargeman, Bridge or Dock Carpenter, Heavy Framer, Rock Bargeman or Scowman, Rockslinger, Shingler (Commercial) ................$ 37.48 11.08 (4) Pneumatic Nailer, Power Stapler ...............$ 37.60 11.08 (5) Sawfiler ...............$ 37.44 11.08 (6) Scaffold Builder ....... $ 28.55 11.08 (7) Table Power Saw Operator ....................$ 37.45 11.08 FOOTNOTE: Work of forming in the construction of open cut sewers or storm drains, on operations in which horizontal lagging is used in conjunction with steel H -Beams driven or placed in pre- drilled holes, for that portion of a lagged trench against which concrete is poured, namely, as a substitute for back forms (which work is performed by piledrivers): $0.13 per hour additional. CARP0409 -005 07/01/2010 Rates Fringes Drywall DRYWALL INSTALLER /LATHER .... $ 37.35 11.08 STOCKER /SCRAPPER ............ $ 10.00 6.67 CARP0409 -008 08/01/2010 Rates Fringes Modular Furniture Installer ...... $ 17.00 7.41 ELEC00II- 002 11/26/2012 COMMUNICATIONS AND SYSTEMS WORK Rates Fringes Communications System Installer ...................$ 27.25 12.25 Technician ..................$ 29.05 12.30 SCOPE OF WORK: Installation, testing, service and maintenance of systems utilizing the transmission and /or transference of voice, sound, vision and digital for commercial, educational, security and entertainment purposes for the following: TV monitoring and surveillance, background- foreground music, intercom and telephone interconnect, inventory control systems, microwave transmission, multi- media, multiplex, nurse call systems, radio page, school intercom and sound, burglar alarms, fire alarm (see last paragraph below) and low voltage master clock systems in commercial buildings. Communication Systems that transmit or receive information and /or control systems that are intrinsic to the above listed systems; inclusion or exclusion'of terminations and testings of conductors determined by their function; excluding all other data systems or multiple systems which include control function or power supply; excluding installation of raceway systems, conduit systems, line voltage work, and energy management systems. Does not cover work performed at China Lake Naval Ordnance Test Station. Fire alarm work shall be performed at the current inside wireman total cost package. * ELEC0441 -001 02/25/2013 Rates Fringes CABLE SPLICER ....................$ 43.03 14.04 ELECTRICIAN ......................$ 41.14 13.98 ---------------------------------------------------------------- * ELEC0441 -003 11/26/2012 COMMUNICATIONS & SYSTEMS WORK (excludes any work on Intelligent Transportation Systems or CCTV highway systems) Rates Fringes Communications System Installer ...................$ 28.32 11.15 Technician ..................$ 30.12 11.20 SCOPE OF WORK The work covered shall include the installation, testing, service and maintenance, of the following systems that utilize the transmission and /or transference of voice, sound, vision and digital for commercial, education, security and entertainment purposes for TV monitoring and surveillance, background foreground music, intercom and telephone interconnect, inventory control systems, microwave transmission, multi- media, multiplex, nurse call system, radio page, school intercom and sound, burglar alarms and low voltage master clock systems. A. Communication systems that transmit or receive information and /or control systems that are intrinsic to the above listed systems SCADA (Supervisory control /data acquisition PCM (Pulse code modulation) Inventory control systems Digital data systems Broadband & baseband and carriers Point of sale systems VSAT data systems Data communication systems RF and remote control systems Fiber optic data systems B. Sound and Voice Transmission /Transference Systems Background - Foreground Music Intercom and Telephone Interconnect Systems Sound and Musical Entertainment Systems Nurse Call Systems Radio Page Systems School Intercom and Sound Systems Burglar Alarm Systems Low - Voltage Master Clock Systems Multi - Media /Multiplex Systems Telephone Systems RF Systems and Antennas and Wave Guide C. *Fire Alarm Systems - installation, wire pulling and testing. D. Television and Video Systems Television Monitoring and Surveillance Systems Video Security Systems Video Entertainment Systems Video Educational Systems CATV and CCTV E. Security Systems, Perimeter Security Systems, Vibration Sensor Systems Sonar /Infrared Monitoring Equipment, Access Control Systems, Card Access Systems *Fire Alarm Systems 1. Fire Alarms -In Raceways: Wire and cable pulling in raceways performed at the current electrician wage rate and fringe benefits. Installation and termination of devices, panels, startup, testing and programmming performed by the Technician. 2. Fire Alarms -Open Wire Systems: installed by the Technician. ---------------------------------------------------------------- ELEC0441 -004 11/26/2012 Rates Fringes ELECTRICIAN (TRANSPORTATION SYSTEMS, TRAFFIC SIGNALS & STREET LIGHTING) Cable Splicer /Fiber Optic Splicer. $ 40.74 13.77 Electrician .................$ 40.14 13.75 Technician ..................$ 30.12 11.20 SCOPE OF WORK: Electrical work on public streets, freeways, toll -ways, etc, above or below ground. All work necessary for the installation, renovation, repair or removal of Intelligent Transportation Systems, Video Surveilance Systems (CCTV), Street Lighting and and Traffic Signal work or systems whether underground or on bridges. Includes dusk to dawn lighting installations and ramps for access to or egress from freeways, toll -ways, etc. Intelligent Transportation Systems shall include all systems and components to control, monitor, and communicate with pedestrian or vehicular traffic, included but not limited to: installation, modification, removal of all Fiber optic Video System, Fiber Optic Data Systems, Direct interconnect and Communications Systems, Microwave Data and Video Systems, Infrared and Sonic Detection Systems, Solar Power Systems, Highway Advisory Radio Systems, highway Weight and Motion Systems, etc. Any and all work required to install and maintain any specialized or newly developed systems. All cutting, fitting and bandaging of ducts, raceways, and conduits. The cleaning, rodding and installation of "fish and pull wires ". The excavation, setting, leveling and grouting of precast manholes, vaults, and pull boxes including ground rods or grounding systems, rock necessary for leveling and drainagae as well as pouring of a concrete envelope if needed. JOURNEYMAN TRANSPORTATION ELECTRICIAN shall perform all tasks necessary toinstall the complete transportation system. JOURNEYMAN TECHNICIAN duties shall consist o£: Distribution of material at job site, manual excavation and backfill, installation of system conduits and raceways for electrical, telephone, cable television and comnmunication systems. Pulling, terminating and splicing of traffic signal and street lighting conductors and electrical systems including interconnect, dector loop, fiber optic cable and video /data. ---------------------------------------------------------------- ELEC1245 -001 06/01/2012 Rates Fringes LINE CONSTRUCTION (1) Lineman; Cable splicer..$ 48.95 14.05 (2) Equipment specialist (operates crawler tractors, commercial motor vehicles, backhoes, trenchers, cranes (50 tons and below), overhead & underground distribution line equipment) ........... $ 39.09 12.97 (3) Groundman ...............$ 29.91 12.70 (4) Powderman ...............$ 43.71 13.15 HOLIDAYS: New Year's Day, M.L. King Day, Memorial Day, Independence Day, Labor Day, and day after Thanksgiving, ELEV0018 -001 01/01/2012 Veterans Day, Thanksgiving Day Christmas Day Rates Fringes ELEVATOR MECHANIC ................$ 47.73 23.535 FOOTNOTE: PAID VACATION: Employer contributes 8% of regular hourly rate as vacation pay credit for employees with more than 5 years of service, and 6% for 6 months to 5 years of service. PAID HOLIDAYS: New Years Day, Memorial Day, Independence Day, Labor Day, Veterans Day, Thanksgiving Day, Friday after Thanksgiving, and Christmas Day. ENGI0012 -003 07/01/2012 Rates Fringes OPERATOR: Power Equipment (All Other Work) GROUP 1 ....................$ 37.40 20.00 GROUP 2 ....................$ 38.18 20.00 GROUP 3 ....................$ 38.47 20.00 GROUP 4 ....................$ 39.96 20.00 GROUP 5 ....................$ 41.06 20.00 GROUP 6 ....................$ 40.18 20.00 GROUP 8 ....................$ 41.39 20.00 GROUP 9 ....................$ 40.41 20.00 GROUP 10 ....................$ 40.41 20.00 GROUP 11 ....................$ 40.58 20.00 GROUP 12 ....................$ 40.58 20.00 GROUP 13 ....................$ 40.68 20.00 GROUP 14 ....................$ 40.71 20.00 GROUP 15 ....................$ 40.79 20.00 GROUP 16 ....................$ 40.91 20.00 GROUP 17 ....................$ 41.08 20.00 GROUP 18 ....................$ 41.18 20.00 GROUP 19 ....................$ 41.29 20.00 GROUP 20 ....................$ 41.41 20.00 GROUP 21 ....................$ 41.58 20.00 GROUP 22 ....................$ 41.68 20.00 GROUP 23 ....................$ 41.79 20.00 GROUP 24 ....................$ 41.91 20.00 GROUP 25 ....................$ 42.08 20.00 OPERATOR: Power Equipment (Cranes, Piledriving & Hoisting) GROUP 1 ....................$ 38.75 20.00 GROUP 2 ....................$ 39.53 20.00 GROUP 3 ....................$ 39.82 20.00 GROUP 4 ....................$ 39.96 20.00 GROUP 5 ....................$ 40.18 20.00 GROUP 6 ....................$ 40.29 20.00 GROUP 7 ....................$ 40.41 20.00 GROUP 8 ....................$ 40.58 20.00 GROUP 9 ....................$ 40.75 20.00 GROUP 10 ....................$ 41.75 20.00 GROUP 11 ....................$ 42.75 20.00 GROUP 12 ....................$ 43 GROUP 13 ....................$ 20.00 44 OPERATOR: Power Equipment 20.00 79 (Tunnel Work) 91 20.00 GROUP 1 ....................$ 39 GROUP 2 ....................$ 40 GROUP 3 .....................$ 40 GROUP 4 ....................$ 40 GROUP 5 ....................$ 40 GROUP 6 ....................$ 40 GROUP 7 ....................$ 40 75 20.00 75 20.00 25 20.00 03 20.00 32 20.00 46 20.00 68 20.00 79 20.00 91 20.00 PREMIUM PAY: $3.75 per hour shall be paid on all Power Equipment Operator work on the followng Military Bases: China Lake Naval Reserve, Vandenberg AFB, Point Arguello, Seely Naval Base, Fort Irwin, Nebo Annex Marine Base, Marine Corp Logistics Base Yermo, Edwards AFB, 29 Palms Marine Base and Camp Pendleton Workers required to suit up and work in a hazardous material environment: $2.00 per hour additional. Combination mixer and compressor operator on gunite work shall be classified as a concrete mobile mixer operator. SEE ZONE DEFINITIONS AFTER CLASSIFICATIONS POWER EQUIPMENT OPERATORS CLASSIFICATIONS GROUP 1: Bargeman; Brakeman; Compressor operator; Ditch Witch, with seat or similar type equipment; Elevator operator- inside; Engineer Oiler; Forklift operator (includes loed, lull or similar types under 5 tons; Generator operator; Generator, pump or compressor plant operator; Pump operator; Signalman,, Switchman GROUP 2: Asphalt- rubber plant operator (nurse tank operator); Concrete mixer operator -skip type; Conveyor operator; Fireman; Forklift operator (includes loed, lull or similar types over 5 tons; Hydrostatic pump operator; oiler crusher (asphalt or concrete plant); Petromat laydown machine; PJU side dum jack; Screening and conveyor machine operator (or similar types); Skiploader (wheel type up to 3/4 yd. without attachment); Tar pot fireman; Temporary heating plant operator; Trenching machine oiler GROUP 3: Asphalt- rubber blend operator; Bobcat or similar type (Skid steer); Equipment greaser (rack); Ford Ferguson (with dragtype attachments); Helicopter radioman (ground); Stationary pipe wrapping and cleaning machine operator GROUP 4: Asphalt plant fireman; Backhoe operator (mini -max or similar type); Boring machine operator; Boxman or mixerman (asphalt or concrete); Chip spreading machine operator; Concrete cleaning decontamination machine operator; Concrete Pump Operator (small portable); Drilling machine operator, small auger types (Texoma super economatic or similar types - Hughes 100 or 200 or similar types - drilling depth of 30' maximum); Equipment greaser (grease truck); Guard rail post driver operator; Highline cableway signalman; Hydra- hammer -aero stomper; Micro Tunneling (above ground tunnel); Power concrete curing machine operator; Power concrete saw operator; Power- driven jumbo form setter operator; Power sweeper operator; Rock Wheel Saw /Trencher; Roller operator (compacting); Screed operator (asphalt or concrete); Trenching machine operator (up to 6 ft.); Vacuum or much truck GROUP 5: Equipment Greaser (Grease Truck /Multi Shift). GROUP 6: Articulating material hauler; Asphalt plant engineer; Batch plant operator; Bit sharpener; Concrete joint machine operator (canal and similar type); Concrete planer operator; Dandy digger; Deck engine operator; Derrickman (oilfield type); Drilling machine operator, bucket or auger types (Calweld 100 bucket or similar types - Watson 1000 auger or similar types - Texoma 330, 500 or 600 auger or similar types - drilling depth of 45' maximum); Drilling machine operator; Hydrographic seeder machine operator (straw, pulp or seed), Jackson track maintainer, or similar type; Kalamazoo Switch tamper, or similar type; Machine tool operator; Maginnis internal full slab vibrator, Mechanical berm, curb or gutter(concrete or asphalt); Mechanical finisher operator (concrete, Clary- Johnson - Bidwell or similar); Micro tunnel system (below ground); Pavement breaker operator (truck mounted); Road oil mixing machine operator; Roller operator (asphalt or finish), rubber -tired earth moving equipment (single engine, up to and including 25 yds. struck); Self - propelled tar pipelining machine operator; Skiploader operator (crawler and wheel type, over 3/4 yd. and up to and including 1 -1/2 yds.); Slip form pump operator (power driven hydraulic lifting device for concrete forms); Tractor operator - bulldozer, tamper- scraper (single engine, up to 100 h.p. flywheel and similar types, up to and including D -5 and similar types); Tugger hoist operator (1 drum); Ultra high pressure waterjet cutting tool system operator; Vacuum blasting machine operator GROUP 8: Asphalt or concrete spreading operator (tamping or finishing); Asphalt paving machine operator (Barber Greene or similar type); Asphalt- rubber distribution operator; Backhoe operator (up to and including 3/4 yd.), small ford, Case or similar; Cast -in -place pipe laying machine operator; Combination mixer and compressor operator (gunite work); Compactor operator (self- propelled); Concrete mixer operator (paving); Crushing plant operator; Drill Doctor; Drilling machine operator, Bucket or auger types (Calweld 150 bucket or similar types - Watson 1500, 2000 2500 auger or similar types - Texoma 700, 800 auger or similar types - drilling depth of 60' maximum); Elevating grader operator; Grade checker; Gradall operator; Grouting machine operator; Heavy -duty repairman; Heavy equipment robotics operator; Kalamazoo balliste regulator or similar type; Holman belt loader and similar type; Le Tourneau blob compactor or similar type; Loader operator (Athey, Euclid, Sierra and similar types); Mobark Chipper or similar; Ozzie padder or similar types; P.C. slot saw; Pneumatic concrete placing machine operator (Hackley- Presswell or similar type); Pumperete gun operator; Rock Drill or similar types; Rotary drill operator (excluding caisson type); Rubber -tired earth - moving equipment operator (single engine, caterpillar, Euclid, Athey Wagon and similar types with any and,all attachments over 25 yds. up to and including 50 cu. yds. struck); Rubber -tired earth - moving equipment operator (multiple engine up to and including 25 yds. struck); Rubber -tired scraper operator (self - loading paddle wheel type -John Deere, 1040 and similar single unit); Self - propelled curb and gutter machine operator; Shuttle buggy; Skiploader operator (crawler and wheel type over 1 -1/2 yds. up to and including 6 -1/2 yds.); Soil remediation plant operator; Surface heaters and planer operator; Tractor compressor drill combination operator; Tractor operator (any type larger than D -5 - 100 flywheel h.p. and over, or similar - bulldozer, tamper, scraper and push tractor single engine); Tractor operator (boom attachments), Traveling pipe wrapping, cleaning and bendng machine operator; Trenching machine operator (over 6 ft. depth capacity, manufacturer's rating); trenching Machine with Road Miner attachment (over 6 ft depth capacity): Ultra high pressure waterjet cutting tool system mechanic; Water pull (compaction) operator GROUP 9: Heavy Duty Repairman GROUP 10: Drilling machine operator, Bucket or auger types (Calweld 200 B bucket or similar types - Watson 3000 or 5000 auger or similar types- Texoma 900 auger or similar types - drilling depth of 105' maximum); Dual drum mixer, dynamic compactor LDC350 (or similar types); Monorail locomotive operator (diesel, gas or electric); Motor patrol -blade operator (single engine); Multiple engine tractor operator (Euclid and similar type- except Quad 9 cat.); Rubber -tired earth - moving equipment operator (single engine, over 50 yds. struck); Pneumatic pipe ramming tool and .similar types; Prestressed wrapping machine operator; Rubber -tired earth - moving equipment operator (single engine, over 50 yds. struck); Rubber tired earth moving equipment operator (multiple engine, Euclid, caterpillar and similar over 25 yds. and up to 50 yds. struck), Tower crane repairman; Tractor loader operator (crawler and wheel type over 6 -1/2 yds.); Woods mixer operator (and similar Pugmill equipment) GROUP 11: Heavy Duty Repairman - Welder Combination, Welder - Certified. GROUP 12: Auto grader operator; Automatic slip form operator; Drilling machine operator, bucket or auger types (Calweld, auger 200 CA or similar types - Watson, auger 6000 or similar types - Hughes Super Duty, auger 200 or similar types - drilling depth of 175' maximum); Hoe ram or similar with compressor; Mass excavator operator less tha 750 cu. yards; Mechanical finishing machine operator; Mobile form traveler operator; Motor patrol operator (multi- engine); Pipe mobile machine operator; Rubber -tired earth- moving equipment operator (multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds. struck); Rubber -tired self- loading scraper operator (paddle -wheel -auger type self - loading - two (2) or more units) GROUP 13: Rubber -tired earth - moving equipment operator operating equipment with push -pull system (single engine, up to and including 25 yds. struck) GROUP 14: Canal liner operator; Canal trimmer operator; Remote- control earth - moving equipment operator (operating a second piece of equipment: $1.00 per hour additional); Wheel excavator operator (over 750 cu. yds.) GROUP 15: Rubber -tired earth - moving equipment operator, operating equipment with push -pull system (single engine, Caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds. and up to and including 50 yds. struck); Rubber -tired earth - moving equipment operator, operating equipment with push -pull system (multiple engine -up to and including 25 yds. struck) GROUP 16: Rubber -tired earth - moving equipment operator, operating equipment with push -pull system (single engine, over 50 yds. struck); Rubber -tired earth - moving equipment operator, operating equipment with push -pull system (multiple engine, Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds. struck) GROUP 17: Rubber -tired earth - moving equipment operator, operating equipment with push -pull system (multiple engine, Euclid, Caterpillar and similar, over 50 cu. yds. struck); Tandem tractor operator (operating crawler type tractors in tandem - Quad 9 and similar type) GROUP 18: Rubber -tired earth - moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - single engine, up to and including 25 yds. struck) GROUP 19: Rotex concrete belt operator (or similar types); Rubber -tired earth - moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - single engine, Caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds.and up to and including 50 cu. yds. struck); Rubber -tired earth - moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - multiple engine, up to and including 25 yds. struck) GROUP 20: Rubber -tired earth - moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - single engine, over 50 yds, struck); Rubber -tired earth - moving equipment operator, operating in tandem (scrapers, belly dumps, and similar types in any combination, excluding compaction units - multiple engine, Euclid, Caterpillar and similar, over 25 yds, and up to 50 yds. struck) GROUP 21: Rubber -tired earth - moving equipment operator, operating in tandem (scrapers, belly dumps and similar types in any combination, excluding compaction units - multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds. struck) GROUP 22: Rubber -tired earth - moving equipment operator, operating equipment with the tandem push -pull system (single engine, up to and including 25 yds. struck) GROUP 23: Rubber -tired earth - moving equipment operator, operating equipment with the tandem push -pull system (single engine, Caterpillar, Euclid, Athey Wagon and similar types with any and all attachments over 25 yds. and up to and including 50 yds. struck); Rubber -tired earth - moving equipment operator, operating with the tandem push -pull system (multiple engine, up to and including 25 yds. struck) GROUP 24: Rubber -tired earth - moving equipment operator, operating equipment with the tandem push -pull system (single engine, over 50 yds. struck); Rubber -tired earth - moving equipment operator, operating equipment with the tandem push -pull system (multiple engine, Euclid, Caterpillar and similar, over 25 yds. and up to 50 yds. struck) GROUP 25: Concrete pump operator -truck mounted; Rubber -tired earth - moving equipment operator, operating equipment with the tandem push -pull system (multiple engine, Euclid, Caterpillar and similar type, over 50 cu. yds. struck) CRANES, PILEDRIVING AND HOISTING EQUIPMENT CLASSIFICATIONS GROUP 1: Engineer oiler; Fork lift operator (includes toed, lull or similar types) GROUP 2: Truck crane oiler GROUP 3: A -frame or winch truck operator; Ross carrier operator (jobsite) GROUP 4: Bridge -type unloader and turntable operator; Helicopter hoist operator GROUP 5: Hydraulic boom truck; Stinger crane (Austin - Western or similar type); Tugger hoist operator (1 drum) GROUP 6: Bridge crane operator; Cretor crane operator; Hoist operator (Chicago boom and similar type); Lift mobile operator; Lift slab machine operator (Vagtborg and similar types); Material hoist and /or manlift operator; Polar gantry crane operator; Self Climbing scaffold (or similar type); Shovel, backhoe, dragline, clamshell operator (over 3/4 yd. and up to 5 cu. yds. mrc); Tugger hoist operator GROUP 7: Pedestal crane operator; Shovel, backhoe, dragline, clamshell operator (over 5 cu. yds. mrc); Tower crane repair; Tugger hoist operator (3 drum) GROUP 8: Crane operator (up to and including 25 ton capacity); Crawler transporter operator; Derrick barge operator (up to and including 25 ton capacity); Hoist operator, stiff legs, Guy derrick or similar type (up to and including 25 ton capacity); Shovel, backhoe, dragline, clamshell operator (over 7 cu. yds., M.R.C.) GROUP 9: Crane operator (over 25 tons and up to and including 50 tons mrc); Derrick barge operator (over 25 tons up to and,including 50 tons mrc); Highline cableway operator, Hoist operator, stiff legs, Guy derrick or similar type (over 25 tons up to and including 50 tons mrc); K -crane operator; Polar crane operator; Self erecting tower crane operator maximum lifting capacity ten tons GROUP 10: Crane operator (over 50 tons and up to and including 100 tons mrc); Derrick barge operator (over 50 tons up to and including 100 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over 50 tons up to and including 100 tons mrc), Mobile tower crane operator (over 50 tons, up to and including 100 tons M.R.C.); Tower crane operator and tower gantry GROUP 11: Crane operator (over 100 tons and up to and including 200 tons mrc); Derrick barge operator (over 100 tons up to and including 200 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over 100 tons up to and including 200 tons mrc); Mobile tower crane operator (over 100 tons up to and including 200 tons mrc) GROUP 12: Crane operator (over 200 tons up to and including 300 tons mrc); Derrick barge operator (over 200 tons up to and including 300 tons mrc); Hoist operator, stiff legs, Guy derrick or similar type (over 200 tons, up to and including 300 tons mrc); Mobile tower crane operator (over 200 tons, up to and including 300 tons mrc) GROUP 13: Crane operator (over 300 tons); Derrick barge operator (over 300 tons); Helicopter pilot; Hoist operator, stiff legs, Guy derrick or similar type (over 300 tons); Mobile tower crane operator (over 300 tons) TUNNEL CLASSIFICATIONS GROUP 1: Skiploader (wheel type up to 3/4 yd. without attachment) GROUP 2: Power - driven jumbo form setter operator GROUP 3: Dinkey locomotive or motorperson (up to and including 10 tons) GROUP 4: Bit sharpener; Equipment greaser (grease truck); Slip form pump operator (power- driven hydraulic lifting device for concrete forms); Tugger hoist operator (1 drum); Tunnel locomotive operator (over 10 and up to and including 30 tons) GROUP 5: Backhoe operator (up to and including 3/4 yd.); Small Ford, Case or similar; Drill doctor; Grouting machine operator; Heading shield operator; Heavy -duty repairperson; Loader operator (Athey, Euclid, Sierra and similar types); Mucking machine operator (1/4 yd., rubber - tired, rail or track type); Pneumatic concrete placing machine operator (Hackley- Presswell or similar type); Pneumatic heading shield (tunnel); Pumperete gun operator; Tractor compressor drill combination operator; Tugger hoist operator (2 drum); Tunnel locomotive operator (over 30 tons) GROUP 6: Heavy Duty Repairman GROUP 7: Tunnel mole boring machine operator ENGINEERS ZONES $1.00 additional per hour for all of IMPERIAL County and the portions of KERN, RIVERSIDE & SAN BERNARDINO Counties as defined below: That area within the following Boundary: Begin in San Bernardino County, approximately 3 miles NE of the intersection of I -15 and the California State line at that point which is the NW corner of Section 1, T17N,m R14E, San Bernardino Meridian. Continue W in a straight line to that point which is the SW corner of the northwest quarter of Section 6, T27S, R42E, Mt. Diablo Meridian. Continue North to the intersection with the Inyo County Boundary at that point which is the NE corner of the western half of the northern quarter of Section 6, T25S, R42E, MDM. Continue W along the Inyo and San Bernardino County boundary until the intersection with Kern County, as that point which is the SE corner of Section 34, T24S, R40E, MDM. Continue W along the Inyo and Kern County boundary until the intersection with Tulare County, at that point which is the SW corner of the SE quarter of Section 32, T24S, R37E, MDM. Continue W along the Kern and Tulare County boundary, until that point which is the NW corner of T25S, R32E, MDM. Continue S following R32E lines to the NW corner of T31S, R32E, MDM. Continue W to the NW corner of T31S, R31E, MDM. Continue S to the SW corner of T32S, R31E, MDM. Continue W to SW corner of SE quarter of Section 34, T32S, R30E, MDM. Continue S to SW corner of T11N, R17W, SBM. Continue E along south boundary of T11N, SBM to SW corner of T11N, R7W, SBM. Continue S to SW corner of T9N, R7W, SBM. Continue E along south boundary of T9N, SBM to SW corner of T9N, R1E, SBM. Continue S along west boundary of R1E, SMB to Riverside County line at the SW corner of T1S, PIE, SBM. Continue E along south boundary of T1s, SBM (Riverside County Line) to SW corner of T1S, R10E, SBM. Continue S along west boundary of R10E, SBM to Imperial County line at the SW corner of T8S, R10E, SBM. Continue W along Imperial and Riverside county line to NW corner of T9S, R9E, SBM. Continue S along the boundary between Imperial and San Diego Counties, along the west edge of R9E, SBM to the south boundary of Imperial County /California state line. Follow the California state line west to Arizona state line, then north to Nevada state line, then continuing NW back to start at the point which is the NW corner of Section 1, T17N, R14E, SBM $1.00 additional per hour for portions of SAN LUIS OBISPO, KERN, SANTA BARBARA & VENTURA as defined below: That area within the following Boundary: Begin approximately 5 miles north of the community of Cholame, on the Monterey County and San Luis Obispo County boundary at the NW corner of T25S, R16E, Mt. Diablo Meridian. Continue south along the west side of R16E to the SW corner of T30S, R16E, MDM. Continue E to SW corner of T30S, R17E, MDM. Continue S to SW corner of T31S, R17E, MDM. Continue E to SW corner of T31S, R18E, MDM. Continue S along West side of R18E, MDM as it crosses into San Bernardino Meridian numbering area and becomes R30W. Follow the west side of R30W, SBM to the SW corner of T9N, R30W, SBM. Continue E along the south edge of T9N, SBM to the Santa Barbara County and Ventura County boundary at that point whch is the SW corner of Section 34.T9N, R24W, SBM, continue S along the Ventura County line to that point which is the SW corner of the SE quarter of Section 32, T7N, R24W, SBM. Continue E along the south edge of T7N, SBM to the SE corner to T7N, R21W, SBM. Continue N along East side of R21W, SBM to Ventura County and Kern County boundary at the NE corner of TBN, R21W. Continue W along the Ventura County and Kern County boundary to the SE corner of T9N, R21W. Continue North along the East edge of R21W, SBM to the NE corner of T12N, R21W, SBM. Continue West along the north edge of T12N. SBM to the SE corner of T32S, R21E, MDM. [T12N SBM is a think strip between T11N SBM and T32S MDM]. Continue North along the East side of R21E, MDM to the Kings County and Kern County border at the NE corner of T25S, R21E, MDM, continue West along the Kings County and Kern County Boundary until the intersection of San Luis Obispo County. Continue west along the Kings County and San Luis Obispo County boundary until the intersection with Monterey County. Continue West along the Monterey County and San Luis Obispo County boundary to the beginning point at the NW corner of T25S, R16E, MDM. $2.00 additional per hour for INYO and MONO Counties and the Northern portion of SAN BERNARDINO County as defined below: That area within the following Boundary: Begin at the intersection of the northern boundary of Mono County and the California state line at the point which is the center of Section 17, T10N, R22E, Mt. Diablo Meridian. Continue S then SE along the entire western boundary of Mono County, until it reaches Inyo County at the point which is the NE corner of the Western half of the NW quarter of Section 2, TBS, R29E, MDM. Continue SSE along the entire western boundary of Inyo County, until the intersection with Kern County at the point which is the SW corner of the SE 1/4 of Section 32, T24S, R37E, MDM. Continue E along the Inyo and Kern County boundary until the intersection with San Bernardino County at that point which is the SE corner of section 34, T24S, R40E, MDM. Continue E along the Inyo and San Bernardino County boundary until the point which is the NE corner of the Western half of the NW quarter of Section 6, T25S, R42E, MDM. Continue S to that point which is the SW corner of the NW quarter of Section 6, T27S, R42E, MDM. Continue E in a straight line to the California and Nevada state border at the point which is the NW corner of Section 1, T17N, R14E, San Bernardino Meridian. Then continue NW along the state line to the starting point, which is the center of Section 18, T10N, R22E, MDM. REMAINING AREA NOT DEFINED ABOVE RECIEVES BASE RATE ---------------------------------------------------------------- ENGI0012- 004 08/01/2012 Rates Fringes OPERATOR: Power Equipment (DREDGING) (1) Leverman ................$ 45.40 20.00 (2) Dredge dozer ............ $ 40.93 (3) Deckmate ................$ 40.82 (4) Winch operator (stern winch on dredge) ............ $ 40.27 (5) Fireman - oiler, Deckhand, Bargeman, Leveehand ...................$ 39.73 (6) Barge Mate ..............$ 40.34 IRON0002 -004 01/01/2013 Rates Ironworkers: Fence Erector ...............$ 26.58 Ornamental, Reinforcing and Structural ..............$ 33.00 PREMIUM PAY: 20.00 20.00 20.00 20.00 20.00 Fringes 16.74 25.30 $6.00 additional per hour at the following locations: China Lake Naval Test Station, Chocolate Mountains Naval Reserve - Niland, Edwards AFB, Fort Irwin Military Station, Fort Irwin Training Center - Goldstone, San Clemente Island, San Nicholas Island, Susanville Federal Prison, 29 Palms - Marine Corps, U.S. Marine Base - Barstow, U.S. Naval Air Facility - Sealey, Vandenberg AFB $4.00 additional per hour at the following locations: Army Defense Language Institute - Monterey, Fallon Air Base, Naval Post Graduate School - Monterey, Yermo Marine Corps Logistics Center $2.00 additional per hour at the following locations: Port Hueneme, Port Mugu, U.S. Coast Guard Station - Two Rock ------------------------------------------------------------- LAB00300 -001 07/01/2012 GROUP 3 .....................$ Rates Brick Tender .....................$ 27.17 -------------------------------------------- LAB00300 -003 07/01/2012 Rates LABORER (GUNITE) GROUP 1 .....................$ 30.04 GROUP 2 .....................$ 29.09 GROUP 3 .....................$ 25.55 LABORER (TUNNEL) GROUP 1 .....................$ 33.69 GROUP 2 .....................$ 34.01 GROUP 3 .....................$ 34.47 GROUP 4 .....................$ 35.16 LABORER GROUP 1 .....................$ 28.09 Fringes 17.36 Fringes 14.20 14.20 14.20 17.35 17.35 17.35 17.35 15.77 GROUP 2 .....................$ 28.64 15.77 CROUP 3 .....................$ 29.19 15.77 GROUP 4 .....................$ 30.74 15.77 GROUP 5 .....................$ 31.09 15.77 FOOTNOTE: GUNITE PREMIUM PAY: Workers working from a Bosn'n's Chair or suspended from a rope or cable shall receive 40 cents per hour above the foregoing applicable classification rates. Workers doing gunite and /or shotcrete work in a tunnel shall receive 35 cents per hour above the foregoing applicable classification rates, paid on a portal -to- portal basis. Any work performed on, in or above any smoke stack, silo, storage elevator or similar type of structure, when such structure is in excess of 75' -0" above base level and which work must be performed in whole or in part more than 75' -0" above base level, that work performed above the 75' -0" level shall be compensated for at 35 cents per hour above the applicable classification wage rate. LABORER CLASSIFICATIONS GROUP 1: Cleaning and handling of panel forms; Concrete screeding for rough strike -off; Concrete, water curing; Demolition laborer, the cleaning of brick if performed by a worker performing any other phase of demolition work, and the cleaning of lumber; Fire watcher, limber, brush loader, piler and debris handler; Flag person; Gas, oil and /or water pipeline laborer; Laborer, asphalt- rubber material loader; Laborer, general or construction; Laborer, general clean -up; Laborer, landscaping; Laborer, jetting; Laborer, temporary water and air lines; Material hose operator (walls, slabs, floors and decks); Plugging, filling of shee bolt holes; Dry packing of concrete; Railroad maintenance, repair track person and road beds; Streetcar and railroad construction track laborers; Rigging and signaling; Scaler; Slip form raiser; Tar and mortar; Tool crib or tool house laborer; Traffic control by any method; Window cleaner; Wire mesh pulling - all concrete pouring operations GROUP 2: Asphalt shoveler; Cement dumper (on 1 yd. or larger mixer and handling bulk cement); Cesspool digger and installer; Chucktender; Chute handler, pouring concrete, the handling of the chute from readymix trucks, such as walls, slabs, decks, floors, foundation, footings, curbs, gutters and sidewalks; Concrete curer, impervious membrane and form oiler; Cutting torch operator (demolition); Fine grader, highways and street paving, airport, runways and similar type heavy construction; Gas, oil and /or water pipeline wrapper - pot tender and form person; Guinea chaser; Headerboard person - asphalt; Laborer, packing rod steel and pans; Membrane vapor barrier installer; Power broom sweeper (small) ; Riprap stonepaver, placing stone or wet sacked concrete; Roto ,scraper and tiller; Sandblaster (pot tender); Septic tank digger and installer(lead); Tank scaler and cleaner; Tree climber, faller, chain saw operator, Pittsburgh chipper and similar type brush shredder; Underground laborer, including caisson bellower GROUP 3: Buggymobile person; Concrete cutting torch; Concrete pile cutter; Driller, jackhammer, 2 -1/2 ft. drill steel or longer; Dri- pak -it machine; Gas, oil and /or water pipeline wrapper, 6 -in. pipe and over, by any method, inside and out; High scaler (including drilling of same); Hydro seeder and similar type; Impact wrench multi - plate; Kettle person, pot person and workers applying asphalt, lay -kold, creosote, lime caustic and similar type materials ( "applying" means applying, dipping, brushing or handling of such materials for pipe wrapping and waterproofing); Operator of pneumatic, gas, electric tools, vibrating machine, pavement breaker, air blasting, come - alongs, and similar mechanical tools not separately classified herein; Pipelayer's backup person, coating, grouting, making of joints, sealing, caulking, diapering and including rubber gasket joints, pointing and any and all other services; Rock slinger; Rotary scarifier or multiple head concrete chipping scarifier; Steel headerboard and guideline setter; Tamper, Barko, Wacker and similar type; Trenching machine, hand - propelled GROUP 4: Asphalt raker, lute person, ironer, asphalt dump person, and asphalt spreader boxes (all types); Concrete core cutter (walls, floors or ceilings), grinder or sander; Concrete saw person, cutting walls or flat work, scoring old or new concrete; Cribber, shorer, lagging, sheeting and trench bracing, hand - guided lagging hammer; Head rock slinger; Laborer, asphalt- rubber distributor boot person; Laser beam in connection with laborers' work; Oversize concrete vibrator operator, 70 lbs. and over; Pipelayer performing all services in the laying and installation of pipe from the point of receiving pipe in the ditch until completion of operation, including any and all forms of tubular material, whether pipe, metallic or non - metallic, conduit and any other stationary type of tubular device used for the conveying of any substance or element, whether water, sewage, solid gas, air, or other product whatsoever and without regard to the nature of material from which the tubular material is fabricated; No -joint pipe and stripping of same; Prefabricated manhole installer; Sandblaster (nozzle person), water blasting, Ports, Shot -Blast GROUP 5: Blaster powder, all work of loading holes, placing and blasting of all powder and explosives of whatever type, regardless of method used for such loading and placing; Driller: All power drills, excluding jackhammer, whether core, diamond, wagon, track, multiple unit, and any and all other types of mechanical drills without regard to the form of motive power; Toxic waste removal TUNNEL LABORER CLASSIFICATIONS GROUP 1: Batch plant laborer; Bull gang mocker, track person; Changehouse person; Concrete crew, including redder and .spreader; Dump person; Dump person (outside); Swamper (brake person and switch person on tunnel work); Tunnel materials handling person GROUP 2: Chucktender, cabletender; Loading and unloading agitator cars; Nipper; Pot tender, using mastic or other materials (for example, but not by way of limitation, shotcrete, etc.); Vibrator person, jack hammer, pneumatic tools (except driller) GROUP 3: Blaster, driller, powder person; Chemical grout jet person; Cherry picker person; Grout gun person; Grout mixer person; Grout pump person; Jackleg miner; Jumbo person; Kemper and other pneumatic concrete placer operator; Miner, tunnel (hand or machine); Nozzle person; Operating of troweling and /or grouting machines; Powder person (primer house); Primer person; Sandblaster; Shotcrete person; Steel form raiser and setter; Timber person, retimber person, wood or steel; Tunnel Concrete finisher GROUP 4: Diamond driller; Sandblaster; Shaft and raise work GUNITE LABORER CLASSIFICATIONS GROUP 1: Rodmen, Nozzlemen GROUP 2: Gunmen GROUP 3: Reboundmen --- - - - - -- LAB00300 -005 08/05/2009 Rates Fringes LABORER PLASTER CLEAN -UP LABORER .... $ 26.65 15.95 PLASTER TENDER ..............$ 29.20 15.95 ---------------------------------------------------------------- LAB00882 -002 01/01/2010 Rates Fringes Asbestos Removal Laborer ......... $ 26.15 11.65 SCOPE OF WORK: Includes site mobilization, initial site cleanup, site preparation, removal of asbestos- containing material and toxic waste, encapsulation, enclosure and disposal of asbestos- containing materials and toxic waste by hand or with equipment or machinery; scaffolding, fabrication of temporary wooden barriers and assembly of decontamination stations. LABO1184 -001 08/01/2012 Rates Fringes Laborers: (HORIZONTAL DIRECTIONAL DRILLING) (1) Drilling Crew Laborer ... $ 29.01 11.68 (2) Vehicle Operator /Hauler.$ 29.18 11.68 (3) Horizontal Directional Drill Operator ..............$ 31.03 11.68 (4) Electronic Tracking Locator .....................$ 33.03 11.68 Laborers: (STRIPING /SLURRY SEAL) GROUP 1 .....................$ 29.96 14.38 GROUP 2 .....................$ 31.26 14.38 GROUP 3 .....................$ 33.27 14.38 GROUP 4 .....................$ 35.01 14.38 LABORERS - STRIPING CLASSIFICATIONS GROUP 1: Protective coating, pavement sealing, including repair and filling of cracks by any method on any surface in parking lots, game courts and playgrounds; carstops; operation of all related machinery and equipment; equipment repair technician GROUP 2: Traffic surface abrasive blaster; pot tender - removal of all traffic lines and markings by any method (sandblasting, waterblasting, grinding, etc.) and preparation of surface for coatings. Traffic control person: controlling and directing traffic through both conventional and moving lane closures; operation of all related machinery and equipment GROUP 3: Traffic delineating device applicator: Layout and application of pavement markers, delineating signs, rumble and traffic bars, adhesives, guide markers, other traffic delineating devices including traffic control. This category includes all traffic related surface preparation (sandblasting, waterblasting, grinding) as part of the application process. Traffic protective delineating system installer: removes, relocates, installs, permanently affixed roadside and parking delineation barricades, fencing, cable anchor, guard rail, reference signs, monument markers; operation of all related machinery and equipment; power broom sweeper GROUP 4: Striper: layout and application of traffic stripes and markings; hot thermo plastic; tape traffic stripes and markings, including traffic control; operation of all related machinery and equipment --------------------------------- ---- ----- ---- ---- --- ----- --- - -- * PAIN0036 -001 03/01/2013 Rates Fringes Painters: (Including Lead Abatement) (1) Repaint (excludes San Diego County) ...............$ 26.05 11.13 (2) All Other Work .......... $ 29.32 11.13 REPAINT of any previously painted structure. Exceptions: work involving the aerospace industry, breweries, commercial recreational facilities, hotels which operate commercial establishments as part of hotel service, and sports facilities. ---------------------------------------------------------- ------ * PAIN0036 -008 01/01/2013 Rates Fringes DRYWALL FINISHER/TAPER ........... $ 33.22 14.81 ---------------------------------------------------------------- PAIN0036 -015 06/01/2012 Rates Fringes GLAZIE .R ..........................$ 38.95 19.83 FOOTNOTE: Additional $1.25 per hour for work in a condor, from the third (3rd) floor and up Additional $1.25 per hour for work on the outside of the building from a swing stage or any suspended contrivance, from the ground up ------ - - - - -- PAIN1247 -002 05/01/2012 Rates SOFT FLOOR LAYER .................$ 30.85 PLAS0200 -009 08/01/2011 Rates PLASTERER ........................$ 35.29 PLASO500 -002 10/01/2011 Rates Fringes 10.54 Fringes 12.05 Fringes CEMENT MASON /CONCRETE FINISHER...$ 29.50 18.72 PLUM0016 -001 07/01/2012 Rates PLUMBER /PIPEFITTER Plumber and Pipefitter All other work except work on new additions and remodeling of bars, restaurant, stores and commercial buildings not to exceed 5,000 sq. ft. of floor space and work on strip malls, light commercial, tenant improvement and remodel work .......................$ 41.60 Work ONLY on new additions and remodeling of bars, restaurant, stores and commercial buildings not to exceed 5,000 sq. ft. of floor space .................$ 40.33 Work ONLY on strip malls, light commercial, tenant improvement and remodel work ........................$ 32.49 PLUM0345 -001 07/01/2012 Rates PLUMBER Landscape /Irrigation Fitter.$ 27.35 Sewer & Storm Drain Work .... $ 31.00 Fringes 19.68 18.70 17.03 Fringes 17.09 16.01 „ROOFQ036 -002 08/01/2012 Rates ROOFER ...........................$ 34.65 Fringes 11.38 FOOTNOTE: Pitch premium: Work on which employees are exposed to pitch fumes or required to handle pitch, pitch base or pitch impregnated products, or any material containing coal tar pitch, the entire roofing crew shall receive $1.75 per hour "pitch premium” pay. -------------------- SFCA0669 -008 01/01/2013 DOES NOT INCLUDE SAN CLEMENTE ISLAND, THE CITY OF SANTA ANA, AND THAT PART OF ORANGE COUNTY WITHIN 25 MILES OF THE CITY LIMITS OF LOS ANGELES: Rates Fringes SPRINKLER FITTER .................$ 33.03 19.37 -- - - ---- * SFCA0709 -003 01/01/2013 SAN CLEMENTE ISLAND, THE CITY OF SANTA ANA, AND THAT PART OF ORANGE COUNTY WITHIN 25 MILES BEYOND THE CITY LIMITS OF LOS ANGELES: Rates Fringes SPRINKLER FITTER (Fire) .......... $ 40.41 23.77 ------------------------------------------------------------- SHEE0105 -003 07/01/2012 LOS ANGELES (South of a straight line drawn between Gorman and Big Pines)and Catalina Island, INYO, KERN (Northeast part, East of Hwy 395), MONO ORANGE, RIVERSIDE, AND SAN BERNARDINO COUNTIES Rates SHEET METAL WORKER (1) Commercial - New Construction and Remodel work ........................$ 41.45 (2) Industrial work including air pollution control systems, noise abatement, hand rails, guard rails, excluding aritechtural sheet metal work, excluding A -C, heating, ventilating systems for human comfort ... $ 35.75 TEAM00II- 002 07/01/2012 Fringes 20.41 26.41 ---------- - - -- -- Rates Fringes TRUCK .DRIVER GROUP 1 ....................$ 27.29 21.69 GROUP 2 ....................$ 27.44 21.69 GROUP 3 ....................$ 27.57 21.69 GROUP 4 ....................$ 27.76 21.69 GROUP 5 ....................$ 27.79 21.69 GROUP 6 ....................$ 27.82 21.69 GROUP 7 ....................$ 28.07 21.69 GROUP 8 ....................$ 28.32 21.69 GROUP 9 ....................$ 28.52 21.69 GROUP 10 ....................$ 28.82 21.69 GROUP 11 ....................$ 29.35 21.69 GROUP 12 ....................$ 29.75 21.69 WORK ON ALL MILITARY BASES: PREMIUM PAY: $3.00 per hour additional. [29 palms Marine Base, Camp Roberts, China Lake, Edwards AFB, E1 Centro Naval Facility, Fort Irwin, Marine Corps Logistics Base at Nebo & Yermo, Mountain Warfare Training Center, Bridgeport, Point Arguello, Point Conception, Vandenberg AFB] TRUCK DRIVERS CLASSIFICATIONS GROUP 1: Truck driver GROUP 2: Driver of vehicle or combination of vehicles - 2 axles; Traffic control pilot car excluding moving heavy equipment permit load; Truck mounted broom GROUP 3: Driver of vehicle or combination of vehicles - 3 axles; Boot person; Cement mason distribution truck; Fuel truck driver; Water truck - 2 axle; Dump truck, less than 16 yds. water level; Erosion control driver GROUP 4: Driver of transit mix truck, under 3 yds.; Dumperete truck, less than 6 -1/2 yds. water level GROUP 5: Water truck, 3 or more axles; Truck greaser and tire person ($0.50 additional for tire person); Pipeline and utility working truck driver, including winch truck and plastic fusion, limited to pipeline and utility work; Slurry truck driver GROUP 6: Transit mix truck, 3 yds. or more; Dumperete truck, 6 -1/2 yds. water level and over; Vehicle or combination of vehicles - 4 or more axles; Oil spreader truck; Dump truck, 16 yds. to 25 yds, water level GROUP 7: A Frame, Swedish crane or similar; Forklift driver; Ross carrier driver GROUP 8: Dump truck, 25 yds. to 49 yds. water level; Truck repair persons Water pull - single engine; Welder GROUP 9: Truck repair person /welder; Low bed driver, 9 axles or over GROUP 10: Dump truck - 50 yds. or more water level; Water pull - single engine with attachment GROUP 11: Water pull - twin engine; Water pull - twin engine with attachments; Winch truck driver - $1.25 additional when operating winch or similar special attachments GROUP 12: Boom Truck 17K and above WELDERS - Receive rate prescribed for craft performing operation to which welding is incidental. Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5.5 (a) (1) (ii)). The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type(s) of construction in the area covered by the wage determination. The classifications are listed in alphabetical order of "identifiers" that indicate whether the particular rate is union or non - union. Union Identifiers An identifier enclosed in dotted lines beginning with characters other than "SU" denotes that the union classification and rate have found to be prevailing for that classification. Example: PLUM0198 -005 07/01/2011. The first four letters , PLUM, indicate the international union and the four -digit number, 0198, that follows indicates the local union number or district council number where applicable , i.e., Plumbers Local 0198. The next number, 005 in the example, is an internal number used in processing the wage determination. The date, 07/01/2011, following these characters is the effective date of the most current negotiated rate /collective bargaining agreement which would be July 1, 2011 in the above example. Union prevailing wage rates will be updated to reflect any changes in the collective bargaining agreements governing the rates. 0000/9999: weighted union wage rates will be published annually each January. Non -Union Identifiers Classifications listed under an "SU" identifier were derived from survey data by computing average rates and are not union rat.es;. however, the data used in computing these rates may include both union and non -union data. Example: SULA2004 -007 5/13/2010. SU indicates the rates are not union majority rates, LA indicates the State of Louisiana; 2004 is the year of the survey; and 007 is an internal number used in producing the wage determination. A 1993 or later date, 5/13/2010, indicates the classifications and rates under that identifier were issued as a General Wage Determination on that date. Survey wage rates will remain in effect and will not change until a new survey is conducted. WAGE DETERMINATION APPEALS PROCESS 1.) Has there been an initial decision in the matter? This can be: * an existing published wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis -Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2.) and 3.) should be followed. With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations. Write to: Branch of Construction Wage Determinations Wage and Hour Division U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 2.) If the answer to the question in 1.) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1.8 and 29 CFR Part 7). Write to: Wage and Hour Administrator U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 The request should be accompanied by a full statement of the interested party's position and by any information (wage payment data, project description, area practice material, etc.) that the requestor considers relevant to the issue. 3.) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board). Write to: Administrative Review Board U.S. Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 4.) All decisions by the Administrative Review Board are final. END OF GENERAL DECISION 04/02/2013 13841 Roswell Ave Unit A Chino, California 91710 FORMS Ph 909.680 -8123 Ivt f @ '1 n To: PTM General Engineering Services, Inc. Attn: Estimating Fax: 951.710.1006 Re : City of Santa Ana - Traffic signal modification on McFadden Ave. & Lyon St. Bid Items 1,2,3,4,5 Quote for portion of electrical material: $34,438.00 Sincerely yours, Tom Lee EXHIBIT 15 -G LOCAL AGENCY BIDDER DBE COMMITMENT (CONSTRUCTinN CONTRA rTal NOTE: PLEASE REFER TO INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM LOCAL AGENCY: City of Santa Ana LOCATION: PROJECT: 12 -6760: TRAFFIC SIGNAL MODIFICATION ON McFADDEN AVE AT LYON ST PROJECT DESCRIPTION: Traffic signal modification on McFadden Ave. & Lyon St. TOTAL CONTRACT AMOUNT: $ 289,923.00 BID DATE: 413/2013 BIDDER'S NAME: PTM General Engineering Services Inc. CONTRACT DBE GOAL: 9.65% CONTRACT ITEM O. TBM OF WORK AND DESCRIPTION OR SERVICES TO BE SUBCONTRACTED R MATERIALS TO BE PROVIDED (or ontracted if the bidder is a DBE) BE CERT NO. EXPIRATION DATE NAME OF EACH DBE (Must be certified on the date bids are opened - include DBE address and phone number) DOLLAR AMOUNT BE Item 1 - 5 Pin. of electrical material supply 37133 Lyteforms $34,438 13841 Roswell Ave. Ste A 'him, rApl71n Item 6, 7 Ptn. of electrical installation 38033 Traffic Loops Crackfilling, Inc. $7,315.00 946 S. Emerald Street Anaheim CA 92804 For Local Agency to Complete: Local Agency Contract Number. Federal -aid Project Number: Federal Share: $30,050 Total Claimed DBE Participation � 27 977 80 9.65 % Contract Award Date: Local Agency certifies that all DBE certifications have been verified and information is complete and accurate. Print Name Signature Date Local Agency Representative (Area Code) Telephone Number: Elizabeth H. Mendoza de McRae, Presldent/CFO PTM General Engineering Services Inc. Signorine of Bidder 951- 710 -1000 14/2120113 te (Area Code) Tel. No. liz . Mendoza the McRae Person to Contact (Please Type or Print) Local Agency Bidder DBE Commitment (Consnmctioa Contracts) (Rev 6/26/09) Distribution: (1) Copy —Fax or scan a copy to the Calirans District Local Assistance Engineer (DLAE) within 30 days of contract execution. Failure to send a copy to the DLAE within 30 days ofcoutrri0 execution may result in de- obligation of finds for this project. (2) Copy— Include in award package to Cnlnuns District Local Assistance (3) Original — Local agency files TO BE INCLUDED IN BID PACKAGE BP 19 of 27 MEMORANDUM Kevin O'Rourke To: Interim City Manager Date: September 5, 2013 Edwin "William" Galvez, Interim Executive Director From: Public Works Agency Project No.:12 -6760; TRAFFIC SIGNAL MODIFICATION ON MCFADDEN AT LYON — FEDERAL PROJECT NO. HSIPL- 5063(141) Subject: Change Order No. 1 Contractor: PTM General Engineering Services, Inc. 5942 Acorn Street P, Riverside, CA 92504'' Project Description: Traffic Signal Modification on McFadden at Lyon -, Change Order Number: 1 Total This Change Order $ 1,5091 Accounting Unit - Activity Number: 05917660 - 12676002028 JUSTIFICATION The traffic signal modifications at McFadden Avenue and Lyon Street project provides for the installation of a phased left -turn signal which includes upgrading the existing signals and enhancements to the existing signage at this intersection. This will allow staff to communicate with traffic signals, make traffic signal timing adjustments as necessary based on real time traffic conditions and enhance service and increase safety at this location. After potholing for utilities, as required by the contract, for the new traffic signal poles, as shown on plans, significant conflicts were discovered with existing underground utilities preventing the installation of the traffic signal pole at the southeast corner of the intersection. In order to avoid the underground utilities the traffic signal pole was moved 8 -feet to the back of walk which is beyond the 5 -foot state limit for a pole mounted pedestrian push button (PPB) from the crosswalk. Therefore, Traffic Engineering requested the installation of a post mounted PPB to meet this state mandated requirement. The estimated additional cost will cover the procurement and installation of a working PPB. (PCO No.1) A prior approval was granted for this work on June 25, 2013. AGREED COST = $1,500 / Request for Approval of Change Order No. 1 September 5, 2013 Project No.: 12 -6760 Page 2 of 2 CONTRACT COST SUMMARY Original Contract Total $259,331 Amount % of Contract Previously Approved Change Order $ -0- 0% This Change Order $1,500 Increase 0.6% Total Change Order to Adjusted Contract Total SCHEDULEIMPACT ,500 Increase $260,831 0.6% The contract time was extended 9 days to allow the contractor time to procure the materials, perform the work included in this change order. The revised completion date will be October 14, 2013. Edwin "William" Galvez, Interim utive Director Public Works Agency K: \construction\projects \12- 6760 \CO #01 \MEM RFA CCO #01 APPROVED AS TO FUNDS AND ACCOUNTS: Francisco Gutierrez, Executive Director Finance & Management Services Agency CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 12 -6760; Traffic Signal Modification on Change Order Number 1 McFadden at Lyon — Federal Project No. HSIPL- 5063(141) To PTM General Engineering Services, Inc. Contractor You are hereby directed to make the herein changes from the plans and specifications or do the following described work not Included In the plans and specifications on this contract. NOTE, THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER, Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. Change requested by PUBLIC WORKS AGENCY EXTRA WORK AT AGREED PRICES 1. Furnish and install a post mounted pedestrian push button as directed per PCO No. 1 dated 6/25/2013. Page 1 of 2 AGREED COST = $1,500 CITY OF SANTA ANA PUBLIC WORKS AGENCY CONTRACT CHANGE ORDER Project Number Project No. 12 -6760; Traffic Signal Modification on Change Order Number McFadden at Lyon — Federal Project No. HSIPL- 5063(141) To PTM General En ig neering Services,_ 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 change order comprises the total compensation due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment for all work contained in this change order, plus all payment for interruption of schedules, extended field overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for all changes and work performed on this project, and that the time and cost paid per this change order constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related to this project. TOTAL COST THIS CHANGE ORDER', DECREASE $ - - - - - INCREASE $ 1,500.00 By reason of this order the CONTRACT TIME completion will be adjusted as follows: Nine (9) Working Days We the undersigned contractor have given careful consideration to the change proposed and hereby agree, If this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full payment therefor the prices shown above. Accepted, Date �1 Contractor PTM General Engineering Services Inc. By � � �1 � LTU)dS Title I QO Approvalymended by Date l L% PUBLIC WORKS AGENCY EXECUTIV14ftCTOR Approved by Dale Y MANAGER Page 2 of 2