HomeMy WebLinkAboutGENTRY GENERAL ENGINEERING, INC., Recording Requested By,
And when Recorded Mail To: Recorded in Official Records, Orange County
Clerk of the Council,City of Santa Ana Hugh Nguyen, Clerk-Recorder
20 Civic Center Plaza,P.O.Box 1988 I Illl 1111 Iillll IIIII IIIII III IIII IIIII lll� IIII lllll IIII I III IIl
Santa Ana,CA 92702 N O F E E
* $ R 0 0 0 9 8 5 0 1 3 6 $
201800002815711:25 am 01/25/18
63413N12F13 1
0.00 0.00 0.00 0.00 0.00 0.00 0.000.00 0.00
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NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana,
California, 92701, is the owner of the property hereinafter described, that said owner has caused
ca construction of RESIDENTIAL STREET REPAIR PROGRAM under contract entered into on
JULY 5, 2017, with GENTRY GENERAL ENGINEERING, INC., on which contract
v a DEVELOPERS SURETY AND INDEMNITY COMPANY is surety. The property on which
o such work improvement was placed is in the City of Santa Ana, County of Orange, State of
c z California, and described as Project No. 17-7522 AND 15-6836 located at: VARIOUS
aLOCATIONS. The work improvement on said property was accepted as completed on
� g
NOVEMBER 2, 2017.
oW
o
o CITY OF S A, A MUNICIPAL CORPORATION
w
F
z
by
oa Dated: 1, 16. 1 9 Principal Ci 1 Engineer-Tyrone Chesanek
p„ ---_TITLE----------- ---------------------------------
VERIFICATION
I, 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; and I declare under penalty of perjury that the facts therein stated are true.
Executed on 111 ZE% t� , at Santa Ana, California
nc
(Signature of individuals Faring that the
contents of Notice of Comp ion are true.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION
„ THE REGISTER
This space for llllng stamp only
625.N GRAND AVE, SANTA ANA, CA 92701
-
_
” Telephone (714) 796-1000,1 Fax (714) 796.6059
CNS#: 2988023
N
OO
NOTICE Is
HEREBY GIVEN
that the City of
Santa Ana will
receive Blas on or
.'
before the hour of
2:00:59 pan,
-
ytePbli
OF_ PUBLICATION
Works.
ReeArhrdPROOF
i
Floor, located at
City Hall - Ross
(2076,5 C.C.P.)
Annex,20 Civic
Center. Plaza, M-22,
Cialfornia
State of Callfornla
92701 for : - -' -
-
" County Of ORANGE ) SS
PROJECT NO.: 17-
7522 AND 75-6836
RESIDENTIAL
STIR
- Notice Type: BID- NOTICE INVITING BIDS
PROGRAM
Scope of work - - - -'
includes removing
Ad Description:
existing localized
- P
concrete pavement
-'PRESIDENTIAL STREET REPAIR PROGRAM ..
and replacing with _
new concrete
....-_..._.....'.
Pavement including
dowels, crack seal
existing cracks In
concrete pavement•
I Iim a citizen of the United Stales and a resident of theState of California; I am
replacing asphalt '
concrete pavement,
;over the age of eighteeq years, and not a party to or interested in the above
the replacement of
entitled mater. am the principal clerk of the printer and publisher of the THE
damaged curb,
sidewalk, curb
REGISTER, a newspaper' published in the English language In the city of
P 9h/
ramps, and n ov
and new
cross
:SANTAANA, county of ORANGE, and adjudged a newspaper of general
gutt
cross gutters. '
- circulation as defined by the laws of the State of California by the Superior
Instruction on bid .
-- Court of the County of ORANGE, State of California, under date 11/19/1905,
submission are
- Case No. A2i046. That the notice, of which the annexed is a printed copy, has
Included in the
contract
been published in each regular and entire Issue of said newspaper and not in
Documents."
any supplement thereof on the following dates, to-wit:
'Complete
electronic
peefffTcaflons are
available of the
Public Works
Agency counter,
First Floor, 20 Civic
.,
Center Plazc, Ross
'
Annex, Santa Ana, '
03/17/2017, 03/22/20 17
California 9270E
In accordance with
the provisions of the
-
California Labor
Code, prevailing '
wage rates apply.
_
3/22/17
Executed on: 03/22/2017
NS-
CN
REGISTER THE REGISTER -
At SANTA ANA,CA
,I, certify (or declare) under penalty of perjury that the foregoing Is true and
correct.:
YiJ, ate
FILtU
MAR 2 3 2017
ORANGE COUNTY CLERK•RECORDER DEPARTMENT
,-.-.-----^DEPUTY
a
.,ray
MAYOR
Miguel A. Police
MAYOR PRO TEM
Michele Martinez
COUNCIL MEMBERS
P. Cenral Benevides
Vicente Sannlento
Jose Solodo
Sal Tlnajero
Juan Vlllegas
CITY OF SANTA ANA
PLANNING 6 BUILDING AGENCY
20 Civic Center Plaza (M-20)
P.O. BOX 1080 • Santa Ana, California 92702
(714) 007.2700 • Fax (714) 973.1461
www.santa-ana.org
NOTICE OF EXEMPTION
ACTING CITY MANAGER
Gerardo Mouet
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria 0, Hulzar
POSTED
MAR 2 3 2017
ORANGE COUNTY CCLLE,RKAZOORDER DEPARTMENT
BY: ) OEPM
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.O. Box 238 20 Civic Center Plaza M-20
Santa Ana, CA 92702 Santa Ana, CA 92702
Project Title: 17-7522 & 15-6836 Residential Street Rep Date of Approval: 06/20/2017
Project Numbor(s): PWA -2017.433 -CITY
Project Location: 1 CityWlde (Partial)
City: Santa Ana County: Orange ER Number: ER -2017-28
Project Description: reconstruction of existing concrete pavement and minor repairs to damaged or missing
curbs, sidewalks and wheelchair ramps.
Applicant Name: Mindy Ly, City of Santa Ana, PWA, Design Engr.
Applicant Address: 20 Civic Center Plaza, M36
Santa Ana, CA 92701
Name of Public Agency Approving Project: City Council
Name of Person or Agency Carrying Out Project: Ly, Mindy
Exempt Status:
❑ Ministerlal (Sec. 15268)
❑ Declared Emergency (Sec. 15269 (a))
❑ Emergency Project (Sec. 15269 (b through a))
❑ General Rule (Sec. 15061(b)(3)/(5))
❑ Statutory Exemption:
0 Categorical Exemption. 15301(c)
Reason(s) Why Project is Exempt From CEQA:
Repair of existing public Infrastructure,
Recorded In Official Records, Orange County
Hu Ih Ilu�llil IIIrkIIRecorder
!9NO FEE.
* S R 0 0 0 9 1 4 9 0 6 1
2017860002911:32 pm 03123117
41 OR02 Z01
0.00 50.00 0.00 0.00 0.00 0.00 0,00 0.00
City Contact: Ml dd�y Ly Telephone: (714) 647-5018
Signature: ° "V Z Title: Ai)'�141'1`i` �� r. Date:
SANTA ANA CITY COUNCIL
Miguel A. PuIMo Michele Martinez V 11cooto Sarmiento Jose Solono P. David Senavidea Juan Vlllegas Sal Tlnajam
Mayor Mayor Pro Tem, Ward 2 Ward Ward Ward4 Wards whrde
tnoul'dotffisanlo-ana.om mlm rtinys(Orsanta;.na om ygarakat2*sanra-ana.om isolodn eante•ane oM Qge,Dg�@Asanl&Bnaora ilWlleosar0saataanaom gtinalorW�annta-ana.om
a: , A00 CITE' OF SANTA ANA
' CONSTRUCTION CONTRACT
gp11 PROJECT NO. 17-7522 & 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
This CONSTRUCTION CONTRACT is made and entered into this 20th day of June, 2017 by and
between the City of Santa Ana, California, a charter city and municipal corporation organized and
existing tinder the Constitution and laws of the State of California (hereinafter "CITY"), and Gentry
General Engineering, Inc. (hereinafter "CONTRACTOR").
WITNESSETH:
The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows:
1. 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 Residential Street Repair Program 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
• Technical 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 Five Hundred Sixty -Eight Thousand
Three Hundred, Dollars and No Cents ($568,300.00), 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 sum(s) based on approximate
quantities only, and the City does not expressly or by implication agree that the actual amount of
work will correspond therewith, but reserves the right to increase or decrease the amount of any
class or portion of the work or to omit portions of the work as may be deerned necessary or
advisable.
rev. 12/20/2016 Page 1 of 3
4, CONTRACTOR agrees to complete the WORI{ OF IMPROVEMENT within the time specified in
the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including
conunencing 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°/x) 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
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 up 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 Thousand Dollars ($500,000), the Warranty Bond amount shall be the greater of One
Hundred Thousand Dollars ($100,000) or Ten Percent (10%) of the final contract price.
8. CONTRACTOR shall, after award of this Contract, famish Certificates of Liability Insurance and
Worker's Compensation insurance as outlined in the General Provisions, to be approved by the
CITY.
Page 2 of 3
IN WITNESS WHEREOP, the parties hereto have executed this Constriction Contract on the day and
year first above written.
ATTEST:
MARIA D. HUIZAR
Cleric of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By:Cke_ist0..y
IOHN M. FINK
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
FRE M )USAVIPOUR.
Executive Director
Public Works Agency
CITY OF SANTA ANA
C TITIA J. VfRTZ
Interim City Manager
CONTRACTOR:
Gentry Genera], Engineering, Inc.
BR NTON GENTRY
President
Page o£3
CITY OF SANTA. ANA.
PROPOSAL
PROJECT NO.: 17-7522 AND 15.6836
RESIDENTIAL. STREET REPAIR PROGRAM
BIl? PRO2OS&
T0: CITY COUNCIL, OF THE CITY OF SANTA ANA.
WKiIuvi
REQUIREMENT:
The undersigned bidder declares that they have carefully examined the location of the proposed
work, that they have examined the Contract Documents in its entirety and hereby proposes to
furnish all material and do all the work required to complete the said work in accordance with
said plans (if any) ,and the specifications for the unit price(s) or lump sum(s) set forth in the
following schedule;
Item
Description
Qty
Unit
Unit Price
Amount
$
$
1
Unclassifled Excavation*
250
CY
�( ""
U 7m
2
AC Pavement*
40
TN$
°
$
3
Aggregate base*
1.00
TN
4
Removal of 6" PCC at Various Locations*
750
CY
$ ! 'T' m
$ un
5
Construct 6" PCC with (3 -day) Cure
750
CY
$
$
Including Dowels*
6
Crack Seal with Deery Super Gray*
30,000
LF
$ (� RP
$3t , 66
7
Construct PCC Sidewalk(T=4" )*
5,900
SF
$�(��
8
Construct PCC Driveway Approach (T=6")*
2,500
SF
$ {��'" ma
$ 5UW°
9
Construct PCC Curb Ramp
2,700
SF
ars
5-((/5a,)"
10
Construct PCC Curb and Gutte.r(A-2-6)*
100
LF
11
Construct PCC Curb and Gutter(B-1)*
300
Sr-
d4l� ro
12
Construct PCC Cross-Gutter(Local Street)
3,400
$F
$ ma
$ "")d- (ja)
t3
Grind PCC
100
LF_.
$ �Jr) °o
5�
14
Root Shave �—
5
EA
$ 5�"'
$ 7
P-1 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17.7522 AND 1.5-6836
RESIDENTIAL STREET REPAIR PROGRAM
Tkeut
Description
Qky
Unit
Unit t rice
Amount
IS
Adjust Sewer Manhole Frame and cover to
Finished Grade
2
EA
$ r/ g
$
16
Furnish and Install Water Valve Frame andA
Coverto Grade
EA
$
$ ns
)-,'j6
17
Signing and Striping _
1
LS
$ 1%0
$ /a15D"
l��`��
18
Project Advertising Sign
2
EA
$eta
$
TOTAL BASE BID
$ � 13a "o
The lowest responsible bidder shall be selected based on the total base bid, The City reserves the
right to award the Base Bid, and any, all, or none of the add alternate bid items (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. The actual
amount for this item will be dictated by the actual quantity used, and the Agency reserves the
right to increase or decrease the quantity of this item accordingly.
t This bid item is considered a Specialty Item par Section 2.3.2 of tile Standard Specifications
TIME FOR COMPLETION QE IMPROVEMVNTS AND„LIQUIDATED DAMAGES
The undersigned bidder hereby proposes to complete the Worlc for the total base bid amount
shown above, within fV, 50 working days after the commencement dbrte stated in the Notice to
Proceed. The bidder also proposes to continue in a diligent and workman -like manner without
interruption, and to complete the construction thereof within the time specified above.
The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shall be $800 per calendar day.
Name of Firm &-'%, a , 1 C --I A. ”, l --ft, , '-
Signature of BIDDER
Title
(If an individual, so state. If a firm or co-patlnership, state the firm name and give the names of
all individual co-partners composing the firm. If corporation, state legal name of corporation,
and names of President, Secretary, Treasurer and Manager, thereof)
P-2 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO. 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM:
REQUIREMENT:
The undersigned bidder declares that they have carefully examined the location of the proposed
work, that they have examined the Contract Documents in its entirety and hereby proposes to
furnish all material and do all the work required to complete the said work in accordance with
said plans (if any) and the specifications for the unit price(s) or lump sum(s) set forth in the
following schedule:
Item
Description
Qty
Unit
Unit Price
Amount
I.
Unclassified Excavation*
250
CY
2
AC Pavement*
40
TN
$ 2-07�
$ 2�i
3
Aggregate. base*
100
TN
166 x''
tol6n"
4
Removal of 6" PCC at Various Locations*
750
CY
$ l 5- vra
$ y�'"'( f15-6 To
�r
5
Construct 6" PCC with (3 -day) Cure
750
CY
$
1 r/ c,
1t�
$ CtiJ dZ3
including Dowels*
1
6
Crack Seal with Deery Super Gray*
30,000
LF
$ l.C)°j�
$ 3125-66
7
Construct PCC Sidewalk(T=4")*
5,900
SF
$ q .
$ Cj it )-OL)
8
Construct PCC Driveway Approach (T=6')*
2,500
SF
$
u
$ �2 ,' j Qi°1
9
Construct PCC Curb Ramp
2,700
SF
$ �l :� , 0'r3
d�
$ 5-q/ 6'0b '
$
$ .
10
Construct PCC Curb and Gutter(A-2-6)*
100
LF
7�� sr7
i O� prj-r5 Gp
11
Construct PCC Curb and Gutter(B-1)*
300
SF
$
l
$
12
Construct PCC Cross•Gutter(Local Street)
2,400
SF
6u
��,
so
$�aQZ1"C7
13
Grind PCC
100
LF
$ ) �
$ 5()(Ji} aD
14
Root Shave
5
EA
P-1 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
Item
Description
Qty
Unit
Unit Price
Amount
15
Adjust Sewer Manhole ..Frame and Cover to
2
EA
$ 0
$ °
Finished Grade
44T"'
76
Furnish and Install Water Valve Frame and
4
EA
$ a,o
$
Cover to Grade
17
Signing and Striping
I
LS
$ 5r
$ 55 n-0
18
Project Advertising. Sign
2
EAr„�'(x}e'
TOTAL BASE BID
$ l 3 6z ra
The lowest responsible bidder shall be selected based on the total base bid. 'l he City reserves the
right to award the Base Bid, and any, all, or none of the add -alternate laid items (if any).
* The quantity for this bid item is shown for bid comparison only. This bid item shall not be
subject to the 4'25%" limit as stated in Section 3-2 of the Standard Specifications. The actual
amount for this item will be dictated by the actual quantity used, and the Agency reserves the
right to increase or decrease the quantity of this item accordingly.
This bid item is considered a Specialty Item per Section 2-3.2 of the Standard Specifications.
TIME FOR COMPLEI"ION OF IMPROVEMENTS AND LIQUIDATED DAMAGES
The undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within fifty (50) workine;days after the commencement date stated in the Notice to
Proceed. The bidder also proposes to continue in a diligent and workman -like manner without
interruption, and to complete the construction thereof within the time specified above.
The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the
Standard Specifications, shall be $800 per calendar day.
Name of Firm t"n i7 1 6—\ I tIn,g G
Signature of BIDDER ZD yr1 -A__ v
Title V 6c-5 YO-QA1
(If an individual, so state. If a firm or co -partnership, state the firm naive 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-2 of P-1.6
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
BIDDER'S STATEMENT
BIDDER understands and agrees that this Bid Proposal, Contract Documents and subsequent
Construction Contract Agreement shall constitute the entire agreement between BIDDER and the
AGENCY only after it has been accepted by the City Council, endorsed by the Clerk of the
Council with her signature and official seal noting hereon the action of approval of the Council,
signed by the Public Works Agency Executive Director or his/her duly authorized agent, and
signed by the City Attorney, denoting his approval of the form of this document, and its
execution, and when it or an exact copy of it has been either delivered to BIDDER or deposited
with the United States Postal Service properly addressed to the BIDDER with the correct postage
affixed thereto.
BIDDER further agrees that upon delivery (as defined above) of the accepted agreement he/she
will furnish AGENCY all required bonds and certificate of liability insurance within ten (10)
business days or the funds, check, draft, or BIDDERS bond substituted in lieu thereof
accompanying this proposal shall become the property of the AGENCY and shall be considered
as payment of damages due to the delay and other causes suffered by AGENCY because of the
failure to furnish the necessary bonds and because it is distinctly agreed that the proof of
damages actually suffered is difficult to ascertain; otherwise said funds, check, drafts, or
BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned.
BIDDER understands that a bid is required for the entire work, the estimated quantities set forth
in the bid schedule are solely for the purpose of comparing bids, and that final compensation
under the contract will be based upon the actual quantities of work satisfactorily completed. The
BIDDER also certifies that the bid is a balanced bid.
In accordance with Section 7028,15 of the California Business and Professions Code, the
undersigned certifies under penalty of perjury that the foregoing is true and correct.
Name of Firm Uflni N (-veh-crO Pnalherrinci Inc.
Signature of BIDDER 'za�
Title Vf2m&--N\V -
(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 ofP-1.6
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 San Bernardino
On April 4, 2017 before me, Andrea Scarbrough, Notary Public
(insert name and title of the officer)
personally appeared Brenton Gentry
who proved to me on the basis of satisfactory evidence to be the persor(i whose nameA> is/Xe,
subscribed to the within instrument and acknowledged to me that he/§h&tbay executed the same in
his/h&7tt authorized capacity(, and that by his/h&/thW signature( on the instrument the
person(o, 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.
AND IA 16CARIVA
WITNESS my hand and official seal. NOWYft e • CotNornfo
San INrnlm" County
CamdNorinn N 2144291
jEON44.Cie o o®21 Rtltp
Signatur (seal) i
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
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 (DTR), and that the following is true and correct.
Contractor's Name:
Business Address:
Business E -Mail Address:
(oAuO Uqwftnvi.Jj ale ReOm G` eAN
Telephone: Ci 0 q — "_� ?) b -- � , a-�) U J
State Contractor's License No. and Class:
License Expiration Date:
State Dept. of Industrial Relations (DIR)
Registration No.: (1 O 0 C) o �! x
State Dept. of Industrial Relations (DIR) f,,
Registration Expiration Date: �/ 1 `,)Q \ g
Signed: ISwn ✓�
Title:
P-4 ofP-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
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 frilly comply with such
Prevailing Wage Laws.
City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at
the commencement of this Agreement. Contractor shall make copies of the prevailing rates of
per diem wages for each craft, classification or type of worker needed to execute the services
available to interested parties upon request, and shall post copies at the Contractor's principal
place of business and at the project site.
Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees
and agents free and harmless from any claim or liability arising out of any failure or alleged
failure to comply with the Prevailing Wage Laws.
The undersigned certifies that the foregoing is true and correct.
Name of Firm cn-c�)�'Vt..l �A-mcY_o,i >n(.,
Signature of BIDDER Za kn �^ W
Title �' PS1�eN1
(if an individual, so state)
P-5 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17.7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) SS:
CITY OF SANTA ANA )
pp1� (1
being duly sworn, deposes and says:
❑ INDIVIDUAL That he%hais 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.
XCORPORATIONThat he is of
Diel (th(-,rcik 71 "ec o f)i-no
g
a corporation which is making the foregoing proposal:
❑ JOINT VENTURE That he is of
one of the parties making the foregoing proposal as ajoint 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 of Bidder
Subscribed nd sworn to before me thi& da of 2017
Signatur of officer A'ministering Oath (Not ary`Public)ee
P-6 of P-16
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 San Bernardino
On April 4, 2017 before me, Andrea Scarbrough, Notary Public
(insert name and title of the officer)
personally appeared Brenton Gentry
who proved to me on the basis of satisfactory evidence to be the personW whose name( is/
subscribed to the within Instrument and acknowledged to me that he/91 �hey executed the same in
hisAiar�tb*#r authorized capacity(4 and that by his/h"etp signatureO on the instrument the
person(4, 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.
ANDREABCARBRGUGH
WITNESS my hand and official seal. Notary Public • CalNornlo
San 8efnirOlno County zz
i 4 i COmmiueton N 2144299 r
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836 Bond No. CSBA-4622
RESIDENTIAL STREET REPAIR PROGRAM
BID BOND
KNOW ALL PRESENT that,
Gentry General Engineering Inc as BIDDER, and
Developers Surety and Indemnity Company as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of
Ten Percent of Amount Bid Dollars (i t0% ),which is ten percent, (10%o)
of the total amount bid by BIDDER to AGENCY for the above -stated projects for the payment of
which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these
presents,
THE CONDPI'IONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to
submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is
accepted and a contract is awarded and entered into by BIDDER in the manner and time
specified, then this obligation shall be null and void, otherwise it shall remain in full force and
effect in favor of AGENCY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
4th_ day of April , 2017 .
BIDDER*
,Gentry General Engineering Inc 9277 Archibald Avenue Rancho Cucamonga, CA 91730
J (909)912-5253
SURETY*
Develooers Surety and Indemnity Comoanv 500 S. Kraemer Blvd., Suite 300, Brea, CA 92821
784-5-66-0
Dwig Reilly, omey in -Fact — '1411 N. Batavia St., Suite 201, Orange, CA 92867 (714) 516-1232
Subscribed and sworn to before me
,20—,
Signature:
Notary Public in and for the County of
, State of
this day of
* Provide BIDDER( SURETY name, address, and telephone number and the name, title,
address, and telephone number of authorized representative.
P-7 of P-16
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 thatdocument.
State of California
County of Orange
On April 12017 before me, Karen L Ritto Notary Public _
(insert name and title of the officer)
personally appeared Dwight Reilly
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/anx
subscribed to the within instrument and acknowledged to me that he/1yrexecuted the same in
his*>eQ1fOEiadxauthorized capacity(xes), and that by his&*oEt-Ne iKsignature(a) onthe instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
KAREN L. RITfO. I!
WITNESS my hand and official seal. Comem
w.4
213e527
N
Notary Public-Califomia V
ORANGE COUNTYy ORANGE
Expires Dec 30,2019
Signature (Seat)
Karen L. Ritto
Bond No. C5BA-4622
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Bax 10726, IRVINE, CA92623 (949) 2633300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, const@ute and appoint:
***Andrew Waterbury, Shaunna Rozelle Ostrom, Michael Castaneds, Dwight Reilly, Daniel Hucl(abay, Arturo Ayala, Jointly or
severally'
as their We and lawful AUomay(s)•In-Fact, to make, execute, deliver and acknowledge, for and on behalf of sold corporations, as sureties, bonds, undertakings and contracts of
suretyslUp giving and granting unto said Attornay(s}In-Fact.full power and authin ly to do and to perform every act necessary, requisite or proper to be done In connection [herewith as
each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of saidAltomey(s}in-Feet, pursuant to base
presents, are hereby ratified and confirmed.
This Power of Attorney Is granted and Is signed by facslmlle under and by authority of the following resolutions adopted by the rdspective Beards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effeobve as of January 1st, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the
corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the adorney(s) named In the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of after of the corporations be, and each of them hereby Is, sulhodzed
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such offioers may be affixed to any such Power ofABomey or to any certificate relating thereto by facsimile, and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and In the future with respect to any bond, undertaking
or contract of suretyship to which It Is atteched.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have soverdly caused these presents to be signed by
their respective ofdcem and attested by their respective Secretary or Assistant Secretary this 5m day of February, 2017.
a
By;
Daniel Young, Senior MceePresldanl oar°RarFoFw�•%$
1936 is n6
By.
Mark Lansdon, VIce-Preddent °•,�dq„*; 10-0,3 a?
A notary public or other officer completing this cenlflcale verifies only the Identity of the individual who signed the
document to which this certIll Is attached, and not the truthfulness, accuracy, or validityof that document.
State of Califomla
County of Orange
On February 82017 before me, Luclllge Raymond Notary Public _
0ota NerelneaN Name a, title of� the 0lnoer
personally appeared Daniel Young and Mark Lansdon
Nams(al of slew(a)
who proved to me on the basis of safisfactory evidence to be the person(s) whose nome(s) Islare subscribed
to the within Instrument and acknowledged to me that helsheithey executed the same In hislherltheir authorized
capircty(les), and that by hloiber/their signalure(s) on the Instrument the person(s), or the onfity upon behalf of
LUCILLE RAYMOND which the person(s) acted, executed the instrument.
Commission #r 2081948
�^ Notary Public• California I certify under PENALTY OF PERJURY under the laws of the State of California that thefaregoing paragraph is
Orange Oeunlytrue and correct.
My Comm. EI Cres Oct 13, 2018) YVV
WITNESS my hand and afficlalseal. Place Notary Seal Above Slgnaure -- '' ''ijy� ✓ .
Lucill yihond, Notary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify matthe foregoing Power of Attorney remains In full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
sald corporations set forth In the Power of Attorney are In force as of the date of this Cehilhate.
uuupry
This Cenflode Is executed In the City of Irvine, California, this 4th day of April 2017 �41 AND bpd"1 OkPA N0
. j'gJF' oeP°ItgjF,V°� �:iJ i6ffF. &irr L'Y.,
By: 6 _" € 1936tl !�
Cessee rnemrd, Assistant de Lary •o�,, p,,? 4-
'•.,�-l�+q,
ATS -1002 (02117)
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 San Bernardino
On April 4, 2017 before me, Andrea Scarbrough, Notary Public
(insert name and title of the officer)
personally appeared Brenton Gentry
who proved to me on the basis of satisfactory evidence to be the person(j)-whose name(*is/a4
subscribed to the within instrument and acknowledged to me that he/04iadhi4 executed the same in
his/hWAhiatt authorized capacity(*i§,), and that by hisAN;qtWr signatureks) on the instrument the
person($), 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.
WITNESS my hand and official seal.
Signature
(Seal)
ANDUGH
No
Public • G111fornia
:1a 9ernlydino County =
OaminU�loe * 219,283
is , m ne F1aar zozo
CITY OF SANTA ANA.
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
LIST OF SUB -CONTRACTORS
Section 4100 et. seq. of the Public Contract Code requires listing of all subcontractors with the bid for all
subcontract work exceeding the following amount:
o Streets, highways including bridge projects: Y2% of the bid or $10,000, whichever is greater
o Buildings, parks, or other projects: !40/o of the bid
Section 1725.5 of the Public Contract Code requires all Subcontractors be registered with the State
Department of Industrial Relations (DIR).
BIDDER proposes to subcontract certain portions of the work to the firms listed below:
Name
License
DIR Reg
Location
Phone
Type Of
Amount
Name
License #/Exp.
DIR Reg.#/Exp.
License #
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License #
Location
Phone
Type Of Work
Amount $
-7 A ✓" t
Signature of Bidder
Name
License #/Exp.
DIR Reg.#/Exp.
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License #
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License#
Location
Phone
Type Of Work
Amount $
P-8 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
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.
I. (� CU C Fonicm a ' �,> S"
Name an, Address of Owner.
cz , e c 2 1-3It!`7 '
Name and Teleplione Number of person familiar with project.
4-4// 3 r p 'At',wokic i mpinv�t - m,") S�,n OLD 1�n
Contract Amount Type of WorT' k -- Date Completed
z. CjAu Q13cAAwi'Y) AMY N'-103 RILL, Wda1Jwip Lark
Name a d Address of owner.
) (A m Lk1)1" @ V i 1 (O aC lc ) "" u i 12>- J 1/11) 'J
Name and Telephone Number of person familiar with project.
�P'� • � Ulla
Contract Amount Type of Work Date Completed
3. C ku o�yiUh�'ckcc\r ben�ty Si- . \A 'c(atr C.N `J 1�3
Name an4 Address of owner.
Name and Telephone Nun
SI - l') iewl
Contract Amount
Its°��"tea ..o)1`1N
of person familiar with project.
(�1leu �Z�halail�lin��'��c�'
Type of Work
1�ecetIa e —0t
�^ 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. /IL -id
OI1i��'rCtc�l 1Ye,- C. ! 2 t 1 S -E OyAkloktl CA
Q,2mni nuo Or, , W
2, P«1 -H hoc ;ns x1�2Z1 �►qq %ci A 1 eS 1 '
P-9 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 1.5-6836
RESIDENTIAL STREET REPAIR PROGRAM
ADDITIONAL REFERENCES
The following are the names, addresses, and telephone numbers for THREE public agencies for
which the BIDDER or Subcontractor has performed similar work in the past five years.
2.
3.
Named Telohonc Number of person familiar with project.
Contract Amount Type of Work Dae Completed
Name and Address of owner. "
7)-7 A -t:),.._.2 _ �� Lf n � (, � � t fel tai - Iq i
L famNar with project.
Type of Work -- Dade Completed
Name ar d Address of owner.
7ti nn t 1 e Z ' Ci 13
Name and Telephone Number of person familiar with project.
1W SSC LI 3 y�L6 5h ( gtL, L__ \ L.2. -
Contract Amount Type dfVork 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.
P-10 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and. Public Contract Code Section 7106)
In conformance 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 other 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. BIDDERS are
cautioned that making a false certification may subject the certifier to criminal
prosecution.
State of Calorma
County I mQyA Vj -b
Subscribed and savor to (or affirmed) before me on this _q day of , 20%7 by
t?.'1 "} proved to me on the basis of satisfactory evidence to be the
person(s) who appeared efore me
( otat G
Pub ic �Sigrature Notary Public Seal /
P-11 of P-16
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 San Bernardino
On April 4, 2017 before me, Andrea Scarbrough, Notary Public
(insert name and title of the officer)
personally appeared Brenton Gentry
who proved to me on the basis of satisfactory evidence to be the person(, whose name(6is/p e
subscribed to the within instrument and acknowledged to me that helms/thy executed the same in
his/her/tlW authorized capacity&ice), and that by his/hoffNgSr signature4) on the instrument the
personal, or the entity upon behalf of which the person(g) 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. �OA CAt 21 H
NoWy.Pr01No • OmlNornlo
Sun 8"Mr0lno County
/Commfewlon N 21442®,
@ 'f ) M Oamm, ff Ire 2122
Signaturei�y�l o r (Seal) 11
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
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.
3. The Contractor shall send to each labor union or representative of workers with which he/she
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor union or workers' representatives of the Contractor's
commitments under this section, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
4. The Contractor shall comply with all provisions of Executive Order 1.1.246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
5. The Contractor shall furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his/her books, records, and accounts by the
administering agency and the Secretary of Labor for purposes of investigation, to ascertain
compliance with such rules, regulations, and orders.
6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, the contract may be canceled,
terminated, or suspended in whole or in part and the Contractor may be declared ineligible
for further Government contracts or federally assisted construction contracts in accordance
with procedures authorized in Execution Order 11246 of September 24, 1965,.and such other
sanctions may be imposed and remedies invoked as provided in Executive Order 11.246 of
September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as
otherwise provided by law.
P-12 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17.7522 AND 15.6836
RESIDENTIAL STREET REPAIR PROGRAM
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 works violating this Section is subject to all the penalties imposed for a
violation of the Chapter.
Signed: 2`t ,7 Lai (11---
Title:
11-..--Title: (Lp.S7Clil"�
Firm:�t{�2ra�l�G11�12Y1YL�1 1(1(�e
Date: q Il�
P-13 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
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 tinder the apprenticeship standards for the employment and training of apprentices
in the area or industry affected,
2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the
apprenticeship standards.
3. Contribute to the fund or funds in each craft or trade in which he/she employs journeymen or
apprentices on the public work, in the same amount or upon the same basis and in the sarne
manner as the other contractors, except contractors not signatory to the trust agreement shall
pay a like amount to the California Apprenticeship Council.
Signed:
Title:e
Firm:p��\1'4
Date:
P-14 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 1.7-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
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 construction or repair of public work, to give up any part of the compensation to
which he/she is otherwise entitled.
Signed: Z
Title:
Firm:
Date: Y qjl j
P-1.5 of P-16
CITY OF SANTA ANA
PROPOSAL
PRWECT NO.: 17-7522 AND 15-6836
RESIDENTIAL STREET REPAIR PROGRAM
PUBLIC CONTRACT CODE SECTION 10162 QUESTIONNAIRE
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
If the answer is yes, explain the circumstances in the following space,
P-16 of P-16
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EXHIBIT I
City of Santa Ana
Section 3 Contract Clause
These Clauses are to be inserted in all contracts
A. The work to be performed under this contract number 7iLc by and between the City of
Santa Ana, hereinafter referred to as "City" and he 4 V n„ �, hereinafter referred to as
"Contractor", is subject to the requirements of Sect en ri of the Housin and Ur an Development Act of 1968, as
amended 12 U.S.C, 170lu (section 3). The purpose of Section 3 is to ensure that employment and other
economic opportunities generated HUD assistance or HUD -assisted projects covered by Section 3, shall, to the
greatest extent feasible, be directed to low -and very low-income persons.
B. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement
Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are under
no contractual or other constraint that would prevent them from complying with the Part 135 regulations.
C. The contractor agrees to send to each labor organization or representative of workers with which the Contractor
has an agreement or other understanding, if any, a notice advising the labor organization or workers'
representative of the Contractor's commitments under this Section 3 clause, and will post copies of the notice in
conspicuous places at the work site where both employees and applicants for training and employment, positions
can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number and job
titles subject to hire, availability of apprenticeship and training positions, the qualifications for each; and the
name and location of the person(s) taking applications for each of the positions; and the anticipated date the work
shall begin.
D. The Contractor agrees to include a Section 3 clause in every subcontract subject to compliance with regulations
in 24 CFR Part 135, and agrees to take appropriate action, upon a finding that the subcontractor is in violation of
the regulations in 24 CFR part 135. The Contractor will not subcontract with any subcontractor where the
Contractor has notice or knowledge that the subcontractor has been found in violation of the regulations in 24
CFR Part 1.35.
E. The Contractor will certify that any vacant employment positions, including training positions, that are filled (1)
after the Contractor is selected but before the contract is executed, and (2) with persons other than those to
whom the regulations of 24 CFR part 135 require employment opportunities to be directed, were not to
circumvent the Contractor's obligations under 24 CFR part 135.
F. Noncompliance with regulations in 24 CPR Part 135 may result in sanctions, termination of this contract for
default, and debarment or suspension from future IIUD assisted projects.
The Contractor by this signature affixed hereto declares under penalty of perjury: Contractor has read City
requirements and accepts all its requirements contained therein for all of his/her operations within the City of Santa
Ana.
Signature of Contractor Print Name and ThW Date
W�l- A 53(05-3OW1
Contractor License Number & Designation Federal DUNS Number
EXHIBIT 2
City of Santa Ana
Section 3 New Hire Calculation Form
Project Name: p-, 14w*1 Jtyx' Lrty-- ! rz,�Sa—v�
Project Location:
Contractor Name:
CA -
Street City State
Contractor Contact: 5r���v a ��
Contractor Telephone Number: Ll 661) ^'S,30- dr - 6`) I i 1- 5-;L�3
Contractor Email Address:
Total number of Section 3 resident new hires necessary to comply with contract: 2
-a�,- 3/3-1/4
Signature of Contractor Date
EXHIBIT 8
Contractor's Section 3
Affirmative Action Plan
Project Number and Title
The undersigned contractor agrees to implement the following affirmative action steps directed at increasing the
utilization of lower income residents and business concerns located within the County of Orange.
1. Take affirmative action to ensure that employees or applicants for employment or training are not
discriminated against because of race, color, religion, sex or national origin.
2. Send a notice of the contractor's Section 3 commitment to each labor organization or representative of
workers and post a copy of the notice at a conspicuous place available to employees and applicants for
employment or training.
3. To the greatest extent feasible, make a good faith effort to recruit for employment or training lower income
residents from the County, and to award contracts to business concerns which are located in or owned in
substantial part by persons residing in the County through use of: local advertising media, signs placed at the
project site and notification to community organizations and public or private institutions operating within or
serving the project area such as Service Employment and Redevelopment (SER), Opportunities
Industrialization Center (OIC), Urban League, Contracted Employment Program, U.S. Employment Service,
Cbamber of Commerce, labor unions, trade associations and business concerns.
4. Maintain a file of all low-income area residents who applied for employment or training either on their own or
on referral from any source, and the action taken with respect to each area resident.
5. Maintain a file of all business concerns located in the County who submitted a bid for work on the project,
and the action taken with respect to each bid.
6. Maintain records, including copies of correspondence, memoranda, etc., which document that affirmative
action steps have been taken,
7. Incorporate the Section 3 clause provisions in all subcontracts, and require subcontractors) to submit a
Section 3 Affirmative Action Plan.
Compari Name Signature of Contractor
"W4 9,6, 0- UPICXIAIw �tiQ1n
Address: Street, City, State, Zip LhYM Printed Name
DUNS Number Title
EXHIBIT 9
City of Santa Ana
Section 3 Contract Award Consideration
Bidder's Name: ysa-AL t1�g, , .1;--.
Please check the numbered statement that is applicable to your business:
1. _ My business qualifies as a Section 3 business concern:
If you have checked statement]� please read the attached Section 3 Business Concern
Preference - Bidding Requirements.
(Please check the applicable qualificationfor statement number 1)
51% owned by Section 3 residents; or
Permanent, full-time employees include at least 30% Section 3 residents; or
Will subcontract more than 25% of the dollar award of all subcontracts to be awarded to
business concerns) that meet either of the two preceding qualifications.
Note: You are required to list all subcontractors and owner -operators in your bid statement.
2. //My business does not qualify as a Section 3 business concern.
Note: Section 3 business concern definitions are located in this project's Contract Documents & Specifications
Manual within the section titled Section 3 Economic Opportunities Plan.
�'
Business
3i
Si nature of Business Owner Date
lcgtl a .
Print Name
EXHIBIT 12
CITY OF SANTA ANA
WOMEN OWNED/MINORITYBUSINESS OWNED ENTERPRISES
(W/MBE) GOOD FAITH EFFORTS
Project Name:
Project Number: i 1: — $ If— YE6 V
®
Project Location: 1 ari7n,,, (tne.v'fim�A,t`7' il,. i;zi, AAA.
Pursuant to 24 CFR Part 85 § 85.36 (e) of Code of Federal Regulations, contractor must take all necessary
affirmative steps to assure that minority business firms, women's business enterprises and labor surplus firms are
used whenever possible.
Contractor shall submit the following information to demonstrate that a goof faith effort has been made to comply
with the above section of the Code of Federal Regulations. Submittal of this form, in and of itself, may not
provide sufficient documentation to demonstrate that goof faith effort was made, Documentation such as
copies of advertisement, letters of solicitation, telephone logs, rejected quotes, etc. should accompany this
form.
1. The names and dates of advertisement of each newspaper, trade paper, and minority -focus paper in which a
request for W/MBE participation for this proj ect was placed by the bidder:
Names of Newspaper Date of Advertisement
2. The names and dates of written notices sent to W/MBE soliciting bids for this project and methods used for
following up initial solicitation to determine with certainty whether the W/MBE were interested,
Imes of Dates of
Solicited Solicitation
Follow-up Methods
and Dates
3. The items of work which the bidder made available to W/M'BE firms, including, where appropriate, any
breaking down of the contracts into economically feasible units to facilitate W/MBE participation, and the
information furnished to W/MBB such as plans, specifications, and requirements for the work.
Items of Work:
Breakdown of Items:
Information Furnished: I,�M1Mni' �}C�� art. - eJfiv��/Cnh� �9ti'%ry
F:IDOCSIPROPSVCS\HUDFORMS\MBU59D4AMB - BoclionBBpca DOC
4/5/20V
Annercian Engineering Laboratorlee
American Engtrievering Laboratories, Irw.
Providing Civil and Struclunif Enjivieftil, Gookinl4iiiui a Ceohi ftv!0611, QvISM0100
Impostion, Materials Tossing, and Founisic Soience seivices 10 goveinmontal spocks,
dayelope.m, hivtinitional sliemks onciJintitimai firms With development nnpds it, Souinem ciilffooliii.
American 15,nginesidnp i nboniturles, is a ininotity owned, Small Elusive zweiini'le, Ofhooa
tluoughoud Sotithoin Cailfongi, provide Bomve to, thi, Cuistal, Vii[joy, Inlano L,mptmi and Hlgll
Duvien Regic's, thinmaintain on, owin iabardloeq fladiffev 9011 dlfflclyvOntid mr min Reld tcsvre}
and
Quinitions or ninid a quo* CAR us! (562) 6974000 or at (888) 287-08M
t A,",, F'111¢a1.4,il in; 204
CONTACT
hilix./twww.w1inspector.cornt 1/1
'.. 4/5/2017 Gmail - AEL Fee Schedules for (Residential Street Repair Program)
MLGMall Brenton Gentry <gentrygenerat@gmall.com>
AEL Fee Schedules for (Residential Street Repair Program)
1 message
Laura@aelinspector.com <laura@aelinspectorcom> Wed, Apr 5, 2017 at 10:32 AM
To: gentrygeneral@gmail.com
Cc: aida@aelinspector.com, laura@aelinspectorcom, zack@aelinspector.com
Hi Robert,
American Engineering Laboratories (AEL) is pleased to submit our Fee Schedule for Prevailing Wage for the Residential
Street Repair Program project. Please note affective 07/01117 the rate will go up by $2,00. Please feel free to contact us
If you have questions. We may be reached at (562) 6974000. We thank you for this opportunity of working with you.
Thank you,.
IlR1T1'F.f-F�iLT.7
205 W. La Habra blvd I La Habra, CA 90631
Toll Free (868)287-0875 l Office (562)697-4000
Fax (562)697-4009
Laura@aelinspectorcom i www.AELinspectorcorn
2 attachments
Fee Schedule Proposal _Prevailing Wage 2017.pdf
90K
Fee Schedule Proposal _Prevailing Wage 2017.pdf
90K
https:llmail.google.com/meil(W0/?ui=2&ik=5Oe69O5ce3&view=pt&search=inbo&th=l5b3f2cfc5aab7OO&siml=15b3f2ofo5aab700 111
JaPrevailing Wage and Fee Schedule 2017
American Engineering Laboratories, Inc.
MATERIALS TESTING AND INSPECRTION SERVICES
Geotechnical Engineer
$
120.00
Hour
Engineering Geologist
$
120.00
Hour
Civil Engineer
$
115.00
Hour
Submittal Review, Civil
$
100.00
Each
SoiiTechnician
$
82.50
Hour
Inspector ICC (concrete/masonry/fireproofing)
$
82.50
Hour
Batch Plant inspector
$
82.50
Hour
ACI Concrete Technician
$
82.50
Hour
Shop Welding Fabrication Inspection (AWS/CWI)
$
82.50
Hour
Field Welding Inspection (AWS/CWI)
$
82.50
Hour
Ultrasonic Testing Technician (UT)
$
84.50
Hour
Non Destructive Testing Technician(NDT)
$
84.50
Hour
Sample Coring Technician
$
82.50
Hour
Concrete Coring
$
155.00
Hour
Concrete/Masonry Coring Travel (2 -man crew)
$
100.00
Hour
Technician & Rebound Hammer
$
82.50
Hour
Ground Penetrating Radar (GPR)
$
125.00
4&8
X -Ray (Film Sheets Not Included)
Quote
Sample Pick -Up
$
65.00
Trip
Secretarial, File Search
No Charge
PRICE
Compressive Strength Specimen, 6 x 12 Cylinder
$
18.00
Each
Compressive Strength Specimen, 4 x 8 Cylinder
$
18.00
Each
Strength, Concrete Core (Does not include sample preparation, if required)
$
35.00
Each
Concrete Trial Mix
$
280.00
Each
Molding, Curing & Testing (per specimen)
$
50.00
Each
Mix Design Review & Certification
$
150.00
Each
Dry Unit Weight (Light Weight Concrete)
$
50.00
Each
MASONRY
Mortar Compressive Strength
$
35.00
Each
Grout Compressive Strength
$
35.00
Each
Specimen Preparation, If Required
$
35.00
Each
Masonry Core, Compressive Strength
$
50.00
Each
Masonry Core, Shear Test
$
45.00
Each
Masonry Assembled Prisms - up to 8 x16
$
95.00
Each
ITEM
UNIT PRICE
U/M
Masonry Core, Preparation, If Required
$
35.00
Each
Unit Moisture Content & Absorption (3)
$
130.00
Each
Unit Weight & Measurements
$
60.00
Each
Mortar Mix Design (Excludes Aggregate Tests)
$
100.00
Each
Grout Mix Desing (Excludes Aggregae Tests)
$
100.00
Each
REINFORCED STEEL- WELDED OR COUPLED SPECIMENS
Slippage & Tensile Test (Caltrans 52-108C)
$
125.00
Each
Tensile Test: Mechanical Splice#11 & Smaller
$
85.00
Each
Tensile Test: Mechanical Splice #14
$
100.00
Each
Tensile Test: Mechanical Splice #18
$
115.00
Each
Tensile Test: Welded #11 & Smaller
$
40.00
Each
Tensile Test: Welded#14
$
95.00
Each
Tensile Test: Welded #18
$
100.00
Each
Weld: Macrotech
$
70.00
Each
REINFORCED STEEL -ASTM A615
Tensile/Bend Test #11 and Smaller
$
60.00
Each
Tensile/Bend Test Larger Than #11
$
90:00
Each
High Strength Bolt, Nut & Washer A325 (conformance test)
$
125.00
Each
High Strength Bolt, Nut & Washer A490 (conformance test)
$
125.00
Each
Sampling & Tagging
$
40.00
Hour
Mechnical Coupler Slip Test
$
125.00
Each
AGGREGATES
Sieve Analysis, Coarse
$
160.00
Each
Sieve Analysis, Fine & Wash
$
135.00
Each
Specific Gravity& Absorption - Fine
$
80.00
Each
Specific Gravity & Absorption - Coarse
$
100.00
Each
Unit Weight - Per Cubic Feet
$
70.00
Each
Abrasion Resistance
Quote
Sodium Sulfate Soundness
Quote
Cleanliness Value- Material Finer Than 75 Micros
$
125.00
Each
Durability Index
$
125.00
Each
Lightweight Pieces
$
110.00
Each
Fiat & Elongated Pieces
$
165.00
Each
Moisture Content
$
35.00
Each
Potential Reactivity, Chemical
Quote
ASPHALTIC CONCRETE
Asphaltic Content & Gradation
$
175.00
Each
Marshall Resistance to Plastic Flow
$
160.00
Each
Marshall Maximum Density
$
150.00
Each
BulkS.P.G. of Compacted Specimens, Cores
$
50.00
Each
Marshall Mix Design
Quote
/•cL
tPrevailing Wage and Fee Schedule 2017
Sieve. Analysis, Coarse & Fine Combined 0136 $ 55.00 Each
Sieve Analysis, Fine & Wash C117 $ 55.00 Each
Visual Classification D2488 $ 35.00 Each
Ring (In Situ) Density ASCE $ 40,00 Each
Moisture Content D2216 $ 35.00 Each
Plasticity Index D4318 $ 85.00 Each
Sand Equivalent D2419 $ 75.00 Each
Potential Expansion UBC $ 110.00 Each
Consolidation Test, One Dimensional D2345 $ 215.00 Each
Direct Shear, Three Point D3080 $ 250.00 Each
"R" Value D2844 $ :275.00 Each
Sample Preparation $ 35.00 Each
Foundation Investigation CBC -1804 Contract
OVERTIME
Please Note: overtime will billed at the following rate.
Monday - Friday 11/2, (after 8 hours) x Above Rates
Saturdays 11/2 (and 2X after 12 hours) x Above Rates
Sundays 2 x Above Rates
Holidays 3 x Above Rates
Mimimurn Hours:
Hourly Minimum Charges for inspectors and Technicians: Two-hour minimum show -up charge if no worlds
performed, then four-hour minimum charge for work up to four hours. Work in excess of four hours will incur
actual hour charges. This estimate has been prepared for the GENERAL PREVAILING WAGE DETERMINATION MADE
BY THE DIRECTOR OF INDUSTRIAL RELATIONS PURSUANT TO CALIFORNIA LABOR CODE PART 7, CHAPTER 1,
ARTICLE 2, SECTIONS 1770, 1773 AND 1773.1. DETERMINATION: SC -23-63-2-2014-2D.
LosAngeiacounty
NOne Gateway Plaza
Q Metropolitan Trnnsortxtian Authority ias Angeles, Cf
MetrO CALIFORNUMED
r�iz-zg5x
CERTIFICATION
PROGRAM
Feburary 3, 2016
Eduardo Anaye
JLE Broker,: Inc. DBA Anaya's Trucking
11840 5, Woodruff Ave
Downey, California 90211
RE: Disadvantaged Business Enterprise Certification
Dear Mr. Anaya<
a.g92x,aooa "rcl
n�etrn.riat
CUCP #42568
Motm File # 6778
We are pleased to advise you that after careful review of your application and supporting documentation, the Loss
Angeles County Metropolitan Transportation Authority (Matto) has, determined that your firm meets the eligibility
standards to be certified as a Disadvantaged Business Enterprise (DBE) as required under the U.S. Department
of Transportation (U.S. DOT) Regulation 49 GFR Pari 26, as amended. This Certification will be recognized by all
of tine U.S. DOT recipients in California Your firm will be listed to the California Unified Certification Program
(GULP) database of certified DBEs under the following specific areas of expertise that you have Identified on the
NAiCS codes form of the application package:
NAiCS (2007
Description
484220
Specialized FrzirLht exca t Used Goods) Trucking. L 7cal
484110
-�oneralFrr tittrucidng,Loaal _
Your DBE certificationappliesonly for the above codes. You may review your firm's information in they CUCP DBE
database which can be accessed at the CUCP's website at mM .oaiifomiauco:orp. Any additions and revisions
must be submitted to Metro for review and approval.
In order to ensure your continued DBE status, you are required to submit an annual No Change Declaration Form
(which will be sent to you) along with supporting documentation. if no changes are noted, then your DBE status
remains current if there are changes, Metro will review to determine continued DBE eligibility. Please note, your
DBE status remains in effect unless Metro notifies you otherwise.
Should any changes occur that could affect your certification status prior to receipt of the No Change Declaration
Form, such as changes in your firm's name, business/mailing address, ownership, management. or control, or
failure to meet the applicubte business size wtandards or persons[ net worth standard, please notify Metra
immediately. Failure to submit forms and/or change of information will be deemed a failure to cooperate under
Section 26.109 of the Regulations.
Metro reserves the right to withdrew this certification If at any time it Is determined that it was knowingly obtained
by false, misleading, or incorrect information. Your DBE certification is subject to review at any time. The firm
thereby consents to the examination, of its books, records and documents by Metro:
Congratulations; and thank you for your interest in the DBE program. Shouid you have any questions, please
contact us at 219.922-2600. for information on Metro contracting opportunities, please visit our website at
www.matro.nat:
Sincerely,
��
Mar' n White
Certification Consultant- HSW Services
Diversity & Economic Opportunity Department
1", X t.,a,., 11...,,..,r > n
ti,n�Yl Pysu,�ty (;&xi�icntiun Unit
'thn! Gnmwmp ('kzm, Matt Snry+fkra;-a, ta, Tnpales, Gh tlUElitt-•1an5f -tzu
i4v ffE!t-OR�t �4ltxt PuM. Ylfi)0S-iGSfli
EXHIBIT 12 (cont.)
4. Efforts made to assist W/MBE in obtaining bonding, lines of credit or insurance, and any technical assistance
related to the plans, specifications and requirements for the work which was provided to W/MBE:
S. Any additional data to support a demonstration of good faith effort, such as contracts with W/MBE assistance
agencies:
I declare under penalty ofperjury that the foregoing information is true and correct to the best of my knowledge. 1
understand that the City afSanta Ana and/or the U.S. Department of Housing and Urban Development may verify
the information provided herein in connection with WIMBE compliance evaluation✓audit activities and that failure
to fully and truthfully complete this form may result in economic or other sanctions.
Signature:
Name: F
Title: reb
Date: j -q--
Name of Contractor/Subcontractor:
Contractor/Subcontractor Identification
Number:
9 -7 � � ..-1
Address (Street, City, State, Zip):
^1
5 U `u '916,
Business Racial/Ethnic/Gender Code:
Circle the numeric code which indicates the racial/ethnic/gender character of the owner(s) and controller(s) of 51%
of the business. When 51% or more is not owned and controlled by any single racial/ethnicity/gender category,
circle the code which seems most appropriate.
l(� White Americans
2 = Black Americans
3 =Native Americans
Woman Owned Business:
Circle One:
Xes� or
F9o0 R0MVC$%H DF0RM9\MBU5904AMH
4 = Hispanic Americans
5 = Asian/Pacific Americans
6 = Hasidic Jews
®'
9ecllon38poce.000
EXHIBIT 15
NONCOLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and
Public Contract Code Section 7106)
To the City of d kA—
DEPARTMENT OF PUBLIC WORKS`
In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106, the bidder declares
that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company,
association, organization, or corporation; that the bid is genuine and not collusive or sham; that the bidder has not
directly or indirectly induced or solicited any other bidder to put in a false or sham bid, and has not directly or
indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or that
anyone shall refrain from bidding; that the bidder has not in any manner, directly or indirectly, sought by
agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to
fix any overhead, profit, or cost element of the bid price, or of that of any other bidder, or to secure any advantage
against the public body awarding the contract of anyone interested in the proposed contract; that all statements
contained in the bid are true; and, further, that the bidder has not, directly or indirectly, submitted his or her bid
price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid,
and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to
any member or agent thereof to effectuate a collusive or sham bid.
Name of Con etor
Address 1
Signature and Title
Date
F.IDOCS\PROPSVCS\HUDFORMS\MBU5B09AMS - 8.011on$Spocp.DOC
EXHIBIT 16
FEDERAL LOBBYIST REQUIREMENTS CERTIFICATION
Name of Firm:
Address:
State:/fK Zip Code:
fN 113 1) Telephone:
ql &=n 14
Acting on behalf of the above-named firm as its Authorized Official, I make the following Certification to the
Department of Housing and Urban Development (HUD) and the Community Development Commission, County of
Los Angeles:
1) No Federal appropriated funds have been paid, by or on behalf of the above-named firm to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with the
awarding of any Federal contract, the making of any Federal grant, loan, or cooperative agreement, and any
extension, continuation, renewal, amendment, or modification thereof; and
2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee or any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal
contract, grant, Joan, or cooperative agreement, the above-named firm shall complete and submit Standard
Form—LLL, "Disclosure Form to Report Lobbying" in accordance with its instructions; and
3) The above-named firm shall require that the language of this certification be included in the award
documents for all sub -awards at all tiers (including subcontracts, sub -grants, and contracts under grants,
loans, and cooperative agreements) and that all sub -recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into the transaction
imposed by Section 1352 Title 31 U.S. Code. Any person who fails to file the required certification shall be subject
to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
Authorized Official:
Name: y7^^`, ' ""1 Title:
j7 lJ� r
Signature: `y`lv r '"-^'--- Date:
SectlanBpecs.DOC
cl)
�
\
2
Project Name;
EXHIBIT 1.7
CERTIFICATION OF UNDERSTANDING
AND AUTHORIZATION
. t 51 le '
Project Number; - J____
This is to certify that the principals acrd, the authorized payroll officer, below, have read and understand the labor
standards clauses pertaining tothe subject project.
The -ollowing person(s) is designated as the payroll officer for the undersigned and is aut'borized, to sign the
Statement of Compliance, whirdr will accompany our weekly certified payroll reports for this project:
Payroll Officer's Name
Payroil Ufticer', Ugraature
Contractor% ubcotitra„ ac tcr�(
by r
Signatme
Printed Name
�re....h�z�ern-�"
Title
Lute
__n 799--
--Contractor/Subcontractor license No.
DUNS Number
:rooca�autr�sucs�wunrowVrsrmaussonne+e-smaionss„a�s.onc
THE FINAL PREMIUM IS
PREDICATED ON THE
FINAL CONTRACT PRICE
CITY OF SANTA ANA
BONDS
PROJECT NO.: 17-7522 and 15-6836
PAYMENTBOND
Bond No, 381761P
Premium: See
Performance Bond
KNOW ALL MEN BY THESE PRESENTS that Gentry General Engineering, Inc.
as CONTRACTOR, and Develooers Surety and Indemnity Company
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of Five Hundred Sixty Eight Thousand Three
Hundred and 00/100 Dollars
($ 568,300.00 ), 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
June 20, 2017 for Residential Street Repair Program
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 terms of the contract documents shall not in any
way release either CONTRACTOR or SURETY, and notice of said alterations is hereby waived
by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
10th__ day of July 2017 .
9277 Archibald Avenue
CONTRACTOR* Gentry General Engineering, Inc. Rancho Cucamonga, CA 91730 (909) 330-1128
500 S. Kraemer Blvd., Suite 300
SURETY* Developers Surety and Indemnity Company Brea CA 92821 (714) 784-5660
Dwight Reilly, Attorney -in -Fact, 1411 N. Batavia St., Suite 201, Orange, CA 92867 (714) 516-1232
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 $ See Performance Bond per thousand.
Total amount of premium charge is $ See 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.
2 of 3
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 July 10, 2017 before me, Susan Pugh, Notary Public
(insert name and title of the officer)
personally appeared Dwight Reilly _
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
SUSAN FUUH
��\- COMM #2105805 m
k`` lr Notary Pubhr-California �
'"' pn'tt/ ORANOF COUNTY u
,\ �/ My Cmnm. ExpiresAPr29, 2019
Signature (Seal)
Susan Puah I1
Bond No. 381761P
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINE, CA 92623 (949) 263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
***Shaunna Rozelle Ostrom, Michael Castaneda, Dwight Reilly, Daniel Huckabay, Arturo Ayala, jointly or severally***
as their true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, far and on behalf of said corporations, as sureties, bonds, undertakings and contracts of
suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as
each of said corporations could do, but reserving to each of said corporafions full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuantto these
presents, are hereby ratified and confirmed,
This Power ofAftorney is granted and is signed byfacsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1st, 2008,
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the
corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers 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 shall be valid and binding upon the corporafions when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this 6th day of February, 2017.
.4 A ✓
() {� ,•I •111111111•I,
By <." "".C3'rd•+^" Iry ANo7No OYpPANYp..
Daniel Young, Senior ice -President i"— ;y��oMo2�roF�2?-,kA1'vagrt
1936.6
's o:. 4o;
BY : 's, �.,+� �9LrFoav'�cya .'rX1,aQZA`�
Mark Lansdon, Vice -President dp••*••'hP ,.
Halo $
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 6 2017 before me, Lucille Raymond Notary Public
Date Here Insert Name and Titib of Ne ORioer
personally appeared Daniel Young and Mark Lansdon
Names) of elgnegs)
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 helshellhey executed the same in hismarltheir authorized
capacry(ies), and that by hislhedtheir signature(s) on the instrument the person(s), or the entity upon behalf of
LUCILLE RAYMOND which the person(s) acted, executed the instrument.
Commission #f 2001915
_ Notary Public - California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
Orange County I true and correct.
My Comm. Expires Oct 13 2018
WITNESS my hand and official seal ..,
Place Notary Seal Above Signature
Lucill yond, Notary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
said corporafions set forth in the Power ofAllorney are in force as of the date of this Certificate.
This Certificate is executed in the City of Irvine, California, this loth day of July 2017(AND,
gkt�t'ANytt
roP''�oPPOlrgTe F� 4x.�r� �BUt}gT,.
BY a1� � x' L a wr 1936<: a T a
Cassie J «isford, Assistant Se tory 's of o
c...bgLfFOR�p D'Pd7F4$i'�"Y4
,•••� ......oc`•
ATS -1002 (02/17) "•„••*III,,,•• - Ar
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 San Bernardino
On July 10, 2017 before me, Andrea Scarbrough
(insert name and title of the officer)
personally appeared Brenton Gentry
who proved to me on the basis of satisfactory evidence to be the person(t') whose name(o) is/per
subscribed to the within instrument and acknowledged to me that he/s/'ey executed the same in
his/IJV6tp�'r7i authorized capacity, and that by his/1560*air signature(ft) on the instrument the
person(*, or the entity upon behalf of which the person(49) 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.
Sig
(Seal)
FCA- pU,H
otaryPublic�N
California t
® San Bernardino County
Commission N 2144293
M Comm. Expires fab 27.2020
s,�,��ir< ..
�.;:_
..lc +r,
,.
THE FINAL PREMIUM IS CITY OF SANTA ANA Bond No. 381761P
PREDICATED ON THE BONDS Premium: $7,794.00
FINAL CONTRACT PRICE PROJECT NO.: 17-7522 and 15-6836
KNOW ALL MEN BY THESE PRESENTS that Gentry General Engineering, Inc.
as CONTRACTOR, and Developers Surety and Indemnity Company
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of Five Hundred Sixty Eight Thousand Three
Hundred and 00/100 Dollars
($ 568.300.00 1, 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
June 20, 2017 for Residential Street Repair Program ,
if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work
of Improvement to be done under said Contract Agreement in the manner and time specified
therein, then this obligation shall be null and void, otherwise it shall remain in full force and
effect in favor of AGENCY; provided that any alterations in the obligations or time for
completion made pursuant to the terms of the contract documents shall not in any way release
either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by
SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
;_0th _ day of Julv 2017 .
9277 Archibald Avenue
CONTRACTOR* RACTOR* Gentry General Engineering, Inc. Rancho Cucamonga CA 91730 (909) 330-1128
500 S. Kraemer Blvd., Suite 300
SURETY* Developers Surety and Indemnity Company Brea CA 92821 (714) 784-5660
Dwig t Reilly, Attorney -in -Fact, 1411 N. Batavia St., Suite 201, Orange, CA 92867 (714) 516-1232
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 $14.40 / $8.70 per thousand.
Total amount of premium charge is $ 7.794.00 . 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.
1 of 3
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 On
On July 10, 2017 before me, Susan Pugh, Notary Public
(insert name and title of the officer)
personally appeared Dwight Reilly ,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
SUSAN PUGH
COMM 42105405 n
s3f Nctry Pudic Califlrnia a
% ORANGE COUNTY I
?
t s
�-"- /.'7O�/)
minC ni
.✓M1CoApr29, 20191
Signature �.. ..�c"
(Seal)
Bond No. 381761P
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725, IRVINE, CA92623 (949) 263-3300
KNOWALL BY THESE PRESENTS that except as expressly limited, DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, do each
hereby make, constitute and appoint:
***Shaunna Rozelle Ostrom, Michael Costaneda, Dwight Reilly, Daniel Huckabay, Arturo Ayala, jointly or severally***
as their true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations, as sureties, bonds, undertakings and contracts of
suretyship giving and granting unto said Attorney(s)-in-Fact full power and authority to do and to perform every act necessary, requisite or proper to be done in connection therewith as
each of said corporations could do, but reserving to each of said corporations full power of substitution and revocation, and all of the acts of said Attorney(s)-in-Fact, pursuant to these
presents, are hereby ratified and confirmed.
This Power of Attorney is granted and Is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA, effective as of January 1 at, 2008.
RESOLVED, that a combination of any two of the Chairman of the Board, the President, Executive Vice -President, Senior Vice -President or any Vice President of the
corporations be, and that each of them hereby is, authorized to execute this Power of Attorney, qualifying the attorney(s) named in the Power of Attorney to execute, on behalf of the
corporations, bonds, undertakings and contracts of suretyship; and that the Secretary or any Assistant Secretary of either of the corporations be, and each of them hereby is, authorized
to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relafmg thereto by facsimile, and any such
Power of Attorney or certificate bearing such facsimile signatures shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond, undertaking
or contract of suretyship to which it is attached
IN WITNESS WHEREOF, DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this 6th day of February, 2017.
p
Daniel Young, Senior Vice -President � yJQ:��oPv°RarFaFy2?" a,T' ybxnP4ayy
1936
Y a`: n e f"uG'a" 5 xu
sexy°
Mark Lansdon, Vice -President p ••*••'tv��•` 'TCtA0y1t'
'h,p,u,•noa• Yk
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 6, 2017 before me, Lucille Ravmond Notary Public
Date Here W.0 Name and Titl. dthe Oftel
personally appeared ._ Daniel Younq and Mark Landon
N=.(.).f Sig,A(s)
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in hisfi er/their authorized
ylAN which the pe, and that to , executed t signature(s) on the instrument the person(s), or the entity upon behalf of
LUCILLo RAYMOND which the person(s) acted, executed the Instrument.
Commission 120819/5
OMY
Notary Public - California z I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
Orange County true and correct.
Comm, Expires Oct 13 2018
WITNESS my hand and official seal,
�ql
Place Notary Seal Above Signature
Lucill toyil Notary Public
CERTIFICATE
The undersigned, as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA, does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and, furthermore, that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of this Certificate.
This Certificate is executed in the Cit of Irvine, California, this ,,,"'
Y 10th day of July 2017 r tY ANDW''•., gpkf'ANY,Qfi
j� yJ�i��oN'oR4ia'�,F¢i,L : �A�p� i�,F{Yfjq#�G9
�i
By:CassieJ rris(ard, Assistant Se tory i o:. 1936
'. V7 Cq(IFORN\P D . I,n4F+"�
ATS -1002 (02/17) "�0 * ASO•
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 San Bernardino )
On July 10, 2017 before me, Andrea Scarbrough
(insert name and title of the officer)
personally appeared Brenton Gentry
who proved to me on the basis of satisfactory evidence to be the personA whose name(* is/
subscribed to the within instrument and acknowledged to me that he/o /b ey executed the same in
hislhdir/t W authorized capacity(y&�), and that by his/I)er/tI%& signature(g) on the instrument the
person(p% or the entity upon behalf of which the person(y 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.
REA SCARBROUBH
WITNESS my hand and official seal. y Public California
E<7
Bernardino County
mlation # 2144285
. Ex Iraa Feb 27, 2020
Signatur ����vsid (Seal)