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CONTRACT 5162 Public Works Contract CLOSED Agreement No. 5162 PUBLIC WORKS CONTRACT BETWEEN THE CITY OF EL SEGUNDO AND SIALIC CONTRACTORS CORPORATION DBA SHAWNAN IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO. PW 16-10 This CONTRACT is entered into this 29th day of June,2016,by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation ("the City") and SIALIC CONTRACTORS CORPORATION DBA SHAWNAN, 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 EIGHT HUNDRED FORTY-TWO THOUSAND I'q VE I I U N I:):REI)FOIhTV-FINE DOLLAR ($842 ) 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-I Agreement No. 5162 A. The Contractor will fully complete the Work within twenty-five (25) working days (the "Contract Time.") B. The Contract Time will commence when the City issues a Notice to Proceed. The Contract Documents will supersede any conflicting provisions included on the notice to proceed issued pursuant to this Contract. C. The Contractor may not perform any Work until: . The Contractor furnishes proof of insurance as required by the Contract Documents; and ii. The City gives the Contractor a written, signed, and numbered purchase order and notice to proceed. D. By signing this Contract,the Contractor represents to the City that the Contract Time is reasonable for completion of the Work and that the Contractor will complete the Work within the Contract Time. E. Should the Contractor begin the Work before receiving written authorization to proceed, any such Work is at the Contractor's own cost and risk. 4. DISPUTES. Disputes arising from this contract will be determined in accordance with the Contract Documents and Public Contracts Code §§ 10240-10240.13. 5. THIRD PARTY CLAIMS. In accordance with Public Contracts Code§9201,the City will promptly inform the Contractor regarding third-party claims against the Contractor,but in no event later than ten(10)business days after the City receives such claims. Such notification will be in writing and forwarded in accordance with the "Notice" section of the Contract Documents. As more specifically detailed in the Contract Documents,the Contractor agrees to indemnify and defend the City against any third-party claim. 6. TAXPAYER IDENTIFICATION NUMBER. The Contractor will provide the City with a Taxpayer Identification Number. 7. PERMITS AND LICENSES. Unless otherwise provided, the Contractor, at its sole expense,will obtain and maintain during the Contract Time,all necessary permits,licenses, and certificates that may be required in connection with the Work. 8. OWNERSHIP OF DOCUMENTS. All documents,data,studies,drawings,maps,models, photographs and reports prepared by the Contractor under the Contract Documents are the City's property. The Contractor may retain copies of said documents and materials as desired, but will deliver all original materials to the City upon the City's written notice. I-D-2 Agreement No. 5162 9. INDEMNIFICATION. The Contractor agrees to indemnify, defend, and hold the City harmless as set forth in the Contract Documents. The requirements as to the types and limits of insurance coverage to be maintained by the Contractor as required by the Contract Documents,and any approval of such insurance by the City,are not intended to and will not in any manner limit or qualify the liabilities and obligations otherwise assumed by the Contractor pursuant to the Contract Documents, including, without limitation, to the provisions concerning indemnification. 10. INDEPENDENT CONTRACTOR. The City and the Contractor agree that the Contractor will act as an independent contractor and will have control of all work and the manner in which is it performed. The Contractor will be free to contract for similar service to be performed for other employers while under contract with the City. The Contractor is not an agent or employee of the City and is not entitled to participate in any pension plan, insurance, bonus or similar benefits the City provides for its employees. Any provision in this Contract that may appear to give the City the right to direct the Contractor as to the details of doing the work or to exercise a measure of control over the work means that the Contractor will follow the direction of the City as to end results of the work only. 11. AUDIT OF RECORDS. The Contractor will maintain full and accurate records with respect to all services and matters covered under this Contract. The City will have free access at all reasonable times to such records, and the right to examine and audit the same and to make transcript therefrom, and to inspect all program data, documents,proceedings and activities. The Contractor will retain such financial and program service records for at least three (3) years after termination or final payment under the Contract Documents. 12. NOTICES. All communications to either party by the other party will be deemed made when received by such party at its respective name and address as follows: The City Stephanie Katsouleas Public Works Director City of El Segundo 350 Main Street, El Segundo, CA 90245 (310) 524-2356 The Contractor Shawn A. Smith President Sialic Contractors Corporation dba Shawnan 12240 Woodruff Ave Downey, CA 90241 (562) 803-9977 I-D-3 Agreement No. 5162 Any such written communications by mail will be conclusively deemed to have been received by the addressee three(3)days after deposit thereof in the United States Mail,postage prepaid and properly addressed as noted above. In all other instances, notices will be deemed given at the time of actual delivery. Changes may be made in the names or addresses of persons to whom notices are to be given by giving notice in the manner prescribed in this paragraph. 13. NO THIRD PARTY BENEFICIARY. This Contract and every provision herein is for the exclusive benefit of the Contractor and the City and not for the benefit of any other party. There will be no incidental or other beneficiaries of any of the Contractor's or the City's obligations under this Contract. 14. INTERPRETATION. This Contract was drafted in, and will be construed in accordance with the laws of the State of California, and exclusive venue for any action involving this Contract will be in Los Angeles County. 15. EFFECT OF CONFLICT. In the event of any conflict, inconsistency, or incongruity between any provision of the Contract Documents,precedence will be as follows: A, This Contract; B. The Standard Specifications; and C. Precedence of documents as determined in the Standard Specifications. 16. SEVERABILITY. If any portion of the Contract Documents are declared by a court of competent jurisdiction to be invalid or unenforceable, then such portion will be deemed modified to the extent necessary in the opinion of the court to render such portion enforceable and,as so modified, such portion and the balance of this Contract will continue in full force and effect. 17. AUTHORITY/MODIFICATION. The Parties represent and warrant that all necessary action has been taken by the Parties to authorize the undersigned to execute this Contract and to engage in the actions described herein. This Contract may be modified by written amendment. The City's city manager,or designee,may execute any such amendment on the City's behalf. 18. ACCEPTANCE OF FACSIMILE SIGNATURES. The Parties agree that this Contract, agreements ancillary to this Contract,and related documents to be entered into in connection with this Contract will be considered signed when the signature of a party is delivered by facsimile transmission. Such facsimile signature will be treated in all respects as having the same effect as an original signature. 19. COVENANTS AND CONDITIONS. The parties agree that all of the provisions hereof will be construed as both covenants and conditions,the same as if the words importing such covenants and conditions had been used in each separate paragraph. I-D-4 Agreement No. 5162 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. IN WITNESS WHEREOF the parties hereto have executed this c ntrra,ct the day and year first iereinabove written. CITY EL E UND Greg ~pence Shawn Smith, President City anager Sialic Contractors Corporation dba Shawnan A.Iw.I E, . Taxpayer ID No. 96 Try y er, C" y fled w .... Contractor State License No.: 679962 A& B Contractor City Business License No.: APPROVED AS TO FORM: MARK D. HENSLEY, City Attorney By: David H. King, Assistant City Attorney Insurance Reviewed by: I-D-5 Agreement No. 5162 FAITHFUL PERFORMANCE BOND IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 Bond No. 8239-74-25 Bond Fee: $2,780..00 Sialic Contractors Cori ration dba Shawnan as principal ("PRINCIPAL") and Federal Insurance Com any „ a corporation incorporated under the laws of the State of Indiana and licensed by the State of California to execute bonds and undertakings as sole surety, as surety ("SURETY"), are held and firmly bound unto the CITY OF EL SEGUNDO ("CITY") in the sum of EIGHT HUNDRED FORTY-TWO T110[.JSAND FIVE 1-1IJ lDR.I D FORTY-F:tVE DOLLARS(S 2 .00), lawful money of the United States, which may be increased or decreased by a rider hereto executed in the same manner as this bond, for the payment of which sum PRINCIPAL and SURETY bind themselves, their successors, and assigns, jointly and severally, by this instrument: PRINCIPAL or SURETY will apply this bond for the faithful performance of any and all of the conditions and stipulations set forth in this bond, IMPERIAL HIGHWAY OVERLAY PROJECT,SPECIFICATIONS NO.PW 16-10,and the public works contract executed with such Specifications. In the case of any default in the performance of the conditions and stipulations of this undertaking,it is agreed that PRINCIPAL or SURETY will apply the bond or any portion thereof,to the satisfaction of any damages, reclamation, assessments, penalties, or deficiencies arising by reason of such default. BOND CONDITIONS 1. PRINCIPAL will construct the public improvements identified in SPECIFICATIONS NO. PW 16-10, a copy of which is on file with CITY's Engineering Division ("Public Project"). Such performance will be in accordance with CITY's plans and profiles which are made a part of this bond when said plans and profiles are approved by the City Council and filed with CITY's Engineering Division. CITY has estimated the required amount of the bond as shown above. 2. PRINCIPAL's work on the Public Project will be done in accordance with CITY's plans and specifications and with any permit issued by CITY. Should PRINCIPAL fail to complete all required work within the time allowed,CITY may,at its sole discretion,cause all required work to be done and the parties executing the bond will be firmly bound for the payment of all necessary costs therefor. 3. PRINCIPAL will guarantee its work against any defective work, labor, or I-E-1 Agreement No. 5162 materials on the Public Project for a period of one (1) year following the Public Project's completion and acceptance by CITY. 4. This bond is conditioned upon and guarantees due compliance with all applicable law including, without limitation, the El Segundo Municipal Code ("ESMC"). 5. SURETY, for value received, agrees that no changes, extensions of time, alteration or modification of SPECIFICATIONS NO. PW 16-10 or of the obligation to be performed will in any way affect its obligation on this bond, and it waives notice of any such change, extension of time, alteration or modification of the contract documents or of the obligation to be performed. 6. This bond consists of this instrument; the plans and specifications identified above; and the following two (2) attached exhibits all of which are incorporated herein by reference: A, A certified copy of the appointment,power of attorney,bylaws or other instrument entitling or authorizing the persons executing this bond to do so; B, A certificate issued by the county clerk for the county in which SURETY's representative is located conforming with California Code of Civil Procedure § 995.640 and stating that SURETY's certificate of authority has not been surrendered, revoked, cancelled,annulled, or suspended, or in the event that it has,that renewed authority has been granted, and 7. Should PRINCIPAL perform its obligations within the time allowed, PRINCIPAL's obligation will be void upon the acceptance of the performance by CITY; otherwise this obligation will remain in full force and effect. [SIGNATURES ON FOLLOWING PAGE] I-E-2 Agreement No. 5162 SIGNED AN W�'ALED this 1st day of July 20 16 Sialic Contra ora' n dba Shaman IJ Federal Insurance Company P l PAI,'s PRESIDENT SURETY Sh!*w t,nJth, President ............�/ PRINCIPAL'S SECRETARY Douglas A.tp,Attorney in Fact llz�� John X SMfth,SWWW PRINCILPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS: Sialic Contractors Corporation dba Shaman Federal Insurance Compan 12240 Woodruff Avenue 15 Mountain View Road Downey,CA 90241 Warren,NJ 07059 .............. .................................. NOTE: (1) ALL signatures must be acknowledged by a notary public. Return one (1)original to City Clerk's Office. (2) Bond shall be effective for one (1)year after acceptance of the job. I-E-3 Agreement No. 5162 Certilft,ats,pursuant to 995.640(a)Code of Civil PMMUM w � Nf County �A un . ,State of(;ajifornia,in ana W said County DO HEREgi- CEFTIFY THAT ornia pantn n ittMN2t anml , In,re,$t*rwjy WtwinoW,I have hereunto set My hard and affixed We sew f` silty on "04444': Agreement No. 5162 ACKNOWLEDGMENT AIT IT notarymmpmublicor 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 Orange On JULY 01, 2016 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(s) whose name(q) is/afe subscribed to the within instrument and acknowledged to me that he/eheA4ey executed the same in his/4eN#4&authorized capacity{t ), and that by hiss;;signature( on the instrument the person(e), 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. ' a• BRA SWANSON WITNESS my hand and official seal. DE yew COMM. #1997119 X NOTARY PUBLIC-CALIFORNIA X ORANGE COUNTY N w`a,�«•;^� MY CO EXP,NOV 10;2016 Signature w � � r�� „�° �.-� � � � .., (Seal) A9M, Agreement No. 5162 POWER Federal Insurance Company Attn: Surety Department Chubb OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY Pacific Indemnity Company Warren, NJ 07059 Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY a Wisconsin corporation, do each hereby constitute and each as their true and lawful Attorney-in-Fact mexecute under such designation m their names and maffix their corporate seals to and deliver for and on their behalf as surety thereon u,vmomiso bonds and undertakings and other writings obligatory m the nature thereof(other than bail bonds)given or executed m the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred tom said bonds orobligations. m Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE these presents and affixed their corporate seals vnthis 1 6th mmvof December,2011. .:Norris,Jr,,Vicee Pros�dent STATE np NEW JERSEY / County ofSomerset oa ^ On this 16th day of December,2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed uvauthority of the By-Laws of said Companies;and that ho signed said Power orAtmmevou Assistant Secretary of said Companies by like authority;and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David o.wmmx'Jr,subscribed m said Power m Attorney/am the genuine handwriting u/David a.Norris,Jr,and was thereto subscribed uv authority m said By- Laws anumueovnen,onreoenoo, Notarial Seal KATHERINE I ADELAAR NOTARY PUBUC OF NEW JFkSFN �r Notary Public NP.2016685 CmMmm"Ort EX0164JU|Y 14,2014 --=~— CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY.VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President, jointly with the Secretary or an Assistant Secretary, under their respective designations, The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries o,Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory m the nature thereof,and any such power of attorney v,certificate bearing such facsimile signature o,facsimile seal shall ue valid and binding upon the Company and any such power uoemcumuanu certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect m any bond o,undertaking m which n/oouucheu.^ /.Kenneth o Wendel.Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (mv~cvmpon/uo')uo hereby certify that 0 the foregoing extract of the By-Laws of the Companies/*true and correct, (i/) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U-S,Treasury Department;further,Federal and Vigilant are licensed In Puerto Rico and the U,S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (//V the foregoing Power of Attorney/o true,correct and m full force and effect. Given under mv hand and seals m said Companies ot Warren,mJthis 1 S day of JULY,2016 IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER, PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 Agreement No. 5162 CALIFORNIA ALL- PURPOSE CERTIFICATE OF ACKNOWLEDGMENT ... .......-_ __ ..._........WW. 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 JUL 0 6 2016 before me Ran Palmer Notary Public (Here.arrseru m�zrrraY aaaU{kRIIE r.�"�are,��c�tw personally appeared - Shawn A. Smith &John A. Smith and nobody else who proved to me on the basis of satisfactory evidence to be the person(D whose names ' are)subscribed to the within instrument and acknowledged to me that `hey executed the same in . heir authorized capacity(B,, and that by heir signature(D on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. . .w , RYAN PALMER WITNESS m hand and official seal, No. 2044579 Z Y U NOTARY PUBLIC-CALIFORNIA LOS ANGELES COUNTY My Comm.Expires OCTOBER 7,2017 NOtaty U IC aigrl Te (Notary Public Seal) ADC�TIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR CONPLETING THIS FORM .__ ... ............. This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for ack",...—Medynen: Timm w m. cu Date of notarization must be the date that the signer(s)personally appeared which ( tle or description of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date, commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of _ notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. El Individual (s) Wshe/they,is/afe)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) Signature of the notary public must match the signature on file with the office of the county clerk. ❑ Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. E] :• Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e,CEO,CFO,Secretary). 2015 Version www.NotaryClasses.corn 800-873-9865 Securely attach this document to the signed document with a staple. Agreement No. 5162 LABOR AND MATERIALS BOND IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 Bond No. 8239-74-25 Bond Fee: Included in Performance Bond Sialic Contractors Corporation dba. Shawnan as principal ("PRINCIPAL") and Federal Insurance Company a corporation incorporated under the laws of the State of Indiana and licensed by the State of California to execute bonds and undertakings as sole surety,as surety("SURETY"),are held and firmly bound unto the CITY OF EL SEGUNDO ("CITY") in the sum of EIGHT H[.INDRED FORTY-TWO T11O1JSAND LIVE HUNDRED FORTY-FIVE DOLLARS ($842,545.00) decreased by a rider hereto executed in the same manner as this bond, for the payment of which sum PRINCIPAL and SURETY bind themselves, their successors, and assigns,jointly and severally, by this instrument. This bond is conditioned upon and guarantees payment by PRINCIPAL to contractors, subcontractors,and persons renting equipment;payment by PRINCIPAL and all PRINCIPAL'S subcontractors for all materials,provisions,provender,or other supplies,and equipment used in, upon, for or about the performance of the work contemplated in IMPERIAL HIGHWAY OVERLAY PROJECT, SPECIFICATIONS NO. PW 16-10 ("Public Project"), the public works contract executed for such Public Project,and for all work or labor of any kind performed for the Public Project. In the case of any default in the performance of the conditions and stipulations of this undertaking,it is agreed that PRINCIPAL or SURETY will apply the bond or any portion thereof,to the satisfaction of any damages, reclamation, assessments, penalties, or deficiencies arising by reason of such default. BOND CONDITIONS 1. PRINCIPAL will construct the public improvements identified in SPECIFICATIONS NO. PW 16-10, and the public works contract executed for such Specifications,copies of which is on file with CITY's Engineering Division("Public Project"). Such performance will be in accordance with CITY's plans and profiles,which are made a part of this bond when said plans and profiles are approved by the City Council and filed with CITY's Engineering Division. 2. PRINCIPAL will pay all contractors, subcontractors, and persons renting equipment: I-F-1 Agreement No. 5162 3. PRINCIPAL will pay for all materials and other supplies,for equipment used in, on,for or about the performance of the Public Project,and will pay for all work and labor thereon. 4. This bond is conditioned upon and guarantees due compliance with all applicable law including, without limitation, the El Segundo Municipal Code("ESMC"). 5. SURETY, for value received, agrees that no changes, extensions of time, alteration or modification of SPECIFICATIONS NO. PW 16-10, or of the obligation to be performed will in any way affect its obligation on this bond, and it waives notice of any such change, extension of time, alteration or modification of the contract documents or of the obligation to be performed. 6. ' This bond consists of this instrument; the plans and specifications identified above; and the following TWO (2) attached exhibits all of which are incorporated herein by reference: A. A certified copy of the appointment, power of attorney, bylaws or other instrument entitling or authorizing the persons executing this bond to do so; and B. A certificate issued by the county clerk for the county in which SURETY's representative is located conforming with California Code of Civil Procedure § 995.640 and stating that SURETY's certificate of authority has not been surrendered,revoked,cancelled, annulled, or suspended, or in the event that it has, that renewed authority has been granted. 7. Should PRINCIPAL perform its obligations within the time allowed, PRINCIPAL's obligation will be void upon the acceptance of the performance by CITY; otherwise this obligation will remain in full force and effect. [SIGNATURES ON FOLLOWING PAGE] I-F-2 Agreement No. 5162 _ ... SIGNED AND SI ' a D this 1st day of Ju6y „ 20 s 1 Sialic Contractors . p Or )a Shawnan / I Federal Insurance Company l 1Nt"IPAI.'sPRESIDENT S RETY It " President PI�I'1'�CIP ,'s SECRETARY Douglas RapFact Jft A. e SeCrOn PRINCIPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS: Sialic Contractors Cor oration dba Shawnan Federal Insurance Company 12240 Woodruff Avenue 15 Mountain View Road.......,.,., ----- ownev,CA 90241 Warren,NJ 07059 NOTE: (1) ALL signatures must be acknowledged by a notary public. Return one (1) original to City Clerk's Office. (2) Bond shall be effective for one (1)year after acceptance of the job. I-F-3 Agreement No. 5162 C,ottificate Pursuant to ® it Proceduro DEAN G. LLXZ,�N County Clark of ft CoUntY �EZ-1 2th of 6t rn , n r � y TlF�T T �rtdt� rt� t tr�tN� r ty are drni Surety Ian �#Nwcali n T trtu ncm d r rn�rra � as u' rsat�r)nzin the Bj ur r to transact ur; ty mn trrr n V the State t 4 Nutnerr� s w�ttn rt based 0$,s the records ttbown in ft Department of to r�r rrr v d tt a that uthositt"I) swot beer) to nd a r r nr zNr , arinuiled,or ssr s srtett of in �" � r hers r, 6 try v liar rn� d ndl affixed �� V told my on � � c— tf-c COUNTY CLERK . .� Deputy County Clark Agreement No. 5162 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 Orange ) On JULY 01, 2016 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(t) whose name(* is/ai-e subscribed to the within instrument and acknowledged to me that heh&M414 y executed the same in his/O&Mlit&authorized capacity), and that by hisAHe#t+heir signature( on the instrument the person(, or the entity upon behalf of which the persons) 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. Or DEBRA SWANSON WITNESS my hand and official seal. µ CQmM, # 1997119 %C NOTARY PUBLIC-CALIFORNIA ORANGE COUNTY MY COMM,EXR NOV 10„2016 IN Signature (Seal) Agreement No. 5162 Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 cNuw�r®wtla Know All by These Presents, That FEDERAL INSURANCE COMPANY', an Indiana corporation, VIGILANT INSURANCE COMPANY, a N'eww York corporation, and PACIFIC INDEMNITY COMPANY a Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy Rapp of Aliso Viejo,California------------ �-------------- ---- --_...------------- each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise, bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 1 6th day of December,2011. Kenneth C.Wende„Assistant Secretary R Norris.Jr,Vice President STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December, 2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that he is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attorney is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. Notarial Seal 0 KATHERINE I ADELAAR K NOTARY PUSUC OF NEW ,- NP 2216665 — �' P COfl''MWIO,lh EXaIF68 J aly 14,2014 cy Notary Public CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary, any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the'Companiesl do hereby certify that (1) the foregoing extract of the By-Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U.S,Treasury Department;further,Federal and Vigilant are licensed in Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect. Given under my hand and seals of said Companies at Warren,NJ this 1ST day of JULY,2016 v rr o wr C r Kerprrefitt C We et,Assistant S �ratar3r IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-rnai9: surety@chubb.com Form 15-10-02258-U (Ed.5-03) CONSENT Agreement No. 5162 CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 } 0 6 2016 Ryan a... JUL�U� before me, �. . n Palmer, Notary Public ((Here insert name and title o the o icer personally appeared .Shawn A. Smith_&John A, Smith and nobodv else who proved to me on the basis of satisfactory evidence to be the persons D whose name art subscribed to the within instrument and acknowledged to me that I execu ted the same in heir authorized capacity les , and that by signature(D on the instrument the persons , or the entity upon behalf of which the person acted, executed the instrument, I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. RYAN PALMER� �...��W. WITNESS my hand and official seal. ". Commission No. 2044579 Z U x ' NOTARY PUBLIC-CALIFORNIA n LOS ANGELES COUNTY M..,«y,.Comm Expires OCTOBER�,2017 Notary P b io Sigma r+e (Notary Public Seal) ADf�ITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM This form complies tivith current California statutes regarding notary ivording and, DESCRIPTION OF THE ATTACHED DOCUMENT fneeded,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the tivording does not require the California notary to violate California notary law. (Tide description of attached document Title ) State and County information must be the State and County where the document signer(s)personally appeared before the notary public for ac,-uowlei'gmF_•` (Title or description of attached document continued) • Date of notarization must be the date that the signer(s)personally appeared which must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i e. he/she/they,is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk, ❑ Attorney-in-Fact . Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. El Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i,e.CEO,CFO,Secretary). 2015 Version www.NotaryClasses.com 800-873_9865 Securely attach this document to the signed document with a staple. Agreement No. 5162 PROPOSAL FOR THE IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 Date 'U N 0 3 2016 20_ Company Name: SHAWNAN 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 affect bid prices.If this proposal is accepted for award,BIDDER agrees to enter into a contract with the City of El Segundo at the unit and/or lump sum prices set forth in the following Bid Schedule.BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to the City of El Segundo of the proposal guarantee accompanying this proposal. BIDDER understands that a bid is required for the entire work,that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed.THE CITY OF EL SEGUNDO RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT.It is agreed that the unit and/or lump sum prices bid include all apparent expenses,taxes,royalties,and fees.In the case of discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words shall govern over figures. If awarded the Contract, the undersigned further agrees that in the event of the BIDDER'S default in executing the required contract and filing the necessary bonds and insurance certificates within ten working days after the date of the City of El Segundo's notice of award of contract to the BIDDER,including sending by U.S.Mail a Public Works Contract for signature by the Awardee,the proceeds of the security accompanying this bid shall become the property of the City of El Segundo and this bid and the acceptance hereof may,at the City of El Segundo's option, be considered null and void. I-C-1 Agreement No. 5162 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. AEURMADYL 1 , 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. 5162 REVISED BID SCHEDULE IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 Company Name: SHAWNAN BASE BID: Im eri 1 Hi hw�a UNIT PRICE IN ITEM TOTAL ITEM FIGURES IN FIGURES NO. DESCRIPTION UNIT QTY ($) $) Mobilization and Traffic Control (shall not be more than 5 of the total 1 0 l bid) LS 1 /o i 2 Cold mill 4" existing asphalt pavement SF 304,100 Overlay 3/8"Asphalt Rubber Aggregate 3 Membrane (ARAM) SF 304,100 0.IL 26y 567. ^ 4 Overlay 3 5/8" C2 PG 64-10 asphalt SF 304,100 pavement including tack coat 5 ,Adjust storm drain manholes to final grade EA 8 6 Adjust water valve covers to final grade EA 23 b. f Bea 7 Adjust Gas Company valve covers to final EA 6 grade 0,0 300 8 Adjust SCE vault covers to final grade EA 8 9 Adjust AT&T manholes to grade EA 4 10 Adjust Fiber Optic Communications EA 17 manholes to grade �® I-C-3 Agreement No. 5162 BASE BID: I'm serial Highway continued" UNIT PRICE IN ITEM TOTAL ITEM FIGURES IN FIGURES NO. DESCRIPTION UNIT QTY ($) $) 11 Re-install survey monuments and centerline LS 1 ties 000.CW 5 000,111 12 Install thermoplastic lane striping LF 7,920 13 Install thermoplastic yellow striping LF 3,225 k 14 Install thermoplastic double-yellow striping LF 488 a 15 Install thermoplastic pavement markings EA 17 16 Install white crosswalk as shown on plans EA 4 17 Install pavement markers EA 1 z5,w 25.0 18 Install blue fire hydrant markers EA 1 2 5. s. 19 Install inductive loop conductor and EA 22 appurtenances :2:0 ],Re-paint boundary markers EA 15 TOTAL BASE BID IN FIGURES TOTAL BASE BID WRITTEN IN WORDS: FVQ�1�nn�cc� Ve do I-C-3 Agreement No. 5162 Company Name: SHMNAN ALTERNATIVE BID: All Streets UNIT PRICE IN ITEM TOTAL ITEM FIGURES IN FIGURES NO. DESCRIPTION UNIT QTY Al Remove and properly dispose of Petromat SF 10 A2 Adjust sewer manholes to final grade EA 1 oo. 00a A3 Adjust reclaimed water valve covers to final EA 1 grade I-C-4 Agreement No. 5162 BIDDER'S INFORMATION Company Name: S A BIDDER certifies that the following information is true and correct: Form of Legal Entity(i.e., individual,partnership, corporation, etc.) Corpflratton If corporation, State of Incorporation (i.e., California) California Business 12240 Woodruff Ave. Address Downey, CA 90241 Telephone No. (562) 803-9977 Facsimile No. (562) 803-9955 State Contractor's License No. and Class 67.9.9.6.2 A& B Original Date Issued November 4, 1993 Expiration Date Nov 30, 2017 The following are the names,titles, email addresses,and phone numbers of all individuals, firm members,partners,joint venturers, and/or corporate officers having principal interest in this proposal: (562) 803-9977 Shown A Smith, President James hil!''P Porea' t, 0s Pres. (562) 803-9977 John A. SmKh, Socmtary (56-2) 803-9977 The date of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal is as follows: NONE All current and prior DBA's, aliases, and/or fictitious business names for any principal having an interest in this proposal are as follows: Stalk Contractors Corporabon dba Shaman _...................................................................................................-._....................................................-......................... �. I-C-4 Agreement No. 5162 BIDDER'S INFORMATION(CONTINUED) Company Nme: SHAWNAN Bidder shall list the name of the person who attended the mandatory pre-bid job walk: Name: Ra ;Vr roe Title: +;n, I-C-5 Agreement No. 5162 IN WITNESS WHEREOF,BIDDER executes and submits this proposal with the names,titles, hands, r� and seals of all a forenamed principals this 3 day of Jung , 201 . BIDDER SHAWNAN � F ShA.min A�ameth�;" i SEE ATTACHED Subscribed and sworn to this EE �) ' ED , 20_ NOTARY PUBLIC SEE ATTACHED I-C-6 Agreement No. 5162 ._ wry _ .... ..... .�__. CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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. i State of California } I� County of Los Angeles } On JUN 3 2016 before me, Ran Palmer, Notary Public �__. ere insert name and title o t e o icer personally appeared Shawn A. Smith and nobody else who proved to me on the basis of satisfactory evidence to be the person ,Wwhose name'°�subscribed to the within instrument and acknowledged to me that he s4e,44ey executed the carne it iii & e' authorized capacity " , and that by hi 4� signature>"on the instrument the personX, or the entity upon behalf of which the personJrs'jacted, 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. .,.. RYAN PALMER .w.,..... WITNESS m hand and official seal. � .xa ;� commission No. 2oaae7s 0 Y U �� N0TARY PUBLIC-CALIFORNIA 0 r � LOS ANGELES COUNTY r My Comm Expires OCTOBER 7 m2017� Notary Pu is igr�atur' (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM _...... Tbis form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded,should be completed and attached to the document.Acknoruledgments from other states may he completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary law document)(Title or description of attached d )m • State and County information must be the State and County where the document i signer(s)personally appeared before the notary public for acknowledgment, Title or de Date ofnotarization must be the date that the signer(s)personally appeared which ( scnptlon of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed b a comma and then our title notes public). Y Y (notary P ) • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER Indicate the correct singular or plural forms by crossing off incorrect forms(i e El Individual (s) he/she/t-he}-is/are)or circling the correct forms.Failure to correctly indicate this information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk- E] Attomey-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ ❖ Indicate the capacity claimed by the signer. If the claimed capacity is a _ corporate officer,indicate the title(i.e,CEO,CFO,Secretary). 2015 Version www.NotaryClasses.colrl 800-873-9865 Securely attach this document to the signed document with a staple. Agreement No. 5162 Sialic Contractors Corporation dba a- State License#679962 A/B 12240 Woodruff Avenue, Downey, CA 90241 Phone (562) 803-9977 Fax (562) 803-9955 ACTION BY UNANIMOUS WRITTEN CONSENT OF THE BOARD OF DIRECTORS OF SIALIC CONTRACTORS CORPORATION DBA SHAWNAN The undersigned being all of the Directors of SIALIC CONTRACTORS CORPORATION DBA SHAWNAN, a California Corporation, do hereby take the following action by Directors in accordance with the Bylaws of the Corporation and the California Corporation Code. WHEREAS, the Board of Directors deems it advisable to authorize the officers of the Corporation, Shawn A. Smith, John A. Smith or James Phillip Pendergist,respectively, to execute bid bonds on behalf of the Corporation with any agency,person, company or municipality; RESOLVED FURTHER, that Shawn A. Smith, John A. Smith or James Phillip Pendergist are hereby authorized to execute labor, material, and faithful performance bonds in connection with contracts to be entered into with any agency, person, company or municipality; RESOLVED FURTHER, that Shawn A. Smith, John A. Smith or James Phillip Pendergist are authorized and directed to execute and deliver, by any one of their sole signatures, street improvement contracts, escrows and related agreements with any agency, person, company, bank or municipality on such terms and conditions as they deem advisable in their sole discretion; RESOLVED FURTHER, that Shawn A. Smith, John A. Smith or James Phillip Pendergist be, and they hereby are authorized and directed to take any and all such other actions and execute such other documents as may be necessary or appropriate to carry out the purpose of the foregoing authorizations and the business of this corporation. In witness thereof,the undersigned Directors have executed this unanimous written consent to indicate there adoption of the consent to the foregoing resolution and the action set forth therein. Dated: October 15,�, 14 All Ww.+m .... Shawn A. S mitt ,oh, A. Smith * . dalles l laillil 'e dergist Sha D �recto ,. � r ctor Director ' .. Shawn A. Smith n A Smi th .� ... " ames Philli p eodcrgist President "ecretary Vice President Agreement No. 5162 PROPOSAL GUARANTEE BID BOND IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 KNOW ALL MEN BY THESE PRESENTS that, Sialic Contractors Corporation dba Shawnan , as BIDDER, and Federal Insurance Company , as SURETY, are held and firmly bound unto the City of El Segundo, in the penal sum of Ten percent of the total amount of the bid DOLLARS ($ 1o% ),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 rei ected, 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 6th day of June 20 BIDDER* Sialic Contractor : toedba iawnan 12240 Woodruff Avenue Downey,CA 90241 562-803-9977 SURETY* Federal Insurance Company 15 Mountain View Road Warren,NJ 07059 908-903-2000 Dougla A Rapp Attoa'ra iq Fact Subscribed and sworn to this day of 120 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. 5162 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 Orange On June 06, 2016 before me, Debra Swanson, Notary Public (insert name and title of the officer) personally appeared Douglas A. Rapp who proved to me on the basis of satisfactory evidence to be the person(7) whose name(* is/ape subscribed to the within instrument and acknowledged to me that he/eheA4 y executed the same in his/4eNtheimF authorized capacity{i ), and that by hisfh@FAheir signature( on the instrument the person(q), or the entity upon behalf of which the person() acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my-hand and official seal. DEBRA SWANSON N COMM. # 1997119 X o NOTARY PUBLIC-CALIFORNIA Y ORANGE COUNTY N Signature A � (Seal) ;^�,; d COMM,EXP,NOV 10�2016 Agreement No. 5162 Chubb POWER Federal Insurance Company Attn: Surety Department OF Vigilant Insurance Company 15 Mountain View Road Surety ATTORNEY pacific Indemnity Company Warren, NJ 07059 oNUBll�li Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE COMPANY, a New York corporation, and PACIFIC INDEMNITY COMPANY, a.Wisconsin corporation, do each hereby constitute and appoint Douglas A. Rapp and Timothy D. Rapp of Aliso Viejo,California------------------------------------------------------ each as their true and lawful Attorney-in-Fact to execute under such designation in their names and to affix their corporate seals to and deliver for and on their behalf as surety thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in said bonds or obligations. In Witness Whereof,said FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested these presents and affixed their corporate seals on this 16th day of December,2011'. .. Kenneth YfJr Wile a Ass�siarrt z cuetary Norris,Ji.„Vice Presiderr� STATE OF NEW JERSEY ss. County of Somerset On this 16th day of December, 2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me known to be Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY, the companies which executed the foregoing Power of Attorney, and the said Kenneth C. Wendel, being by me duly sworn, did depose and say that he is Assistant Secretary of FEDERAL INSURANCE COMPANY, VIGILANT INSURANCE COMPANY, and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof, that the seals affixed to the foregoing Power of Attorney are such corporate seals and were thereto affixed by authority of the By-Laws of said Companies;and that he signed said Power of Attorney as Assistant Secretary of said Companies by like authority;and that he is acquainted with David B,Norris,Jr.,and knows him to be Vice President of said Companies;and that the signature of David B.Norris,Jr.,subscribed to said Power of Attorney is in the genuine handwriting of David B. Norris,Jr.,and was thereto subscribed by authority of said By- Laws and in deponent's presence. Notarial Seal KATHERINE T AO IAA" NO'TAR'Y I UBUC OF NEW X SF" ,py Ne.22 668 4Z_ ,0 N o COn "O ExPifts July i Vi,20)4 1osv r V Notary Public CERTIFICATION Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY: "All powers of attorney for and on behalf of the Company may and shall be executed in the name and on behalf of the Company,either by the Chairman or the President or a Vice President or an Assistant Vice President,jointly with the Secretary or an Assistant Secretary, under their respective designations. The signature of such officers may be engraved,printed or lithographed.The signature of each of the following officers:Chairman,President,any Vice President,any Assistant Vice President,any Secretary,any Assistant Secretary and the seal of the Company may be affixed by facsimile to any power of attorney or to any certificate relating thereto appointing Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' I,Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY (the"Companies")do hereby certify that (i) the foregoing extract of the By-Laws of the Companies is true and correct, (ii) the Companies are duly licensed and authorized to transact surety business in all 50 of the United States of America and the District of Columbia and are authorized by the U-S.Treasury Department;further,Federal and Vigilant are licensed In Puerto Rico and the U.S.Virgin Islands,and Federal is licensed in American Samoa,Guam,and each of the Provinces of Canada except Prince Edward Island;and (iii) the foregoing Power of Attorney is true,correct and in full force and effect Given under my hand and seals of said Companies at Warren,NJ this 6th day of June,2016 ,ZZ-'r. 017 '®ro Kenneth C.We4ldel,Assistant Secretary IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT ADDRESS LISTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3656 e-mail suretyCchubb.colxi Form 15-10-02256-U (Ed.5-03) CONSENT Agreement No. 5162 CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 Angelesµµ } On AUN 0 3 2016 before me, Inver Notary ublic Ryan Pa _ .._._ (R-_Fins- name ere insert name an Lille of Nicer personally appeared Shawn A. Smith and nobo else who proved to me on the basis of satisfactory evidence to be the personfKwhose name Is subscribed to the within instrument and acknowledged to me that This hefA*e4f. executed the same i is authorized capacity(ye), and that by si gnatureXon the instrument the person>r,, or the entity upon behalf of which the personXacted, 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. µ„ „ RYAN PALMER 2044 WITNESS my hand and official seal. �� Commission No.�),��: 579 Z��� NOTARY PUBLIC-CALIFORNIA r� LOS ANGELES COUNTY "k", �• �" My Comm Expires OCTOBER 7 2017 Notary 41 atu m' (Notary Public Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COWLETING TMS FORM This form complies with current California statutes regarding notary wording and DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notar), P............._.........---.m.......m.re--_ . , ..... .. law. (Title or description of attached document) State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment, --,�, c�-��� ....... m must also be the same date the acknowledgment its completed appeared which (Title or descr ption of attached document conhnued) • The notary public must print his or her name as it appears within his or her Number of Pages Document Date followed by a comma and then your title(notary public). �_ • Print the name(s) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (j,e. Wshe/ttiey—is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording, ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk, El Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i.e CEO,CFO,Secretary). 2015 Version whw.NotaryClasses.com 800.873_0865 Securely attach this document to the signed document with a staple. Agreement No. 5162 CONTRACTOR'S LICENSE DECLARATION (Business and Professions Code Section 7028.15) 1. BIDDER'S Contractor's License Number is: 670962 A& B Class No.: A & B 2. The expiration date of BIDDER'S Contractor License is: Nov 30, 2017 20 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 201 b , at � C, (mnscc°t.City and State where Declaration signed). Si nat# e SHAWN A.SMITH .._...... Typed Name President Title SHAMAN ....... Company Name I-C-8 Agreement No. 5162 __---- .- _e _ CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 } .........W . . County of Los An gles } On JUN �� before me, Ryan r Pubr'lic pler personally appeared 'Shawn A. Smith and nobody se..._� who proved to me on the basis of satisfactory evidence to be the personXwhose name is subscribed to the within instrument and acknowledged to me that he "executed the same it lip t " r authorized capacityUei�), and that by his f signature>ron the instrument the persons or the entity upon behalf of which the personXacted, 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. a , ' w � RYAAN PALp MER WITNESS my hand and official seal, � �� Commission No. 2044579 Z Z " "�"' NOTARY PUBLIC-CALIFORNIA 0 Z ,� LOS ANGELES COUNTY My Comm Expires OCTOBER 7 2017 - Ntl m',Px9a WN,q tlx+nnrvAMb+FM9,Arcb q'rM.i�.'Nwrc�ugrWwWUaMhFa bi W'�ml✓ Nota ry Publi I g nature (Notary Public Seal) !, ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM " „�-----...-- This form complies with current California statutes regarding notary wording and, DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknowledgments from other states may be completed for documents being sent to that state so long as the wording does not require the California notary to violate California notary ._. .. ._ lath. (Title or description of attached document) • State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment Title or de �� "` • Date of notarization must be the date that the signer(s)personally appeared which ( scnption of attached document continued) must also be the same date the acknowledgment is completed. • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the names) of document signer(s) who personally appear at the time of notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. Wshe/they,is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording, ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible,. Impression must not cover text or lines.If seal impression smudges,re-seal if a Title) sufficient area permits,otherwise complete a different acknowledgment form. • Partner(s) • Signature of the notary public must match the signature on file with the office of the county clerk • Attorney-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document. Other Indicate title or type of attached document,number of pages and date. ❑ Indicate the capacity claimed by the signer.If the claimed capacity is a corporate officer,indicate the title(i.e,CEO,CFO,Secretary), 2015 Version www.NotaryClasses.com 800-873-9865 Securely attach this document to the signed document with a staple. Agreement No. 5162 NON-COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ) ss. County of I--. ) SHAWN A. SMITH being first duly sworn, deposes and say that he or she is President of SHAMAN 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. 11 A Ail ......................_...... S' teat e Name of Bidder/Company Name SHAWN A. SMITH JUN 0 3 2016 "T"yped Name a to President Title I-C-9 ........... I Agreement No. 5162 I � I CALIFORNIA ALL- PURPOSE CERTIFICATE OF 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 f that document. tY State of California } County of _Los Angeles } On SUN Q 1 2016 before me, Ran Palmer, Nota(y Public Here insen name personally appeared Shawn A., Smith and nabpa y else , who proved to me on the basis of satisfactory evidence to be the personfKwhose name subscribed' to the within instrument and acknowledged to me that 8 he executed the same in pis - authorized capacity ), a,nr that by his ee signa ure>ron the instrument the personX, or the entity upon behalf of which the person�a'f 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. RYAN PALMER µ H WITNESS my hand and official seal. a Commission No. 2044579 Z ,,.. r ,✓ NOTARY PUBLIC-CALIFORNIA LOS ANGELES COUNTY 7 _ My Comm Expires OCTOBER 7 2017 ry tgnatufe (Notary Public Seal) Nota Pub _I AI .��..........�.. "..".""".."_._ INSTRUCTIONS FOR CONWLETnvGT�S FORM ADDITIONAL OPTIONAL INFORlATION This f orm complies with current Cali f ornia statutes regarding nota ry wordi n g and, DESCRIPTION OF THE ATTACHED DOCUMENT t needed,should be completed and attached to the document.Acknoi4dedgments from other ay bepor documents being sent state long he ording doe require the California notary to to that i o .,",. ...,., ". _ ... law. Title or description of attached document ( P ) State and County information must be the State and County where the document signer(s)personally appeared before the notary public for acknowledgment. Title or desert tion of attached document continued m must also be the notarization ame date bthe acknowledgment is completed ally appeared which • The notary public must print his or her name as it appears within his or her Number of Pages Document Date commission followed by a comma and then your title(notary public). • Print the name(s) of document signer(s) who personally appear at the time of ...._. _._ notarization. CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. he/she/th- , is/are)or circling the correct forms.Failure to correctly indicate this ❑ Individual (s) information may lead to rejection of document recording. ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. Impression must not cover tent or lines. If seal impression smudges,re-seal if a (Title) sufficient area permits,otherwise complete a different acknowledgment form. ❑ Partner(s) Signature of the notary public must match the signature on file with the office of the county clerk ❑ Attomey-in-Fact Additional information is not required but could help to ensure this ❑ Trustee(s) acknowledgment is not misused or attached to a different document ❑ Other Indicate title or type of attached document,number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer,indicate the title(i e.CEO,CFO,Secretary), 2015 Version wnwActaryClasses.corn 800-873-9865 Securely attach this document to the signed document with a staple. Agreement No. 5162 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 performancel d the work of this contract." Signature of Bidder: Title: Shawn A Smith, President Business Name: SHAWNAN Business Address: 12240 Woodruff Ave. Downey, CA 90241 Telephone Number: ( ) (562) 803-9971 ITITITITITITITITITITITITITITITm cd \ Dated this day of `),,Ar\e— , 2016 I-C-10 Agreement No. 5162 DESIGNATION OF SUBCONTRACTORS IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 Company Name: SH'AWNAN BIDD E R w ill pe rf o rm 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: Description of Subcontractor's Portion of Name of Contractor Work Estimated Subcontractor Address License No. Subcontracted $Amount (Number and Street) AM2c3car�- 10121 1 " St - * loon 9akve*v4 (City,Zip Code) q�137a2 A oa s��]eMS Ho4os6 QS 210,060 cgs 137.0 15,DOc)• — " "r t � lZ'uec s td� SZS aq a`I 1 122 2,0p0. om I-C-11 Agreement No. 5162 REFERENCES "HAWNAN 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: Location: Name and address of owner Name and current telephone number of person familiar with project Type of Work: Contract amount: $ Date completed: Amount of work done by my/our firm under contract$ Did your firm have any financial interest in Project? 2. Project Title: Location: Name and address of owner Name and current telephone number of person familiar with project Type of Work: Contract amount: $ .... ___...._ .... Date completed: �IT ..........mm Amount of work done by my/our firm under contract$ Did your firm have any financial interest in Project? I-C-12 Agreement No. 5162 3. Project Title: 'o Location: `V Ile Name and address of owner Name and current telephone number of person familiar with project Type of Work: Contract amount: $ ..._._...._.....-.......�_._. Date completed:. Amount of work done by my/our firm under contract$ ITITIT Did your firm have any financial interest in Project? � 4. Project Title. `V Location: Name and address of owner Name and current telephone number of person familiar with project: Type of Work: Contract amount: $,.,..................___...�..................___.................� Date completed: Amount of work done by my/our firm under contract$ Did your firm have any financial interest in Project? .. I-C-13 Agreement No. 5162 5, Project Title: Location: Name and address of owner Name and current telephone number of person familiar with project: Type of Work: Contract amount: $ mmmmm_mmITIT Date completed: Amount of work done by my/our firm under contract$ _ .................................._ 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: +^ ^^ �.. 11220 VAntis Drove- Suite 300 e° g�teroa Street BOLTON&COMPANY Ai so c Inca LOS A� gel ,,. A-9* 1 .............� : 3475 E Foothill Blvd-#100 1608.CA 91107 (96 9)540-6770 (2213) 612-,5574 (028)536-1433 I-C-14 Agreement No. 5162 S:I AWNAN STATEMENT OF EXPERIENCE OD=Original Duration,TE=Time Extensions,AC=Actual Completion(all are in calendar days) 1 Owner City of Commerce 2 Owner City of Redondo Beach Address 2535 Commerce Way N Address 415 Diamond Street Commerce, CA 90040 �} Redondo Beach,CA 90277 Phone# 714)883-8677 it Phone# 310)318-0661 Fax#: 323) 888-6537 J Fax#: 310)374-4828 Contact: Ali Cayir f Contact: Javier Urista Project: Eastern Avenue Rehabilitation Project: Residential Street Rehabilitation Contract Amount: $ 1,047,991.00 Contract Amount: $ 1,143,280.00 4 Final Amount $ 1,226,726.00 Final Amount $ 1,180,695.10 Completion Date: 12/31/2015 Completion Date: 2/5/2016 r PCC Improvements 15% PCC Improvements 20% Earth Work/Paving 85% Earth Work/Paving 80% OD 35 TE=O AC 35 OD 90 TE=O AC 90 J 3 Owner City of La Habra 4 Owner City of Bell Address 201 East La Habra Boulevard Address 6330 Pine Avenue La Habra,CA 90631 ` Bell,CA 90201 Phone# 310-525-0684 Phone# 323)588-6211 Fax#: 562)383-4476 E-mail: dlee @cityofbell.org Contact: Alan Braatvedt Contact: Dahi Kim,Associate Engineer Project: Harbor Blvd&Lambert Rd l Project: Street Rehabilitation 2014/2015 Intersection Improvements Contract Amount: $ 1,473,724.00 Contract Amount: $ 652 133.00 Final Amount $ 1,454,715.00 Final Amount $ 736,724.00 Completion Date: 5/6/2015 Completion Date: 11/30/2015 p PCC Improvements 30% PCC Improvements 40% } Earth Work/Paving 70% Earth Work/Paving 60% OD=87 TE=0 AC=87 OD=75 TE=O AC 75 5 Owner Port of Los Angeles 6 Owner City of Anaheim Address 425 South Palos Verdes Street fi Address 200 South Anaheim Boulevard San Pedro,CA 90731 ' Anaheim,CA 92805 Phone# 310)732-3968 Phone# 714)765-5285 Fax#: 310) 831-5389 �` Fax#: 714)765-5225 Contact: Peter Ouk Contact: Robert Palaeologus Project: 2014-2016 Site Improvements Project: Brookhurst Street Improvements Contract Amount: $ 28,225,250.00 Contract Amount: $ 7,703,000.00 Final Amount Final Amount $ 8,147,221.00 In Progress Completion Date: Completion Date: 10/13/2015 PCC Improvements 20% PCC Improvements 35% Earth Work/Paving 80% i. Earth Work/Paving 65% OD= 730 TE=0 AC=In Progress OD=260 TE=0 AC=252 Agreement No. 5162 7 Owner City of Torrance 18 Owner City of Montebello Address 20500 Madrona Avenue Address 1600 West Beverly Boulevard Torrance,CA 90503 Montebello,CA 90640 Phone# 310)618-6259 Phone# 323)877-1460 Fax#: Lsablan @torranceCA.gov 'f Fax#: 323)887-1464 Contact: Lauren Sablan Contact: Hormoz Vahid 9 Project: Residential Rehab,Area C Project: Garfield Avenue Improvements Contract Amount: $ 2,546,231.00 Contract Amount: $ 972,461.00 Final Amount $ 2,647,829.00 Final Amount $ 940,376.00 Completion Date: 11/16/2014 1 Completion Date: 6/17/2014 PCC Improvements 65% PCC Improvements 20% Earth Work/Paving 35% t Earth Work/Paving 80% OD= 120 TE=O AC 120 # OD 40 TE=O AC=40 9 Owner City of Norwalkr to Owner City of Redondo Beach Address 12700 Norwalk Boulevard t Address 415 Diamond Street Norwalk,CA 90650 Redondo Beach,CA 90277 Phone# 562)929-5744 Phone# 310)318-0661 Fax#: 562)929-5773 ? Fax#: 310)374-4828 ry; Contact: John Tran F Contact: Jeff Townsend Project: Local Streets Rehabilitation Project: Residential Rehab-Phase 10 Contract Amount: $ 1,072,465.00 Contract Amount: $ 864,917.00 Final Amount $ 949,331.00 Final Amount $ 875,621.00 Completion Date: 4/10/2014 - Completion Date: 10/21/2013 s PCC Improvements 30% GV PCC Improvements 0% Earth Work/Paving 70% Earth Work/Paving 100% OD=30 TE=0 AC 30 OD=45 TE=0 AC 45 11 Owner: City of El Segundo 1 12 Owner: City of Industry/CNC Eng. Address: 350 Main Street Address: 255 N.Hacienda Blvd.,Suite 222 El Segundo, CA 90245 g � $ City of Industry,CA 91744 f Phone#: 310)524-2364 Phone#: 626)333-0336 Fax#: 310)524-1791 Fax#: 626)369-4306 Contact: Arianne Bola '' Contact: Gerry Perez Project: Aviation Blvd Improvements Project: Nelson Ave Reconstruction Contract Amount: $ 565,326.00 Contract Amount: $ 1,574,170.00 Final Amount $ 895,892.00 Final Amount $ 1,618,931.00 Completion Date: 2/22/2013 Completion Date: 2/11/2013 PCC Improvements 10% FCC Improvements 17% Underground Underground 0% Earth Work/Paving 90% Electrical 0% OD=45 TE=0 AC=55 .j Earth Work/Paving 83% OD= 120 TE=25 AC= 139 Agreement No. 5162 13 Owner: City of Bellflower j' 14 Owner: City of Los Alamitos Address: 16600 Civic Center Drive Address: 3191 Katella Ave Bellflower, CA 90706 Los Alamitos, CA 90720 Phone#: 562 804-1424 Phone#: 714)431-3538 Fax#: 562)902-1732 Fax#: 714)431-7891 Contact: Philip Wang ;; Contact: Dave Hunt Project: Woodruff Ave Rehabilitation �t Project: Various Street Improvements Contract Amount: $ 285,461.00 Contract Amount: $ 531,648.00 Final Amount $ 270,359.00 Final Amount $ 644,189.00 Completion Date: 1/16/2013 Completion Date: 6/5/2012 PCC Improvements 19% PCC Improvements 35% Landscape&Irr. Underground Electrical 7% h; Agreement No. 5162 19 Owner: City of Downey , 20 Owner: City of Riverside Address: 11111 Brookshire Ave k4 Address: 3900 Main Street rr Downey,CA 90241 Riverside,CA 92522 Phone#: 562)622-3468 Phone#: 951)901-5440 Fax#: 562)258-8917 Fax#: 951)905-7831 Contact: Desi Gutierrez Contact: Mike Wolf Project: Imperial Highway Phase 2 Project: Columbia/Iowa Street Imp. Contract Amount: $ 2,156,492.00 Contract Amount: $ 4,258,512.00 Final Amount $ 2,278,145.00 Final Amount $ 3,987,682.00 Completion Date: 4/25/2011 Completion Date: 2/22/2011 PCC Improvements 14% PCC Improvements 19% Landscape&Irr. 29% ¢f Landscape&Irr. 21% Electrical 20% Electrical 27% Earth Work/Paving 37% - Earth Work/Paving 33% OD= 120 TE=25 AC= 140 OD= 120 TE=25 AC= 100 21 Owner: City of Huntington Park ��22 O�wner: City of Fontana Address: 6550 Miles Ave Address: 8353 Sierra Ave. Huntington Park,CA 90255 Fontana,CA 92355 Phone#: 626)447-4260 { Phone#: 909)350-7600 Fax#: 626)547-8912 Fax#: 909)350-1154 Contact: Wes Lind Contact: Al Giraot Project: City Yard Resurfacin g s,y ProJ ect: Juru a Ave Improvements Contract Amount: $ 512,347.00 kk:a Contract Amount: $ 7,888,255.00 V'? Final Amount $ 691,582.00 f Final Amount $ 7,345,689.00 Completion Date: 9/22/2010 Completion Date: 10/22/2009 PCC Improvements 5% �" PCC Improvements 19% Underground 22% Underground 22% +j Electrical n' Electrical 25% Earth Work/Paving 73% Earth Work/Paving 34% OD= 120 TE=25 AC= 140p OD= 120 TE=25 AC= 140 i� 23 Owner: City of La Habra i 24 Owner: City of Brea Address: 201 E. La Habra Blvd. Address: 1 Civic Center Circle La Habra,CA 90631 Brea,CA 92821 Phone#: 310)525-0678 Phone#: 714)990-7600 Fax#: 562)717-4624 Fax#: 714)990-2548 Contact: Charles Stephan Contact: Raul Lising Project: Various Locations Project: Imperial/Smart Street Imp. Contract Amount: $ 5,887,651.00 Contract Amount: $ 2,200,000.00 Final Amount $ 5,698,349.00 Final Amount $ 2,159,888.00 ..E Completion Date: 10/19/2008 Completion Date: 1/31/2009 PCC Improvements 20% PCC Improvements 36% Underground 15% Underground 7% Landscape 20% Earth Work/Paving 57% Electrical 15% OD=90 TE= 14 AC=98 Earth Work/Paving 30% OD= 120 TE=0 AC= 145 Agreement No. 5162 25 Owner: City of Sell Gardens r 26 Owner: City of Tustin/Bayley Slater,P.M. Address: 8327 Garfield Ave. f Address: 3730 S. Susan Street-Suite 200 Bell Gardens CA 90241 Santa Ana CA 92704 Phone#: 562)806-7770 Phone#: 714)540-8863 Fax#: 562)806-7789 Fax#: Contact: Joe Dyer1 Contact: Mark Florer Project: Eastern Ave. Improvements ! Project: MCAS Backbone Infrastructure Contract Amount: $ 2,085,000.00 [' Contract Amount: $ 43,000,000.00 Final Amount $ 2,112,758.00 Final Amount $ 42,951,653.00 Completion Date: 4/30/2008 j;; Completion Date: 11/27/2007 p PCC Improvements 13% PCC&Elec. 18% Underground 25% L.S.&Irrigation 25% Electrical l0% Earth Work/Paving 57% Earth Work/Paving 52% OD=730 TE=45 AC=755 OD=90 TE= 10 AC 94 Agreement No. 5162 BIDDER'S STATEMENT OF PAST CONTRACT DISQUALIFICATIONS IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 Company Name: SH'AWNAN 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. I. Have you ever been disqualified from any government contract? Yes ❑ No 2.. If yes, explain the circumstances: 3. Are you registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject your bid as nonresponsive]? Yes Ea No ❑ � 13a;�'e 's Sg����ture Shaven A Smith, President Name (Please Print) I-C-15 Agreement No. 5162 INSURANCE REQUIREMENTS [MUST BE SUBMITTED WITH PROJECT PROPOSAL] IMPERIAL HIGHWAY OVERLAY PROJECT PROJECT NO.: PW 16-10 Company Name: N To be awarded this contract, the successful bidder must procure and maintain the following types of insurance with coverage limits complying,at a minimum,with the limits set forth below: Type of Insurance Limits Commercial general liability: $2,000,000 Business automobile liability: $1,000,000 Workers compensation: Statutory requirement Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form No.CG 00 01 11 85 or 88. The amount of insurance set forth above must be a combined single limit per occurrence for bodily injury, personal injury, and property damage for the policy coverage. Liability policies must be endorsed to name the City, its officials,and employees as"additional insureds"under said insurance coverage and to state that such insurance will be deemed"primary" such that any other insurance that may be carried by the City will be excess thereto. Such endorsement must be reflected on ISO Form No. CG 20 10 11 85 or 88,or equivalent. Such insurance must be on an"occurrence,"not a "claims made,"basis and will not be cancelable or subject to reduction except upon thirty(30)days prior written notice to the City. Insurer will agree in writing to waive all rights of subrogation against the City, its officers, officials, employees and volunteers for losses arising from work performed by Contractor for the City. Automobile coverage must be written on ISO Business Auto Coverage Form CA 00 0106 92,including symbol 1 (Any Auto). The Consultant must furnish to the City duly authenticated Certificates of Insurance evidencing maintenance of the insurance required under this Agreement,endorsements as required herein,and such other evidence of insurance or copies of policies as may be reasonably required by the City from time to time. Insurance must be placed with admitted insurers with a current A.M. Best Company Rating equivalent to at least a Rating of"A:VII." Certificate(s)must reflect that the insurer will provide thirty (30) day notice of any cancellation of coverage. The Consultant will require its insurer to modify such certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, and to delete the word "endeavor" with regard to any notice provisions. The City requires California Worker's Compensation Coverage with the associated Waiver. Out-of-state coverage will not be accepted in lieu of the California coverage,because the work is being performed in the State of California. By signing this form, the bidder certifies that it has read, understands, a�l 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." JUN 0 3 2016 01;/ a Date 6i 'd'er's Signat-5ie Shawn A Smith, President I-C-16 Agreement No. 5162 END PROPOSAL SECTION I-C-17 Agreement No. 5162 waya: June 2, 2016 ADDENDUM NO. 1 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for IMPERIAL HIGHWAY OVERLAY PROJECT NO. PW 16-10 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 date and time is still Tuesday, June 14 at 11:00 am 2. The revised bid table has been included. 3. Striping plans are included. They were not included in the original plans. 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 ticknowledgerricni shall render the bid as non-responsive and subject to rejection. Signature: Date: JUN 0 3 2016 Print Company Name: _.... Page 1 of 1 350 Main Street,El Segundo, CA 90245-3895 (310)524-2300 Fax(310) 640-0489 Agreement No. 5162 Vf;�v 9// (9// yeffanwo • June 7, 2016 ADDENDUM NO. 2 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for IMPERIAL HIGHWAY OVERLAY PROJECT NO. PW 16-10 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 date and time is still Tuesday,June 14 at 11:00 am 2. The front cover of the specifications has been corrected with the accurate location for the mandatory pre-bid meeting. Due to an error, the contractors who showed up at the wrong location will be allowed to attend a second mandatory pre-bid meeting to be held on Thursday,June 9 at 10:00 am at the southwest corner of Selby St. and Imperial Hwy. Contractors that attended the first pre-bid meeting do not need to attend the second meeting. 3. Page I-C-3 of the bid table has been revised to include numbers for the Item No. column. 4. Page I-B-3 has been revised to state questions are due by 6:00 pm, June 9, 2016. 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 Page 1 of 2 350 Main Street,El Segundo,CA 90245-3895 (310)524-2300 Fax(310)640-0489 Agreement No. 5162 to provide such ac :nowiedgeill s PNndvr the bid as non-responsive and subject to ,. rejection. , Signature: Date: _ JUN 0 3 2016 tw awn A Smith, President Print Company Name: SHAWNAN Page 2 of 2 350 Main Street,El Segundo,CA 90245-3895 (310)524-2300 Fax(310)640-0489 Agreement No. 5162 June 9, 2016 ADDENDUM NO. 3 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for IMPERIAL HIGHWAY OVERLAY PROJECT NO. PW 16-10 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 date and time is still Tuesday,June 14 at 11:00 am 2. Page 111-2 has been changed to show working hours changed to the following: • Monday through Friday from 9:00 am to 3:00 pm and 9:00 pm to 5:00 am • Friday night continuously through Monday morning from 9:00 pm to 5:00 am (56 continuous hours). • Although working hours have changed the Contractor shall still meet the temperature and pour requirements as stated in the specifications. As evidence that the BIDDER has read this Addendum, the BIDDER must acknowledge same in the space provided Z�&611'tnent low and submit this Addendum with the Bid Proposal.Failure to provide such acknowl shall render the bid as non-responsive and subject to rejection. JUN 1 o 2016 Signature: Date: h wn 'T ti, Preslu Print Company Name: ­11.......S,HAWNA Page1 of 1 �...m�............................................... 350 Main Street,El Segundo,CA 90245-3895 (310) 524-2300 Fax(310)640-0489 Agreement No. 5162 1-4 INSPECTION On all questions relating to quantities, the acceptability of material, or work, the execution, progress or sequence of work and the interpretation of specifications or plans, the decision of the Engineer is final and binding, and shall be precedent to any payment under the contract. All work and materials are subject to inspection and approval of the Engineer. Inspection of the work shall not relieve the Contractor of the obligations to fulfill all contract conditions. 1-5 WORKING DAYS, TIME FOR COMPLETION AND CONSTRUCTION SEQUENCE CONTRACTOR will commence work on date specified in the Notice to Proceed to be issued to said CONTRACTOR by the Public Works Department of CITY and will complete work on the PROJECT, within 2,15 LTw :v WORKING DAYS after the date of commencement. Hours of work shall be limited to 9:00 a.m. to 3:00 p.m. a n d 9:0 0 p m t o 5:0 0 a m weekdays only and Friday night continuously through Monday morning from 9:00 pm to 5:00 am (56 continuous hours), unless otherwise specified. Contractor shall not work during weekends or City holidays without prior approval from the Public Works staff. Contractor must submit a detailed construction schedule to the City representative for review and approval prior to beginning the project. Please note, City inspection is only available on Monday through Thursday. Should inspection be needed on a Friday, the contractor shall reimburse the City for the cost of the inspector's time. No greater quantity of work shall be scheduled at any one time than can be completed in one (1)day, and be properly conducted with due regard for the rights of the public. 1-6 PREVAILING WAGE AND DEPARTMENT OF INDUSTRIAL RELATIONS(DIR) SB 854 REQUIREMENTS This project is subject to prevailing wage requirements. This project is also subject to compliance monitoring and enforcement by the DIR. 1. No contractor or subcontractor may be listed on a proposal for a public works project unless registered with the DIR pursuant to Labor Code section 1725.5 [with limited exceptions from this requirement for bid purposes only under Labor Code section 1771.1(a)]. 2. No contractor or subcontractor may be awarded a contract for public work on a public works project unless registered with the DIR pursuant to Labor Code section 1725.5. 1-7 EXAMINATION OF JOB SITE The BIDDER shall make a detailed physical inspection of the site before submitting his proposal. It is understood that the BIDDER has satisfied himself regarding existing conditions and existing access conditions which may affect bid prices for the proposed work. I11-2 Agreement No. 5162 June 13, 2016 ADDENDUM NO. 4 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for IMPERIAL HIGHWAY OVERLAY PROJECT NO. PW 16-10 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 date and time is still Tuesday,June 14 at 11:00 am 2. See attached supplement pages As evidence that the BIDDER has read this Addendum, the BIDDER must acknowledge same in the space provided bek)w' 6d submit this Addendum with the Bid Proposal.Failure to provide such acl ntrlt dg, s�+ rlt' 1rll render the bid as non-responsive and subject to rejection. . � w � — JUN 4 2016 Signature: Dater 1 Print Company Name: S1-1AWNAN­,­- Pagel of 1 350 Main Street,El Segundo,CA 90245-3895 (310)524-2300 Fax(310)640-0489