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Home My WebLink AboutAMPCO CONTRACTING, INC. Recording Requested By, Recorded in Official Records, Orange County And When Recorded Mail To: Hugh Nguyen, Clerk-Recorder Clerk of the Council,City of Santa Ana III II[J 1V II 1111 IIIIIIII I l I IIII� $]J�J I I NO FEE 20 Civic Center Plaza, P.O.Box 1988 * $ R 0 0 1 0 b 9 3 7 7 9 $ * Santa Ana,CA 92702 2019000078517 10:43 am 03/13119 105 417 N12 1 0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00 THIS SPACE FOR COUNTY RECORDERS USE ONLY 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 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 under contract entered into on SEPTEMBER 5, 2017, with AMPCO CONTRACTING INC., on which contract FIDELITY AND DEPOSIT COMPANY OF MARYLAND is surety. The property on W o° which such work improvement was placed is in the City of Santa Ana, County of Orange, State MQ o z of California, and described as Project No. 16-6468 located at: SEVENTEENTH ST., a BETWEEN FLOWER ST. AND BRISTOL ST. The work improvement on said property was accepted as completed on NOVEMBER 30, 2018. p CITY OF SANTA NA,A MUNICIPAL CORPORATION � O w0 o Dated. 3 _ —..a l q Prinei al Civil Engineer-Tyrone Chesanek W a TITLE a ------------------------------------------------------------------------------------------- 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 ` 7 l , at Santa Ana, California (Signature of individual wearing that the contents of Notice of ompletion are true.) THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TFN(10)DAYS AFTER COMPLETION THE REGISTER 625 N GRAND AVE, SANTA ANA, CA 92701 Telephone (714) 796-7000 1 Fax (714) 796.6069 PROOF OF PUBLICATION (2015.6 C.C.P.) Stale of Californla i County of ORANGE ) ss Notice Type, 13I0 - NOTICE INVITING BIDS Ad Descrlptlorm Seventeenth St Water Main Improvements I am a citizen of the United States and a resident of the State of California; I am over the age of eighteen years, and not a party to or interested In the above entitled matter. I am the principal clerk of the printer and publisher of the THE REGISTER, a newspaper published In the El 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 11/19/1905, Case No. A21046. That the notice, of which the annexed is a printed copy, has been published In each regular and entire Issue of sold newspaper and not in any supplement thereof on the fallowing dates, to -wit: 06102/2017, 0610512017 Executed on: 06/05/2017 At SANTA ANA,CA I certify (or declare) under penalty of perjury that the foregoing Is true and correct. Signature III I II II II II II II till I II II II I II * A 0 0 0 0 0 4 4 6 2 2 9 8 H This space for flung stamp only subcontractor must be registered with the De artment of Industrai Relations r rtosubmNtinga In accordance with the provisions of the Cailfomla Labor Code, prevalling wage rates apply. ThF WL117 REOISTER I MAYOR Miguel A. Pulldo MAYOR PRO TEM Michele Martinez COUNCIL MEMBERS P. David Benavides Vicente Sarmlento Jose Solodo Sal Tlnaiero Juan Vlllegas Recorded In Official Records, orange county Nii" iiian, iiii`i�ii i i `iiii Dior a i is NO FEE * $ R 0 0 0 9 3 2 7 7 5 $ 201785000626 922 am 06/08/17 32$ 304 Z01 0,00 60.00 0.00 0.00 0.00 0.00 0.00 0.00 y-. CITY OF SANTA ANA PLANNING It BUILDING AGENCY 20 Civic Center Plaza (M-20) P,O. BOX 19a6 Santa Ana, California 92702 (714) 667-2700 - Fax (714) 073.1461 www.sonta-ana.org ACTING CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Marie D. Huizar NOTICE OF EXEMPTION From the Requirements of the California Environmental Quality Act (CEQA) Fee Exemption per California Government Code Section 6103 To: COUNTY CLERK County of Orange RO. Box 238 Santa Ana, CA 92702 Project Title: Seventeenth St. Water Main Impr, Phase II Project Number(s): PWA-2017-899-CITY Project Location: 1 CityWide (Partial) From: City of Santa Ana Planning & Building Agency 20 Civic Center Plaza M-20 Santa Ana, CA 92702 Date of Approval: 08/01/2017 City: Santa Ana County: Orange ER Number: ER-2017-46 Project Description: The project consist of replacing existing deteriorated 10" water main with new 12" water main and related appurtenances on 17th Street. The project replaces utilities and not expand the service area. Applicant Name: Armando Fernandez, City of Santa Ana Public Works Agency Applicant Address: 20 Civic Center Plaza, M36 SANTA ANA, CA 92702 Name of Public Agency Approving Project: City Council Name of Person or Agency Carrying Out Project: Fernandez, Armando Exempt Status: ❑ Ministerial (Sec. 15268) ❑Declared Emergency (Sec. 15269 (a)) 0 Emergency Project (Sec. 15269 (b through e)) ❑General Rule (Sec, 1506XID)(3)/(5)) OStatutory Exemption: OCategorical Exemption: 15301(b) Reason(s) Why Project is Exempt From CEQA: 16301(b) consists of repair/maintenance of existing facilities. City Contact: rIngQQ F nan z Signature: r'6 Ap • JUN 0 8 2017 HUGH NGUYEN, CLERK -RECORDER BY: � L DEPUTY JUN 0 8 2017 ORANGE COUNTY CLE__R(K�RRECORDER DEPARTMENT BY., OV A DEPUTY Fq+ Telephone: (714) 647-3321 Title: ' ��11. 7 Date: 6 SANTA ANA CITY COUNCIL Migual A. Pu ido Mlchole Martinez Vlncente Sarmienlo Jose Salado P. David Benavldes Joan Villages Sal Tlri Mayor Mayor Pro Tam, Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 ward a mna Q@aaota-Am`&r8 viigool nto2laanl"no or Isoloda(a�sanla-ap�„yrt g d1asnovldesgD nt -a aoro 'vile asAsanta-aragm gl'najern(�E tarL+tanaoro INSURANCE NOT ON FILE WORK MAY NOT PROCEED (-i,� CLERK OF COUNCIL DATE: R CITY OF SANTA ANA CONSTRUCTION CONTRACT PROJECT NO. 16-6468 O: Michael Ortiz 17' STREET WATER MAIN IMPROVEMENTS — PHASE 2 PWA( ) This CONSTRUCTION CONTRACT is made and entered into this 5"' day of September, 2017 by and between the City of Santa Ana, California, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "CITY"), and AMPCO Contracting Inc. (hereinafter "CONTRACTOR"). WITNESSETH: The CITY and the CONTRACTOR, for the consideration hereinafter named, mutually agree as follows: CONTRACTOR agrees to perform all the work and furnish all the materials at its own cost and expense necessary to construct and complete in a good and workmanlike manner and to the satisfaction of the City Engineer of the CITY, the 17a` Street Water Main Improvements — Phase 2 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 One Million One Hundred Twenty-nine Dollars and No Cents ($1,129,000.00), 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 deemed necessary or advisable. rev. 12/20/2016 Page I of 3 4. CONTRACTOR agrees to complete the WORD. OF IMPROVEMENT within the time specified in the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit "A") including commencing construction within the timeframe therein specified after issuance of a Notice to Proceed. 5, The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage established for such work as set forth in the wage determinations for this work in accordance with applicable State and Federal law. 6. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY, one in the anion t 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%ti) 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, furnish Certificates of Liability Insurance and Worker's Compensation insurance as outlined in the General Provisions, to be approved by the CffY. fl Page 2 of 3 IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and year first above written. ATTEST:. APPROVED AS TO FORM: SONIA R. CARVALHO City Attorney By; J M. FUNK Assistant City Attorney APPROVAL: FRE MOVSAVIPOUR Exec tive Director Public Works Agency CITY OF SANTA ANA YNTHIA J. ICU . Z Interim City Manager CONTRACTOR: AMPCO Contracting Inc, f ALD KAWALE KAMA IV resident Page 3 of 3 i CITY OF SANTA. ANA PROPOSAL Exhibit A PROJECT 'NO,;16-64-68 f SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 HID PROPOSAL TO: CITY COUNCIL CIL OF THE CITY OF SANTA ANA FROM; AIVIPCO Contracting, Inc, REQUIREMENT: The luulersigned bidder declares that they have cata£ully examined the location of the proposed work, that they have oxviiined 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 acoordance with said plans (if any) and the specifications for the utrit prices) or lump sum(s) set forth it the following scheduly Item Desorlptlm Qtg Unit Uuitirlce Amount I Niabihzetion ieruobik zatlea (No more 1 L9 $ $ than 5%total bid) 51,300,00 2 8" Class 305 AWWA C900 P.V.C, Water. 640 Lp $ $ Mart, City Supplied 155.00 99,200.00 g3 8" Claw 30 AW WA C900 P,V.C,: l Ja".ex 200 LF 8 Main 155.00 31,000.00 4 12" Class.305, AAW5t1A C900 P Y,Ci 2,700 LF $ $ Oster Main, City Supplied 162.00 437,400.00 'X$ -12" Class 305, AWWA C900 P,V.C. 500 LP $ $ Water Main 1.62.00 81,000.00 6 <'lonslmetI"WaterServioeperClty-Std. 20 EA -$ $ Flap 1401 1,500,00 30 000,00 7 Conamact 2" Wate• Serviceper City Std: 14 EA.. $ $ Plae t402 1,900.00 26,600.00 *9 Temporary Water &e<*e(As Naeded) .. 2 Svc $ $ 3,000.00 6,000.00 9 4" Water Service Connection Tcelucling 4„ 2 EA Y $ $ RWGIV 8,000.00 16,00.0,00 10 4" Fire Service Connection including 4"� 2 EA $ RWOV 8,000.00 16,000.00 11 New FiteHydrant Assembly,lnnludiug 8 &1 $ fi Gate Vslvo and Lateral Pipe 9,000.00 72,000.00 12 21'Air VacaamwtdRelease Valve S..EA $ ,$ 4,000,00 20,000.00 13 4"Blow Off Aseerabl5 4 f 1 A $ $ 5,000,00 *14 8' Resi7ierit Wedge Ciata Vaive,Ci y 5 EA $ _20,000.00 $ Suppliatl 1,000.00 5,000.00 P-1 of P-17 CITY OF SANTA ANA PROPOSAL Exhibit A PROJECT NO,: 6-6468 SEVENTEENTH STRESS' WATER MAIN IMPROVEMENTS PHASE 2 Item Description Qty Unit Unit Price Amount *15 8" Resident Wedge C1nteVnlve 2 EA S 8 2,000.00 4,000:00 *16 12"itesiliautWedgeC3ate Valve, City 2 EA $ $ Supplied 1,500,00 3,000,00 17 12" Resilient Wedge Gato Valvo 5 EA $ $ 4,000.00 20,000.00 18 Bore and Sack, Install Steal Casing and 2 EA $ $ PV,C,Carrier Pipe sub rice 60000,00 19 Concnet Bus fetid 2 EA R 20,000.00 40,000.00 20 TiafkloLooppetector 6 EAIF 1,000.00 6,000,00 21 SGiping,andPavemontarlackings b8 $ 5 101000,00 10,000.00 22' Tl'aPfio Control and Traffic Control Plan L8 $ $ 7,000.00 7,000.00 *2 eifd 3 $ $ 8,000.00 24;000.00 '24 TothMmg(AsN'eededj� 29 EA $ $ � 1,000.00 25:000.00 *25 InpcitedBaakfllMapeala (As.Neetlsd) 140 CY $ $ 75,00 7,500,00 �T 26 CCTVingc:tianofEKistingSewer Mains 3,040. IS $ $ 2,00 6,000.00 27 CCTY'YnspcdClnnof.ExistingSower Gq S $ Latzrada 50.00 3,000.00 28 As-Dttctts � I 1 J.S—P $ $ 2,000.00 2,000,00 P-2 off-17 I CITY OF SANrA ANA PROPOSAL Exhibit A PROJECT NO.: 1 Er-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 TOTAL BASE BIDE s / 9> a p. 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 subj eat 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 gnardity used, and Cie Agency reserves the rigbit to increase or decrease the quantity of this item accordingly, T[NIF:,FOR CONVPI PTION OF TIMM Y' IMEXTS�ND LI SJTiJATED DAMAC3ES The undersigned bidder hereby proposes to complete the Work for the total base bid amount shown above„within eiuhty- 80i wort& days after the commencement date stated in theNotico to Nooeed, a 15 Days for data gathering exploratory potholing 65 Project construction The, bidder also proposes to commence construction of the Woxk within fifteen (15) days after I ssuance of ,t Notice to Proeesd, and 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, shalt be $1,000per, calendar day. Name of Firm Sign hire of Ili Reginak Title Matthew Mutton, Secretary _ _ (Ifan hidividaaal, so stale, 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 dames of President, Secretary, Treasurer and tvIanager, thcteof.) P-3 of:P d 7 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 BID PROPOSAL TO: CITY COUNCIL OF THE CITY OF SANTA ANA FROM: AMPCO Contracting, Inc. REQUIREMENT: The undersigned bidder declares that they have carefully exanuned the location of the proposed work, that they have examined the Contract Documents in its entirety and hereby proposes to fiirnish 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 harp sum(s) set forth in the following schedule: Item Description Qty Unit Unit Price Amount 1 Mobilization/Domobilization (No more 1 LS $ $ than 5%total bid) 51,300.00 2 8" Class 305 AWWA C900 P.V.C. Water 640 LF $ Main, City Supplied 155.00 99,200.00 °3 8" Class 305 AWWA C900 P.V.C. Water 200 LF $ $ Main _ 155.00 31,000.00 4 12" Class 305, AWWA C900 P.V.C. 2,700 LF $ $ Water Main, City Supplied 162.00 437,400.00 '"5 12" Class 305, AWWA C900 P.V.C. 500 LF $ $ Water Main 162.00 81,000.00 6 Construct 1" Water Service per City Std. 20 EA $ $ Plan 1401 1,500.00 30,000.00 7 _ Construct 2" Water Service per City Std, 14 EA _ $ $ Plan 1402 1,900.00 26,600.00 '18 Temporary Water Service (As Needed) 2 BA $ $ 3,000.00 6,000.00 9 4" Water Service Connection Including 4" 2 EA $ $ RW GV 8,000.00 16,000.00 10 4" fire Service Connection Including 4" 2 EA $ $ RWGV 8,000.00 16,000.00 11 New Fire Hydrant Assembly, Including 8 RA $ $ Gate Val va and Lateral Pipe 9,000.00 72,000.00 12 2" Air Vacuum and Release Valve 5 EA $ $ 4,000.00 20,000.00 3 4" Blow Off Assembly 4 EA $ $ 5,000.00 20,000.00 14 8" Resilient Wedge Gate Valve, City 5 EA $ $ Supplied 1,000.00 5,000.00 P-1 of:0-17 CITY OF SANTA ANA PROPOSAL PR0,TECT NO,: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 Stein Description Qty Unit Unit Price Amount *1 S 8" Resilient Wedge Gate Valve 2 EA $ $ 2,000.00 4,000.00 *16 12" Resilient Wedge Gate Valve, City 2 EA $ $ Supplied 1,500.00 3,000.00 *17 12" Resilient Wedge Gate Valve 5 EA $ $ 4,000.00 20,000.00 18 Bore and Jack, Install Steel Casing and 2 EA $ $ P.V.C, Carrier Pipe sub price 60,000.00 19 Concrete Bus Pad 2 EA $ $ 20,000.00 40,000.00 20 Traffic Loop Detector _ 6 EA $ $ 1,000.00 6,000.00 21 Striping, and Pavement Markings 1 LS $ $ 10,000.00 10,000,00 22 Traffic Control and Traffic Control Plan 1 L5 $ $ 7,000.00 7,000.00 *23 Vertical Offset (As Needed) 3 EA $ $ 8,000.00 24,000.00 1.S EA $ $ 1,000.00 25,000.00 J*2,lPotn�oiing(AsNeeded) arted Backfill Material (As Needed) 00 CY $ $ 75.00 7,500.00 V Inspection of Existing Sewer Mains 3,000 LF $ $ _ 2.00 6,000.00 27 CCTV Inspection of Existing Sower 60 EA $ $ Laterals 50.00 3,000.00 2B As-Builts 1 LS $ $ 2,000.00 2,000.00 P-2 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.; 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 TOTAL BAST, BID $ �� 06,P. "P 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. 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 eighty (80) working days after the commencement date stated in the Notice to Proceed, • 15 Days for data gathering exploratory potholing 65 Project construction The bidder also proposes to commence construction of the Work within fifteen (15) days after issuance of a Notice to Proceed, and to continue in a diligent and workman -like manner without interruption, and to complete the construotion 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 $1,000 per calendar day. Name of Firm Signature of BIl Reginald Title MattheN (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and, Manager, thereof.) P-3 of P-17 CITY OF SANTA ANA PROPOSAL, PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 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, said 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 requircd bonds and certificate of liability insurance within ten (10) business days or the finds, 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 finds, 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.t5 of the California Business and Professions Code, the undersigned certifies under penalty of perjury that the foregoing is true and correct. Name of Firm AMPCO Con tracLing, Inc. Signature of BIDDER _;,-r Reginald Kawaltq- - President Title Matthew Mutton-Secretary (If an individual, so state. If a firm or co -partnership, state the firm name and give the names of all individual co-partners composing the firm. If a corporation, state legal name of corporation, and names of President, Secretary, Treasurer and Manager, thereof.) P-4 of P-17 CITY OIL SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 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: AMPCO Contracting, Inc. Business Address: 1540 S. Lewis Street Anaheim, CA. 92805 Business E-Mail Address: mmutton@amycocontracting.com Telephone: 949 -955 -225 5 State Contractor's License No, and Class: 851752 A,B,C-21, ASB & HAZ License Expiration Date: December 31 2018 State Dept. of Industrial Relations (DIR) Registration No.: 1000011759 State Dept. of Industrial Relations (DIR) Registration Expiration Date: June 30, 2018 Signed: Title: Reginald Kawale Kama IV- President P-5 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO., 16-6468 SEVENTEENTH. STREET WATER MAIN IMPROVEMENTS PEASE 2 PREVAILING WAGE COMPLIANCE AND MONITORINQ.KfATEMENT Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well as California Code of Regulations, Title 8, Section 16,000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. Since the services are being performed as part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at the commencement of this Agreement. Contractor shall make copies of the prevailing rates of per diem wages for each craft, classification or type of worker needed to execute the services available to interested parties upon request, and shall post copies at the Contractor's principal place of business and at the project site. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. The undersigned certifies that the foregoing is true and correct. Name of Firm Signature of BIl Title Reginald Kawale Kama IV- President (if an individual, so state) P-6 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 OWNERSHIP AFFIDAVIT STATE OF CALIFORNIA ) COUNTY OF ORANOB ) SS: CITY OF SANTA ANA ) Regianld Kawale Kama IV behtg duly sworn, deposes and says, ❑ INDIVIDUAL That he/she is the party making the foregoing proposal: ❑ PARTNERSHIP That he/she is a member of the co -partnership firm designated as: and who has been and is duly vested with the authority to make and execute instruments for tho co -partnership by: who constitute the other members of the co -partnership. j$] CORPORATION That he is of: AMPCO Contracting, Inc 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 end 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 f``or himself Or any other person. Sig�TreBidder Subscribed and sworn to before me ties 28th day of June 2017 Signature of officer Achninistering Oath (Notary Public) P-7 of P-17 Bond No.CSBA-5343 CITY OF SANTA A1VA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 BID BOND KNOW ALL PRESENT that, AMPCO Contracting Inc , as BIDDER, and Fidelity and Deposit Company of Mar land , as SURETY, are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal suns of Ten Percent of the Amount Bid Dollars ($ 10 o °`"' 1, which is ten percent (10%) of the total amount bid by BIDDER to AGENCY for the above -stated project, for the payment of which sun, 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 sett their names, titles, hands, and seal this 23rd day of June , 2017. BIDDER* Subscribed and sworn tnefore me _ , 20_ Signature: Notary Public in and for the County of 1540 South Lewis Street South Figueroa Street, Suite 3900 Los , State of 3t., Suite 201, Orange, CA 92867 this day of * Provide BIDDER/ SURETY name, address, and telephone number and the name, title, address, and telephone number of authorized representative. P-8 of P-17 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 June 28, 2017 before me, Debbie Lynn Carrillo -Notary Public (insert name and title of the officer) personally appeared Reginald Kawale Kama IV -President 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. DEBBIE LYNN CARRILLO COMM. #2137535 z z@MyComm.Exiii Notary Public • California Xi San Bernardino County ° res Doc. 19 2019 Signature (Seal) CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of Orange On June 23, 2017 before me, Susan Pugh Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Arturo Ayala Name(s) of Signer(s) SnSAN r'UGH N � oomm a+2aoaaof� ..� Notary Pnbfic �dlifornia a ORANGL COUNTY �mvsyss; My ,'amm. rnp,res APr29 7019 who proved to me on the basis of satisfactory evidence to be the person(s) whose names) 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 se I Signature J�(ofNo_ Place Notary Seal Above Signature of Notary Pu Publi usan Pugh OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Bid Bond Document Date: 06/23/17 _ . Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Arturo Ayala _ ❑ Individual ❑ Corporate Officer --Title(s):__ ❑ Partner ❑ Limited ❑ General V1 Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Signer's Name: ❑ Individual ❑ Corporate Officer —Title(s): — ❑ Partner ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer is Representing: Bond No. CSBA-5343 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shannon Rozelle OSTROM and Michael CASTANEDA, all of Orange, California, EACH its true and lawful agent and Attomey-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 29th day of March, A.D. 2017. ATTEST: Assistant Secretary Joshua Lecker ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND ��wv we` �wroq, n 96AL ed`I, tIM i nu:, low !� y �VN,pm10�`� I Vice President Michael Bond State of Maryland County of Baltimore On this 29th day of March, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICIIAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposel'h and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. INTESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day alyd year first above written. non mnJ``� Constance A. Dunn, Notary Public My Commission Exp tes: July 9, 2019 POA-F 012-0079B EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Aftornevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizanees, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any lime." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and hold on the I0th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force mud effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of iunoe� 201T. lN5 `�h }"w.'q. n o d i.3c0erory ayV�n, wm �A 02 BEAL X44d) .� " Gerald F. Haley, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 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 June 28, 2017 before me, Debbie Lynn Carrillo -Notary Public (insert name and title of the officer) personally appeared Reginald Kawale Kama IV -President 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. DEBBIE LYN" CARRILLO COMM. #2137535 z a Notary Public • California o San Bernardino County Signature (Seal) Come. Ez fires Dec,19 2019 f !,",:GENEUAL MEAM TMS - L RELEABE (" Release")is entered into by $lap signatory to this release; Oaange County "Winivtiter Woflcs Co.',(the "Adeaisli" Party' for the. benefit of the Released Parties (defined below)': This Release' is befog antoeed into effoo6e,`as of the date of payment to the Releasing Party in the amount set fgrth below (the "Efurtive,Date"); The, Releasing Party and the lWeased Pardies are referred to collectively as the "Parties'° and any ladividual(s) thereof as a"Party;" A, 'eat elease. As expressly provided heroin, in consideration of the payment of the ount set forth below to the-Roleasing.Party,: upon the Effective:Date, and after rem ipt and clearance of repuent in full_ hereunder in the sutra of $6 ,719.29 as set forth in Section D, hereinbelow, Releasing. party rcieases' and forever' discharges A'MPCO C0NTRA.CTING, INC.: ("AMPCO"), Fidelity & Deposit company of Maryland (the "Surety"), and. The City of Santa Ana (the "City") and, their respective predecessors, successors, trustees, assigns, partners, egnsitilta its, ' `eYtaployees; paierits, subsidiaries, offtcefs, directors, managers, member!" rincipals, agenats, xeprasontativas, and all persons, firms, associations. or corporations oonawted with„them, including, without limitation, its insurers, . title in rs le , ; rs; `suiques"and attorbeyg (collectively, the "Released ,parties"), troirr any :and all claims,: demands, causes of action, obligations, 9 damages, losses, costs, fees, and other damages incurred and expenses of every kind an nature whatsoever, luaown or unknown, fixed or contingent, arising t r6ibi or m any corixieoted to (T) work, labor, mato4hls, or services performed by Releasing Party and its subcontractors and suppliers, on the J 71i, Street Water Main I provemonts project in the city of Santa Aua (the 4IProject") or. (2) I Releash g Parry's contract with ,AMPCO for the.Projeet�, • I B. Waiver r C l farnra'C`val Cade Sam ion 1542. Releasing Party has read 1 understa ads, and waives 86ctton 1542 of the Calafarnia Civil Cade;; Said section providesthati general release does not extend to claims that the e editor or releasing party aloes not know or suspect to oxist in his or liar favor at the tiara of executing the release and t at, if known by him or her, would have materially feoted his or her sottlement with the debtor or released Y. I C, T&' r f IJ awn Claims, Releasing Patty acknowledges that iAeAbo may later' discover £acts in addition to or ditl'eront from those facts which Releasing j Party now knows or believe to be true with respect to the subjemt.matter of this I Release, and it is Releasing Party,s intention notwithstanding, fully, Gnallyand i forever t settle and release all of the claims reloasecl by this r elease, known or 9 unknowt, suspected cr unsuspected, which now exists;: may exist, or paeulously j , existed etween the Releasing Party and the'keleased Parties. In furtherance of such inentiori, the releases given in this Release sball be and shall remain in effect a a hill and completed release, notwithstanding the discovery or existence of any rich additional or different facts: The ,releases act forth laor'ein shall be constrn d as:broadly as possiblebut orb expressly limited to the. Project and'.shall not`:inc de the right of the 2Rolea sing Party tc ind6161ty ox-conteibution in connect, on with"any futttto'clairn r®latirrg to personal injury or construction defect claims,. The Releasing Party further accepts and assumes the risk that such facts may tm i out to be different from, the facts now known. or believed to be true by thu, Rol ing'Party and agrees that the releases ;given in tilts Roiease $hall remain in s11' respects effoctive and shall not be stbject to'termmatiori or r�scissi 'by treason of such difforence in facC; )_l, Pa en ! the City agrees• to pay Releasing Tartythe lump sum payment of $53X719 2.9 via a joint chock with AMPC.®. AMPCO agrees to immediately endorse the joint check 'with .signature guaranty, if required, and provide tt'to RelpMi Party for.deposit. 'flits obligation is a material obligation under this Reloaso, A1kMPCO agrees to pay Releasing Party the lump Burr payment of $16,000 Said payments shall be made within'sov0h' (7) palendar bays .of the executionof this General Release and upon receipt of an executed Conditional blxaivex Jpon,Fnaitl Payment from Releasing Warty. Upon AWCO,s failure to ! 'endorse xad provide .MOO sing Party with the joint check"or to make payrierit ai the $10, Ott reforred to above, Releasing Party may, at. its sole option void this Release. i R, Dismiss LJpop receipt and clearope of both payments, 'the $51,719,29 joint check a•d the ; 10,00d 'payment From AMPCO, as described in paragraph'? j herein, Acleasing Party shall submit for filing within six (6) eoutt• days a dismiss with prejudice of the entire law.sii t bearing. caso numba 30-2018 Q104018-Ci1MC-C'C fled in the Orange County Superior Court. The dismissa shall be with oejudice'as: to the entire action and is to all named defendar ts. Counsel for 'releasing Party shall provide an entered copy of said di8missi to counsel for AMPCO and the City. 1N WITNESS Ss HEREOF,'releasing Party has executed this Goneral'Release as of the Ante set forth bolow: Roleasinii Pam : 'Aniount tb, be Paid to Releasing Party: $63 7. , 19.29 ' Orango Ctluntlinvvat r W rk a, j NoMe, rrioc Title: Dater Z I A.MPCO GONT I f By; �-- — —' �01114V11 Name! _. .✓rc:w: C" i Title', f� Dater TH.E CITY OF 3ANT LANA By: Name; Title: nn ✓ Date; APPROVEDASTOPPRN Peek. Awirl�t A�ney. NORMA MITRE Acting Clerk of the Council I i I i i CITY OF SANTA ANA PROPOSAL PROJECT NO,: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 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: 'I/x% of the bid or $10,000, whichever is greater o Buildings, parks, or other projects: V2% 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 Ayala Boring Inc. Name License #/Exp. 388577 exp 3/31/2018 License #/Exp. DIR Reg.#/Exp, 1000006481 exp 6/30/2018 DIR Reg.#/Exp. Location 10150 Poplar Ave. Fontana, CALocation Phone 909-350-8940 Phone Type Of Work Boring_ Type Of Work Amount $ 40,000.00 Amount $ Name Hardy & Harper, Inc _ License #/Exp. 215952 exp 12/31/2017 DIR Reg, #/Exp. 1000000076 exo 6/30 2Q18 License # Name License #/Exp, DIR Reg. #/Exp. License # Location 1312 E. Warner Ave. Santa Ana, CA Location Phone 714-444-1851 Phone Type Of Work Paving Amotmt $ 100,000.00 Name License #/Exp. DIR Reg. #/Exp. License # Location_ Phone Type Of Work Amount $ J�Ik4� Signature of Bidder Type Of Work Amount $ Naane License #/Exp. DIR Reg. #/Exp. License # Location Phone Type Of Work Amount $ P-9 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 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 Norwalk 12700 Norwalk Blvd. CA. 90650 Name and Address of Owner. Name and Telephone Number of person familiar with project. $293,135.00 Utility Relocation and Demolition Contract AmoLmt Type of Work 2. City of Irvine 1 Civic Center Plaza Irvine, CA. 92606 October 2016 Date Completed Name and Address of owner. Ted Woloshun 949-349-1000 Name and Telephone Number of person familiar with project. $1,031,643.20 Utility, Demolition and Grading August 2015 Contract Amount Type of Work Date Completed 3. City of Anaheim Alley Sanitary Sewer Improvement Project (ASSIP) 2017 2.00 South Anaheim Name and Address of owner. Blvd. Anaheim, CA. Kevin Miako 714-765-5100 92805 Name and Telephone Number of person familiar with project. Removal of existing sanitary $1,784,865.00 gplAwr fgrllities Still in process Contract Amount Type of Work Date Completed The following are the names, addresses, and telephone mnnbers of all brokers and sureties from whom BIDDER intends to procure insurance and bonds. Fidelity & Deposit Company of Maryland (Surety) 777 South Figueroa St. Suite 3900 Los Angeles, CA. 90017 Shank & Associates (Insurance) 10091 Park Run Drive Suite 200 Las Vegas, NV 89145 P-10 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO., 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 ADDITIONAL REFERENCES The following are the names, addresses, and telephone numbers for TI REE public agencies for which the BIDDER or Subcontractor has performed similar work in the past five years. 1. Albertsons, LLC 250 Parkcenter Blvd, Boise, ID 83706 Albertson Warehouse Expansion Name and Address of Owner. Chad Zinda 208-395-6200 Name and Telephone Number of person familiar with project. S1,470 000.00 Water Main Improvement June 2016 Contract Amount Type of Work Date Completed 2. Albertsons, LLC 250 Parkcenter Blvd. Boise ID 83706 Safeway Distribution Center Name and Address of owner. Name and Number of person familiar withproject. $19Q 000.00 Water Main Improvement November 2016 Contract Amount Type of Work Date Completed 3, Albertsons, LLC 250 Parkcenter Blvd. Boise, ID 83706 Albertson Warehouse Expansion Name and Address of owner. Name and Number of person familiar with project. S1,540,000.00 Water Main Improvement December 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. _ Fidelity & Deposit Company of Maryland (Surety) 777 South Figueroa St. Suite 3900 Los Angeles. CA. 90017 Shank & Associates 10091 Park Run Drive Suite 200 Las Vegas, NV 89145 P-11 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER. MAIN IMPROVEMENTS PEASE 2 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 Signed State of California County of Orange Subscribed and sworn to (or affirmed) before me on this day of _ __, 20J by _ proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me Notary Public Signature Notary Public Seal ^ I�t P-12 ofP-17 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 June 28, 2017 before me, Debbie Lynn Carrillo -Notary Public (insert name and title of the officer) personally appeared Reginald Kawale Kama IV -President 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. Signature DEBBIE LYNN CARRILLO COMM. #2137535 z a Notary Public • California A z San Bernardino County o (Seal) my Comm. Expires 00C. 19, 2019 CITY Or SANTA ANA PROPOSAL, PROJECT NO.; 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 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 riles, 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 Govormuent contracts or federally assisted construction contracts in. accordance with procedures authorized in Execution Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulations, or order of the Secretary of Labor, or as otherwise provided by law. P-13 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 The Contractor shall include the portion of the sentence imnuediatety 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 fir 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: r Title: Reginald Kamale Kama IV- President Firm: AMPCO Contractive, Inc. Date: June 28, 2017 P-14 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor Code regarding employment of apprentices, and understands that contractors on contracts exceeding $30,000 or 20 working days shall: 1. Apply to the joint apprenticeship committee administering the apprenticeship standards of the craft or trade in the area of the site of the public work for a certificate approving the contractor under the apprenticeship standards for the employment and training of apprentices in the area or industry affected, 2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the apprenticeship standards. 3. Contribute to the find or funds in each craft or trade in which he/she employs journeymen or apprentices on the public work, in the same amount or upon the same basis and in the same manner as the other contractors, except contractors not signatory to the trust agreement shall pay a like amount to the California Apprenticeship Council, Signed: - Title: Reginald Kawale Rama IV- President Finn: AMPCO Contracting, Inc. Date: June 28, 2017 P-15 ofP-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 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 otheiivise entitled. Signed; Title; Reginald Kawale Kama IV- President Firm: AMPCO Contracting, Inc. Date; Tune 28. 2017 P-16 of P-17 CITY OF SANTA ANA PROPOSAL PROJECT NO.: 16-6468 SEVENTEENTH STREET WATER MAIN IMPROVEMENTS PHASE 2 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 X If the answer is yes, explain the circurnstances in the following space P-17 of P-1.7 n 2 m W N O. �IMi O N T 9 O X iA2 C O 3 N N O � d 3 ^� N 'O In Ol d D O CITY OF SANTk ABTA Bond No. 7654455 THE FINAL PREMIUM IS BONDS Premium: $13,473,00 PREDICATED ON THE PROJECT NO.: 16-6468 FINAL CONTRACT PRICE Lall"I KNOW ALL MEN BY THESE PRESENTS that AMPCO Contractina, Inc. as CONTRACTOR, and Fidelity and Deonsit ComDanv of Ma land a corporation, organized and existing under the laws of the Stah!v'WiMily authorized to transact business under the laws of the State of California, as SURETY, are held and firmly bound unto the City of Santa Ana, as AGENCY, in the penal sumbf One Milli One Hundred Twenty Nine — Thousand and 0011Q0 Dollars ($ which is 100 percent of the total contract am rim: 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 CONDUIONS OIL' THIS OBLIGATION ARE, STICH that, whereas CONTRACTOR has been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated September 5, 2017 ... for Seventeenth Street Water Main Improvements Phase 2 Project No, 16-6461 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 tittle 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 Sth day of September 201Z_. 1540 South Lewis Street SURETY* 777 South Figueroa Street, Suite 3900 1411 N. Batavia St„ Suite 201, Orange, CA 92867 me, (714) 516-1232 , this .... . . .. day of 20—. Signature: Notary public in and for the County of State Rate of premium on this bond is $15.31 / $9.25 —_per thousand. Total amount of premium charge is $ J3A7aD0__ . To be filled in by Surety *Provide CONTRACTOR / ADMITTED SURETY narne, address, and telephone number anti the name, title, address, and telephone namber of authorized representative, I 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 September 8, 2017 before me, Susan Pugh, Notary Public (insert name and title of the officer) personally appeared Arturo Ayala 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. =Nltl GH 5405 Malifornia XUNTYhr 39, a019 Signature �L< (Seal) Bond No.7654455 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICI-I AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by, MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set fordr on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shannon Rozelle OSTROM and Michael CASTANEDA, all of Orange, California, EACH its true and lawful agent and Attorney -in -Pact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of May, A.D. 2017. ATTEST: Assistant Secretary Joshua Locker ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND e„ yyCMIl4>f,L FnY otva6r ..G.t iNS(,y �••I ~ �pnro.�. n ?P`. �o�roNi y10 �2.ma, ,(, �� : u: loge ,111 .1 \ F Vice President Michael Bond State of Maryland County of Baltimore On this 15th day of May, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned mid qualified, MICHAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly swom, deposeth and saith, that Ire/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written. `iidtptlY ':• if Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 012-0079B EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attorneys -in -Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attomey-in-fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998, RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the IOth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WFIEREOF, I have hereunto subscribed my time and affixed the corporate seals of the said Companies, this 8th day of September 20 17 10 �BAL b'6 �, 1BAB. o' ++rR 5 David McVicker, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 UTA.14►161►dlH 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 September 25, 2017 before me, Kellie Leann Waldron, Notary Public (insert name and title of the officer) personally appeared Reginald Kama - President 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. KELLIE LEANN M'ALD"N WITNESS my hand and official seal. o COf4M. #2177780 a a Notarypublic • California s Z Oranoa County fires Dec, 31W2020 Signatu (Seal) THE FINAL PREMIUM IS CITY OF SANTA ABTA Bond No. 7654455 PREDICATED ON THE 110NDS FINAL CONTRACT PRICE PROJECT NO.: 16-6468 MWIDIC KNOW ALL MEN BY THESE PRESENTS that AMEM QQn1maltIg loc, as CONTRACTOR, and Fidelity and Deposit Company of Ma land 0 -� to transact a corporation, organized and existing under the laws of the Sin � my �authofizc�d 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 sumof One Million One Hundred Twenty Nine Thousand and 00/100 — Dollars 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 September 5 2017 for Seventeenth Street Water Main Improvements Phase 2 Protect Na 16 6468 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 tinder said Contract Agreenient, or fails to submit amounts clue under the State Unemployment lnsurrrnce 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 rile 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 Ath __ day of 2017 . SURETY* Subscribed and sworn I 20 signatum Notary Public in and for the County of 1540 South Lewis Street Anaheim. CA 92805 (949 777 South Figueroa StreE Los Angeles, CA 90017 f 1411 N Batavla St., Suite 201, (714) 516-1232 this State of 3900 day of Rate of premium on this bond is $ See Performance Bond per thousand. Total amount of premium charge is $ See Performance Bond ---. To befflied in by Surety *Provide CONMICTOR / ADMITTED SUIW, IT name, address, and telephone number and dw name, fide, address, and iclephone number qf authorized reprasentative, 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 September 8, 2017 before me, Susan Pugh, Notary Public (insert name and title of the officer) personally appeared Arturo Ayala , 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. Signature'-4 Susan Pugh (Seal) SUSAN PUGH COMM. #2106405 N 5 .SQ Notary Public -California ORANGE COUNTY a Bond No.7654455 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by MICHAEL BOND, Vice President, in pursuance of authority granted by Article V, Section 8, of the By -Laws of said Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate, constitute, and appoint Daniel HUCKABAY, Dwight REILLY, Arturo AYALA, Shaunna Rozelle OSTROM and Michael CASTANEDA, all of Orange, California, EACH its true and lawful agent and Attomey-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of the By -Laws of said Companies, and is now in force. IN WITNESS WHEREOF, the said Vice -President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 15th day of May, A.D. 2017. ATTEST: Assistant Secretary Joshua Leeker ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND BAL'bF y°' "• ;a`0Iro""�o lot nw .' yu; lye, 1R1 �n...'.Iwn. fB D Vice President Michael Bond State of Maryland County of Baltimore On this 15th day of May, A.D. 2017, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, MICHAEL BOND, Vice President, and JOSHUA LECKER, Assistant Secretary, of the Companies, to me personally Imoven to be the individuals and officers described in and who executed the preceding instrument, and acknowledged the execution of same, and being by me duly sworn,- deposeth and saith, that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written nb ,J`h`:�euri s, . t Constance A. Dunn, Notary Public My Commission Expires: July 9, 2019 POA-F 012-0079B EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V, Section 8, Attornevs-in-Fact. The Chief Executive Officer, the President, or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys -in -fact with authority to execute bonds, policies, recognizanees, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney -in -fact to affix the corporate seal thereto; and may with or without cause modify of revoke any such appointment or authority at any time. CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that Article V, Section 8, of the By -Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: 'That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney... Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the I Oth day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice -President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a certified copy of any power of attorney issued by the Company, shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this 8th day of September 20 17 wa o[ro .�OIaSU� wt's` W e�°m wxn '�� —•— 05 86AL R _ '� '• * su� tie ��5 David McVicker, Vice President TO REPORT A CLAIM WITH REGARD TO A SURETY BOND, PLEASE SUBMIT ALL REQUIRED INFORMATION TO: Zurich American Insurance Co. Attn: Surety Claims 1299 Zurich Way Schaumburg, IL 60196-1056 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 September 25, 2017 before me, Kellie Leann Waldron, Notary Public (insert name and title of the officer) personally appeared Reginald Kama - President 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 m hand and official seal. KELLtE LEANN WALDRON Y COMM. #2177780 z a Notary Public • California o Orange County g �? X�y e�lSaJ (Seal) comet, E Gae peo, a1 2020 Si natur '�R✓ Seal