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HomeMy WebLinkAboutFLEMING ENVIRONMENTAL, INC.Recording Requested By, And When Recorded Mail To: Clerk of the Council, City of Santa Ana 20 Civic Center Plaza, P.O. Box 1988 Santa Ana, CA 92702 Recorded in Official Records, Orange County Hugh Nguyen, Clerk- Recorder I11I1III1III11I1111I11111II [1[I11111I11IIIIIIIIIIIIII 11I NO FEE *$ R 0 0 0 6 4 8 9 4 1 0$* 201400004718610:44 am 02/05/14 10 415 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 THIS SPACE FOR COUNTY RECORDERS USE ONLY r ^'c Y .. NOTICE OF COMPLETION NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a murneipal.:6'1poration, 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 o construction of MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT under o contract entered into on JUNE 17, 2013, with FLEMING ENVIRONMENTAL, INC., on which w contract FIDELITY AND DEPOSIT COMPANY OF MARYLAND is surety. The property on U A w o which such work improvement was placed is in the City of Santa Ana, County of Orange, State c z of California, and described as Project No. 13 -6793 located at: ROUSSELLE STREET. The work improvement on said property was accepted as completed on NOVEMBER 29, 2013. x p CITY OF SANTA A, MUNICIPAL/CORPORATION h w� y H a Dated: '� Acting City Engineer q TITLE C4 _____________________________ _______________________________ _______________________________ Par 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 / / at Santa Ana, California (Signature of individual sweating that the contents of Notice of Completion are hve J THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN (10) DAYS AFTER COMPLETION 16 REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: JUNE 17, 2013 TITLE: CONTRACT AWARD FOR MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT (PROJECT NO. 136793) lr'� CIT NAGER RECOMMENDED ACTION CLERK OF COUNCIL USE ONLY: APPROVED 6- f°7—f,3 BAs Recommended f cz3B ❑ As Amended ❑ Ordinance on 1s' Reading ❑ Ordinance on 2 "d Reading ❑ Implementing Resolution ❑ Set Public Hearing For_ CONTINUED TO FILE NUMBER 1. Award a contract to the lowest responsible bidder, Fleming Environmental, Inc., in accordance with the base bid totaling $153,940 for the construction of the Maple Street Bike Trail Storm Drain CDS Project. 2. Approve the Cost Analysis, as shown in Exhibit 1, for a total estimated project delivery cost of $200,122. DISCUSSION The Public Works Agency received funding from the Orange County Transportation Authority (OCTA) under the Measure M2 Environmental Cleanup Program (ECP) to construct a trash reduction project. The purpose of the program is to protect Orange County beaches and waterways from transportation- generated pollution (urban runoff), and improve overall water quality. This project consists of installing an off -line Continuous Deflective Separation (CDS) unit in the storm drain system to remove trash and debris, and prevent sediment, oil, and grease from entering the Santa Ana Delhi Channel, which drains into Newport Bay, as shown in Exhibit 2. The proposed device is a precast concrete unit and it will be installed underground. The CDS unit will capture trash and debris, and will need to be periodically cleaned out to remove the intercepted waste. Contract Award for Maple Street Bike Trail Storm Drain CDS Project June 17, 2013 Page 2 A Notice Inviting Bids was advertised on May 5 & 7, 2013, and bids were opened on May 22, 2013. The following is a summary of the bid invitations mailed and received, and the bid results: Contractor Participation Data Santa Ana contractors receiving notices 12 Contractors requesting bidding documents 12 Bids received 8 Bids received from Santa Ana contractors 0 Bid Results Summary RANK BIDDERS NAME LOCATION BASE BID 1 Fleming Environmental, Inc. Fullerton $153,940.00 2 Excel Paving Company Long Beach $154,961.00 3 GRFCO, Inc. Moreno Valley $155,900.00 4 Paulus Engineering, Inc. Anaheim $161,469.98 5 GCI Construction, Inc. Costa Mesa $213,080.00 6 Bali Construction, Inc. S. El Monte $216,720.00 7 Atlas- Allied, Inc. Anaheim $224,000.00 8 John T. Malloy, Inc. Los Angeles $255,760.00 A total of eight bids were received and deemed responsive, with Fleming Environmental, Inc., submitting the lowest responsive bid. Their $153,940 bid is 71 percent over the $90,000 Engineer's Estimate. The Engineer's Estimate, however, did not include the cost of structural design and installation of heavy duty shoring that is required and necessary to work at a depth of up to 21 feet. ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended action is exempt from further review. Categorical Exemptions Environmental Review No. 2013 -45 (Project 136793) 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. Contract Award for Maple Street Bike Trail Storm Drain CDS Project June 17, 2013 Page 3 FISCAL IMPACT The project Cost Analysis identified a total project delivery cost of $200,122, including construction administration, inspection, testing, survey, and contingencies. Funding is available to cover those costs in the Measure M2 — Street Construction Fund (Account 03217662 - 66220) in the amount of $100,000 and from the Federal Clean Water Protection Fund (Account 05717640-66220) for the balance. S61- Godinez II, E. Executive Direct r Public Works Agency RG /TC Exhibits: 1. Cost Analysis 2. Location Map APPROVED AS TO FUNDS AND ACCOUNTS Francisco Gutierrez Executive Director / Finance & Management Services Agency COST ANALYSIS PROJECT 136793 - MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT Construction Contract Contract Administration Inspection and Testing Survey Staking Contingencies TOTAL ESTIMATED CONSTRUCTION COSTS EXHIBIT 1 $153,940 $7,697 $12,315 $3,079 $23,091 $200,122 u"s THE REGISTER Title space for oWS Slam, only 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796 -7000 / Fax (714) 796 -6059 PROOF OF PUBLICATION (2015.5 C.C.P.) State of California ) County of ORANGE ) ss Notice Type'. BID - NOTICE INVITING BIDS Ad Description: Maple Street Bike Trail Storm Drain COS Project I am a citizen of the United States and a resident of the State 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: 05/0612013, 05/07/2013 Executed on: 05/0712013 At SANTA ANA, California I certify (or declare) under penalty of perjury that the foregoing is true and correct. Signature I�IIII II II sill VIII sill IIIII bl II Bill VIII VIII Hill VIII sill IIII Ihl *A000003062591* CNSk: 2480671 on or BID on the bld bond MUST be notaril The City Council reserves Lhe right to reject any or all PROOF OF PUBLICATION (2015.5 C.C.P.) I TRAIL STS State of California DOERS is it with e County of ORANGE ) ss with the celii the, of 1 Than per di, Notice Type: BID •NOTICE INVITING BIDS crap or t Ad Description: Maple Street Bike Trail Storm Drain COB Project I am a citizen of the United States and a resident of the State of California; I am Oed'tiv Oasn,'a oasniers "or over the age of eighteen years, and not a party to or Interested in the above nmad check payams to the entitled matter. 1 am the principal clerk of the printer and publisher of the THE City of Senle An., or bid bond issued by a corporate REGISTER, a newspaper published in the English language in the city of surery1 for an amount net SANTA ANA, county of ORANGE, and adjudged a newspaper of general of the aggregate thetb d circulation as defined by the laws of the State of California by the Superior as a guarantee that the BID. OFF will enter Into the pro - Court of the County of ORANGE, State of California, under date 11/19/1905, posed centred If the came i. Case No. A21046. That the notice, of which the annexed is a printed copy, has nature of him. sioo'iI been published in each regular and entire issue of said newspaper and not in on the bid bond MUST any supplement thereof on the following dates, to -wit, beano iaariced. reserves the right to reject any or all bids. The successful BIDDER must ppossess or obtain o valid Callfornla Close A Con- tractor's license prior to the scheduled award data of this contract. 05/06/2013, 05/07/2013 substitution of securities tot any monies withheld by the City of Santa Ana to ensure Oom,.= eliedromo secs of the Plans and Specifications Executed on 05/07/2013 will be furnished upon appli At SANTA ANA, California canon at the Public Work. Agency counter, First Floor, 20 Civic Center Plaza, Ross I certify (or declare) under penalty of perjury that the foregoing is true and Annex, Santa Ana, Califomia 92701. plane and Speolil- correct. oattone an available In portable document foo- mat table) on a oom- pnot dalk )00) only. On There is no charge for the Plane and Specifications to Co. PWA Counter Business Hours are y mru to 4:Oepm, Monday Thurs- r day. Can the pion WA pros• acts Information L at 714-UT -568 0 for Signature ..U.bllltyot CDs, 9 To request a CD by mall, the I Contractor must submit an so is ABSTAINED Martinez (1) AND NOT PRESENT: ABSENT: Tinajero (1) PROJECTS /CHANGE ORDERS 23A CONTRACT AWARD FOR WESTMINSTER AVENUE SEWER IMPROVEMENTS (PROJECT 126605) - Public Works Agency MOTION: 1. Award a contract to the lowest responsible bidder, Vasilj, Inc., in accordance with the Base Bid, totaling $1,006,281.50 for the construction of Westminster Avenue Sewer Improvements Project. 2. Approve the Cost Analysis for a total estimated project delivery cost of $1,286,219.50. 3. AGMT NO. 2013 -098 - Approve the Westminster Avenue Sewer Project Construction and Reimbursement Agreement, subject to non substantive changes approved by the City Manager and City Attorney with the Garden Grove Sanitary District. MOTION: Sarmiento VOTE: AYES: NOES: ABSTAIN: ABSENT: SECOND: Benavides Amezcua, Benavides, Pulido, Sarmiento (6) None (0) None (0) Tinajero (1) Martinez, Reyna, CONTRACT AWARD FOR MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT (PROJECT NO. 136793) - Public Works Agency MOTION: CITY COUNCIL MINUTES 13 JUNE 17, 2013 1. Award a contract to the lowest responsible bidder, Fleming Environmental, Inc., in accordance with the base bid totaling $153,940 for the construction of the Maple Street Bike Trail Storm Drain CDS Project. 2. Approve the Cost Analysis for a total estimated project delivery cost of $200,122. MOTION: Sarmiento VOTE: AYES: NOES: ABSTAIN: ABSENT: AGREEMENTS (Non- routine) SECOND: Benavides Amezcua, Benavides, Pulido, Sarmiento (6) None (0) None (0) Tinajero (1) Martinez, Reyna, 25F AMENDMENT TO AGREEMENT WITH CLEAR CHANNEL OUTDOOR, INC., AND REQUEST FOR PROPOSALS FOR BUS SHELTER AND BENCH SERVICES - Public Works Agency MOTION: 1. Authorize the Public Works Agency to extend the bus shelter and bus bench services agreement, subject to non - substantive changes approved by the City Manager and City Attorney. AGMT NO. 2013 -099 - AMENDMENT - With Clear Channel Outdoor, Inc., for a period not to exceed 12 months, on a month -to -month basis. 2. Approve issuance of a Request for Proposals (RFP) to qualified firms for exclusive bus shelter and bus bench services. MOTION: Sarmiento VOTE: AYES: NOES: ABSTAIN: CITY COUNCIL MINUTES SECOND: Benavides Amezcua, Benavides, Pulido, Sarmiento (6) None (0) None (0) 14 Martinez, Reyna, JUNE 17, 2013 PROJ. NO. 13 -6793 ADDENDUM No. ONE CITY OF SANTA ANA May 16, 2013 PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT PROPOSAL & CONTRACT AGREEMENT BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Fleming Environmental 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 (if any), specifications and special provisions, for the unit price(s) or lump sum(s) set forth in the following schedule: Item # Bid Item Unit Quantity Unit Price Amount 1. CDS Storm Water Treatment System LS 1 $ i22 Soo $ 21 (include all piping and fittings) pp 2. Unclassified Excavation* CY 300 $ J p $ k-7 A0 — 3. A.C. Pavement* 4. Aggregate Base* M ►1 ffli 5. Trench Shoring and Plating (avg. 20') LS TOTAL BID------------------------------------------ - - - - -- 12 $2-70- $51zlo -- 10 $ 2y0- $ 2A - 1 $ %Itz)- $ 31400— ----------------- - - - - -- $153 MA-0 --- * The quantity for this bid item is shown for bid comparison only. This bid item shall not be subject to the "25 %" limit as stated in Section 3 -2 of the Standard Specifications. 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. BIDDER PROJECT NO. 13 -6793: Firm Fleming Environmental Inc. MAPLE STREET BIKE TRAIL STORM Address DRAIN CDS PROJECT 1372 E. Valencia Dr. Fullerton Phone (714)871 -2800 Fax (714)871 -2801 Email tfleming lemingenvironmental.com BIDDER Signature Terry L. F]enirq, Jr. President BP 1 OF 13 SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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; %2% of the bid or $10,000, whichever is greater Buildings, parks, or other projects: '/2% of the bid BIDDER proposes to subcontract certain portions of the work to the firms listed below: NAME Nok)e, LOCATION PHONE TYPE OF WORK $ NAME LOCATION _ PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK NAME LOCATION _ PHONE TYPE OF WORK NAME $ LOCATION PHONE TYPE OF WORK $ Flem ng Environmental Inc. Nam rm Submitting Bid 7 Terry L. Fleming, ignature of BIDDER NAME LOCATION PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK NAME LOCATION _ PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK NAME LOCATION PHONE TYPE OF WORK Jr. , President BP 2 OF 13 CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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 Clerk of the Council with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or his drily authorized agent, and signed by the City Attorney, denoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited with the United States Postal Service properly addressed to the BIDDER with the correct postage affixed thereto. BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he /she will furnish AGENCY all required bonds and certificate of liability insurance within ten (10) days (excluding Saturdays, Sundays and AGENCY'S legal holidays), or the funds, check, draft, or BIDDERS bond substituted in lieu thereof accompanying this proposal shall become the property of the AGENCY and shall be considered as payment of damages due to the delay and other causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed that the proof of damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned. BIDDER understands that a bid is required for the entire work, that the estimated quantities set forth in the bid schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed. All terms contained in the Specifications, the Certification of Non - Discrimination by Contractors, and the Workers' Compensation Insurance Certificate are to be incorporated by reference into this Agreement and are made specifically as part of this bid. Name of Firm Flaminn >irnnmani -al Tnr Signature of / BIDDER d Terry L. Fleming, Jr. r Title President (if an individual, so state) BP 3 OF 13 CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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.) Fleminq Environmental Inc. Terry L. Fleming, Jr. - President /Secretary /Treasurer Michael Fleming - Vice President Awarded t l ; to &>.are�m // e CTION OF COUNCIL: on the basis of lowest respo std responsive bidder in the amount of ATTEST: CLERK OF THE COUNCIL APPROVED AS TO FORM: CITY ATTORNEY Date � 20 EXECUTIVE PUBLIC WO] BP 4 OF 13 CITY OF SANTA ANA: AGENCY F CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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 union or workers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 4. The Contractor shall comply with all provisions of Executive Order 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, and accounts by the administering agency and the Secretary of Labor for purposes of investigation, to ascertain compliance with such rules, regulations, and orders. 6. In the event of the Contractor's non - compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for 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. BP 5 OF 13 CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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, religious creed, color, national origin, ancestry, physical handicaps, mental condition, marital status, or sex of such pers ns, except as provided in Section 1420, and any contractor of public works violating this Section is sct to all the penalties imposed for a violation of the Chapter. Signed ,%�I.._, N�' Terry L. Fleming``.Jr. Title President Finn Fleming Environmental Inc. Date NAv 17. 2 01 3 BP 6 OF 13 CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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' compensation insurance carrier certifying that I carry such insurance and that the policy shall not be canceled nor the yoverage reduced except upon thirty (30) days prior written notice to the City of Santa Ana. �\ Signed Title President Firm ^ Fleming Environmental Inc. Date lay 17, 2013 Terry L Fleming, Jr. BP7OF13 CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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. Name and Address of Owner. Naive and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed 2. Name and Address of owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed 3. Name and Address of owner. Name and Telephone Number of person familiar with project. 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. Fidelity and Deposit Company of Maryland 777 G jcpierna St, Tas Angel �Qf r'A Adamson & McGoldrick Insurance 1800 E. Lambert Rd. Ste 225 Brea CA - Ted Adamson General Liability - Chartis Specialty Insurance omna� nv BB &T Insurance Services 680 Langsdorf Drive #100 Fullerton CA BP 8 OF 13 Fleming Environmental Incorporated 1372 E. Valencia Drive, Fullerton, CA 92831 (714) 871 -2800 Office (714) 871 -2801 Fax License #746017 REFERENCES City of Brea 1 Civic Center Drive Cerritos, CA 90703 -3130 Master Plan of Sewer Upgrade at Arovista Park $227,663.00 West Valley Water District 855 West Base Line Rialto, CA 92376 Groundwater Wellhead Treatment System Project ContractAmount$ 715.672.00 Golden State Water Company 2143 E. Convention Center Way, #110 Ontario, CA 91764 Equipping of Bissell Well No. 3 Original Contract Amount: $1.004.473.00 June 2008 — September 2008 Brian Ingallinera (714) 990 -7672 (714) 990 -2558 Fax June 2012 — October 2012 Kerwin Allen (415) 243 -2457 (415) 896 -0999 Fax kerwi n allenoken n edvienks. cam November 2011 — April 2012 Danielle Jones (909) 937 -0111 XTN 305 (909) 937 -0222 FAX drjones @gswater.com CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts. exceeding $30,000 or 20 working days shall: 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he /she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contract except contractors not signatory to the trust agreement shall pay a like amount to the California Ap .en ' ship Council. Signed Title Firm Fleming Environmental Inc. Date BP9OF13 . Fleming, Jr. CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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 sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, further, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non - collusion Affidavit is part of the Proposal. Signing this Proposal on the signature ortion thereof shall also constitute signature of this Non - collusion Affidavit. BIDDERS are cautio eiat making a false certification may subject the certifier to criminal prosecution. Signed State of California County of Orange Subscribed and sworn to (or affirmed) , proved to me appeared before me. k Notary Public Signature President me on this day of , 20_, by basis of satisfactory evidence to be the person(s) who Notary Public Seal BP 10 OF 13 Jurat State of California County of Orange Subscribed and sworn to (or affirmed) before me on this 17th day of May, 2013, by Terry L. Fleming Jr., proved to me on the basis of satisfactory evidence to be the person(s-ywho appeared before me. Signature Notary Public „ JENNIFER MAR1IN Commission # 1884046 z z k - Notary Public - California z z '0 Orange County My Comm. Explres Apr 22, 2014 My Commission Expires: April 22, 2014 (Seal) CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT PROPOSAL AND CONTRACT AGREEMENT BIDDER'S STATEMENT REGARDING "ANTI- KICKBACK" REQUIREMENTS The undersigned is submitting this proposal for performing by contract the work required by these bid documents, agrees to comply with the Copeland "Anti- Kickback" Act (18 USC 74) as supplemented in the Department of Labor regulations (29 CFR, Part 3). This act provides that each contractor or subcontractor sh lbe prohibited from inducing, by any means, any person employed in the construction or repair of pubes, k, to give up any part of the compensation to which he /she is otherwise entitled. Signed Title Firm Flemina Environmental Inc Date Mav 1 7, 2013 r L. Fleming, Jr. BP 11 OF 13 CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT 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: Fleming Environmental Inc. Business Address: 1372 E. Valencia Dr. Fullerton CA 92831 Telephone: (714)871-2800 State Contractor's License No. and Class: 746017 A B HAZ Expiratic Date: Signed: Title: BP 12 OF 13 CITY OF SANTA ANA PROJECT NO. 13 -6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT PROPOSAL AND CONTRACT AGREEMENT PUBLIC CONTRACT CODE SECTION 10162 OUESTIONAIRE In conformance 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. BP 13 OF 13 U Fidelity and Deposit Company of Maryland Home Office: 1400 American Lane, Schaumburg, IL 60196 BID BOND KNOW ALL MEN BY THESE PRESENTS: That we, Fleming Environmental, Inc., as Principal, (hereinafter called the 'Principal'), and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, of Schaumburg, IL, a corporation duly organized under the laws of the State of Maryland, as Surety, (hereinafter called the "Surety "), are held and firmly bound unto City of Santa Ana as Obligee, (hereinafter called the "Obligee "), in the sum of Ten Percent of Amount Bid Dollars ($10% of Amt Bid), for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Project No. 13 -6793 — Maple Street Bike Trail storm drain CDS Project. NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall enter into a contract with the Obligee in accordance with the terms of such bid and give such bond or bonds as may be specified in the bidding or contract documents with good and sufficient surety for the faithful performance of such contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the principal to enter into such contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this 15th day of May A.D. ,2013. s n , Witness , Witness C325 -150M, Approved by The American Institute of Architects, A.LA. Document No. A -310 February 1970 Edition. Fleming Environmental, Inc Bye 0 ) Texxy leming, Jr. FI1� AND DEPOSIT I ✓- By P= Ted E. Adamson, Attorney -in -Fact Principal en ANY OF MARYLAND Surety ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies "), by JAMES M. CARROLL, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Ted E. ADAMSON, of Brea, California, its true and lawful agent and Attorney -in -Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice - President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 8th day of August, A.D. 2012. ATTEST: BY ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND y F+,V DVDy.` YMI, D �V� h0 .r Assistant Secretary Vice President Eric D. Barnes James M. Carroll .r "�iiNSp 5.VP`� /�Droryr•.�o�ai _.— �: o; Ez: ryv w4., �pN M� State of Maryland City of Baltimore On this 8th day of August, A.D. 2012, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, JAMES M. CARROLL, Vice President, and ERIC D. BARNES, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn, deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereanto set my hand and affixed my Official Seal the day and year first above written. JQi @ I'NAI � Constance A. Dunn, Notary Public My Commission Expires: July 14, 2015 POA -F 012 -5403J EXTRACT FROM BY -LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attomeys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice - President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 15 thday of May , 2013—. INS iu ?77 Thomas O. McClellen, Vice President CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT State of California County of Orange On 5/17/13 betore me, Jennifer Martin, Notary Public Date Hers Insert Name and Title of the Officer personally appeared Terry L. Fleming Jr. Name(s) of Signer(a) JENNIFER MARTIN CemMISSlon t 1684046 z ,..m Notary Public - Calltornia Orange County sMy Commires A 2214 Place Notary Seal Above who proved to me on the basis of satisfactory evidence to be the persol whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she/they executed the same in his /t ter /their authorized capacity(+es), and that by his /her /their signatures(s -) on the instrument the person(s), or the entity upon behalf of which the persons) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my Signature OPTIONAL official seal. Signature of Notary Public i Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of I Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Terry L. Fleming Jr. ❑ Individual ❑ Corporate Officer — Title(s):President ❑ Partner Signer is Representing: Fleming Environmental Inc. Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner ❑ Limped ❑ General • Attorney in Fact • Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Fleming Environmental Inc. Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): ❑ Partner Signer is Representing: ❑ Limped ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: CALIFORNIA ALL - PURPOSE ACKNOWLEDGEMENT State of California County of Orange On May 15, 2013 before me, Lynn A. Beimer, Notary Public Dale Here Insert Name and Title of the officer personally appeared Ted E. Adamson Name(e) of Signer(e) who proved to me on the basis of satisfactory evidence to be the personwhose name) are subscribed to the within instrument and acknowledged to me thattifi-ahe /they executed the same in is her /their authorized capacitAiel _ and that by is er /their signature on the instrument the LYNN A. 6EIMER person -or the entity upon behalf of which the persopAr aMy Commission # 1966927 acted, executed the instrument. z Notary Public - California z orange County I certify under PENALTY OF PERJURY under the laws of Comm. Expires Dec 16.2015 the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Place Notary Seal Above // Signature of Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signers) Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s):- ❑ Partner Trustee ❑ Limited Guardian or Conservator ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Top of thumb here Number of Pages: Signer's Name: ❑ Individual ❑ Corporate Officer—Title(s): ❑ Partner Signer is Representing: ❑ Lini ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: MAYOR Miguel A. Pulido MAYOR PRO TEM Sal Tinajero CRUNCILMEMBERS Vincent F. Sarmiento Michele Martinez Angelica Amezcua P, David Benavides Roman A. Reyna May 16; 2013 ADDENDUM No. ONE CITY OF SANTA ANA PUBLIC WORKS AGENCY M36 20 Civic Center Plaza • P.O. Box 19 88. Santa Ana, California 92702 INTERIM CITY MANAGER Kevin O'Rourke CITY.ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D.Huizar SUBJECT: PROJECT NO. 13.6793: MAPLE STREET BIKE TRAIL STORM DRAIN CDS PROJECT The following changes have been made to Specifications for the subject project: Plans 1. Sheet 2 of 2 (Storm Drain Plan SD01): Replace with the attached sheet 2 of 2. Specifications 1, Page BP 1 of 13: Replace with the attached page BP 1 o 13. 2. Pages 15, 18, 19, and 23; Replace with the attached pages 15, 18, 19, and 23. 3. Appendix A: Add the attached Caltrans and APWA standard plans to Appendix A. 4. Appendix E: Replace entire Appendix E with the attached Appendix E. All other terms and conditions remain the same. FOR THE CITY O NTA ANA Edwin "William" Galvez, P.E. City Engineer Client #: 1266412 305FLEMIENV ACORDn. CERTIFICATE OF LIABILITY INSURANCE OATE(MMMDNWY) TYPE OF INSURANCE 4/29/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Vanessa Maldonado NAME: E: BB &Tlnsurance Services PHONE 714 57$_7256 FA 877 - 297-1116 A/C No Ell: AlC, No of Orange County E -MAIL vmaldonadoC�bbandt.com ADDRESS: 680 Langsdorf Drive Suite 100 PAEMEES Ea occurrence $300000 MED EXP (Any one person) INSURERIS) AFFORDING COVERAGE NAIc# Fullerton, CA 92831 INSURER A: Charlis Specialty Insurance Cc 26883 INSURED INSURERS: General Ins Co of America 24732 Fleming Environmental Inc. INSURER c: Granite State Insurance Company 23809 East Valencia Drive Travelers Property Casualty Cc INSURER ❑: p ty •r 25674 Full Fullerton, CA 92$31 24CC2857813 INSURER E: 09/01/2013 INSURER F: 1,000,000 BODILY INJURY (Per person) COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTP TYPE OF INSURANCE INSR MD POLICY NUMBER MM /DO/YYVFF MMIDDN LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CIAIMS -MADE OCCUR X Pollution Liability PROP2018813 9/01 /201209 /01/2013 EACH OCCURRENCE $1000000 PAEMEES Ea occurrence $300000 MED EXP (Any one person) s25,000 PERSONAL &ADV INJURY $1,000,000 X Professional Liab GENERAL AGGREGATE s2,000,000 GEN'L AGG REGATELIMIT APPLIES PER: POLICY X PRO LOG PRODUCTS - COMP /OP AGO $2000000 $ B AUTOMOBILE X X 1 LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS 24CC2857813 9101/2012 09/01/2013 COMBINED 1 SINGLE LIMIT E. 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE Per accident $ A 1( UMBRELLA LIAR EXCESS LIAR LXJ OCCUR I CLAIMS -MADE PROU2019429 9101/2012 09101/201 EACH OCCURRENCE $5,000,000 I AGGREGATE $5,000,000 DED X RETENTION $0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWPARTNER /EXEGUNVE OFFICERNEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC65256167 5/01/2013 05/011201 X INCSTATU- FORTH- T RV LIMIT .L. E EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Rented /Leased Equipment CIT6606686M1 9ATIL1 2 0910112012 09/01/201 $160,000 Max Per Item Deductible: $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD IM, Additional Remarks Schedule, if more space is required) Evidence of Coverage Evidence of Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S10390683/M10388652 VLMAL e seem 7 €rare COR P FLEA ENS k t N fENTAL INCO GPs AT Q is. „a r °:s6eafna A H B 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 FIDELITY AND DEPOSIT COMPANY OF MARYLAND 1400 AMERICAN LANE, 19TH FLOOR SCHUAMBURG, IL 60196 -1056 800 - 382 -2150 Old Company Names Effective Date Agent For Service KAREN HARRIS C/O CORPORATION SERVICE COMPANY 2710 GATEWAY OAKS DRIVE, SUITE 1SON SACRAMENTO CA 95833 -3505 Reference Information NAIC #: 39306 California Company ID #: 2479 -4 Date Authorized in California: 01/01/1982 License Status: UNLIMITED- NORMAL Company Type: Property & Casualty State of Domicile: MARYLAND back to top NAIC Group List NAIC Group #: 0212 ZURICH INS GRP Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY CREDIT FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE Page 1 of 2 https :Hinteractive.web.insurance.ca. gov /companyprofile /companyproflle ?event= companyP... 5/29/2013