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Home My WebLink AboutMETRO BUILDERS & ENGINEERS GROUP, LTD. r Recording Requested By, Recorded in Official Records, Orange County And When Recorded Mail To: Hugh Nguyen, Clerk-Recorder Clerk of the Council, City of Santa Ana IIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIII IIIII IIIII IIIII IIIIIIII NO FEE 20 Civic Center Plaza,P.O.Box 1988 Santa Ana,CA 92702 * $ R 0 0 0 8 7 7 201600051199811:46 am 10119116 106 416 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 i I 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 c construction of SANTA ANA STADIUM CONCRETE REPAIR under contract entered into on v o JANUARY 19,2016, with METRO BUILDERS & ENGINEERS GROUP LTD., on which M a � s w contract AMERICAN CONTRACTORS INDEMNITY COMPANY is surety. The property oon which such work improvement was placed is in the City of Santa Ana, County of Orange, o w State of California, and described as Project No. 16-2656 located at: SANTA ANA STADIUM. c z The work improvement on said property was accepted as completed on SEPTEMBER 30,2016. � a � W O p CIT , A MUNICIPAL CORPORATION CA CA by z d Dated: /� �b Principal ivil Engineer-Tyrone Chesanek aCn TITLE Oa ------- CJ VERIFICATION 1, the undersigned, say: I am the City En0neer - Edwin "William" Galvez of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof, and I declare under penalty of perjury that the facts therein stated are true. Executed on 1 / i � , at Santa Ana, C t ornia (Signature of ind idual sweating that the contents of Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796-7000 / Fax (714) 796-6059 CNS#: 2815607 NOTICE TO CONTRACTORS' Pit®®F OF PUBLICATION (2015.5 C.C.P.) State of California ) EEPAIR County of ORANGE ) ss scoppe of .work Includes re Palrin✓�:the spelling, ,set. aints, beams, parapet walk chain link railing anchomge Notice Type: BID - NOTICE INVITING BIDS and cracking siructuFellyF. •=r Ad Description: A pre-bid meeting d SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR deva November 19,20H This space for thing I am a citizen of the United States and a resident of the State of California; I am recommended that Projeci over the age of eighteen years, and not a party to or interested in the above superintendents attend this entitled matter. I am the principal clerk of the printer and publisher of the THE meeting. REGISTER, a newspaper published in the English language in the city of Insiructlone on bid submis .,on are Included in the eon - SANTA ANA, county of ORANGE, and adjudged a newspaper of general tract Documents.* circulation as defined by the laws of the State of California by the Superior "Complete electronic.et. of Court of the County of ORANGE, State of California, under date 11/19/1905, thePlansand specifications Case No. A21046. That the notice, of which the annexed is a printed copy, has are evaileble at the Public Works Agency counter, First been published in each regular and entire issue of said newspaper and not in Floor, 2o: Civic Center plaza, any supplement thereof on the following dates, to -wit: fomia 02701 Res. Ann ex Sent. Ana Cali - 11/13/2015, 11/18/2015 Executed on: 11/18/2015 At SANTA ANA,CA I certify (or declare) under penalty of perjury that the foregoing is true and correct. III I II II II II II II III I II I I I III II ar A 0 0 0 0 0 3 9 2 7 6 1 3 ar Recorded In Official Records, orange County Hugh Nguyen, Clark -Recorder IIIIIIIIJ$IJ JI I[IIIIIIIIIIIIIIIIIIIIIIIII $1I 1IIIIIII1I]I 111 111I NO FEE *$ R 0 0 0 7 9 4 1 7 9 5$ 20158500107610:31 am 11/04/15 175 304 Z01 0.00 50.00 0.00 0.00 0.00 0.00 0.00 0.00 MAYOR CITY MANAGER Miguel A. Pulido David Cavazos MAYOR PRO TEM �;. �� CIN ATTORNEY Vincent F. Sarmiento Sonia R. Carvalho COUNCIL MEMBERS CLERK OF THE COUNCIL Angelica Amezcua ,.;;.-. " Maria 0, Hulzar P. David Benavldes Michele Martinez RomSal an A. Reyna CITY OF SANTA ANA PLANNING & BUILDING AGENCY `.� 20 Civic Center Plaza (M-20) t P.O. BOX 1988 . Santa Ana, California 92702 ,. U (714) 667.2700 • Fax (714) 973-1461 www.santa-ana.org C) NOTICE OF EXEMPTION 1 From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 M To: COUNTY CLERK From: City of Santa Ana County of Orange Planning & Building Agency P.O. Box 238 20 Civic Center Plaza M-20 Santa Ana, CA 92702 Santa Ana, CA 92702 Project Title: Santa Ana Stadium Structural Repairs Date of Approval: 12/15/2015 Project Number(s): PWA-2015-1089-CIP Project Location: 1 CityWide (Partial) City: Santa Ana _ _ County: Orange ER Number: ER -2015-111 Project Description: Work includes structure reinforcement, crack seal, delamination repairs, handrail repairs, fence post repairs, and spelled repairs Applicant Name: Mindy Ly , City of Santa Ana Applicant Address: 20 Civic Center Plaza, Third floor Ross Annex Santa Ana, CA 92701 Name of Public Agency Approving Project: City Council Name of Person or Agency Carrying Out Project: Ly, Mindy Exempt Status: ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) ❑ Emergency Project (Sec. 15269 (b through e)) ❑ General Rule (Sec. 15061(b)(3)/(5)) ❑ Statutory Exemption: Q Categorical Exemption: 15301 (C) Reason(s) Why Project is Exempt From CEQA: 15301 (C) Existing Facility City Contact: Sean Thomas POSTED FILED NOV D 4 2015 NOV 0 4 2015 HUGH NGUYEN,CLERK-RECORDER ORANGE COuN'rfCLERK-RECORDER 0CPARTWNIT pEPUTY BY' ----n--=- Telephone: (714)647-5655 Signature: ��Title: Assistant Engineer SANTA ANA CITY COUNCIL Date: "11001 Miguel A. Pulido Vincent F. Sarmlento Michele Martinez Angelica Amezcua P. David Senavides Roman Rayne Sal Theism Mayor Mayor Pro Tam, Ward 1 Ward 2 Ward 3 Ward 4 Ward S Ward 6 MP rd @ ant - VS I t (ZD ai MMart'ne4@ ants-ane„414AAmezcua(alsanta-ane gryi DBanavides[o�santa-aoa.org a na sentaanaorg Tinaeto�g Santa-ana_gry n % MR 2 17016 CITY OF SANTA ANA PWA/&i-,1vudor-)(") Construction Contract OVA 0/tff PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR This CONSTRUCTION CONTRACT is made and entered into this 19 day of January 2016, 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 Metro Builders & Engineers Group, Ltd., 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 Santa Ana Stadium Structural Concrete Repair, hereinafter referred to as the "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 • Information to Bidders • Bid Proposal • Bid Bond • Contract Form • Contract Bonds • General Provisions • Special 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 the Work of Improvement the sum total amount not to exceed $468,639.60, 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 sum(s) based on 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. Page 1 of 3 CITY OF SANTA ANA Construction Contract PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR 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, furnish 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. s. 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. u Page 2 of 3 CITY OF SANTA ANA Construction Contract PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: MARIA D. HUIZAR 7/ Cleric of the Council APPROVED AS TO FORM: SONIA R, CARVALHO City Att me BY VefSandoval Assistant City Attorney CITY OF SANTA ANA ' DAVID CAVAZOS Ll City Manager RECOMMENDED FOR APPROVAL: CONTRACTOR: Metro Builders & Engineers Cirbap, Ltd. By:� 'Title: I 4esident/ Page 3 of 3 eney CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Metro Builders & Engineers Group, Ltd. REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that they have examined the Contract Documents in its entirety 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) and the specifications for the unit price(s) or lump sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Mobilization (Not to Exceed 10% of Total Contract) 1 LS $ LO99 D / $ Z (� d a 0 / 2 TemporarySupportt* 20 EA $(1o90 $2.0/090 3 Parapet Wall Replacement 4 EA $ q Sou 1 $ 1g,000 4 Degraded Beam Replacement (6" avg. length) 4 EA $ 6J909 $ a Z b� On 5 Extensive Beam Replacement (4' avg. length) 16 EA � 0 $ 8� _6 / Concrete Spall Repair w/ Exposed Rebar (3" avg, depth)* 2,400 SF $ // ��ss b/ n $ I t b 009 . 7 Concrete Spelling (1" avg. depth)* 1,100 SF $ q ( 0V "1 $ LI P ) DID 7� 8 Cracks Epoxy Injection* 360 LF $ 27 %-t $ 9 U -Shaped Galvanized Plate at Post (Complete -in-place) 120 EA $pp L), y$ $ a 91710 10 Joint Seal with Backer Rod* 11000 LF $ / O D S $ S� DOD 11 Temporary Construction Signs 4 EA $ $ L J D O D BP -1 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR Item Description Qty Unit Unit Price Amount 12 18"- q3 Dowels w/ epoxy* 50 EA $ ➢ $ .� D ,So 13 Galvanized Post (H=4'-3")* 5 EA $200 $ / a 0 0 TOTAL BASE BID ADD ALTERNATIVE ONE: Item Description Qty Unit Unit Price Amount 14 Continuous U -Shaped Galvanized Plate 620 LF $ _ttr $ o i� TOTAL BID ALTERNATIVE ONE ADD ALTERNATIVE TWO: Item Description Qty Unit Unit Price Amount 15 Complete Galvanized Chain Link Fence System 2,800 SF $ 7 �1S $ '^ LO/ 300 TOTAL BID ALTERNATIVE TWO TOTAL BASE BID + ADD ALTERNATE ONE TOTAL BASE BID + ADD ALTERNATE TWO TOTAL BASE BID + ADD ALTERNATE ONE + ADD ALTERNATE $ TWOBID ------------------------------------------------------------------------------------ The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bid, and any, all, or none of the add -alternate bid items. * 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. BP -2 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR t This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications, TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within Sixty (60) working days for Phase I and Phase II after issuance of the Notice to Proceed. Immediately after contract award, contractor must be prepared to submit all required documents, structural calcs, and fabrication submittals. Preconstruction meeting shall take place one week after Council award on January 19, 2016. The contractor shall commence construction on or before February 8, 2016. Phase I: Contractor shall complete all work on the west side of the stadium within the first 30 working days. Liquidated damages shall be $1,000 each day if not completed after the first 30 working days. Phase II: Contractor shall complete work on the east side of the stadium within 30 workings days after Phase I has been completed or sooner if Phase I has been completed before its 30 working days requirement. Liquidated damages shall be $1,000 each day if not completed after the last 30 working days. Deadline for completing all work shall be May 20, 2016. The liquidated damages amount in lieu of the amount specified in Subsection 6-9 of the Standard Specifications shall be $1,000 per calendar day after the Final Completion of the 60 working days, including Bid Alternative(s) if awarded, as specified herein for contractor to achieve Final Completion of the entire work. , Name of Firm Metro Builders & Engioeers Group, Ltd. Signature of BIDDER Title President (if an individual, so state) BP -3 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR BIDDER'S STATEMENT BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent Construction Contract Agreement 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/her duly 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) business days 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, 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. The BIDDER also certifies that the bid is a balanced bid. In accordance with Section 7028.15 of the California B4 siness and Professions Code, the undersigned certifies under penalty of perjury that t oregoing is true and correct. Name of Firm Metro Builders&En ersGroup, Ltd. Signature of BIDDER Title President (if an individual, so (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.) BP -4 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR CONTRACTOR'S LICENSING and REGISTRATION STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all his/her subcontractors are registered with the State of California Department of Industrial Relations (DIR), and that the following is true and correct. Contractor's Name: Metro Builders & Engineers Group, Ltd. Business Address: 2610 Avon Street Newport Beach CA 92663 Business E -Mail Fouad@metrobuilders.com;Shelly@metrobuilders.com;Estimating@melrobuilders.com Address: Telephone: 949-515-4350 X:23 State Contractor's License No. and Class: 597589 License Expiration Date: 07/2016 State Dept. of Industrial Relations (DIR) Registration No.: State Dept. of Industrial Rel atio/ps�(DIR) Registration Expirgtion Date: / 06/2016 Signed: Title: President HP -5 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true a Name of Firm Metro Builders & Epineers Group, Ltd, Signature of BIDDER Title President (if an individual, so state BP -6 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF SANTA ANA ) Fouad Houalla , being duly sworn, deposes and says: ❑ INDIVIDUAL That he/she is the party making the foregoing proposal: ❑ PARTNERSHIP That he/she is a member of the co -partnership firm designated as: and who has been and is duly vested with the authority to make and execute instruments for the co -partnership by: who constitute the other members of the co -partnership. M CORPORATION That he is of: President a corporation which is making the foregoing proposal: ❑JOINT VENTURE That he is of: one of the parties making the foregoing proposal as a joint venture, and the he/she has been and is duly vested with the authority to execute instruments for an on behalf of the parties making said bid who are: that such a bid is genuine and Xanst ve or sham, and has not in any manner sought by collusion to secur ny advantaghe City of Santa Ana or any person interested in the proposed cbn; ct, fo imself or person. Signature/of Bidder me this 30th day of November 20 15 (Notary Public) BP -7 of 17 w SHELLY JEAN IRVINE :Commission # 2018404 h k_ Notary Public -California n Orange County ,'e Expires Apr 7, 201 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR KNOW ALL PRESENT that, Metro Builders & Engineers Group, Ltd. , as BIDDER, and American contractors Indemnity company , as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of Ten Percent of the total amount bid 10 Dollars ($ ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 25th day of November 20 15 BIDDER* Metro Builders &,Engineers Group, SURETY* Jase Hamilton, bscribed and sworn to before me 20_ Signature: Notary Public in and for the County of *see attached State of this day of *Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. BP -8 of 17 � R OF ATT VIII VIII'IIN Iu IIIIII I6 Im 'IIII IIIIII AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW I MEN BY THESE PRESE TS..:�,jj1jfj,,ctan Contractors Indemmt�MQrq ny, a California corporation Texasassumed a�' f q eiorsIndemrk4Mj artyLF iI6F Aes Surety Company aN arylabil_6biMeahon-anc�I�Specialty In�,l,', IIII�IIIW II q�I�corporation jcol�t�ly the—Cf�rrtganies"), do by these-presentsmake, - catsstitute and appoint: II - — - Jeffrey W. Cavignac, James P. Schabarum II, Jose Hamilton or Theresa Lou of San Diego California - its true ancLIaw��ttomey(s) in -fact eaclun their=seine. capacity if mor t a on DSIII lal �l' bove, with full power and ambutity hefeb)amihied m its name placean�tead wexeOlite�cknowle ge an III ally gy�l a �� I ds, recogmzance�u[RdeElriiml �II -or other instruments or contract of�ux�tysiup3si=,incrde riders, aiii l d e s,l ��I ��I�i se sof surety, gxov�dIM thiLhum) -penalty does not exceed - ****fifteenMillion**** IIII Dollars ($00;000.0* This Power ofAttorney .shall expire without further action on December 20, 2017. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved that President, any vice-president ani sisista t III ice -President, any Secretary or any AssrstantSecretary shall be and is hereby vested with full rawer an haratgt point any one or I r� si i� p n gg III t �pey(s)-in-Fact to represent an-_acdisraun or�lialf of the Company suhemMhe-%llowm�= miciam I 'h I ' (IIII III tromeyarrS�rct-may be given full power y h n f sXh ii11 t le name of and on beharfoftbao Compexecu a itl te, acknowledge and diver—any-andz�L7ronds, -- recogmzances, contracts, agreements or indem iiy and. other conditional or obligatory un ed rtalangs, including any and all consents for th ease of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any suchinstruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. - Be -n Resalvgd that the signature of any authouzedmfficemadLseal, i Company heretoforl1?l r I laftel fF I esi to ;power of attorney ori certificafti r dating er bocstmil5 Uany power of stores: n ca a beafm��aosimile signature or a i e �ai i b a i binding upon the any with respeeftr _ zany bond or undertakidM which it is attached IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 1st day of December, 2014. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED SATiisq C ANY USSPECIALTY INSURANCE&OMPANY SUIII w Bv. =�F,a On this Ist day of: December, 2014,before me, Maria G. Rodriguez -Wong, a notary public, personally appeared Dan P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis oLsansfactary evidence to be the person who leime IN S bscribed to the within mstrumentsnd acknowledged to me that he executed the same in iszutho�etia g � 1 and that by his si a I° I I' �� parson, or the entity=u��h ��hi tete person acted executed 4h�nstrumen �III'moo mfy�r lA€TYOF PERJUI211u l l llln l� t l'I SIf Tara of California thatiI glaIls are and correct.— �WfrNESS my hand and official sea]. - / MARIA G. RODIiIGUEZ•W0N1G f Commission #r 2019771 Signature ------_--- (Seal) i v . Notary Public. California z o'aln �Moir IIDpE2o 2017D MichaZT'fial-cl son , Assistant Secrett�Icoa rican Contrractors Indemnity Co �Ilu ' als' II Ilio Idlillg Company, Untied St retyCompany and U.S. Specialty Insurance Company,. do hereby certify that the above and foregoing is a true and correct copy of a Power. of Attorney, executed by said Companies, which is stili in full force and effect; furthennoi p; the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. �n Witn� Y�ieLenf; I have hereunt �I h I "Pled the seals of said C mparl--s�t Lngeles, California this d_a)� ��, � IIIIII I Corporate Seals `�croes�� 1ES SURFr �oHo�rvr .... s N 561 Bond No s� a Y Michael .Chalekson>Assistant Secretary AgenC X352 eq a= NT9'e oli" IIII 'll i �l l„ �� III III III IIII IIIIII III'' ; VIII III I 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 San Diego ,cv� 1 ti%`nL',to�) Subscribed and sworn to (or affirmed) before me on this 25 day of November 2d 15 by Arnie Edstrom, Notary Public proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. i Signature (Seal) OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (This or description of attached document) (Title or description of attached document continued) Number of Pages Document Date Additional information 201,5 Version vwaw.fJctaryGiassearom 000 873-9865 _AMIE EDSTROM :. _ Commission # 1996084 -. Notary Public - California Z San Diego County Comm. Ex fres Oct 29 2016 INSTRUCTIONS The wording of all Jurats completed in California after January 1, 2015 must be in the form as set forth within this Jurat. There are no exceptions. If a Jurat to be completed does not follow this form, the notary must correct the verbiage by using a jurat stamp containing the correct wording or attaching a separate jurat form such as this one with does contain the proper wording. In addition, the notary must require an oath or afrmation from the document signer regarding the truthfulness of the contents of the document The document must be signed AFTER the oath or affirmation. If the document was previously signed, it must be re-signed in front of the notary public during the jurat process. • State and county information must be the state and county where the document signer(s) personally appeared before the notary public. • Date of notarization must be the date the signer(s) personally appeared which must also be the same date the jurat process is completed. • Print the name(s) of the document signer(s) who personally appear at the time of notarization. • Signature of the notary public must match the signature on file with the office of the county clerk. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different jurat form. Additional information Is not required but could help to ensure this jurat is not misused or attached to a different document. d• Indicate title or type of attached document, number of pages and date. • Securely attach this document to the signed document with a staple. CALIFORNIA ❑ See Attached Document (Notary to cross out lines 1-6 below) ❑ See Statement Below (Lines 1-5 to be completed only by document signer[s], not Notary) Signature of Document Signer No. 1 State of California County of OQQ SHELIyE�R INE ¢ .Commission 8 2018404 Notary Pbbiic- California OrangeCounty My Comm. Expires A r 7, 2017 Place Notary Seal Above Signature of Document Signer No.2 (If any) Subscribed and swZY to (or affirmed) before me on this 3011 -day of, 201 , by Date Month Year Name of Signer proved to me on the basis of satisfactory evidence to be the person who appeared before me (and Name of Signer proved to me on the basis of satisfactory evidence to be the perso who appeared b9fi me.) Signature S) rs of Notary Public oI—I UItlNL 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. Further Description of Any Attached Document Title or Type of Document Date: Signer(s) Other Than Named Above: Number of Pages: RIGHTTHUMBPRINT' RIGHTTHUMapRINT' OF SIGNER 41 OF SIGNER N2 02007 National Notary Association, 9350 De Soto Ave, P.O. Box 2402• Chatsworth, CA 91313-2402•w ,,,NationalNotary.om Item 85910 Reorder: Call Toll -Free 1 -000 -B76 -6B27 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR 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: o Streets, highways including bridge projects: Y2% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %% of the bid Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State Department of Industrial Relations (DIR). BIDDER proposes to subcontract certain portions of the work to the firms listed below: Name License #/Exp. DIR Reg. #/Exp. Location Phone _ Type Of Work Amount $ Name License #/Exp. DIR Reg.#/Exp. License # _ Location _ Phone _ Type Of Work Amount $ Name License #/Exp. DIR Reg.#/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ BP -9 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR Signature of Bidder REFERENCES See attached The following are the names, addresses, and telephone numbers for THREE public agencies for which BIDDER has performed similar work within the past three years. 1. 2. 3. Name and Address of Owner. Name and Telephone Number of person familiar with project. Contract Amount Name and Address of owner. Type of Work Name and Telephone Number of person familiar with project. Contract Amount Name and Address of owner. Type of Work Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed Date Completed 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. BP -10 of 17 Completed Projects Metro Builders and Engineers Group Ltd. 2610 Avon Street, suite A Newport Beach, CA 92663 (949) 515-4350 Tel, (949) 515-4351 FAX Owner: City of Claremont Contact: Natalie Avila - RKA Consulting Phone Number: (909) 594-9702 Project: City Hall Water Conserving Landscape Project Location: 207 Harvard Ave, Claremont, CA 91711 Contract Value: $246,335.45 Description: Removal of existing grass and shrubs, installation of drip irrigation system and flooding. drought tolerant planting. Installation of landscape boulders, mow curbs, DG 100% surfacing, and site amenities (tables and benches). % Done By Metro: 100% Completion Date: 11/13/2015 Owner: City of Newport Beach Contact: Fong Tse Phone Number: (949) 644-3321 Project: Grand Canal Sand Maintenance Project Location: Grand Canal (Balboa Island), Newport Beach, CA Contract Value: $246,500.00 Description: Construction of seawall to prevent damage to existing retaining wall and prevent flooding. % Done By Metro: 100% Completion Date: 10/23/2015 Owner: City of Los Angeles - Bureau of Engineering Contact: Jon M. Haskett Phone Number: (213)485-5864 Project: Air Treatment Facility - ECIS - Mission & Jesse Location: 651 Mission Rd, Los Angeles, CA Contract Value: $17,904,742.67 Description: Construction of Air Treatment Facility -- 25' deep shoring, concrete basement, pumping equipment, sewer odor control equipment, electrical and instrumentation. % Done By Metro: 75 % Completion Date: 7/31/2015 Owner: City of Los Angeles - Bureau of Engineering Contact: Meghan Aldrich Phone Number: (213)847-4713 Project: Rainforest of the Americas - LA Zoo Location: LA Zoo, 5333 Zoo Drive, Los Angeles, CA 90027 Contract Value: $16,907,092.26 Description: Construction of several buildings, retaining walls, exhibits, animal cages, life support systems, mechanical, and electrical systems at the LA Zoo. % Done By Metro: 35 % Completion Date: 3/26/2015 ........................................................................................... Completed and In -Progress Projects Page 1 of Metro Builders And engineers Group Ltd. ..................................................... 11/30/2015 Owner: Metropolitan Transportation Authority Contact: Scott McConnell Phone Number: (213)312-3116 Project: C1048 Westside Subway Advanced Utility Relocations Location: Wilshire Blvd near La Brea Ave, Los Angeles, CA Contract Value: $8,373,236.99 Description: Advanced Utility Relocations for future subway construction. Relocates domestic water service lines and electrical power duct banks within city streets. % Done By Metro: 85 % Completion Date: 10/27/2014 Owner: Metropolitan Transportation Authority Contact: Thomas Lee Phone Number: (213) 922-7284 Project: MRL Union Station West Entrance Skylight Location: Union Station, Los Angeles, CA Contract Value: $410,000.00 Description: Modifications to existing skylight structure to add ventilation to Metro Red Line Subway Entrance. Includes removal and reinstallation of skylight, modifications to fire sprinkler system, modifications to structural supports, and installation of new '% Done By Metro: louvers. % Done By Metro: 85 % Completion Date: 5/5/2014 Owner: Sanitation Districts of Los Angeles County Contact: Jennifer James Phone Number: (562) 699-7411 Project: JWPCP Dewatering Facility Location: 24501 S Figueroa St, Carson, CA Contract Value: $11,721,164.49 Description: Construction of dewatering facility, including concrete wet well, masonry building, equipment installation, electrical and instrumentation, utility relocations, site asphalt, and other site improvements % Done By Metro: 75 % Completion Date: 9/18/2013 Owner: City of Palos Verdes Estates Contact: Floriza Rivera Phone Number: (3 10) 378-0383 Project: Rocky Point Sewage Pump Station Location: 224 '/z Rocky Point Road, Palos Verdes Estates, CA Contract Value: $1,550,751.00 Description: Construction of Emergency Wet Well, Rehabilitation of Existing Sewage Pump Station, Construction of new pipelines within streets associated with new improvements, '% Done By Metro: 85 % Completion Date: 7/28/2013 ............................................................................................... Completed and In -Progress Projects Page of Metro Builders And engineers Group Ltd. ............................... 11/30/2015 Owner: Metropolitan Transportation Authority Contact: Raul Pedroza Phone Number: (213) 922-4797 Project: Division 9 Fire Protection System - C1027 Location: 3449 Santa Anita Ave, EI Monte, CA Contract Value: $797,153.00 Description: Design and construction of fire protection system at Division 9 Maintenance Building, including fire alarm and fire sprinkler systems. Div 9 is a 24/7 operational bus maintenance facility and required work while building is occupied. % Done By Metro: 70 % Completion Date: 7/22/2013 Owner: Metropolitan Transportation Authority Contact: Thomas Lee Phone Number: (213) 922-7284 Project: Civic Center Station Escalator Replacement Location: 1st and Hill Street, Los Angeles, CA Contract Value: $4,788,946.00 Description: Design and construction of 4 existing escalator replacements at Metro Red Line Civic Center Station in Los Angeles. % Done By Metro: 35 % Completion Date: 5/23/2012 Owner: Metropolitan Transportation Authority Contact: Ajith Peiris Pbone Number: (213) 922-4771 Project: Division 3 Maintenance Building Renovation Location: 630 W Avenue 28, Los Angeles, CA 90012 Contract Value: $5,453,672.00 Description: Design and construction of maintenance building renovation and addition. New steam clean facility, removal of USTs, other miscellaneous site improvements. LEED Certified Level % Done By Metro: 75 % Completion Date: 8/25/2011 .......................................................................................... Completed and In -Progress Projects Page 3 09'3 Metro Builders And engineers Group Ltd. ...................... 11/30/2015 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed concrete structure repairs in the past 5 years. 1. P] 3. See attached Name and Address of Owner. Name and Telephone Number of person familiar with project. Contract Amount Name and Address of owner. Type of Work Name and Telephone Number of person familiar with project. Contract Amount Name and Address of owner. Type of Work Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed Date Completed 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. BP -11 of 17 List of References Tse, Fong City of Newport Beach Project Manager FTSE@newportbeachca.gov (949)644-3321 Meghan Aldrich, P.E. City of Los Angeles - Bureau of Engineering I Department of Public Works Civil Engineer- Project Manager meghan.aldrich@lacity.org (213)847-4713 Jon Haskett City of Los Angeles Senior Civil Engineer - Wastewater Conveyance Construction Division jon.haskett@lacity.org (626)755-5410 Arsen Voskerchyan City of Los Angeles Civil Engineer- Project Manager arsen.vosl<erchyan@lacity.org (213) 847-4756 Andi Wang Metropolitan Transportation Authority Director of Capital Project, Transit Project Delivery WangA@metro.net (213)922-4722 Tom Lee Metropolitan Transportation Authority Project Manager leet@metro.net (213)922-7284 Denise Longley Metropolitan Transportation Authority Director of Construction longleyd@metro.net (213)922-7294 Ajith Perris Metropolitan Transportation Authority Civil Engineer/Resident peirisa@metro.net (213)922-4771 Scott McConnell Metropolitan Transportation Authority Construction Manager McConnellS@metro.net (213) 312-3116 Matthew Sinacori City of Dana Point City Engineer msinacori@DanaPoint.org (949)248-3574 Ron Birkhead State of California Director Public Works rbirk@parl<s.ca.gov (916)284-9648 Joe DeMello Metropolitan Transportation Authority Construction Manager demelloj@metro.net (213)842-9662 Kelli Tunnicliff City of Anaheim Head of Inspection I(tunnicliff@anahelm.net 714-765-5176 X:4922 CITY OF SANTA ANA PROPOSAL PROJECT NO, 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) 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 p 'rt of the Proposal. Signing this Proposal on the signature portion thereof shall also co titute signature of this Non -collusion Affidavit. BIDDERS are cautioned that making a f e certification may subject the certifier to criminal prosecutiorN Signed State of Californialf County of Orange Subscribed and sworn to (or affirmed) before me on this 30th day of November 2015 , by Fouad Houalla proved to me on the basis of satisfactory evidence to be the person(s) who appeared beforVme 6 SHELLY JEAN IRVINE r Commission #x.2018404 otary Public - California a blic ture Notry.; eaNl orange County `"• My Comm. Expires Apr 7. 2017 BP -12 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR NON-DISCRIMINATION CERTIFICATE 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 BP-13of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR 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. 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 persons, cept as provided in Section 1420, and any contractor of public works violating this Section ' subject to all the penalties imposed for a violation of the Chapter, dA Signed: Title: Firm: Metro Builders & Engineers Group, Ltd, Date: November 30, 2015 BP -14 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR 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 f raft or trade in which he/she employs journeymen or apprentices on the public work, 'r�rfhe same amount or upon the same basis and in the same manner as the other contra rs, except contractors not signatory to the trust agreement shall pay of k ount to California Apprenticeship Council. Signed: Title: Firm: Metro Builders & Engineers Group, Ltd. Date: November 30, 2015 BP -15 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR 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 shall be rohibited from inducing, by any means, any person employed in the�constr n or repai public work, to give up any part of the compensation to which he/she ' of rwi entlV d. Signed: Title: Firm: Metro Builders & Engineers Group, Ltd. Date: November 30, 2015 BP -16 of 17 CITY OF SANTA ANA PROPOSAL PROJECT NO. 16-2656 SANTA ANA STADIUM STRUCTURAL CONCRETE REPAIR PUBLIC CONTRACT CODE SECTION 10162 QUESTIONAIRE 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 -17 of 17