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.
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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
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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.
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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.
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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:
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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
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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