HomeMy WebLinkAboutCALIFORNIA PROFESSIONAL ENGINEERING, INC. (11) Recording Requested By,
And when Recorded Mail To: Recorded in Official Records, Orange County
Clerk of the Council,City of Santa Ana Hugh Nguyen, Clerk-Recorder
20 Civic Center Plaza,P.O.Box 1988 II III I �II IIII IIIII ! Ill I IIIIIII I I IIIIII III
Santa Ana,CA 92702 +VI} II !I I IJGI IJ NO FEE
* $ R 0 0 1 0 2 3 3 9 9 0 $ *
2018000266648 2:37 pm 07/20/18
7 413 N12 1
0.00 0.00 0.00 0.00 0.00 0.00 0.000.000.00 0.00
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NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN that the undersigned City of Santa Ana, California, a
municipal corporation, with the address of City Hall, 20 Civic Center Plaza, Santa Ana,
California, 92701, is the owner of the property hereinafter described, that said owner has caused
ca construction of THORNTON PARK SECURITY LIGHTING PROJECT under contract entered
U 00 into on SEPTEMBER 5, 2017, with CALIFORNIA PROFESSIONAL ENGINEERING, INC.,
a an which contract ALLIED WORLD INSURANCE COMPANY is surety. The property on
o which such work improvement was placed is in the City of Santa Ana, County of Orange, State
Q z of California, and described as Project No. 16-2655 located at: THORNTON PARK. The work
improvement on said property was accepted as completed on JULY 3, 2018 .
o �
CITY OF SANTA ANA, A MUNICIPAL CORPORATION
wQ
F
By
oDated: —7 Princi 1 Civil Engineer-Ty1one Chesanek
U a.
� TITLE
VERIFICATION
I, the undersigned, say: I am the _ City_Engineer - Edwin "William" Galvez of the City of Santa
Ana, California; I executed the foregoing Notice of Completion acting on behalf of the owner of
the property therein described; I make this verification on behalf of said corporation by
authorization of the City Council of the City of Santa Ana; I have read said notice and know the
contents thereof; and I declare under penalty of perjury that the facts therein stated are true.
Executed on 77u 2_0 at Santa Ana, California
(Signature of indivi aI swearing that the
contents of Notice of Completion are true.)
THIS NOTICE OF COMPLETION MUST BE RECORDED WITHIN TEN(10)]JAYS AFTER COMPLETION
THE REGISTER
T 16ephonp (714) 79& 7o00 / Fau ANA CA
706 6069
IPR009 QF PU' BLICATION
(20166 C,C.P.)
state or cailrornia
- County ar ORANGE )as
NoflceType: BIO - NOTICE INVITING BIDS
Ad Description;
THORNTON PARKI8ECLll4ITY LIGHTING PROJECT
I am a citizen of the United Statea and a resldentof the Stake of Coliforms; I am
over the age of eighteen years, and note party to or inlorested In the above
entitled matter, I em 1116 principal olork at the printer and publlshar of the THE
REGISTER, a newspaper publishod In tho Englleh language In the oily of
SANTAANA, county of ORANGE, and adjudged a nowspaper of general
circulation as de0nod by the laws of the Slate of Cailfornla by tha Supadar
Court of the County of ORANGE, Slate of California, undar data 11/10(1006,
case No. A21040, That the notice, of which the annexed Is a printed copy, has
been, published In each regular and entlro Issue of Bald newspaper and not In
any supploment thereof on the following dales, lawih
06/10/2017, 06/2312017
ENedutad am 06123/2017
At SANTA ANA ,CA
I certify (or declare) under penally of par)ury that the foregoing Is true and
correct.
Slgnatur6
IIIIIIilllllllllllllllllllllllllllllllllllllllllllllllllilllllllllllll
A 0 0 0 0 0 4 4 4 5 1 6 p
Tnls spasoror gling stamp only
- v ori virr—1 muccrusr Vrange Uounty
Hugh Nguyen, Clerk -Recorder
II III 1111111 II III 1111111 111111 III II VIII NO FE
* R 0 0 0 9 2 6 7 6 1 1 $
201785000478 2:17 pm 05/12/17
266 OR02 Z01
0.00 60.00 0.00 0,00 0.00 0.00 0.00 0.00
ACTING CITY MANAGER
Gerardo Monet
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria 0. Hulzar
2MMM
GRANGE COUNTY CLERK -RECORDER DEPARTMENT
13Y::........._.� ....,__...._,.DEPUTY
From the Requirements of the California Environmental Quality Act (CEQA)
dFee Exemption per California Government Code Section 6103
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: Thornton Park Security Lighting Project Date of Approval: 07/27/2017
Project Number(s): PWA -2017 -734 -CITY
Project Location: 1 Citywide (Partial)
City: Santa Ana County: Orange ER Number: ER -2017-39
Project Description: The construction will include removal of existing light pole standards, concrete footings and pull boxes
and replacement with new light pole standards, concrete footings and pull boxes.
Applicant Name: Monica Suter, City of Santa Ana
Applicant Address: City of Santa Ana, 20 Civic Center Plaza
SANTA ANA, CA 92702
Name of Public Agency Approving Project: City Council
Name of Person or Agency Carrying Out Project: Suter, Monica
Exempt Status:
❑ Ministerial (Sec. 15268)
❑ Declared Emergency (Sec, 15269 (a))
❑ Emergency Project (Sec. 15269 (b through e))
❑ General Rule (Sec. 15061(b)(3)/(5))
* Statutory Exemption:
Q Categorical Exemption: 15301(b)
Reason(s) Why Project is Exempt From CEQA:
16301(b) consists of repair/maintenance of existing public facilities.
ORANGE COUNTY CLERK -RECORDER DEPARTMENT
BY: DEPUTY
City Contact: w Torres Telephone: (714) 647-5018
Signature: Title: " (� rl�� _- Date: G
SANTA ANA CITY COUNCIL,
Miguel A. Polido Michele Martinez Vinceno Sarmiento Jose Solodo P, David Benavides Juan Villages gal 7inafern
Mayor Mayor Pro Tem, Ward 2 Ward I Ward 3 Ward 4 Ward 5 Ward 6
gipuiido Santa -ane ora mlmartinozlmsante-ane v m'en>o saptaana.org so odo(plsanta-.ane ory dbenavide raa t -a a.s iv lloga� sante-ane om s6naieto2dse to na ra
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele Martinez
COUNCIL MEMBERS
P. David Benavides-
Vicente Sarmiento
Jose Solorio
Sal Tinajero
Juan Villages
CITY OF SANTA ANA
PLANNING & BUILDING AGENCY
20 Civic Center Plaza (M-20)
P.O. BOX 1988+Santa Ana, Calffomia 92702
(714) 067.2700 • Fax (714) 973-1461
www.santa-ano.org
NOTICE OF EXEMPTION
ACTING CITY MANAGER
Gerardo Monet
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria 0. Hulzar
2MMM
GRANGE COUNTY CLERK -RECORDER DEPARTMENT
13Y::........._.� ....,__...._,.DEPUTY
From the Requirements of the California Environmental Quality Act (CEQA)
dFee Exemption per California Government Code Section 6103
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: Thornton Park Security Lighting Project Date of Approval: 07/27/2017
Project Number(s): PWA -2017 -734 -CITY
Project Location: 1 Citywide (Partial)
City: Santa Ana County: Orange ER Number: ER -2017-39
Project Description: The construction will include removal of existing light pole standards, concrete footings and pull boxes
and replacement with new light pole standards, concrete footings and pull boxes.
Applicant Name: Monica Suter, City of Santa Ana
Applicant Address: City of Santa Ana, 20 Civic Center Plaza
SANTA ANA, CA 92702
Name of Public Agency Approving Project: City Council
Name of Person or Agency Carrying Out Project: Suter, Monica
Exempt Status:
❑ Ministerial (Sec. 15268)
❑ Declared Emergency (Sec, 15269 (a))
❑ Emergency Project (Sec. 15269 (b through e))
❑ General Rule (Sec. 15061(b)(3)/(5))
* Statutory Exemption:
Q Categorical Exemption: 15301(b)
Reason(s) Why Project is Exempt From CEQA:
16301(b) consists of repair/maintenance of existing public facilities.
ORANGE COUNTY CLERK -RECORDER DEPARTMENT
BY: DEPUTY
City Contact: w Torres Telephone: (714) 647-5018
Signature: Title: " (� rl�� _- Date: G
SANTA ANA CITY COUNCIL,
Miguel A. Polido Michele Martinez Vinceno Sarmiento Jose Solodo P, David Benavides Juan Villages gal 7inafern
Mayor Mayor Pro Tem, Ward 2 Ward I Ward 3 Ward 4 Ward 5 Ward 6
gipuiido Santa -ane ora mlmartinozlmsante-ane v m'en>o saptaana.org so odo(plsanta-.ane ory dbenavide raa t -a a.s iv lloga� sante-ane om s6naieto2dse to na ra
r ' State of California - Department of Fish and Wildlife
2017 ENVIRONMENTAL FILING FEE CASH RECEIPT
DFW 753.5a (Rev. 01/01/17) Previously DFG 753.5a 11
r.
LEADAGENCY EMAIL
CITY OF SANTA ANA
THORNTON PARK SECURITY LIGHTING PROJECT
30.2017 462
STATE CLEARINGHOUSE NUMBER (If applicable)
N/A
05/12/2017
2017850000478
PROJECT APPLICANT NAME
PROJECT APPLICANT EMAIL
PHONE NUMBER
MONICA SUTER,CITY OF SANTA ANA
1 (714) 647-5018
PROJECT APPLICANT ADDRESS
CITY
STATE
ZIPCODE
20 CIVIC CENTER PLAZA
SANTA ANA
CA
92702
PROJECT APPLICANT (Check appropriate box)
Q Local Public Agency E School District Other Special District ❑ State Agency ❑ Private Entity
CHECK APPLICABLE PEES:
❑ Environmental Impact Report(EIR)
[] MitigatedMegaiiva Declaration (MND)(ND)
❑ Certifled Regulatory Program document (CRP)
El Exempt from fee
0 Notice of Exemption (attach)
El CDFW No Effect Determination (attach)
❑ Fee previously paid (attach previously Issued cash receipt copy)
$3,078.25 $ 0.00
$2,216.25 $ 0.00
$1,046.50 $ 0.00
Water Right Application or Petition Fee (State Water Resources Control Board only) $850.00 $ 0.00
❑ County documentary handling fee $ 0.00
❑ Other $ _
PAYMENTMETHOD:
❑ Cash ❑ Credit ❑ Check ❑ Other TOTAL RECEIVED $ 0.00
SIGNATURE AGENCY OF FILING PRINTED NAME AND TITLE
X17� , .1 r ®_ �, , .tre"c DULCE CUEVAS-DEPUTY
ORIGINAL- PROJECI APPLICANT COPY �CDFMASB COPY - LEAD AGENCY COPY -COUNTY CLERK DFW 763, 6a (Re, 201512' I6)
INSURANCEAU, ON FILE
WORK MAY NJ PROCEED
CLERK OF COUNCIL
DATED I5' 18 9wr
O: Michael Ortiz
PWA (®2, )
CITY OF SANTA ANA
CONSTRUCTION CONTRACT
PROJECT NO. 16-2655
THORNTON PARK SECURITY LIGHTING PROJECT
This CONSTRUCTION CONTRACT is made and entered into this 5"i 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 California
Professional Engineering, 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 Thornton Park Security Lighting 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 Ninety -Four Thousand Five Hundred and
No Cents ($94,500.00), 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.
iev 12/20/2016 Page 1 of 3
4. CONTRACTOR agrees to complete the WORK OF IMPROVEMENT within the time specified in
the Time for Completion of Improvements section of the BID PROPOSAL (Exhibit `A") including
commencing construction within the timeframe therein specified after issuance of a Notice to
Proceed.
5. The CONTRACTOR will pay, and will require all subcontractors to pay, all employees on the
WORK OF IMPROVEMENT a salary or wage at least equal to the prevailing salary or wage
established for such work as set forth in the wage determinations for this work in accordance with
applicable State and Federal law.
6. CONTRACTOR shall, after award of this Contract, furnish two bonds to be approved by the CITY,
one in the amount of One Hundred Percent (100%) of the Contract price, to guarantee the faithful
performance of the work (Performance Bond), and one in the amount of One Hundred Percent
(100%) of the Contract price to guarantee payment of all claims for labor and materials furnished
(Payment Bond), This Contract shall not become effective until such bonds are supplied to and
approved by the CITY.
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
CITY.
Page 2 of 3
IN WITNESS WHEREOF, the parties hereto have executed this Construction Contract on the day and
year first above written.
ATTEST:
MARIA D, HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
SONIA R. CARVALHO
City Attorney
By.
J -L
JOPN M. FUNK
Assistant City Attorney
RECOMMENDED FOR_APPROVAL:
D MOUSAVIPOU -
Executive Director
Public Works Agency
CITY OF SANTA ANA
CYNTHIA J. KUR
Interim City Manager
CONTRACTOR:
California Professional
VAN NG
President
Inc.
Page 3 of 3
CITY OF SANTA ANA
PROPOSAL, Exhibit A
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
BIDPROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: California Professional Engineering, Inc. _
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 entirely 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:
BASE BID:
Item
Description
Qty
Unit
Unit Price
Amount
I
THORNfON PARK SECURITY
LIGHTING
I
LS
$
%5100i2
$�
2
ADDITIONAL LIGHT POLE
ASSEMBLY*
1*
EA
$$
I�qO
3
ADDITIONAL WIRING*
loo*
LF
$ b'ov
$ GE)
}
ADDITIONAL CONDUIT*
I oo*
LP
$ ,.� the
$� bo
TOTAL BAST, BID
U)
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.
P-1 of P-16
CITY OF SANTA ANA
PROPOSAL Exhibit A
PROJECT NO.: 16.2655 THORNTON PARK SECURITY LIGHTING PROJECT
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 THIRTY (30) working clays 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.
i
Name of Firm Califronle Professionkl 6gineerlaq—lnc. /
Signature of BIDDER
Title Van Nguyen, President S¢crreicN iourtow a:r, knt-ti qe
(If an individual, so state. If a firm m• ao-'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 - I 6
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
BID PROPOSAL
TO: CITY COUNCIL OF THE CITY OF SANTA ANA
FROM: California Professional Engineering, Inc.
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:
BASE BID:
Item
Description
Qty
Unit
"Unit Price
�
Amount
I
THORNTON PARK SECURITY
LIGHTING
1
LS
$
,�
$
2
ADDITIONAL LIGHT POLE
ASSEMBLY*
I *
EA
$
I'50
$
3
ADDITIONAL WIRING*
100*
LF
$ 16,0V
$��
4
ADDITIONAL CONDUIT*
100*
LF
$ 3(.00
$ X00
TOTAL BASE BID
$ ot 4 AD .0)
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.
P-1 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON'PARK SECURITY LIGHTING PROJECT
TIME FOR COMPLETION OF IMPROVEMENTS AND LIOUIDATED DAMAGES
The undersigned bidder hereby proposes to complete the Work for the total base bid amount
shown above, within THIRTY (30) working days after the commencement date stated in the
Notice to Proceed.
The liquidated damages amount, in lieu of the amount specified in Subsection 6-4 of the
Standard Specifications, shall be $500 per calendar day..
Name of Firm Califronia Professio* dhC1ineerinQ In Al
Signature of BIDDER
Title Van Nguyen, President S¢crrrVcsc�,tRg tr tr M'",W
(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.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
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 Cleric 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 property 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 (lo)
business days or the finds. check, draft, or BIDDERS bond substituted in lied thereof
accompanying this proposal shall become the property of the AGENCY and shall be considered
as payment of damages due to the delay and other causes suffered by AGENCY because of the
failure to furnish the necessary bonds and because it is distinctly agreed that the proof of
damages actually suffered is difficult to ascertain; otherwise said funds; check, drafts, or
BIDDER'S bond substituted in lieu thereof shall be returned to the undersigned.
BIDDER understands that a bid is required for the entire work, the estimated quantities set forth
in the bid schedule are solely for the purpose of comparing bids, and that final compensation
under the contract will be based upon the actual quantities of work satisfactorily completed. The
BIDDER also certifies that the bid is a balanced bid.
In accordance with Section 7028.15 of the California Business and Professions Code, the
undersigned certifies under penalty ofperjury that the foregoing is true and correct.
Name ofFirm California Professionak,Enaineerina.lInc.
Signature of BIDDER
Title Van Nguyen, President.,�r r 1 gpy�7M"O' , Hty qt•
(If an individual, so state. If a firm or coilpartnership, state the m 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.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
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: California Professional Engineering, Inc.
Business Address: 929 Otterbein Ave, Unit E La Puente, CA 91748
Business E -Mail Address: van@cpengineeringine.com
Telephone: 626 810 1338
State Contractor's License No. and Class: 793907 Class A, C-10, C-20
License Expiration Date: 4/30/2019
State Dept. of Industrial Relations (DIR)
Registration No.: 1000001980
State Dept. of Industrial Relations (DIR)
Registration Expiration Date: A 6/30/2018
Signed:
Title: Van Nguyen, President
P-4 of P- t6
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
PREVAILING WAGE COMPLIANCE AND MONITORING STATEMENT
Contractor is aware of the requirements of California Labor Code Section 1720, et seq., as well
as California Code of Regulations, Title 8, Section 16,000, et seq., (`Prevailing Wage Laws"),
which require the payment of prevailing wage rates and the performance of other requirements
on "public works" and "maintenance" projects. Since the services are being performed as part of
an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws,
and since the total compensation is $1,000 or more, Contractor agrees to fully comply with such
Prevailing Wage Laws.
City shall provide Contractor with a copy of the prevailing rates of per diem wages in effect at
the commencement of this Agreement. Contractor shall make copies of the prevailing rates of
per diem wages for each craft, classification or type of worker needed to execute the services
available to interested parties upon request, and shall post copies at the Contractor's principal
place of business and at the project site.
Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees
and agents free and harmless from any claim or liability arising out of any failure or alleged
failure to comply with the Prevailing Wage Laws.
The undersigned certifies that the foregoing is true and correct.
Name of Firm
California Professional En
Signature of BIDDER
Title Van
President
(if an individual, so state)
P-5 ofP-l6
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
OWNERSHIP AFFIDAVIT
STATE OF CALIFORNIA )
COUNTY OF ORANGE ) SS:
CITY OF SANTA ANA )
Van Nguyen being duly sworn, deposes and says:
❑ TNDTVIDUAL That he/she is the party making the foregoing proposal:
❑ PARTNERSHIP that. he/she is a member of the. co -parr nership firm designated as:
and who has been and is duly vested with the authority to make and execute instruments
for the co -partnership by:
who constitute the other, members of the co -partnership.
EYCORPORATION That he is of:
(',AI IPOPNIA PROFFSSnbfAI FNCl NFFRING;ING INC
a corporation which is making the foregoing proposal:
❑ J01NT VENTURE That he is of:
one of the parties making the foregoing proposal as a joint venture, and the he/she has
been and N duty vested with the authority to execute instruments for an on behalf of Nie
parties making said bid who are:
that such a bid is genuine and not collusive or
collusion to secure any advantage against the City
proposed cont7-fo::l
xf or any other person,
Signature of Bidder
Subscribed and sworn to be'f `re me this
sham, and has not in any manner sought by
of Santa Ana or any person interested in the
day of JUNE 20 17
Signature of officer Administering Oath (Notary Public)
P-6 of P-16
State of California
County of LaaAngeles
Subscribed and sworn to (or affirmed) before me on this
Van
to be the person(aj who appeared before me.
6th day of dune _ 2017 , by
proved to me on the basis of satisfactory evidence
'"
NOTA RI" S MGNATU1tE
A notary public or other office completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached. and not the truthfulness. wcuracv. or validitv of that document.
PLACE NO IARY SEAL IN ABOVESPACE
onsommmm i)PTIONAL, INFORMATION
RMA'TION
The information below is optional. However, it may prove valuable and could prevent frandulent attachment
of this form to an unauthorized document:
j CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OFATTACHED DOCUMENT
El
L�
❑
❑
El
INDIVIDUAL
CORPORATE OFFICER President - a-et�easurer, Manager
PARTNFR(S) 'rrIIIAS)
A"fTORNrY-IN-FACT
TRUSTEE(S)
G UARDIANICONSERVATOR
OTHER:
'CITLE OR TYPE OF DOCUMCNIT
NUMBER OP PAGES
DATE OF DOCUN[ENT
ABSENT SIGNER (PRINCIPAL) IS REPRESENTING: RIGHT
NAME OF PERSONIS) ORENTYTY(ILS_) THUMBPRINT
1
California Professional En>iIR teeitin_g,Iltc_ OF _ SIGNER
OTHER
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a
e
10 1/2,00S, NOTARY FUNDS, SUPPLIES AND PORtS AT HTTP:flWWW.vALLEY.SIERRA.COM Cu bQOs _003 PALL.ES'SIP1RItAtNSl;RANCE
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
SID BOND
KNOW ALL PRESENT that,
California Professional Bngineering Inc. as BIDDER, and
_ Allied World Insurance Company as SURETY,
are held and firmly bound unto the CITY OF SANTA ANA, as AGENCY, in the penal sum of
1SUc cent of the total bid amount Dollars ($ —In ), 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
2nd day of June -120 7
BIDDER* California Professional Engineering Inc.
929 Otterbein Avenue, Ste. F;, La PuSIife, A 91748 / Tleph ne 626-810-133$
SURETY* Allied World Insurance Company
Subscribed and
Signature:
S. Hope Street, Suite
to before me
,20-.
CA 90071/ Telephone 213-41.6-1453
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
State of California
County of Los Angeles SS.
On June 6, 2017
before me, Diem Chu
Notary Public,
DAre
personally appeared -_-_ van Nguyen who proved to me on the
basis of satisfactory evidence to be the person(,Q whose nameW, is/,qXk subscribed to the within instrument
and acknowledged to me that he,'8ktov!Ckey executed the
same in hish[wr 4keir authorized capacity(in), and that
by his/hvds4NIeiK -signature) on the instrument the
person(IUI, or the entity upon behalf of which the
persoh(t� 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 nay hand and official seal.
i� DIUpi CHU
.{ rr sk COW,i & 2042313
NeD-V PUKIC CALIFORNIA )
1- LOS ARARus Lo4NiY
NOTARY'S SI(iNATI1RE
A notary public or other office completing this certificate verifies only the identity of the Individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracv, or validity of that document.
PI ACE N(TTARTSEA1 IN ABOVE SPACE
OPTIONAL INFORMATION
The information below is optional. However, it may prove valuable and could prevent fraudulent attachment
of this form to an emamborized document.
CAPACITY CLAIMED HY SIGNER (PRINCIPAL)
llIESCRIP'I`ION OF'ATTACHED DOCEMENT
❑
INDIVIDUAL
CORPORATE OFFICERP.resident,Secretary.Treasurer,Mana[;er
'TIrLEORTYPEOFDOCUMENT
[]
PARTNER(S) Tnrie,(st
[]
ATTORNEY-IN-FACT
❑
TRUSTEE(S)
NUMBEROFMOES
❑
GUARDIAN/C'ONSERVATOR
❑
OTHER: .-..-.-______
-- – — – — -----
DATH OF DOCUMENT -
SIGNER (PRINCIPAL) IS REPRESENTING:
NAME OF PCRSON(9) OR ENTITYI nS)
California Professional Engineering, Inc.
RIGH'r
TIRJM1 BPRINT
OF
SIGNER
APA):20tl NOrAKYNONM-5VPPi.ILSAND FORMSATHT]f"t}Vl1'W.C;4Lf F}:,q IRRR.4:C'(D?•1 "=00>-"„008111-LILY-YI f;lA2A7NSl?RATiCG
.. . ... .... ...... ...... 1 -1.... -I -I.- ...... ...... I ... .... . .. ............ ... .... ... ....... . . -11-- .... ........ I ....
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
.... 9 ... ... .... ....... ........ -..-- ... ............................ ...... .... . ..
On Juno 2, 2017 beforeme, Robyn R. Kargarl Notary Public,
.. .. ..... ... ... ....... ........ . ....... .
as Aappeam on fhb affid l setal
personally appeared Yung T Mulllck... ... ....... I ... ............ .
Na6a51 ..... .. . . .... ..... .......... ........ .
Name(s) of signer
'RGAR'
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LIFORMA
ARY lll� A
T , BLI� C
U Nly
R
COPAM POaF 13,
I , 20194
�� 0!1-m
Racm. Nolary Mow
who proved to ive 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 cqipacty(les),
and that by his1her/their signature�s) on the instrument, the
person(s), or the entity upon behalf f 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 bar, o" 5
III Mcial seal
)a'
Signature
V Nk a,y r lic obynR.Kargarl
OPTIONAL
Though the information below is not required by !avv 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�
Dou,tment Date: ........ .......... ........ ..... ... ........ Number of Pages
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Slgner(s)
Signer's Name� ... . ....... _ ........ .... ... ... ..... ......
1, ) Individual
F1 Corporate of
I- I Partner 1-1 Lirorled [.] General
I-] Attorney in Fact
I-] Trustee
E] Guardian or conservator
IJ other',
Signer Is Representing:
Signer's Name:
F-1 Individual
I-] Corporatoofficer—Tifle(s);,
0 Partner L] Limited E , .1 C3aneral
L1 Attorney in Fact
❑ Trustee
❑ Guardicin or conservator
El Other;
Signer is Repearmthr:
SURpOQ46 00(05%2016)
No. 3186-4
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
Amended
Certificate of Authority
THIS IS TO CERTIFY that, pursuant to the Insurance Code ofthe State of California,
Allied World Insurimm Company
ofNewHampshire, organizedunderthe laws ofNewHampshire, subfeettoitsArticlesoflncorporationor
other fundamental organizational documents, isherebymtthorizad to fransactwddhin this State, subject to all
provisions of this Certifleate, the following classes of insurance:
Fire, Marine, Surety, Plate Glass, Liability, Workers' Compensation,
Common Car6m Liability, Roller and Machinory, Burglary, Credit,
Speinhlor, Toanr and Vehicle, Automobile, AJrcraft, and Miscellaneous
as such classes are now or may hereafter be defined In the Insurance Lows ofthe Stade of ealifornto.
TOS CERTIFICATE is expressly conditioned upon the holder hereofnow and hereafter being In
fitdl compliance with all, and not in violation ofarty, oj'the appllcahk laws and lawful requirements made
under authority ofthe laws ofthe State of California as long as such laws or requirements are. in effcot and
applicable,, and as such laws and requirements now are, or tnuy hereafter be changed or amended.
IN WINESS WI-11,RFOF, effective as ofthe 22"u day ofMay, 2013,
1have hereunto sat my hand and caused my official seal to be u,04tat
this• 22a' day ofMay, 2013.
Dave Jonas
liw'urn,ms Canumisstoner
r
gy ✓
'
Sus7, Stapp
an
for Nettle Hope
Cko'Depiuy,
NOTICE:
Qualification with the 3ectetary of State must be acco nplisbod as required by the Coli40mia Corpoettlons Code promptly alter
ibauancooftols Certificam ofAuthor4y. Fallureto do so will bo a violation o0n6arance Codoaoofon 701 and wlllh4groundsfor
rovaldag this Certifoato of Authority pursuant to the covenants made is the application therefor and tbo aonditiona contained
hereto.
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
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: 'l:% ofthe bid or $10,000, whichever is greater
o 'Buildings, parks, or other projects: %2%u 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 fii�ry
Name
License #/Exp.
License #/Exp.
DIR Reg. #/Exp,
DIR Reg, #/Exp.
Location
Location
Phone
Phone
Type Of Work
Type Of Work
Amount $
Amount $
Name
License #/Exp.
DIR Reg. #/Exp.
License # _
Location
Phone
Type Of Work
Amount $
Name
License #/Exp.
DIR Rag, #/Exp.
License #
Location
Phone
Type Of Work
Amount $
Signature of Bidder
Name
License #/Exp.
DIR Reg. #/Exp.
License #
Location
Phone
Type Of Work
Amount $
Name
License 4/Exp.
DIR Reg.#/Exp.
License #
Location
Phone
Type Of Work
Amount $
P -S of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGL-ITING PROJECT
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. Please see attached
Name and Address of Owner.
Name and Telephone Number of person familiar with project,
Contract Amount Type of Work Date Completed
2.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
3.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount
Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds.
see attached
P-9 of P-1.6
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARE SECURITY LIGHTING PROJECT
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.
I. Please see attached
Name and Address of Owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
2.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
3.
Name and Address of owner.
Name and Telephone Number of person familiar with project.
Contract Amount Type of Work Date Completed
The following are the names, addresses, and telephone numbers of all brokers and sureties from
whom BIDDER intends to procure insurance and bonds.
Please see attached
P-1.0 o'fP-16
929 Otterbein Ave., Unit E
La Puente, CA 91748
Ph: (626) 810-1338
Fax: (626) 810-1322
www.cpengineeringlnc.com
Design — Build High Voltage Streetlight System Rewiring
Amount: $547,044.66
Owner: City of Santa Ana
Project Manager: Tyrone Chesonek
Email: tchesanek@sonto-ono.org
Contact Phone M (714) 647-5690
Fax #:(714)647-5622
Status: Completed
Approximate Start/End Dates: Feb 2015 -March 2016
of Supplies, Equipment, or Services Provided: Convert High Voltage
to Low Voltage Wiring, Design/Build, Installation of Lighting Fixtures,
and Conduit.
Installation of Sport Field Lighting System
Amount: $65,501.00
Owner: City of Huntington Park
Project Manager:Josette Espinosa
Email: jespinosa@hpco.gov
Contact Phone #: (323) 584-6216
Fax #:(323)588-4577
Status: Completed
Approximate Start/End Dates: Dec 2015 -Jan 2016
Description of Supplies, Equipment, or Services Provided: installation of Conduit &
Wiring, Pull Box, Sports Field Lighting Fixtures, and Lighting Poles,
Firestone Blvd Improvement Project
Amount: $409,305.58
Owner: City of Downey
Project Manager: Keith Hoey
Page 1 of 3
Document Last Updated 415/2016
Email: khoey@downeyca.org
Contact Phone #: (562) 622-5898
Fax #: (562) 904-7296
Status: Completed
Approximate Start/End Dates: April 2014 -August 2014
Description of Supplies, Equipment, or Services Provided: Installation of Conduit &
Wiring/Conductors, Pull Boxes, Pedestals, LED Fixtures, and Light Poles.
Street Light In Lieu
Amount: $244,716.35
Owner: City of Ontario
Project Manager: Johnson Hua
Email: jhua@ci,ontorio.co.us
Contact Phone #: (909) 395-2131
Fax #: (909) 395-2122
Status: Completed
Approximate Start/End Dates: Jan 2014 -April 2014
Description of Supplies, Equipment, or Services Provided: Installation of Conduit &
Wiring/Conductors, Pullboxes, Pedestals, LED Fixtures, and Light Poles.
Did Towne Street Lighting Improvements
Amount: $453,145.00
Owner: City of Orange
Project Manager: Medel Llanes
Email: mllanes@cityoforange,org
Contact Phone #: (714) 744-5535
Fax #: (714) 744-5573
Status: Completed
Approximate Start/End Dates: Jan 2012 -April 2012
Description of Supplies, Equipment, or Services Provided: Installation of Conduit
Pullboxes, Pedestals, Street Lights w/Fixtures, and Light Poles.
Installation of Street Lighting on Mountain Street from Craig Ave
Amount: $335,166.00
Owner: City of Pasadena
Project Manager: Chris Hernandez
Email: cehernandez@cityofpasadena.net
Contact Phone M (626) 744-4303
Fax#: (626) 396-7931
Status: Completed
Approximate Start/End Dates: Jan 2012 -May 2012
Description of Supplies, Equipment, or Services Provided: Installation of Conduit,
Street Light Pullboxes, LED lamps, Post Top Concrete Streetlights, Street Light
Conductors, and Modify Existing Street light Feed Point.
Page 2 of 3
Docuinent Last Updated 4/3/2016
Street Light Installation — Guinida Lane
Amount: $202,345.50
Owner: City of Anaheim
Project Manager: Mark Brownrigg
Email: mbronwrigg@onaheim,net
Contact Phone #: (714) 765-4300 Ext. 4596
Fax #: (714) 765-5225
Status: Completed
Approximate Start/End Dates: Aug 2011 -March 2012
Description of Supplies, Equipment, or Services Provided: Installation of Conduits,
Wirings, Service, Foundations, Street Light Poles, and Luminaires.
Page 3 of 3
Document Last Updated 41512016
929 Otterbein Ave., Unit E
La Puente, CA 91748
Ph: (626) 810-1338
Fax: (626) 810-1322
www.cpengineeringinc.com
We intend to procure all bonds from:
The Hanover Insurance Company
Yung T. Mullick, Attorney -In -Fact
24800 Chrisanta Drive, Suite 160
Mission Viejo, CA 92691
949 -461 -7000 -office #
949 -461 -7725 -fax #
ymullicic@thebond-exchange.com
We Jg '%p,procure all general/access liability/auto liability certificates from:
Inc.
CA 91730
to procure all workers' compensation certificates from:
13BSI
Magdalena Gilane, Agent
1950 Sumvest Lane, Suite 250
San Bernardino, CA 92408
909 -890 -0100 -office #
909 -890 -0120 -fax #
magda1eDa.gi1ane@bbsihq.com
Page 1 of 1
Document Last Updated 9.7.2016
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
NON -COLLUSION AFFIDAVIT
(Title 23 United States Code Section 112 and
Public Contract Code Section 7106)
In accordance with Title 23 United States Code Section 112 and Public Contract Code 7106 the
BIDDER declares that the bid is not made in the interest of, or on behalf of; any undisclosed
person, partnership, company, association, organization, or corporation; that the bid is genuine
and not collusive or sham„; that the BIDDER has not directly or indirectly induced or solicited
any other BIDDER to put in a false or sham bid, and has not directly or indirectly colluded,
conspired, connived or agreed with any BIDDER or anyone else to put in a sham bid, or that
anyone shall refrain from bidding; that the BIDDER has not in any manner, directly or indirectly,
sought by agreement, communication, or conference with anyone to fix the bid price of the
BIDDER or any BIDDER, or to fix any overhead, profit, or cost element of the bid price, or of
that of any other BIDDER, or to secure any advantage against the public body awarding the
contract of anyone interested in the proposed contract; that all statements contained in the bid are
true; and, further, that the BIDDER has not; directly or indirectly, submitted his or her bid price
or any breakdown thereof, or the contents thereof, or divulged information or data relative
thereto, of 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. BIDDERS are tinned ned that making a false certification may subject the
certifier to criminal proseckti7. A
Signed
State of California
County of 0$ fS &tE5
Subscribed and sworn to (or affirmed) before me on this 6 day of Tuac- , 20 hi, by
V+,,i p4(gtg5N _, proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before nie
Notary Public Signature
Notary Public Seal
P-11 ofP-16
State of California
County of t,osAngeles SS.
Subscribed and sworn to (or affirmed) before me on this 6th day of June 2017 by
van Nguyen proved to me on the basis of satisfactory evidence
to be the person(R� who appeared before me.
DIEM CHU
UI g� wo Qviausuc.�nu3oRxl
CALIFORNIA
NOTARY'S SIGNATURE
A ngtary public or other office completing this certificate verifies only the identity of the individual who signed the document
to which this gertifirate is attarhodr and not the truthfulness. accuracy. or validitv of that docunent.
PLACE NOTARY SEAL. W ABOVE SPACE -
•'1161111011111
The information below is optional. However, it may prove valuable and could prevent fraudulent attachment
of this form to an unauthorized document;
CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION O4 Al ACHED DOCUMENT
❑ INDIVIDUAL
CORPORATE OFFICER President,Secierary Treaswer,Manager TY11HORTYPEOFDOCUMENT
❑ PARTNER(S) TTLEtS7
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S) NUMBER OF PAGES
❑ GUARDIAN/CONSERVATOR
❑ Orj]ER: �. m_ DATE OF DOCUMENT -
ABSENTSIGNER (PRINCIPAL) IS PMPRESFNTINGx RIGHT
NAME OF PERSON(s) OR A'N oTY(SHS) THUMBPRIN'r
Cali OVI Ia P10fessional Engineering, Inc. OF
---- SIGNER
4
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101/2008
N(JIDON DR, SUPPLIES AND FORMS AT HTTP1A%;WV,:VALLEY-SIFRRACONI fir2005-2008VALI.EYSIERRAINSURANCI::
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARI{ SECURITY LIGHTING PROJECT
NON-DISCRIMINATION CERTIFICATE
The undersigned contractor or corporate officer, during the performance of this contract, certifies
as follows:
1. The Contractor shall not discriminate against any employee or applicant for employment
because of race, color, religion, sex, or national origin. The Contractor shall take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment without, regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to, the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The Contractor
agrees to post in conspicuous places, available to employees and applicants for employment,
notices to be provided setting forth the provisions of this nondiscrimination clause.
2. The Contractor shall, in all solicitations or advertisements for employees placed by or on
behalf of the Contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, or national origin.
3. The Contractor shall send to each labor union or representative of workers with which he/she
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor union or workers' representatives of the Contractor's
commitments under this section, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
4. The Contractor shall comply with all provisions of Executive Order 11.246 of September 24,
1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
5. The Contractor shall furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his/her books, records, and accounts by the
administering agency and the Secretary of Labor for purposes of investigation, to ascertain
compliance with such rules, regulations, and orders.
6. In the event of the Contractor's non-compliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, the contract may be canceled,
terminated, or suspended in whole or in part and the Contractor may be declared ineligible
for further Government contracts or federally assisted construction contracts in accordance
with procedures authorized in .Execution Order 11246 of September 24, 1965, and such other
sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of
September 24, 1965,.or by rule, regulations, or order of the Secretary of Labor, or as
otherwise provided by law.
P-12 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO,: 16-2655 THORNTON PARI{ SECURITY LIGHTING PROJECT
The Contractor shall include the portion of the sentence immediately preceding paragraph (1)
and the provisions of paragraphs (1) through (7) in every subcontract or purchase order
unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to
Section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be
binding upon each subcontract or purchase order as the administering agency may direct as
means of enforcing such provisions, including sanctions for noncompliance; provided,
however, that in the event the Contractor becomes involved in, or is threatened with,
litigation with a subcontractor or vendor as a result of such direction by the administering
agency, the Contractor may request that the United States enter into such litigation to protect
the interests of the United States.
8. Pursuant to California Labor Code Section 1735, as added by Chapter 643 Stats. 1939, and as
amended, no discrimination shall be made in the employment of persons upon public works
because of race, religious creed, color, national origin, ancestry, physical handicaps, mental
condition, marital status, or sex of such persons, except as provided in Section 1420, and any
contractor of public works violating this Section is subject to all the penalties imposed for a
violation of the Chaptej, /------/-,�i,
Signed: 'y/ lil
Title: Van Nguyen, President V
Firm: California Professional Enqineerinq, Inc.
Date: June 6, 2017
P-13 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 T'HORNTON PARK SECURITY LIGHTING PROJECT
STATEMENT REGARDING APPRENTICESHIP REQUIREMENTS
The undersigned BIDDER is familiar with the requirements of Section 1777.5 of the State Labor
Code regarding employment of apprentices, and understands that contractors on contracts
exceeding $30,000 or 20 working days shall:
1, Apply to the joint apprenticeship committee administering the apprenticeship standards of
the craft or trade in the area of the site of the public work for a certificate approving the
contractor under the apprenticeship standards for the employment and training of apprentices
in the area or industry affected.
2. Employ the number of apprentices or the ratio of apprentices to journeymen stipulated in the
apprenticeship standards.
3. Contribute to the fund or funds in each 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 ti, alitbm' ` renticeship Council.
I %
Signed:
Title: Van Nguyen President
Finn: California Professional Engineering Inc,
Date: June 6, 2017
P-14 of P -t 6
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARK SECURITY LIGHTING PROJECT
SY—ATEMENf 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 CPR; Part 3). This act provides that
each contractor or subcontractor shall be prohibited from inducing, by any means, any person
employed In the construction or repair of public work,,to give up any part of the compensation to
which he/she is otherwise en itlt�- Signed:�
Title: Van Nguyen, President
Firm: California Professional Engineering, Inc.
Date: june 6, 2017
P-15 of P-16
CITY OF SANTA ANA
PROPOSAL
PROJECT NO.: 16-2655 THORNTON PARI{ SECURITY LIGHTING PROJECT
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 X
If the answer is yes, explain the circumstances in the following space
P46 of P-16
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PREMIUM IS SUBJECT TO CHANGE BASED ON THE FINAL CONTRACT AMOUNT
CITY OF SANTA ANA
BONDS
PROJECT NO.: 16-2655
Bond No.S001-4418
Premium: $1,361.00
FAITHFUL PERFORMANCE BOND
KNOW ALL MEN BY THESE PRESENTS that California Professional Engineering Inc.
as CONTRACTOR, and Allied World Insurance Company
a corporation, organized and existing under the laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of Ninety Four Thousand Five Hundred & 00/100
Dollars
($ 94 500.00 1, which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
September 5, 2017 for Thornton Park Security Lighting Project
if CONTRACTOR 'faithfully performs and fulfills all obligations in the performance of the Work
of Improvement to be done under said Contract Agreement in the manner and time specified
therein, then this obligation shall be null and void, otherwise it shall remain in full force and
effect in favor of AGENCY; provided that any alterations in the obligations or time for
completion made pursuant to the terms of the contract documents shall not in any way release
either CONTRACTOR or SURETY, and notice of such alterations is hereby waived by
SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
7thday of September 20 17
CONTRACTOR*Ca`fornia Professi � al Engineering Inc., 929 Otterbein Avenue, Ste. E, La Puente, CA 91748, T: 626-810-1338
550 S. Hope Street, Suite 1825, Los Angeles, CA 90071, T: 213-416-1453
Yung T. Mullicl o - act, 800 Chr�nta Drive, Suite 160, Mission Viejo, CA 92691, T: 949-461-7000
Subserib n and sworn to b ore me, See Attached this —____day of
20_.
Signature:
Notary Public in and for the County of State of
Rate of premium on this bond is $ 14.40 per thousand.
Total amount of premium charge is $ 15361.00 . 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.
I of
ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles SS.
On September 8, 2017 before me, Dien, Chu Notary Public,
D:v E
personally appeared Van Nguyen who proved to me on the
basis of satisfactory evidence to be the personW whose name( isl3l subscribed to the within instrument
and acknowledged to me that he/%hta&kfy executed the
same in hisbi= ABlitir authorized capacity( s), and that
by his/im*; eax signature*) on the instrument the
persou(Q, or the entity upon behalf of which the
personI acted, executed the instrument.
I certify tinder PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
A notary public or other office 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,
PLACr. NOTARY SEAT, IN ABOVE SPACE
OPTIONAL. INFORMATION
The information below is optional. However, itmay prove valuable and could prevent fraudulent attaclnnent
of this form to an unauthorized document.
CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OF'ATTACIIED DOCUMENT'
❑ INDIVIDUAL
® CORPORATE OFFICER Pm&Wenl Secretera� Treasurer, Manager TH LE OR] YPE OF DOCUMENT
❑
PARTNER(S) ITTLE(S)
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S)
NUMBER OF PAGPS
❑ GUARDIAN/CONSERVATOR
❑ OTTIER: DATE OF DOCUMENT
SIGNER (PRINCIPAL) IS REPRESENTING:
NAME OF PERSON(S) OR EN II I'VIIES)
California Professional Engineering, Inc.
RIGHT
THUMBPRINT
OF
SIGNER
?
h
APA II?012 NOTARY BONDS. SUPPLIES AND PORMSAT HTTP:I'WWW.VAI.LEY-SIERIiA.C'OM C2005-2008VALLEY-SIfRRAMSIIRA'_JCE
WITNESS my hand and official seal.
fDIEM
CH�
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O1 , -60LIC-CALIFORNIA
LOS id COANiY
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C,iInL 6.%1". NAP. 21, 20j7�
l.�
OTAR}"5 SIGNATURE
A notary public or other office 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,
PLACr. NOTARY SEAT, IN ABOVE SPACE
OPTIONAL. INFORMATION
The information below is optional. However, itmay prove valuable and could prevent fraudulent attaclnnent
of this form to an unauthorized document.
CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OF'ATTACIIED DOCUMENT'
❑ INDIVIDUAL
® CORPORATE OFFICER Pm&Wenl Secretera� Treasurer, Manager TH LE OR] YPE OF DOCUMENT
❑
PARTNER(S) ITTLE(S)
❑ ATTORNEY-IN-FACT
❑ TRUSTEE(S)
NUMBER OF PAGPS
❑ GUARDIAN/CONSERVATOR
❑ OTTIER: DATE OF DOCUMENT
SIGNER (PRINCIPAL) IS REPRESENTING:
NAME OF PERSON(S) OR EN II I'VIIES)
California Professional Engineering, Inc.
RIGHT
THUMBPRINT
OF
SIGNER
?
h
APA II?012 NOTARY BONDS. SUPPLIES AND PORMSAT HTTP:I'WWW.VAI.LEY-SIERIiA.C'OM C2005-2008VALLEY-SIfRRAMSIIRA'_JCE
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 September 7, 2017 before me, Irene Luong , Notary Public,
Date Insert Name of Notary exactly as it appears on the officlal seal
personally appeared
IRE NE L��
Notary Public- California
cIt orange county
Commission # 2207169
My Comm. Expires Jul 27,2021 +
Place Notary Seal Above
T. Mullick
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
Signature
OPTIONAL
Signature
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:
Document Date:
Signer(s) Other Than Named Above:
Capacity(les) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s):_
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer
—Title(s):
❑ Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other:
Signer is Representing:
POWER OF ATTORNEY
Its true
and win
ee In U11
f f
Date.
WITNESS WHEREOF, AUEDACIRLD
d6jy aqt�odto and brhp6Vetedio AXe'a4eon
Thl,5,226,day, June, 2017,
Y
State of Pennsylvania
County of Philadelphia )ss.
irlbed �',fter6fi,1::and, I pckh'ow(ddAdcI that,h6
and affixed the seals of said corporation thereto by authority of his
office.
ikings, r,%ognlzances°and other-contractsofindamnity
CompiiinyjherobyThis Power of AttomeyiKill rentain
th
ciosev busihest'.or w-first-b6niVersary 6,',su&Assue--
N
My Commission Expires: 08/05/2018
CITY OF SANTA ANA
BONDS
PROJECT NO.: 16-2655
PAYMENTBOND
Bond No. S001-4418
Premium listed on Performance Bond
KNOW ALL MEN BY THESE PRESENTS that California Professional Engineering Inc.
as CONTRACTOR, and Allied World Insurance Company
a corporation, organized and existing under the 'laws of the State, and duly authorized to transact
business under the laws of the State of California, as SURETY, are held and firmly bound unto
the City of Santa Ana, as AGENCY, in the penal sum of Ninety Four Thousand Five Hundred & 00/100
Dollars
($ 94,500.00 ), which is 100 percent of the total contract amount for the above stated
project, for the payment of which sum, CONTRACTOR and SURETY agree to be bound, jointly
and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas CONTRACTOR has
been awarded and is about to enter into the annexed Contract Agreement with AGENCY dated
September 5, 2017 for Thornton Park Security Lightinq Project ,
if CONTRACTOR or any subcontractor fails to pay for any labor or material of any kind used in
the performance of the Work of Improvement to be done under said Contract Agreement, or fails
to submit amounts due under the State Unemployment Insurance Act with respect to said labor,
SURETY will pay for the same in an amount not exceeding the sum set forth above, which
amount shall insure to the benefit of all persons entitled to file claims under the State Code of
Civil Procedures; provided that any alterations in the work to be done, materials to be furnished,
or time for completion made pursuant to the terms of the contract documents shall not in any
way release either CONTRACTOR or SURETY, and notice of said alterations is hereby waived
by SURETY.
IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seal this
7th day of September ) 20 17 .
CONTRACTOR*13aS.
Profering Inc., 929 Otterbein Avenue, Ste. E, La Puente, CA 91748, T: 626-810-1338
cr ro r.T�.orld Insur Hope Street, Suite 1825, Los Angeles, CA 90071, T: 213-416-1453
Yung T. M k, Attorney -in -Fa , 24800 Chrisanta Drive, Suite 160, Mission Viejo, CA 92691, T: 949-461-7000
Subs ed and sworn before me, see Attached this i;day of
20.
Signature:
Notary Public in and for the County of State of
Rate of premium on this bond is $ 14.40 per thousand.
Total amount of premium charge is $ 1,361.00 . 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.
2oF3
ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles
On September 8, 2017
D/ArL
personally appeared Van Nguyen
I SS,
before me, Diem Chu Notary Public,
who proved to me on the
basis of satisfactory evidence to be the person(\Q whose name(&) is/fig subscribed to the within instrument
and acknowledged to me that he%lux' 1aty executed the
same in his/Axanfkhehr authorized capacity(m), and that
by his/ileedtheix signature) on the instrument the
person(Q, or the entity upon behalf of which the
person(jo acted, executed the instrument.
I certify under PENALTY OF PERJURY tinder the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal,
DIEM CHUM
a' COMM. 204231 3 e
�&4 1 r TAWPUeua.aA0MRN[A (n
°�� � T! IU5 AIlOPlfS COIIN'IY y ��"+�
NOTARY'S SIGNATURE
A notary public or other office completing this certificate verifies only the identity of the individual who signed the document
to which this certificate is attached, and not the truthfulness, accuracv, or validitv of that document.
PLACE, NO I'ARY SEAL IN ABOVE SPACE
OPTIONAL INFORMATION
The information below is optional. However, it may prove valuable and could prevent fraudulent attachment
of this form to an unauthorized document.
CAPACITY CLAIMED BY SIGNER (PRINCIPAL) DESCRIPTION OFA'I'TACHED DOCUMENT
❑
INDIVIDUAL
[
CORPORATE OFFICER President, Secreta) Treasurer, Manager
11 FLE, OR TYPE OF DOCUMENT
❑
PARTNER(S) IITLEIS)
❑
ATTORNEY-IN-FACT
❑
TRUSTEE(S)
NUMBER OF PAGES
❑
GUARDIAN/CONSERVATOR
❑
OTHER:
DATE OF DOCUMENT
SIGNER (PRINCIPAL) IS REPRESENTING:
NAM I OP PERSON(S) OR kN'fCPY(IES)
California Professional Engineering, Inc.
RIGHT
Tl I UMBPRINT
OF
SIGNER
APA I!^_012 NOTARY BONDS, SU PPL IES AND FORMS.AT HTTP:NWWW.VAI.I,EY-SIERRA.C'OM C'20052005VA1.1.)`YSIERltA1N5URANCL
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 September 7, 2017 before me, Irene Luong , Notary Public,
Date Insert Name of Notary exactly as it appears on the official seal
personally appeared Yung T. Mullick
Name(s) of Signer(s)
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:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate officer—Title(s):
❑ Partner El Limited El General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s): _
El Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other: _ I I ❑ Other:
Signer is Representing:
Signer is Representing:
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.
IRENE LUCNG
10
,,,;
i Notary Public - California
€
Icertify under PENALTY OF PERJURY under the laws of
z Orange County
Commission k 2207169
the State of California that the foregoing paragraph is true
My Comm, Expires lul 27, 2021
and correct.
��
Witness my hqand ial al.
SignaturePlace
Notary Seal Above
Signaubl) Ire( Luong
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:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Individual
❑ Corporate officer—Title(s):
❑ Partner El Limited El General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
Number of Pages:
Signer's Name:
❑ Individual
❑ Corporate Officer—Title(s): _
El Partner ❑ Limited ❑ General
❑ Attorney in Fact
❑ Trustee
❑ Guardian or Conservator
❑ Other: _ I I ❑ Other:
Signer is Representing:
Signer is Representing:
POWER OF ATTORNEY
t true
and v
Date.
Wings, retpgrnzarlceeiDndpther�GontractsotUrdemn
Company thereby This Power, olAltomeysheU remain
close of bds tress°of 4 t a riIversary of suc'Hisue'
IN WITNESS WHERE017 ALLIED WORLD
duly aufhonzed and e aaoweted ko execute on
rrnj§zzefVoday' iru 0;zov. .