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CONTRACT 3984 Public Works Contract CLOSED3984 ORIGINAL PUBLIC WORKS CONTRACT BETWEEN THE CITY OF EL SEGUNDO AND CJ CONCRETE CONSTRUCTION, INC. This CONTRACT is entered into this 3rd day of September, 2009, by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation ( "the City ") and CJ CONCRETE CONSTRUCTION, INC ( "the Contractor "). 1. WORK. A. The Contractor will provide all work required by the Contract Documents (the "Work "). The Contractor agrees to do additional work arising from changes ordered by the City in accordance with the Contract Documents. B. The Contractor and the City agree to abide by the terms and conditions contained in the Contract Documents; C. The Contractor will furnish all of the labor; supplies and materials; equipment; printing; vehicles; transportation; office space and facilities; all tests, testing and analyses; and all matters whatsoever (except as otherwise expressly specified to be furnished by the City) needed to perform and complete the Work and provide the services required of the Contractor by the Contract Documents. D. "Contract Documents" means the Notice Inviting Bids; Instructions to Bidders; Supplementary Instructions to Bidders; Proposal; this Contract; Standard Specifications; Supplementary Conditions; Exhibits; Technical Specifications; List of Drawings; Drawings; Addenda; Notice to Proceed; Change Orders; Notice of Completion; and all other documents identified in the Contract Documents which together form the contract between the City and the Contractor for the Work. The Contract Documents constitute the complete agreement between the City and the Contractor and supersede any previous agreements or understandings. 2. CONTRACT SUM. The City agrees to pay the Contractor a sum not to exceed ONE HUNDRED FIFTY EIGHT THOUSAND, EIGHT HUNDRED SIXTY THREE DOLLARS AND ZERO CENTS ($158,863.00) for the Work in the manner set forth in the Contract Documents. The City may adjust this amount as set forth in the Contract Documents. 3. TIME FOR PERFORMANCE. A. The Contractor will fully complete the Work within N/A calendar days (the "Contract Time. ") I -D -1 X984, B. The Contract Time will commence when the City issues a notice to proceed. The Contract Documents will supersede any conflicting provisions included on the notice to proceed issued pursuant to this Contract. C. The Contractor may not perform any Work until: i. The Contractor furnishes proof of insurance as required by the Contract Documents; and ii. The City gives the Contractor a written, signed, and numbered purchase order and notice to proceed. D. By signing this Contract, the Contractor represents to the City that the Contract Time is reasonable for completion of the Work and that the Contractor will complete the Work within the Contract Time. E. Should the Contractor begin the Work before receiving written authorization to proceed, any such Work is at the Contractor's own cost and risk. 4. DISPUTES. Disputes arising from this contract will be determined in accordance with the Contract Documents and Public Contracts Code §§ 10240 - 10240.13. 5. THIRD PARTY CLAIMS. In accordance with Public Contracts Code § 9201, the City will promptly inform the Contractor regarding third -party claims against the Contractor, but in no event later than ten (10) business days after the City receives such claims. Such notification will be in writing and forwarded in accordance with the "Notice" section of the Contract Documents. As more specifically detailed in the Contract Documents, the Contractor agrees to indemnify and defend the City against any third - party claim. 6. TAXPAYER IDENTIFICATION NUMBER. The Contractor will provide the City with a Taxpayer Identification Number. 7. PERMITS AND LICENSES. Unless otherwise provided, the Contractor, at its sole expense, will obtain and maintain during the Contract Time, all necessary permits, licenses, and certificates that may be required in connection with the Work. 8. OWNERSHIP OF DOCUMENTS. All documents, data, studies, drawings, maps, models, photographs and reports prepared by the Contractor under the Contract Documents are the City's property. The Contractor may retain copies of said documents and materials as desired, but will deliver all original materials to the City upon the City's written notice. ff-A 3984. 9. INDEMNIFICATION. The Contractor agrees to indemnify, defend, and hold the City harmless as set forth in the Contract Documents. The requirements as to the types and limits of insurance coverage to be maintained by the Contractor as required by the Contract Documents, and any approval of such insurance by the City, are not intended to and will not in any manner limit or qualify the liabilities and obligations otherwise assumed by the Contractor pursuant to the Contract Documents, including, without limitation, to the provisions concerning indemnification. 10.INDEPENDENT CONTRACTOR. The City and the Contractor agree that the Contractor will act as an independent contractor and will have control of all work and the manner in which is it performed. The Contractor will be free to contract for similar service to be performed for other employers while under contract with the City. The Contractor is not an agent or employee of the City and is not entitled to participate in any pension plan, insurance, bonus or similar benefits the City provides for its employees. Any provision in this Contract that may appear to give the City the right to direct the Contractor as to the details of doing the work or to exercise a measure of control over the work means that the Contractor will follow the direction of the City as to end results of the work only. 11. AUDIT OF RECORDS. The Contractor will maintain full and accurate records with respect to all services and matters covered under this Contract. The City will have free access at all reasonable times to such records, and the right to examine and audit the same and to make transcript therefrom, and to inspect all program data, documents, proceedings and activities. The Contractor will retain such financial and program service records for at least three (3) years after termination or final payment under the Contract Documents. 12. NOTICES. All communications to either party by the other party will be deemed made when received by such party at its respective name and address as follows: The City Maryam M. Jonas Principal Engineer City of El Segundo 350 Main St., El Segundo, CA 9024 (310) 524 -2361 The Contractor John C. Sarno President CJ Concrete Construction, Inc. 10142 Shoemaker Ave. Santa Fe Springs, CA 90670 (562) 777 -2222 Any such written communications by mail will be conclusively deemed to have been received by the addressee three (3) days after deposit thereof in the United States Mail, postage prepaid and properly addressed as noted above. In all other instances, notices will be deemed given at the time of actual delivery. Changes may be made in the names or addresses of persons to whom notices are to be given by giving notice in the manner prescribed in this paragraph. -D -3 3984 . 13. NO THIRD PARTY BENEFICIARY. This Contract and every provision herein is for the exclusive benefit of the Contractor and the City and not for the benefit of any other party. There will be no incidental or other beneficiaries of any of the Contractor's or the City's obligations under this Contract. 14. INTERPRETATION. This Contract was drafted in, and will be construed in accordance with the laws of the State of California, and exclusive venue for any action involving this Contract will be in Los Angeles County. 15. EFFECT OF CONFLICT. In the event of any conflict, inconsistency, or incongruity between any provision of the Contract Documents, precedence will be as follows: A. This Contract; B. The Standard Specifications; and C. Precedence of documents as determined in the Standard Specifications. 16. SEVERABILITY. If any portion of the Contract Documents are declared by a court of competent jurisdiction to be invalid or unenforceable, then such portion will be deemed modified to the extent necessary in the opinion of the court to render such portion enforceable and, as so modified, such portion and the balance of this Contract will continue in full force and effect. 17.AUTHORITY /MODIFICATION. The Parties represent and warrant that all necessary action has been taken by the Parties to authorize the undersigned to execute this Contract and to engage in the actions described herein. This Contract may be modified by written amendment. The City's city manager, or designee, may execute any such amendment on the City's behalf. 18.ACCEPTANCE OF FACSIMILE SIGNATURES. The Parties agree that this Contract, agreements ancillary to this Contract, and related documents to be entered into in connection with this Contract will be considered signed when the signature of a party is delivered by facsimile transmission. Such facsimile signature will be treated in all respects as having the same effect as an original signature. 19. COVENANTS AND CONDITIONS. The parties agree that all of the provisions hereof will be construed as both covenants and conditions, the same as if the words importing such covenants and conditions had been used in each separate paragraph. 20. CAPTIONS. The captions of the paragraphs of this Contract are for convenience of reference only and will not affect the interpretation of this Contract. 21. TIME IS OF ESSENCE. Time is of the essence for each and every provision of the Contract Documents. I -D -4 3984.,,,; IN WITNESS WHEREOF the parties hereto have executed this contract the day and year first hereinabove written. CITY OF EL SECU Jack Wayt, ' City Manager ATTEST: Cindy Mo esen, City Clerk APPROVED A O MARK D. HE By: KaA H. Berger, Assistant City A I -D -5 CJ CONCRETE CONSTRUCTION, INC. Taxpayer ID No. CIS' ` S -7V;(a Business License No.: 7c)Q 398 4. e., EXECUTED IN DUPLICATE FAITHFUL PERFORMANCE BOND Bond No, 6533467 Bond Fee :: $2,089.00 CJ CONCRETE CONSTRUCTION INC, ( "PRINCIPAL ") and FIRST NATIONAL INSURANCE COMPANY OF AMERICA a corporation incorporated under the laws of the State of WASHINGTON and licensed by the State of California to execute bonds and undertakings as sole surety, as surety ( "SURETY "), are held and firmly bound unto the CITY OF EL SEGUNDO ( "CITY") in the sum of ONE HUNDRED FIFTY EIGHT dollars, which is a minimum one hundred percent (100°/x) of tre contract amount, lawful money of the United States, which may be increased or decreased by Fi rider hereto executed in the same manner as this bond, for the payment of which sum PRINCIPAL and SURETY bind themselves, their successors, and assigns, jointly and severally, by this instrument. PRINCIPAL or SURETY will apply this bond for the faithful performance of any and all of the conditions and stipulations set forth in this bond, SPECIFICATIONS NO. PW 09 -08, and the public works contract executed with such Specifications. In the case of any default in the performance of the conditions and stipulations of this undertaking, it is agreed that PRINCIPAL or SURETY will apply the bond or any portion thereof, to the satisfaction of any damages, reclamation, assessments, penalties, or deficiencies arising by reason of such default. BOND CONDITIONS 1. PRINCIPAL will construct the public improvements identified in SPECIFICATIONS NO, PW 09.08, a copy of which is on file with CITY's Engineering Division ( "Public Project"). Such performance will be in accordance with CITY's plans and profiles (CITY DRAWING FILE NO. ) which are made a part of this bond when said plans and profiles are approved by the City Council and filed with CITY's Engineering Division. 2. PRINCIPAL's work on the Public Project will bs done in accordance with CITY's plans and specifications and with any permit issued by CITY. Should PRINCIPAL fail to complete all required work within the time allowed. CITY may, at its sole discretion, cause all required work to be done and the parties executing the bond will be firmly'bound for the payment of all necessary costs therefor. 3. PRINCIPAL will guarantee its work against any defective work, labor, or materials on the Public Project for a period of one (1) year following tha Public Project's completion and acceptance by CITY. 4. This bond is conditioned upon and guarantees due compliance with all applicable law including, without limitation, the El Segundo Municipal Code ( "ESMC "). 5. SURETY, for value received, agrees that no changes, extensions of time, alteration or modification of SPECIFICATIONS NO. PW 09 -08 or of the obligation to be performed will in any A"eftbb.— ProhftY-W FYMIW Pafa,mwoe OaNd (1003) I -E -1 3984 . way affect its obligation on this bond, and it waives notice of any such change, extension of time, alteration or modification of the contract documents or of the obligation to be performed, 6. This bond consists of this instrument; the plans and specifications identified above; and the following two (2) attached exhibits all of which are incorporated herein by reference: A. A certified copy of the appointment, power of attorney, bylaws or other instrument entitling or authorizing the persons executing this bond to do so; B. A certificate issued by the county clork for the county in which SURETY'S representative is located conforming with California Code of Civil Procedure § 995.640 and statinV that SURETY's certificate of authority has not been surrendered, revoked, cancelled, annulled, or suspended, or in the event that it has, that renewed authority has been granted; and 7. Should PRINCIPAL perform its obligations wilhin the time allowed, PRINCIPAL's obligation will be void upon the acceptance of the performance by CITY; otherwise this obligation will remain in full force and effect, SIGNED AND SEALED this 9TH day of SEPTEMBER , 20 09 C.J. C�JCRE ON STRUCTION, INC. FIRST NATIONAL INSURANCE COMPANY OF AMERICA PRINCIP L's PRESIDENT SURETY's RK,9WRl4)' ATTORNEY -IN -FACT DWIGHT REILLY PRINCIPAL's MAILING ADDRESS: 10142 SHOEMAKER AVENUE SANTA FE SPRINGS, CA 90670 SURETY's SECRETARY SURETY's MAILING ADDRESS: 120 VANTIS ALISO VIEJO, CA 92656 NOTE; (1) ALL signatures must be acknowledged by a notary public. Return two (2) originals to City Clerk's Office. (2) Bond shall be effective for one (1) year after a, .-ceptance of the job. 6P400.00n4- rroNcnVW F•NhMI P•rlwm•nc•Ocnd (14U) I -E -2 . State of California County of ORANGE On SEPTEMBER 9, 2009 ACKNOWLEDGMENT before me, SUSAN PUGH, NOTARY PUBLIC (insert name and title of the officer) personally appeared DWIGHT REILLY who proved to me on the basis of satisfactory evidence to be the person(X) whose name(X) is /me subscribed to the within instrument and acknowledged to me that he%1gjtXtKW executed the same in his /l ",Rj( authorized capacity , and that by his/MMek signature(X) on the instrument the person(,, or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature SUSAN PUGH SUSAN PUGH Commission # 1734680 Z_ Notary Public - California Orange County N1yC1mm. E1Pkes Mar28, 2011 (Seal) • Liberty Nutualr KNOW ALL BY THESE PRESENTS: POWER OF ATTORNEY No. 9551 3984 • , First National Insurance Company of America 1001 4th Avenue Suite 1700 Seattle, WA 98154 That FIRST NATIONAL INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint J. DUECK; DWIGHT REILLY; Anaheim, California * * * * * * * * * * * * * * * * * * * * * * * ** its true and lawful attorneys) -in -fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business, and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and attested these presents this 21 st �X* a.{q1 day of March Dexter R. Legg, Secretary Timothy A. Mikolajewskl, Vice President CERTIFICATE Extract from the By -Laws of FIRST NATIONAL INSURANCE COMPANY OF AMERICA: 2009 "Article V, Section 13. - FIDELITY AND SURETY BONDS ... the President, any Vice President, the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attorneys -in -fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business... On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted July 28,1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By -Laws, and (ii) A copy of the power -of- attorney appointment, executed pursuant thereto, and (iii) Certifying that said power -of- attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof." I, Dexter R. Legg , Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By -Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By -Laws, the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this 9TH SEAL 16 1926. day of SEPTEMBER 1 2009 �ix* a,k1l Dexter R. Legg, Secretary S- 1049/DF 3/09 WEB PDF 3984 -. CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of L=Q�s Z�ffl_lfi1fS On v I I before me, CAA Date personally appeared COURTNEY BROOK GULICK Commisslon # 1712023 `m No}ary Public - California Los Angeles County MvCatm E0ftDec21,2o10 r Place Notary Seal Above R& (I Name(s) of who proved to me on the basis of satisfactory evidence to be the person( whose nameA is /Ams- subscribed to the within instrument and acknowledged to me that he /sh&lWy executed the same in his /lJ/tfaeir.authorized capacity, and that by his /}$aWtIiie¢ signature* on the instrument the personj4, or the entity upon behalf of which the person$) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature N tom) C gnature of Notary Public 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 this form to another document. Description of Attached Document ^ w Title or Type of Document: pj� �tX-Fb ��m�►� %e-, be � Document Date: 9 • ! - 1 Number of Pages: 3 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: �6�n C- Ja1Z n o [I Individual X Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing OF SIGNER •• Signer's Name: ❑ Individual ❑ Corporate Officer — Title(s): _ ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: RIGHT THUMBPRINT OF SIGNER © 2007 National Notary Association - 9350 1 Soto Ave., P.O. Box 2402 -Chatsworth, CA 91313 -2402 • www.NationalNotary.org Item #5907 Reorder: Call Toll -Free 1- 800 - 876 -6827 3984.,,, EXECUTED IN DUPLICATE LABOR AND MATERIALS BOND Bond No, 6533467 Bond Fan, INCLUDED IN PERFORMANCE BOND CJ CONCRETE CONSTRUCTION, INC. , as principal ("PRINCIPAL ") and FIRST NATIONAL INSURANCE COMPANY OF AMERICA , a corporation incorporated under the laws of the State of WASHINGTON and licensed by the State of California to execute bonds and undertakings as sole surety, as surety ( "SURETY"), are held and firmly bound unto the CITY OF EL SEGUNDO ( "CITY ") in the sum of ONE HUNDR €Q FIFTY EIGHT THOUSAND, EIGHT HUNQRED SIXTY THREE DOLLARS *AND ZCBQ C_ NTS ($158,863.001 dollars, which is a minimum one hundred percent (100 %) of thu contract, lawful money of the United States, which may be increased or decreased by a rider hereto executed in the same manner as this bond, for the payment of which sum PRINCIPAL and SURET' bind themselves, their successors, and assigns, jointly and severally, by this instrument. This bond is conditioned upon and guarantees payment by PRINCIPAL to contractors, subcontractors, and persons renting equipment; payment b,y PRINCIPAL and all PRINCIPAL'S subcontractors for all materials, provisions, provender, or other supplies, and equipment used in, upon, for or about the performance of the work contemplated ii 2008.2009 ANNUAL CONTRACT FOR P,C,C, CURB, CURB AND GUTTER, HANDICAP A1: CSSS RAMPS, SIDEWALK AND OTHER MINOR IMPROVEMENTS, SPECIFICATIONS NO. W 09.08 ( "Public Project', the public works contract executed for such Public Project, and for all work or labor of any kind performed for the Public Project. In the case of any default in the performance of the conditions and stipulations of this undertaking, it is agreed that PRINCIPAL or SURETY will eipply the bond or any portion thereof, to the satisfaction of any damages, reclamation, assessments penalties, or deficiencies arising by reason of such default. BOND CONDITIONS 1. PRINCIPAL will construct the public improvemtants Identified in SPECIFICATIONS NO, PW 00.08,and the public works contract executed for such Specifications, copies of which is on file with CITY's Engineering Division ( "Public Project"). Such performance will be in accordance with CITY's plans and profiles (CITY DRAWING FILE NO. ), which are made a part of this bond when said plans and profiles are approved by the O ty Council and filed with CITY's Engineering Division, 2. PRINC1PALwill pay all contractors, subcontracr;ors, and persons renting equipment. 3. PRINCIPAL will pay for all materials and other supplies, for equipment used in, on, for or about the performance of the Public Project, and will pay for all work and labor thereon. 4. This bond is conditioned upon and guarantees due compliance with all applicable law including, without limitation, the El Segundo Municipal Cade ( "ESMC "). S. SURETY, for value received, agrees that no changes, extensions of time, alteration or modification of SPECIFICATIONS NO. PW 09 -08, or of the obligation to be performed will in any way affect its obligation on this bond, and it waives notice of any such change, extension of time, spoof Runt - vropaW -W LfEU AUMdYs Gana ( / A)3) I -F- 1 3984.,,, alteration or modification of the contract documents or of the Dbligation to be performed, 6. This bond consists of this instrument; the plans and specifications identified above; and the following TWO (2) attached exhibits all of which are incorporated herein by reference: A. A certified copy of the appointment, power of attorney, bylaws or other instrument entitling or authorizing the persons executiig this bond to do so; and B. A certificate issued by the county clerk for the county In which SURETY's representative is located conforming with California Code of Civil Procedure § 995.640 and stating that SURETY's certificate of authority has not been surrendered, revoked, cancelled, annulled, or suspended, or in the event that it has, that renewed authority has b ®en gran :ed, 7. Should PRINCIPAL perform its obligations within the time allowed, PRINCIPAL's obligation will be void upon the acceptance of the performance by CITY; otherwise this obligation will remain in full force and effect. SIGNED AND SEALED this 9TH day of SEPTEMBER , 20 09 C.J. CONCRETE CONSTRUCTION, INC. FIRST NATIONAL INSURANCE COMPANY OF AMERICA 1-1 / 1 ✓tom-- i - PA - fI RESIDEt -- SURETY's F REGLOE f' ATTORNEY -IN -FACT 1 DWIGHT REILLY PRINCIPAL's SECRETARY PRINCIPAL's MAILING ADDRESS: 10142 SHOEMAKER AVENUE SANTA FE SPRINGS, CA 90670 SURETY's SECRETARY SURETY's MAILING ADDRESS: 120 VANTIS ALISO VIEJO, CA 92656 NOTE: (1) 6" signatures must be acknowledged by a rn;itary public. Return two (2) originals to City Clerk's Office. (2) Bond shall be effective for one (1) year after acceptance of the iob. woa AND MAY9R" BOND Idd 100/2107) I -F -2 State of California County of ORANGE On SEPTEMBER 9, 2009 ACKNOWLEDGMENT before me, SUSAN PUGH, NOTARY PUBLIC (insert name and title of the officer) 3984.,,, personally appeared DWIGHT REILLY who proved to me on the basis of satisfactory evidence to be the person(N) whose name(;() is /200 subscribed to the within instrument and acknowledged to me that he/A glgXhW executed the same in his /f Xk authorized capacity", and that by his /bQWi *jt signature(x) on the instrument the person(jk), or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. "Al SUSAN PUGH Commission # 1734680 WITNESS my hand and official seal. Notary Public - California = ti orange County W Comm. ExPires Mar 28, 2011 Signature (Seal) SUSAN PUGH LYberty Mutual. KNOW ALL BY THESE PRESENTS: POWER OFATTORNEY No. 9551 3984 First National Insurance Company of America 1001 4th Avenue Suite 1700 Seattle, WA 98154 That FIRST NATIONAL INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint J. DUECK; DWIGHT REILLY; Anaheim, California * * * * * * * * * * * * * * * * * * * * * * * ** its true and lawful attorney(s) -in -fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business, and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and attested these presents this 21 st �X* R,kjl Dexter R. Legg, Secretary day of March Timothy A. Mikolajewski, Vice President CERTIFICATE Extract from the By -Laws of FIRST NATIONAL INSURANCE COMPANY OF AMERICA: 2009 "Article V, Section 13. - FIDELITY AND SURETY BONDS ... the President, any Vice President, the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attorneys -in -fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business... On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted July 28, 1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By -Laws, and (ii) A copy of the power -of- attorney appointment, executed pursuant thereto, and (iii) Certifying that said power -of- attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof." I, Dexter R. Legg , Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By -Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By -Laws, the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this 9TH day of SEPTEMBER 1 2009 � s SEAL Ufa' oPs ^. Dexter R. Legg, Secretary S- 1049/0F 3/09 • M WEB PDF 3984. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT .,: a>,�s,?as,�.z�s,_>s,.•a,�ts>... State of California County of L n� e s On C1 - ul before me, W 4_141(c- Date Here Insert Name and Title of the Officer personally appeared who proved to me on the basis of satisfactory evidence to be the person04 whose name( $_is /p, subscribed to the within instrument and acknowledged to me that he /s,/tivy executed the same in his /Y)eiltb@k_authorized capacity(@, and that by his /h tl 6r signature(&) on the instrument the person(, or the entity upon behalf of which the person(JQ acted, executed the instrument. 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313 -2402 • www.NationaiNotaryorg Item #5907 Reorder: Call Toll -Free 1 -800- 876 -6827 COURTNEY BROOK GULICK I certify under PENALTY OF PERJURY under the laws Commission # 1712023 Ws �. Notary Public - California z of the State of California that the foregoing paragraph is Z % Los Angeles County = MVComm.E> ilm Dec 21,2010 true and correct. WITNESS my hand and official seal. Place Notary Seal Above `, Signature �l gnature of Notary Public 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 this form to another document. Description of Attached IDocument Title or Type of Document: afy` Document Date: + I ' Cl Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: TL-*in C • 'Saeyly Signer's Name: ❑ Individual ❑ Individual A Corporate Officer — Title (S) ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General - _ L1 Partner — El Limited El General 11 Attorney in Fact 0 ❑ Attorney in Fact • ❑ Trustee Top of thumb here ❑ Trustee Top of thumb here ❑ Guardian or Conservator ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313 -2402 • www.NationaiNotaryorg Item #5907 Reorder: Call Toll -Free 1 -800- 876 -6827 3984.,,. iN° 3863 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO AMENDED Certificate of Authority Tars IS To CExnFx, That, pursuant to the Insurance Code of the State of California, FIRST NATIONAL INSURANCE COMPANY OF AMERICA of SEATTLE, WASHINGTON , organized under the laws of WASHINGTON , subject to its Articles o f In corporation or other fundamental organizational documents, is hereby authorized to transact within this State, subject to all provisions of this Certificate, the following classes of Insurance: FIRE, MARINE, SURETY, PLATE GLASS, LIABILITY, WORKERS, COMPENSATION, COMMON CARRIER LIABILITY, BOILER AND MACHINERY, BURGLARY, CREDIT, SPRINKLER, TEAM AND VEHICLE, AUTOMOBILE, AIRCRAFT and MISCELLANEOUS as such classes are now or may hereafter be defined in the Insurance Latw of the State of California. Tins CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all, and not in violation of any, of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable, and as such laws and requirements now are, or may hereafter be changed or amended. IN WrM SS W»F, effective as of the_.2 th _da y 19..79,, I have hereunto set my hand and caused my official seal to be affixed this__ 24th _ day of- - January 19 -2i, WESLEY J. �KINDER gy �JO J. FAHEE Dpuey QualiHoatkm with the Secretary of State must be accomplished as required by the Caltforaia Corporations Code promptly after issuance of this Certl&xte of Authority. Failure to do so will be a violation of Ina Code Sec 701 and will be grounds for revoking this CerdBcate of Authority pursuant to the covenants made in the application therefor and the conditions contained herein. p rosy ea -s Ms wr (D *or PROPOSAL FOR THE 2008 -2009 ANNUAL CONTRACT FOR P.C.C. CURB, CURB AND GUTTER, HANDICAP ACCESS RAMPS, SIDEWALK AND OTHER MINOR IMPROVEMENTS IN THE CITY OF EL SEGUNDO SPECIFICATIONS NO.: PW 09 -08 CDBG PROJECT NO.: 601209 -09 TO THE CITY OF EL SEGUNDO: 3984 `\ °pv In accordance with the City of El Segundo's Notice Inviting Sealed Bids, the undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the above stated project as set forth in the Plans, Specifications, and contract documents therefor, and to perform all work in the manner and time prescribed therein. BIDDER declares that this proposal is based upon careful examination of the work site, Plans, Specifications, Instructions to Bidders, and all other contract documents. Submittal of this bid shall be considered evidence that the BIDDER has satisfied himself regarding the contract documents, access and any other field conditions which may effect bid prices. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the City of El Segundo at the unit and /or lump sum prices set forth in the following Bid Schedule. BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to the City of El Segundo of the proposal guarantee accompanying this proposal. BIDDER understands that a bid is required for the entire work, that 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 CITY OF EL SEGUNDO RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT. It is agreed that the unit and /or lump sum prices bid include all apparent expenses, taxes, royalties, and fees. In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned further agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the City of El Segundo's notice of award of contract to the BIDDER, including sending by U.S. Mail a Public Works Contract for signature by the Awardee, the proceeds of the security accompanying this bid shall become the property of the City of El Segundo and this bid and the acceptance hereof may, at the City of El Segundo's option, be considered null and void. I -C -1 3984 , EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE BIDDER certifies that in all previous contracts or subcontracts, all reports which may have been due under the requirements of any agency, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding. AFFIRMATIVE ACTION CERTIFICATION BIDDER certifies that affirmative action has been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been fully documented, that said documentation is open to inspection, and that said affirmative action will remain in effect for the life of any contract awarded hereunder, Furthermore, BIDDER certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents. NONCOLLUSION AFFIDAVIT BIDDER declares that the only persons or parties interested in this proposal as principals are those named herein; that no officer, agent, or employee of the City of El Segundo is personally interested, directly or indirectly, in this proposal; that this proposal is made without connection to any other individual, firm, or corporation making a bid for the same work and that this proposal is in all respects fair and without collusion or fraud. 1 -C -2 3984 • , CITY OF EL SEGUNDO - BID SHEET PROJECT NO. PW 09 -08 BID NO. 1 - CITY FUNDED WORK ITEM ESTIMATED UNIT PRICE UNIT PRICE AMOUNT NO. QUANTITIES WRITTEN IN WORDS IN FIGURES Remove and replace 4" thick P.C.C. 1 5,368 S.F. sidewalk, including excavation, root removal, grading, and parkway restoration for tiVC d611, iA-5 aQC/lmj. -4V per S.F. $ -five tellg, Remove and replace 6" thick P.C.C. 2 161 S.F. sidewalk, including excavation, root removal, grading, and parkway restoration for e JeR0 ckilats per S.F. $ $ Remove and replace 6" high P.C.C. curb, 3 280 L.F. including excavation, root removal, grading, and asphalt patch for Thlrf�l dcllcyls per L.F. raj $ �jC.� 3 LION $ � 00� r Remove and replace 6" thick P.C.0 4 1,253 S.F. driveway, including excavation, root; removal, grading and asphalt patch for $ey�17 Uc /Glr r�t�! per S.F. $ 7 `. $ (413`1 % ` fy c er7l-s. Remove and replace 6" thick Concrete Spandrel (3500 PSI), including 5 1,215 S.F. excavation, root removal, grading and asphalt patch for 5-el/V0 c4alkyrs rind per S.F. $ `7 �'�'� ; $ ci I (2 ' Ti y c° ell TOTAL BID NO. 1 - CITY FUNDED = $ TOTAL BID NO. 1 WRITTEN IN WORDS /7 th, tye tk I -C -3 (page 1 of 3) 3984 CITY OF EL SEGUNDO - BID SHEET CDBG PROJECT NO. 601209 -09 BID NO. 2 - CDBG FUNDED WORK ITEM NO. ESTIMATED QUANTITIES DESCRIPTION I UNIT PRICE IN FIGURES AMOUNT Remove existing improvements and install ADA handicap access 1 68 ramps, including excavation, each grading, curb and asphajt patch for Q ' ?t? )1hUL5c ,1P )et ft j/ e I h uI) ird G /c %f G ym /` each 00 ceii/�. TOTAL BID NO. 2 CDBG FUNDED = $_ iCia 000 00 TOTAL BID NO. 2 WRITTEN IN WORDS e (.��/�"G/f WO C10c l�C�� G �Jlat - -r anc L,)0 CeI7 TOTAL BID FOR CITY FUNDED AND CDBG FUNDED (BID 1 AND 2)• TOTAL BID 1 AND 2 $ �` %►��� TOTAL BID 1 AND 2 WRITTEN IN WORDS 1hC1bj'ar)f'--j el jht b VjWted SiXf fe G11(11,-5 C�d 0(2 I -C -3 (page 2 of 3) 3984•... Note: Due to the as needed nature of the proposed work, the City is unable to accurately predict the final work quantities for each item during the one - year term of the contract. The above estimated quantities are established to determine the apparent low bidder. Actual final work quantities may be higher or lower than these estimated quantities. No adjustments shall be made in the bid unit prices for the variation between the above estimated quantities and the final actual quantities. I -C -3 (page 3 of 3) BIDDER'S INFORMATION BIDDER certifies that the following information is true and correct: Bidder's Name C' T con cre f e Col ) s Ltt,, C�j Cam, Inc Form of Legal Entity (i.e., individual, partnership, corporation, etc.) (Of Ki'cfficll'? If corporation, State of Incorporation (i.e., California), Call 6-1-11 a �l f l �Cn , _ 1 e'. Business C c�...�'r�� l� �' � �!�� -�� p � v Address I NV �h'Oej'I')aPf Ave Sol* fe �Lr, Telephone No. Facsimile No. `'� 777�� State Contractor's License No. and Class 47,) 0`119 Original Date Issued 0'1' G!e" %e/ YV Expiration Date 7 ' 4; The following are the names, titles, addresses, and members, partners, joint ventures, and /or corporate proposal: csG> 1 ! [Oho C � �C�irii�' �t'scler� 149M2- fG t r0h 7 C� S� ? SPCLe/c r�iGl s � Mn C, 3984. . phone numbers of all individuals, firm officers having principal interest in this 'ry-e. scin t -,i t-r Sl'} #79 777'aZ2Z 77 �- r,4- ! he aP,,- er Ave �1 �WW C a yG+.-, i< The date of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal is as follows: —Alone All current and prior DBA's, aliases, and /or fictitious business names for any principal having an interest in this proposal are as follows: con sir r u c on I -C -4 ,'n jf Z,: `le,G 3984 IN WITNESS WHEREOF, BIDDER executes and sub YPt this proposal ith the names, titles, hands, and seals of all aforenamed principals this ay of Uz` L` , 20. BIDDER �c� nfvc f �� lnc. �rC %1 Subscribed and sworn to this day of l) X , 20M. NOTARY PUBLIC y-- G) \J 0l 01;4* ROO COURTt�IEY BROOK GULICK Commission * 1712023 Notary Public California Z Los Angeles County NlyComm. Exptes Dec 21, 2010 I -C -S 3984... PROPOSAL GUARANTEE BID BOND 2008 -2009 ANNUAL, CONTRACT FOR P.C.C. CURB, CURB AND GUTTER, HANDICAP ACCESS RAMPS, SIDEWALK AND OTHER MINOR IMPROVEMENTS IN THE CITY OF EL SEGUNDO SPECIFICATIONS NO.., PW 09.08 CDBG PROJECT NO,: 601209 -09 KNOW ALL MEN BY THESE PRESENTS that, C.J. CONCRETE CONSTRUCTION, INC. , as BIDDER, and FIRST NATIONAL INSURANCE COMPANY OF AMERICA , as SURETY, are held and firmly bound unto the City of El Segundo, in the penal sum of TEN PERCENT ** DOLLARS ($10 ), which is ten (10 %) percent of the total amount bid by BIDDER to the City of El Segundo 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. ** OF THE TOTAL AMOUNT BID THE CONDITIONS OF THIS OBLIGATION ARE SUCH that, whereas BIDDER Is about to submit a bid to the City of El Segundo 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 the City of El Segundo. IN WITNESS WHEREOF the parties hereto have set their names, titles, hands, and seals this 18TH day of AUGUST 1.2p 09 C.J. CONCRETE CONSTRUCTION, INC. BIDDER* 4 10 HOEM KER AVENUE, SANTA FE SPRINGS, CA 90670 (562) 777 -2222 FI ST NATIONAL INSURANCE COMPANY OF AMERICA 12 VANTIS, ALISO VIEJO, CA 92656 (949) 860 -6602 SURETY' DWIGHT REILLY, ATTORNEY -IN -FACT SEE ATTACHED CERTIFICATE Subscribed and sworn to this — day of , 20,_-- NOTARY PUBLIC " Provide BIDDER/SURETY name, address and telephone number and the name, title, address and telephone number for authorized representative. 1-C -6 State of California County of ORANGE On AUGUST 18, 2009 3984 .. ACKNOWLEDGMENT before me, SUSAN PUGH, NOTARY PUBLIC (insert name and title of the officer) personally appeared DWIGHT REILLY who proved to me on the basis of satisfactory evidence to be the person(X) whose name() is /Koo subscribed to the within instrument and acknowledged to me that he/MoR sy executed the same in his /*0Xk authorized capacity, and that by his /lXii (tK1& signature(x) on the instrument the person(k, 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. ' °�c= a.9u.rt.�ci: =.x+ms�.m3�`i., ay „Aia•.>.o,s4�,gc:�.. WITNESS my hand and official seal. :` sus�,r� i�i9Ui; �r a Commission # 1 734G8(1 Notary Public - California zZ z4 Orange County M1yComm,E)piresMar28,2011 Signature (Seal) SUSAN PUGH 10=� KNOW ALL BY THESE PRESENTS; POWER OF ATTORNEY No. 9551 3984 • . First National Insurance Company of America 1001 4th Avenue Suite 1700 Seattle, WA 98154 That FIRST NATIONAL INSURANCE COMPANY OF AMERICA, a Washington corporation, does hereby appoint J. DUECK; DWIGHT REILLY; Anaheim, California * * * ** * * * * * * * * * * * * * ** * * ** its true and lawful attorney(s) -in -fact, with full authority to execute on behalf of the company fidelity and surety bonds or undertakings and other documents of a similar character issued by the company in the course of its business, and to bind FIRST NATIONAL INSURANCE COMPANY OF AMERICA thereby as fully as if such instruments had been duly executed by its regularly elected officers at its home office. IN WITNESS WHEREOF, FIRST NATIONAL INSURANCE COMPANY OF AMERICA has executed and attested these presents this 21 st day of March 2009 Dexter R. Legg, Secretary Timothy A. Mikolajewski, Vice President CERTIFICATE Extract from the By -Laws of FIRST NATIONAL (INSURANCE COMPANY OF AMERICA: "Article V, Section 13. - FIDELITY AND SURETY BONDS ... the President, any Vice President, the Secretary, and any Assistant Vice President appointed for that purpose by the officer in charge of surety operations, shall each have authority to appoint individuals as attorneys -in -fact or under other appropriate titles with authority to execute on behalf of the company fidelity and surety bonds and other documents of similar character issued by the company in the course of its business... On any instrument making or evidencing such appointment, the signatures may be affixed by facsimile. On any instrument conferring such authority or on any bond or undertaking of the company, the seal, or a facsimile thereof, may be impressed or affixed or in any other manner reproduced; provided, however, that the seal shall not be necessary to the validity of any such instrument or undertaking." Extract from a Resolution of the Board of Directors of FIRST NATIONAL INSURANCE COMPANY OF AMERICA adopted July 28, 1970. "On any certificate executed by the Secretary or an assistant secretary of the Company setting out, (i) The provisions of Article V, Section 13 of the By -Laws, and (ii) A copy of the power -of- attorney appointment, executed pursuant thereto, and (iii) Certifying that said power -of- attorney appointment is in full force and effect, the signature of the certifying officer may be by facsimile, and the seal of the Company may be a facsimile thereof." I, Dexter R. Legg , Secretary of FIRST NATIONAL INSURANCE COMPANY OF AMERICA, do hereby certify that the foregoing extracts of the By -Laws and of a Resolution of the Board of Directors of this corporation, and of a Power of Attorney issued pursuant thereto, are true and correct, and that both the By -Laws, the Resolution and the Power of Attorney are still in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the facsimile seal of said corporation this 18TH SEAL .1928. day of AUGUST 2009 PIX* Rt kll Dexter R. Legg, Secretary S- 1049/DF 3 /09y,/ WEB PDF 3984 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT State of California County of i ' X16 . before me, icer On Here Insert Na Date A personally appeared �-- '��' Names) of Signers) who proved to me on the basis of satisfactory evidence to be the personN whose nameK is /ate subscribed to the within instrument and acknowledged to me that he/ hiVy executed the same in his /iiefLtAsiCauthorized capacity(W, and that by his1,)@C /t $ignature(A on the instrument the person*, or the entity upon behalf of s - - ;_ ::'..::,.:.:�,�.;,�•;G�.�7UL - which the person (K acted, executed the instrument. C Q Ftal:Y &l' OK K c vmrrflss<<�n 3 1712023 I cert ify under PENALTY OF PERJURY under the laws a �_ �� • :: .�j r i�o ?c ay Pudic - Caiifornla = _"' = ~`j n of the State of California that the foregoing paragraph is q Los Anceles County Nlvcrxl, -Y �,plr&sDec.:21,2o3Q true and correct. WITNESS my hand and official seal. Signature rk Si nature of Notary Public Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent nt fraudulent remo al and reattachment of th form to another document. document Description of Attached Document Title or Type of Document: Rl�) 1 L 't - Document Date: �8 ` i e) - oq Number of Pages: 6 Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: �L7�i in r' ❑ Individual ° Corporate Officer —Title(s): ❑ Partner — ❑ Limited ❑ General . . ❑ Attorney in Fact ' Top of thumb here ❑ 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: RIGHTTHUMBPRINT OF SIGNER re Top of thumb he -: ©2007 National Notary Association • 9350 De Soto Ave., P.O. Box 2402 • Chatsworth, CA 91313 2402 • www.NationalNotary.ory Item #5907 Reorder: Cali Toll -Free 1-800-876-6827 3984 • . . CONTRACTOR'S LICENSE DECLARATION (Business and Professions Code Section 7028.15) BIDDER'S Contractor's License Number is: I C9 e l-1 Class No 12 2. The expiration date of BIDDER'S Contractor License is: 20 16 3. BIDDER'S acknowledges that Section 7028.15(e) of the Business and Professions Code provides as follows: "A licensed contractor shall not submit a bid to a public agency unless his or her contractor's license number appears clearly on the bid, the license expiration date is stated, and the bid contains a statement that representations herein are made under penalty of perjury. Any bid not containing this information, or a bid containing information which is subsequently proven false, shall be considered non - responsive and shall be rejected by the public agency." The undersigned declares, under penalty of perjury, that the representations made by the undersigned in this bid proposal are true and correct. Executed on & 20 aq, at L' /!C5 (insert City and State where Declaration is signed). Si n ture Typed Name: f frs- ides" ?f Title: cont-reft') - �, ame of Bidder: I -C -7 NON - COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ss. County of j c:4,gnJe )S 3984 C` C7(ii�r , being first duly sworn, deposes and say that he or is Presicl en i- of a (oncre-fe- COM rue -. 7C✓OI 100 the party making the foregoing bid 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. 7i6_�L� Typed Name _ 4[ sj C/leof Title CTCWC1 Cj�e C,1wiruc ��)� "i� G -Name of Bidder I -C -8 0 .;20°C Date . 3984... CERTIFICATION Section 1861 OF THE LABOR CODE (Workers' Compensation) Pursuant to Section 1861 of the Labor Code, the BIDDER, in submitting his /her PROPOSAL, shall sign the following certification: "I am aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against liability for workers' compensation or to undertake self- insurance in accordance with the provisions of that code, and I will comply with such provisions before commencing the performance of the work of this contract." Signature of Bidder: r Title: Business Name: Business Address: Telephone Number: ( � V Z ) 777 9302- 20 C . Dated this day of �-� �'.i I -C -9 3984... BIDDER'S CERTIFICATION OF SUBCONTRACTORS As detailed in Section 2 -3.1 (Page II -B -3) of the City Standard Specifications, Bidder certifies that he has listed below all subcontractors who will perform work in excess of one -half of one percent (1/2 %) of the total bid price or certifies that the bidder is fully qualified to perform and will perform that portion of the work himself. NAME, ADDRESS AND PHONE NUMBER OF SUBCONTRACTORS a oau SUBCONTRACTED WORK (MazSign his page if additional space is needed) f a- of Bidder D ate I -C -10 3984 ., REFERENCES The following are the namrs similar work ast'henprime numbers ontractoh or major public bcontractor for which BIDDER has performed within the past two (2) years: 1. Project Title: Location: Name and address of owner Name and telephone number of person familiar with project Type of Work: Contract amount: $ Date completed: Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? 2. Project Title: Location: Name and address of owner Name and telephone number of person familiar with project Type of Work: Contract amount: $ Date completed: Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? rt 3. Project Title: Location: Name and address of owner Name and telephone number of person familiar with project Type of Work: Contract amount: $ Date completed: Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? I -C -11 (Page 1 of 2) 3984 • . . ro 4. Project Title: Location: Name and address of owner Name and telephone number of person familiar with project Type of Work: Contract amount: $ Date completed: Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? �� rr 5. Project Title: Location: Name and address of owner Name and telephone number of person familiar with project -r"r,c of \A /nrk• yh,,, - .. _- _. Contract amount: $ Date completed: Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? The following are the names, addresses, and telephone numbers for all brokers and sureties from whom BIDDER intends to procure insurance bonds: lease � ee h f idl � l I -C -11 (Page 2 of 2) C Concrete Construction, Inc. 3984 i w #720989 A 10142 Shoemaker Avenue • Santa Fe Springs, Ca 90670 • (562) 777 -2222 phone • (SVZI 111 -Ltty IdA City Of Rancho Palos Verde 30940 Hawthorne Blvd Rancho Palos Verde, Ca 90275. Sidewalk Repair Program Contract Amount $325,700.00 Contact: Bindu Vaish (310) 542 -5252 Completed:05 /08/09 City Of Arcadia 1800 Goldring Ave. Arcadia, Ca 91066 Concrete Repair Project Contract Amount $ 98,992.00 Contact: Jan Balany (626) 256 -6582 Completed: 04/30/2009 City Of San Marino 2200 Huntington Dr. San Marino, Ca 91108 ADA Sidewalk Improvement Project Contract Amount $ 90,965.25 Contact: Chuck Richey (626) 300 -0793 Completed:01 /14/2009 3984..,. Concrete Construction, Inc. I J 10142 Shoemaker Avenue • Santa Fe Springs, CA 90670 • Phone (562) 777 -2222 v Fax (562) 777 -2222 Citywide Sidewalk, Curb and Gutter Repairs in the City of Cerritos City of Cerritos 18125 Bloomfield Avenue Cerritos, Ca 90703 -2130 (562) 860 -0311 Mary Anne Wozniak Started 05/19/06 Completed 10/27/06 Final contract price $637,703.00 Installation & Repair Concrete PK0001 -4 (Year 3 of 3 year contract) City of Ontario 1425 S. Bon View Ave. Ontario, Ca 91761 -4406 (909) 395-2624 Dale Adcock Completed 4 -14 -03 Final contract price $825,000.00 with change orders original contract price $696,578.00 2004/2005 Annual Concrete Repair Project City of Arcadia 240 Huntington Dr. Arcadia, CA 91107 (626) 256 -6552 Mark Rynkiewicz Started 01/30/04 Completed 05/31/05 Final contract price $240,119.00 with change order, original contract price $185,780.25 Remove /Replace curb, gutter, and sidewalks on various city streets City of La Palma 7822 Walker St. La Palma, CA 90623 -1771 (714) 690 -3312 Dave Gaudio Started 10/14/05 Completed 10/1/06 Final contract price $74,957.02 with change order, original contract pricec $59, 201.00 3984. , CJ Concrete Construction, Inc. 10142 Shoemaker Aventine • Santa Fe Springs, CA 90670 . Phone (562) 777 -2222 • Fax (562) 777 -2220 Curb /Gutter and Sidewalk Reconstruction Project No. 4474 City of Fullerton 303 W Commonwealth Avenue Fullerton, CA 92832 -1775 (714) 738-6875 Karen Kobeyashi Completed 5 -13 -06 Final contract price $338,934.00 with change orders, original contract price $275,060.00 1219 Sidewalk Repair Project City of Burbank 275 E. Olive Ave. Burbank, Ca 91510 -6459 John Molinar (818) 238 -3919 Started 4 -30 -2007 Completed 8/07 Final contract price $892,000.00 ADA Bus Stop Modifications Phase 3, Package 1 Orange County Transportation Authority PO Box 14184 Orange, Ca 92863 -1584 Started 9 -7 -05, completed 2 -28 -05 Final contract price $300,368.00 with change orders, original contract price $282,765.00 George Saba (714) 560 -5432 Landscape Construction /Maintenance for Pacific Electric Right of Way C -0872 Orange County Transportation Authority P 0 Box 14184 Orange, Ca 92863 -1584 Started 6/09/03 3 year maintenance Final contract price $1,059,852.00 with change orders, original contract price $960,000.00 George Saba (714) 560 -5432 3984 . Concrete Construction, Inc. 10142 Shoemaker Avenue • Santa Fe Springs, CA 90670 • Phone (562) 777 -2222 • Fax (562) 777 -2220 Irvine Avenue Sidewalk Maintenance C -3175 City of Newport Beach 3300 Newport Blvd. Newport Beach, Ca 92663 -3884 Started 9 -26 -05 Maintenance to June 1, 2006 Final contract price $222,011.00 with change orders, original contract price $202,250.00 Rob Masters (949) 644 -3312 Bonding Agent - Dwight Reilly Crosby insurance Co. P 0 Box 31150 Anaheim, Ca 92809 (909) 920 -5811 Surety Co. First National Insurance Co. 2677 N. Main St. #600 Santa Ana, Ca 92705 (714) 437 -3744 Insurance Agents Crosby Insurance Co. P O Box 31150 Anaheim, CA 92809 (909) 920 -5811 August 17, 2009 3984 • . Public Works Department Dana Greenwood, Director ADDENDUM NO. 1 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for 2008 -2009 ANNUAL CONTRACT FOR P.C.C. CURB, CURB AND GUTTER, HANDICAP ACCESS RAMPS, SIDEWALK AND OTHER MINOR IMPROVEMENTS PROJECT NO.: PW 09 -08 CDBG PROJECT NO.: 601209 -09 ATTENTION BIDDERS: The following additions, modifications, and clarifications to the specifications shall be included in, and become a part of any contract which may be executed for the above project in the City of El Segundo: 1. For Truncated Domes; use - Arrmorcast Product or equal (specifications enclosed.) 2. Replace sheets S -1 thru S -23 with the enclosed Revised Prevailing Wage Schedule sheets S -1 thru S -25. 3. City of El Segundo Centerline Ties are enclosed for Information. As evidence that the BIDDER has read this Addendum, the BIDDER must acknowledge same in the space provided below and submit this Addendum with the Bid Proposal. Failure to acknowledge this Addendum may cause rejection of bid. 4(signature) Page 1 of 1 350 Main Street, El Segundo, CA 90245 -3895 — Fax (date)