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CONTRACT 4870 Public Works Contract CLOSEDAgreement No. 4870 PUBLIC WORKS CONTRACT BETWEEN THE CITY OF EL SEGUNDO AND RAMONA INC. WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE PROJECT NO.: PW 15 -08 This CONTRACT is entered into this 17th day of June, 2015, by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation ( "the City ") and Rainoria Inc. 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 Million Two l- lu ndred TNvent� -One Thousand Five Hundred Sixty-Six Dollars ($1,221.566,00) 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. I -D -1 Agreement No. 4870 A. The Contractor will fully complete the Work within Eighty (80) 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: 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 -parry 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. 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 I -D -2 Agreement No. 4870 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 Public Works City of El Segundo 350 Main Street, El Segundo, CA 90245 Attn: Lifan Xu The Contractor Ramona Inc. 302 N. First Ave. Suite 1 Arcadia, CA 91006 Attn: Michael Grbavac 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. I -D -3 Agreement No. 4870 There will be no incidental or other beneficiaries of any of the Contractor's or the City's obligations under this Contract. 14. INTERPRETATION. This Contract was drafted in, and will be construed in accordance with the laws of the State of California, and exclusive venue for any action involving this Contract will be in Los Angeles County. 15. EFFECT OF CONFLICT. In the event of any conflict, inconsistency, or incongruity between any provision of the Contract Documents, precedence will be as follows: A. This Contract; B. The Standard Specifications; and C. Precedence of documents as determined in the Standard Specifications. 16. SEVERABILITY. If any portion of the Contract Documents are declared by a court of competent jurisdiction to be invalid or unenforceable, then such portion will be deemed modified to the extent necessary in the opinion of the court to render such portion enforceable and, as so modified, such portion and the balance of this Contract will continue in full force and effect. 17. AUTHORITY/MODIFICATION. The Parties represent and warrant that all necessary action has been taken by the Parties to authorize the undersigned to execute this Contract and to engage in the actions described herein. This Contract may be modified by written amendment. The City's city manager, or designee, may execute any such amendment on the City's behalf. 18. ACCEPTANCE OF FACSIMILE SIGNATURES. The Parties agree that this Contract, agreements ancillary to this Contract, and related documents to be entered into in connection with this Contract will be considered signed when the signature of a party is delivered by facsimile transmission. Such facsimile signature will be treated in all respects as having the same effect as an original signature. 19. COVENANTS AND CONDITIONS. The parties agree that all of the provisions hereof will be construed as both covenants and conditions, the same as if the words importing such covenants and conditions had been used in each separate paragraph. 20. CAPTIONS. The captions of the paragraphs of this Contract are for convenience of reference only and will not affect the interpretation of this Contract. 21. TIME IS OF ESSENCE. Time is of the essence for each and every provision of the Contract Documents. I -D -4 Agreement No. 4870 IN WITNESS WHEREOF the parties hereto have executed this contract the day and year first hereinabove written. CIT , IF 11 SEGUNIDO Greg p rp ter City anager ATTEST: Tr cy Wgtr, ty Clerk APPROVED AS TO FORM: MARK D. 11 S LE Y, City Attorney By: Karl H, Berge Assistant City Attorney Insurance Reviewed by: I-D-5 RAMONA INC. 14, SE 4 P 1�esi`dent Taxpayer ID No. 73-1712201 Contractor State License No.: 850299A Contractor City Business License No.: ?�, I'l 6 6 Agreement No. 4870 WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE PROJECT NO.: PW 45-08 Bond No. 1000801789 Bond Fee: $11'458.00 and U-.-S. Specialtv Insurance Corn iucorporakz\ under the laws o[the State of Texaa and licensed by the State of California to execute bonds and undertakingsas sole surety, as Surety ("SURETY"). are held and firmly bound unto the CITY 0PBL8EGUNDO(^^C\TY`)in the sum of DOLLARS, 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 Sl}ll]BTY bind theco»c)vcn' their successors, and assigns, jointly and nonoru/1y, 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 15-08, and the public works contract executed with such SouoiGoudous. In the cuac 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 dburon[ to the satisfaction of any danougox, coclaouuduu` ummconnoeots, penalties, or deficiencies arising by ruumou of such default. l. PRINCIPAL will construct the public improvements identified in SPECIFICATIONS NO. D^W 15'08, o copy of which is no file with ClTY"s Engineering 'Division ("Public Pr�)eu1^). Such perfhmouceviD be in accordance with C{T/'sp|ous and profiles (CITY DRAWING NO. PW85-08) which are made a part o{ this bond when said plans and profiles are approved by the City Council and filed with C|TY`s Engineering Division. CITY has estimated the required oznouoLn[ the bond ua shown above. 2- PRlN[CP/\L'x work ou the Public Prn\ccL will be done iu 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 §ron/y bound for the payment o[ 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 (|) year /hUovving (hc Public Project's completion and acceptance by CITY. an Agreement No. 4870 4, This bond is conditioned upon rind guarainces due compliance with all applicable law including, With('Mt limitation, the III Segundo Municilml Code ("ESM(".. }, 5. SURETY, for value received, agrees that no changes, extensions of tune, alteration or modification of SPECIFICATIONS NO. PW 15-08 or of the obligation to be performed will in any way affect its obligation on this bond, and it waives notice of any such change, extension of time, 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 appoini menI, power of attorney, bylaws or other instrument entitling or authorizing the persons executing this bond to do so; 7. Should PRINCIPAL perform its obligations within the tirne allowed, PRINCIPAUs 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] MM Agreement No. 4870 SIGNED AND SEALED this 19th day of June 2015 PRINCIPAI-'s PRESI[)J':N'J­MIbrdi3n Grbavac WI'M_71 PAU, s-,"S-,E-,C—R-E"'-rAR—'-YD"us—an'ka Grbavac PRINCIPAL's MAILING ADDRESS: SURETY 's PRESIDENT Frank Morones, Attorney-in-Fact . .......... SURETY'S SECRETARY Frank Morones, Attorney -in -Fact SURETY'S MAILING ADDRESS: EpIngrin- Inc. Ca[West Suretv 302 N, First Ave. Ste. 1 1.800E Lambert Rd., Ste. 210 . .... ..... Arcadia;, CA 91006 Brea, CA 92821 NOTE: (1) ALL signatures o' natures 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. 4870 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY IlNI "I'EI) S'I "ATI S SIWItIy i''Y COMPANY U.S. SPECIALTY 1 SVRANC E ?i Mj "ANS" KNOW ALL MEN BY "THESE. PRESENTS; "That American Contractors Indemnity Company, a California corporation, Texas Bonding `Company, an assumed name of American Contractors Indemnity Company, 'United 'talcs Surety Company, AM aryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Companies "), do by these presents make, constitute and appoint: Frank Morones of Brea, California its trite and larvful Attomey(s) -in -fact, cacti in th irgseparate capacity if more than one is named above, with full power,and authoft hereby conferred in its name, place and stead, to exeeute, acknowledge and deliver any and all bonds, recognizant s,'und'ertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed * * * * * * * * * * * * * * * * * ** *Ten Million * * * * * * * * * * * * * * * * * * ** Dollars (, ** 0,000,( 00,Cltl* 1 ). This Power of Attorney shall expire without further action on December 8, 2016. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Cotnpalrics— tie it lies'raf od, that the President, any Vice - President, any Assistant Vice - President, any Secrctury or a'ny Asst'istant ! !ccfctaiy shall be and is ltereta} We newt ww °ith�ll pow er and authority to appoint any one or more suitable persons as Attomey(s) -in -Fact to represent and act for and on behalf of the Company sohioct to_thc,f0low1ng �srovastans: _.. Allorney -in -Fact maybe given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and anwy,such instruments so executed by „any such Attorney -in -Fact shatl trc binding upon the C "omp ny ens ifsigaued by the President and scaled and a:n cted by the Corporate Secretary, Ax it Revolved, that the signattav of any authyari°rad officer sand caul ofthe Company hercttrliore or hereafter affixed to any po%vcr of attorney or any oertilkatc T ialhig thereto by litcsimile, rind any, power of attorney or cerlilic4le'hearing fiAe%imile signature or facsimile sewl shall be valid and binding capon then C "omixiny with respect to any bond or undertaking to which it is attaehcd. IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 10th day of December, 2012, AMFitIC.'AN CON rkA(7VOltai l,N'I)F,MNI7'V CC,)MPANY TI xks BONDING COMI'A.NY' Corporate Seals UNl I' "El) STA'I °E*w SLPRF,'I "Y CON'�llrANY" U.S. SPECIAL'iY" INSIYRANCr: , COMI *ANY w ia,rf4 aar "rr yh 14 57 ' fdd f ,, Daniel P. Aguilar Vice Presr ent my ear as s , W n:6,ruueeitin r �' Md�i�pati+^. a m" State of "California County of Los Angeles SS: On 10th day of December, 2012, before me, Vanessa Wright, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and thn by his signature on the _i- nstrutuent the person(s),; or the entity upon behalf of which the person(s) acted, executed the instrument, I certi`Ty- under PENALTY OF PERJURY under the laws of the State of Ca orniaaWat the foregoing paragraph is tie and correct WITNESS my hand and official seal. . _ Los Signature ,µ ._ ..w. _ ....... w..... (Scal) c t� No" PWatle coo la n " • l 1, Jeannie Lee, assistant Secretary of American Contractors Indemnity Company, Texas Bonding Company, United Suites S'urc y Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. W Witness Whereof, 1 have hereunto set my of June _,2015 Corporate Sealsr`ra* Bond No.1 000901769 Agency No, 17501 hand and afftxt u �'e,reuiaa r „u yn, d the seals of said Cbrnpanies at Los Aigeles, California this m_ Uhday va i� r Ma'4vA w= yyam_ Jeannie Lee, , sistant SecrrtMtary y'�+rixfi�v +rhw '� °'Tro�or�a�iirti +e Agreement No. 4870 t Pilr,,lh III,' li „1� ai S� �I'rIG li t r. "!� `� Ir _ # iii i �V �i Ifl M �� t fu lik , tio- rt Rit. ifs 1 iii riA,t li i. III, t �i” "4ivllV 61�,. V�u�dU �. , CIVIL CODE § 1189 ', i'oia..- Dmbfi - o lhef (,Aficrr c.,a I "aAeTin(i thib cer ifica:e verifies C n.v th, e identity of the, 31&- ic;;iva %0jo sgned thF.., down -.ent t€? which this cei i`ieate : at? �i; , <� +;! r c;t the or valiciit • of float dookini mt State of California Orange 01-1 6/19/2,015 - - - before rare, Date ;xF --s - -rally appeared Frank Morones L. Clark, Notary Public {-fete tnsert Nance and Title of ft,e Officer Narne(s) of Signer(s) si,. >;scribed to fl-le vvit -?ldri in -tr :''1'tF C2t J41C� 3C Ci1: <tFi E C E El f.) I "YIE that Il'_?.` . „aX:. ^, s E s AXE C:tJtE i t�l: c3I " =:7 i li 1��' ._:� {ti il'�r, •�i vE ia.4V;,o "1P,ek*"'a. iKIrN ,�"�$ -,t RI�'iSr`= ����rk'^i'�"i"!�h,`tlr Srr't �ig(i f�;',U "a lli�. �Ik,b�CY ^7s 4f pm;, Ir �� "_; �� or the emit; upon t1)ehcW M v` *hich the personal er" acted, exec 7=ed tI "(f i!1: =:WUI- ellt- L. CLARK w Commission # 1996834 Notary Public - California a Los Angeles County My Comm. Expirns Nov 28 2016 � Place Notat v Seal Above I cerl lfy rrr?Eler Pt-,NA[. I Y O Nt--f-i,It 1 Y ender the a�.,-vs of the State of California that the foregoing paragraph is trt.ie and correct. t1Vl FNESS rrry hand and official sea, Srgnatrire Sig ��twel of N-,-�t rry Pob &i _,... m... _.. _ OPTiONA _ Though this sectlo "'I '.; oz)tio),-at', cC)mo; tino ttlki , inforpnation car? deter alleration of the docj;, ,,T,t,i ?t dr f,,-,ak) it e,n,t reatta,,, th11T£'.nt of V ?Ds frd --nn to an €ir,;raef3ded document, Description of Attached Dact. €meat i O h "' DoCLIr"r)era3 Date: N uni er of Pages: _.. � Signer(s) Other Than Narrred Above: - - - -- Capacfty(fes) Claimed by Si nar(s) partner — t_im ted General lnc! Bidi"i�al xAttai 'Y in Fact T rtlst a. Guardian or Conservator r.Aher: Signer Is Repr-esenfi gc Sign.er's Name ;orporate Officer - Title(s): Partner --- l - irnited General Individitial Attor-� ,v in Fat-;t Trustee f?icrarriran or Conservator Other: _ Signer Is Representing: '' 2( . w rationaiN otary,orz 1 -800-US NOTARY (1u�00 870.68%7 45-907, i LaiiC �al Notary 1 {s iialinn Agreement No. 4870 CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF Los Angeles I ion .tune 19, 2015 1 before me, Nu Hu Public, I Date (here insert name and title of the officer) personally appeared Mladen Grbavac and Dusanka Grbavac Notary who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they executed the same in his/her /their authorized capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I'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) OPTIONAL Description of Attached Document Title or Type of Document: Document Date: Faithful Performance Bond Other: Nu WYNH Commission #E 2108086 public - Caldomia Los Ales Couory 16 2016 Number of Pages: 03 f NINA; %1tu9m Al2 J- etu ........... ._sliR', Ma�iWii 1 gaa_zr Sara i ,,ry k al"� Agreement No. 4870 LABOR AND MATERIALS BOND WATER MAIN IMPROVEMENT AT VIRGINIA', OAK AND BAYONNE PROJECT NO.: PW15-08 Bond No, 1000901769 Bond Fee: Premiun included in Performance Bond Raniona as principal (M{INClPALland U.S. S Com corporation `a incorporated under the laws of the State o[ Texas and licensed hy the State of California to execute bonds and undertakings as sole SUrety, as SUrety ("SUPETY"), are held and finmlybouod unto the CITY (}F El, SEG[1NI}() ("CITY") in the sum o[ One DOLLARS, lawful money of the United States, which may be increased or decreased by a rider hereto exuo/(od in the xarun znunoor as this bond, for the puyzunnL of which suon PRINCIPAL and Sl/B1BTY bind themselves, their successors, and uyuiguu, jointly and severally, by this This bond is conditioned upon and �uaronioao puyouoot by y]{l�J{�Ip/�L. to contractors, suhcontrucinru,aodpernonorondngogoi nueu1,puynncu\hvPRINCOP/\Landu||PD|N[1PAL'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 WATER MAIN IMPROVEMENT PROJECT, SPECIFICATIONS NO.PW 15^08(^`PuhlinPr'eo1``),the public works contract urocu\od for such Public Project, and for all work or labor of any kind perfurcned[orihePoblicPrcUcc1.lotbccusenfuuydefuul\iniheperforruuucoof(heconditionn and shyuladnog of this undertaking, it is agreed that PRINCIPAL or SURETY will apply the bond or any portion thereof, to the satisfaction of any damages, roc)unoukno, assessments, penalties, or deficiencies arising by runaoo of such default. BOND CONDITIONS l. PRINCIPAL will construct the public impnovume.ukn idoudDod in SPECIFICATIONS NO. PW 15-08, and the public works contract oxucniod for such Specifications, copies of which ioao file with C1TY,m Engineering Division (^^PohlicPr�jeo(') Such perfoccouuoowill hoio accordance vvi(hC|7'`/`x plans and pro�{co(K�8]�l/U�R����ING lPD]LE NO, |PW15'08),v,hicb are made u part ofthis bond when said plans and profiles are approved by the City Council and filed with C|TY`a Engineering Division. 2- PRINCIPAL will pay all omnUxok`rs, subcontractors, and persons ,unhog I-F-1 Agreement No. 4870 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY - KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indetrtin Cornpatsy,a California corporation, "Texas Bonding Camp—any, an assumed name of American Contractors Indemnity Company, United -Mates Surety Comptttay,.a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Companies "), do by these presents make, constitute and appoint: Frank Morones of Brea, California its true and lawful Attorney(s) -in -fact, each in tUir separate capacity if more than one is named above, with full rimyet and authority hereby conferred in its name, place and stead, to eXecute, acknowledge and deliver any and all bonds, recognizant undertAkifigs or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed * * * * * * * * * * * * * * * * * ** *Ten Million * * * * * * * * * * * * * * * * * * ** Dollars (S * *10,000,000.00 ** , This Power of Attorney shall expire without further action on December 8,2016. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies- E& it Re� that the President, any Vice - President, any Assistant Vice - President, any Secretary or any Assistant Secretary shall be and is hergWyested withJ611 powwer and ,aunty to appoint any one or more suitable persons as Attorney(s) -in -Fact to reptoom and act for and on beta ll'of the Company $UhjOOct u) the r0owin provisions: Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and /or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability (hereunder, and aany such insiruments sea executed by any such Attorney -ant Fact shall ba: hinding upon the Company as ifsigncd by the Presidetu and scAcd and effected by tire Corporate Secrcttary„ f e it RgpNeq that 19th sip tatrtr of any authorircd ofOcer and sral�of°the Con)p any heretofore or fivreafter affixed to any power of attorney or tiny certificate relating thereto,hy- fh6drriile, tart(l any power of attorney or certificate heaaing fiacaamile signature or fhcsianile seal shad he valid arid binding uprm the Coropataf �awith respect to ina,yR bond or undertaking to which a is attached. IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 10th day of Dmember, 20,12. AMERICAN CONTRACTORS INDEMC I,# ""t Ctdt✓ PAN), TN AtS BONDIN+t C0M #'.ENV Corporate Seals UNrrE'D STATES SURETY COMPANY li.S. St *EC' #A# #'Y AN tI# ANC # fAM6'ANY rgadu a� Gw a ,y Ge ......... . s a~caro sat §a mart r sz twpP,ri r�'tpirp rive+... m rr +'eau mr" tr +ruwjxiuuom'm"r State of Cali fornia, County of Ins Angeles SS: On 10th day of December, 2012, before me, Vanessa Wright, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the inisttument the person ter the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph isle and correct. WITNESS my hand and official seals It, WPAW common My ar te9eata Signature (Seal) k Csraab ..._ - A"aNu car . rem .tt 1, Jeannie Lew, Assistant Secretary of American Conti-actors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof,'') have hereunto set my hand and affixed the seals of said Companies at Los Angeles, t.;all brnia this day of Junk- _ -.... 2015 Corporate Seals *,niaa� a"' MwKx`,�JW:wMMRCl4 CAd Bond No, 1000 017 Agency Na lU %- __- ."���""y ""5''�a^ if )AY��I YBH &h1���y F a'm�pKrotoWy n arw�m?y 'Aim, �u ark Jeannie Lee, sistant wSeel`etory ���raa'�"a��a. xm rrrrrrr�iiiNAwr,wr'mr Agreement No. 4870 CIVIL CODE 1189 A nr> o bl',,-, for,, thet officer con-pleting thds cerltifiCWe VerifieS OnOy thn of the vlawal o,,?1e) Signed the en- 4 F.,i-;ic h this, coifificale f,', attarhed, and not It-16 vnlidity of 4hat dY7,,,,1;-,jn'ie-'-nt' State of C-,-flifornia cot';f1tv o -Orange C) t tj / before me, Date Personally app&ared - Fra.nk.M'qrones L. Clark, Notary Public Here Insert Natne and Thle of the Officer- t Janw(s) of SL(iner(s) -r-vp-4 to me on the hasis of satisfactary evidence to be the persom, otiose name :s;` rr" '=,scd!Ded to the within inFtrurnent and acknowledged to ine that exec.,Ate it &aine I 1 6,1 J (�—' Y')v e entity L�,pcwt oehatf cif vkihich the personk <`: acted, executed P'e instruaient. I certify i inder PENAL I Y Or- PEF41JURY cjnde( the la,.,vs of the State of CaRornia that the foregoing paragraph 43 true and correct. A A &,A M, L. CLARK Commission # 1996834 Notary Public - California Los Angeles County My Comm. Expires Nov 28. 201 Place Notaril Seal Above WITNESS my hand and officiail sea(, SignatUre Sir jnatilre l Pi ibfic OPTiONAL _.....m ........ "r"?ctj 9 h this sectio-' is optiol-wd. corf?':)Ietiny this infornation can deter alteration of thv dccijtnent or fraadz)ien,t reattac,hnient of tf?is form to ar, tmfntended doct)mient Description of Attached Docurrient -51fle of Type of Docliment: 1',Jumiber of Panoes: Signer(s) Other Capacity(ies) Claimed by Signer(s) Signer's Narne Corporate Offfice-r --- Titl�(P'r. paftn�er Limited General Indi-iocial xAttorney in Fact TrlAstee G iardian or Conservator Other: Signer Is Represenfing; Docwnent Date: Thai) fanned Abo\�(-: Signer's Name: (.',oq.)orate, Off icer — Title(s): Partner — Limited Gan&rall Individi.jal Attorney in Fact Trustee Guardian or Conser-valor Other: Signer Is Representing: -' '.;d -vvw.K -ma!Notary�.orq - 1-800-US INC)TARY fl,-800 876 6827) here #5907 .,)2014 Nmional Notary Assodition - w tatit Agreement No. 4870 CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA COUNTY OF Los Angeles } On June 10, 2015 before me, Nu Huynh Notary Public, Date (here insert name and title of the officer) personally appeared Mladen Grbavac and Dusanka Grbavac 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 din his/her /their authorized capacity(ies), and that by his/her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the �, foregoing paragraph is true and correct. WITNESS my hand and official seal. ;Signature: OPTIONAL Description of Attached Document Title or Type of Document: I DDocument Date: Labor and Materials Bond Other: h� 03 Number of Pages: State of California County of Orange Agreement No. 4870 HUGH PROPERTY RECORDS IJIIJJ 1� lJ Y�11� BIRTH AND DEATH RECORDS CLERK - RECORDER MARRIAGE LICENSES /RECORDS PASSPORTS CERTIFICATE l IFICATE OF ADMITTED C.al: S1JR.ETY 1NSLJRER. Certificate pursuant to 995.640(a) Code of Civil Procedure FICTITIOUS BUSINESS NAMES NOTARY REGISTRATION ORANGE COUNTY ARCHIVES I, Hugh Nguyen, County Clerk- Recorder of the County of Orange, State of California, in and for said County, DO HEREBY CERTIFY THAT U.S. SPECIALTY INSURANCE COMPANY has been issued a Certificate of Authority as an Admitted Surety Insurer by the State of California Insurance Commissioner who authorized the Insurer to transact Surety Insurance in the State of California and that based on the records in this office, that authority has not been surrendered, revoked, cancelled, annulled or suspended. In Testimony Whereof, I execute this certificate and have hereunto set my hand and affixed the seal of said County this 19th day of :tune, 2015. Hugh Nguyen, Ormi -, County Clerk- Recorder r (Purple Seal) - , el 1,. Bennett, Deputy Clerk-Recorder1 ,y } Em NORTH COUNTY BRANCH OFFICE ORANGE COUNTY SOUTH COUNTY BRANCH OFFICE HISTORIC DOWNTOWN FULLERTON HALL OF RECORDS LAGUNA HILLS CIVIC CENTER 201 N. HARBOR BOULEVARD 12 CIVIC CENTER PLAZA, ROOM 101 24031 EL TORO ROAD FULLERTON, CALIFORNIA 92832 SANTA ANA, CALIFORNIA 92701 LAGUNA HILLS, CALIFORNIA 92653 (7 14) 834.2500 ♦ FAX (714) 834.2675 • WWW.00RECORDER.COM ♦ WWW.00ARCHIVES.COM Agreement No. 4870 PROPOSAL FOR THE WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE PROJECT NO.: PW 15 -08 Date 120 /S 9 Company Name: 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. EQUAL EMP[.,OYMENT OPPORTUNITY COMPLIANCE I -C -1 Agreement No. 4870 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. AFRIZ ATIVE ACTION C "ERTI "1CATION 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. 4870 BID SCHEDULE WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE Company Name: PROJECT NO.: PW 15 -08 ITEM DESCRIPTION UNIT QTY UNIT ........... -- AMOUNT NO. PRICE IN FIGURES 1 Mobilization /Demobilization LS 1 $ $ 45,000— ® 0 i Traffic Control, Public Safety and 2 Convenience LS 1 _ $10,Dw $ `~ c)p Utility Potholing 3 LS 1 $ $ °),, ..- 4 Bracing and Shoring LS 1 $ U0 _ $ I'S D Construct 8 -inch Ductile Iron (Class 52) Water Main including all Fittings and Appurtenances, Trench 5 Excavation, Pipe Bedding, Trench LF 3,202 $ $ Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings Construct 8 -inch Ductile Iron (Class 52) Water Main including all Fittings and Appurtenances, Trench Excavation, Pipe Bedding, Trench 6 Backfill, Permanent Trench LF 440 $ $ �� Resurfacing in Sidewalk at New Water Main and Services including Curbs, Gutter, Sidewalk, Curb Ramps, and Drivewav Approaches. Install 8 -inch Main Line Gate Valve Qe as TI 7 and Adjustable Valve Box EA 17 $ $ Construct Fire Hydrant Connection 8 complete including Hydrant Lateral, all EA 7 $ Vs, DOD- Fittings and Appurtenances, Hydrant, Gate Valve, Trench Excavation, Pipe I -C -3 a Agreement No. 4870 9 Bedding, Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping & Markings Connect New Water Main to Existing Fire Service including 8 -inch x 6 -inch Tee in New Water Main, 6 -inch Ductile Iron (Class 52) Service, all Fittings and Appurtenances, Gate Valve, Trench Excavation, Pipe Bedding, EA 2 Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping & Markings Construct 1 -inch Water Service Connection, Remove Existing Meter, Install New Meter, and Connect to Existing Customer Service including, all Fittings and Appurtenances, 10 Trench Excavation, Pipe Bedding, EA 106 $ $ Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings, Repair Existing Landscape / Hardscape / Concrete In Kind Construct 2 -inch Water Service Connection, Remove Existing Meter, Install New Meter, and Connect to Existing Customer Service including, 11 all Fittings and Appurtenances, Trench Excavation, Pipe Bedding, EA 5 $ n $ I� - -- Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings, Repair Existing Landscape / Hardscape / Concrete In Kind Furnish new 3/4 inch, 1 inch, 2 inch smart meters for bid item #10 and #11 LS 1 12 as determined by existing condition $80,000 $80,000 and by the Engineer. Install Air Relief Valve Connection Complete including, all Fittings and Appurtenances, Trench Excavation, EA 3 13 Pipe Bedding, Trench Backfill, Trench $.., Resurfacing, and Temporary and Permanent Traffic Striping and Markinas I -C -3b Agreement No. 4870 TOTAL BID ITEM ITHROUGH 18 u TOTAL BID WRITTEN IN WORDS: i U 6t I -C -3c Connect to Existing Water Main including all Fittings and Appurtenances, Trench Excavation, 14 Pipe Bedding, Trench Backfill, Trench $ a „�� - $ 2L f ��- Resurfacing, and Temporary and EA 8 Permanent Traffic Striping and Markings, and Cut and Abandon Existing Water Main(s) and Valve s) Abandon Existing Fire Hydrant Complete including Removal of 15 Hydrant and Piping, Trench Backfill, $ . d�° ..w $ , wr 5 m. Trench Resurfacing, Construction of EA 7 Concrete Plugs, Restoration of Sidewalk and /or Landscaping Alternative Bid Items Determined b the City on as- needed basis Miscellaneous Water Improvements 16 LS 1 $100,000 $100,000 Construct 8 -inch Ductile Iron (Class 52) Water Main as needed in unspecified location near project area including all Fittings and LF 500 17 Appurtenances, Trench Excavation, $ $..,.... Pipe Bedding, Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markinqs Type 1 Slurry Seal from Gutter to SF 110,000 $ 1 18 Gutter in project area $ TOTAL BID ITEM ITHROUGH 18 u TOTAL BID WRITTEN IN WORDS: i U 6t I -C -3c Agreement No. 4870 BIDDER'S INFORMATION Company Name: BIDDER certifies that the following information is true and correct: Form of Legal Entity (i.e., in lividual, pa tnership, corporation, etc.) If corporation, State of Incorporation (i.e., California) 111,`, Business o I I l O Y-2Cz Address m ..� AJ f oo Telephone No. t � 31S � 5 Facsimile No. f % ;s State Contractor's License No. and Class a N Original Date Issued / _ Expiration Date _ 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 .. .... V Pv - - A ,r�. The date of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal is as follows: MVA 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. 4870 BIDDER'S INFORMATION (CONTINUED) Company Name: � ) Bidder shall list the name of the person who attended the mandatory pre -bid job walk: w� K Name: o y "' Title: ol �. I -C -5 Agreement No. 4870 IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, titles, hands, and seals of all a forenamed principals this �_ day of i' , 20 BIDDER Subscribed and sworn to this ri day of 20 NOTARY PUB LtC, I -C -6 NU HUYNH Commission # 210, Notuy Public - CAIlbmis Los Angeles County Canqn. L ices 19 201 Agreement No. 4870 CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that Ildocument. STATE OF CALIFORNIA COUNTY OF Los Angeles } On May 26, 2018 before me, Nu Hu nh Notary Public, Date (here insert name and title of the officer) personally appeared Dusanka Grbavac who proved to me on the basis of satisfactory evidence to be the person(g) whose name(s) is /ax-e' subscribed to the within instrument and acknowledged to me that he `she /t4ey executed the same in biS/her /their authorized capacity), and that by bi-s¢her /tl-eir signature(() on the instrument the person(4, or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. "%'w?IT'N ESS my hand and official seal. Signature: .,a �.. w .. .., _.�Scal) OPTIONAL Description of Attached Document Title or Type of Document: Document Date: Other: NU HUYNH Commission # 2108086 1%F Notuy Public - California Los Angeles County COMM MV ires May 19, 21119 Number of Pages: ?ky.J "ir, qN�.l.. °Amt��a_.7(1,;'_ °��'w W ,0vtiv yt_<1N1Crntit3,,1'a�(�Id? .a.* �..alulrAw7is_drl i1 ° "�atk t1 ailm Atisn t 1a9`d A,tk Agreement No. 4870 PROPOSAL GUARANTEE BID BOND WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE PROJECT NO.: PW 15 -08 KNOW ALL MEN BY THESE PRESENTS that, Ramona, Inc. , as BIDDER, and U.S. SQedaltv Insurance Com are , as SURETY, are held and firmly bound unto the City of El Segundo, in the penal sum of -T n Percent of Amount Bid DOLLARS ($1 0% of amourfi SAd , 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 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 may 2015. , A BIDDER* Ramona, Inc.. P.O. Box 660219 SURETY* U.S. Specialtv Insurance Company Frank Morones, Attorney -in -Fact 601 S. Figueroa St. #16nn Los Anqeles, CA 90017 (714) 784 -0053 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 Agreement No. 4870 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, United States Surety Cbmpaaly,. a Maryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, the "Cotnptmies" ),,do by these presents make, constitute and appoint: Frank Morones of Brea, California its true and lawful Attorney(s) -in -fact, each in their separate capacity if more than one is named above, with full power and authority hereby cone rred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, rerognixances, undertakings or other Instruments or contracts of suretyship to include riders, amendments, and 'ccrnsents of surety, providing the bond penalty does not exceed * * * ** *Teti Million****** Dollars ($ *10,000,000.00 ), This Pourer of attorney shall expire without Iiarther action on 'Decciriber 08, 20l `. This lower of Attorney is grunted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved, that the President, any Vice - President, any Assistant Vice - President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s) -in -Fact to represent and act for and on behalf of the Company subject to the following provisiolm, - rttlortney - in -Faaet rnl be given full power and a uthorily for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any aar"I bonds, rcCognia+xmcar9 „, Contracts, agreements or emnity and-ather conditional or obligatory undertakings, including any and all consents for' the, release, of retrained perrentagadq and/or final estimates on engincering anti constru tion contracts, and any and all notices and documents canceling or terminating the Conarpany''s liabilrt thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by ficsin dc, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. II^>,l IATNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto,allirt d,;this I0i'h day of'Deceniber, 20 t 2. _ AMERICAN CONTRACTORS INDEMNITY COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY Corporate; Seals re,s.a� Arcs a �, State of California '2 V e "a any r x , W 91, r Daniel I guNar, icc Pre sident m "10 County of Los Angeles SS: On 10th day of December, 2012, before me, Vanessa Wright, a notary public, personally appeared ;Daniel P. Aguilar, Vice' President of American Contractors Indemnity Company, United States Surety Company tend U.S. Spc-iallylnsurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certil°y under 1"ENALT'Y OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WlT?4 -,ss, ny hand and official seam. 404 VV +ayA—titarrr Signature; (Seal) NWWwkCatlNm Los An9elae'garMyt On 'I t aiaadaa. rrx mho �I " ! rtatta I learaiaie l',,ce, Assistant Secretary of American Contractors Indemnity Company United States 'Surety Company and U.S. Specialty lnsurance Comparty, do hereby certify that the above and foregoing is a true and correct copy of <a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the BoardsW Directors, set `out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles, California this of Corporate Seals .�"���� °p„p,ura�,"'� Bond No. No �5 A t a �. Jeannie Lee, sistantSecretary 17501 7s ,ate i ar kv��lla8��+i� ���',erau� ntivwN`A� �'`6 "n,i�rvia�ruwa+ ✓'�� . N40u 1144 tl Y. Agreement No. 4870 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 who proved to r-ne on the basis of satisfactory evidence to be the person(s) whose. narne(,;) is/&e subscribed to the within instrument and acknowledged 'to me that heft executed the same, In his/hen'Welt" authorized capacity(ime,%), and that by signature(s) on the instrun-tent the person( -,), or the ontity upon behaff of 1,Nhich the penson(+i) acted, eyocutod the instrument. w' m W ATl - E M V1 LYNN I E R Place Notary: Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is trup and carrect. WITNESS my hand and official seat. Signature 53� , (,yxiture of Notary Public OPTIONAL Thou o rrIa joll ca P afteration of the document or Though this section is OPU017al, completfng this inf r t n deter fraudulort r4cattorhment of this forrr? to -an unintendod docutrient. Description of Attached Document Title or Type of Docutnent: 1-111-11— — ----- Document Date, Number of Pages: Signer(s) Other Than Named Above'rc Capacity(ies) Claimed by Signer(sl Signer's Name, Corporate Off toer — Title(s): 'General Partner Limited Individual X Attoi --ney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: — --------- . ...... Signers Name: Corporate Officer — -I Itle(s): ..... . . .. . .......... . Partner Limited General Individual Attorney In Fact Trust 9 Guat dia C n or onservator Ll e- Other: Signer Is Representing: _.— ... ..... e411W.111V we M V om C� 'V.�VCXAM '? :1, XW QK" @2014 National Notary Association ^ www.NationalNctasy.org - 1 -800 -1.15 NOTARY (1- 800 - 876 -6827) Item #59137 Place Notary: Seal Above I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is trup and carrect. WITNESS my hand and official seat. Signature 53� , (,yxiture of Notary Public OPTIONAL Thou o rrIa joll ca P afteration of the document or Though this section is OPU017al, completfng this inf r t n deter fraudulort r4cattorhment of this forrr? to -an unintendod docutrient. Description of Attached Document Title or Type of Docutnent: 1-111-11— — ----- Document Date, Number of Pages: Signer(s) Other Than Named Above'rc Capacity(ies) Claimed by Signer(sl Signer's Name, Corporate Off toer — Title(s): 'General Partner Limited Individual X Attoi --ney in Fact Trustee Guardian or Conservator Other: Signer Is Representing: — --------- . ...... Signers Name: Corporate Officer — -I Itle(s): ..... . . .. . .......... . Partner Limited General Individual Attorney In Fact Trust 9 Guat dia C n or onservator Ll e- Other: Signer Is Representing: _.— ... ..... e411W.111V we M V om C� 'V.�VCXAM '? :1, XW QK" @2014 National Notary Association ^ www.NationalNctasy.org - 1 -800 -1.15 NOTARY (1- 800 - 876 -6827) Item #59137 Agreement No. 4870 CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that Ildocument. STATE OF CALIFORNIA COUNTY OF Los Anqeles ) On May 26, 2015 before me, Nu Huynh Notary Public, Date (here insert name and title of the officer) personally appeared Dusanka Grbavac 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 hff/she /th-ey executed the same its hi/her /tl&ir authorized capacity(i.e5), and that by his/her /their signature(s ' on the instrument the person(g), or the entity upon behalf of which the person(g) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. wiTNESS my hand and official seal. Signature: OPTIONAL � Description of Attached Document NU HUYNH Commission # 2106066 Notary Pub ",,Notary California zZ Los Angeles County pees a t , 2019 Comm Ex o Title or Type of Document: LX� 0 0-'r�.< A .- ..,.__._ Number of Pages: A Document Date: Other: Agreement No. 4870 CONTRACTOR'S LICENSE DECLARATION (Business and Professions Code Section 7028.15) 1. BIDDER'S Contractor's License Number is: I 0 Class No.:. 2. The expiration date of BIDDER'S Contractor License is: 30 ,20_L�- . 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 , 20 %, at /4 1C1 , r (insert City and State where Declaration signed). , 'r Company Name I -C -8 Agreement No. 4870 NON - COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ss. County of «) being first duly sworn, deposes and say that he or she is of 'lomwo). j'," 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. Typed Name Title I -C -9 �7 (, v_ ,. Name of Bidder /Company Name Date Agreement No. 4870 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 performance of the work of this contract." Signature of Bidder:' tl ,v Title: �. Business Name: 1GVYY]01q6 W6. Business Address: d k��w� e, a w 646.. (Y) Telephone Number: S Dated this day of , 20 /S . I -C -10 Agreement No. 4870 DESIGNATION OF SUBCONTRACTORS WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE PROJECT NO.: PW 15 -08 Company Name: �` i,,,V�� / � 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 %) of the bid and to procure materials and equipment from suppliers and vendors as follows: Name of Sub- Description of Subcontractor contractor portion of License Work Estimated Number Address Subcontracted $ Amount 141 400 e k v 1 _.... _ k v 00000051 I -C- I I Agreement No. 4870 REFERENCES Company Name: 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: y ,d d -e ,Ate % ° " Location: Na nib and address of owner &,)i.,1�4 r "` Name and current telephone number of person familiar with project Type of Work: /w ....,i ,..., F' �, Contract amount: $ Date com leted: Amount of work done by my /our firm under contract Did your firm have any financial interest in Project? . 2. Project Title: Location: +� Jaq In. .. 'l_ fl � h 113 6h Name and address of owner L4 u�)'h) (323 Nam and current telephone mural Type of Work: L. g ;r of person familiar with project Contract amount $ "" Date com leted: O Amount of work done by my /our firm under contract $ Did your firm have any financial interest in Project? t ° IT ITITm ITIT .. I -C -12 3. Project Title: 4 5. Agreement No. 4870 515 Location: 4, AAmred)& .- 4f-oom if pfflf,(�� Ice, 11ou) IL as- - Nary a , nd address of owner Name and current Type of Work: tie number of person familiar with project . ...... .... I Contract amount: $ �O"; 6 ) Date completed: . . . ................ Amount of work done by my/our firm under contract $ Did your firm have any financial interest in Project? Project Title: t W—J�Ir, yylt VSPIPIIILIAJIII!� Location: V(A"M.- n N of owner Name and current telephone number of person familiar with project: Type of Work: A) 6P-A - . - " !gL Contract amount: ( Date completed: Amount of work done by my/our firm under contract$ Did your firm have any financial interest in Project? 21t4) Project Title: 4TO) 6 0 LA Location: V 4 (JU Name and address o0wner I-C-13 I Agreement No. 4870 Name and current telephone number of person familiar with project: Type of Work:" ),1� „ Contract amount: $ j )T2 i5 i� + Date completed:. It 1301 v0 I Amount of work done by my /our firm under contract $ _ _I,....1 (to, ' I 4p- " Did your firm have any financial interest in Project? 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: /1,00 w IWO i -QSµ- 0053 310- to�gz0I19 I -C -14 Agreement No. 4870 RAMONA, INC.' General Engineering Contractor P.O. Box 660219, Arcadia, CA 91006 Office: (626) 355 -1350 Fax: (626) 355 -5946 PROJECT: Buchanan Relief Sewer City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles. CA 90015 CONTACT PERSON: Kyaw (Stephen) Htin (213) 485 -4579 CONTRACT AMOUNT: $2,950,185.00 Start Date: 04/05/08 End Date 08/31/09 PROJECT: HO Olympic Blvd. and Spaulding Ave. Secondary Sewer Renewal Program City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Richard Carbajal (213) 485 -1695 CONTRACT AMOUNT: $1,098,904.00 Start Date: 03/13/08 End Date: 06/26/09 PROJECT: C09B Sunset Blvd. and Amalfi Dr. Secondary Sewer Renewal Program City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Sam Alvarado (213) 485 -5457 CONTRACT AMOUNT:. $1,418,122.00 Start Date: 03/15/08 End Date 09/30/09 PROJECT: Odor Control Hollydale Drive Local Sewer Addition City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Felix Madariaga (310) 505 -3022 CONTRACT AMOUNT: $1,139,800.00 Start Date: 09/03/08 End Date: 03/29/2010 PROJECT: Imperial HWY and Figueroa St Secondary Sewer Renewal Program City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Pablo Vasquez (310) 732 -4694 CONTRACT AMOUNT: $1,440,137.00 Start Date: 06/15/08 End Date: 04/28/2010 Agreement No. 4870 RAMONA, INC. RQPY at�� wmm General Engineering Contractor P.O. Box 660219, Arcadia, CA 91006 Office: (626) 355 -1350 Fax: (626) 355 -5946 PROJECT: U19A Rochester and Beverly Glen Secondary Sewer Renewal Program City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Lynn Hanami Cummings (310) 732 -4693 CONTRACT AMOUNT: $3,406,084.00 Start Date: 01/26/09 End Date: 06/09/2010 PROJECT: H26 B Los Feliz Blvd. and Riverside Dr. H26C Sanborn Ave and Griffith Park Secondary Sewer Renewal Program City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Bryan Choorut (213) 847 -0307 CONTRACT AMOUNT: $1,395,087.00 Start Date: 06/16/10 End Date: 06/28/2011 PROJECT: P18B Verdugo Rd. and Ave 33 Secondary Sewer Renewal Program City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Carla Rineheart (213) 847 -0366 CONTRACT AMOUNT: $1,677,088.00 Start Date: 07/07/10 End Date: 06/30/2011 PROJECT: E02 Ventura Blvd & Lakershim Blvd. E I Hesby ST & Riverton Ave. Secondary Sewer Renewal Program City of Los Angeles Department of Public Works 1149 S Broadway Los Angeles, CA 90015 CONTACT PERSON: Elvin Yeck (213) 847 -0299 CONTRACT AMOUNT: $1,682,971.20 Start Date: 07/13/11 End Date: 06/04/12 PROJECT: SSRP W32 Serrania Ave. & Dumetz Road City of Los Angeles -Dept. of Public Works 1149 S. Broadway Los Angeles, CA 90015 CONTACT PERSON: Carla RIneheart (213) 847 -0366 CONTRACT AMOUNT: $1,588,300.00 Start Date: 8/28/12 End Date: 01/29/13 Agreement No. 4870 RAMONA, INC.�"� < s General Engineering Contractor P.O. Box 660219, Arcadia, CA 91006 Office: (626) 355 -1350 Fax: (626) 355 -5946 PROJECT: SSRP U21 Gayley & Le Conte Ave. & U23 David & Canfield Ave. City of Los Angeles -Dept. of Public Works 1149 S. Broadway Los Angeles, CA 90015 CONTACT PERSON: Christian Guerren (213) 485 -5925 CONTRACT AMOUNT: $2,369,691.75 Start Date: 01/16/13 End Date: 09/06/13 PROJECT: SSRP H14 Wilshire Blvd., H15 June St., H19 Arden Blvd. & H2O 2nd St. City of Los Angeles -Dept. of Public Works 1149 S. Broadway Los Angeles, CA 90015 CONTACT PERSON: Elvin Yeck (213) 847 -0299 CONTRACT AMOUNT: $2,276,935.00 Start Date: 04/01/13 End Date: 6/13/14 PROJECT: SSRP S16 Avalon Blvd., S17 Compton Ave. & N05 8' Street City of Los Angeles 1149 S. Broadway Los Angeles, CA 90015 CONTACT PERSON: Cristine Sotelo (213) 485 -1505 CONTRACT AMOUNT $2,195,568.00 Start Date: 08/26/13 End Date: 06/13/14 PROJECT: SSRP H02 6TH Street, H05 Beverly Blvd. and H16 Crenshaw Blvd. & U 14 Overlanda and the 10 Fwy City of Los Angeles -Dept. of Public Works 1149 S. Broadway Los Angeles, CA 90015 CONTACT PERSON: Anthony Daniel (213) 847 -3985 CONTRACT AMOUNT: $1,921,559.00 Start Date: 02/04/14 End Date: 06/03/14 PROJECT: SSRP SO Vernon Avenue, SO4 Slauson Avenue, S 10 Florence Avenue and S 11 Western Ave. & 92nd Street City of Los Angeles -Dept. of Public Works 1149 S. Broadway Los Angeles, CA 90015 CONTACT PERSON: Justin Zhang (213) 847 -0304 CONTRACT AMOUNT: $1,160,936.00 Start Date: 07/14/2014 End Date: 11/30/2014 Agreement No. 4870 RAMONA, INC. General Engineering Contractor P.O. Box 660219, Arcadia, CA 91006 Office: (626) 355 -1350 Fax: (626) 355 -5946 PROJECT: SSRP H06 Adams & Crenshaw, HI I Burnside & Wilshire City of Los Angeles -Dept. of Public Works 1149 S. Broadway Los Angeles, CA 90015 CONTACT PERSON: Albert Tam (213) 485 -5728 CONTRACT AMOUNT: $1,153,691.75 Start Date: 10/06/14 End Date: In Progress PROJECT: Rehabilitation of Gravity Sewer Mains FY 2012 -2013 City of Manhattan Beach 1400 Highland Avenue Manhattan Beach, CA 90266 CONTACT PERSON: Edward Kao (310) 802 -5358 CONTRACT AMOUNT: $336,442.00 Start Date: 04/03/13 End Date: 06/19/13 PROJECT: 47h Street Sewer Replacement Project (SC -0239) Long Beach Water Department 1800 East Wardlow Road Long Beach, CA 90807 CONTACT PERSON: Justin Pennington (562) 570 -2325 CONTRACT AMOUNT: $213,768.00 Start Date: 6/21/13 End Date: 7/26/13 PROJECT: Sunrise Blvd. Sewer Improvement Project (SC -0236) Long Beach Water Department 1800 East Wardlow Road Long Beach, CA 90807 CONTACT PERSON: Justin Pennington (562) 570 -2325 CONTRACT AMOUNT: $ 436,432.00 Start Date: 07/29/13 End Date: 09/26/13 PROJECT: Sewer Improvement Phase IV and Street Resurfacing Project City of La Puente 15900 E. Main Street La Puente, CA 91744 CONTACT PERSON: Barry Knutson (909) 597 -0188 CONTRACT AMOUNT: $ 1,303,536.00 Start Date: 09/30/13 End Date: 2/20/2014 Agreement No. 4870 RAMONA, INC. Y,Ny General Engineering Contractor P.O. Box 660219, Arcadia, CA 91006 Office: (626) 355 -1350 Fax: (626) 355 -5946 PROJECT: 7TH Street Sewer Main Replacements Project East Valley Water District 3654 E. Highland Avenue, Suite 18 Highland, CA 92346 CONTACT PERSON: Jeff Martinez (951) 830 -1744 CONTRACT AMOUNT: $ 299,077.00 Start Date: 11/04/13 End Date: 12/18/2013 PROJECT: 2013 -14 Sewer Line Replacement Project at Various Locations Bid No. 134 -10, S -235 City of Orange — Dept. of Public Works 300 East Chapman Avenue Orange, CA 92866 CONTACT PERSON: Alan Truong, PE (714) 744 -5568 CONTRACT AMOUNT: $ 795,679.00 Start Date: 04/08/14 End Date: 08/05/14 PROJECT: 2013 Sewer Line Replacement in Eucalyptus Ave., Dracaea Ave. Brill Rd., Linda Ct., Farragut Ave., & Barbara St. Easement Edgemont Community Services District CONTACT PERSON: Sinnaro Yos, PE (951) 686 -1070 CONTRACT AMOUNT: $546,777.00 Start Date: 06/10/14 End Date: 10/30/2014 PROJECT: 55`h Street Storm Drain Improvements City of Vernon — Dept. of Public Works 4305 Santa Fe Avenue Vernon, CA 90058 CONTACT PERSON: Vince Rodriguez (323) 583 -8811 x 220 CONTRACT AMOUNT: $ 716,773.00 Start Date: 10/06/14 End Date: 2/17/15 PROJECT: Water Main Fire Flow Upgrade Project Meda and Mountain View Avenue Portion City of Glendora 116 E. Foothill Blvd. Glendora, CA 91741 CONTACT PERSON: Chris Masterson (626) 914 -8258 CONTRACT AMOUNT: $ 196,680.00 Start Date: 3/3/15 End Date: In Progress Agreement No. 4870 RAMONA, INC. General Engineering Contractor P.O. Box 660219, Arcadia, CA 91006 Office: (626) 355 -1350 Fax: (626) 355 -5946 PROJECT: Misc. Sewer & Alley Imrpvements Project -CIP # 7307 City of Brea 1 Civic Center Circle Brea, CA 92821 CONTACT PERSON: Doug Benash (626) 203 -2849 CONTRACTAMOUNT: $ 817,785.00 Start Date: 2/4/15 End Date: In Progress PROJECT: Liberty Avenue and Howe Street Sewer Improvement City of Corona — Detp of Water and Power 755 Public Safety Way Corona, CA 92880 CONTACT PERSON: Cooley Smith (951) 442 -6293 CONTRACT AMOUNT: $168,792.00 Start Date: 3/6/15 End Date: In Progress PROJECT: Magnolia Avenue Sewer Main Replacement City of Monrovia 600 S. Mountain Avenue Monrovia, CA 91016 CONTACT PERSON: Richard Cortez (626) 705 -4103 CONTRACT AMOUNT: $100,316.00 Start Date: 2/19/15 End Date: 3/6/15 PROJECT: Emergency Water Main Repair 37th Street Sinkhole Repair City of Vernon 4305 Santa Fe Avenue Vernon, CA 90058 CONTACT PERSON: CONTRACT AMOUNT: PROJECT: CONTACT PERSON: CONTRACT AMOUNT: Vince Rodriguez (323) 583 -8811 x 220 $ 63,100.00 Start Date: 2/12/15 End Date: 2/17/15 Belmont Street Sewer Improvements CIP Project No. 132 City of Cypress 5275 Orange Aveue Cypress, CA 90630 Nick Mangkalakiri (714) 229 -6729 $ 46,936.00 Start Date: 2/9/15 End Date: 2/17/15 Agreement No. 4870 BIDDER'S STATEMENT OF PAST CONTRACT DISQUALIFICATIONS WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE PROJECT NO.: PW 15 -08 Company Name: 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. Have you ever been disqualified from any government contract? Yes l/ No ❑ 2. If yes, explain the circumstances: 4_./ 3. Are you registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject your bid as non - responsive]? Yes No r ignaturc Name (Please Print) I -C -15 Agreement No. 4870 INSURANCE REQUIREMENTS [MUST BE SUBMITTED WITH PROJECT PROPOSAL] WATER MAIN IMPROVEMENT AT VIRGINIA, OAK AND BAYONNE PROJECT NO.: PW 15 -08 Company Name; 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: Tune 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 01 06 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 C.'a4for nia 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 comply with these insurance requirements if it is selected as the City's consultant. Failure to provide this insurance will render the bidder's proposal "nonresponsive." Date I -C -16 s Agreement No. 4870 END PROPOSAL SECTION I -C -17 Registration Payment Success Agreement NI&9497Rf 1 r'r ' Div Worlof aborSGandaardsEraforcemenf Thank you for your payment. Payment Confirmation Number: TJ51PWAJJiPC5 Registration Number: 1000003782 Contractor Name: RAMONA INC. — NOTICE: U paying by ACHA:FT, please allow up to 7 days for processing. .., p.eGurra 20 I'"aa. ..............m.m.,m,�, �.�... Q: opyrfiiglld ,"D 2014 State a F California https: // efiling .dir.ca.gov /PWCR/ActionServlet ?action= paymentComplete 12/11/2014 Agreement No. 4870 May 19, 2015 ADDENDUM NO. 1 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for Water Main Improvement at Virginia, Oak, and Bayonne PROJECT NO.: PW 15 -08 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 is moved to Tuesday, May 26, 2015, at 11:00 AM. 2. The proposal pages are to be replaced in their entirety. See attachment in Addendum # 1 Supplement. 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 rejectiol w I , Signature: ........... _. Date: r a Print Company Name: Page 1 of 1 350 Main Street, El Segundo, CA 90245 -3895 (310) 524 -2300 Fax (310) 640 -0489