CONTRACT 4536 Public Works Contract CLOSEDAgreement No. 4536
PUBLIC WORKS CONTRACT
BETWEEN
THE CITY OF EL SEGUNDO AND
SOUTHWEST PIPELINE & TRENCHLESS CORP.
TRENCHLESS SEWER IMPROVEMENT 2013 -14
PROJECT NO.: PW 13 -23
This CONTRACT is entered into this 22nd day of January, 2014, by and between the
CITY OF EL SEGUNDO, a general law city and municipal corporation ( "the City ") and
Southwest Pipeline & Trenchless Corp., a California corporation ( "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 Eighty Six Thousand Five Hundred Fifteen Dollars ($186115.00) 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.
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Agreement No. 4536
A. The Contractor will fully complete the Work within Twenty(20)working days
(the"Contract Time.")
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 an 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.
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
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Agreement No. 4536
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 parry by the other party will be deemed made
when received by such party at its respective name and address as follows:
The City The Contractor
Lifan Xu Justin Duchaineau
Public Works Southwest Pipeline
350 Main Street, 22118 S.Vermont Ave.
El Segundo, CA 90245 Torrance, CA 90502
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.
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.
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Agreement No. 4536
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.
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Agreement No. 4536
IN WITNESS WHEREOF the parties d ave e toted this contract the day and
year first hereinabove written.
CITY 0" E SEGUNDO South w st Pip `:e&Trenc s Corp.
Greg Car ter Duchalneau
City agar esidnt
ATTEST: 'µ
Taxpayer ID No
�S -X110`�Sas
Tr WeA'ver,
City Clem
Contractor State
License No.: 773862 Class A
Contractor City Business
License No e1 "A
APPROVED AS TO FORM:
MARK D.HENSLEY, City Attorney
Karl H.Berger,
Assistant City Attorney
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Agreement No. 4536
IN WITNESS WBEREOF the parties o ave e uted this contract the day and
year first hereinabove written.
CITY OF EL SEGUNDO Soother st Pip " Trend s Corp.
Greg Carpenter Doehaineau
City Manager esident
ATTEST:
Taxpayer ID No, 1�S
Tracy "'Weaver,
City Clerk
Contractor State
License No.:773862 Class A.
Contractor City Business
License No.:
APPROVE D 6R
MART O.I Ny ;C rriey
By:
Karl H. Ber ,
Assistant CiW, ttorn y
I.B.; .
Agreement No. 4536
FAITHFUL PERFORMANCE BOND
TRENCHLESS SEWER IMPROVEMENT 2013-14
PROJECT NO.: PW 13-23
Bond No. 024055681
Bond Fee: Premium: $2,337.00
Southwest Pipeline&Trenchless Corp., ("PRINCIPAL")
and Liberty Mutual Insurance Company , a
corporation
incorporated under the laws of the State of MA 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 Eighty
Six Thousand Five Hundred Fifteen Dollars($186,515.00), which is a minimum one hundred
percent (100'0) of the contract amount, 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 SURETY bind themselves, their successors, and
assigns,jointly and severally, by this instrument.
PRINCIPAL or SURETY wil I apply this bond for the faithful performance of any and all of the
conditions and stipulations set forth in this bond, SPECIFICATIONS NO.PW13-23,
TRENCHLESS SEWER IMPROVEMENT 2013-14,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.PW13-23,TRENCHLESS SEWER IMPROVEMENT 2013-14,a
copy ofwhich is on file with CITY's Engineering Division("Public Project").Such performance
will be in accordance with CITY's plans and profiles 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 be 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
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Agreement No. 4536
materials on the Public Project for a period of one (1) year following the 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.PW13-23, TRENCHLESS SEWER
IMPROVEMENT 2013-14, or of the obligation to be performed will in any way affect its
obligation on this bond,and it waives notice ofany 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 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 been granted; and
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.
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Agreement No. 4536
SIG D AND SE D this 31st day of January ,20 14
Sout est Pipelin nd Tre Mess Corp. Jh y Mutual Inspr . ce Company
r
Noeml uiro� Attorney-in-Fact
NCIPAL's PRESIDENT
Maria Pena,
PRINCIPAL's SECRETARY SURETY's SECRETARY
PRINCIPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS:
22118 S. Vermont Avenue 330 N. Brand Blvd., Ste 500
Torrance, CA 90502 Glendale, CA 91203
NOTE: (1) ALL signatures must be acknowledged by a notary public.
Return one(1)originals to City Clerk's Office.
(2) Bond shall be effective for one(1)year after acceptance of the job.
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Agreement No. 4536
Certificatte pursuant to 995.6400)Code of Civil ProcedurA
C, L N Coo
11
� c ,State of Caiifornie,in r said County
DO HEREBY CERTIFY THAT
is
has a 1xtifi(w to of aut odty as an admitted surety I' ue t tMo Caiif w i
insurance Commissioner authorizing the insurer to transact surety insurance i t-.,�.,
e State of California,and that a on a records shown in t Isar t f NN
Insurance sits®that authority has not n surrendered,revoked,,oars toad
annuil a or sus nd ��"u.�."
In T y y her !
f�I f re nt y th
said Count on "
. COUNTYCLERK
Y` Deputy County Clerk
Agreement No. 4536
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
ss
County of Los Angeles
On JAN o 12014, before me, Lisa L. Thornton Notar y Public , personally
appeared Noemi Quiroz , who proved to me on the basis of satisfactory evidence
to be the person{s4 whose names is/a4:e subscribed to the within instrument and
acknowledged to me that 4e�she, 4ey executed the same in 44+ herd authorized
capacity4es), and that by 4i&/her # signature4-s4 on the instrument the person{s4, or the
entity upon behalf of which the person{ acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature: �
(Seal) tsa L. T,ornt f Notar Public
LISA L.THORNTON
Commission # 1940213
i Notary Public -California
* e Los Angeles County 2:
� " y Comm.Lxijres Jun 10,2015
Agreement No. 4536
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State oaf C f �.. . r. .��r.,�r.,car. �» ��;� .� �r.��. ., .�:c. r.��:c. r ;rr��
om a
County of Los Angeles
On before me, Robert Bolger Jr. , Notary Public
C 16 Hero Tal
Insert Name and e of ft Officer Justin Duchaineau
personally appeared Name(S)of Signor(-;)
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
t ROBERT 90LGER JR. his/her/their authorized capacity(ies), and that by
Commission # 1893724 his/her/their signature(s) on the instrument the
Notary Public - California z person(s), or the entity upon behalf of which the
Los Angeles County
My Com- Expires Ma person(s) acted, executed the instrument.
r 21,2014
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
s.
WITNESS my hand and official seal.
Signature:
Place Notary Seal andlor Stamp Above Signature of Notary Public
OPTIONAL
Though the information below is not required by law,it may prove valuable to parsons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document: p
Document Date: _ Number of Pages:
Signer(s)Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Corporate Officer—Title(s): ❑Corporate Officer--Title(s):
❑ Individual ❑Individual
i
❑ Partner—❑Limited ❑General Top of mumb here ❑Partner—❑Limited ❑General Top of thumb here
❑ Attorney in Fact ❑Attorney in Fact
❑ Trustee ❑Trustee
❑ Guardian or Conservator ❑Guardian or Conservator
❑ Other: ❑Other:
Signer Is Representing: Signer Is Representing:
g p enting:
02M Nati"Notary Aasccrltion•9150 De Soto Ave.,P.O.Box 2402•Cha%wo+tlt,CA 91313-2402•www.NaWnWttmry.org Item x5907 Reorder.Call Too-Free 1-806676.6827
Agreement No. 4536
LABOR AND MATERIALS BOND
TRENCHLESS SEWER IMPROVEMENT 2013-14
PROJECT NO.: PW 13-23
Bond No. 024055681
Bond Fee: Premium Included in Charge
for Performance Bond
Southwest Pipeline&Trenchless Corp..
("PR NCIPAL")and Liberty Mutual Insurance Company a
corporation
incorporated under the laws of the State of MA 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 sure of One Hundred
Eiah,tv Six Thousand Five Hullfted Fifteen Dollars ($186,515.00), which is a minimum one
hundred percent (100°l0) of the 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 SURETY 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 by 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 in ,
SPECIFICATIONS NO.PW13-23, TRENCHLESS SEWER IMPROVEMENT 2013-14
("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 ofthis 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
I. PRINCIPAL will construct the public improvements identified in
SPECIFICATIONS NO.PW13-23,TRENCHLESS SEWER IMPROVEMENT 2013-14,
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,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 will pay all contractors, subcontractors, and persons renting
equipment.
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Agreement No. 4536
1 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 Code("ESNIC").
5. SURETY, for value received, agrees that no changes, extensions of time,
alteration or modification of SPECIFICATIONS NO.PW 13-23, TRENCHLESS SEWER
IMPROVEMENT 2013-14, 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,alteration or
modification of the contract documents or of the obligation to be performed.
S. 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;
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 been granted.
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 retrain in full force and effect.
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Agreement No. 4536
SIGNED ND S ED this 31st day of Janurary ,2014
Seutiv Pi 115 and Tr ncbless C� . Q _ Liberty,` a u l] sure M� oemii mpany
Quiroz,Attorney-in Fact
CI "AL's PRESIDENT ?
. Maria Pena,
PRINCIPAL's SECRETARY S µ Y's SECRETARY
PRINCIPAL's MAILING ADDRESS; SUR.ETY's MAILING ADDRESS:
22118 S.Vermont Avenue 330 N.Brand Blvd.,Ste 500
Torrance,CA 90502 Glendale,CA 91203
NOTE: (1) ALl. signatures must be acknowledged by a notary public.
Return one(1)originals to City Clerk's Office.
(2) Bond shall be effective for one(1)year after acceptance of the job.
I.F-3
Agreement No. 4536
.p
Cerfficate pursuant M I Procedure
�. LOGAN x County CND of the Curt
.StMe of California,in and for said Co unty
00 HEREBY CERWY THAT
aiiaia cr , qi&uurr°ter � p ii�a� sr�rriy t�s d by�the li rrni
Insurance Conureu S&IOih'er authonz a"n the a nsurerto transact surety insurance in
true S'tate of Ga itoffua,ana thaT based on the records shown in
Msuran wema'L,.treat swhoiruty has not been surtendered,
UrnarS w or susrGeniaed
Said County parr � sd
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Agreement No. 4536
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
ss
County of Los Angeles
IAN '3 1 H14
On before me, Lisa L. Thornton, Notary Public , personally
appeared Noemi Quiroz , who proved to me on the basis of satisfactory evidence
to be the persons; whose name{&} is/a�e subscribed to the within instrument and
acknowledged to me that 4e�she,44+ey executed the same in 44+ her/thei authorized
capacity{ieo, and that by 4&/herd signature{ on the instrument the person{, or the
entity upon behalf of which the person{ acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
P d r
Signatu e:
(Seal) isa L. Th Ito Notaryr,MP lic
A .0
'A"Af
v ' LISA L. THORNTON
Commission # 1940213
Notary Public-California
Los Angeles County
ns A
" r pi e'j un 10,2015 .w
0
Agreement No. 4536
This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except In the manner and to the extent herein stated.Not
valid for mortgage,note,loan,letter of credit,bank deposit,currency rate,interest rate or residual value guarantees. To confirm the validity of this Power of Attorney call
610.832.8240 between 9:00 am and 4:30 pm EST on any business day.
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws
of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance
Company Is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby
name,constitute and appoint, OGrt1i Qttlr0
of the city of Los)k t G GS state of its true and tav+ful atiomayin-fact„vdth full power and authority hereby conferred to sign,execute and aokrmowiodga the
following surety bond:
Principal Name: Southwest Pipeline and Trenchless Corp.
Obligee Name: City of El Segundo
Surety Bond Number:024055681 Bond Amount: See Bond Form
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 1 Bill day of November.2013.
eo CA ��tet� r14su American Fire and Casualty Company
` % see a The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
1906 19t2 1919 ; 1991 Wes merican Insurance Company
�p� MV ' ��'err� ' ��A?wP�' k �vtasrcra By:
e Oavid M"Carey,Assistant Secretary
STATE OF PENNSYLVANIA as
COUNTY OF MONTGOMERY
On this 11 B"h day of Nove 2q1_3,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of American Fire and Casualty Company,
Liberty Mutual Insurance Company,The Ohio Casualfy Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing
Instrument for the pu s fhareln oontalned by signing on behalf of the corporattons by himself as a duly authorized officer.
IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written.
N PAS
X exraawve r t" COMMONWEALTH OF PENNSYLVANIA
Notarial Seal If
Or Teresa Pastella,Notary Public By' t
Plymouth Twp.,Montgomery County Teresa Fastella, Otary Prublic
ytr* My Commission Expires March 28,2017
Mfr Member PennsyrvanlaA ssoc�atlonolNotarles
This Power of Attor ay i ado and executed pursuant to and Vy authority of the following fay-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty
Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows:
ARTICLE IV—OFFICERS—Seollon 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and
subject to such limitation as the Chairman or the President may prescribe,sWl appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,
seal,acmowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-In-fact,subject to the limitations set forth in their
respective powers of attorney,shall have full power to bind the Corporation by their sl nature and execution of any such instruments and to attach thereto the seal of the Corporation.
When so executed,such instruments shW be as bindling as 3 s hed by the President and attested to by the Secretary,Any power or authority granted to any representative or attorney-
in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority.
ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the
president,and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys4n-fact,as may be necessary to act in behalf of the Company to
make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set
forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such Instruments and to attach thereto the seal of the
Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary.
Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attomeys-
in-fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other
surety obligations.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of
the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company
with the same force and effect as though manually affixed.
1, Gregory W. Davenport,the undersigned, Assistant Secretary, of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance
Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing Is a full,true and correct copy of the Power of Atlomey
executed by said Companies,is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 31 St day of January 2014
o
1906 1 g12 = 1919 r° 1991 By, Gregory W.Davenport,Assistant Secretary
urary 1 ' +vrtl+{�v zhrarACar ""
Agreement No. 4536
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles
� f Robert Bolger Jr. , Notary Public
On l before me, g y
Date Horo Insert Name and Tllle of the 011lcer
personally appeared
Justin Duchaineau
Namo(s)of Signers)
n
Q who proved to me on the basis of satisfactory
evidence to be the person(s) whose name(s) istare
subscribed to the within instrument and acknowledged
to me that he/she/they executed the same in
ROBERT BOLGER JR. his/her/their authorized capacity(ies), and that by
Commission # 1883724 his/her/their signature(s) on the instrument the
Notary Public-California
Z '° Los Angeles County person(s), or the entity upon behalf of which the
My Comm.Expires Mar 21,2014 person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the
laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
I° Signature: ''"
Place Notary Seal and/or Stamp Above Srpnplsarco 01
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
Title or Type of Document:
Document Date:..... Number of Pages:
o Signer(s)Other Than Named Above:
Capacity(ies)Claimed by Signer(s)
Signer's Name: Signer's Name:
❑ Corporate Officer—Title(s): ❑Corporate Officer—Title(s):
❑ Individual ❑Individual G
❑ Partner—❑Limited ❑General Top of thumb here ❑Partner—❑Limited ❑General Top of thumb here
❑ Attorney in Fact ❑Attorney In Fact
❑ Trustee ❑Trustee
I" ❑ Guardian or Conservator ❑Guardian or Conservator
❑ Other:_ ❑Other:
re
n. Signer Is Representing: Signer Is Representing:
02008 National Notary Association-9350 De Sob Ave..P.O.Box 2402•Cha%%wrd%CA 9131 3-2402•www.NalionalNatary.arg Itam @5907 Reorder.Can TaFne 1-80M764W?
Agreement No. 4536
PROPOSAL
FOR THE
TRENCHLESS SEWER IMPROVEMENT 2013-14
PROJECT NO.:PW 13-23
Date December 17, 20�13
9 -
Company Name: Southwest Pipeline&Trenchless Corp.
TO THE CITY OF EL SEGUNDO:
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 ac,:ompanying 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 pi, 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 exter;ded 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 so-nding by U.S.Mail a Public Works Contract for signature
by the Awardee,the proceeds of the security accompanying th;,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.
EQUAL EMPLOYMENT OPPORTUNIT V COMPLIANCE
I-C-1
Agreement No. 4536
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
Agreement No. 4536
BID SCHEDULE
TRENCHLESS SEWER IMPROVEMENT 2013-14
PROJECT NO.: PW 13-23
Company Name: Southwest Pipeline&Trenchless Corp.
Item Description Uni
t Estimated Unrt Pace _ Item Tota
N0. Quantity (in figures) (in figures)
Dollars/Cents Dollars/Cents
1� Mobilization/Demobilization Lump 1
sum $ Soo. to-O $ 8R7, o0
2 Traffic Control Lump I
sum $ Zi oco.00 $ 7.,000.0 a
Grind down intrudin lateral Each 27 $ 3 0o.Do $ 8,,;-0'0-00
4
4-ft in situ lining _ Each 18 $ 680 °p $ 30 zy o.
5 4-ft in situ lining with lateral
opening (required Top-hat or $ 3,000. $ /S�etao 00
equivalent to seal the lateral
annular.space�� Each 5
6
_8-ft in situ lining- - _Each 2 $ 3i yoo,oo $ ��goo.ov
7
20 ft in situ lining__ Each 1 $ $
various locations ft. r 1,475 $ 37��c o $ S S�f c
8 Linen manhole to manhole at Linea.
9 Cut opening for lateral connection
&seal the lateral annular space $ /' 000 o' $
between lateral,host pipe and liner 20
with Top Hat or equivalent. Each
10 4ft open trench spot repair at 5 ft
deep(sloped grass area,no $ i 9vo. °O $ r Av 0.eo
pavement,hard to accessible by
machine.) Each 2
11 Before and post video inspection Lump
for all repairs Sum 1 $ i ac 0.go $ 3., oo,
a o0 i
.l ter
nate bid Item
12 4-ft in situ lining at unspecified
locations JEach 20 t$, °• °° $ Z S 2 Pa
Total(Item 1 Thru 12): $ AeL S-/S, oo
TOTAL BID WRITTEN IN WORDS:
�7/VE /f�NO�+.`r4 �7�h�Y d/X Tip•aJ�a +�Ye �v�e+Or�d /riF��y
I-C-3
Agreement No. 4536
BIDDER'S INFORMATION
Company Name: Southwest Pipeline&Trenchless Corp.
BIDDER certifies that the following information is true and correct:
Form of Legal Entity(i.e., individual,partnership, corporation, etc.)
Corporation
If corporation, State of Incorporation(i.e., California) California
Business
Address 22118 S.Vermont Ave.
Torrance, CA 90502
Telephone No. 310-329-8717
Facsimile No. 310-329-0981
State Contractor's License No. and Class 773862 class A
Original Date Issued 1-21-2000 Expiration Date 1-31-2014
The following are the names,titles,addresses, and phone numbers of all individuals,firm
members,partners,joint venturers,and/or corporate officers having principal interest in this
proposal:
Justin Duchalneau-President 22118 S.Vermont Ave.,Torrance CA 90502 310-329-8717 ext 104
Robert Bolger-Secretary 22118 S.Vermont Ave.,Torrance CA 90502 310-329-8717 ext 103
The date of any voluntary or involuntary bankruptcy judgments against any principal having an
interest in this proposal is as follows:
N/A
All current and prior DBA's, aliases, and/or fictitious business names for any principal having
an interest in this proposal are as follows:
N/A
I-C-4
Agreement No. 4536
IN WITNESS WHEREOF,BIDDER executes and submits this proposal with the
names,titles,hands,
and seals of all a forenamed principals this 16th day of December ,2013
BIDDER
S th west Pipeline&Trenchless Corp.
Justin Du alne President
Subscribed and sworn to this 16th day of December,2013,
NOTARY PUBLIC
ROBERt BO
n#1883724
.; ary P` ttHie-California z
Los Angeles Co a
My Comm.Ex Ira$Mar 71 20
ROBERT BOLGERJR.
Commission# 1883724
Notary Public-California
Los Angeles County
L'My Comm.Expires Mar 21,2014
I-C-5
Agreement No. 4536
PROPOSAL GUARANTEE
BID BOND
TRENCHLESS SEWER IMPROVEMENT 2013-14
PROJECT NO.: PW 13-23
KNOW ALL MEN BY THESE PRESENTS that,
Southwest Pipeline and Trenchless Cofpj as BIDDER,and
Liberty Mutual Insurance Company ,as SURETY,are held and firmly bound unto the
City of El Segundo, in the penal sum of Ten Percent of Amount Bid DOLLARS(S1 ,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.
THE CONDITIONS OFTHIS 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 r o e City of El Segundo.
IN WI ESS WHERE :F the parties hereto have set their names,titles,hands,and seals this
4th day of December 201 . .
LI DER* 3cr11h .st Pipeline and Trenchless Carp,
B
221 S,Vermont Ave.,Torrance CA 90502(310)329-8717
SURETY* Liberty Mutual Insurance Company 1 -1) 1 1,
B„
koffl �A Noeml Quircz,Aftonic -in-Fact
330 N Blvd.,Ste 500,Glendale, �A 91203 (818)9564250
SEE ATTACHED CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
*Provide BIDDER/SURETY name,title,address and telephone number and the name,title,
address and telephone number for authorized representative.
I-C-6
Agreement No. 4536
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California )
)ss
County of Los Angeles )
On DEC, _ 4 2015 before me, Lisa L. Thornton, Notary Public , personally
appeared Noemi Ouiroz , who proved to me on the basis of satisfactory evidence
to be the persons} whose names} isAafe subscribed to the within instrument and
acknowledged to me that 4gsheA4" executed the same in 4WherA4eif authorized
capacitykies), and that by Wher{44ie4f signatures) on the instrument the person]-4, or the
entity upon behalf of which the personj4 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.
ne
Sign ure*
(Seal)
Lis L Tdn, N Public
W'�aWd�M "mwiQM�tl.h�'yp, �M'�..�M+wM
y LISA L.THORNTON
Lit. ' Commission#1940213
Notary Public-California
Los Angeles Count "
�,:c�a, 9 Y
`''µ' fly Comm.Fxplres Jun 10,2015
Agreement No. 4536
This Power of Attorney lirnfts the acts of those named hereln,and they have no authority to bind the Company except in the manner and to the extent herein stated,Not
valid for mortgage,note,loan,letter of credit,bank deposit,currency rate,Interest rate or residual value guarantees.To confirm the validity of this Power of Attorney call
810.832.8240 between 9:00 am and 4:30 pm EST on any business day.
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS.That American Fire,&Casually Company and The Ohio Camlly Insurance Compaq are mporalions duly organked under the laws
of the Slate of New Hampshire,that Liberty Mutual Insu mhos Company Is a corporeton day orgatritird under tae laws of the Slate of Massachusetts,and Wont American Insurance
Company Is a corporation duly antzed of the laws of the State of Indl(ana(hom1n;collectively caged Itre"Cora e),pursuant to and by aufhority betain set forth,.does hareby
name,constitute and appolnl, 108 mi ulr0;
of the city of Lc)§Art a slats of its true acrd iawful as -10act,with fug power and aaumtimtfy hereby conferred to sign,execute and salmowistig a the
following surety bond:
Principal Name: Southwest Pipeline and Trenchless Corp.
Obliges Name: City of El Segundo
Surety Bond Number:Bid Bond Bond Amount: See Bond Form
IN WITNESS WHEREOF,this Power of Aaomey has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto Ihls 180, day of November.2013.
ra CA tNstr -I my AmNStirp� Amedoarf Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
1906 24 1912 1919 1991 Was merican Insurance Company
0, e David WCaMy.Assistant Secretary
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
On this IP day of NovemN f, before me personally appeared David M.Carey,who admowledged hImself to be the AssIstantSecrelary of American Fire and Casualty Company,
Liberty hikatual Insurance Cornparty,The Ohio Casualty Company,and West American Insurance Company,and gnat ho,as such,being authorized so to do,execute the foregoing
Instrument for the puarpnses therein owtained by stgnlrg an behalf of the corporations by hlmself as a duly authorized offloor,.
IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written.
b Pllgy0
COMMONWEALTHOFPENNSYLVANIA
*'Ta Notarial Seal
sa Tere Pastelle,Notary Public By:Plymouth Twp.,Montgomery County resa Pastalla, rotary rr fi
My Commission Expires March 29,2017
"fu1Y
This Power of Alcor o and executed pursuant to is
nn U �of the V4Ty s and Authorizations of American Fire and Casualty Company,The Ohio Casualty
Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now In full force and effect reading as follows:
ARTICLE IV—OFFICERS—Spctfon 12.Power of Attorney.Any officer at other oMeW of hue Corporation authorized for that purpose in writing by the Chakman or the President,and
subject to such fCmllatkhn as he Chairman or ilia Resident may prescrFbe,shall opWA such alfomeys-In-fact,as may be necessary to act In behalf of the Corporation to make,execute,
seal,acknowledge and deliver as surety any and all undertakings,bonds,moognizarious and other surely obligations. Such attomays-ion-ract,subject to the limitations set forth In their
respective powers of a s'ball have tuff power to bind the Corporation by their signature and exscullon of any such Instruments and to attach thamtm the saad of Oar Corporatlon.
When so executed,such Instruments shah be as binding as if signed by the Praakleat and attested to by too Secrotmy.Any power oraufhorty granted to any re t'SINV or attorney-
In-fact under the provlstons of this article maybe revoked at any time by the Board„the Cnalmmatt,the Preskdent or by the officer at ofticuars granting such powworauftAy.
ARTICLE xllt—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the
president,and subject to such Ilmhations as the chairman or the president may prescribe,shah appoint such allomeysir~fact,as may be necessary to act in behalf of the Company to
make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations.Such atomeys-bh-fact subject to the Iknitations set
forth In their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such Instruments and to attach thereto the seal of the
Company.When so executed such instruments shall be as binding as If signed by the president and attested by the secretary.
Certlficate of Oeslgnaton—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-
In-fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recagnizances and other
suety obligations,
Authorlaatlon-By unartimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of
ft Company,wherever appeatkag upon a certified copy of any power of attorney Issued by the Company In connection with surety bonds,shah be void and binding upon the Company
with the same force and effect as though manually affixed.
1,Gregory W, Cla"rrport,the und'erslgmd,Assistant.Secretary,of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance
Company,and Wast Anwilcon Insurance Company do hereby certy that the original power of attorney of which the foregoing Is a full,true and correct copy of the Power of AAtleomey
executed by said Companies,Is In fun twoo and effect.Brad has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 4th day of December .4013
1,tt0 C'r'y f L%NS& 1'4'I0d$L, AINSOg,
° to
1906 w 1912 1919 1991 By, Gregory W.Davenport,Assistant Secretary
w cur �
Agreement No. 4536
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles
Robert Bolger Jr. , Notary Public Z yy l q ( before me,
,04,14
more mien Name and Too of am onlcer
personally appeared Justin Duchaineau
emote► oaeds)
M
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/shelthey executed the same in
his/her/their authorized capadty(ies), and that by
histher/their signature(s) on the instrument the
ROBERT BOLGER JR person(s), or the entity upon behalf of which the
Commission#1883724 person(s) acted, executed the instrument.
Notary Public-California
Los Angeles County
Irml Comm.Expires Wear 21,2014� 1 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.
Place Notary Seal WAW Stamp Above Signature: S hrar{
OPTIONAL
Though the information below Is not required by law,it may prove valuable to persons re44ng on the document
and could prevent fraudulent removal and reattachment of this lore b another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s)Other Than Named Above:
Capacity(les)Claimed by Signer(s)
Signer's Name:, Signer's Name:
• Corporate Officer—Title(s): ❑Corporate Officer—Title(s):
• Individual ❑Individual
• Partner—❑limited ❑General Top of thumb here ❑Partner—❑Limited ❑General Top of Mumb here
• Attorney in Fact ❑Atlomey in Fact
• Trustee ❑Trustee
"
• Guardian or Conservator ❑Guardian or Conservator
❑ Other: ❑Other:
Signer Is Representing: Signer Is Representing:
O2MNaliond Notary Anociatim-NXDoSMAve..RQDoa2e02•G+awordk.CA9171342 -www.NOtiori4ft".ary ft" rMo"C&DTasn"1a0"Maw
Agreement No. 4536
CONTRACTOR'S LICENSE DECLARATION
(Business and Professions Code Section 7028.15)
1. BIDDER'S Contractor's License Number is:
773862 Class No.: A
2. The expiration date of BIDDER'S Contractor License is:
January 31, -,20 14
3. BIDDER 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 12- 6 ,2013 , at
Torrance, TC'9 (insert City and State where Declaration signed).
I a uirre
Justin Duchaineau
Typed Name
President
Title
Southwest Pipeline &Trenchless Corp
Company Name
I-C-7
Agreement No. 4536
NON-COLLUSION AFFIDAVIT
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
State of California )
) ss.
County of )
Los Angeles
Justin Duchaineau ,being first duly sworn,deposes and say that he or-slw—is
President of Southwest Pipeline&Trenchless Corp.
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,SL light 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 ofthe 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
rice,or any breakdown thereof, or the contents thereof, or divulged information or data
rla' ve thereto, or paid, and will not pay, any fee to any corporation, partnership, company
asso "ation, organization, bid depository, or to any member or agent thereof to effectuate a
Coll .ive or
Southwest Pipeline&Trenchless Corp
naturc Name of Bidder/Company Name
Justin Duchaineau 12-16-2013
Typed Namti° Date
President
Title
I-C-8
Agreement No. 4536
WORKER'S COMPENSATION 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 a�y C of the provisio , of Sectiun 3700 of the Labor Code which require every
employer to insured against IiabiI y for workers'compensation or to undertake self-
insurance "iA accordance with the pro ision of that code,and I will comply with such
provision: before commencing the erl'ornar�c d work of this contract."
Signature of Bid
Title: President
Business Name: Southwest Pipeline&Trenchless Corp.
Business Address: 22118 S.Vermont Ave.
Torrance, CA 90502
Telephone Number: (_110 ) 329-8717
Dated this 16th day of nert;mhPr ,20_t3_.
I-C-9
Agreement No. 4536
DESIGNATION OF SUBCONTRACTORS
T.RENCHLESS SEWER IMPROVEMENT 2013-14
PROJECT NO.: PW 13-23
Company Name: Southwest Pipeline&Trenchless Co[p.
BIDDER will perform the majority of the work and proposes to subcontract certain portions of the
work which are in excess of one-half of one percent (1/2 of 1 1/o) of the bid and to procure
materials and equipment from suppliers and vendors as follows:
Description of
Name of portion of Work Estimated
Subcontractor Address Subcontracted $Amount
(Number and Street)
Charles King Company 2841 Gardena Ave.
Point Repairs $9,669.00
(City,Zip Code)
Signal Hill, CA 90755
i
I
I-C-10
Agreement No. 4536
BIDDER REFERENCES
Company Name; Southwest Pipeline&Trenchless Corp.
The following are the names,addresses,and telephone numbers for public agencies for which
BIDDER has performed similar work as the prime contractor or major subcontractor within the
past five(5)years:
1. Project Title: Sewer Pipeline Rahabilitation Phase J-1
Location: San Diego
City of San Diego 1200 Third Street,San Diego CA 92101
Name and address of owner -
Charles Dupont-858-627-3203
Name and current telephone number of person familiar with project
Type of Work: Rehabilitate 43,322 LF of 8"Dia sewer line using CIPP; Install 775 Top Hats
Contract amount:$ 3,193,079.00 Date completed: 2-2011
Amount of work done by my/our firm under contract$ $2,385,000.00
Did your firm have any financial interest in Project? ..No
2. Project Title: Sewer Pipeline Rehabilitation Ph-a%J-1A
Location: San Diego
City of San Diego 1200 Third Street, San Diego CA 92101
Name and address of owner
Zina Rummani-619-980-6328
Name and current telephone number of person familiar with project
Type of Work: Rehabilitate 37,158 LF of 8"Dia sewer main using CIPP; Install 684 Top Hats
Contract amount:$ 3,292,819.00 Date completed: 5-2011
Amount ofwork done by my/our firm under contract$ 2,158,506.00
Did your firm have any financial interest in Project?_ No
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Agreement No. 4536
3, Project Title: Construction of Pipeline
Rehabilitation Phase L-1
Location: San Digg,
Ci of San Di2go
Name and address of owner
1200 Third Street CA 92101
Name and current telephone number of person familiar with project
Type of Work: Rehabilitate 40,984 LF of 8"CIPP,740 Top Hats
Contract amount:$ 1 559 680.00 Date completed: 9-2011
Amount of work done by my/our firm under contract$ 1,559,680.00
No
Did your firm have any financial interest in Project?
Company Name: Southwest Pipeline&Trenchless Corp.
4. Pro j ect T rtle: Pi p eline Rehabilitation Phase P-1
Location:
City of San Diego 1200 Third Street San Diego,CA 92101
Name and address of owner
Scott Fischer-760-814-7226
Name and current telephone number of person familiar with project:
Type of Work: Rehab 43,030'8"sewer main, 900'4"sewer lateral, 1171 Top Hats
Contract amount:$ $5,215,015.00 Date completed: 1-2013
Amount of work done by my/our firm under contract$ $2,043,356.00
Did your firm have any financial interest in Project? No
j Avalon Underground Pipeline
5. Project Title: w
Location: Avalon Catalina Island
City Hall 410 Avalon Canyon Rd. P.O. Box 707 Avalon, CA 90704
Name and address of owner
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Agreement No. 4536
Tom Bensfield- 310.516.6346
Name and current telephone number of person familiar with project:
Type of Work: Install 100 Top Hats
Contract amount:$ 200,000.00 Date completed: 7-2012
Amount of work done by my/our film tinder contract$ 200;004.00
Did your firm have any financial interest in Project? No
Bidder may attach additional reference pages if necessary.
The following are the names,addresses,and-telephone numbers for all brokers and sureties from
whom BIDDER intends to procure insurance bonds:
Alliant Insurance Services, Inc,
333 South Hoe Street-Suits 3750
Los Angeles, CA 90071
211270.0970
1-C-13
Agreement No. 4536
BIDDER'S STATEMENT OF
PAST CONTRACT DISQUALIFICATIONS
TRENCHLESS SEWER IMPROVEMENT 2013-14
PROJECT NO.:PW 13-23
Company Name: Southwest Pipeline&Trenchless Corp.
Please state all instances of being disqualified,removed,or otherwise prevented from
bidding on,or completing,a federal, state,or local government project due to a violation of a
law or safety regulation.
1. Have you ever been disqualified from any government contract?
Yes ❑ No 1f
2. If yes,explain the circumstances:
dder's Signature
Justin Duchaineau
Name(Please Print)
I-C-14
Agreement No. 4536
INSURANCE REQUIREMENTS
[MUST BE SUBMITTED WITH PROJECT PROPOSAL]
TRENCHLESS SEWER IMPROVEMENT 2013-14, PROJECT NO.: PW 13-23
Company Name: Southwest Pipeline&Trenchless Corp.
To be awarded this contract,the successful bidder must procure and maintain the following types
of insurance with coverage limits complying,at a minimum,with the limits set forth below:
Type of Insurance Limits
Commercial general liability: $2,000,000
Business automobile liability: $1,000,000
Workers compensation: Statutory requirement
Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form
No.CG 00 01 1185 or 88. The amount of insurance set forth above must be a combined single
limit per occurrence for bodily injury, personal injury, and property damage for the policy
coverage. Liability policies must be endorsed to name the City,its officials,and employees as
"additional insureds" under said insurance coverage and to state that such insurance will be
deemed"primary"such that any other insurance that may be carried by the City will be excess
thereto. Such endorsement must be reflected on ISO Form No. CG 20 10 11 85 or 88, or
equivalent. Such insurance must be on an"occurrence,"not a"claims made,"basis and will not
be cancelable or subject to reduction except upon thirty(30)days prior written notice to the City.
Insurer will agree in writing to waive all rights of subrogation against the City, its officers,
officials,employees andvolunteers for losses arising from workperformedby Contractor for the
City.
Automobile coverage must be written on ISO Business Auto Coverage Form CA 00 0106 92,
including symbol 1 (Any Auto).
The Consultant must furnish to the City duly authenticated Certificates of Insurance evidencing
maintenance of the insurance required under this Agreement,endorsements as required herein,
and such other evidence of insurance or copies;if policies as may be reasonably required by the
City from time to time. Insurance must be placed with admitted insurers with a current A.M.
Best Company Rating equivalent to at least a Rating of"A:VII." Certificate(s)must reflect that
the insurer will provide thirty(30)day notice of any cancellation of coverage. The Consultant
will require its insurer to modify such certificoo e ,any exculpatory wording stating that
failure of the insurer to mail written noti cancellation poses no obligation,and to delete
the word"endeavor"with regard to notice provisions.
By signing this form, the bidder ertifies that it has rea , undcrst d will comply with
these insurance requirements if i is selected as the C' 's consultant. Fai a to provide this
insurance will render the bidder'. roposal"nonce, nsive."
12-16-2013
Date der's Signature
A-C-15
Agreement No. 4536
END PROPOSAL SECTION
I-C-16