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CONTRACT 4840 Public Works Contract CLOSEDAgreement No. 4840 PUBLIC WORKS CONTRACT BETWEEN THE CITY OF EL SEGUNDO AND ROJAS CONSTRUCTION ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT CDBG PROJECT NO.: 601711 -14 This CONTRACT is entered into this 23rd day of April, 2015, by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation ( "the City ") and ROJAS CONSTRUCTION, ( "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 Forty-One Thousand Dollars ($41,000) 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. I -D -1 Agreement No. 4840 A. The Contractor will fully complete the Work within Twenty -five (25) 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 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. I -D -2 Agreement No. 4840 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 Stephanie Katsouleas Public Works Director City of El Segundo 350 Main Street, El Segundo, CA 90245 (310) 524 -2356 The Contractor Marco Rojas Rojas Construction 3539 S. Carolina Street San Pedro, CA 90731 310 - 987 -0727 I -D -3 Agreement No. 4840 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. 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. I -D -4 Agreement No. 4840 20. CAPTIONS. The captions of the paragraphs of this Contract are fbr convenience of reference only and will not affect the interpretation of this Contract. 2 1. TIME IS OF ESSENCE. Time is • the essence for each and every prOvision of the Contract Documents, IN WITNESS WHEREOF the parties hereto have executed this contract the day ant year first hereinabove written. lenter !�ger MARK )M3 S,Y, City Attorney By: for Karl H. Berger, Assistant City Attorney Insurance Reviewed by: 11M Taxpayer ID No. 312-1 5 Contractor State License No.: W$Tm��� License No. Agreement No. 4840 FAITHFUL PERFORMANCE BOND ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO.: 601711 -14 Bond No. 10023829 Bond Fee: $820.00 ROJAS CONSTRUCTION ( "PRINCIPAL") and HUDSON INSURANCE COMPANY a sole ownership under the laws of the State of OKLAHOMA 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 FORTY -ONE THOUSAND DOLLARS ($41,000), 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 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 14 -09, 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 14 -09, 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 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. CITY has estimated the required amount of the bond as shown above. 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 materials on the Public Project for a period of one (1) year following the Public Project's I -E -1 Agreement No. 484;0 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 (`SSMC "). 5. SURETY, for value received, agrees that no changes, extensions of time, alteration or modification of SPECIFICATIONS NO. PW 14 -09 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. 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. [SIGNATURES ON FOLLOWING PAGE] I -E -2 SIGNED AND SEALED this 5TH day of ROJAS CONSTRUCTION Agreement No. 4840 MAY 2015 HUDSON 1,SURANCE COMPANY PRINCIPAL's PRESIDENT SUR t TY�"'? SHIL L LOSINO, ATTORNEY- IN- F'AGT_ PRINCIPAL's SECRETARY SURETY*8WMMyAKV Y� SHILO LEE LOSINO, ATTORNEY -IN -FACT PRINCIPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS: ROJAS CONSTRUCTION HUDSON INSURANCE COMPANY 252a 5, CAROLINA STREET 23901 CALABASAS RD. #1085 SAN PEDRO, CA 90731 CALABASAS, CA 91302 NOTE: (1) ALL signatures must be acknowledged by a notary public. Return one (1) original to City Clerk's Office. (2) Bond shall be effective for one (1) year after acceptance of the job. I -E -3 Agreement No. 4840 COrfificate Ipursuarlt to 995.640(a) Code of Civil Procedure of --U' a . ^ MIMYCle oft the un t to in and for said County WHEREBY E ) V HA has a r *MI� � � ��� rQGd iVf BB F,��" ar[ Q ipTud & 'g is �Q QreR Q�nBdBm�u����BM4Bu �Q�QOQk"� � �1'IV�� �,��V�V°nG �n�aVdtlrc�ImQ�,��QQ@�VVIP9P'�a 6a�fiB ¢ 4�QfrtlbQ�� 4 � � q« MtY IIn uv n [in Blh�44A�1 PIB�'W l ml si "sh;�Y I���uB'I',IIQ "+�n.BBQ.�U sti(j�,W�qrt� the �� epain�6entof PV CFB4Rr,a:Nojyli'B�B VBBjII'Deen Virend red, revoke' n � wQrdllCs �b� 1 Q QIBII.�uu tmfk �6 BPQtl;;N m On na 7� �1(4r hand and afted the seal of 0NL County K BRAILSFORD Bond NumbeAg QQRI1 9t No. 4840 POWER OF ATTORNEY KNOW ALL MEN BY 'fHE:SL PRESENTS: That HUDSON INSURANCE COMPANY, a corporation of the State oi' Delaware, with offices at 100 William Street, New York, New York, 10038, has made, constituted and appointed, and by these presents, does make, constitute and appoint Shilo Losino of the State or CA its true and lawful Attorney(s) -in -Fact, at New York, New York, each of them alone to have full power to act without the other or others, to make, execute and deliver on its behalf, as Surety, bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals. extensions, agreements, waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking shall obligate said Company for any portion of the penal sum thereof in excess of the sum of Forty One Thousand Dollars ($41,000.00) Such bonds and undertakings when duly executed by said Altorney(s) -in -Fact, shall be binding upon said Company as fully and to the same extent as irsigned by the President of said Company tinder its corporate seal attested by its Secretary. In Witness Whereof, HUDSON INSURANCE COMPANY has caused these presents to be of its Executive Vice President thereunto duly authorized. on this 31st day of October m, 20 13 at New York. New York. 'al)a, HUDSON INSURANCE: COMPANY leis t Iliima a alt Cbristopher'r. Suarez Corporate Secretary Executive Vice President STATE OF NEW YORK COUNTY OF NEW YORK. SS, On the _31st day of October . 20 13 before me personally came Christopher T_ Suarez to me known, who being by me duly sworn did depose and say that he is an Executive Vice President of HUDSON INSURANCE, CONIPANY, the co xnuflon described herein and which executed the above instrument, that he knows the seal of said Corporation, that the seal affixed to said instrument is such cor a rrtte seal, that it was so affixed by order of the Board of Directors of said Corporation, and that he 7t Ul)�ts name thereto by like order. "t`tt�IG��t1EN�I8ird ouV r 1"�t«e" (Notarial Seal)"` S6Cr'" r�"«s Aft 11, ult'l oil, Cyst Ip Notary Public,gdte ntl ^tt^ York . No 01 iLfrl Qualllled in County 101MU6067553 Commission Expires December 10. 2017 STATE OF NEW YORK COUNTY OF NEW YORK CERTIFICATION The undersigned Dina Daskalakis hereby certifies: That the original resolution, of which the following is a true and correct copy, was duly adopted by unanimous written consent of the Board of Directors of Hudson Insurance Company dated July 27 "', 2007, and has not since been revoked, amended or modified- that the President, the Executive Vice Presidents, the Senior Vice Presidents mid the Vice Presidents shall have the authority and discretion, to appoint such agent or agents, or attorney or attorneys -in -fact, for the purpose of carrying on this Company's surety business, and to empower such agent or agents_ or attorney or attorneys -in -fact, to execute and deliver, under this Company's seal or otherwise, bonds obligations, and recognizances, whether made by this Company as surety thereon or otherwise, indemnity contracts, contracts and certificates, and any and all other contracts and undertakings made in the course of this Company's surety business, and renewals, extensions, agreements, waivers, consents or stipulations regarding undertakings so made, and FURTHER RESOVLED, that the signature ofary such Officer ofthe Company and the Company's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seal when so used whether heretofore or hereafter, being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the sonic force and effect as though manually affixed," THAT the above and foregoing is a full, true and correct copy of Power of Attorney Issued by said Company, and of the whole of the original and that the said Power of Attorney Is still In full force and effect and has not been revoked, and furthermore that the Resolution of the Board of Directors, set forth in the said Powcr of Attorney is now in force_ Witness the hand of the undersigned and the seal of said Corporation this 5th duty of May 20 2015 Uip ia 1,,,t "w - , b n ^W Dtttlf ltlapotltullamk , Corporate Svcoct try Gro ' "'" t082010(vi) Agreement No. 4840 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of LOS ANGELES ) On MAY 0 5 2015 before me, ... Date personally appeared SHIRLEY GIGGLES, NOTARY PUBLIC Here Insert Name and Title of the Officer SHILO LEE LOSINO Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. SHIRLEY GIGGLES Commission # 1987675 Notary Public - California ,. Los Angeles County My Comm. Expires Se 7, 2016 Place Notary Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. w Public OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: . ... ............................................................ . .... ...... ... ....... ... .............. _..... Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ............ ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association • www.NationalNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 Agreement No. 4840 LABOR AND MATERIALS BOND ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO.: 601711 -14 Bond No. 10023829 Bond Fee: INCLUDED ROJAS CONSTRUCTION ( "PRINCIPAL") and HUDSON INSURANCE COMPANY .. a sole ownership under the laws of the State of OKLAHOMA 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 FORTY -ONE THOUSAND DOLLARS ($41,000), 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 ADA RAMP INSTALLATION PROJECT, SPECIFICATIONS NO. PW 14 -09 ( "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 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 14 -09, 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. Agreement No. 4840 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 Code ( "ESMC "). 5. SURETY, for value received, agrees that no changes, extensions of time, alteration or modification of SPECIFICATIONS NO. PW 14 -09, 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. 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; 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 remain in full force and effect. [SIGNATURES ON FOLLOWING PAGE] SIGNED AND SEALED this 5TH day of ROJAS CONSTRUCTION PRINCIPAL's PRESIDENT PRINCIPAL's SECRETARY PRINCIPAL's MAILING ADDRESS: ROJAS CONSTRUCTION 3539 S. CAROLINA STREET SAN PEDRO, CA 90731 Agreement No. 4840 MAY 2015 HUDSON INSURANCE COMPANY SHIL SEE LOSING, ATTORNEY -IN -FACT SHILO LEE LOSINO, ATTORNEY -IN -FACT SURETY's MAILING ADDRESS: HUDSON INSURANCE COMPANY 23901 CALABASAS RD. #1085 CALABASAS, CA 91302 NOTE: (1) ALL signatures must be acknowledged by a notary public. Return one (1) original to City Clerk's Office. (2) Bond shall be effective for one (1) year after acceptance of the job. Agreement No. 4840 Dj unty Clerk afthe Cow of �o� bw,�„ � � � � �, � , � State of�� Vtif r i p In and Ir, I� County 00 � IEF� E �'Y ����' ' rw,y, THAT Bond Numbej{gtQQRWft No. 4840 _- ( -,�l So ° i A •t 1!11 11114 l 11 lu it `r POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESLNi'S: That I IUDSON INSURANCE COMPANY, a corporation of the State of Delaware, with offices at 100 William Street, New York, New York, 10036, has made, constituted and appointed, and by these presents, does make, constitute and appoint Shilo Losino of the State of CA its true and lawful Attorneys) -in -Fact, at New York, New York. each of them alone to have full power to act without the other or others, to make, execute and deliver on its behalf, as Surety, bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals. extensions, agreements, waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking shall obligate said Company for any portion of the penal sum thereof in excess of the sum of Forty One Thousand Dollars ($41,000,00) Stich bonds and undertakings when duly executed by said Attorneys) -in - Fact, shall be binding upon said Company as fully and to the same extent as il'signed by the President of said Company under its corporate seal attested by its Secretary. In Witness Whereof; HUDSON INSURANCI? COMPANY has caused these presents to be of its Executive Vice President thereunto duly authorized, on this 31st clay o[ October 2013 at New York, New York. a& HUDSON INSURANCE COMPANY lots By } .. Chrislopher'P Suarez Corporate Secretary Executive Vice President S`fA'rE OF NEW YORK COUN'iY OF NEW YORK. SS. On the 31st day of pct w or.......... , 20 1,31.1-11 before me personally came Christopher T, Suarez to in e, known, who being by me duly sworn did � bL ._ depose and say that lie is an Executive Vice President of 111IDSON INSURANCE, COMPANY, the co ,irieglion described herein and which executed the above instrument, that he knows the seal of said Corporation, that the seal affixed to said instrument is such cony rani seal, that it was so affixed by order of the Board of Directors of said Corporation, and that lieT a� oils name thereto by like order, (Notarial Seal)'hsVl *�"+ N Dal tf1 a ' oa w Notary r1t blt,Dt 1 T ait N tt Ynrk Qualified in Nativm C °ounly j, 101MU6(IG7553 Commission Expires December 10, 2017 �.� CERTIFICATION STATE OF NEW COUNTY OF NEW YORK 1111 li I� y The undersigned Dina Daskalakis hereby certifies: That the original resolution, of which the following is a true and correct copy, was duly adopted by unanimous written consent of the Board of Directors of Hudson Insurance Company dated July 27's, 2007, and has not since been revoked, amended or modified ' RFSOI_VED, that the President, the Executive Vice Presidents, the Senior Vice Presidents and the Vice Presidents shall have the authority and discretion, to appoint such agent or agents, or attorney or attorneys- m -hct, for the purpose of carrying on this Company's surety business, and to empower such agent or agents, or attorney or attomeys -in -fact, to execute and deliver. under this Company's seal or otherwise, bonds obligations, and recognizances, whether made by this Company as surety thereon or otherwise, indemnity contracts, contracts and certificates, and any and all other contracts and undertakings made in the course of this Company's surety business, and renewals, extensions, agreements, waivers, consents or stipulations regarding undertakings so made, and FURTHER RESOV LFD, that the signature of any such Officer of tine Company and the Company's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seal when so used whether heretofore or hereafter, being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and eftcct as though manually attixed." THAT the above and foregoing is a full, true and correct copy of Power of Attorney issued by said Company, and of the whole of the original and that the said Power of Attorney is still in full force and effect and has not been revoked, and furthennore that the Resolution of the Board of Directors, set forth in the said Power of Altomey is now in force. Witness the hand of the undersigned and the seal of said Corporation this 5th day W"— w 20 ��� 5 X140, ... ®... �,., Dina DaslodslA 0"Po Pia vecP'et °jury L °AUt gtw82010(v1) Agreement No. 4840 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ............. LOS ANGELES On MAY O b 2015 before me, Date personally appeared .. ............................. _ . _..._ SHIRLEY GIGGLES, NOTARY PUBLIC Here Insert Name and Title of the Officer SHILO LEE LOSINO Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. SHIRLEY GIGGLES Commis 1987675 , sion # z Notary Public - California Z ' Los Angeles County res SeP 7, 2016 Place Notary Seal Above 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 official eal. Signatur Sirnat of No ublic OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: __ .__________ . ..... __---------------- . ... m.. Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ....... ......._ITITIT, ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Representing: mmmmmmmmmmmmm, Signer's Name: , ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ..... ©2014 National Notary Association - www.NationaiNotary.org • 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 Agreement No. 4840 PROPOSAL FOR THE ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO.: 601711 -14 Date April 8, 2015 Company Name: Rojas Construction 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 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 Agreement No. 4840 F UAI 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 tiled, and that no such reports are currently outstanding. AFFIRMATIVE ACTION CERTIFICA rION 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. I -C -2 Agreement No. 4840 BID SCHEDULE ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO.: 601711 -14 Company Name: Rolas Construction w BASE BID ITEMS Item ___....Item .... Description ....... ... ....... No. ............ W Intersection Corner QTY _ Unit Unit Price Total I Install new Maple Ave. & NW I LS .... _ ._........... $3,500.00 $ 3,500.00 ADA Ramp Sheldon St. S heldon �_ 2 ......... .............................�. Install new Maple Ave. & NE 1 LS $ 3,500.00 . . . . . . . . . . ............. . .. $ 3,500.00 ADA Ramp Sheldon St. 3 Install new Acacia Ave. & NW 1 LS $3,500.00 $3,500.00 ADA Ramp Eucalyptus Dr. ....._._........... 4 Install new Acacia Ave. & SW 1 LS 1 $3,500.00 $ 3,500.00 ADA Ramp ._ ......... .. .. Eucalyptus Dr. . ..................._.........._ 5 stall new A I Acacia Ave. & SE 1 LS $3,500.00 $3,500.00 DA Ramp Eucalyptus Dr. _.._._........... _._._ 6 Install new Acacia Ave. & NE 1 LS $ 3,500.00 $ 3,500.00 ADA Ramp Eucalyptus Dr. TOTAL BID = $ 21.000.00 TOTAL BID WRITTEN IN WORDS: w.0 y. lh and no cents. I -C -3a Agreement No. 4840 BID SCHEDULE CONSTRUCTION OF ADA RAMPS PROJECT NO.: PW 14 -09 CDBG PROJECT NO.: 601711 -14 Company Name: Rojas Construction ALTERNATIVE BID ITEMS Item No. Al A2 ....... Item ADA Ramp ADA Ram p Description Intersection McCarthy Ct. & Lomita St. McCarthy C t & . Lomita St. Corner SW NW QTY 1 _.._... 1 Unit LS .........._w LS ............. Unit Price $ 5,000.00 - $ 5,000.00 Total .................. $ 5,000.00 $5,000.00 McCarthy Ct. & ^5 A3 ADA Ramp SW 1 LS $ ,000.00 $ 5,000.00 Walnut Ave. Center St. & A4 ADA Ramp Alley between NW 1 LS $ 5,000.00 $ 5,000.00 Imperial Ave. & Acacia St. Center St. & A5 ADA Ramp Alley between SW 1 LS $5,000.00 $5,000.00 Imperial Ave. & Acacia St. A6 _........... Ramp ADA Ram ....................... ............................... Acacia & NW 1 LS $5,000.00 $ 5,000.00 California s St. A7 ADA Ramp Pine Ave. and NE 1 LS $ 5,000.00 $ 5,000.00 Sierra Pl. I -C -3b Agreement No. 4840 BIDDER'S INFORMATION Company Name: Rojas Construction BIDDER certifies that the following information is true and correct: Form of Legal Entity (i.e., individual, partnership, corporation, etc.) sal )s t 5laa a .. If corporation, State of Incorporation (i.e., California) Business llo s artstr a tj- L IT_____________ Address 3539 S. Carolina Street Sawn Pedro. 90731 „u Telephone No. 1n)QA7_0727. _. .. Facsimile No. (310) 548 -0451 State Contractor's License No. and Class 927532 B, C -8 Original Date Issued _2009— Expiration Date 1/31/2017 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: laEo JZo`as 3530 S. Carolina Street, San Pedro CA 90731 (310 ) . ................987 -0727 . . _ .. ... .............. 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: I -C -4 Agreement No. 4840 BIDDER'S INFORMATION (CONTINUED) Company Name: 2CrTer s Bidder shall list the name of the person who attended the mandatory pre -bid job walk: Name: AA1 L gr 0m, S Title: �.' (� O 112 I -C -5 Agreement No. 4840 IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, titles, hands, and seals of all a forenamed principals this BIDDER 26 day of_ 44*`� 20 /<7 - tzrffAs- - Co A.", el"I .............. ...... . .......... . ........... . . .......... . . . . .. k1t A- (Z -C- 0 Subscribed and'xworn to this day of _._, 20 NOTARY PUBLIC I-C-6 Agreement No. 4840 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS ANGELES Subscribed and sworn to (or affirmed) before me on this 26TH day of MARCH __ � 20 15, by MARCO R03AS -- - - - - -- proved to me on the basis of satisfactory evidence to be the person($) who appeared before me. ,A M M1 46 ?�" P i »➢ �lfGd II tl D1111u i usr Q qn I (Seal) Signature Ag reem e pt #N o. °?48 PROPOSAL GUARANTEE BID BOND ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO.: 601711 -14 KNOW ALL MEN BY THESE PRESENTS that, ROJAS CONSTRUCTION , as BIDDER, and HUDSON INSURANCE COMPANY , as SURETY, are held and firmly bound unto the City of El Segundo, in the penal sum of TEN PERCENT OF - DOLLARS ($__), 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. " GREATEST AMOUNT BID (10% G.A.B.) NOT TO EXCEED FOUR THOUSAND EIGHT HUNDRED AND NO /100THS DOLLARS (N.T.E. $4,800.00) 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 13TH day of MARCH , 2015 . BIDDER* ROJAS CONSTRUCTION 3539 S. CAROLINA ST., SAN PEDRO, CA 90731 SIGNATURE (PRINTED NAME AND TITLE) SURETY* HUDSON INSURANCE COMPANY 23901 �CAI,AB'ASAS RD. #1085, CALABASAS, CA 91302 (SHILO LEE LOSING, ATTORNEY -IN -FACT) SIGNATURE (PRINTED NAME AND TITLE) Subscribed and sworn to this day of , 20 NOTARY PUBLIC *Provide BIDDER/SURETY name, title, address and telephone number and the name, title, address and telephone number for authorized representative. I -C -7 Bond NumbEAgWIMM No. 4840 U DSON Iti�tiitirat ! l,ltltl!I' POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That HUDSON INSURANCE COMPANY, a corporation of the State of Delaware, with offices at 100 William Street, New York, New York, 10038, has made, constituted and appointed, and by these presents, does make, constitute and appoint Shilo Losino of the State of CA its true and lawful Attomey(s) -in -Fact, at New York, New York, each of them alone to have full power to act without the other or others, to make, execute and deliver on its behalf, as Surety, bonds and undertakings given for any and all purposes, also to execute and deliver on its behalf as aforesaid renewals, extensions, agreements, waivers, consents or stipulations relating to such bonds or undertakings provided, however, that no single bond or undertaking shall obligate said Company for any portion of the penal sum thereof in excess of the sum of Four Thousand Eight Hundred Dollars ($4,800,00) Such bonds and undertakings when duly executed by said Attorney(s) -in -Fact, shall be binding upon said Company as fully and to the same extent as if signed by the President of said Company under its corporate seal attested by its Secretary. In Witness Whereof, HUDSON INSURANCE COMPANY has caused these presents to be of its Executive Vice President thereunto duly authorized, on this 31st day of October —2013 at New York, New York. MOO,, HUDSON INSURANCE COMPANY lots By.� I)uura rl Iats Christopher T. Suarez Corporate Secretary Executive Vice President STATE OF NEW YORK COUNTY OF NEW YORK. SS.. On the 31 st day of „O,ct,ober 2013 before me personally came Christopher T. Suarez to me known, who being by me duly sworn did depose and say that he is an Executive Vice President of HUDSON INSURANCE COMPANY, the co ;orution described herein and which executed the above instrument, that he knows the seal of said Corporation, that the seal affixed to said instrument is such torsi rate seal, that it was so affixed by order of the Board of Directors of said Corporation, and that lief, 1li)Oil name thereto by like order, (Notarial Seal) * r. •. �✓ Il PI1 r 10, ". :tr.. Notary I'untie, urtc of N w York No, 01Mf)fd,015 3 ..,. * Qualified in Nassau County 101MUM675M ; Commission Expires December 10, 2017 CERTIFICATION COUNTY OF NEW YORK � t 1,1110 y ' The undersigned Dina Dnskalnkis hereby certifies: That the original resolution, of which the following is a true and correct copy, was duly adopted by unanimous written consent of the Board of Directors of Hudson Insurance Company dated July 27 "i, 2007, and has not since been revoked, amended or modified: "RESOLVED, that the President, the Executive Vice Presidents, the Senior Vice Presidents and the Vice Presidents shall have the authority and discretion, to appoint such agent or agents, or attorney or attorneys -in -fact, for the purpose of carrying on this Company's surety business, and to empower such agent or agents, or attorney or attorneys -in -fact, to execute and deliver, under this Company's seal or otherwise, bonds obligations, and recognizances, whether made by this Company as surety thereon or otherwise, indemnity contracts, contracts and certificates, and any and all other contracts and undertakings made in the course of this Company's surety business, and renewals, extensions, agreements, waivers, consents or stipulations regarding undertakings so made; and FURTHER RESOVLED, that the signature of any such Officer of the Company and the Company's seal may be affixed by facsimile to any power or attorney or certification given for the execution of any bond, undertaking, recognizance, contract of indemnity or other written obligation in the nature thereof or related thereto, such signature and seal when so used whether heretofore or hereafter, being hereby adopted by the Company as the original signature of such officer and the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually affixed." THAT the above and foregoing is a full, true and correct copy of Power of Attorney issued by said Company, and of the whole of the original and that the said Power of Attorney is still in full force and effect and has not been revoked, and furthermore that the Resolution of the Board of Directors, set forth in the said Power of Attorney is now in force. -- Witness the hand ofthe undersigned and the seal of said Corporation this 1 3t" „ dare of March 20 201 5 toy w.,... Mina 1 >arwN:rtla�R "rroolroarpta Scercuiry p' "ra 10 8 2010 (v 1) Agreement No. 4840 CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 ',Y � "�K �i n9, :.mb�* �".,"�. �,iM .�',� d,.n� �.�, �"'.oG d,�'w�2�. n. �'M.�ri.� M��E .M..�� � ��`� ..� � ✓d �'.�1. m� rtl �M �� 5� ri�..r' ^� � ,h..,.R.,,: �..� � �., �mw�d s YP � �$ e.��"rG:.d sM mr ,�F a °x�a i .�4�i.,�as�':.�`� .w,. �. � l�,ti:�:i�'. �4:,i'"�IX.�'r�,,� "a�..,=��'. A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certficate is attached, and not the truthfulness, accuracy, or validity of that document. State of C County ofm.� ) On MAR 1 3 7015 before me, SHIRLEY GIGGLES, NOTARY PUBLIC Date Here Insert Name and Title of the Officer personally appeared SHILO LEE LOSINO Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he/she /they executed the same in his/her /their authorized capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: 02014 National Notary Association - www.NationaiNotary.org - 1- 800 -US NOTARY (1- 800 - 876 -6827) Item #5907 Agreement No. 4840 , f lfl f w ry, n4 J Agreement No. 4840 CONTRACTOR'S LICENSE DECLARATION (Business and Professions Code Section 7028.15) 1. BIDDER'S Contractor's License Number is: _µµw927532 Class No,: R C -R 2. The expiration date of BIDDER'S Contractor License is: Tanuary 31 , 20 17---. 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 _April 9. 20 15 , at San Pedro, CA (insert City and State where Declaration signed), "N Signature Marco Rojas _.... .................... .�....... Typed Name President Title Roias Construction Company Name I -C -8 Agreement No. 4840 NON - COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ) ss. County of Los Angoles _ ........ Marco Rojas ., being first duly sworn, deposes and say that he or she is President of Rojas Construction 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. Signature Marco Typed Name President Title I -C -9 Marco l oias - Rojas Construction Name of Bidder /Company Name Ayril 8, 2015 Date Agreement No. 4840 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 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 pet ionnatice of the work of this contract." Signature of Bidder: Title; President Business Name: Roias Construction Business Address: 3539 S. Carolina Street San Pedro, CA 90731 Telephone Number: ( 310_ _.)m987m -0726 Dated this 8th day of April , 20 15 . I -C -10 Agreement No. 4840 DESIGNATION OF SUBCONTRACTORS ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO.: 601711 -14 Company Name: Ro" s Construction ............_....... I -C -11 REFERENCES Company Name: Agreement No. 4840 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: Project Title: 2019 Annnnl PCC Ciirb Ciittar & S' lewnik Location: El Segundo, CA Citv of El Segundo 350 Main Street El Segundo, CA 90245 Name and address of owner Floriza Rivera - (310) 524 -2361 Name and current telephone number of person familiar with project Type of Work: R & R Concrete Contract amount: $ 105 04728 Date completed: 7/16/13 Amount of work done by my /our firm under contract $ 105,047.28 .............. Did your firm have any financial interest in Project? No _ 2. Project Title: Johnnie Cochran Jr Location: 4066 W. Tohnnie Cochran Vista Los Angeles. CA 90019 LAUSD 1406 S. Highland Ave.. Los Angeles, CA 90019 Name and address of owner Keith Wells 323 - 549 -3500 Name and current telephone number of person familiar with project Type of Work: Remove & Replace Concrete Contract amount: $-,k7.800.00 Date completed: 12/15/14 Amount of work done by my /our firm under contract $ 671800,00 Did your firm have any financial interest in Project? I -C -12 Agreement No. 4840 3. Project Title: Child Development Ctr. /Campus Parking Lot Reconstruction Location: 1111 Figueroa Place, Wilmington, CA 90744 Los Angeles Community College 1111 Figueroa Place Wilmington Name and address of owner Jennefer Garcia (760)218 -4142 Name and current telephone number of person familiar with project Type of Work: Public Works Contract amount: $ 7 S. 0 0 0 Date completed: June 2010 Amount of work done by my /our firm under contract $ 7 5, 0 0 0 Did your firm have any financial interest in Project? No Company Name: Rojas Construction 4. Project Title: Remove & Replace Deteriorated Concrete Location: Ftalhna Mac-rnat Srhnr)l 1.702,0 Labrador St. Northridae 91325 LAUSD 6651 B Balboa Blvd.. Van Nuvs. CA 91406 Name and address of owner RnYhart T)nvnn (R1 R) AS4- -A r,r)n Name and current telephone number of person familiar with project: Type of Work: Public Works Contract amount: $ 71, 9 9 0 . 0 0 Date completed: October 2011 Amount of work done by my /our firm under contract $ 71, 9 9 0. 0 0 Did your firm have any financial interest in Project? No 5. Project Title: R & R Deteriorated concrete I.Install truncated domes Location: Arleta High School 14200 Van Nuys Blvd. Arleta. CA 91331 LAUSD 8960 Herrick Ave., Sun Valley, CA 91352 Name and address of owner I -C -13 Agreement No. 4840 Steve Echvahl (818) 394 -2462 Name and current telephone number of person familiar with project: Type of Work: Public Works Contract amount: $ 23,360.00 Date completed: July 2011 Amount of work done by my /our firm under contract $ 2 3, 3 6 0. 0 0 ........... ............................... ... 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: Shilo Losino (818)348 -4300 Contractors Best Insurance Services 20335 Ventura Blvd.. Suite 426A Woodland Hills, CA 91364 I -C -14 Agreement No. 4840 BIDDER'S STATEMENT OF PAST CONTRACT DISQUALIFICATIONS ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT CDBG PROJECT NO.: 601711 -14 Company Name: Rojas Construction 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 2. If yes, explain the circumstances: 3. Are you registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject your bid as nonresponsive]? Yes @ No 0 Marco Rojas Name (Please Print) I -C -15 Agreement No. 4840 INSURANCE REQUIREMENTS [MUST BE SUBMITTED WITH PROJECT PROPOSAL] ADA RAMP INSTALLATION PROJECT PROJECT NO.: PW 14 -09, CDBG PROJECT NO.: 601711 -14 Company Name: Rotas Construction 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 11 85 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 and volunteers for losses arising from work performed by 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 of 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 certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, and to delete the word "endeavor" with regard to any notice provisions. The City requires California Worker's Compensation Coverage with the associated Waiver. Out -of -state coverage will not be accepted in lieu of the California coverage, because the work is being performed in the State of California. By signing this form, the bidder certifies that it has read, understands, and will coni! y 't 1' these insurance requirements if it is selected as the City's consultant 1 iti' ire t( provide tli ice will render the bidder's proposal "nonresponsive." Date I -C -16 W(cr's Signature Agreement No. 4840 END PROPOSAL SECTION I -C -17 March 11, 2015 ADDENDUM NO. 1 Agreement No. 4840 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for ADA RAMP INSTALLATION PROJECT PROJECT NO. PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO. 601711 -14 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. The bid due date and time has changed to Tuesday, April 14, 2015, at 11:00 am. 2. Forty -nine pages of CDBG requirements have been added to the specifications after page 100 of the file. Page 100 has the following single line of text in it: SECTION VI — CDBG REQUIREMENTS. 3. The title page of the specifications file has been changed to insert the highlighted text "(REVISED 3/11/15)" as the second line to differentiate from the previous file. 4. The title page, page 2, and page I -A -1 of the specifications file have been changed and highlighted to show the new bid due date as noted in Item 1 above. 5. Page I -B -3 has been changed and highlighted to show a new due date for written questions and a new response date for the City. 6. Page III -A -2 has been changed and highlighted to replace Arianne Bola's name with Nick Petrevski's name as a Public Works Department representative. 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 provide such acknowledgement shall render the bid as non - responsive and subject to rejection. I/ Signature: wn_ _ Print Company Name: Page 1 of 1 Date: r 350 Main Street, El Segundo, CA 90245 -3895 (310) 524 -2300 Fax (310) 640 -0489 April 6, 2015 W , 92 4,9/ Agreement No. 4840 ADDENDUM NO.2 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for ADA RAMP INSTALLATION PROJECT NO. PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO. 601711 -14 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. The bid due date is still Tuesday, April 14, 2015, at 11:00 am. 2. The ten -day verification prior to bid opening to determine the current federal wage decision for CDBG Project 601711 -14, Installation of ADA Ramps, was conducted on April 3, 2015. A new modification to the original federal wage decision for CDBG Installation of ADA Ramps Project Bid Document was issued on March 27, 2015. The new General Decision Number applicable to the above - referenced project has been attached and is titled: General Decision Number: CA150033 03/27/2015, CA33, Modification 5, dated 03/27/2015. 3. Please also see the attached supplement page for questions asked regarding this bid and the responses to those questions. As evidence that the BIDDER has read this Addendum, the BIDDER must acknowledge same in the space provided below and submit this Addendum cover sheet, and all other issued Addendum over sheets, with the Bid Proposal. Failure to provide such acknowledgement aly'' .rider the i,c non- responsive and subject to rejection. Signature: .._- - Date: g �`.__.._ ....... ..m Print Company Name: Page 1 of 1 350 Main Street, El Segundo, CA 90245 -3895 (310) 524 -2300 Fax (310) 640 -0489 Agreement No. 4840 CITY OF EL SEGUNDO ADA RAMP INSTALLATION PROJECT NO. PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO. 601711 -14 ADDENDUM NO.2 SUPPLEMENT DATE: April 6, 2015 TO: All Prospective Bidders The following questions have been raised regarding this bid. The response to each question is provided here and made available to all prospective bidders. The information and clarification provided in this Addendum shall be considered as incorporated into the specifications for the above - referenced project. All other portions of Contract Documents and previous Addenda not specifically mentioned in this Addendum remain in force. Question 1: If Union workers are hired will that fulfill requirements for prevailing wages? Answer: Please see General Decision Number: CA150033 03/27/2015 CA33 included with this addendum for the current federal prevailing wages. Whichever wage rate is higher between state and federal is the rate that needs to be paid. Question 2: Does the City have blueprints or plans for the ADA ramps to be constructed? Answer: Standard Plans 111 -5 of the Standard Plans for Public Works Construction (SPPWC) shall be used for the construction locations. The Contractor shall verify in the field with City staff the specific ramp type to be used at each location, as well as any proposed modifications, prior to any demolition. Question 3: Will the lowest bid be determined from the base bid or a combination of the base bid plus the alternate bids? Answer: Please see Sections 14.3 and 14.4, page I -B -7, of the Specifications. The lowest bid shall be based on the Total Base Bid plus any accepted Alternate Bids. Question 4: Will the contractor and this project be subject to Senate Bill 854 and related Department of Industrial Relations requirements? Answer: Yes. Please refer to the DIR Frequently Asked Questions for SB 854 at http://www.dir.ca.Rov/Public-Works/PublicWorksSB854FAQ.html April 13, 2015 "n ,_.. , ADDENDUM NO.3 Agreement No. 4840 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for ADA RAMP INSTALLATION PROJECT NO. PW 14 -09 COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) PROJECT NO. 601711 -14 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. The bid due date remains Tuesday, April 14, 2015, at 11:00 am. 2. A planholder has asked what percentage of work a subcontractor can undertake on this project. As stated in the "Designation of subcontractors" form on page I -C- 11 of the Contract Documents, Plans & Specifications, the Bidder will perform the majority of the work, which amounts to at least fifty percent (50%) of the contract price. As evidence that the BIDDER has read this Addendum, the BIDDER must acknowledge same in the space provided below and submit this Addendum cover sheet, and all other issued Addendum cover sheets, .wit:li the Bid Proposal. Failure to provide such acknowledgemc t h: l render tl� l i as non - responsive and subject to rejection. Signature: ` ... Date: - " l Print Company Name: l._, Page 1 of I 350 Main Street, El Segundo, CA 90245 -3895 (310) 524 -2300 Fax (310) 640 -0489