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FODDRILL CONSTRUCTION CORPORATION
Recording Requested By, And When Recorded Mail To: Recorded in Official Records, Orange County Cleric of the Council, City of Santa Ana Hugh Nguyen, Clerk-Recorder 20 Civic Center Plaza,P.O. Box 1988 I`I I �IIII III{�JIJJ IIIII IIIIOII1I III III 1�Santa Ana,CA 92702 I1IIIIII I o F E E * $ R 0 0 0 9 3 2017000269731 10:54 am 06/29117 217 416 'N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 r 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 a construction of NEW SECURITY LIGHTING AT EIGHT PARKS under contract entered into on September 6, 2016, with FODDRILL CONSTRUCTION CORPORATION, on which w contract NATIONWIDE MUTUAL INSURANCE COMPANY is surety. The property on which mo such work improvement was placed is in the City of Santa Ana, County of Orange, State of c California, and described as Project No. 16-2665 located at the following parks: JACK FISHER, w BOMO KORAL, MADISON, SANTA ANITA, SANIAGO, WINDSOR, LILLIE KING, and A � o HERITAGE PARKS. The work improvement on said property was accepted as completed on r;n 'o June 23, 2017. wo z z CITY T A, A MUNICIPAL CORPORATION Dated. Principi Civil En weer--Tyrone Chesanck TITLE VERIFICATION 1, the undersigned, say: I am the City Engineer - Edwin "William" Galvez of the City of Santa Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of the property therein described; I make this verification on behalf of said corporation by authorization of the City Council of the City of Santa Ana; I have read said notice and know the contents thereof; and I declare under penalty of perjury that the facts therein stated are true. Executed o '2et17 , at Santa Ana, Cal' (Signature of indiv' ual swearing that the contents of Notice of Completion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)DAYS AFTER COMPLETION I THE REGISTER Thor space for filing stamp only 625N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796-7000 I Fax (714) 796-6059 PROOF OF PUBLICATION (2015.5 C.C.P.) Slate of California ) County Of ORANGE )ss Notice Type: BID - NOTICE INVITING BIDS Ad Description: SECURITY LIGHTING -VARIOUS PRKS I am a cltlzen of the United Steles and a resident of the State of California; I am over the age of eighteen years, and not a party to or interested In the above entitled matter, I am the principal clerk of the printer and publisher of the THE REGISTER, a newspaper published In the English language In the city of SANTA ANA, county of ORANGE, and adjudged a newspaper of general circulation as defined by the laws of the State of California by the Superior Court of the County of ORANGE, State of California, under date 11/1911905, Case No. A21046. That the notice, of which the annexed is a printed copy, has been published In each regular and entire Issue of said newspaper and not in any supplement thereof on the following dates, to -wit: 07/12/2016, 07/19/2018 Executed on: 07/1912015 At SANTA ANA,CA I certify (or declare) under penalty of perjury that the foregoing Is true and correct. 4t AV4 Signature II I I I II II II II II I II II I II I II I I I I II * A 0 0 0 0 0 4 1 5 6 7 6 6 CNSiC 2902052 NOTICE INVITING BIDS MAYOR Miguel A. Pulido MAYOR PRO TEM Vicente Sarmiento COUNCIL MEMBERS Angelica Amazcua P. David Benavides Michele Martinez Roman A. Reyna Sal Tinaloro CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza (M-20) P.O. BOX 1988 • Santa Ana, California 92702 (714) 667-2700 - Fax (714) 973-1461 www.aanta-ana.org CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Hulzar NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) 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: Security Lighting Upgrade at various par Date of Approval: 09/06/2016 ProjectNumber(s): PWA-2016-948-CIP Project Location: 1 CityWide (Partial) City: Santa Ana County: Orange ER Number: ER -2016-91 Project Description: Replacement of existing utility system involving no expansion or capacity Applicant Name: Suzi Furjanic, Santa Ana Public Works Agency Applicant Address: City of Santa Ana: 20 Civic Center Plaza M-36 SANTA ANA, CA 92701 Name of Public Agency Approving Project: City Council Name of Person or Agency Carrying Out Project; Furjanic, Suzi Exempt Status: ❑ Ministerial (Sec. 15268) ❑ Declared Emergency (Sec. 15269 (a)) ❑ Emergency Project (Sec. 15269 (b through e)) ❑ General Rule (Sec. 15061(b)(3)/(5)) ❑ Statutory Exemption: 21 Categorical Exemption: 15302b Reasons) Why Project is Exempt From CEQA: This project is an upgrade to existing infrastructure and does not involve increase to capacity. City Contact: Suzi Furjanic Telephone: (714) 571-4241 Signature: %•^ _ Title:*m�+p�j'°`' Date: SANTA ANA CITY COUNCIL Miguel A. Pulido Mayor MPUlld0(gueanta,80agrq Vincente Sarmlento Mayor Pro Tem, Ward 1 Michele Martinez Angelica Amozcua P. David Benavides ! Ward Ward Ward4 MManinezOsanta�ana r A&nozcuaOsanta-ana ora DBenavidesrndsanta-nnaomaRevna(alsanfannaorg;i Roman Reyna aal Tinaloro Ward Ward ioaoroasama-e � I 2017Exhibit 3 GV CITY OF SANTA ANA o PWA/oe) CONSTRUCTION CONTRACT oMM �4L�_"� q PROJECT NO. 16-2665 njrxPll 04 SECURITY LIGHTING AT EIGHT PARKS This CONSTRUCTION CONTRACT is made and entered into this 6th day of September, 2016 , by and between the CITY OF SANTA ANA, CALIFORNIA, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California, hereinafter referred to as "CITY" and Foddrill Construction Corp., hereinafter referred to as "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 Security Lighting at Eight Parks 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. CITY agrees to pay and CONTRACTOR agrees to accept in fall payment to complete the Work of Improvement the sum total amount not to exceed $720,499.33 — Seven Hundred Twenty Thousand Four Hundred Ninety-nine Dollars and Thirty-three cents, as set forth and identified in the BID PROPOSAL, which is attached hereto and incorporated herein as Exhibit "A." Page 1 of 3 CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT NO. 16-2665 SECURITY LIGHTING AT EIGHT PARKS The BID PROPOSAL contains a schedule of unit price(s) or lump sum(s) based on approximate quantities only, and the City does not expressly or by implication agree that the actual amount of work will correspond therewith, but reserves the right to increase or decrease the amount of any class or portion of the work or to omit portions of the work as may be deemed necessary or advisable. 4. CONTRACTOR agrees to complete the Work of Improvement within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing constriction within the timeframe therein specified after issuance of a Notice to Proceed. 5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the Work of Improvement a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful performance of the work (Performance Bond), and one in the amount of One Hundred Percent (100%) of the Contract price to guarantee payment of all claims for labor and materials furnished (Payment Bond). This Contract shall not become effective until such bonds are supplied to and approved by the CITY. 7. CONTRACTOR shall, prior to the release of the performance and payment bonds or the retention 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 $500,000, the Warranty Bond amount shall be the greater of $10,000 or 20% of the final contract price. For projects above $500,000, the Warranty Bond amount shall be the greater of $100,000 or 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 CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT NO. 16-2665 SECURITY LIGHTING AT EIGHT PARKS IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST: CITY OF SANTA ANA: MARIA D. HUIZAR D V1D CAV OS Cynthia J. Kurtz Clerk of the Council City Manager Interim City Manager APPROVED AS TO FORM: RECOMMENDED FOR APPROVAL: SONIA R. CARVALHO City Attorney ose Sandoval red Mousavipour C of Assistant City Attorney Executive Director, Public Works Agency CONTRACTOR: Foddriil¢ll Construction �� �.Corporation By: Com`- &QA-" ` Title: CEO / President Page 3 of 1 CITY OF SANTA ANA PROPOSAL PROJECT NO,: 162665 Exhibit A SECURITY LIGHTING AT (8) PARKS TO: CITY COUNCIL Or THE CITY OF SANTA ANA FROM: Foddrill Construction Corporation 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: Iterrr Description Qty i nit Unit Price Anion rt I NEW SECURITY LIGHTING AT I LS $56,729.76 $ JACK FISHER PARD 56,729.76 2 NEW SECURITY LIGHTING AT 1 LS$ BOMO KORAL PART{ 43,787.30 143,787.30 3 NEW SECURITY LIGHTING AT 1 LS $ 75,252.68 $ 75,252.68 MADISON PARI{. 4 NEW SECURITY LIGHTING AT I LS $ $ SANTA ANITA PARK 52 320.43 52,320.43 5 NEW SECURITY LIGHTING AT 1 LS $ 118,165.85 $ 118,165.85 SANTIAGO PARK 6 NEW SECURITY LIGHTING AT i LS $ $ WINDSOR PARK 42,551.37 42,551.37 7 LIGHT POLE ASSEMBLY* 5* EA $ 4,291.36 $ 21,456.80 8 ADDITIONAL WIRING* 300* LF $ $ 22.50 6,750.00 9 A'DDITION'AL CONDUIT* 300* LF $ $22.50 6,750.00 TOTAL BASE BID $ 523,764.19 P-1 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 Exhibit A SECURITY LIGHTING AT (8) PARKS TOTAL BASE BID 523,764.19 ADD ALTERNATE BID 1: Item Description Qty Unit Unit Price Amount 10 NEW SECURITY LIGATING AT LILLIE KING PARK I LS $ 126,329,40 $ 126,329.40 TOTAL ADD ALTERNATE BID 1 $ 126,329.40 ADD ALTERNATE BID 2 Item Description Qty Unit Unit Price Amount 11 NEW SECURITY LIGHTING AT HERITAGE PARI{ i LS $ 70,405.74 $ 70,405.74 TOTAL ADD ALTERNATE BID2 $ 70,405,74 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 irr 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. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within ONE HUNDRED TWENTY (120) working days after the commencement date stated in the Notice to Proceed. The liquidated damages amount, in 'lieu of the amount specified in Subsection 6-9 of the Standard Specifications, shall be $500 per calendar day. Name of Firm Signature of BI Title President/CEO (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-2 o£P-16 CITY OF SANTA, ANA. PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGATING AT (8) PARKS BID PROPOSAL TO: CITY COUNCIL OF TIME CITY OF SANTA ANA FROM: Foddrill Construction Corporation 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: B& 8E BID: Item Description Qty Unit Amount I NEW SECURITY LIGHTING AT I LS - "T JACK FISHER PARK ff!43,787,30 56,729.76 2 NEW SECURITY LIGHTING AT 1 LS $ BOM0 KORAL PARK 143,787.30 3 NEW SECURITY' LIGHTING AT I LS $ MADISON PARK 75,252.68 75,252.68 4 NEW SECURITY LIGHTING AT I LS $ $ SANTA ANITA PARTS 52,320.43 52,320.43 S NEW SECURITY LIGH'T'ING AT 1 LS $118,165.85 $ SANTIAGO PARK 118,165.85 6 NOW SECURITY LIGHTING AT 1 LS $ $ WINDSOR PARK 42,551.37 42,551.37 7 LIGHT POLE ASSEMBLY* 5* EA $ 4,291.36 $ 21,456.80 8 ADDITIONAL WIRING* 300* LF $ $ 22.50 6,750.00 9 ADDITIONAL CONDUIT* 300* LF $ $ 1 22.50 6,750.00 TOTAL BASE BID $ 523,764.19 P-1 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURI'T'Y LIGHTING AT (8) PARKS TOTAL BASE BID $ 523,764.19 ADD ALTERNATE BID 1; Item Description Qty Unit unit Price Amount 10 NEW SECURITY LIGHTING AT LILLIE KING PARK I LS $126,329.40 $ 126,329,40 TO'T'AL ADD ALTERNATE BID 1 $ 126,329.40 1 Item Description Qty Unit Unit Price Amount 11 NEW SECURITY LIGHTING AT HERITAGE PARK 1 LS $ 70,405,74 $ 70,40574 TOTAL ADD ALTERNATE BID 2 $ 70,405.74 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. Tliis 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. TIME FOR COMPLETION OF IMPROVEMENTS AND LIQUIDATED DAMAGES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above, within ONE HUNDRED TWENTY (120) working days after the commencement date stated in the Notice. to Proceed. The liquidated damages amount, in lieu of the amount specified in Subsection 6-9 of the Standard Specifications; shall be $500 per calendar day. Name of Firm Foddrill Signature of BIDDER Title President/CEO (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager; thereof.) P-2 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS KNOW ALL PRESENT that, Foddrill Construction Corporation as BIDDER, and Nationwide Mutual Insurance Company as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of Ten Percent of Bid Amount Dollars ($ 10% of Bid Amount ), which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sum, BIDDER and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER is about to submit a bid to AGENCY for the above -stated project, if said bid is rejected, or if said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and time specified, then this obligation shall be null and void, otherwise it shall remain in full force and effect in favor of AGENCY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands; and seal this 3rd. day Of August , 20 16 . 1 _ ..... Foddrill Construction Corporation BIDDER* P.O. Box 826 SURETY* Nationwide Mutual Insurance Company P.O. Box 1820 Subscribed and sworn to before me ,2Q—. 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 KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation Farmland Mutual Insurance Company, an Iowa corporation Nationwide Agribusiness Insurance Company, an Iowa corporation Power of Attorney AMCO Insurance Company, an Iowa corporation Allied Property and Casualty Insurance Company, an Iowa corporation Depositors Insurance Company, an Iowa corporation hereinafter referred to severally as the "Company" and collectively as the "Companies," each does hereby make, constitute and appoint: GABRIEL G. HILL CHINO HILLS CA each In their Individual capacity, its true and lawful attorney-in-fact, with full power and authorityto sign, seal, and execute on its behalf anyand all bonds and undertakings, and other obligatory Instruments of similar nature, In penalties not exceeding the sum of ONE MILLION AND NOf 100 DOLLARS $ 11000x000,00 and to bind the: Companythereby, as fully and to the same extent as It such Instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuant to the authority given are hereby ratified and confirmed. This power of attorney ismade and executed pursuantio and by authority of the following resolution duly adoptedby the board of directors of the Company: "RESOLVED, that the president, or any vloe president be, and each hereby is, authorized and empowered to appoint attorneys -h -fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of Indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obligatory in: nature that the business of the Company may require; andto modify or revoke, with or without cause, any such appointmentor authority; provided; however, that the authority granted herebyshall In no way Ilmitthe authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." -RESOLVED FURTHER; that such attorneys -in -fact shall have full power and authorityto execute and deliver any and all such documents and to bind the Company subject to the terms and limitations of the power of attorney Issued to them, and toaffix the seal of the Company thereto; provided; however, that said seal shall riot be necessary for the validity of any such documents." Thispower of attorney is signed and sealed under and by the following bylaws duly adopted. by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents, Instruments, contracts, or other papers In connection with the operation of the. business of the company in addition to the chairman of the boards the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them maybe printed, engraved, or stamped on any approved document, contract,. Instrument,: or other papers of the. Company. IN WITNESS WHEREOF, the Company has caused this instrument to be sealed and duly attested by the signature of its officer the 131 day of February ,.2014. Ayr." V VAI, s'W' VAW* '"c0ffi +� fi:'d",'°,�# Terrance Williams, Presidentand Chief Operating Otticerof Nationwide Agribusiness Insurance Company SEAL, , / rSEA�' and Farmland Mutual Insurance Company; and Vice President of Nationwide Mutual Insurance Company, r.; -„ *,/ {.: ,. AMCO Insurance Company, Allied Property and Casualty Insurance Company, and Depositors insurance ®� `�.... t,`` �� Company ,o ACKNOWLEDGMENT r`"+*10'+•'"'w"'� STATE OF IOWA, COUNTY OF POLK: as t►, `w"`•` i war, 6 On this l3'Idayof February.2014, before. me came the above-named officer for the Companies aforesaid, to /. SEAL;, , F SEAL S, me personally known to be the officer described in and who executed the preceding instrument, and he acknowledged the execution of the same, andbeing by me duly sworn,deposes and says,thathe isthe officer of the Companies aforesaid, that the seals affixed hereto are the corporate seals of said Comppanies,.andthe said corporate seals and his signature were duly affixed and subscribed to said instrument bythe authority and direction of said Companies. SnndtAliti r r Notminl �. Sero] Iowa rAL')s r �a SEAL= / CnnmdssinnNumbcrla2755 ago *Af Ml•Cnmmission Sxldrec Mmcly 74, 2017 Notary Public a -1 )fk My Commission Expires CERTIFICATE March 24, 2017 1, Robert W Horner III, Secretary of the Companies, do hereby certify that the foregoing Is a full, true and correct copy of the original power of attorney Issued by the Company;thattheresolution included therein Is atrue and correcttranscript from the minutes of the meetings of the boardsof directors andthe same has notbeen revoked or amended in any manner; that said Terrance Williams was on the date of the execution of the foregoing power of attorney the duly elected officer of the Companies, and the corporate seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; and the foregoing power of attorney: Is still In full force and effect. IN WITNESS WHEREOF, I have hereunto subscribed my name as Secretary; and affixed the corporate seals of said Companies this day ofAx._S-- �5i� , 2p�. • �7+-W Secretary This Power of Attorney Expires 2zro4m, 1317] 1(03-14)00 29033 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 L a . 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 Califomia County of_`AA #V-_,;Ud WQL42 ) On before �`SG� before me, Date personally appeared Here Insert Name and Title of the Officer Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person whose nameW is/are subscribed to the within instrument and acknowledged to me that he/�e/ttyey executed the same in his/"r/tKeir authorized capacity(ips), and that by his/hWr/tnOr signature(af on the instrument the personA, or the entity upon behalf of which the person,O the ir¢stacted, executed rument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. % LUIS MARTINEZ WITNESS my and a d offici COMN,I21A976t rn a NOTARY PUBLIC -CALIFORNIA ^+ Los Amours Couxrr Signature ` r Mr COOK Esv, Fm e of Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: _ Document Date: Number of Pages: Signer(s) Other Than Named Above: Capecity(ies) Claimed by Signer(s) Signer's Name: ___ • Corporate Officer — Title(s): CI Partner — ❑ Limited D General • Individual d Attorney in Fact Trustee I I Guardian or Conservator CI Other: Signer Is Representing: Signer's Name: — Cl Corporate Officer — Title(s): • Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact 17 Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association, www.NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907 CI'T'Y OF SANTA ANA PROPOSAL PROJECT NO.: 1.6-2665 SECURITY LIGH'TItNG AT (8) PARKS BIDDER'S S'T'ATEMENT 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 Califomia Business and Professions Code, the undersigned certifies Linder penalty of perjury that the foregoing is true and correct. Name of Firm Signature of BIl Title CEO/President (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm, If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) P-3 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS CONTRACTOR'S LICENSING AND REGISTRATION STATEMENT The undersigned contractor, or corporate officer, declares under penalty of perjury that he/she and all his/her subcontractors are registered with the State of California Department of Industrial Relations (DIR), and that the following is true and correct. Contractor's Name: Foddrill Construction Corporation Business Address: P.O. Box 826 Chino, CA 97108-0826 Business E -Mail Address: leonoraAfoddrillcanstruction:com Telephone: (909) 591-4095 State Contractor's License No. and Class: 946999, Class A and C-10 License Expiration Date: 05/31/2018 State Dept. of Industrial Relations (DIR) Registration No.: 1000025525 State Dept. of Industrial Relations (DIR) Registration E i ation Date: 060/2017 Signed: q� 4 Title: CEO/President P-4 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: '16-2665 SECURITY LIGHTING AT (8) PARKS PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT Contractor is aware of the requirements of California Labor Code Section 1.720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws: City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct Name of Firm Signature of BI] Title CEO/President (if an individual, so state) P-5 ofP-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS OWNERSHIP AFFIDAVIT _., STATE OF CALIFORNIA �.) .3O L.uvw+c�+-<, t � IJfll'rT P-filtAtdf`P,' )SS: CITY OF SANTA ANA + } ,being duly sworn, deposes and says: ❑ INDIVIDUAL That he/she is the party making the foregoing proposal: []PARTNERSHIP 'Mat he/she is a member of the co -partnership find designated as: art([ who has been and is duly vested with the authority to make and execute instruments for the eo-partnership by: who constitute the. ither members ofthe co -partnership. 45 kc rXI CORPORAT'ION ThatlKlis of 4 P a corporation which is matting the foregoing proposal: ❑JOINT VENTURL That he is of. one of the parties making the foregoingproposal as a joint. venture, and the he/she has been and is duly vested with the authority to execute instruments for as 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 prop contract, for himself or any , other person. Signature of Bidder Subscribed and sworn to before me this art,. day of U 26 Signature of office Admini tering Oath (Notary Public) VIRGINIA PINEL Commission k 2139014 = C"=r Notary Publle • Uftrnla Sen Bernardino County M Comm. Expires Jan 2, 2020 P-6 of P46 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS I.,IST 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: ''/2%q of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: ''/z%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 NIA License #/Exp. NIA DTR Reg. #/Exp. N/A Location N/A Phone NIA Type Of Work Type Of Work N/A Amount $ N/A Name N/A License #/Fxp. N/A DIR Reg.#/Exp. N/A License # N/A Location N/A Phone N/A Type Of Work N/A Amount $ N/A Name License #/Exp. N/A DIR Reg.#/Exp. License # N/A Location N/A Phone NIA Type Of Work N/A Amount $ N/A gl%a=zS� Signature of Bidder Name NIA License #/Exp. N/A DIR Reg. #/Exp. N/A Location NIA Phone N/A Type Of Work N/A Amount $ N/A Name NIA License #/Exp. N/A DIR Reg. #/Exp. N/A License # N/A Location N/A Phone N/A Type Of Work NIA Amount $ N/A Name N/A License #/Exp. N/A DIR Reg. #/Exp. N/A License # N/A Location N/A Phone N/A Type Of Work N/A Amount $ N/A P-8 of P- 16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER has performed similar work within the past three years. 1. City of Brea, 1 Civic Center Circle, Brea, CA 92821 Name and Address of Owner. Bill Bowlus, Public Works, (714) 990-7694 Name and Telephone Number of person familiar with project. $35,000,00 Arovist Park Walkway/Securlty Lights Replacement In Progress Contract Amount Type of Work Date Completed 2, Oak Creek Golf Club, One Golf Club Drive, Irvine, CA 92618 Name and Address of owner. Name and Telephone Number of person familiar with project. Install new light poles & fixtures for driving range _ March 2016 Contract Amount Type of Work Date Completed 3. City of Santa MonicaVolleyball Courts, 1685 Main St., Santa Monica, CA 90401 Name and Address of owner. Name and Telephone Number of person familiar with project. Installation of new wood poles and LED fixtures $10,000 (conduit and wiring) February 2016 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Insurance Sc Surety Services, LLC, Agent Gabriel Hill, 4195 Chino Hills Pkwy. #403 Chino Hills, Ca. 91709 Lic. 0167797 (909)203-7979 office P-9 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for THREE public agencies for which the BIDDER or Subcontractor has performed similar improvement work in the past 5 years. 1. AMERON/NOV, 523 S. Magnolia, Ontario, CA 91762 Name and Address of Owner. $4,500,000.00 Remove and Replace Street Light in Souther California Contract Amount Type of Work 2. Doheny State Beach, 25300, Dana Point, CA 92629 Name and Address of owner. Robert Schofield Name and Telephone Number of person familiar with project. $12,900.00 Install LED Lights Contract Amount Type of Work 3. USC- Kappa Kappa Gamma, 929 W 28th St, Los Angeles, CA 90007 Name and Address of owner. Kathy Creaaan (714) 240-7741 Name and Telephone Number of person familiar with nroiect. Continuous Date Completed Continuous Date Completed Remove pales and fixtures, Replace with now poles, $9,8000.00 foundations and LVD lights Jan Lift 2016 Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone numbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds, Insurance 8z Surety Services, LLC, Agent Gabriel Hill, 4195 Chino Hills Pkwy. #403 Chino Hills, Ca. 91709 Lic. 0167797 (909)203-7979 office P-10 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS NON -COLLUSION AFFIDAVIT (Title 23 United States Code Section 112 and Public Contract Code Section 7106) In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the BIDDER declares that the bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization; or corporation; that the bid is genuine and not collusive or sham; that the BIDDER has not directly or indirectly induced or solicited any other BIDDER to put in a false or sham bid, and has not directly or indirectly ccilluded, conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of that of any other BIDDER; or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the bid are true; and, :further, that the BIDDER has not, directly or indirectly; submitted his or her bid price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereto, or paid, and will not pay, any fee to any corporation, partnership, company association, organization, bid depository, or to any member or agent thereof to effectuate a collusive or sham bid. Note: The above Non -collusion Affidavit is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Non -collusion. Affidavit. �IDDERS are cautioned that making a false certification may subject the certifier to ,Criminal prosecution. Signed State of California ca County of ubscribed d sworn to (or affirmed) before Z M 1: Yw{ -£i eIn proved to me on persons) who ppeared before me Notary Public Signature/ Commission /: Notary Public • ( San Bernardino Notary Public Seal P-li ofP-16 20_I �, by o be the CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGATING AT (6) PARKS 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 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 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 1.124.6 of September 24, 1965,.and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-12 ofP-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS 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 ofthe '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 tl Chapter. ' g > Signed:,.. Title: CEO/President Firm: Poddrill Construction Corporation Date: August 03, 2016 P-13 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS 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 I. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected, 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the find or finds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like am nt to the Catiforn'ra�ppre_ nticeshp Council. Signed: Title: CEO/President Firm: Foddrill Construction Corporation Date: Aueust 03.2016 P-14 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS 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 USG 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 whichhe/she* is tI erwise entitled. � Signed: ;S -Q Title: CEO/President Firm: Foddrill Construction Corporation Date: August 03, 2016 P -I5 of P-16 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGHTING AT (8) PARKS PUBLIC CONTRACT CODE SECTION 10162 OUESTIONNAIRE In conformance with Public Contract Code Section 10162, the BIDDER shall complete, under penalty of perjury, the following questionnaire: Has the BIDDER, any officer of the BIDDER, or any employee of the BIDDER who has a proprietary interest in the BIDDER, ever been disqualified, removed, or otherwise prevented from bidding on, or completing a federal, state, or local government project because of a violation of law or a safety regulation? Yes No % If the answer is yes, explain the circumstances in the following space, P-16 of P-16 MAYOR Miguel A. Pulido MAYOR PRO TEM Vincente Sarmiento COUNCILMEMBERS Angelica Amozcus P. David Benavides Michele Martinez Raman Reyna Sal Tlnalero July 27, 2016 ADDENDUM No. ONE CITY OF SANTA ANA PUBLIC WORKS AGENCY M-36 P.O. Box 1988 Santa Ana, California 92792 SUBJECT: PROJECT No. 16.2665: SECURITY LIGHTING AT EIGHT PARKS CITY MANAGER David Cavazos CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar The following changes have been made to the plans and specifications of the subject project: Specifications 1. Page iv, "NOTICE INVITING BIDS": Revise seventh paragraph to read as follows: "Prior to bid opening, Bidders must possess or obtain a valid California Class `A" "B"or `C- 10" Contractor's license." 2. Page P-1 and P-2: Replace Sheets P-1 and P-2 with new sheets P-1 and P-2, per the attached. 3. SECTION 9,00 SPECIAL PROVISIONS — ELECTRICAL SYSTEM, Subsection 9.13 Materials; D. Pull Boxes: Replace entire paragraph with the following new paragraph:. Pull boxes shall be Dura Plastic Products, Inc., Dry Box Part #125 -DB -2 with 12D5 skirt. Covers shall be cast plastic, bolted down with tamperproof screws; and marked "Electrical". 4. APPENDIX A: Replace existing Appendix A with new Appendix A, per the attached. All other terms and conditions remain the same. FOR THE CITY OF S ANA Edwin "William" Gal Zz City Engineer Public Works Agency Signed: W &WV, � `^ Title: CEO/President Firm: Foddrill Construction Carporation Date: August 03, 2016 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-2665 SECURITY LIGATING AT (8) PARKS FEDERAL AID CERTIFICATIONS Foddrill Construction Corporation does not receive Federal Aid. Signed: Lk9AL-- Ay-�-W� Title: CEO/President Finn: Foddrill Construction Corporation Bate: August03,2016 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) `� 01/27/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER Insurance 6 Surety Services, LLC 4195 Chino Hills Parkway #403 Lic. OI67797 Chino Hills CA 91709 CONTACT NAME: Gabriel Hill PHONE 9X1, (909) 203-7979 laC Ne), (909) 614-7387 A�ORIESS: gabrial@issalla.com INSURERS) AFFORDING COVERAGE NAIC# X �'I COMMERCIAL GENERAL LIABILITY CLAIMS-NIADE %❑ OCCUR INSURERA:United Specialty Insurance Core 12537 ( Y INSURED (909) 591-9096 Foddrfll Construction Corporation INSURERB:West American Insurance Comoan !44393 INSURER C: Benchmark Insurance Company_ '41394 P.O. Box 826 INSURER D: INSURER E: r Chino CA 91708 INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,. ILTR TYPE OF INSURANCE AOLIIUCh POLICYNUMBER fdMl0l pY EFP MMIDUY EXP LIMITS A X �'I COMMERCIAL GENERAL LIABILITY CLAIMS-NIADE %❑ OCCUR Y ( Y ATN-SPI720121 01/01/2017101/01/2018 EACH OCCURRENCE 8 1,000,000 PREMISE? Es earranca S 50,000 X Owners E Contr,Prot. MED EXP (Any one erson) S 5,000 _ PERSONAL S ADV INJURY $ 1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: ''. POLICY X PRO _ JECT LOC lOTHER: GENERAL AGGREGATE $ 2,000,000 1 PRODUCTS_COMPIOP AGO $ 2,000,00D EmPI Benefits Liab$ 1,000,000 I AUTOMOBILE LIABILITY C MBINED SINGLE LIMIT 1Ea accident) $ 11000,000 B X,. ANYAUTO OWNED SCHEDULED 'AUTOS ONLY AUTOS — HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BAS(17)57472619 08/05/2016108/05/2017 1 1 _ BODILY INJURY (Par perean) $ BODILY INJURY(Per accident) S PROPERTY DAMAGE Per accident) $ $ _ A I UMBRELLA LIA9 X ' OCCUR Y Y EM1723692 01/01/2017 01/01/2018 EACH OCCURRENCE $ 3 000,000 X EXCESS LIAB CLAIMS -MADE_ AGGREGATE $ 3, 000, 000 DED X RETENTION $ 10, 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPMETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) cribe antler 0yyDESCRIP CRIPTION OF OPERATIONS haloes - NIA ( Y CST5009382 01/01/201701/01/2018 I X 1 PEATUTE ER . EL. EACH ACCIDENT 1$ 1,000,000 E.L. DISEASE EA EMPLOYEE $ 1,000,000 - E.L. DISEASE - POLICY LIMIT 3 11000,000 I I $ $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mora apace Is required) Certificate holder etal are additional insured per attached CG 2010 04/13 and CG 2037 07/04 endorsements. Primary wording applies per attached USIC VEX 10402 11/07 endorsement. Waiver of subrogation applies per attached CG 2404 10/93 and WC 040306 04/84 endcrsements. �p REVIEWED By;, EUNICE HE ED[ (PG City of Santa Ana 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. WTHORIZED REPRESENTATIVE 19882015 ACORD CORPORATION. All rights ADUKU 2a (;W15111J) The ACORD name and logo are registered marks of ACORD Page 1 of 1 POLICY NUMBER: ATN-SF1720121 COMMERCIAL GENERAL LIABILITY CO 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations When required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: B. With respect to the insurance afforded to these additional Insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the Injury or damage arises has been put to Its intended use by any person or organization other 1. The Insurance afforded to such additional insured only than another contractor or subcontractor engaged applies to the extent permitted by law; and in performing operations for a principal as a part of 2. If coverage provided to the additional insured is the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 CEVIEVED BY: EUNICE HEREDIA(P(5Lf�F 7)J C. With respect to the insurance afforded to these additional insureds, the following Is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 REVIEWED BY: �_EUNICE FIEREDIA (PG IPF )� POLICY NUMBER: ATN-SF1720121 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Opera - tions As per written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ RCVIEgVC-D BY: _ EUNICE HEREDIA (Po 4f0FJ - UNITED SPECIALTY INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY— PLEASE READ IT CAREFULLY USIC VEN 104 02 11 07 PRIMARY AND NON-CONTRIBUTORY WORDING This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Any coverage provided to an Additional Insured shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless: 1) a written contract or written agreement specifically requires that this insurance apply on a primary and non-contributory basis;or 2) prior to a loss, you request in writing and we agree that this insurance shall apply on a primary and non-contributory basis. All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. USIC VEN 104 02 11 07 Page 1 of 1 REVIEWED BY; _EUNIGE HERF_DIA (PG OF ) POLICY NUMBER: ATN-SF1720121 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: As per written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 0410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ REVIEWED BY: EUNICE HEREDIA (PG F ) J WORKERS CC)MPENSATION AND EkIPLQYERS I IFlLILITY INSIJFtANCE POLICY WC DA 00 06 (etl. <t-E4J WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENOORSEMENT-CALIFORNIA Yla hake the right to remer oto prmytnants tram anyom iiahla for an injury coy wed by this policy, Vie will rot enforce our right against tho Peron or orgarvzation named in the;SChedule. (this agree-merd applies Only to tris extent that you perfrnrt wil< under a wrttien crctrar.,t that reyaairzs Vou to gbtain this agreement frran us ) You must malntaw payroll records accurately segregating the remur!etation of your eroplayees mdrile engaged in the oxrla drscrhod to trio Scredule. Tia adltional pmrnirlm for this endersorlent shall be _2 Q_'/, of the Califomis wwa om' ccmtpensation Premiiurn olherMso due ct, such remuneration Schedule Person or Oreanlaatien Jab Description Amy person or organizauar ac rRquired ty wntfen Comrar.t This eneorsement ahangcs the policy la Wilton It is unsoiled and is edea.tkc on the date tssuad unless atih mwise stated. (The information below Is required only whon this endorsement is issued subsequontto preparation of the policy.) Endarsomont Effective Dat= tri 72017 pollry No, CS fIX00;382 Lndorzewn nl No. aohey Fmrc+ilm Dales. olioll2017-01YOIi2M Premium :p knsured- Foddrtli Consuuulion Corp_ C;_saier Name 1 Code. Hpnchmado arsumnor. Company A 'Al,' Ori 13 1`18 �(l ;Fri 4-84'; C aur1'`,ters gnpd ,_ _ _ Palle " U Y REVIEWED BY: M// IJP EUNICE HEREDIA (PG ';bF% ) CITY OF SANTA ANA BONDS PROJECT NO.: 16.2565 t' FAITHFUL PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS that Foddrill Construction Corporation Bond # Bd 747053 Premium: $10,705.00 - Premium based on final contract amount as CONTRACTOR and Nationwide Mutual Insurance Company a corporation, organized and existing under the laws of the S tate, and duly authorized to transact business under the laws of the State of Califor nia, as SURETY, are held and firm ly bound unto the City of Santa Ana, as AGENCY, in the penal sum of Seven Hundred Twenty Thousand Four Hundred Ninety Nine and 33/100 Dollars (S 720.499.33 1, which is 100 percent of the total contract amount for t he above stated project, for the payment of which surn, CONTRACTOR and SURETY agree to be bound, jointly and severally, firmly by these presents. THE CONDITIONS OF THIS OBLIGATION AR E SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated Soptember 7.2016 for Security Lighting 8 Parks if CONTRACTOR faithfully performs and fulfills all obligations in the performance of the Work of Improvement to be done uncle r said Contract Agreem ent in the in armer and tim e specked therein, then this obligation shall be null and void, other wise it shall rem ain in full f orce and effect in favor of AGENCY; pr ovided that any alterations in the obligations or tim e 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 alte rations is hereb y waived by SURETY. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this 6th day of _;ti=mber 12016 CONTRACTOR* SURETY* Subscribed and sworn to bchfore me, 20 Signature: Notary Public in and for die County of State of this day of Rate of premium on this bond is S Various per thousand. Total amount of premium charge is $ 8.705.00 To be filled in by Surety *Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. 1 of 3 CITY OF SANTA ANA BONDS PROJECT NO.: 16-2665 PAYMENT BOND Bond # 6d 747053 Premium: Included KNOW ALL MEN BY THESE PRESENTS that Foddrill Construction Corporation as CONTRACTOR, and Nationwide Mutual Insurance Company a corporation, organized and existing under the laws of the State, and duly authorized to transact business under the laws of the State of Califor nia, as SURETY, are held and firm ly bound unto the City of Santa Ana, as AGENCY, in the penal sum of Seven Hundred Twenty Thousand Four Hundred Ninety Nine and 33/100 > Dollars ($ 720,999,33" ), which is 100 percent of the total contract amount fort he 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 AR E SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated 5e tember 7; 2016 for SecurRy Lighting at B Parks 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 Unem ployment Insurance Act with respect to said labor, SURETY will pay for the sam a in an am ount 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, in aterials to be furnished, or time for completion made pursuant to the terns of the contract docum ents 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 8th day of September . 20 CONTRACTOR* SURETY* Subscribed and sworni'te-bec e me, 20 Signature: Notary Public in and for the County of I State of Rate of premium on this bond is $ Various Total amount of premium charge is S included this day of per thousand. To be filled in by Surety *Provide CONTRACTOR /ADMITTED SURETY name, address, and telephone number and the name, rifle, address, and telephone number of authorized representative. 2of3 CITY OF SANTA ANA BONDS PROJECT NO.: 16-2665 r Bond #'Bd 747053 Premium: Included WARRANTY PERFORMANCE AND PAYMENT BOND (To be submitted upon project completion as a condition of project acceptance) KNOW ALL MEN BY' as CONTRACTOR, and that 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 One Hundred Forty Four Thousand Ninety Nine and 86/100 + Dollars ($ 144,099.86 ), which is _ percent of the final 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 AR E SUCH that, whereas CONTRACTOR has been awarded and is about to enter into the armexed Contract Agreement with AGENCY dated September7, 2016 for Securl iLighting at 8 Parks if CONTRACTOR' faithfully warrants the work clone under said Contract Agreement against material or quality defects for a period of one year after acceptance by the AGENC Y, 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 8th 'i day of September T`_ , 20 i6' . CONTRACTOR* SURETY* Subscribed and sworn to IiUor� me, 20 Signature: Notary Public in and for the County of State of this day of Rate of premium on this bond is $ Various per thousand. Total amount of premium charge is $ included . To be filled in by Surety *Provide CONTRACTOR /ADYITTED SURETY name, address, and telephone number and the name, title, address, and telephone number ofauthorized representative. 3 of 3 KNOW ALL MEN BY THESE PRESENTS THAT: Nationwide Mutual Insurance Company, an Ohio corporation Farmland Mutual Insurance Company, an Iowa corporation Nationwide Agribusiness Insurance Company, an Iowa corporation Power of Attorney AMCO Insurance Company, an Iowa corporation Allied Property and Casualty Insurance Company, an Iowa corporation Depositors Insurance Company, an Iowa corporation hereinafter referred to severally as the "Company" and collectively as the "Companies," each does hereby make, constitute and appoint: GABRIEL G. HILL CHINO HILLS CA each In their individual capacity, itstrue and lawful attorney-in-fact, with full power and authority to sign, seal, and execute on Its behalf any and allbonds and undertakings, and other obligatory instruments of similar nature, in penalties not exceeding the sum of ONE MILLION AND NO/100 DOLLARS S 1,000,000.00 and to bind the Company thereby, as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Company; and all acts of said Attorney pursuantto the authority given are hereby ratified and confirmed. This power of attorney is made and executed pursuant to and by authority of the following resolution duly adopted by the board of directors of the Company: "RESOLVED, that the president, or any vice president be, and each hereby is, authorized and empowered to appoint attorneys -in -fact of the Company, and to authorize them to execute and deliver on behalf of the Company any and all bonds, forms, applications, memorandums, undertakings, recognizances, transfers, contracts of indemnity, policies, contracts guaranteeing the fidelity of persons holding positions of public or private trust, and other writings obl igato ry in nature that the business of the Company may require; and to modify or revoke, with or without cause, any such appointment or authority; provided, however, that the authority granted hereby shall in no way limitthe authority of other duly authorized agents to sign and countersign any of said documents on behalf of the Company." "RESOLVED FURTHER, that such attorneys -In -fact shall have full power and authorityto execute and deliver any and all such documents and to bind the Company subject to the terms and [imitations of the power of attorney issued to them, and to affix the seal of the Company thereto; provided, however, that said seal shall not be necessary for the val Idity of any such documents." This power of attorney is signed and sealed under and by the following bylaws duly adopted by the board of directors of the Company. Execution of Instruments. Any vice president, any assistant secretary or any assistant treasurer shall have the power and authority to sign or attest all approved documents, instruments, contracts, or other papers in connection with the operation of the business of the company in addition to the chairman of the board, the chief executive officer, president, treasurer or secretary; provided, however, the signature of any of them maybe printed, engraved, or stamped on any approved document, contract, instrument, or other papers of the Company. IN WITNESS WHEREOF, the Company has caused this instrument to be sealed and duly attested by the signature of its officer the 1 r day of February, 2014. yr A �' Are", Terrance Williams, President and Chief Operating Officer of Nationwide Agribusiness Insurance Company +► `r ` and Farmland Mutual Insurance Company; and Vice President of Nationwide Mutual Insurance company, jL.SEAL % L SEAL1.�' 0 AMCO Insurance Company, Allied Property and Casualty Insurance Company, and Depositors Insurance fit, rif Company Ili ACKNOWLEDGMENT /r STATE OF IOWA, COUNTY OF POLK: SS NVoauc ' o On this 13'" day of February ,20t4, before mecame the above-named officer for the Companies aforesaid, to #TSEAL',_/ me personally known to be the officer described in and who executed the preceding instrument, and he „�% acknowledged the execution of the same, and being by me dulysworn, deposes and says,thathe lsthe officer �=�j of the Companies aforesaid, that the seals affixed hereto are the corporate seals of said Companies, and the said corporate seals and his signature were dulyaffixed and subscribed to said instrumentbythe authorityand Maw i Cyt direction of said Companies. "WyzQY I anor�rr '� r �f Sm,dy Alilz JESEAzp ! i Nnmriul8c.1—l7. Va :SEAL Commssion Number 152785 aNotary Public %44,W L,res Mncy 24,?A17 My Commission E xpires CERTIFICATE March 24, 2017 I, Robert W Horner III, Secretary of the Companies, do hereby certify that the foregoing is a full, true and correct copy of the original power of attorney issued by the Company;thatthe resolution included therein is atrue and correct transcript from the minutes of the meetings ofthe boards of directorsandthe same has notbeen revoked or amended In any manner; that said Terrance Williams was on the date of the execution of the foregoing powe r of attorney the duly elected off Icer of the Companies, and the corporate seals and his signature as officer were duly affixed and subscribed to the said instrument by the authority of said board of directors; and the foregoing power of attorney is still in full force and effect. IN WITNESS WHEREOF, I�hpave hereunto subscribed my name as Secretary, and affixed the corporate seals of said Companies this d�lday of Secretary This Power of Attorney Expires 02104/17 BDJ 1(03-14) 00 29033 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT .. :• A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) Countyof �) On R, .before me, Date _ personally appeared nse Name and Title of the Officer iI Name(s) of Signer(s) 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/Q(e/t 2y executed the same in his/1-0/th)Zlr authorized capacity(, and that b his/W/tF 8ir signatureX on the instrument the personfs , or the entity upon behalf of which the pers(i 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 and an� aad- - ,. ,* LUIS MARTINEZ 3 COr1A1.y 2139781 r N : NOTARY eURLIC-CALIFORNIA N Signature LOS ANGELES COUNTY <X',waw• MY coax. EEP. res. s, :sss �' ...Si a e of NFtary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Number of Pages: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual f.] Attorney in Fact ❑ Trustee D Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual I.7 Attorney in Fact ❑ Trustee 0 Guardian or Conservator ❑ Other: Signer Is Representing: ©2014 National Notary Association • www. NationalNotary.org • 1 -800 -US NOTARY (1-800-876-6827) Item #5907