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HomeMy WebLinkAboutGOLDEN STATE CONSTRUCTOR Recording Requested By, And When Recorded Mail To: Clerk of the Council,City of Santa Ana Recorded in Official Records, Orange County 20 Civic Center Plaza,P.O.Box 1988 Hugh Nguyen, Clerk-Recorder Santa Ana,CA 92702 11 1111 1111111 1H1111 111111�11 11111111 11�I 1411 11 NO F E E * $ R 0 0 0 9 7 1 9 2 8 9 $ * 201700050650712:57 pm 11122/17 276 417 N 12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 v 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 BOMO KORAL SIDEWALK RENOVATIONS under contract entered into on FEBRUARY 7, 2017, with GOLDEN STATE CONSTRUCTORS, on which contract NORTH � n z w AMERICAN SPECIALTY INSURANCE COMANY is surety. The property on which such © work improvement was placed is in the City of Santa Ana, County of Orange, State of o z California, and described as Project No. 16-2671 located at: BOMO KORAL PARK. The work improvement on said property was accepted as completed on NOVEMBER 3, 2017. axe © CITY OF S A,A MUNICIPAL CORPORATION �n v o by z Q Dated: Principal Zivil Engineer-Tyrone Chesanck TITLE O �V ------------------------------------------------------------------------------------------- W P. VERIFICATION 1, the undersigned, say: I am the City Engineer - 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-, ,, eofthereof-, and�I declare under penalty of perjury that the facts therein stated are true. Executed on A6 der ­2-z ► -,? 0/7 , at Santa Ana, California (Signature of individul swearing that the contents of Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION REQUEST FOR COUNCIL ACTION CITY COUNCIL MEETING DATE: FEBRUARY 7, 2017 TITILS, AWARD CONTRACT TO GOLDEN STATE CONSTRUCTORS FOR THE BONIO KORAL PARK SIDEWALK RENOVATIONS (PROJECT NO. 16-2671) {STRATEGIC PLAN NO. 6, 1C} ITY MANAGER RECOMMENDED .ACTION CLERK OF COUNCIL USE ONLY: APpR'v 2-s .� As F�ecom�®i�ded As Amended Ordinance can I 1 Beading Ordinance can 2"� heeding 7.1 Impismanting Resolution 0 Set Public (-leering For,,, CONTINUED TO FILE NUMBER 1. Award a contract and authorize the City Manager and the Clerk of the Council to execute a construction contract to Golden State Constructors, the lowest responsible bidder, in accordance with the base bid plus Additive Alternates 1, 2, 3, and 4, in the total amount of $71,099, for the term beginning upon execution of the contract and ending upon project completion, for construction of the Bomo Koral Sidewalk Renovations project, subject to nonsubstantive changes approved by the City Manager and the City Attorney. 2. Approve the Project Cost Analysis for a total which includes the contract base, Additive inspection, testing, and a $52,136 contingency implement additional improvements, DISCUSSION estimated project delivery cost of $133,900, Alternates 1, 2, 3, and 4, administration, , to capitalize on competitive unit prices and This project was identified by Parks &t Recreation staff, and supported by the community as a priority project that should be funded using surplus allocation funds approved by the Council in 2016. The project consists of renovating the pathways within Bomo Koral Park (Exhibit 1). The scope of work includes sidewalk ,and tree well replacements. In addition, Additive Alternates 1, 2, 3, and 4 will add new equipment, such as tables, benches, and receptacles in the picnic area. Once completed, these improvements and new equipment will benefit the neighborhood and enhance safety for all park users. A Notice Inviting Bids was advertised on November 15 and 21, 2016, and bids were opened December 7, 2016. The following is a summary of the bid invitations made and the bids received: 23A-1 Award Contract for Bomc Koral Sidewalk Renovations February 7, 2017 Page 2 Contractor Participation Data Santa Ana contractors receiving notices 10 Contractors requesting bidding documents 15 Bids received 9 Bids received from Santa Ana contractors 1 Bid Results Summary RANK BIDDER'S NAME LOCATION BASE BID D + Al to BASE BID 1 Golden State Constructors Placentia $47,700 $71,099 2 CT&T Concrete Paving, Inc. Diamond Bar $49,000 $77,340 3 Minako America Corporation Gardena $51,000 $78,750 4 LC Paving & Sealing, Inc. San Marcos $55,500 $71,688 5 Foddrill Construction Corporation Chino $561,800 $82,500 6 Naka Engineering & Construction Inc. Laguna Hills $59,900 $73,590 7 HYM Engineering, Inc. Buena Park $69,500 $81,850 8 ND Construction Co., Inc. Anaheim $77,264 $122,934 9 Hardy & Harper, Inc. Santa Ana $96,000 $185,000 A total of nine bids were received and all were considered responsive. Golden State Constructors submitted the lowest responsive bid, in the amount of $47,700 (Exhibit 2), which is comparable to the Engineer's Estimate of $51,000. The bid for Additive Alternates 1, 2, 3, and 4 provide good value to the City. Since there are sufficient funds available, staff recommends including Alternates 1, 2, 3, and 4 in the construction contract, resulting in a total contract for $71,099 (Exhibit 3). The combination of excellent unit pricing with available Parks funds will allow staff to strategically implement these additional cost- effective improvements to the project. STRATEGIC PLAN ALIGNMENT Approval of this item supports the City's efforts to meet Goal #6 - Community f=acilities & Infrastructure, Objective #1 (establish and maintain a Community Investment Plan for all City assets), Strategy C (invest resources and technology to extend the service life of existing infrastructure to protect the City's investment and support a high quality of life standard). 23A,-2 Award Contract for Bomo Koral Sidewalk Renovations February 7, 2017 Page 3 ENVIRONMENTAL IMPACT In accordance with the California Environmental Quality Act, the recommended actions are exempt from further review. Categorical Exemption Environmental Review No. 2016153 was filed for this project, and a Certification of Categorical Exclusion and Statutory Worksheet has been prepared in accordance with the National Environmental policy Act. FISCAL_ IMPACT As indicated in the Cost Analysis (Exhibit 4), the estimated total construction delivery cost of this project is $133,900, which includes construction, contract administration, inspection, testing and an authorized contingency of $52,136, Funds are budgeted in the PRCSA Council Special Projects Fund (Account No. 05013018-66220, Project No. 16-2671) for expenditure in Fiscal Year 201617. F —d Mkusaftok E�tecutive Director Public Works Agency Jeannie Jurado Acting Executive Director Parks, Recreation & Community Services Agency FM/EWG/TCIMO Exhibits: 1. Location Map 2. Bid 3, Construction Contract 4. Cost Analysis APPROVED AS TO FUNDS & ACCOUNTS: .. )� % I �4.r �\' I - Francisco Gutierrez C-ev Executive Director Finance & Management Services Agency 23A-3 I: MACARTHUR BLV© LEGEND PROJECT LOCATION! EXHIBIT 1 SANTA ANA CITY COUNCIL BOMO KORAL SIDEWALK �1 A�ENOA DATEo RENOVATIONS P VV February 7, 2017 (PROJECT 16-2671) Pu6Lt0 WK8 AGEVY 12 T PAGE I OF I 3Ar6 CITY OF SANTA .SNA PROPOSAL, Exhibit 2 PROJECT NO„ 16-2671 BOMO I ORAL SIDEWALK RENOVATION TO, CITY COUNCIL OF THE CITY OF SANTAANA FROM: Golden Mate �'-onstructora RI:C UIR. EMENT: The mdersigned bidder declares tlwt tboy 1mve carefully oxurined the location of the proposed work, that they have exarxnned the Contract Doomnents in its entirety and hereby proposes to furnish all material and do all the work reclui.red to complete the sed work in accordance with said. plass (if any) and the specifications for the unit pf.ce(s) or lump surn(s) set forth in ffie t"ollovAng schodtae: BOMO KORAL SIDENVALK Items. De8erlpllon Quantity Unit Unit Wise Amount *1 Remove e ar►ci PCC 5000 S � 4580 Sidava& 9.30 46,500 *2 R00I. shove 2 EA $ $ 600 1200 TOTAL BASE B $ 4 7, 7 0 0 ADD ALTE RNATE ONE BID: TOTAL ADD ALTERNATE ONE BTS $ 4590 ADD ALTERNATE, TWO BID: 4 Concrete Picnic Table 4 lia 4 �E 1145 4580 TOTAL ADD ALTERNATE ONE BTS $ 4590 ADD ALTERNATE, TWO BID: 4 Concrete t Bench 2 0 5 E TOTAL ADD ALTERNATE' IWO BID 1025 CITY OF SANTA, ANA PROPOSAL PROJECT NO,: 16-2671 ADD ALTERNATE E THREE BID. item Dequiption Quandty unit Unit Pricy: Amount 1I15 Waste Recepiaales 4 _._..... EA $ 848.50 $ 3394 - TOTAL ADD ALTERNATE TWO BID $ 3394 aD ALTEINATE 1"OU illi. TOTAL, ADD ALTERNATE FOUR BID S w-1 e Realove mid Construct PCC Tree Well 9 EA 3500 TOTAL, ADD ALTERNATE FOUR BID S w-1 e CITY Off` SANTA ANA 'PROPOSAL PROJECTNO.: 16-2671 BONIO.KGRAL SIDEWALK RENOVATION TOTAL ADD ALTERNATE ONE BID $4580 TOTAL ADD ALTERNATE TWO BID $ 192-9 TOTAL ADD ALTERNATE THREE BID TOTAL ADD ALTERNATE FOUR BID $ 3395 S 13,500 TOTALBASEBID $ 47,700 Thp. lowest responsible bidder sh,-JI be selected based on the, total'basebid. The City reserves the right to award the Base Bid, ond any, call, or none of the add -alternate bid items (if any), The quandty for thus 'laid item is shown for bid comparlson uly, Tlus bid item shall not be subject tothe "'25%"limit as stated in Section 3-2 ofthe Shtridard Specifications. The actiml amount for this itetu will be dictated. by the, aotual quuidty use (1, and tho Agenq reserves the right to increase or decrease the quantity of this item a000rdingly. TIME FOR COMPLETION OF IMPROVEMENTSAND LIQjjL1.'LALf E2, DAMAODS The undej'signed bidck�r hereby proposes to complete the Wokk fo.rdae total base bid amount shown 6bova, witffin Twenty (20) woft(ing days after ffie emnmencement date stated in the Not -ice to Proceed. Ifany or all of ttdd&1tPrnat6s one,tw-o or throw are added these work shad be corn feted within Fifty (50) working days after cortimencement Brite in the Notice to Ptooeed. The liquidated damages arnouT(, iii Betz of the amourit specified in Subsection 6-9 of the Standard Specifications, shall be $3,00gMr calendar day. Name of Firm Golden St,,itV Oftst/Vctors ,Slgnattue of BIDDER Title President (If anindividual, sostate. If a firm or oo-partrurship,state the firm.i'taine and give the munes or all in.dividwil. co-paitflzrs composing the tine. if a corporador� state legal nurse ofcoq )oration, and names of Prc:,ddent, Secretxy, T.Tea sLuer and Mamiger, thereof;) RMrol CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION BIDDER'S STAIE ENT 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 Co -uracil with her signature and official seal noting hereon the action of approval of the Council, signed by the Public Works Agency Executive Director or li.l,s/her duly authorized agent, and signed, by the City Attorney, devoting his approval of the form of this document, and its execution, and when it or an exact copy of it has been ekl-ler deliverer! to BIDDER. or deposited with the United Mates 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 furnlsh AGENCY all required bonds and certificate of liability insurance within teal (10) business days or the Raids, check, draft, or BIDDERS bond substituted in lieu theroof accompanying this proposal shall become the property of'the AGENCY and shall be considered as payment of dam ago clue to the delay and o leer causes suffered by AGENCY because of the failure to furnish the necessary bonds and because it is distinctly agreed Haat 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 uroderstands that a bid is required for the entirety work, the estimated quatatities set forth in the bid schedule are solely for the purpose of compaiing bids, and that final compensation wider the contract will be based upon the actual quantities of work satisfactorily completed. The BIDDER also certif`ies that the bid is a balanced laid. In accordance with Section 7028.15 of the California Business and Professions Code, d e undersigned certifies under penalty of perjua that the foregoing is true and correct. Name of Firm State n.sr tori Signature of'BIDDER Title President (If an individual, so state. If a firm or copartnership, state the rare natn.e and ,give the names of all individual eco -partners composing the f:trr a, If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and ivlanager, thereof.) 23f J V CITY OF SANTA ANA PROPOSAL. PROJECT NO.: 16-2671 BOMO DORAL SIDEWALK RENOVATION CONTRACTOR'S LIUNSING AND RBQI$MATIQN $,T—AIEMENT The undersigned contractor, or corporate officer, declares tinder ponalty of perjury drat lie/she and all his/her suboontractors are, registered with the State of California Department of Iridustrial Relations (DIR), and that the following is true and correct. Contractor's Name Golden State Constructors .. ...... .. .. .. . .... Business Address: 208 E. Orangethorpe Ave Placentia, Ca Btlsiness E -Mail Address: ron@goldensci.com Telephone; 714-625-8758 State Contractor's License No. and Class: 867060 - A,B,C...8 License Expiration Date: 3/31/3.7 State Dept. of Industrial Relations (DIR) Registration No, I.0 0 0 0 0 4 019 State Dopt, of Industrial Registration Expiration I Signed; Title; President 0/2017 23A211 CITY OF SANTA ANA PROPOSAL PRUJEcT NO.: 16-2671 13011 0 KORAL SIDEWALK RENOVA110N PREVAILING WAGE COMPLIANCE AND. ONIT, RING_STAIL?? ELNT Contractor is aware of the .roquirements of California Labor Code Section 1720, et sect., as well as California Code of Regulations, Title 8, Section 1.6,000, et seq„ ("Prevailing Wage Laws"), which require the paymeant 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 defilued by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to hilly comply with such Prevailing Wage Laws. City shall provide Contractor wily a copy of the prevailing rates of per diem wages in effect at tine corrunencement of this Agreement. Contractor shall make copies of the prevailing rates of per dieran Nvages for each craft, classification or type of worker needed to execute the services available to interested patties upon request, mid shall post copies at the Contractor's principal place of'business and at the project site, Contractor shall defend, indemnity and hold the City, its elected officials, officers, emplpyees and agents free and, harmless from <atiy claim or liability arising out of any failure or alleged failure to comply with the Provaili ng Nage Laws. The undersign'aed certifies that the forego` is trate and correct. Name of Fira:n Golden St at: can t; -t --ors Signatui:e of 13IDDER Title �re��cl apt (i# aux individual, so state) 2'HCT CITY OF SANTA AN PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY" OF S*i+P*-AW* Placentia ) Ronnie Cochran , being duly sworn, deposes and says: INDIVIDUAL That he/she is the party making the foregoing proposal: [ PARTNERSHIP 'Chat he/she is a member of the co -partnership firm desipated ss: and who has been and is duly vested with the authority to inalce and exoci to histikimonts for the oo-partnership by: who constitute the other members of the cn-Isartuership, M CORPORATION That he is of c atate cans c o ------------------- v, - --- -- a oorporation which is malting the foregoing proposal: ,POINT VENTURE That he is of: one of tho paa:ties malting tho foregoing proposal as a joint venture, and the he/sho has bee« and is duly vested with the authority to execute instruments for an on behalf of the parties mAing said bid who are: that such a bid is genuine aW int collusive or sham, and has not in any maturer sought by collusion to seclue ally aclvanuge against the City of Santa Ana or any person interestod in the proposed contract, for himself or any other Person. Signature Subscribed and swoi o before me this clay of � 2-�-�- Signatme of officer (Notary Public) 23AP-3 CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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. Mate of California County of Orange Cin before mer Claudia Cochran, Notary Public knoremso mi-A-10-amd mi—A-10—amRib of the o iter personally appeared ���. Ron i fir _ who proved to me onthebasis of satisfactory evidence to be the person(owhose name(a) Is1 subscribed to the within Instrument and acknowledged to me that he/ ieMey-exocuted the same In his/he4"- authorized capacltyk4Q, and that by h1s4re4hetix slgnature(f) on the instrument the person(4 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 Mate of California that the foregoing paragraph is true and correct. _ CLAUDIA C.�HA-j t ,, JCOMM # 2096862 WITNESS mil hand d official l. � �`;�� � w ORANGE COUNTY my anosea( T NOTARY PUBLIC -CALIFORNIA Z Q MY COMMISSION EXPWS JAN.3012019 Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATIONINSTRUCTIONS FOR COMPUE INC! TI -118 FOXM ,fol -lit cnnrpldev tpd;k currant Cegliforala strtttrtes raga -ding rrolary wor'dlug and, 0ESC RIP ION OF T'H E ATTACH FD DOCUM )j'rrcrrderl, sltnulelbe rmmple*d and auaalrad to tlie�(rr+:tttrterrt. Aakrrorvled,�rnsrrls frorrr rather stntas may be rorrrplatad r'ar rdewunjams belmg.s'crrt to that state so long asp the tvardhr,ts sloes not require the C'rd(fornia rrolary to violate Calrforrria notwy 1mv. {Tit10 oP dtrhorlpl5 o aalioahed document)— State and County inforaindon nrust bo the Starts and County where tho doutrmant si ncr'(s) personally appeared befnrc tine lrotaty publta for acknowlcd.gaimit, -- -- s Bate of notarization must be the d.atc ibut the signor(s) Personally appent'ed whie'll (Tido or dwriplion of attached document vanllnued) must also be the same date the acknowiedgmeot is contpletod, + T'he uotaty publie roust print his or her name as it UPPears within his or her Number of Pages —Document Date.— commission followed by a comma and Ilrcn your title (notary public), r Print the nine(s) of daatunont sigtrer(s) who pergorrally nppeur at the time of _ _ notarizotictn, CAPACITY ITY CLAIMED BY THE SIGNER . bidicnta Etas rorreat singular or Plural forms by crossing off incorrect forms (i.c. La IndlVldu { � drolshedthoyrIs la+'o ) ar uhcl.inB the corroot fomm Fallure to coriOctiy indiaaho this infnruuttian tray Iced to rejeatIO$1 Of Clocunrcnt reeorcEing, 0 Corporate Officer a 'The tiolory goal impregglon must be clunr and photographically repruduciblc, lmprension trust rot cover text or lues. If goal Entpression srrludges, ro-twal if a '""w"'""." KT ---Sufficient ar•au parmitg, othortvise complete a ditki,erit acknowleclsutent form, P II`inHl �B� r Mgrraturc of the notary public must match lire signature, nn file with tiie oil"sec of tho county cltl k. 0 Attorney^irl-Fact Additiourtl information is not required btu could help to ennurc this I i ru igt��6� a acicnawlcrclgrrrent is not rnlsused or atltached to a dlffcrent docurru t, Other Indicate title or type of nuvitcd dcrcatuerlt, au.rnber of pagrs and dats, -__...... ___-----_---__- ., v �w Indlaatte the capaoity elainwd by the slgttcr% ff the cirtimod empacify is tir #trd E i "'Un 0011)01 Ale ncer, tnciur t ro trt a (tC ".e. , kt7 � , ecrotasy), e Secui Cly attaoh this document to tine sigrrod document with a s aph", CITE' OF SANTA ANA Bonc1 No.. GOLST-332 PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION BID BOND KNOW ALL PRESENT that, Golden Sh to Cy0118trU00 .q b as BIDDER, and North American Specialty lnsurance C:onipairy , IS SURETY, are held and f n-aly bound unto the CITY O'1~ SANTA ANA, as AGENCY, in the penal suns of- TQi7 Percent Of The Total Amount Bid Dollars ($ 10% 0'f Bicl ) (10%) which is ten percent of the inial fizto'nt bid by BIDDER to AGENCY for the above -stated project, for the j5ayn�ent of which sum, BIDDER. and SURETY agree to be bound, .jointly and severally, firmly by these presents, THE CONDITIONS OF THIS O.BLIGA.TTON ARE SUCH that, whereas BIDDER is about to submit a laid to AGENCY for the above -stated project, if said bid is rejected, cr 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 WIJEREOE the parties hereto have set their names, titles, hands, andseal this _ 6th dtry of D000nxber 20 16 , 208 E. Orangetho(pe Ave. BIDDER* Placentht, CA 92870 Golden State : Fuotn Teleptrcne: ('�14} 625-4758 SURETY'S 6 IN0011 Centre Drive, Suite 850 North rkrne.ric µ6, yecialt Insstr ancu " . rr3 Santa. Astir, CA 92707 �f Tclephcrne: (71/1) S30-7799 Matthew R. Dobyiis, Attornoy-iri-Fact SuWc.,,.ribed and swarm to before nye ,20 Signature: Notary. Public In and for the County of , State of this day of Provide BIDDER/ SURETY Diane, Address, wid telephone number incl the azame, title, address, and telephone number of authorized representative. P-8 of P- 17 23A-1 5 NAS SURETY GROUP NO.RT14 AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL IN'STIRANCE CONTANY GENERAL POWER Or( ATTORNEY KNOW ALL MENBY TIM, 9E PMSENTS, THAT North American Spacial17 Insurance Company, s corporatlon dully organized and existing under laws of the State of New Ilampyhire, and having its priticipal office in the City of Manchester, Now 1lampshlre, and Washington, International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its princilial office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint; RANDY SPOHN and MA`I'TIJEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-iii-Fact, to matce, execute, seal aaid deliver, for and on its behalf and as its act and deed, bonds or other writhtgs obligatory in the nature of a bond on behali'ofctach of said Companies, as surety, oil contracts of suretyship as are or .may be required or permitted by law, regulation, contract or otherwise, provided that no bond or unc{ertaleing or oontraot or suretyship oxsouted under this authority shall exceed the amount of. FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed.'by facsimile under and by the authority of the following Resolutions adoptedby the Boards of DIme-tors of botli North American Specialty lusul"atree Company aild Washingto'tn intornational Iansuranea Company at =o dugs duly Called and held on the 9t1i of May, 2052: "RESOLVED, that any two of -the Presidents, oily Managing Director, any Senior Vice President, any Vice Prosident, any Assistant Vice Presidcri, the Secretary or Any Assistant Secretary be, annd each. or any of them .hereby Is authorized to execute a Power of Attorney qualifying the attorney nal!?ad In the giV6n Dower of Attonley to execute on behalf of the Company bonds, undertakings and all Contracts of surety, and that each or any of then] hereby is authorized to attest to the execution. of any such Power of Attorney and to attach thereln the seal of the Company; and it is Fi.Tft.TIUIt RESOLVED, that the signature of such oftscei,s and the seal of the Company may be afTmed to any such Trower of Attorney or to any ccrdficate rra.lating thereto by facsimile, and any sulch Powcr of Attorney or ccrtificato bearing such facsimile signatures or facsitnile sell shall be bluding upon the Company whelT so affixed and in the future with regard to any band, undertaking or conh'aot of surety to which it Is attached," y�y��aypSJTy�tl�ii`i HUue6nu e �tR�. 11yi 9 _... _..._............. SOL to ti f37uvun 11. Andurnnn, tiaxilnr Vlea FraeidenE of Wnuhinglan TrstuVualluun] rtrsurunun CnprpurrY L leas m&amdorVlnoFruaidentaMOLLhhmu�tcan*9peeialtyblouaucocumpnny # A�© ri11c]Anol A, 710, art m' cu ron un a tta t n� niA n ennui ami nsurnncli'—""'—eZo>itpnuq �lfwlutl6� & Seel or Vko Prosldarul orNoj* AmoA7enn Speclolty fnsurnnee Compniq IN WITNESS WHEREOF, North Annerioan Specialty Tus3Tranee Connpalay and Washingtoli Intorliational Insurance Company 1Tavo caused their official seals to he hereunto affixed, and these presents to be signed by their authorized oYflcers this 10th day of May , 2016 , North American Specialty Insurance Company Washingtont lnternational insurance Company State of Illinois Coulaty Of Cook 98' oil this lOtit clay ofMay , 2016 , i7afore me, it Notary Public personally appeared Steven P, Andersoo, Senior VieePresldent of Washington International Insurance Colnnpatiy and Senior Vice President of North American Specialty Insurance Company and Michael A, Ito , Senior Vice President of Washington Iriternatlonal Insurance Company and Senior Vice President of North Americaa Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers ofand aclanowledged said iustromont to be the voluntary act and deed of their respective companies, WHO 1. HEAL M KENNY NOTARY Pll9ll0, STATE QF' iWN01g W COMM15SION UPIRES t 19017 M. xvnny, Notary Ty'ubtlt I; efllay, tltn]d>zerLr� _the duly cleated Asslstant Scoietar,3r of North American Spocitiity xllsl.s.ratneta Cbr npaiky and Washington International Insurance Company, do hay eby certify that that the above and foregoing is a true and oorrect copy of e PotivcR of Attorney given by said North Amerioan Specialty Insonate Company and Washington Intornational insuralnce Company, which is still In full force and effect, IN W YN.ESS WHEREOF, I have set any hand and affixed the seals of the Companies this 6th dkv of DQoomber , 20 16 7ePFray aaldberg, t+ire prceiduul,� Auslsinnt 8earotnry 0P VVushinglon ]ukemm�fonnl lasarmme Ceiuppfty & North Anlericnn ,5peclally tnsurnnnA 9omtmny CALIFORNIA .ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the docunieat to which this certificate is attached, and not the truthfulness, accuracy, or validity of that docusneaat. State of TALI RNIA. County of. On December 6th, 2016 before meERIKA CUT®O, NQT PUBLIC personally appeared _ MAHfl,gyV_R. QQBYNS, who proved to me on the basis of satisfactory evidence to be the persons} whose name(s) is/tee subscribed to the within instrument and acknowledged to me that he/sire/they executed the same in lits/her/their authorized capacity 0*, and that by his/her/their signature( on the instrument the person��, 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 Mate of California that the foregoing paragraph is true and correct, ERIKA GUIDO l r,O�AM- # 2022071 ;2 WITNESS ray artai9 nd official seal. NoiAORANOECO!UN�f'.pijBLIG o�ryryNglit *_0 � of Nbtir y Though the data below is not required by lava, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER Q INDIVIDUAL D CORPORATE OFFICER. [J PARTNER(S) LIMITED ATTORNEY -IN -FACT TRUSTEE(S) GUARDIAN/ CONSERVATOR OTHER. SIGNER IS REPRESENTING-, NAME OF PERSON(S) OR ENTITY('IES) DESCRIPTIO! OF A17ACHED DOCUMENT W CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or ether 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 _ n w— I On6 --( 6 before me, Claudia Cochran, rPublic, _j •�•••• ••••,•••• • "•�VIM indult nam o dll 140 16 0 Car personally appeared --Ronnie Cochran d -, who proved to me on the balls of satisfactory evidence to be the person( whose nama(g) Islam subscribed to the within instrument and acknowledged to me that heleWtMy-execute d the sarne In hislhe4k& authorized capaclty(4o&), and that by his/hef*tel•r$ signeture*) on the Instrument the person(,4, or the entity upon behalf of which the person(e) acted, executed the instrument. I certify udder PENALTY or PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal, Notary Public Signature (Notary Publio Soo]) w��......... ...., ,.,,„�,•�,,, r,zNsnrRUcrzar an canPL�rrNG THIS FORM ADDITIONAL OPTIONAL INFORMATION eor131las vfh rarrrun wordira$aard, DESCRIPTION jYTi"jON OF THE ATTACHED DOCUMENT !f'needed' shoIii!%1)e cor71plet.nd rlFFd atiR had t0 Me doru meat, AcX- 1owladgnienty L1G47 I” l/lY ��.!lf,� �c �7•<rrra atlrer• sdales rsury ]ae carrrrrlat�cf for duc•rrtrrerttsc lrelrr�,sent da Haat staiu.rr� l�rr� as the wording does Trot require. the (°radfforala notary to vrolale California ootary (Title or description of ettechad documool) � O stato and County infotmation must by the urate mild County where tiie alaaament aigncr(s) lsclsonally appoared before the notary pleb€ic f:or uoknowledgrnent. �_ _ - a bate of nutnrization must be the elate that the. uigner(s) personally appeared which (Title of desQdption of attached document conth d) must also be the sante date the acknowtiv,1gntent is completsd, • The notary public must print his or her maple as it appears Within Ills or her i,lUmt)ar of Pages_ Document Date, ,,,, comntissiolt fa[lowod by R cpnu>7a arul then your title (notary public), 1 _ . Prlltt the name(s) of document aIgnet(a) who personally appear at the time of _ Ilolar'I %a Boil, CAPACITY CLAIMED BY °f HF- ,SI0Nr--R . indl mite dila correct mrhsgular° or phiral ['orris by crossing off incorrect forms (Le, Individual it irratshc./di0yr� is Ina e ) or circling the enrrect fcmans. Faaf [tire to correctly indicate this htt'ornidtion may toad to rejoction of doeunteut record Ing. [J {;C1rporate Officer • 'rho imory Iswal irnpreo-sslon limst be clear and photogmalihiaally rogrodtirible. Impression must not cover text or lines, if scat impressieal snnrdges, re,,senl if a su.iftuicltt al -cu permits, otherwise complete n dif'fcrent aaicnowlcd rauen t Dorm. • Signature of the wary public must matc[t the Signature on filo with 010 of'flee of C3Partner(s) the county ciot•k. 0 Attorney -in -Fact +.+ <dcllticrnstl imtfoa,mation is not vequired but could help to ertstrre ttutr � ['U>"rte () alaknowlatlt lstuart is not pistoned or attached to a dlffercot document, Other '9 Indicate title of type of attached document, member of pa gos unci date. ____. _ +.+ lndicatc the capacity claimed by the signer. if the claimed capacity is a - t rr. 1' - t€ tftt (' . rE0 cl'a seoretrlr Cnl!)Ctn C 0 rCo., m4 IL.r i, le a I. C, , , o Securely alttaetl thk document to, the signed document with a staple, CL UWA COCHRAN COMM # 2096862 w ORANGE COUNTY Y ' NOTARY PUBLIC CAl €FC3REJlri MY COMMISSION EXPIRES � JAN, 30, 2019 (Notary Publio Soo]) w��......... ...., ,.,,„�,•�,,, r,zNsnrRUcrzar an canPL�rrNG THIS FORM ADDITIONAL OPTIONAL INFORMATION eor131las vfh rarrrun wordira$aard, DESCRIPTION jYTi"jON OF THE ATTACHED DOCUMENT !f'needed' shoIii!%1)e cor71plet.nd rlFFd atiR had t0 Me doru meat, AcX- 1owladgnienty L1G47 I” l/lY ��.!lf,� �c �7•<rrra atlrer• sdales rsury ]ae carrrrrlat�cf for duc•rrtrrerttsc lrelrr�,sent da Haat staiu.rr� l�rr� as the wording does Trot require. the (°radfforala notary to vrolale California ootary (Title or description of ettechad documool) � O stato and County infotmation must by the urate mild County where tiie alaaament aigncr(s) lsclsonally appoared before the notary pleb€ic f:or uoknowledgrnent. �_ _ - a bate of nutnrization must be the elate that the. uigner(s) personally appeared which (Title of desQdption of attached document conth d) must also be the sante date the acknowtiv,1gntent is completsd, • The notary public must print his or her maple as it appears Within Ills or her i,lUmt)ar of Pages_ Document Date, ,,,, comntissiolt fa[lowod by R cpnu>7a arul then your title (notary public), 1 _ . Prlltt the name(s) of document aIgnet(a) who personally appear at the time of _ Ilolar'I %a Boil, CAPACITY CLAIMED BY °f HF- ,SI0Nr--R . indl mite dila correct mrhsgular° or phiral ['orris by crossing off incorrect forms (Le, Individual it irratshc./di0yr� is Ina e ) or circling the enrrect fcmans. Faaf [tire to correctly indicate this htt'ornidtion may toad to rejoction of doeunteut record Ing. [J {;C1rporate Officer • 'rho imory Iswal irnpreo-sslon limst be clear and photogmalihiaally rogrodtirible. Impression must not cover text or lines, if scat impressieal snnrdges, re,,senl if a su.iftuicltt al -cu permits, otherwise complete n dif'fcrent aaicnowlcd rauen t Dorm. • Signature of the wary public must matc[t the Signature on filo with 010 of'flee of C3Partner(s) the county ciot•k. 0 Attorney -in -Fact +.+ <dcllticrnstl imtfoa,mation is not vequired but could help to ertstrre ttutr � ['U>"rte () alaknowlatlt lstuart is not pistoned or attached to a dlffercot document, Other '9 Indicate title of type of attached document, member of pa gos unci date. ____. _ +.+ lndicatc the capacity claimed by the signer. if the claimed capacity is a - t rr. 1' - t€ tftt (' . rE0 cl'a seoretrlr Cnl!)Ctn C 0 rCo., m4 IL.r i, le a I. C, , , o Securely alttaetl thk document to, the signed document with a staple, CITY OF SAN'T`A .ANA PROPOSAL 'PROJECT NO.: 15-2671 BOMO KORAL SIDEWALK RENOVATION LIST OF SUR -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 arrnowit: o Streets, highways including'bridge projects: Y2% of the laid or $10,000, whichever is greater o Buildhigs, parks, or other projects: '/2% of the bid Section 1725,5 of the PubW Contract Code requires all Subcontractors be registered with the State Department of Iradmtrial Relations (DIR). BIDDER proposes to subcontract certain portions of tite work to the fi.rrns listed below: Name License ##/Exp. DIR. Reg. #/Exp. Location Phone Type Of Work Arnount $ f Name _ License ##Il�,xp. DIR Reg, #/Exp. License ## Location Phone Type Of Work Amount License ##IExla.,�.w,�,_ DIR Reg, ##/ P. .� License' Loaati(t 1'Ype Of W grlC,- of Bidder Nance License ##/I axp. DIR Reg. #/Exp. Location Phone `1'Ype 4votk Name License ##Ii-,xp, DIR Reg, ##/Exp. License ## Location Phone Type Of Work Amount Name License #/Fxj% DIR Reg. #/Exp. . License ## Location Phone n.w..._ ..... Type Of Work »� Amount $ MY OF SANTA ANA PROPOSAL PROJECT NO.,, 16-2671 BOMO KOR.AL SIDEWALK RENOVATION MFEUNCES The following are the names, addresses, and telephone numbers for TH.. + E public agencies for which the BiDDr,, R has performed shn lar work within the past three years. 1. City of Anaheim 200 S. Anaheim Boulevard Anaheim, CA 92805 Nance and Address of Owner, Malo Wood (714) 755-5100 Name and Telephone Munber of person familiar with. proj cot. $750 ana - - Raynove xeplaris curler, gutter eidwalka 01/2016 yearly renewal Contract Amount Type of Work Date Completed 2. City of IrVine, 6427 Oak Canyon, Bldg. . 1, Ta;Vi aaa CA 92618 Nance and Address of owner, ReZa L7afari - Tel : (94 9) 724-7545 Name and Telephone Munbe7r of persoa familiar with projeot, _$450, Opo Remove re 1 ce curb tier gld,w ]kj 6/2016 -.yearlv renewal ConiTact Amount Type of Work Date Completed 3. City of Chino Hills, 14000 City Center DViVe, Chino Hills, CA 91709 Name and Address of owner. LTerry Darraga.n (909) 364-2845 Nance and Telephone Number of person familiar with project, $230,000 Remora vvolaae ourb, gutter ezdwallcs_ 9 2016 rly rene'Wal Contract Amount Type of Work Date Completed The following are the narnes, addresses, and telephone numbers of all brokers and st codes :From whom BIDDER intends to procure insurance and bonds. R S Bocdiny 1633 H. 4th Street, Suite 228, Santa Ana., CA 92701 Phone: (714) 541-4700 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION ADDITIONAL REFER.ENCES The fallowing are the names, addresses, and telephone numbers for TklUE public agencies for which the aIDD R or Subcontractor has performed street improvement work u' l the past S years, Nwne axed Address of Owner. Name and Tplephone Number of person familiar with project. Contract Amot* Type of Work Date Completed Name and Address of 6Nvner. Name and Telephone Ntnii'of person familiar with project, Contract Amount Type of Work Date Completed Name and Address of owner, Name and Telephone Number of person fazhiliax with project. Contract Amos t Type of\nu Date Completed The following are the names, addresses, and telephoees of allbrokers and suxetics frozewhom BIDDER intends to procure insurance and bon CITY OF SANTA AICA PROPOSAL PROJECT NO.: 16-267 1 BON10 KOR.AL SIDEWALK IUNOVATION NON -COLS: USiON AFFIDAVIT (Title 23 United States Code Section 1.12 mid Public Contract Code Section 7106) In accordance with Title 23 United States Code Section 1.12 and Public Contract Code 7106 -die 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 germine and not collusive or sham; that the BIDDER bas not directly or indirectly induced or solicited any other BIDDER to put in a false or shatu bid, and has not directly or indirectly colluded, conspired, connived or agreed with any BIDDER or arnyoue else to put in a sham bid, or that anyone shall refrain from bidding; that alae BIDDER. Ims not in any inannec, directly ov indirectly, sought by agreement, communication, or conference with anyone to fix the laid price of the BIDDEN 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 advarntage against the public body awarding the contract of anyone interested in the proposed contract; that a]l statements' contained in the bad Eve true; and, firrther, that the BIDDER has not, directly or indirectly, submitted his or her bid price or any breakdownthereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnncvship, company association, cargan.izatiort, bid depository, or to any member or agent thereof to effectuate a collusive or shann laid, Note; The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal can the signature poi,lim thereat' shall also constitute signature of this Non -collusion Affidavit. BID are ud ed that making a false certification in.ay subject the 0ertifier to crit "lilt pros Li op, Signed Stet" California County —of, Subscribed and s) or affirmecl) before me tin this ,'rived to rule on the basis person(s) who appeared before me Notary Public Signature day of , 20--_, by of satisfactory evidence to be 'tine Notary Public CALIFORNIA, ALL- PURPOSE CERTIFICATE OF 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, ,Mate of California County of } On before rile, C(audia Cochran, Notary Public ti -lura Rawl ram an e o a a car personally appeared ----Ronnie Cochran who proved to me on the basis of satisfactory evidence to be the person (-$J� whose name(&) isles subscribed to the within instrument and acknowledged to me that hele�executed the same in his/14wlth& authorized capaclty�W&), and that by hls/4",�tKeir signature(s-) on the instrument the person(4 or the entity upon behalf of which the person(s) acted, execrated trig Instrument. certify under PENALTY OF PERJURY under the laws of the Mate of California that the foregoing paragraph is true and corrector, WITNESS my hand and official seal. Iota f Crit 1pature (Notary PuNio Soal) ADDITIONAL AL, i l�"N"It IL IE d DRI lAT1DN INSTRUCTIONS FOR COMPLETINGTHIS HIS FORM Tlri,sform romi)Revwuth current C'rtlffornla,rhmatss ragardingnotaly wonting ancl, DESCRIPTION OF THE ATTACHED DOCUMENT if'nearled, ihoidd be rontlVeted and attached ao The elocumeut. Ae nowledgmerit.s f •ono atke:r• suites xray be crrmplefedjir d000njenty heing sent to lha! .suite so longs as the wor'[i ug dcc,6 not r°eala€ir o the C'al(fornia noletry to Wokite C'alrfornla notary _ law, (Thio or description of allarhed document) M Stater rand r:outtty inforanatloa uiuyt be the State tmd Coutrty wlaero the document 6igner(s) porsoiially apticarod beforo the notnay public for acknowledgment. - . T,'tate of notaarizatfon must bo the dote that the signers) porsounity appeared which (Title ordoscrlpticn of attached document continued) inttst afao be this shine data the ackimwIedginent is eaaailtl W, • Tho notary public must print .his or her nartae as it aplaears wititin hie or her �Number of Pages m , Document Date_ commission raltowed by a commas and then your title. (notary publie), � • Print the namc(s) of docutilent aigncr(a) who personally al7petrr at the little or noratria�rNcrn, CAPACITY CLAIMED BY THE SIGNER • Indkc,iae die correct r;irasular or phirel forms by orassing oft' interred forms (i.e. IYIdIVIdUaI t3} ltelsheltli 18 We ) DI, circling ilte correct Furnas. Failure to corl.ectly indic ale titin information may lead to rejeatiou of doeumorit rteaording, ❑ Corporate Officer s Tito notary seal irilprassian rintst 11tH altar and pltotagraphically rcprcrducible. ttripressiorl must riot cover text or linos, if sealimpression smudges, re»seal if a (Title) sutliaicnt az ca;aernaits, oihcrwisa c€ inlalete a diffibrent arkmowtOgincut form. 11 f I trtC,'t (5) a Signature of the, natary public mu€€t match the signature on lilt whir tttc ari.ke of Vie county clerk. :i Attorl1oywiri-Fact •s Additional information is nm required but could help to ensure thio I:] Trustee(s) acknowledginott is not. misused or attatclied to a different document, Other � — ^ 0 hrdicatz 60o, or type oratWahed dachas tit, rtu€rrber of pgcs anal date. v Indicate the capacity r1ahmed by tie signer. If the claimed rapacity is a uagitwaato othccsr, rntlirarte the, title (Le' CEO, CFO, Secretary), e Securoly artaclt this docurrivnt to Slee sibncd document with i, ,swple. CLAUDIA COCHRAN COMM # 20968$2 ORANG1 COUNTY NOTARY PUbLIC•CAI.IPOPNIA MY COMMISSION EXPIRtS PIAN, 30, 2019 (Notary PuNio Soal) ADDITIONAL AL, i l�"N"It IL IE d DRI lAT1DN INSTRUCTIONS FOR COMPLETINGTHIS HIS FORM Tlri,sform romi)Revwuth current C'rtlffornla,rhmatss ragardingnotaly wonting ancl, DESCRIPTION OF THE ATTACHED DOCUMENT if'nearled, ihoidd be rontlVeted and attached ao The elocumeut. Ae nowledgmerit.s f •ono atke:r• suites xray be crrmplefedjir d000njenty heing sent to lha! .suite so longs as the wor'[i ug dcc,6 not r°eala€ir o the C'al(fornia noletry to Wokite C'alrfornla notary _ law, (Thio or description of allarhed document) M Stater rand r:outtty inforanatloa uiuyt be the State tmd Coutrty wlaero the document 6igner(s) porsoiially apticarod beforo the notnay public for acknowledgment. - . T,'tate of notaarizatfon must bo the dote that the signers) porsounity appeared which (Title ordoscrlpticn of attached document continued) inttst afao be this shine data the ackimwIedginent is eaaailtl W, • Tho notary public must print .his or her nartae as it aplaears wititin hie or her �Number of Pages m , Document Date_ commission raltowed by a commas and then your title. (notary publie), � • Print the namc(s) of docutilent aigncr(a) who personally al7petrr at the little or noratria�rNcrn, CAPACITY CLAIMED BY THE SIGNER • Indkc,iae die correct r;irasular or phirel forms by orassing oft' interred forms (i.e. IYIdIVIdUaI t3} ltelsheltli 18 We ) DI, circling ilte correct Furnas. Failure to corl.ectly indic ale titin information may lead to rejeatiou of doeumorit rteaording, ❑ Corporate Officer s Tito notary seal irilprassian rintst 11tH altar and pltotagraphically rcprcrducible. ttripressiorl must riot cover text or linos, if sealimpression smudges, re»seal if a (Title) sutliaicnt az ca;aernaits, oihcrwisa c€ inlalete a diffibrent arkmowtOgincut form. 11 f I trtC,'t (5) a Signature of the, natary public mu€€t match the signature on lilt whir tttc ari.ke of Vie county clerk. :i Attorl1oywiri-Fact •s Additional information is nm required but could help to ensure thio I:] Trustee(s) acknowledginott is not. misused or attatclied to a different document, Other � — ^ 0 hrdicatz 60o, or type oratWahed dachas tit, rtu€rrber of pgcs anal date. v Indicate the capacity r1ahmed by tie signer. If the claimed rapacity is a uagitwaato othccsr, rntlirarte the, title (Le' CEO, CFO, Secretary), e Securoly artaclt this docurrivnt to Slee sibncd document with i, ,swple. CITY OF SANTA AICA. PROPOSAL PROJECT NO,: 16-2671 13OMO KLORAL SIDEWALK RENOVATION : ON -DIS AT C -,R.. 'pi ATE 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 ofra.ce, color, religion, sox, or national origin, The Contractor shall take ai'farmative action to ensure that applicants are employed, and that employees ars treated during ernploymeat without, regard to their race, color, religions, sex, or national origin., Such action shall includo, but not be limited to, the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination-, nates of pay or other forms of compensation, and selection for train6g, including apprenticeship. The Contractor agrees to post in conspicuous places, available to omploycos and applicants for employment, notices to be provided setting forth the provisions of this noa&crimination, clause. 2. The Contractor shfdl, 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, calor, religion., sox, or national origin, 2. The Contractor shall send to each labor union or representative of workers with which he/sine has a collective bargainhig agreement or other contract or understmding, a notice to be provided advising the said labor union or harpers' representatives of the Contractor's commitments under this section, and shall post copies of the notice in cotnspicuous 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 rewired 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 amess to his/her boobs, records, and accounts by the administering agency and the Secretary of Labor 'Por purposes of investigation, to ascertam compliance with such mlos, regulations, and orders, 6, In the event of the Contractor's non-compli<aance 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 pact and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of LaMar, or as otherwise, provided by law, CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 DOMO KORAL SIDEWALK RENOVATION 7, The Contractor shall include the portion of the sentence immediately preceding paragraph (1) and they provisions of paragrapLs (1) through (7) in, every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursrrant 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 suoh provisions, including sanctions For noncompliance; provided, however, that in the event the Contractor becomes involved in, or is fteatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the Contractor may request thafi 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 staters, or sex of such persons, except as provided in Section 1420, and any contractor o2%r his Section is subject to all the penalties imposed for a violation. of the Signed: Title: President: Firm, Golden State Coastriact~ors Inc. Drate: 12/6/16 -IAL2`5 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 16-2671 EOMO KORAL SIDEWALK RENOVATION STATEMENT REGARDING APPRENTICE SHIP R ( IRRE1VIp;l*lT , 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 clays 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 hi the area, or industry affected. 2. Employ the number of apprentices or the ratio of apprenticos to journeymen stipulated itx the apprenticeship standards. 3. Contribute to the fend. or funds in each craft or trade in. which he/sire; employs journeymen or apprentices on the public work, in. tbe same amount or upon the same bails and in the same manner as the TM f?cCa' actors, except contractors tact signatory to the trust agreement shall pay a like amour ppronticeship Council. Signed.: Title: President, Firm: Golden Strafe Ccn.strr'uct~ora Date: 12/6/16 CITY OF SANTA ANA PROPOSAL PROJECT NO., 16-2671 BOMO DORAL SIDEWALK RENOVATION STATEMENT RE3GARDING ".ANTI-K.IC:K.BA.CK" RB UIRFMEI�I'fS The Lmdersigned is submitting this proposal for performing by contract the work required by these bid doownents, agrees to comply with the Copeland "Anti-Mckback" Act (1.8 USC 74) as supplemented in the Departmant of Libor -regulations (29 CFR, Part 3). This act provides that each contractor or subcontractor shall be prohibited from inducing, by any incans, any person employed in the constr211, r or repair of public work, to give tip airy part of the compensation to which he/she is other n itA Signed: f/ Title; ;president: Firm: Golden. State Constructors Date: 2aA127 CITY OF SANTA ANA PROPOSAL �/q 1 PROJECTNO.:16-26 1 BOMO KORAL SIDEWALK RENOVATION PUBLIC CONTRACT CODE SECTION_ 10162 OUESTIONNAA.ME In conformance with Public Contract Coale Section 10162, the BIDDER shall cosuplete, 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 govcrrwnent projeot because of a violation of law or a. safety regulation? Yes No __ XX If the Ems wer is yes, explain the cirownstanaes in the following space, 4�1 Exhibit 3 CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT NO. 16-2671 SdMO KORAL SIDEWALK RENOVATIONS This CONSTRUCTION CONTRACT is made and entered into this 7'' day of February, 2017, 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 Golden State Constzuctors, 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 Borno Koral ,Sidewalk Renovations Project, 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 • Tecl-mical Provisions and 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 $71,099.00 — Seventy-one Thousand Dollars Ninety-nine .and no cents, as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A," Page 1 of 3 23A-31 CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT NO. 1.6-2671 60MO KORAL SIDEWALK RENOVATIONS The BID PROPOSAL contains a schedule of unit price(s) or hemp 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 reseives 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 deeined 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 cormnencing 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. 7. CONTRACTOR. shall, prior to the release of the performance and payment bonds or the- retention heretention payment, Rimish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a condition of project acceptance. For projects up to $500,000, the Warranty Bond amount shall be the greater of $10,000 or 20% of the final contract price. For projects above $500,000, the Warranty Bond amount shall bo the greater of $100,000 or 10% of the final contract price, 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. 11 Page 2 of 3 23A-32 CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT NO. 16-2571. BOMO KORAL SIDEWALK RENOVATIONS IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: MARIA D, HUIZAR Clerk of the Council APPROVED AS TO FORM: SONIA R. CAR.VALHO City Attorney sy T1 gunk Assistant City Attorney CITY OF SANTA. ANA: Gerardo Mouet Acting City Manager RECOMMENDED FOR APPROVAL. Fred Mousavipour Executive Director, Public Works Agency CONTRACTOR. 1-2 Title: Pag4 3 of 3 23A-33 23A-34 COST ANALYSIS CONSTRUCTION OF THE PROJECT NO. 16-2671: BOMO KORAL SIDEWALK RENOVATIONS Construction Contract $ 71,099.00 Contract Administration $ 2,765.00 Inspection and Testing $ 7,900.00 Contingencies $ 52136.00 TOTAL ESTIMATE® CONSTRUCTION COSTS $ 133,900.00 EXHIBIT 4 23A-35 23A-36 THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796-7000 1 Fax (714) 796-6059 PROOF OF PUBLICATION (2016.5 C.C.P.) State of California ) County of ORANGE ) ss Notice Type: BID - NOTICE INVITING BIDS Ad Description: BOMO KORAL SIDEWALK RENOVATION I am a citizen of the United States and a resident of the State of California; I am over the age of eighteen years, and not a party to or Interested in the above entitled matter. I am the principal clerk of the printer and publisher of the THE REGISTER, a newspaper publisher) In the English language in the city of SANTA ANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the State of California by the Superior Court of the County of ORANGE, State of California, under date 11119/1905, Case No, A21046. That the notice, of which the annexed is a printed copy, has been pubiished In each regular and entire Issue of said newspaper and not in any supplement Thereof on the following dates, to -wit; 1111512016,11121/2016 Executed on: 11/21/2016 At SANTA ANA ,CA I certify (or declare) under penalty of perjury that the foregoing Is true and correct, sIgnat I�IIAI�II@II�UIIIIIIBI'IPIII91� IIIIIfIIVI!IIIIIRIIIII This space for filing siamp only CNS#: 2946361 NOTICE INVITING BIDS NOTICE {5 HEREBY GIVEN' that the C1t of Santa Ana will) receive 81dya on or bolero the i hour of 2:00 pm, December, 6, 2016 by the Public works' Agency Receptionist, Third] Floor, located at Clty Mall - Rass Annex, 20 Civic Gentee Plaza, M•22, Santa Ana, Cali- -- icrnla 82701 for: : r PROJECT NO, 16-2671 BOMO KORAL SIDEWALK } RENOVATION ? Scope of work Includes re- placement of detootive aide -1 walk, install concrete picnlc tables and tree wells. Prior to bid oponing, Bidders must ppossess or obtain a, valid Califo Me, Class "A"or; "G&" Contractor's license. A manda"' lob walk meet-, ng wll! be held on Novem-1 S., 291h, 2016 at 9:oa am at, eomo' ICoral Park;. 000 W, Mackthur Hivd, Santa Ana,l CA 92707'. are the ^arta Ana, Callfoinia•92701. call the PWA Proiecis Iniar- natlon Lire at 713.647.5680 'or hours, Instructions and availability of CDs. This 'prejeot, is subject to ,omp ance monitoring and 3nforcement by the State of allfornfa Department of In- ilustdal Ralatfnns, per Sec- lon f771.4.a,1. A Contractor )r sabcanitactgr must' be iegWered with the De�orf-i vont cf Industrial Ralatlons )rlor to submlHing a bid, n acoordance with iho rovi• ,Ions of the. California bo; 7o .-pravaiting wage rates MAYOR MlguelA. Pulldo MAYOR PRO TEM Vicente Sarmiento COUNCIL MgMSERS Angellca Amazaua P. David Benevides Michele Martinez Roman A. Reyna Sal TinaJero "lijiiiiniiiiiiiliiniiiiu 81 61 ;Aiiji�,ui�iiipiuu NO F1 201685001201 10:23 am 11/09/16 CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Cl* Center Plaza (M-20) P,O, BOX 1988 * Santa Ana, Californla 42702 (714) 667-2700, Fax (714) 973-1461 w m,santa-ana.org CITY MANAGER David Cavazos CITY ATTORNEY $onla rt. Carvalho CLERK OF THE COUNCIL Marla 1], Hulxar NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California government Code Section 8103 To: COUNTY CLERK From: City of Santa Ana County of Orange Planning & Building Agency P,a, Box 233 20 Civic Center Plaza M-20 Banta Ana, CA 92702 Santa Ana, CA 92702 Project Title: Boma Koral Sidewalk Renovation Gate of Approval: 01/17/2017 Project Nulmber(%), PWA -2016 -1398 -CITY Project Location: 1 CityWide (Partial) City: Santa Ana4 county: orange ER Number: ER -2016-153 Project Description- The construct', ion will include the replacement of defective sidewalk, POSTED Applicant Name: Armando Fernandez, City of Santa Ana Public Works Agency NOV 0 9 2016 Applicant Address: 20 Civic Center Plaza, M36 O SANTA ANA, CA 92702 IiANGECOIINTYCLERi(• C kOEPAliiA41 Name of Public Agency Approving Project: City of Santa Ata aY. DEPO Name of Person',! or Agency carrying Out Project: Fernandez, Armando Exempt Status: FILED Q Ministerial (Sec, 15268) ❑ Declared Emergency (Sec. 15269 (a)) NOV 0 9 2016 ❑ Emergency Project (Sec. 15269 (b through e)) ❑ General Rule (Sec. 15061 (b)(3)1(5)) 0110,31COINIIILE7«wort 0OW1111 d Statutory Exemption: BY. PERU if Categorical Exemption: 15302(c) Roason(s) Why Project Is Exempt From CEQA: 15302(c) Replacement or reconstruction of existing utitiity system and for facilities involving negligible or no expansion of capacity, City Contact: A • ndo Fern dez Signatur Telephone: (714) 647-332 Title: ryat tom; �e Date: SANTA ANA CITY COUNCIL Miguol A. Pulido Vincente Satmiento Michele Martinez Angelica Amezcua P. David Benavides Roman Reyna Sal Tinaiero Mayor Mayor Pro Tem, Ward 1 Ward 2 Ward E3 Ward 4 Ward 5 Ward 6 MPu11doC?santa•ana.ora VSarmianto0santa-ana.org MMaAlnezaSanta-ana.eraAAmercua(.9.2nia-anaoca btlanavlrinsr&7santa.ana.nralR na{g�santa.a _na,oro CITY OF SANTA ANS. O; Michael Ortiz CONSTRUCTION CONTRACT PWA (s ) PROJECT NO. 16-2671 BOMO K,ORAL SIDEWALK RENOVATIONS This CONSTRUCTION CONTRACT is made and entered into this 7"' day of Febreuary, 2417 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 "CITY"), and Golden State Constructors (hereinafter "CONTRACTOR!). WITNESSETHA. The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows; 1. CONTRACTOR agrees to perform all the work and Rimish 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 Bomo K.oral Sidewalk Renovations Project (hereinafter referred to as the "WORK OF IMPROVEMENT") identified in and in accordance with the Contract Docurne is prepared by the City's Public Works Agency and approved by the City Council. The complete Construction Contract consists of the "Contract Documents" as deemed 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 • Contrast Bonds « General Provisions « Special Provisions « Technical Provisions and Project flans " 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 WORD OF IMPROVEMENT the sum total amount not to exceed Seventy-one Thousand Ninth nine Dollars and No Cents ($71,099.00), 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 sam(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual ammurt 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 deemea necessary or advisable. roe, 12nor2016 Page 1 of A 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, Runish two bonds to be approved by the CITY, one in the amount of One Hundred Percont (100%) of the Contract price, to guarantee the faithful performance of the; work (Perfonnance 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. 7. CONTRACTOR, shall, prior to the release of the perfomaace and payment bonds or the retention payment, furnish a warranty performance and payment bond (Warranty Bond). Said Warranty Bond shall also be required as a. condition of project acceptance. For projects yap to Five Hundred. Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of Ten Thousand Dollars ($10,000) or Twenty Percent (20%) of the final contract price. For projects above Five Hundred 'l"housand Dollars ($500,000), the Warranty Bond amount shall be the greater of One Hundred Thousand Dollars ($100,000) or Tan Percent (101/1o) ofthe final contract price. 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. !l Page 2 of 3 IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written, ATTEST: a6z 1/1"Z'Zz- A4ARIA D, HL71ZAR 77CIerk of the Council "PROVED AS TO FORM. SONIA R. CARVALHO City Attorney JOHN M. FUNK Assistant City Attorney RECOMMENDED FOR APPROVAL: R tEO S A IVI P O -R� Executive Director Public Works Agency CITY OF SANTA ANA R RDO MO ET Acting City Manager Page 3 of 3 i MY OF MANTA. ANA PROJECT NO,-. 14-2671 M* C1':f"k" COUNC11, OF "`HIV CITY OF SANTA ANA FROM, Golden State Constructors ors UQUIREM : The midorsiowd b0da doolues ft they him oommy exmrAmd flm loaadon of the proposed work tit tbay have emiiwd the Cwtcad Doomaenta in fls an*aty aM here .1gWs .w ; vA& all mater W ad do al1 tt wwk ragtgrad to oompliote 010 aaid wc>t in womdame title did PImis (if mV) and spadfloatlons far the wit pnce(e) or l rAp std;&) sat findi finIn. tfw fbbwWg BOMO NORMS SIDEWALK to s r lr lar ► QuMmy URIC' ,Uldl price Amountt mo vW�u:uW 6q�4"9'9!'`NF'+"'wr.«.r. V fSJ' 4R 1926 Moak � 9130 5 0 $2 Root obwo �� IN T 600 y }5 �U a r�.xsA�nolS�nNrMn+nwrro�•+ �w �p�y.a TOTAL HASE 81l 9 47"100 1145 t 4580 TOTAL ADD ALTERNATE TWO DID Is a.92,5 ...d,....,� .,.TLL—"'L-'LL ,.,.�..,. cmirew Mat - - -... - -� I I h-hmm-.- - �.so 1926 TOTAL ADD ALTERNATE TWO DID Is a.92,5 CITY OF &ANTA ANA MOPOSAL PROJECT NO,, 16.2671 A'nn Al.,TPRMATE THREE; TIM! It= "Doweriptlon quadv URA -F thilt Fdw Amond t t }Z c rk ut s 1500i HA 4 tf 3394 rOTAL ADDALTEIVqATE TWO HiD 3394 d JF ra vaa 3d t1Y�1�1714i1, C 'tr Vii AI B $ 1500i 13, SOC TOTAL ADD ALTUNATE FOUR D tS 13,500 P-2 of X17 CITY OF SANTA ANA PROPOSAL PROMCP NO,, 1,6-2671 The lowest 1eataible biddo da be wlcotod based ondu toW base bid, j`1a city reserves the right to award the Baw W4 and ony, all, cox wle of ho add-aaltanuite bid. iters (it any) 7110 VaWW fOr TWe bid it a, is Shown t"cc bid ooppa6on oAy, TMe bid ite$,U SWI jlckt be sub*ttO %4 "'15ye°'limit as stated in ect[m �-2 oriha, Stwjajuti sppeci %UW.S, 'T"lae 40t ial Unmd ftzr U6 If= M11 be dictated by tho uttaa l quwidty mad, aid tkaa Agency xege s the 49bt to in(nasp, or de ase dt Gluon ity of this item accoidingly, The midarMgmd biddy hereby proposes to complete ft we ik fox dto total base bid art %mt obown above, wifti Twergy (),0) worlds -1 days afty the carrMMOOM data *,W la the, Notice to Plowed. If my' or W1 aC add alt iatee ono, two or Horse are added thane w( ric all to wppletd vdthbi Ri. y 00) WcTkbv days Uttar MMMMOt date liz the Notlae to pro d, The hgUated dameps amount, In l:iamt Of the 0mouaa.fi speai,fted in WAeot.on 6.9 at' tilt aidard SpecifloatIoM ahaA1 be $3,00 oalanft day, ;dame of"Firm Ge ldox]. o'tat� #�c �^N► Signature of BIDDER 'rive gan G'h dura, =o asta;te. It aran. ar 00�pa,a, rexsk l y t I'll ;171k �rtd 9 act" this x wxaaaa all individual oa-ia�ecs ac�apt�i�a� e tisa� fi"aa, caa.l�ara��o�, at�ta 1:a ai olid arra ofPresl. nt, e�>aeta ,1�az aarl.S►rla� � a, tl � CITY OF SANTA. ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: Golden State Construct=ors REQUIREMENT: The undersigned bidder declares that they have carefully examined the location of the proposed work, that: they have ermined 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 prices) or lump sums) set forth in -the following schedule: DOMO DORAL SIDEWALK BASE BID: Item Description Quantity Unit Unit Price Amount *1 Remove and Consir ict 4" -S" PCC 5000 SF $ $ Sidewalk 9.30 46,500 *2 haat Shave 2 EA $ � X00 1200 TOTAL BASE DID $ 47,700 ADD ALTERNATE ONE DID: *3 Concrete Picnic Table 4 EA 1145 4580 TOTAL ADD ALTERNATE ONE DID $ 4580 ADD ALTERNATE TWO BID: *4Cancrete Flat Bench: 962.50 1925 TOTAL ADD ALTERNATE TWO :SID $ 1925 P-1 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION ADD ALTERNATE THREE BID: Hem Description Quantity Unit Unit Price Amount *5 Waste Receptacles 4 EA $ 348.50 3394 TOTAL ADD ALTERNATE MO RID 1 $ 3394 ADL! ALTERNATE FOUR RID: *G Remove and Construct PCC Tree Weil 9 EA $ $ 1500 13,500 TOTAL ADD ALTERNATE FOUR RID $ 1.3 , 5 0 o P-2 of P-17 CITE' OF SANTA. ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION TOTAL ADD ALTERNATE ONE BID $4580 ! TOTAL ADD ALTERNATE TWO BID $ 1925 TOTAL ADD ALTERNATE THREE BID S 3395 TOTAL ADD ALTERNATE FOUR BID $ 13,.500 VITAL BASE BID 6 $ 47,700 The lowest responsible bidder shall be selected based on the total base bid. The City reserves the right to award the Base Bial, and any, all, or none of the add -alternate bid items (if any). * 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. Theactual 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. 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 Twenty (20) working days after the commencement date stated in the Notice to Proceed. If any or all of add alternates one, two or three are added these work shall be completed within Fifty (5 0) working days after- commencement date in the Notice to Proceed. The liquidated damages amolmt, ui lieu of the amount specified. in Subsection 6-9 of the Standard Specifications, shall be $3,008, r calendar day. Name of Firm Golden GtatV G6ns *J(ors Signature of BIDDER Title Pr-esident (If an individual, so state. 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..) P-3 of P-17 CITY OF SANTA ANA PROPOSAL, PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION 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 Attomey, 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 fort 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 Business and Professions Code, the undersigned certifies under penalty of perjur,y that the foregoing is true and correct. Name of Firm rwrt ors Signature of BIDDER Title President: (If an individual, so state. 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.) P-4 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION 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: Golden State Constructors Business Address: 208 B. Orangethorpe Ave Placentia, Ca Business E -Mail Address: ron@goldensci.com Telephone: 714-625-8758 State Contractor's License No. and Class: 867060 - A, B, C- 8 License Expiration Date: 3/31/17 State Dept. of Industrial Relations (DIR) Registration No.: 1000004019 State Dept. of Industrial tions (DI ) Registration Expiration 6/30/2017 Signed: Title: President P-5 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION 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 mare 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 forego= is true and correct. Name of Firm GoldStat on, trtars Signature of BIDDER Title President (if an individual, so state) P-6 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KOIiAL SIDEWALK RENOVATION OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANGE ) SS: CITY OF S2#dq"M4* Placentia } Ronnie Cochran , 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. ® CORPORATION That he is of: Golden State Constructors _____________..W -- 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 not collusive or sham, and has not in any manner sought by collusion to secure any advantage against the City of Santa Ana or any person interested in the proposed contract, for himself or any other person. Signature Subscribed and Signature of officer before me this )5d day of (Notary Public) P-7 of P-17 CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 Orange On I6,I"-1 C before me, Claudia Cochran, Notary Public , JI-lere Insert name an Me'al e officer) personally appeared Ccchw an9 who proved to me on the basis of satisfactory evidence to be the person(*whose name(&) is/*% subscribed to the within instrument and acknowledged to me that hePahe,Alexecuted the same in his/he4*io& authorized capacity{i), and that by his/ tKeir signature(s-) on the instrument the person(4 or the entity upon behalf of which the person(4) acted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. CLAUDIA COCNRAN COMM # 2096862 WITNESS my hand and official seal. z = : ' ORANGE COUNTY w Q ' M NOTARY PUBLIC -CALIFORNIA Z Q MY COMMISSION EXPIRES ~' 30. 2019 Notary Public Signature (Notary Public seal) ADDITIONAL OPTIONALINFORMATIONINSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and DESCRIPTION OF THE ATTACHED DOCUMENT if needed, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so lona; as the wording does not require the C.`alifornia notary to violate Cal{fornia notary law. (Title or description of attached document) • State and County information must be the State and County where the document, signer(s) personally appeared before the notary public for acknowledgment. . Date of notarization must be the date that the signer(s) personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment is completed. a The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER a Indicate the correct singular or plural forms by crossing off incorrect forms (Le, lta/shelthe},,- is /ars) or circling the correct forms. Failure to correctly indicate this • Individual (S) information may lead to rejection of document recording. Cl Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seat if a (Title) sufficient area permits, otherwise complete a different acknowledgment farm. © Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney -In -Fact Additional information is not required but could help to ensure this • TrusteB(s) acknowledgment isnot misused or attached to a different document. *. .Indicate title or type of attached document, number of pages and date. Other •; indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple. CITY OF SANTA ANA Bond No.; GOLST-332 PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK. RENOVATION KNOW ALL PRESENT that, Golden State Constructors , as BIDDER, and North American Specialty Insurance 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 Dollars ($ 10% Of Bid ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sura, BIDDER and SURETY agree to be bound, jointly and severally, firinly 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 naives, titles, hands, and seal this _6th day of December 2016 BIDDER* Golden State SURETY* North AmericA Specialty Insurance Matthew R. Dobyns, Attorney -in -Fact Subsc_xibed.and sworn to before nae 20_ Signature: Notary Public in and for the County of , State of 208 E. Orangethorpe Ave. Placentia, CA 92870 Telephone: (714) 625-8758 6 Hutton Centre Drive, Suite 850 Santa Ana, CA 92707 Telephone: (714) 550-7799 this day of * Provide BIDDER/ SURETY naive, address, and telephone number and the name, title, address, and telephone number of authorized representative. P-8 of P-17 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, TL -IAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitutc and appoint: RANDY SPOHN and MATTHEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Pact, to make, execute, sea] and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9tl' of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach. therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the sea] of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." i �lI uunWy4 1 � � y QPPOI�,G � epi 4dN,gt joss Ce F By +<%GoriP$ySL _, SEAL M = Steven P. Anderson, Senior Vice resident ofwashingfon InMn ational low ranee Company X S.AL 191'3 U,t•n � & Senior Vice President of North Awerican Specialty Insurance Company lm ,/ By Michael A.Uu,�,'emor Vice l'reside� Washmgto�ernafional Insurance Compally plIYIINN & Senior Vice President ofNoslh American Spedulty Insurance Company IN WITNESS WIJEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 10th clay of May , 2016 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 10th day of May 2016 before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Mieha.el A, Ito , Senior Vice President of Washington. Tnlernational Insurance Company and Senior Vice President ol'North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies, OFFICIAL SEAL M KENNY NOTARY PURUC, STATE OF ILLINOIS WCOMMIMON UPiRES 121041.207 M. Kamy, Notary Pubiilo l` I; Jeffrey Goldberg , the duly elected Assistant Secretaryof North American Sped nity In.stvance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and caorreci copy of a l ovver of Attorney given by said North American Specialty Insurance Company and Washington International insurance Company, whh'h is still ivy full force and effect. IN WITNESS WHEREOF, I have set Iny hand and allixed the seals of the Companies this 6th day of December .20 16 Jeffrey CcldLv g, Viae Presi dent & Assistant Secretary of washi'lgton Intematiaral lnwx'co Company & Abitli American Specialty Insurance Company 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 ORANGE On December 6th, 2016 before me, ERIKA GUIDO,_NOTARY PUBLIC, personally appeared MATTHEW R. DOSYNS , ® who proved to me on the basis of satisfactory evidence to be the person(s) whose name{ is/ewe subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity dies), and that by his/her/their signature(s) on the instrument the person(io, or the entity upon behalf of which the person( - 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. IERIKA GUIDO I? ,.s:. COMM. #2022677 * WITNESS m7and official seal. NOTARY PUBLIC CALIFORNIA QRANGE C© 3Y 5- 2017 _t < / tau rnmsn. exgires MaY � of Though the data below is not required by law, it may prone valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACKED DOCUMENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 ®range } On ?-6-16 before me, Claudia Cochran, Notary Public , ere insert name and titlea flie o cer personally appeared Cochran who proved to me on the basis of satisfactory evidence to be the person(*whose name(&•) isleFe subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/heFAheiF authorized capacity0o&), and that by hls/b ei signature(.-) on the instrument the person(44, 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. Notary Public Signature CLAUDIA C©C14RAN COMM # 2095862 `>iek ORANGE COUNTY NOTARY PUBLIC -CALIFORNIA Z �L MY COMMISSION EXPIRES —� JAN. 30, 201_ (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact p Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, if'needed, should be completed and attached to the docanrent. Acknowledgments from other states ntay be completed for• documents being sent to that state so long as the wording does not require the California notary to violate California notary law. • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment, • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization, • Indicate die correct singular or plural forms by crossing off incorrect forms (i.e. he/she/dw.y;- is /ar:e) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording, • The notary sea] 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 acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. +S Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. +S+ Indicate the capacity claimed by the signer, if the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary), • Securely attach this document to the signed document with a staple. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION 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: a Streets, highways including bridge projects: '/2% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: %2% 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 firma 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 # DIR Reg. License � Type Of W Amount Signature of Bidder Name License #/Exp. DTR Reg. #/Exp. Location Phone � Type O. orlc Name License 4/Exp. DIR Reg. 4/Exp. License # Location Phone Type Of Work Amount $ Name License #/Exp. DIR Reg. #/Exp. License # Location Phone .__.__ ... .. Type Of Work Amount $ P-9 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO., 16-2671 BOMO KORAL SIDEWALK RENOVATION REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER has performed similar work within the past three years. 1. City of Anaheim 200 S. Anaheim Boulevard Anaheim, CA 92805 Name and Address of Owner. Mike Wood (714) 765-5100 Name and Telephone Nwnber of person familiar with project. $750,000 Remove replace curb, gutter sidwalks Contract Amount Type of Work 2. City of Irvine, 6427 Oak Canyon, Bldg. 1, Irvine, CA 92618 Name and Address of owner. Reza Jafari - Tel:(949) 724-7545 3/3./2016 - yearly renewal Date Completed Name and Telephone Number of person familiar with project. $450,000 Remove re lace curb utter eidwalkis 6/2016 yearly renewal Contract Amount Type of Work Date Completed 3, City of Chino Hills, 14000 City Center Drive, Chino Hills, CA 91709 Name and Address of owner. Jerry Barragan (909) 364.2846 Name and Telephone Number of person familiar with project. $230,000 Remove repleLce curb, gutter szdwalks 9Z2016 - yearly yearly renewal Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. R S Bonding 1633 E. 4th Street, Suite 228, Santa Ana, CA 92701 Phone: (714) 541-4700 P-10 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THR E public agencies for which the BIDDER_ or Subcontractor has performed street improvement work in the past 5 years. 1. Name and Address of Owner. Name and Telephone Number of person familiar with project. M Contract Amount Type of Work Date Completed Name and Address of Name and Telephone Nurm.NX of person familiar with project, Contract Amount �� Type of Work Date Completed 3. Name and Address of owner. Name and Telephone Number of person familiar with project. Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone nulibers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. , P-11 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION 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 part of the Proposal. Signing this Proposal on the signature po ' n thereof shall also constitute signature of this Nan -collusion Affidavit. BID are uti ed that making a false certification may subject the certifier to cril 'n aroso �io�" Signed California County Subscribed and sworn-ta,,,(Qor affirmed) before me on this day of , "mooed to me on the basis of satisfactory person(s) who appeared before Notary Public Signature Notary Public S_e.,,,,6 P-12 of P-17 , 20—, by evidence to be the CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 13OMO KORAL SIDEWALK RENOVATION NON-DISCRIMINATION CERTIFICATE The undersigned contractor or corporate officer, during the performance of this contract, certifies as follows: 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. 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, acid orders. 6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, the contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-13 of P-17 CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 Orange On . 1_2-6-16 � before me, Claudia Cochran. Notary Public , ere Insen name a5d Ric of the officer) personally appeared ---Ronnie Cochran who proved to me on the basis of satisfactory evidence to be the person(*whose name(&) isle subscribed to the within instrument and acknowledged to me that he/-& l y executed the same in hislhe4their authorized capacity{+, and that by hisl� signature(&) on the instrument the person(f4, or the entity upon behalf of which the person( 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. CLAUDIA COCHRAN COMM # 2095862 WITNESS my hand and official seal. Z _ [ M ORANGE COUNTY NOTARY PUBLIC -CALIFORNIA Z _ MY COMMISSION WIRES JAN. 3b, 21119 Notary PWiz;" ignature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT f needed, should be completed and attached to the. document. Aelmowledgrnena firom other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate Cat forma notary taw. (Title or description of attached document) • State and County information must be the State and County where the document signer(s) personally appeared before the notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which (Title or description of attached document continued) must also be the same date the acknowledgment, is completed. o The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and thea your title (notary public). o Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • indicate the correct singular or plural forms by crossing off incorrect forms (i.c. 1te/she/they— is /fire) or circling the correct forms, Failure to correctly indicate this Cl individual (s) information may lead to rejection of document recording. © Corporate Officer • 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 (Title) sufficient area permits, otherwise complete a different acknowledgment forth. 0 Partner(s) * Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney -in -Fact Additional information is not. required but could help to ensure this 0 Trustee(s) acknowledgment isnot misused or attached to a different document. E] other Indicate title or type of attached document, number of pages and date. :+ Indicate the capacity claimed by the signer. if the claimed capacity is a corporate orneer, indicate the true (i.e. CEO, CFO, Secretary), 9 Securely attach this document to the signed document witha staple. CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2671 1 OMO KORAL SIDEWALK RENOVATION 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, except as provided in Section 1420, and any contractor of public ks viol ting this Section is subject to all the penalties imposed for a violation of the a e Signed: Title: President Finn: Golden State Constructors Inc. Date: 12/6/16 P-14 of P-17 CITY OF SANTA ANA PROPOSAL, PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION 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 andtraining of apprentices in the area or industry affected. 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other e actors, except contractors not signatory to the trust agreement shall pay a like amount t t Ca ' r pprenticeship Council. J Signed: Title: President: Firm: Golden State Constructors Date: 12/6/16 P-1.5 of P-17 CITY OF SANTA ANA. PROPOSAL PROJECT NO.: 16-2671 BOMO KORAL SIDEWALK RENOVATION 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 prohibited from inducing, by any means, any person employed in the constrwceontitA. . or repair of public work, to give up any part of the compensation to which he/she is otherw/ Signed: FI&V Title: President: Firm: Golden State Constructors Date: 12/6/16 11-16 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.; 16-2671 BOMO KORAL SIDEWALK RENOVATION PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE 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 XX If the answer is yes, explain the circumstances in the following space. P-17 of P-17 Bond No.: 2253411 CITY OF SANTA ANA 'I HE FINAL PREMIUM IS BONDS PREDICATED ON THE PROJECT NO.: 16-2671FINAL CONTRACT PRICE 1 VAN 11i -lox, KNOW ALL MEN BY THESE PRESENTS that Golden State Constructors as CONTRACTOR, and North American Specialty 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 of Seventy One Thousand Ninety Nine and 00/100 Dollars ($ 71,099.00 ), 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 February 7th, 2017 for Bomo Koral Sidewalk Renovations 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 fall 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 22nd day of February Z:�?Q 17 208 E O an eth Ave CONTRACTOR* SURETY* North Matthew R. Dobyns , Attorney -in -Fact Subscribed and sworn to before me, Signalure: Notary Public in and for the County of State of r g orpe Placentia, CA 92870 Telephone: (714) 625-8758 6 Hutton Centre Drive, Suite 850 this day of Rate of premium on this bond is $ 25.00 per thousand. Total amount of premium charge is $ 1,777.00 . To be filled in by Surety *Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. 1 of 3 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Aampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington Int'ernat'ional Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: RANDY SPOHN and MATTHEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company atnreetings duly called and held or the 9'" of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice Resident, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of thein hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contract's of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard many bond, undertaking or contract of surety to which it is attached." tnrpnnllllllll/I// V�0��,VAtrrYr I//ipi xxu�wlmwwUdnb .t�`yQ�bpJ•'dA�•N.',pb iBy �ptlONgt/y mp SEAL .n= siesta P. Anderson, sector Vice Pr.,meet orwaanmemr u�arnaearaunanranee eA,nw,ny y/ SEAL 3 g 1979 tpitj &settlor Vice recall NorN A,nerlwn 8,6alty lavanmoe Company �I m 7UbnnWalpar B • _/h//`.N•� * *eSd Michael A.ltq$emor Rec Yresu washmgtoa lnlerm,lonal reacance al,oi ,NIINnlq�fx & Senior Vice Prasideat of North Antedc,n Specialty l anmoce Company IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 10th day of May , 2016 . North American Specialty Insurance Company Washington International Insurance Company' State of Illinois County of Cook ss: On this 10th day of May 2016 before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A. Tto Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY ayy NO1, BYPBBUO,BTATE OF IWNOIS M. Kenny, Notary Pntilic MYOOMMISSIONEXPIBEB12104 017 I, Jeffrey Goldberg ,_ lie duly elected Assistant Secretary of North American Specialty Insurance Company and Washington hnternational Insurance Company, do hereby certify that the above and foregoing is a true and correct copy cf"aPower of Attoney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is sfil in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed tine seals of the Companies this 22th day of February , 20 17 Jeffrey noldbOlt, Vine Pl esldent & Aesislnnt Secretary of Woshingmn hasul'tionol L,somnoc Cortically & Norih American Spociallyrnsnrance Conppny 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 ORANGE On February 22nd, 2017 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS ® 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 (-nes), 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. "'____�ERIKAGUIDO COMM. # 2022671 40 NOTARY PUBLIC CALIFORNIA ORANGE COUNTY nw mmm. expires May 5, 2017 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS mv-hand and official seal. of Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: _ SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 Orange } On 2-?-Z-I+ before me, Claudia Cochran, Notary Public (Hem !need name and duee the officer) personally appeared -----Ronnie Cochran who proved to me on the basis of satisfactory evidence to be the person(*whose name(s) isWe subscribed to the within instrument and acknowledged to me that hefske/#ktey-executed the same in his/I4eNtfieir authorized capacity(+®&), and that by his/he#11"If signature(g) on the instrument the person(.4 or the entity upon behalf of which the person(s) acted, executed the instrument. 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct CLAUDIA COCHRAN COMM # 2096862 WITNESS-my.hand and official seal. Q t ` y - ORANGE COUNTY 4 NOTARY PUBLIC-CALIFORNIAZ MY COMMISSION EXPIRES JAN. 30, 2019� Notary Public Signature (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages,` Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING THIS FORM This form complies with current California standee regarding notary wording and, ifneeded, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the warding does not require the California notary to violate California notary law. • State and County information must be the State acrd County where the document signer(&) personally appeared before Che notary public for acknowledgment. • Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her commission followed by a comma and then your dtle (notary public). • Prior the name(s) of document signer(s) who personally appear at the time of notarization. • Indicate the correct singular or plural forms by crossing off incorrect forms (i,e. he/she/they; is /era) or circling the correct forms. Failuiv to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impressimt smudges, re -seal if a sufficient area permits, otherwise complete a different acknowledgment form. • Signature of the notary public most match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CED, CFO, Secretary), • Securely attach this document to the signed document with a staple, CITY OF SANTA ANA Bond No.: 2253411 BONDS PROJECT NO.: 16-2671 WwKwas'.1 KNOW ALL MEN BY THESE PRESENTS that Golden State Constructors as CONTRACTOR, and North American Specialty 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 of Seven One Thousand Ninety Nine and 00/100 Dollars ($ 71,099.00 ), 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 February 7tb, 2017 for Bomo Koral Sidewalk Renovations 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 Code 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 terns 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 22nd day of February 2017 t *Golden teo tors 208 F. Orangethorpe Ave CONTRACTOR y� Placentia, CA 92870 ' 6 Hutton Centre Drive, Suite 850 SURETY* North Am e n Specialt. I �y urance Com y Santa Ana, CA 92707 �- BY; .J �t '.---- Telephone: (714) 550-4136 Matthew R. Dobyns, Attorney -in -Fact Subscribed and sworn to before me, this day of 20_ Signature: Notary Public in and for the County of State of Rate of premium on this bond is $ Included In The Performance Bond per thousand. Total amount of premium charge is $ Included In The Performance Bond To be filled in by Surety *Provide CONTRACTOR I ADMITTED SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. 2of3 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: RANDY SPOHN and MATTHEW R. DOBYNS JOINTLY OR SEVERALLY Its true and lawful Atforney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amownt of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company atmeetings duly called and held on the 9" of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." NallhIIfIIf I \PN \AtrTY ///bi ,sgmumm�uump �yQ bPt'Ob "�..',rG �L ,",aapS10Nq(ln�fi°r By 4��oaroirSG a±3 SEAL ln_ StcwnP.And..snn, sonic, Vice Preamoeters.W.iytenorterneannnlm.mm.eeCo.,panr f SEAL'" 9 2 1879 ryiur8 & Sector Viet President of North Amenruur spedaity Insurance Congmny [ rK jai/fnwmmneos By Michael A. U, 3etli or vice Press ni of Wn hmg,on mternntionai NuwirAi>M & se,dor Vice President ofTsorth Auredean S,deitc Insernuce Company IN WITNESS WHEREOF, North American Specialty Iusuranee Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this loth day of May 12016 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook as: On this 10th day of May , 2016 , before me, a Notary Public personally appeared Steven P. Anderson , Senior Vice Resident of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY NOTARY PUBLIC, STATE OF IWNOIS M. Kenny, Noeary Public I, W COMMISSION EXPIRES 14lO0.I2D17 1, Whey Goldberg_the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company, which is still in fi>!f force and effect. 1N WEI NESS WHEREOF, I have set my hand and affixed the seals of the Companies this 22th day of February , 20 17 . Jefl'rry Goldberg, Vi'ee Fresido t & Assiani Societe, of Washington h,ton,ationel h,tgranre Compony &North Amcnc.c Sredahy lnsomnce Camptny 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 ORANGE On February 22nd, 2017 before me, ERIKA GUIDO, NOTARY PUBLIC, personally appeared MATTHEW R. DOBYNS ® 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 fI*, and that by his/her/their signaturefs) on the instrument the personal, or the entity upon behalf of which the person{) acted, executed the instrument. " "ERIKAGUIDO COMM. # 2022671 NOTARY PUBLIC CALIFORNIA ORANGE COUNTY My comm, expires May 5, 2091 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 1 Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER ❑ INDIVIDUAL ❑ CORPORATE OFFICER ❑ PARTNER(S) ❑ LIMITED ® ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: _ SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTITY(IES) DESCRIPTION OF ATTACHED DOCUMENT CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 Orange } On -2-7 2 _ before me, _Claudia Cochran, Notary Public , eretaert name an et attar personally appeared --------------Ronnie Cochran -- — who proved to me on the basis of satisfactory evidence to be the person(*whose names) iskwe subscribed to the within instrument and acknowledged to me that heey executed the same in his/herAheii: authorized capacity(-ies), and that by his/*erAheff signature(s) on the instrument the person(s}, or the entity upon behalf of which the person(6) 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. _ GLADOIA COCHRAN COMM # 2095862 WITNESS my hand and official seal. . V4, ORANGE couNTv DA _ NOTARY PUBLIC -CALIFORNIA z MY COMMISSION EXPIRES -r JAN. 30, 2019 Notary Public Signature (Notary Public Seal) OF THE ATTACHED DOCUMENT (Title or description of attached or description of of Pages `Document Date CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) ❑ Other INSTRUCTIONS FOR COMPLETING TIIIS FORM This farm complies with current California statutes regarding notary wording and, ifneedeel, should be completed and attached to the document. Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California rotary law. • State and County information must be the State mrd County where the document signor(s) personally appeared before the notary public for aclnowledgment. • Date of notatizatlon must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed. • The notary public must poor his or her name as it appears within his or her commission followed by a comma and then your title (notary public), • Punt the names) of document signer(s) who personally appear at the time of notarization. • Indicate the comet singular or plural forms by crossing off incorrect forms (i.e. be/she/they; is fere) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • 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 acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. •b Additional information is not required but could help to ensure this acknowledgment is notmisused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). • Securely attach this document to the signed document with a staple,