HomeMy WebLinkAboutCALIFORNIA PROFESSIONAL ENGINEERING, INC. (5)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
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Recorded in Official Records, Orange County
Hugh Nguyen, Clerk -Recorder
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NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana,
California, 92701, is the owner of the property hereinafter described, that said owner has caused
construction of Traffic Signal Raitt St & Adams St., and Class II Bike Lanes on First St. and
C g Newhope St. under contract entered into on March 17, 2015, with California Professional
w Engineering, Inc. on which contract The Hanover Insurance Company is surety. The property
U on which such work improvement was placed is in the City of Santa Ana, County of Orange,
C)State of California, and described as Project Nos. 12-6761, 14-6814, 14-6818 located at: Raitt
aSt. & Adams St., First St., and Newhope St. The work improvement on said property was
caccepted as completed on October 16, 2015.
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W p �GF-TFJ4ANA,
A MUNICIPAL CORPORATION
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Dated: % ' Z ��
v� Pria al Civil Engineer- Tyrone Chesanek
a TITLE
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______________________________
VERIFICATION
I, the undersigned, say: I am the City Engineer - Edwin "William" Galves 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 SantaAna Califo i
(Signature of in—di duaLewearing that the
contents of Notice of Completion are true.)
el
oy
REQUEST FOR
COUNCIL ACTION
CITY COUNCIL MEETING DATE:
MARCH 17, 2015
TITLE:
AWARD CONTRACT FOR CONSTRUCTION
OF TRAFFIC SIGNAL AT RAITT & ADAMS,
AND CLASS II BIKE LANES ON NEWHOPE
STREET AND FIRST STREET
(PROJECTS 126761, 146814, & 146818)
(STRATEGIC PLAN NO. 6, 1, B & G) /
CITY MAWAGER
RECOMMENDED ACTION
CLERK OF COUNCIL USE ONLY:
APPROVED MAR 1 7 2015 )-3A
R(As Recommended
❑ As Amended
❑ Ordinance on 1" Reading
❑ Ordinance on 2 I Reading
❑ Implementing Resolution
❑ Set Public Hearing For
CONTINUED TO
FILE NUMBER
Approve an appropriation adjustment recognizing $110,700 in Bicycle Transportation Account
grant funds into the Select Street Construction revenue account and appropriating the same
to the Select Street Construction Expenditure account.
2. Award a contract to California Professional Engineering, Inc., the lowest responsible bidder,
in accordance with the bid in the amount of $684,671 for the construction of a traffic signal at
Raitt Street and Adams Street; a Class II bike lane on First Street from Newhope Street to
Harbor Boulevard; and a Class II bike lane on Newhope Street from Westminster Avenue to
Fifth Street.
3. Approve the Project Cost Analysis for a total estimated project delivery cost of $855,800.
DISCUSSION
The recommended actions are needed for the City to proceed with construction of a new traffic
signal at the intersection of Raitt Street and Adams Street, and Class 11 bike lanes on First Street
and on Newhope Street in accordance with the Bikeway Master Plan. The new traffic signal at
Raitt Street and Adams Street (Project 12-6761) includes dedicated left turn lanes. Class 11 bike
lanes will be installed on First Street from Newhope Street to Harbor Boulevard (Project 14-6814),
and on Newhope Street from Westminster Avenue to Fifth Street (Project 14-6818) (Exhibit 1).
Once completed, these improvements will help to improve mobility and safety of bicyclists and
pedestrians, while also accommodating traffic flow.
Funds for the traffic signal and bike -related improvements in the amount of $745,100 were
originally budgeted in the FY 2011-12, FY 2013-14, and FY 2014-15 Council -approved Capital
Improvement Programs (CIPs). When it was determined that additional pavement work would be
needed, staff submitted an application for Bicycle Transportation Account (BTA) funding. These
Contract Award For Traffic Signal at Raitt/Adams
& Bike Lanes on Newhope and First Streets
March 17, 2015
Page 2
State funds are provided for eligible projects that improve safety and convenience for bicycle
commuters. The BTA application was accepted and the City was awarded $110,700 (Exhibit 3).
The added funding will be used to provide for a smooth Class 11 bike lane on First Street between
Newhope Street and Harbor Boulevard.
The following table summarizes the available funds and proposed expenditures for this project:
Available Funds
Prior Years & Current CIP $745,100
(various sources)
BTA (Newly Added Amount) $110,700
Total Available $855,800
Proposed Expenditures $855,800
Project Cost Analysis
In addition to the BTA
Improvement Program
Measure M2 funds.
grant, project funding from the prior year CIPS include Bicycle Corridor
(BCIP) funds, Highway Safety Improvement Program (HSIP) funds, and
A Notice Inviting Bids was advertised on January 14 and 15, 2015, and bids were opened on
February 4, 2015. The following is a summary of the bid invitations made and the bids received:
Contractor Participation Data
Santa Ana contractors receiving notices
13
Contractors requesting bidding documents
13
Bids received
4
Bids received from Santa Ana contractors
0
Contract Award For Traffic Signal at Raitt/Adams
& Bike Lanes on Newhope and First Streets
March 17, 2015
Page 3
Bid Results Summary
RANK
BIDDER'S NAME
LOCATION
BID
1
California Professional Engineering
La Puente
$684,671
2
Elecnor Belco Electric, Inc.
Chino
$717,185
3
Select Electric, Inc.
Poway
$740,000
NR
VT Electric, Inc.
Ontario
$614,623
A total of four bids were received, with the initial apparent low bidder requesting relief of their bid
due to a major clerical error, rendering the bid nonresponsive (NR). The error was in the asphalt
unit price; the bid reflected a unit price $15 per ton, whereas the unit price should have been
$150 per ton. Staff reviewed the request and deemed it reasonable, since the other competitive
bidders' unit prices ranged from $176 to $282 per ton. The Public Contract Code Section 5103
allows a bidder to be disallowed based on this type of error in their bid.
A review of the remaining bids determined that California Professional Engineering submitted the
lowest responsive bid in the amount of $684,671, which is consistent with the engineer's estimate
of $641,480. Therefore, staff recommends award of this contract to California Professional
Engineering.
STRATEGIC PLAN ALIGNMENT
Approval of this item supports the City's efforts to meet Goal #6 Community Facilities &
Infrastructure, Objective #1 (establish and maintain a Community Investment Plan for all City
assets), Strategy B (equitably maintain existing streets and associated assets in a state of good
repair so they are clean, safe, and aesthetically pleasing for all users), and Strategy G (develop
and implement the City's Capital Improvement Program in coordination with the Community
Investment Plan (e.g., neighborhood streets, traffic improvements, park facilities, bike master
plan, etc.).
ENVIRONMENTAL IMPACT
In accordance with the California Environmental Quality Act, the recommended actions are
exempt from further review. Categorical Exemption Environmental Review No. 2011-79, 2012-35
and 2012-38 were filed for this project.
FISCAL IMPACT
The Project Cost Analysis has estimated project expenditures to be $855,800, which includes the
construction contract, construction administration and inspection, as well as contingencies.
Bicycle Transportation Account grant funds in the amount of $110,700 will be deposited into the
Contract Award For Traffic Signal at Raitt/Adams
& Bike Lanes on Newhope and First Streets
March 17, 2015
Page 4
Select Street Construction revenue account (05917002-52025) and appropriated into the Select
Street Construction Expenditure account (05917660-66220) for Project 14-6818. Sufficient
funding for the remaining $745,100 in project costs is available in the following project accounts:
Project Account
12-6761 03217662-66220 - Measure M2 Local Fair Share
05917660-66220 - Select Street Construction Fund
05917663-66220 - Traffic Congestion Relief Fund HUT 2013
14-6814 03217662-66220 - Measure M2 Local Fair Share
05917660-66220 Select Street Construction Fund
14-6818 03217662-66220 - Measure M2 Local Fair Share
05917660-66220 - Select Street Construction Fund
Public Works Agency
FM/EWG/ET
Exhibits: 1. Location Map
2. Cost Analysis
3. BTA Grant Award Notification
4. Construction Contract
APPROVED AS TO FUNDS AND ACCOUNTS:
Francisco Gutierrez r"
Executive Director
Finance & Management Services Agency
SAMA AHA City Council Project No. 12-GT58: Traffic Signal at.
}.p • Agenda Date Raitt Street[Adams Street
Project No. 14-6814: Class It Bike Lane on First St,
March 3, 2015 Project No. 14-6818: Class It Bike Lane on Newhope St.
EXHIBIT 1
COST ANALYSIS
PROJECT NOS. 12-6758,14-6814 & 14-6818: TRAFFIC SIGNAL AT RAITT STREEVADAMS
STREET; CLASS II BIKE LANES ON FIRST STREET AND CLASS II BIKE LANCE ON
NEWHOPE STREET
Exhibit 2
SC TC OF CAL OR - PQRTAUQN ANDr(OUSQFaCY EDMUND BROWN 1%. O
DEPARTMENT OF
TRANSPORTATION
DIVISION OF LOCAL ASSISTANCE
P.O. Box 942874, MS -83
SACRAMENTO, CA 94274-0001
PHONE (916) 653-0036
FAX (916) 654-6826
TTY 711
v m,.dotca.gov
October 23, 2012
City of Santa Ana,
Zed Kekula
Senior Civil Engineer
20 Civic Center Plaza
Santa Ana, CA 92701
Dear Mr. Zed Kekula,
Congratulations!
Flazyrompomerl
Be energy efj]Nenll
The following project has been approved for 2012-13 Bicycle Transportation Account (BTA)
funding.
BTA 1213-12.ORA-04
First Street Class II Bikeway
BTA awards now provide recipients with up to six years (through 20 18) to complete projects.
Recipients have one year to allocate (7/1/2012-6/30/2013), and up to five years (7/1/2012-
6/30/2018) to encumber and liquidate the fimds. Final invoices are due 4/1/2018 with funds
lapsing 6/30/2018. This change in legislation provides local agencies plenty of time to
complete projects, avoiding the need for cooperative work agreements or time extensions.
Please note as stated in the application in order for the fmrds to be encumbered you
must provide the longitude and latitude of your project along with the two signed
original agreements. Early completion of projects is encouraged.
Attached is the Local Agency — State Agreement (Agreement) for the approved project.
This document identifies important dates for awarding contracts, submitting invoices and
completing projects. Please abide by the terms of the Agreement to ensure your agency is
reimbursed for the full award amount. Please see the BTA web pages for more detailed
information on BTA allowable charges and invoicing instructions at:
httn://www.dot. ea. gov/Irg/LocalProarams/bta/btawebPa ge.htm,
After reviewing the Agreement, please print two copies, sign, and mail both to the address
below by November 28, 2012. Once the Agreement has been fully executed, I will send an
original to you for your records. You will then be able to submit invoices for reimbursement.
When inquiring about the project, always include the BTA number found on the upper right of
the first page of the Agreement.
"Cmlann r improves nrobllh, ac . Callfomta "
EXHIBIT 3
Senior Civil Engineer, Zed Kekula
October 23, 2012
Page 2
Mail two signed originals along with the longitude and latitude by November 28, 2012 to:
Deborah Lynch
Bicycle Facilities Unit, MS -83
Division of Local Assistance
California Department of Transportation
P. O. Box 942874
Sacramento, CA 94274-0001
The District Local Assistance Engineer (DLAE) for your agency is your first contact on
questions regarding the project. The DLAE can help your agency ensure the project is
constructed to standards required for bicycle transportation projects. The DLAE can also help
with solutions if unexpected problems arise. The Division of Local Assistance website has a list
of DLAEs and contact information at: hfti)://www.dot.ca.gov/hq/LocadPrograins/dlae.titin.
I am your contact for the BTA in Headquarters and can be reached by phone at (916) 653-0036
or e-mail at deborah lynch a dot. ca. gov.
Again, congratulations on receiving a BTA award for an excellent project and submitting a well-
prepared application.
Sincerely,
DEBORAH LYNCH
Bicycle Program Coordinator
Division of Local Assistance
Attachment:
cc: Caltrans District Local Assistance Engineers (DLAEs)
Caltrans District Local Assistance BTA Coordinators
"Ca11ra a Improves moblfhy oe. Cdif.mia"
A-2012-223
LOCAL AGENCY - STATE AGREEMENT
For
BICYCLE TRANSPORTATION ACCOUNT PROJECT
12 City of Santa Ana Agreement No, BTA 12!13 -12 -ORA -04
District Local Agency
THIS AGREEMENT, made in duplicate entered into effect as of this Ist day of July
2012, by and between the political entity identified above, a political subdivision of the
State of California, hereinafter referred to as "LOCAL AGENCY", and the State of
California, acting by and through the Department of Transportation, hereinafter referred
to as "STATE" and together referred to as "PARTIES' or individually as a "PARTY".
WITNESSETH:
WHEREAS, under the provisions of Streets and Highways Code Section 2106 (b) and
Sections 990 through 994.2, as implemented by regulations in Title 21, Division 2,
Chapter 10, of the California Code of Regulations, Bicycle Transportation Account funds
(herein referred to as STATE FUNDS) have been allocated to LOCAL AGENCY for the
Bicycle Transportation Account project defined in "EXHIBIT A" attached hereto and
hereafter referred to as "PROJECT'; and
Whereas, before STATE FUNDS will be made available for PROJECT, LOCAL
AGENCY and STATE are required to enter into an agreement to establish terms and
conditions applicable to the LOCAL AGENCY when receiving STATE FUNDS for a
designated PROJECT facility and to the subsequent operation and maintenance of that
completed facility.
NOW THEREFORE, the PARTIES agree as follows:
ARTICLE I - Project Administration
I. This AGREEMENT shall have no force or effect with respect to PROJECT unless
and until it has been fully executed by both STATE and LOCAL AGENCY,
2. EXHIBIT A designates the party responsible for implementing PROJECT, type of
work, and location of PROJECT.
3. LOCAL AGENCY agrees to execute and return AGREEMENT within ninety
(90) days of receipt. The PARTIES agree that STATE may void AGREEMENT if not
returned within the ninety (90) day period unless otherwise agreed by STATE in writing.
4. LOCAL AGENCY further agrees, as a condition to the release and payment of
STATE FUNDS encumbered for the PROJECT described in EXHIBIT A, to comply
with the terms and conditions of this AGREEMENT.
5. STATE FUNDS will not participate in any portion of PROJECT work performed
in advance of the effective date of the executed AGREEMENT.
6. Projects allocated with STATE FUNDS from the Bicycle Transportation Account
(BTA) will be administered in accordance with the current Bicycle Transportation
Account (BTA) Guidelines, as adopted or amended, and in accordance with Chapter 21,
"Bicycle Transportation Account (BTA)" of the Local Assistance Program Guidelines
(LAPG) published by STATE.
7. LOCAL AGENCY shall provide or arrange for adequate supervision and
inspection of PROJECT. While consultants may perform supervision and inspection
work for PROJECT with a fully qualified and licensed engineer, LOCAL AGENCY shalt
provide a full-time employee to be in responsible charge of PROJECT.
8, LOCAL AGENCY shall advertise, award, and administer the PROJECT
construction contract or contracts.
9. The cost of maintenance, security, or protection performed by LOCAL AGENCY
or contractor forces during any temporary suspension of PROJECT or at any other time
may not be charged to the PROJECT.
10. LOCAL AGENCY shall design and construct PROJECT in accordance with
Chapter 1000, Bikeway Planning and Design of the Highway Design Manual that
describes minimum statewide design standards for bikeways and roads where bicycle
travel is permitted and the California Manual on Uniform Traffic Control Devices that
describes the uniform standards and specifications for all official traffic control devices.
Ll. LOCAL AGENCY shall comply with the Americans with Disabilities Act (ADA)
of 1990 that prohibits discrimination on the basis of disability and all applicable
regulations and guidelines issued pursuant to the ADA.
12. The Governor and the Legislature of the State of California, each within their
respective jurisdictions, have prescribed certain nondiscrimination requirements with
respect to contract and other work financed with public funds. LOCAL AGENCY agrees
to comply with the requirements of the FAIR EMPLOYMENT PRACTICES
ADDENDUM attached hereto as Exhibit B and further agrees that any agreement entered
into by LOCAL AGENCY with a third party for performance of work connected with
PROJECT shall incorporate Exhibit B (with third party's name replacing LOCAL
AGENCY) as parts of such agreement.
13. LOCAL AGENCY shall include in all subcontracts awarded when applicable, a
clause that requires each subcontractor to comply with California Labor Code
requirement that all workers employed on public works aspects of any project (as defined
in California Labor Code § 1720.1815) be paid not less than the general prevailing wage
rates predetermined by the Department of Industrial Relations as effective at the date of
contract award by the LOCAL AGNECY.
ARTICLE II - Rights of Way
I. No contract for the construction of PROJECT shall be awarded until all necessary
rights of way have been secured. Prior to the advertising for construction of PROJECT,
LOCAL AGENCY shall certify and, upon request, shall furnish STATE with evidence
that all necessary rights of way are available for construction purposes or will be
available by the time of award of the construction contract.
2. The furnishing of right of way by LOCAL AGENCY as provided for herein
includes, and is limited to, the following:
a) Expenditures to purchase all real property required for PROJECT free and clear
of liens, conflicting easements, obstructions and encumbrances, after crediting
PROJECT with the fair market value of any excess property retained and not
disposed of by LOCAL AGENCY.
b) The cost of furnishing of right of way as provided for herein includes, in
addition to real property required for the PROJECT, title free and clear of
obstructions and encumbrances affecting PROJECT and the payment, as required
by applicable law, of damages to owners or remainder real property not actually
taken but injuriously affected by PROJECT.
c) The cost of relocation payments and services provided to owners and occupants
pursuant to Government Code Sections 7260-7277 when PROJECT displaces an
individual, family, business, farm operation or nonprofit organization.
d) The cost of demolition and/or the sale of all improvements on the right of way
after credit are recorded for sale proceeds used to offset PROJECT costs.
e) The cost of unavoidable utility relocation, protection, or removal.
f) The cost of all necessary hazardous material and hazardous waste treatment,
encapsulation or removal and protective storage for which LOCAL AGENCY
accepts responsibility and where the actual generator cannot be identified and
recovery made.
3. LOCAL AGENCY agrees to indemnity and hold STATE harmless from any
liability that may result in the event the right of way for PROJECT, including, but not
limited to, being clear as certified, or if said right of way is found to contain hazardous
materials requiring treatment or removal to remediate in accordance with federal and
state laws. LOCAL AGENCY shall pay from its own non-matching funds, any costs
which arise out of delays to the construction of PROJECT because utility facilities have
not been timely removed or relocated, or because rights of way were not available to
LOCAL AGENCY for the orderly prosecution of PROJECT work.
4. If PROJECT is not on STATE. -awned right of way, PROJECT shall be designed
and constructed in accordance with Chapter 1000, Bikeway Planning and Design of the
Highway Design Manual that describes minimum statewide design standards for
bikeways and roads where bicycle travel is permitted and the California Manual on
Uniform Traffic Control Devices that describes the uniform standards and specifications
for all official traffic control devices.
5. If PROJECT involves work within or partially within STATE -owned right of
way, that PROJECT shall also be subject to compliance with the policies, procedures and
standards of the STATE Project Development Procedures Manual, Highway Design
Manual, and California Manual on Uniform Traffic Control Devices and where
appropriate, an executed cooperative agreement between STATE and LOCAL AGENCY
that outlines the PROJECT responsibilities and respective obligations of the PARTIES.
LOCAL AGENCY and its contractors shall each obtain an encroachment permit through
STATE prior to commencing any work within STATE right of way or work which
affects STATE facilities.
ARTICLE III - Engineering
1. LOCAL AGENCY eligible costs for preliminary engineering work includes all
preliminary work directly related to PROJECT up to contract award for construction,
including, but not limited to, preliminary surveys and reports, laboratory work, soil
investigations, the preparation of plans, specifications and estimates (PS&E), advertising
for bids, awarding of a contract and project development contract administration.
2. LOCAL AGENCY eligible costs for construction engineering includes actual
inspection and supervision of PROJECT construction work; construction staking;
laboratory and field testing; and the preparation and processing of field reports, records,
estimates, final reports, and allowable expenses of employees/consultants engaged in
such activities.
3. Preliminary and construction engineering costs included in the estimate contained
in Exhibit A are eligible project costs. STATE reimbursement to LOCAL AGENCY will
be on the basis of the actual cost thereof to LOCAL AGENCY including compensation
and expense of personnel working on PROJECT, required materials, and automotive
expense provided, however, LOCAL AGENCY shall contribute its general
administrative and overhead expense.
4. LOCAL AGENCY employees or its subcontractor engineering consultant shall be
responsible for all PROJECT engineering work.
5. LOCAL AGENCY shall not proceed with final design of PROJECT until final
environmental approval of PROJECT. Final design entails the design work necessary to
complete the PS&E and other work necessary for a construction contract but not required
earlier for environmental clearance of that PROJECT.
6. LOCAL AGENCY shall certify compliance or documentation of Categorical
Exemption determination with the applicable provisions of the California Environmental
Quality Act (CEQA) as defined in Title 14, California Code of Regulations, Chapter 3,
Guidelines for Implementation of the California Environmental Quality Act,
ARTICLE IV - Maintenance and Management
1. LOCAL AGENCY will maintain and operate the property acquired, developed,
constructed, rehabilitated, or restored by PROJECT for its intended public use until such
time as the parties might amend this AGREEMENT to otherwise provide. With the
approval of STATE, LOCAL AGENCY or its successors in interest in the PROJECT
property may transfer this obligation and responsibility to maintain and operate
PROJECT property for that intended public purpose to another public entity.
2. Upon LOCAL AGENCY acceptance of the completed construction contract, or
upon the contractor(s) being relieved of the responsibility for maintaining and protecting
PROJECT, LOCAL AGENCY will be responsible for the maintenance, ownership,
liability, and expense thereof for PROJECT in a manner satisfactory to the authorized
representative of STATE, and if PROJECT falls within the jurisdictional limits of another
Agency or Agencies, it is the duty of LOCAL AGENCY to facilitate a separate
maintenance agreement(s) between itself and the other jurisdictional Agency or Agencies
providing for the operation, maintenance, ownership and liability of PROJECT. Until
those agreements are executed, LOCAL AGENCY will be responsible for all PROJECT
operations, maintenance, ownership and liability in a manner satisfactory to the
authorized representative of the STATE.
3. PROJECT and its facilities shall be maintained by an adequate and well-trained
staff of engineers and/or such other professionals and technicians, as PROJECT
reasonably requires. Said operations and maintenance staff maybe employees of
LOCAL AGENCY, another unit of government, or contractor under agreement with
LOCAL AGENCY. All maintenance will be performed at regular intervals or as required
for efficient operation of the completed PROJECT improvements.
ARTICLE V - Fiscal Provisions
1. STATE'S financial commitment of STATE FUNDS will occur only upon the
execution of this AGREEMENT.
2. STATE shall have the right to terminate this AGREEMENT if a contract for
construction of PROJECT has not been awarded by LOCAL AGENCY within the first
fiscal year in which STATE FUNDS are allocated.
3. STATE shall have the right to terminate this AGREEMENT if PROJECT costs
have not been invoiced by LOCAL AGENCY within the first fiscal year in which
STATE FUNDS are allocated, and as a minimum, to submit invoices at least once every
six (6) months thereafter.
4. LOCAL AGENCY may submit signed invoices in arrears for reimbursement of
allowable PROJECT costs on a monthly or quarterly progress basis once the
AGREEMENT has been executed by STATE.
5. LOCAL AGENCY agrees to submit a status report within thirty (3 0) days upon
STATE'S request for the report. The PARTIES agree that STATE may void
AGREEMENT if the status report is not returned within the thirty (30) day period unless
otherwise agreed by STATE in writing.
6. LOCAL AGENCY agrees to complete PROJECT and submit a final invoice by
April 1, 2018. STATE shall pay to LOCAL AGENCY the STATE FUNDS share of the
actual cost of the PROJECT prior to June 30, 2018, the expiration date of STATE
FUNDS included in this PROJECT.
7. Invoices shall be submitted on LOCAL AGENCY letterhead that includes the
address of LOCAL AGENCY and shall be formatted in accordance with the current
Bicycle Transportation Account (BTA) Guidelines, as adopted or amended, and in
accordance with Chapter 21, "Bicycle Transportation Account (BTA)" of the Local
Assistance Program Guidelines (LAPG) published by STATE.
8. Invoices must have at least one copy of supporting backup documentation for
allowable costs incurred and claimed for reimbursement by LOCAL AGENCY. All costs
charged to this AGREEMENT by LOCAL AGENCY shall be costs allowable under the
California Bicycle Transportation Act. Acceptable backup documentation includes, but
is not limited to, agency's progress payment to the contractors, copies of canceled checks
showing amounts made payable to vendors and contractors, and/or a computerized
summary of PROJECT costs.
9. Payments to LOCAL AGENCY can only be released by STATE as
reimbursements of actual allowable PROJECT costs already incurred and paid for by
LOCAL AGENCY.
10. State will withhold ten (10) percent of the total of all STATE FUNDS for each
progress invoice until LOCAL AGENCY submits the final invoice.
IL The estimated total cost of PROJECT, the amount of STATE FUNDS obligated,
the required matching funds, and the ratio of STATE FUNDS to LOCAL AGENCY
funds may not be adjusted to cover PROJECT cost increases. LOCAL AGENCY agrees
that any increases in PROJECT cost must be defrayed with LOCAL AGENCY'S own
funds.
12. LOCAL AGENCY shall use its own non -STATE FUNDS to finance the local
share of eligible costs and all PROJECT expenditures or contract items ruled ineligible
for financing with STATE FUNDS. STATE shall make a final determination of LOCAL
AGENCY cost eligibility for STATE FUNDED financing with respect to claimed
PROJECT costs.
13. STATE FUNDS encumbered for PROJECT are available for liquidation only for
three (3) years from the beginning of the State Fiscal Year in which the funds were
appropriated in the State Budget. STATE FUNDS not liquidated within this period will
be reverted unless a Cooperative Work Agreement (CWA) is submitted by LOCAL
AGENCY and approved by the California Department of Finance in accordance with
Government Code Section 16304.
14. The estimated costs of PROJECT are shown in EXHIBIT A. LOCAL AGENCY
may, at its option, award contracts for amounts in excess of said estimates, and final
project expenditures may exceed said estimates if sufficient local funds are available to
finance the excess. It is understood that the allocation of STATE FUNDS shall not
exceed that shown in EXHIBIT A.
15. In the event LOCAL AGENCY'S final costs of PROJECT are less than said
estimate by reason of low bid or otherwise, the allocation of STATE FUNDS will be
decreased in relationship to the percent funded by STATE as shown in EXHIBIT A.
16. Exhibit C defined as the "Certification of State Funding" template, shall be made
a part of, and completed by STATE, prior to execution of this agreement.
17. Upon written demand by STATE, any overpayment to LOCAL AGENCY of
amounts invoiced to STATE shalt be returned to STATE.
ARTICLE VI - Audits, Third Party Contracting, Records Retention and Reports
1. STATE reserves the right to conduct technical and financial audits of PROJECT
work and records when determined to be necessary or appropriate and LOCAL
AGENCY agrees, and shall require its contractors and subcontractors to agree, to
cooperate with STATE by making all appropriate and relevant PROJECT records
available for audit and copying as required by paragraph three (3) of Article VI.
2. LOCAL AGENCY, its contractors and subcontractors shall establish and maintain
an accounting system and records that properly accumulate and segregate incurred
PROJECT costs and matching funds by line item for the PROJECT. The accounting
system of LOCAL AGENCY, its contractors and all subcontractors shall conform to
Generally Accepted Accounting Principles; enable the determination of incurred costs at
interim points of completion; and provide support for reimbursement payment vouchers
or invoices sent to or paid by STATE.
3. For the purpose of determining compliance with Title 21, California Code of
Regulations, Chapter 21, section 2500 et seq., when applicable, and other matters
connected with the performance and costs of LOCAL AGENCY'S contracts with third
parties pursuant to Government Code Section 8546.7, LOCAL AGENCY, LOCAL
AGENCY'S contractors and subcontractors, and STATE shall each maintain and make
available for inspection and audit all books, documents, papers, accounting records, and
other evidence pertaining to the performance of such contracts, including, but not limited
to, the costs of administering those various contracts. All of the above -referenced parties
shall make such AGREEMENT materials available at their respective offices at all
reasonable times during the entire PROJECT period and for three (3) years from the date
of final payment to LOCAL AGENCY. STATE, the California State Auditor, or any duly
authorized representative of STATE or the United States, shall each have access to any
books, records, and documents that are pertinent to a PROJECT for audits, examinations,
excerpts, and transactions and LOCAL AGENCY shall furnish copies thereof if
requested.
4. 1 Any subcontract entered into by LOCAL AGENCY as a result of this
AGREEMENT shall contain all of the provisions of Article V, FISCAL PROVISIONS,
and this ARTICLE VI, AUDITS, THIRD -PARTY CONTRACTING, RECORDS
RETENTION AND REPORTS and shall mandate that travel and per diem
reimbursements and third -party contract reimbursements to subcontractors will be
allowable as PROJECT costs only after those costs are incurred and paid for by the
subcontractors.
5. To be eligible for local match credit, LOCAL AGENCY must ensure that local
match funds used for a PROJECT meet the fiscal provisions requirements outlined in
ARTICLE V in the same manner that is required of all other PROJECT expenditures.
6. In addition to the above, the pre -award requirements of third -party
contractor/consultants with LOCAL AGENCY should be consistent with LOCAL
ASSISTANCE PROCEDURES.
ARTICLE VTI - Miscellaneous Provisions
1. LOCAL AGENCY agrees to use all PROJECT funds reimbursed hereunder only
for Bicycle Transportation Account purposes that are in conformance with Streets and
Highways Code Sections 890 through 894.2 and other applicable California laws.
2. LOCAL AGENCY shall conform to all applicable state and federal statutes and
Local Assistance Program Guidelines (LPGL) and Local Assistance Procedures Manual
(LAPM) as published by STATE and incorporated herein, including all subsequent
approved revisions thereto applicable to PROJECT.
3. This AGREEMENT is subject to any additional restrictions, limitations,
conditions, or any statute enacted by the State Legislature that may affect the provisions,
terms, or funding of this AGREEMENT in any manner.
4. Minor changes may be made in the PROJECT as described in Exhibit A upon
notice to STATE. No major change, however, may be made to said PROJECT except
pursuant to an amendment to this agreement duly executed by STATE and LOCAL
AGENCY.
5. LOCAL AGENCY and the officers and employees of LOCAL AGENCY, when
engaged in the performance of this AGREEMENT, shall act in an independent capacity
and not as officers, employees, or agents of STATE.
6. LOCAL AGENCY certifies that neither LOCAL AGENCY nor its principals are
suspended or debarred at the time of the execution of this AGREEMENT, and LOCAL
AGENCY agrees that it will notify STATE immediately in the event a suspension or a
debarment occurs after the execution of this AGREEMENT.
7. LOCAL AGENCY warrants, by execution of this AGREEMENT, that no person
or selling agency has been employed or retained to solicit or secure this AGREEMENT
upon an agreement or understanding for a commission, percentage, brokerage, or
contingent fee, excepting bona fide employees or bona fide established commercial or
selling agencies maintained by LOCAL AGENCY for the purpose of securing business.
For breach or violation of this warranty, STATE has the right to annul this
AGREEMENT without liability, pay only for the value of the PROJECT work actually
performed, or in STATE'S discretion, to deduct from the price of PROJECT, or
otherwise recover, the full amount of such commission, percentage, brokerage, or
contingent fee.
8. In accordance with Public Contract Code, section 10296, LOCAL AGENCY
hereby certifies under penalty of perjury that no more than one final unacceptable finding
of contempt of court by a federal court has been issued against LOCAL AGENCY within
the immediate preceding two (2) year period because of LOCAL AGENCY'S failure to
comply with an order of a federal court that orders LOCAL AGENCY to comply with an
order of the National Labor Relations Board.
9. LOCAL AGENCY shall disclose any financial, business or other relationship
with STATE that may have an impact upon the outcome of this AGREEMENT. LOCAL
AGENCY shall also list current contractors who may have financial interest in the
outcome of PROJECT undertaken pursuant to this AGREEMENT.
10. LOCAL AGENCY hereby certifies that it does not now have nor shall it acquire
any financial or business interest that would conflict with the performance of PROJECT
initiated under this AGREEMENT.
IL LOCAL AGENCY warrants that this AGREEMENT was not obtained or secured
through rebates, kickbacks, or other unlawful consideration either promised or paid to
any STATE employee. For breach or violation of this warranty, STATE shall have the
right, in its sole discretion; to terminate this AGREEMENT without liability; to pay only
for PROJECT work actually performed; or to deduct from PROJECT price or otherwise
recover the full amount of such rebate, kickback, or other unlawful consideration.
12. Any dispute concerning a question of fact arising under this AGREEMENT that is
not disposed of by agreement shall be decided by the STATE'S Contract Officer, who
may consider any written or verbal evidence submitted by LOCAL AGENCY. The
decision of the Contract Officer, issued in writing, shall be conclusive and binding on the
PARTIES on all questions of fact considered and determined by the Contract Officer.
13. Neither the pending of dispute nor its consideration by Contract Officer will
excuse the LOCAL AGENCY from full and timely performance in accordance with the
terms of this AGREEMENT.
14. Neither STATE nor any officer or employee thereof is responsible for any injury,
damage or liability occurring by reason of anything done or omitted to be done by
LOCAL AGENCY under; or in connection with any Work, authority orjurisdiction of
LOCAL AGENCY arising under this AGREEMENT. It is understood and agreed that
LOCAL AGENCY shall fully defend, indemnify and save harmless STATE and all of its
officers and employees from all claims and suits or actions of every name, kind and
description brought forth under, including but not limited to, tortious, contractual, inverse
condemnation or other theories or assertions of liability occurring by reason of anything
done or omitted to be done by LOCAL AGENCY under this AGREEMENT.
15. Neither LOCAL AGENCY nor any officer or employee thereof is responsible for
any injury, damage or liability occurring by reason of anything done or omitted to be
done by STATE under, or in connection with any work, authority orjurisdiction of
STATE arising under this AGREEMENT. It is understood and agreed that STATE shall
fully defend, indemnify and save harmless the LOCAL AGENCY and all of its officers
and employees from all claims and suits or actions of every name, kind and description
brought forth under, including but not limited to, tortious, contractual, inverse
condemnation or other theories or assertions of liability occurring by reason of anything
done or omitted to be done by STATE under this AGREEMENT.
16. In the event of (a) LOCAL AGENCY failing to timely proceed with effective
PROJECT work in accordance with this AGREEMENT; (b) failing to maintain any
applicable bonding requirements; and (c) otherwise materially violating the terms and
conditions of this AGREEMENT, STATE reserves the right to terminate funding for
PROJECT upon thirty (30) days written notice to LOCAL AGENCY.
17. No termination notice shall become effective if within thirty (30) days after
receipt of a Notice of Termination, LOCAL AGENCY either cures the default involved,
or if the default is not reasonably susceptible of cure within said thirty (30) day period the
LOCAL AGENCY proceeds thereafter to complete that cure in a manner and timeline
acceptable to STATE.
18. Any such termination shall be accomplished by delivery to LOCAL AGENCY of
a Notice of Termination, which notice shall become effective not less than thirty (30)
days after receipt; specifying the reason for the termination; the extent to which funding
of work under this AGREEMENT is terminated, and the date upon which such
termination becomes effective if beyond thirty (30) days after receipt During the period
before the effective termination date, LOCAL AGENCY and STATE shall meet to
attempt to resolve any dispute. I£ STATE terminates funding for PROJECT with
10
LOCAL AGENCY for the reasons stated in paragraph sixteen (16) of ARTICLE VI,
STATE shall pay LOCAL AGENCY the sum due LOCAL AGENCY under this
AGREEMENT prior to termination, provided; however, LOCAL AGENCY is not in
default of the terms and conditions of this AGREEMENT and that the cost of any
PROJECT completion to STATE shall first be deducted from any sum due LOCAL
AGENCY.
19. The "PROJECT" shall be constructed as provided in this AGREEMENT and in
accordance with those laws applicable to LOCAL AGENCY. In the case of
inconsistency or conflicts, the terms of this agreement shall prevail.
20. Without the written consent of STATE, this AGREEMENT is not assignable by
LOCAL AGENCY either in whole or in part.
21. No alteration or variation of the terms of this AGREEMENT shall be valid unless
made in writing and signed by the PARTIES, and no oral understanding or agreement not
incorporated herein shall be binding on any of the PARTIES.
IN WITNESS WHEREOF, the parties have executed this AGREEMENT by their duly
authorized officers.
STATE OF CALIFORNIA
Department of Transportation
By o f
DEBORAH LYNCH, BTA Coordinator
Bicycle Facilities Unit
Division of Local Assistance
LOCAL AGENCY
City of Santa Ana
By —---
Name: _TI
Title: Ems, Lir O i� & Wi ,g
Date: z?,� f ?, r G..-'` Date:
ATTT. F Y
MARIA D. HUIZAR
CLFRK OF THE COUNCIL
APPROVED AS TO FORM
11 ' ., Lsura Snle�t heedy�
Assistant City Attorney,
EXHIBIT A
12
xor�ctxan�sc a = t;>�$TSt':
Local Agency:
Ci of Santa Ana
Agreement No.
BTA 1213 -12 -ORA -04
Project Location:
First Street from harbor
Boulevard to Newho e Avenue
Type of Work:
Resign and construct a Class 11 Bikeway
Len the 0.50 miles
Funding'
Source
-preliminary;,
En sneering
Copstivctian
EnRincerina
RightafWay
A uisition
Cotistruotion
Contract
1Totai Cost
'Pescont
BTA
$10,570
$15,855
$0
$102,275
$128,700
90%
Local
$0
$0
$0
$14,300
$14,300
$143,000
107o
100%
Other
Total
$0
$10,570
$0 $0 $0
$15,855 $0 $116,575
12
EXHIBIT B
FAIR EMPLOYMENT AND HOUSING ACT ADDENDUM
1. In the performance of this AGREEMENT, LOCAL AGENCY will not
discriminate against any employee for employment because of race, sex, sexual
orientation, religion, age, ancestry, national origin, pregnancy leave, or disability leave.
LOCAL AGENCY will take affirmative action to ensure that employees are treated
during employment, without regard to their race, sex, sexual orientation, color, religion,
ancestry, or national origin, physical disability, medical or disability leave. 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.
LOCAL AGENCY shall post in conspicuous places, available to employees for
employment, notices to be provided STATE setting forth the provisions of this Fair
Employment section.
2. LOCAL AGENCY, its contractor(s) and all subcontractors shall comply with the
provisions of the Fair Employment and Housing Act (Gov. Code § 1290-0 et $eq.), and
the applicable regulations promulgated thereunder (Cal, Code Regs. Title 2, §7285.0, et
seq.) The applicable regulations of the Fair Employment and Housing Commission
Implementing Government Code, section 12900(a -f), set forth in Chapter 5 of Division 4
of Title 2 of the California Code of Regulations are incorporated into this AGREEMENT
by reference and made a part hereof as if set forth in full. Each of the LOCAL
AGENCY'S contractors and all subcontractors shall give written notice of their
obligations under this clause to labor organizations with which they have a collective
bargaining or other agreements, as appropriate.
3. LOCAL AGENCY shall include the nondiscrimination and compliance
provisions of this clause in all contracts and subcontracts to perform work under this
AGREEMENT.
4. The Contractor will permit access to the records of employment, employment
advertisements, application forms, and other pertinent data and records by STATE, the
State Fair Employment and Housing Commission, or any other agency of the State of
California designated by STATE, for purposes of investigation to ascertain compliance
with the Fair Employment section of this AGREEMENT.
5. Remedies for Willfu] Violations:
(a) STATE may determine a willful violation of the Fair Employment provision
to have occurred upon receipt of a final judgment to that effect from a court in an
action to which LOCAL AGENCY was a party, or upon receipt of a written
notice from the Fair Employment and Housing Commission that it has
investigated and determined that LOCAL AGENCY has violated the Fair
Employment Practices Act and has issued an order under Labor Code, section
13
1426 which has become final or has obtained an injunction under Labor Code,
section 1429.
(b) For willful violation of this Fair Employment Provision, STATE shall have
the right to terminate this AGREEMENT either in whole or in part, and any loss
or damage sustained by STATE in securing the goods or services hereunder shall
be borne and paid for by LOCAL AGENCY and by the surety tinder the
performance bond, if any, STATE may deduct from any moneys due or thereafter
may become due to LOCAL AGENCY, the difference between the price named
in the AGREEMENT and the actual cost thereof to STATE to cure LOCAL
AGENCY'S breach of this AGREEMENT.
14
EXHIBIT C
MAY 7 2095
OPWA /EATovres (1)
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECT NO. 12-6761:Traffic Signal Raitt St & Adams St
PROJECT N0, 14-6814: Class II Bilre Lane on First St
PROJECT NO. 14-6818: Class II Bike Lane on Newhope St
This CONSTRUCTION CONTRACT is made and entered into this 3rd day of March, 2015, by
and between the CITY OF SANTA ANA, CALIFORNIA, a charter city and municipal
corporation organized and existing under the Constitution and laws of the State of California,
hereinafter referred to as "CITY" and California Professional Engineering, Inc,_ hereinafter
referred to as "CONTRACTOR".
WITNESSETH:
The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as
follows:
CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost
and expense necessary to construct and complete in a good and workmanlike manner and to
the satisfaction of the City Engineer of the CITY, the Traffic Signal at Raitt and Adams and
Class II Bike Lanes on Newhope Street and First Street Improvements ("Work of
Improvement") identified in and in accordance with the Contract Documents prepared by the
City's Public Works Agency and approved by the City Council.
2. The complete Construction Contract consists of the "Contract Documents," as defined by the
Standard Specifications for Public Works Construction and which include the following:
• ..Notice Inviting Bids
• ..Instructions to Bidders
• ...Bid Proposal
• ..Bid Bond
• ..Contract Forms
• ..Contract Bonds
• ..General Provisions
• ...Special Provisions
• ...Technical Provisions
• ..Project Plans
• ...Appendices
In case of conflict between the Contract Documents, the precedence of documents shall be as
established in the Standard Specifications for Public Works Construction.
3. CITY agrees to pay and CONTRACTOR agrees to accept in full payment to complete Work
of Improvement the sum total amount not to exceed $684,670.17, as set forth and identified
in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A".
The BID PROPOSAL contains a schedule of unit price(s) or lump sums) based on
Page 1 of 3
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECT NO. 12-6761: Traffic Signal Rett St & Adams St
PROJECT NO. 14-6814: Class II Bike Lane on First St
PROJECT NO. 14-6818: Class II Bike Lane on Newhope St
approximate quantities only, and the City does not expressly or by implication agree that the
actual amount of work will correspond therewith, but reserves the right to increase or
decrease the amount of any class or portion of the work or to omit portions of the work as
may be deemed necessary or advisable.
4. CONTRACTOR agrees to complete the Work of Improvement within the time specified in
the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A")
including commencing construction within the timeframe therein specified after issuance of a
Notice to Proceed.
5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on
the Work of Improvement a salary or wage at least equal to the prevailing salary or wage
established for such work as set forth in the wage determinations for this work in accordance
with applicable State and Federal law.
6. CONTRACTOR shall, after award of this Contract, famish two bonds to be approved by the
CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee
the faithful performance of the work (Performance Bond), and one in the amount of One
Hundred Percent (100%) of the Contract price to guarantee payment of all claims for labor
and materials furnished (Payment Bond). This Contract shall not become effective until such
bonds are supplied to and approved by the CITY. CONTRACTOR shall, prior to the release
of the performance and payment bonds or the retention payment, furnish a warranty
performance and payment bond equal to at least ten (10%) percent of the final Contract price
or $1,000, whichever is greater (Warranty Bond).
7. CONTRACTOR shall, upon project completion as a condition of project acceptance, furnish
a Warranty Payment and Performance bond to be approved by the CITY, in the amount of
Twenty -Five Percent (25%) of the Contract price, to warrant the work done under said
Contract Agreement against material or quality defects for a period of one year after
acceptance by the AGENCY.
8. CONTRACTOR shall, after award of this Contract, furnish Certificates of Liability
Insurance and Worker's Compensation Insurance as outlined in the General Provisions, to be
approved by the CITY.
H
H
Page 2 of 3
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROTECT NO, 12-67fj�;T#fflc Signal RaRt St & Adams St
PROJECT N0. 14�V Class II Bike Lane on First St
PROJECT NO. 12§7.61Y Class II Bike Lane on Newhope St
"19
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the
day and year first above written.
ATTEST:
444A).D
MARIA D. HUIZARR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CAR ALHO
City tjttoyrrey\
Storck`
Stant City Attorney
Awarded to 'a5 �/a d
on the basis of low t responsible nd responsive
bidder in the amount of
$ l 84/ w/ '71
CITY O ANA
DAVID CAVAZOS
City Manager
RECOMMENDED FOR APPROVAL:
t� w
Frec Mousavipour, P.E.
Executive Director, Public Works Agency
Page 3 of 3
Inc.
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that
document.
STATE OF CALIFORNIA
COUNTY OF Los Angeles }
On A rin i1 29, 2oi 5 before me , Diem Chu Notary
Public,
Date
personally appeared Van Nguyen
(here insert name and title of the officer)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument
the person(s), or the entity upon behalf of which the person(s) 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 hand and official seal.
Description of Attached Document
.Title or Type of Document:
Document Date:
Other:
DIEM 42
COMMS 20HU
U1 'NOTARY PUALiC-OALIfORN[A N
OPTIONAL
Number of Pages:
BOND N0, 1971689
BOND PREMIUM: $8,744.00 WHICH IS SUBJECT TO CHANGE BASED ON THE FINAL CONTRACT AMOUNT
ISSUED IN TRIPLICATE CITY
yq c
DUPLICATE ORIGINAL CIT A�y OF SANTA ANA
California Professional Engineering, Inc.
KNOW ALL MEN BY THESE PRCSENTSth at dba California Professional Electrical Engineering
as CONTRACTOR and The Hanover Insurance Com an a corporation organized and existing
under the laws of the State, and duly authorized to transact business under the laws of the State of
California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal
SUM of Six Hundred Ei htv Four Th Dollars ($ 6a4, 670.17 },
which is 100 percent of the total contract amount for the above stated project, for the payment of
which sum, CONTRACTOR and SURETY agree to be bound,jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is
about to enter into the annexed Contract Agsreement with AGENCY dated
Traffic Signal t Raitt and Adams and Class 22 Hike Lanes on Newhops
March 3, 2015 —for ,
if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work of
improvement to be done under said Contract Agreement in the manner and time specified therein, then
this obligation shall be null and void, otherwise It shall remain in full force and effect In favor of AGENCY;
provided that any alterations in the obligations or time for completion made pursuant to the terms of
the contract documents shall not in any way release either CONTRACTOR or SURETY, and notice of such
alterations is hereby waived by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
17 day of Febru._..., 20 is ,
CONTRACTOR*California Professional Engineering, Inc. den California Professional electrical Engineering
SU
Subscribed and sworn t&beforeme III this - -day of_
20_
Signature:
Notary Public in and for the County of State of
Rate of premium on this bond is $ 12.77 per thousand.
Total amount of premium charge is $ 8,744. 00 . To be filled in by Surety
*WHICH IS SUBJECT TO CHANGE BASED ON FINAL CONTRACT AMOUNT.
*Provide CONTRACTOR /ADMITTED SURETYname, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
CONTRACTOR:
California Professional Engineering, Inc, dba California Professional Electrical Engineering
929 Otterbein Avenue, Ste. E, La Puente, CA 91748
Telephone: 626-810-1338
SURETY:
The Hanover Insurance Company
S Hutton Centre, Suite 1060, Santa Ana, CA 92707
Telephone: 714-415-3800
AGENCY:
The Bond Exchange and Insurance Agency
24800 Chrisanta Drive, Suite 160, Mission Viejo, CA 92691
Telephone: 949-461-7000
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that
document.
STATE OF CALIFORNIA
COUNTY OF Los Angeles }
On April 29.2015 before me , Diem Chu Notary
Public,
Date
personally appeared
(here insert name and title of the officer)
who proved tome on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument
the person(s), or the entity upon behalf of which the person(s) 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 hand and official seal.
DIEM CHU
COMM, d 2042313
NOTARY FU9UG•CAMFORNIA N
6O6 AN816 COUNTY
MY COMM. Exr. 86p. 21, 2017
Signatur : (Seal)
Description of Attached Document
Title or Type of Document:
Document Date:
Other:
OPTIONAL
Number of Pages:
2015 Anostille Service707-992-5551 www CaliforniaApostilla us California Mobile Notary Network www CAMNN coni
Ano��rypublic urother o�ceroomploUcertificate identity oftheindkgne
idua|whnoid(he
document {owhich this certificate ioattached, and not the tmthfu|nosoL
truthfulness,
STATE OFCALIFORNIA
County ufOrange �
On February 17, 2015 beibre me, Christine T. Hoang , Notary Public,
Date Insert Name of Notary exactly as It appears on the official seal
personally appeared Yung T[NUck
Name(s) of Signer(s)
OF CHRISTINE T. HOANG "
COMM.# 2008757 ;U
NOTARY PUBLIC-CAUFORNIl
ORANGE COUNTY
Y COMM, EXR FES 26,2017
Place Notary Seal Above
who proved tomeonthe basis ofsatisfactory evidence to
be the pemon(s)wtnnc name(s) imbno subscribed tnthe
within instrument and acknowledged tmnthotke/sha8he
executed the same inhiu/ho,dheirauthorized ityeu),
and that hyhis/ho,8heiraignaturo(s)unthe instrument the
pamuo(o).orthe entity upon behalf ofwhich the pemun(n)
acted, executed the instrument.
| certify under PENALTY 0FPERJURY under the laws of
Though the law it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of the form to another document.
Title or Type of Document:
Document Date
3i8n^r(AOther Than Named Above:
CapmrUty(|ao)Claimed bySignox(s)
Signer's Name:
El Individual
[] Corporate Officer --TWe(o):__
1-1 Partner E.UmNedOGeneral
[lAttorney inFact
OTmsteo
LJGuardian urConservator
P Other:
Signer's Representing:
Number ofPages:
Signer's Name:
El Individual
OCorporate Officer —Titlm(s):_
[I Partner El Limited E-1 General
[] Attorney inFact
F-1 Trustee
[] Guardian urConservator
F-1 Other
Signer is Representing:
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both
being corporations organized and existing under the laws of the Slate of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the State of Michigan, do hereby constitute and appoint
James W. Moilanen, Yung T. Mullick, and/or Jennifer C. Anaya
of Mission Viejo, CA and each is a true and lawful Attorney(s)-in-fact to sign, execute, seal, acknowledge and deliver for, and on its behalf, and as its act and
deed any place within the United Stales, or, if the following line be filled in, only within the area therein designated any and all bonds, recognizances,
undertakings, contracts of indemnity or other writings obligatory in the nature thereof, as follows:
Any such obligations in the United States, not to exceed Ten Million and No/100 ($10,000,000) in any single instance
and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
'RESOLVED, That the President or any Vice President, in conjunction with any Vice President, be and they are hereby authorized and empowered to appoint
Attorneys -in -fact of the Company, in its name and as its acts, to execute and acknowledge for and on its behalf as Surety any and all bonds, recognizances,
contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with powerto attach thereto the seal of the Company. Any
such writings so executed by such Attorneys -in -fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the
regularly elected officers of the Company in their own proper persons." (Adopted October 7, 1981 -The Hanover Insurance Company; Adopted April 14, 1982
- Massachusetts Bay Insurance Company; Adopted September 7, 2001 - Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents,
this 3rd day of January 2012.
THE HANOVER INSURANCE, COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS RANCE POMPANY�OF' AMERICA
Rcberl Thorsias, Vice 1prekjdeot.
�n
THE COMMONWEALTH OF MASSACHUSETTS) ...rr
COUNTY OF WORCESTER )as. Joe t§iTnShOm. Vtc'rCsadet R
On this 3rd day of January 2012 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, tome personally known to be the individuals and officers described herein, and acknowledged that
the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and
Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to
said instrument by the authority and direction of said Corporations.
o
BARBARAA, OAIi6�trMK
NptaN ublic�g ���umminq Ah pl Maasanaamis ... �.Ay Cmnnna.ix r,�pir58ep1.21, 2A[B
Barbara A. Garlick, Notary Public
My Commission Expires September 21, 2018
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is stall, true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
and Certified Conies of such Powers of
Hanover Insurance Company; Adopted April 14, 1982- Massachusetts Bay Insurance Company; Ac
of America)
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 17
td certification in respect thereto, granted and executed
be bindinq on the Company to the same extent as if all
day of February 20 15
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
f hn Margaslan, Vice President
BOND NO. 1971689
BOND PREMIUM INCLUDED IN PERFORMANCE BOND
ISSUED IN TRIPLICATE
DUPLICATE ORIGINAL CITY OF SANTA ANA
CONTRACT
PAYMENT BOND
California Professional Engineering, Inc.
KNOW ALL MEN BY THESE PRESENTS that dies California Professional Elactsical En i imq
as CONTRACTOR and The Hanover Insurance Company , a Corporation organized and existing
under the laws of the state, and duly authorized to transact business under the laws of the State of
California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal
SUM OILsix hundred Eighty Four Thousand six Hundred seve—y a 19/100 Dollars ($______684,670 17
which is 100 percent of the total contract amount for the above stated project, for the payment of
which sum, CONTRACTOR and SURETY agree to be bound,jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has been awarded and is
about to enter into the annexed Contract Agreement with AGENCY dated
Traffic signal Raitt and Adams and Class II Bike Lanes on Newhops
March 3, 2015 for 3=2er and Pirsr erreer ,morsxementF
If CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in the
performance of the Work of Improvement to be done under said Contract Agreement, or fails to submit
amounts due under the State Unemployment Insurance Act with respect to said labor, SURETY will pay
for the same in an amount not exceeding the sum set forth above, which amount shall insure to the
benefit of all persons entitled to file claims under the State Cade of Civil Procedures; provided that any
alterations in the work to be done, materials to be furnished, or time for completion made pursuant to
the terms of the contract documents shall not in any way release either CONTRACTOR or SURETY, and
notice of said alterations is hereby waived by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
lz day of 203.5.,,.
CONTRACTOR*
SURETY* The
Subscribed and sworn to before me r this day of
20
Signature:
Notary Public in and forthe County of State of
Rate of premium on this bond is $ ___N/A * per thousand. *BOND PREMIUM INCLUDED IN
Total amount of premium charge is $ N/A _ . To be fried in by Surety PERFORMANCE BOND
*Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the name, title,
oddress, and telephone number of authorized representative.
CONTRACTOR:
California Professional Engineering, Inc, dba California Professional Electrical Engineering
929 Otterbein Avenue, Ste. E, La Puente, CA 91748
Telephone: 626-810-1338
SURETY:
The Hanover Insurance Company
5 Hutton Centre, Suite 1060, Santa Ana, CA 92707
Telephone: 714-415-3800
AGENCY:
The Bond Exchange and Insurance Agency
24800 Chrisanta Drive, Suite 160, Mission Viejo, CA 92691
Telephone: 949-461-7000
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed
the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that
document.
STATE OF CALIFORNIA
COUNTY OF Los Angeles 1
On April 29, 2015 before me , Diem Chu Notary
Public,
Date (here insert name and title of the officer)
personally appeared van Nguyen
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument
the person(s), or the entity upon behalf of which the person(s) 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 hand and official seal.
VA DIEM CHU
COMM.# 2042313 ��nn
V!QMY
NOTARY PULLIC-CALIFORNIAL08 ANCELE8 COUNTY COMM, exp, sup, 2t 201 '
Signature: Seat
OPTIONAL
Description of Attached Document
Title or Type of Document:
Document Date: Other:
Number of Pages:
2015 Apostille Service, 707-992-5551 WWWCaliforniaAuostille.us California Mobile Notary Network enyw CAMNNcorn
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
County of Orange
On February 17, 2015 before me, Christine T. Hoang , Notary Public,
Date Insert Name of Notary exactly as it appears on the official seal
personally appeared Yung T. Mullick
Name(s) of Signer(s)
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they
executed the same in his/her/their authorized capacity(ies),
and that by his/her/their signature(s) on the instrument the
CHWSTINET. NOANG person(s), or the entity upon behalf of which the person(s)
c+t ja?T Fea %9 COMM. # 2008757 %0 acted, executed the instrument
e' A y, I certify under PENALTY OF PERJURY under the laws of
R NOTARYFIf-CAUFORMA�
a R ORANGE COUNTY N the State of California that the foregoing paragraph is true
a MY COMM. EXR FES 26,2017 and corr .
Witness y hand a offici se
Signature
Place Notary seal Above SI store of otary Public Christine T. Hoang
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 the form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer{s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer —Title(s):_
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Signer's Name:
❑ Individual
❑ Corporate Officer---Title(s):
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWFRS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both
being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a
corporation organized and existing under the laws of the Slate of Michigan, do hereby constitute and appoint
James W. Moilanen, Yung T. Mullick, and/or Jennifer C. Anaya
of Mission Viejo, CA and each is a true and lawful Attorney(s)-in-fact to sign, execute, seal, acknowledge and deliverfor, and on its behalf, and as its act and
deed any place within the United States, or, if the following line be filled in, only within the area therein designated any and all bonds, recognizances,
undertakings, contracts of indemnity or other writings obligatory in the nature thereof, as follows:
Any such obligations in the United States, not to exceed Ten Million and Noll 00 ($10,000,000) in any single instance
and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect
"RESOLVED, That the President or any Vice President, in conjunction with any Vice President, be and they are hereby authorized and empowered to appoint
Attorneys-in4act of the Company, in its name and as its acts, to execute and acknowledge for and on its behalf as Surely any and all bonds, recognizances,
contracts of indemnity, waivers of citation and all other writings obligatory in the nature thereof, with powerto attach thereto the seal of the Company. Any
such writings so executed by such Attorneys -in -fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the
regularly elected officers of the Company in their own proper persons" (Adopted October 7, 1981 -The Hanover Insurance Company; Adopted April 14, 1982
- Massachusetts Bay Insurance Company; Adopted September 7, 2001 - Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals, duly attested by two Vice Presidents,
this 3rd day of January 2012.
THE. HANOVER INSURANCE COMPANY
QW*
",aq,MASSACHUSETTS BAY INSURANCE COMPANY
r' ,"��CITIZENS SURANCCE/�{J'^jOMPANY OF AMERICA9®74 ✓
it
ffiH_..�....,.....
Rob�urr-fkomas. Vice PreSitdnt
t r
THE COMMONWEALTH OF MASSACHUSETTS) -='`1"m. i'4`"" --•=�- n
COUNTY OF WORCESTER ) as. lot $reenstrom Vrci PcLsiddttt
On this 3rd day of January 2012 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance
Company and Citizens Insurance Company of America, to me personally known to be the individuals and officers described herein, and acknowledged that
the seals affixed to the preceding Instrument are the corporate seals of The Hanover Insurance Company, Massachusetts Bay Insurance Company and
Citizens Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to
said instrument by the authority and direction of said Corporations.
BARBARA A. GARLICN
Notary Public ,�•' "1+' ,/
y�G.nmanweaBM1 aarrAaeaacnusans f�r��.°,i'�../.7':.i:- I.� ,---i-/ {Ai"Cz'.�"
1Ay Cwm s.,m Etp.gseepl.21, 2015 -
Barbara A. Garlick, Notary Public
My Commission Expires September 21, 2018
I, the undersigned Vice President of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full, true and correct copy of the Original Power of Attorney Issued by said Companies, and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
"RESOLVED, That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and cenlAcation in respect thereto, granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company, shall be binding on the Company to the same extent as if all
signatures therein were manually affixed, even though one or more of any such signatures thereon may be facsimile." (Adopted October 7, 1981 - The
Hanover Insurance Company; Adopted April 14, 1982 - Massachusetts Bay Insurance Company; Adopted September7, 2001 - Citizens Insurance Company
of America)
GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts, this 17 day of February PO IS
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
ALI
Igi1n Mafg43ian,�Vice President–
A ®® CERTIFICATE OF LIABILITY INSURANCE
4!912015OOMW)
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(les) 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
certificake holder in Ileu of such endorsement(s),
PRODUCER
Brown &Brown Insurance Brokers of Sacramento, Inc
R 0, Box 619043 Lie #OH38004
Roseville CA 95661.9043
CONTACT
PHONE g16-630-8643 FAX .8O0-783.0083
— -----
EMAIL'
AnnRF 51
INSURERSAFF(RDINOCOVERAGE___..._.,_,',_NAICY
X COMMERCIAL GENERAL LIABILITY
CWMS.MAOEX7 OCCUR
INSURER A: Houston Specialty Insurance CO 12936
INSURED CAL -165
INSURER n:National Union Fire Ins Co PA —19446
California Professional Engineering Inc.
doe California Professional Electrical Engineering
929 Otterbein Avenue Unit E
INSURER C:Califomia Automobile Ins, Co. 38342
_
InsuneR o:
-----
INSURERE: ,^
La Puente CA 91748
INSURER F:
COVERAGES CERTIFICATE NUMBER: 866182012 REVISION NUMBER
THIS IS TO CERTIFY THAT THE POLIOIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTIAT HSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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.
INSR
LTR
TYPE OF INSURANCE
e
D
POLICYNUMBER
POLICY EFF
WDO
POLICY EXP
MWDDMYY1
LIMITS
A
X COMMERCIAL GENERAL LIABILITY
CWMS.MAOEX7 OCCUR
Y
TE1,115401
V2612015
12612016
EACHOCCURRENCE 51,000,000
P E IS S Ea accRu rs $100,000
MED EYP (Ant ona Person) $5,000
_
PERSONAL &ADV INJURY 31,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
X POLICV ❑ . ❑
JEOTPROLOC
GENERAL AGGREGATE $2,000000
PRODUCTS-COMPIOPAGG 52,009,000
5
OTHER:
C
AUTOMOBILE
LIABILITY
BA040000005827
411012015
411012016
cc I
(Eaecddenll
ANYAUTO
BOOILYINJURY(par person)
p g�MJEO R�CU�I�RULED
BODILY INJURY (Per amlJon1)
JX
HIRED AUTOS NON.OWNED
AUTOS
OP T
(Perecclaentl
B
UMBRELLA LIPS
X
OCCUR
Y
BE050404687
25/2016
/26/2016
EACH OCCURRENCE
WS
AGGREGATE
%EXCESS
LIAO
CLAIMS MADE
DED RETENTONS
WORKERS COMPENSATION
AND ESIPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNER1eXECUTIVE ❑
OFFICERIMEMeER EXCWDED9
NIA
P R O H.
S T E ER
E.1 -EACH ACCIDENT
E.L. DISEASE-EAEMPLOYE S
(Mandatory In qH)
II as, d"'OE"'undo'
DESCRIPTIONOFOPERATIONS below
--
E.L. DISEASE - POLICY LIMIT 5
DESCRIPTION OF OPERATIONS ILOCATIONS ) VEHICLES tADDRD 101, AtltllllPnPl RPmuNa Sc3edelq may be Anacnetl It mom spore Isrequlmdl
Certificate holder Is included as an Additional Insured under Commercial General Liability policyper endorsements CG 20 10 07 04 & CG 20
37 07 04, subject to a written contract between the Named Insured and the Additional Insured. Sample endorsement attached. "Subject to
company approval.
Re: Intersection of Raid & Adams, at al City of Santa Ana -Project No's: 12-6761, 14-6814 & 14-6818
CALIFORNIA PRO ESSIONAL ENGINEERING, INC PROJECT NO 12-6761, 14-6814, 14-6818
REVIEWED BY EUNICE HEREDIA (PG 1 OF 7)
City of Santa Ana
20 Civic Center Plaza
Santa Ana CA 92701
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1988.2014 ACORD CORPORATION. All
ACORD 25 (2514/01) The ACORD name and logo are registered marks of ACORD
COMMERCIAL GENERAL LIABILITY
HOUSTON SPECIALTY INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 07 04
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
SCHEDULED PERSON OR ORGANIZATION
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
r— Name of Additional Insured Person(s)
Or Organizations (s); Location(s) Of Covered Operations
Only those parties required to be named as an ALL
Additional Insured In a written contract with the
Named Insured under this policy, entered into prior
to the "loss" or "occurrence".
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section 11 - Who Is An Insured Is amended to include as an additional insured the person(s) or
orgenizalion(s) shown in the Schedule, but only with respect to liability for "bodily Injury', "property
damage" or "personal and advertising Injury" caused, in whole or in part, by:
1. Your acts or omissions: or
2. The acts or omissions of those acting on your behalf: in the performance of your ongoing
operations for the additional insured(s) at the location(s) designated above.
B, This Insurance does riot apply to' bodily injury", "property deimage" occurring after:
1. All work, including materials, ports or equipment furnished in connection with such work, on the
project (other than service, maintonanco or repairs) to bo porformed by or on behalf of tho
additional insureds) at the location of the covered operations has boon completed; or
2. That portion of "your work' out of which the Injury or damage arises has been to its intonded use
by any person or organization other than another contractor or subcontractor engaged in
performing operations for a principal as a part of the same project.
Policy No. TEN15401 Sample
CG 2010 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1
CALIFORNIA PROFESSI AL ENGINEERING, INC PROJECT NO 12-6761, 14-6814, 14-6818
REVIEWED BY tic . EUNICE HEREDIA (PG 2 OF 7)
COMMERCIAL GENERAL LIABILITY
HOUSTON SPECIALTY INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
CG 20 3707 04
ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS
COMPLETED OPERATIONS
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
�..... ......
Name of Additional Insured Person(s)
_Or Organizations (s)t, Location(s) Of Covered Operations
Only those parties required to be named as an ALL
Additional Insured in a written contract with the
Named Insured under this policy, entered into prior — 'I
to the "loss" or "occurrence", J
{information required to complete this Schedule, If not shown above, will be shown In the Declarations.
A. SECTION 11- WHO IS AN INSURED is amendod to inctude as an additional insured the person(s)
or organizatlon(s) shown in the Schedule. but only with respect to liability for "bodily injury" or
"properly damage" caused, in whole or In part, by "your work" at the location designated and
described In the schedule of this endorsement performed for that additional insured and Included in
the "products -completed operations hazard",
Policy No. TEN 15401 Sample
CO 20 37 07 04 ISO Properties, Inc., 2004 PAGE 1 of 1
CALIFORNIA PROFESS I AL NGINEERING, INC PROJECT NO 12-6761, 14-6814, 14-6818
REVIEWED BY � - EUNICE HEREDIA (PG 3 OF 7)
Policy Number: TEN15401
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
TEN0216 0114
PRIMARY AND NON-CONTRIBUTING INSURANCE
This endorsement modifies Insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM
The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS,
Paragraph 4:
Section IV: Commercial General Liability Conditions
4. Other Insurance:
d. Notwithstanding the provisions of sub -paragraphs a, b, and c of this paragraph 4, with respect to the
Third Party as defined below, it is understood and agreed that In the event of a claim or "suit"
caused in whole or in part by the Named Insured's negligence, this Insurance shall be primary and
any other Insurance maintained by the additional Insured named as the Third Party below shall
be excess and non-contributory,
The Third Party to whom this endorsement applies is:
Absence of a specifically named Third Party above means this endorsement applies only to those third
parties required to be named as an Additional Insured as Primary and Non -Contributory coverage
specified in a written contract with the Named Insured under this policy, entered Into prior to the loss or
"occurrence".
All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain
unchanged.
Sample
TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1
CALIFORNIA PRO ESSIO . ENGINEERING, INC PROJECT NO 12-6761, 14-6814, 14-6818
REVIEWED BY q . EUNICE HEREDIA (PG 4 OF 7)
COMMERCIAL GENERAL LIABILITY
HOUSTON SPECIALTY INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization: _
Only such Person 6r Organizalinn where required in a written contrsct with the Named Insured under this'
policy, entered Into prior to the'loss or occurrence'.
�6iformotlon required to complete this Schedule_ if not shown above, will be shown in the Declarations_
The following Is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Section IV" Conditions:
We waive any right of recovery we may have against
the person or organization shown In the Schedule
above because of payments we make for injury or
damage arising out of your ongoing operations or
"your work" dune under a contract with that person or
organization and Included in the "products -completed
operations hazard". This waiver applies only to the
person or organization shown in the Schedule above.
Policy No. TEN15401 Sample
CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of 1
CALIFORNIA PRO/F�ESSIO A ENGINEERING, INC PROJECT NO 12-6761, 14-6814, 14-6818
REVIEWED BY vL yx - EUNICE HEREDIA (PG 5 OF 7)
ac iao�RL> CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDD/YYYY)
2/1712015
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(les) must be endorsed. If SUBROGRATION 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 OnPolnt Underwriting Inc.
CONTACT NAME: Steven McComb
8390 E Crescent Pkwy, Suite 200
Greenwood Village, CO 80111
PHONE (A/C, No Ext): (360) 628-0644 FAX (A1C, NO): (360) 526-0699
GENERAL LIABILITY
EMAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A: ACE American insurance Company 22667
INSURER 6:
INSURED
Barrett Business Services, Inc.
INSURER C:
LCF CALIFORNIA PROFESSIONAL ENGINEERING
INSURER D:
INC.
INSURER E:
929 OTTERBEIN AVE UNIT E
INSURER F:
ROWLAND HEIGHTS, CA 91746
En iFiCA E Ivulnai 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUES 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.
INSR
LTR
TYPEOFINSURANCE
ADDL
INSR
51.8111
WVD
POLICY NUMBER
POLICYEFF
(MMMO/YYYY
POLICY EXP
IMMIODIVYYYI
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE g
COMMERCIAL GENERAL LIABILITY
CLAIMS -MAO[ OCCUR
DAMAGE TO RENTED PREMISES (Ea S
necuronEa)
MED EXP (Any one parson) g
PERSONAL B AOV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGREGATE $
POLICYPROJ- LOC
ECT
PRODUCTS - COMPIOP AUG $
AUTOMOBILE
LIABILITY
ANYAUTO
COMBINED SINGLE LIMIT
(Enacddene S
ALL OWNED AUTOS SCHEOULEDAUTDS
BODILY INJURY IPer Person) g'
BODILY INJURY(Pel accident $
HIREDAUTOS NON -OWNED AUTOS
PROPERTY DAMAGE $
$
UMBRELLA LIAR OCCUR
EACH OCCURRENCE $
EXCESS LIAB OCCUR
AGGREGATE It
OED RETENTIONS
$
5
A
WORKERS COMPENSATION AND EMPLOYERfi'
YIN
ANVCEAMMEETORIPARTNDE EXECUTIVE y
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
RWC
C46161662
Covered stales:
CA
12/19/14
12/0112015
�
WC
TORY LIMITS
OTH-
ER
E.I.. EACH ACCIDENT $4,000,000
E.L. DISEASE EA EMPLOYEE $2,000,000
E.L. DISEASE -POLICY LIMIT $2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
CALIFORNIA PROF SIO L ENGINEERING, INC PROJECT NO 12-6761, 14-6814,14-6818
REVIEWED BY. , EUNICE HEREDIA (PG 6 OF 7)
CERTIFICATE HOLDER
CANCELLATION
City of Santa Ana
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
20 Civic Center Plaza ,Ross Annex
AUTHORIZED REPRESENTATIVE
Santa Ana CA 92701
Richard Poling
c) 1966-2010 ACORD CORPORATION, All rights reserved,
ACORD 25 (2010ID5) The ACORD name and logo are registered marks of ACORD.
AGENCY CUSTOMER ID:
LOC: #:
® ADDITIONAL REMARKS SCHEDULE
%Y NAMED INSURED
Barrett Business Services, Inc.
t Underwriting Inc. 8100 NE Parkway, Suite 200
/ All RAPIMP Vancouver WA 98662
RWC 048101562
CARRIER NAIC CODE
ACE American Insurance Company 22667 EFFECTIVE DATE: 12/19/14
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability (01114)
CERTIFICATE HOLDER: City of Santa Ana
ADDRESS: 20 Civic Center Plaza ,Ross Annex Santa Ana CA 92701
of
Intersection of Raitt & Adams, et al, City of Santa Ana—Project #'s 12-6761, 14-6814 & 14-6818.
Public Street Work—Traffic Signal Installation
ACORD 101 (2008/01)
c11988-2010
The ACORD name and logo are registered marks of ACORD,
Ail Ai Me r... 'I
CALIFORNIA PROFESSION#L ENGINEERING, INC PROJECT NO 12-6761, 14-6814,14-6818
REVIEWED BY Z,
11 ',t_ - EUNICE HEREDIA (PG 7 OF 7)