CONTRACT 5234 Public Works Contract CLOSED Agreement No. 5234
PUBLIC WORKS CONTRACT
BETWEEN
THE CITY OF EL SEGUNDO AND
.
FIBER OPTIC NETWORK EXPANSION
PROJECT .a PW 16®33
This CONTRACT is entered into this 7th day of December, 2016, by and between the
CITY OF EL SEGUNDO, a general law city and municipal corporation ("the City") and
ELECNOR BELCO ELECTRIC, INC., a California Corporation, ("the Contractor").
1. WORK.
A, The Contractor will provide all work required by the Contract Documents(the
"Work"). The Contractor agrees to do additional work arising from changes
ordered by the City in accordance with the Contract Documents.
B. The Contractor and the City agree to abide by the terms and conditions
contained in the Contract Documents;
C. The Contractor will furnish all of the labor; supplies and materials; equipment;
printing: vehicles; transportation, ol°lice space and liicilities; all tests, testing
wid aanatl'yses,; and all matters what%)ever (except as, otherwise expressly
specified to be f irnished by thu City)needed to laerform 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 four
hundred and ten thousand, seven hundred and thirty eight Dollars and zero cents
($410,738.00) for the Work in the manner set forth in the Contract Documents. The City
may adjust this amount as set forth in the Contract Documents.
3. TIME FOR PERFORMANCE.
A. The Contractor will fully complete the Work within one hundred (100)
working days(the"Contract Time.")
Agreement No. 5234
B, The Contract Time will commence when the City issues a Notice to Proceed.
The Contract Documents will supersede any conflicting provisions included on
the notice to proceed issued pursuant to this Contract.
C. The Contractor may not perform any Work until:
i. The Contractor furnishes proof of insurance as required by the Contract
Documents; and
ii. The City gives the Contractor a written, signed,and numbered purchase
order and notice to proceed.
D. By signing this Contract, the Contractor represents to the City that the Contract
Time is reasonable for completion of the Work and that the Contractor will
complete the Work within the Contract Time.
E. Should the Contractor begin the Work before receiving written authorization to
proceed, any such Work is at the Contractor's own cost and risk.
4. DISPUTES. Disputes arising from this contract will be determined in accordance with the
Contract Documents and Public Contracts Code §§ 10240-10240.13.
5. THIRD PARTY CLAIMS. In accordance with Public Contracts Code § 9201, the City
will promptly inform the Contractor regarding third-party claims against the Contractor,
but in no event later than ten(10) business days after the City receives such claims. Such
notification will be in writing and forwarded in accordance with the "Notice" section of
the Contract Documents. As more specifically detailed in the Contract Documents, the
Contractor agrees to indemnify and defend the City against any third-party claim.
6. TAXPAYER IDENTIFICATION NUMBER. The Contractor will provide the City with
a Taxpayer Identification Number.
7. ITS AND LICENSES. Unless otherwise provided, the Contractor, at its sole
expense,will obtain and maintain during the Contract Time,all necessary permits,licenses,
and certificates that may be required in connection with the Work.
8. OWNERSHIP OF DOCUMENTS. All documents, data, studies, drawings, maps,
models,photographs and reports prepared by the Contractor under the Contract Documents
are the City's property. The Contractor may retain copies of said documents and materials
as desired, but will deliver all original materials to the City upon the City's written notice.
9. INDEMNIFICATION. The Contractor agrees to indemnify, defend, and hold the City
harmless as set forth in the Contract Documents. The requirements as to the types and
limits 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
Agreement No. 5234
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 Citv The Contractor
City of El Segundo-Public Works Elecnor Belco Electric, Inc.
350 Main Street 4331 Schaefer Ave.
El Segundo, CA 90245 Chino,CA 91710
Attn: John Gilmour Attn: John Wong
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.
Agreement No. 5234
15. EFFECT OF CONFLICT. In the event of any conflict, inconsistency, or incongruity
between any provision of the Contract Documents,precedence will be as follows:
A. This Contract;
B. The Standard Specifications;and
C. Precedence of documents as determined in the Standard Specifications.
16. SEVERABILITY. If any portion of the Contract Documents are declared by a court of
competent jurisdiction to be invalid or unenforceable, then such portion will be deemed
modified to the extent necessary in the opinion of the court to render such portion
enforceable and,as so modified,such portion and the balance of this Contract will continue
in full force and effect.
17. AUTHORITY/MODIFICATION. The Parties represent and warrant that all necessary
action has been taken by the Parties to authorize the undersigned to execute this Contract and
to engage in the actions described herein. This Contract may be modified by written
amendment. The City's city manager,or designee,may execute any such amendment on the
City's behalf.
18. ACCEPTANCE OF FACSIMILE SIGNATURES. The Parties agree that this Contract,
agreements ancillary to this Contract, and related documents to be entered into in
connection with this Contract will be considered signed when the signature of a party is
delivered by facsimile transmission. Such facsimile signature will be treated in all respects
as having the same effect as an original signature.
19. COVENANTS AND CONDITIONS. The parties agree that all of the provisions hereof
will be construed as both covenants and conditions, the same as if the words importing
such covenants and conditions had been used in each separate paragraph.
20. CAPTIONS. The captions of the paragraphs of this Contract are for convenience of
reference only and will not affect the interpretation of this Contract.
21. TIME IS OF ESSENCE. Time is of the essence for each and every provision of the
Contract Documents.
Agreement No. 5234
IN WITNESS WHEREOF the parties hereto have executed this contract the day and
year first hereinabove written.
CITY OF EL SEGUNDO ELECNOR BELCO ELECTRIC, INC,.
Greg J— �-j�ae�t. Alberto Garcia City e,r Executive Vice President
A°I""FFS`�:
Taxpayer ID No..._3.3:076B97Q
Tracy Wea f` „
w„
Contractor State
License No.: 8,w7 16
Contractor City Business
License No.: 2„ 1 ....................
APPROVED AS TO FORM:
MARK D.HENSLEY,City Attorney
By: -ng, . .._._._.............��..... ................
Assistant City Attorney
Insurance Reviewed by:
Agreement No. 5234
ALL- PURPOSE
CERTIFICATE OF ACKNOWLE,DGMENT
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 ofrAdrnki
County of Wam—m-"rAl
before me,
kno InAn nanio tua-i%
"."j
co"
personally appeared A
who proved to me on the basis of satisfactory evidence to be the person(s) whose
nanie(s)(i,�)are SUbscribed to the within instrument and acknowledged to me that
-ler/their Sigllakire(s) On the instrument the persori(-,), or the entity upon behalf of
�
I certify under PENALTY OF PERJURY under the laws of the State of California that '�
the foregoing paragraph is true and correct.
-66& nd official seal,
NOTARY PUBLIC-CALIFORNIA 2
SAN BERNARDINO COUNTY I
MY Comm-1151101118 APRIL%2019 1
No ic Signature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM
DESCRIPTION OF THE ATTACHED DOCUMENT (trrefv4hrd,Wiouhl he ctkniI and ailaviied lo Me docoapiew ,I ji-oni,
le 0WIPIAX)of al lot ti� - State and County information must be the State and County where the document
signer(s)personally appeared before the notary public for acknowledgment
- Date of notarization must be the date that the signer(s)personally appeared which
II or description of allached 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
CAPACITY CLAIMED BY THE SIGNER @ Indicate the correct singular or plural forms by crossing off incorrect forms(i-e.
Wshe/A%5�,--is/w;o)or circling the correct forms.Failure to correctly indicate this
Individual(a) information may lead to rejection of docurrient recording
Cor rat i a The notary seal inipre�',9�on must be clear and photogiaphically reproducible
Impression must wol 4�ovrr text or lines If seal impression smudges,re-seal if a
El Partner(s) e Signature of the notary public must match the signature on file with the office of
the county clerk
sufficient area permits,otherwise complete a different acknowledgment form.
L1 Attomey-in-Fact 0 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,CFO,CFO,Secretary).
Securely attach this document to the signed document with a staple
Agreement No. 5234
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New
York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
MICHAEL BOND,Vice President, in pursuance of authority granted by Article V, Section 8,of the By-Laws of said Companies, which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute,and appoint Victoria M.CAMPBELL,of Irvine,California, its true and lawful agent and Attorney-in-Fact,to make,execute,
seal and deliver,for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings, and the execution of such
bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and
purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE
COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND
SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT
COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of
the By-Laws of said Companies,and is now in force.
IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 4th day of September,A.D.2015.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
LVAL)
w y � �'«d^��•"s.�.��y'�d'C3
rr,y""ar rye aan"^""w
Secretary Tice President
Eric D.Barnes Michael Bond
State of Maryland
County of Baltimore
On this 4th day of September,A.D.2015,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,MICHAEL
BOND,Vice President,and ERIC D.BARNES,Secretary, of the Companies,to me personally known to be the individuals and officers described in and
who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said
officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate
Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written.
Yr"a'rwaiawrwr"
Constance A.Dunn,Notary Public
My Commission Expires:July 9,2019
POA-F 012-81230
Agreement No. 5234
EXTRACT FROM BY-LAWS OF THE COMPANIES
"Article V,Section 8,Attornevs-iii-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President
may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies,
recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such
attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any
time."
CERTIFICATE
I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the
foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of
the By-Laws of the Companies is still in force.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such
facsimile signature and seal shall be valid and binding on the Company."
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of
May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a
meeting duly called and held on the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter,wherever appearing upon a
certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect
as though manually affixed.
� N WHEREOF,I have bcr unto subscribed my name and affixed the corporate seals of the said Companies,
this [ tL TESTIMONY
of_� W E Rl..w. ..a
a' *s
t°Q°ep
Thomas O.McClellan,Vice President
Agreement No. 5234
Executed inDuplicate
FAITHFUL PERFORMANCE BOND
FIBER OPTIC NETWORK EXPA0Bl8yJ
PROJECT NO.: PWl6-33
Bond No.S22O1D4
Bond Fee:
fOocnoTBoiumEJec(rio. [uo. . ("PRINCIPAL")
and Fidelity and Deposit Company ofMaryland ,ucorporation
incorporated under the laws of the State nf Maryland and licensed hy the State of
California to execute bonds and undertakings as sole surety, as surety (^`SDI[GTY"), are held
and fiomlybound unto the CITY OF EC8II[}lINI)O("CITY")in the sum of four hundred and
ten thousand, seven hundred and thirty eight DOLLARS and zero cents($410,73 8.00),lawful
money of the United States, which may bo increased or decreased by o rider hereto executed
in the same manner as this bond, for the payment of which sum PRINCIPAL and 8D0EIY
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 ydpnlaboua set forth inthis bond, SPECIFICATIONS NO. PW 16-33,
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,ordnficicuoiuo arising by reason of such default.
BOND CONDITIONS
l. PRINCIPAL will construct the public improvements identified in
SPECIFICATIONS NO. PW 16-33, u copy of which io on file with ClTY`yEnOinecrbg
Division ("Public Project"). Such performance will 6c in nuoordbuun *hbClTY`o plans and
pnnfileo(CITY DRAWING FILE NO. PWl6-3])which are made u part of this bond when
said plans and profiles are approved bythe City Council and filed with ClTY`a EogbuoeriuQ
Division. CITY has estimated the required amount of the bond uo shown above.
2. PBl0ClPAL'n work outhe Public Project will be done io 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 6nod will be firmly bound for the
payment oI all necessary costs therefor.
3. PRINCIPAL will Qoarao1oo its n/odc against any defective work, iubco, or
materials on the Public Project for aperiod of one (l) year following the Public Project's
completion and acceptance hyCITY. Should PRINCIPAL fail tu correct its work against any
defective work, labor, or materials, CITY may, at its sole discretion, cause all required work
Agreement No. 5234
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COUNTYCLERK
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Agreement No. 5234
to be done and the parties executing the bond will be firmly bound for the payment of all
necessary costs therefor.
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 tirne,
alteration or modification of SPECIFICATIONS O. PW 16-33 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 one (1) year following the acceptance of the
performance by CITY;otherwise this obligation will remain in full force and effect.
[SIGNATURES ON FOLLOWING PAGE]
Agreement No. 5234
SIGNED AND SEALED this 12th day of December 20 16
Elecnor Belco Electric, t n
PRINCIPAL'S PRES I I I' "'UP—,TY's PRESIDENT.
64.t– Victoria M. Campbell,Attorney-iriAct
PRINCIPAL FO SURETY's SECRETARY
PRINCIPAL'S MAILING SURETY'S MAILING ADDRESS:
ADDRESS:
_4311 I;r.hqf-fpr Avenue 1299 Zurich Wav
_Chino.,Q?�P1 710 Sc aum ur IL 60196 - 1056
NOTE; (1) ALL signatures must be acknowledged by a notary public.
Return one(1)original to City Clerk's Office.
(2) Bond shall be effective for one(1)year after acceptance of the job.
Agreement No. 5234
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1109
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
U
document to which this certificate is attached,and not the truthfulness,accuracy, or validity of that document. |
State ofCalifornia )
County of Orange }
On DEC 12 2016 before me. L.Clark, Notary Public ^
Date Here Insert Name and Title of the Officer
personally appeared Victoria M.Campbell
Nonre(du/3igner(s)
���� ��
who proved to me on the basis of satisfactory evidence to be the v apo'
subscribed to the within instrument and acknowledged to me that fu/a executed the same in
him/hmn/t*eir authorized oapuoity(iou), and that b hfs/h o/thmiraignuturo(s)ontheinotrumentthepanuon(s).
or the entity upon behalf ofwhich the person(s) acted, executed the instrument.
| certify under PENALTY DF PERJURY under the laws
of the State of California that the foregoing paragraph
t. CL0K iu true and correct.
No�w- �n0o\mmCoumY VV|TNE8G my hand and official seal.
�omm\uuion # 21,70%53 . /)�
� Ex ixe�Mov�8 :'� ,
- -
Signature
Signature of Notaty Public
Place Notary Seal Above
' -
OPTIONAL ~ - ' - ----- -
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment o/this form boan unintended document.
Description of Attached Document
Title or Type of Document: Document Data: DEC 12 2016
Number of Pages: Signer(s) Other Than Named Above: __°_
_____
Capmoity(ie«) Claimed bySigner(e)
Signer's Name: Signer's Name:
[]Corporate Officer -- Title(s): El Corporate Officer -- Title(s):
[] Partner — [I Limited El General OPartnar — El Limited El General
[]Individual 129 Attorney in Fact O Individual El Attorney in Fact
El Trustee O Guardian or Conservator OTruatea O Guardian or Conservator
El Other: O Other: ___
a ______
Signer Is Repraaenting� Signer |u Rep
__�
02O14 National Notary Association ^ www.Nationu|Notary.org ^ 1'8OO'U8 NOTARY(1'8UU'87G'G827) Item #5907
Agreement No. 5234
- _
ALL- PURPOSE
i
CERTIFICATE OF AACKNOWLEDGMENT�
A notary public or other officer completing this certificate verifies only the
p identity of the individual who signed the document to which this certificate
is attached, and not the truthfulness, accuracy, or validity of that document. 9
State of }
i'
County of }
On r_._...:. 1112016._m before me, 1 _ NAM 9 �
�Iflrrr��u�r,;rrdre i�rarror ra�eel rlllar it'kYaG�K;rkpi¢;a�rt ,,
personally appeared �,
who proved to me on the basis of satisfactory evidence to be the person(s) whose
name(s) Is re subscribed to the within instrument and acknowledged to me that
e he/the executed the same i
� y e n Is er/their authorized capaclty(les), and that by
Is er/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s-) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that
the 9fore oin paragraph is true and correct.
9
OLIVIA CNEA
WIT, y ha d and official seal. ���� � w�, Commission No.2107474
NOTARY PUBLIC-CALIFORNIA
....
SAN BERNARDINO COUNTY
«''F`" ." My Comm Expires APRIL 18,2019
.. ..,»«.............» �. . ..,.,...
Notary Public Signature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM
DESCRIPTION OF THE ATTACHE Thisform complies with current California statutes regarding notary wording and,
D DOCUMENT fneeded,should be completed and attached to the document Acknolwedgentsfrom
o
f alCd�u ther slates may be completed for documents being sent to that slate so long as the
g wording does not require the California notary to violate California notary law
Itdd".c7 �,rigiditbn hod dot,oiintzW) • State and County information must be the State and County where the document
signer(s)personally appeared before the notary public for acknowledgment
itle • Date of notarization must be the date that the signer(s)personally appeared which
(T or t'esrt,trptiran of attached domiineiit 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, 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/ere)or circling the correct forms.Failure to correctly indicate this
❑
Olt Co Individual (s) information may lead to rejection of document recording,
pporatp f e " • 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 ti Indicate title or type of attached document,number of pages and date
❑ 0 Indicate the capacity claimed by the signer If the claimed capacity is a
corporate officer,indicate the title(i e.CEO,CFO,Secretary).
• Securely attach this document to the signed document with a staple
_. _..
.....
Agreement No. 5234
_. _. _ .. ww.........
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CERTIFICATE CI L.
I
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.
WWW. 0
State of }
County of }
lu -
OnDffjOAer A �?0110 before me, 0
Here m;ser9 name and tide ova 'he uafli+�&
personally appeared
who proved to me on the basis of satisfactory evidence to be the person(s) whose
name(--) is re subscribed to the within instrument and acknowledged to me that
<Eoshetithey executed the same in Is er/their authorized capacity(ies), and that by
is er/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(6-) acted, executed the instrument.
h
I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct. � t „
w,”""' •, OLIVIACHEA
WITNES y d'-a d official seal. 1
, .` Commission No.2107474
� «'^�° NOTARY PUBLIC-CALIFORNIA �
«
AN
ERNARDINO COUNTY
� My Comm
°•' Expires APRIL 1B,2019
«« I
K ta'ry ublic Signature (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 ifneeded,should be completed and attached to the document.Acknolwedgentsfrom
dl W 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.
r ylta • State and County information must be the State n onty where the document
met
( u1Je r 1lhnaa of attached oci
signer(s)personally appeared before the notary public for acknowledgment
(Tide o b' .. blC�a,hed dt Qnk:rt�l continued) • Date of notarization must be the date that the signer(s)r personally appeared which
t R ty5�;ti ld�uN l
R p tinued)
must also be the same date the acknowledgment is completed j
• 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 c
he/she/they;is/ere)or circling the correct forms Failure to correctly indicate this
0 Individual (s) information may lead to rejection of document recording
rate 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.
(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
Vthe county clerk,
❑ Attorney-in-Fact 4% Additional information is not required but could help to ensure this
❑ Trustee(s) acknowledgment is not misused or attached to a different document
Other A 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)
• Securely attach this document to the signed document with a staple
_.
Agreement No. 5234
Executed inDuplicate
LABOR AND MATERIALS BOND
|/ �\
^ '
FIBER OPTIC NETWORK EXPANSION
PROJECT NO.: P\9 ]6-33
' Bon� No, S22O1O4
' Bond ��� ^
�
' ' as
principal
'
("PRINCIPAL") --- posit Company nfMaryland u
corporation -
�
�
�ooqpnr�edunder the k*��6�ih�!IS ii mf_ MarOand` and ��tbe
State of California to execute bonds and undertakings as sole surety,as surety("SURETY"),
are held and firmly bound unto the CITY OF ELSBGUND0 ('^ClTY`) in the sum of four
hundred and ten thousand, xovoo hundred and thirty eight DOLLARS and zero 000ta
($410,7]8.00), lawful money of the United States,which may he increased ox decreased by
u rider hereto executed in the same nouoncr as this hood, for the payment of which 000z
PRINCIPAL and SURETY bind themselves, their yocxe0000, and uyoiQpn, jointly and
severally,by this instrument.
This bond io conditioned upon and guarantees payment 6y PRINCIPAL to contractors,
subcontractors, and persons zeodug equipment; yaymco1 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 n/o6c contemplated in
SPECIFICATIONS NO.PW 16-33 ("Public '`),the public works contract executed
for such Public Project,and for all work or labor of any kind performed forthe Public Project,
In the uomo of any default in the performance of the conditions and stipulations of this
undertaking, itio agreed that PRINCIPAL or SURETY will apply the bond or any portion
dzonouf, to the satisfaction of mg' damages, reclamation, uaxooamuntx' yeonJdcy, or
deficiencies arising hy reason of such default.
BOND CONDITIONS
l. PRINCIPAL will 00000out the public improvements identified bi
SPECIFICATIONS NO. PW 16'33, and the pnb]lu works contract executed for such
Specifications, copies of which is on file with ClTY'm Engineering Division (^`yuhUu
Project"). Such performance will be in accordance with ClTY`o plans and profiles (CITY
DRAWING FILE NO. PW16-33), which are made u part of this bond when said plans
and yzofi\exare approved hy the City Council and filed with Cl7Y`u Engineering Division.
2. PRINCIPAL will pay all cnotruxnro' subcontractors, and persons renting
equipment.
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.
Agreement No. 5234
cormicato c o
1�_.�_. �
of
` ,
DO HEREBY GERM has Soso
thio StAt OIC ,Mod ftt Oased on¢
wwOod,or
wl
COUNTY CLEM,
�� IvsV
Agreement No. 5234
4. This bond is conditioned upon and guarantees due compliance with all
applicable law including,without limitation,the El Segundo Municipal Code(�BSMC`).
5. SURETY, for value received, agrees that no ubongua` mxtouoi000 of time,
alteration orruodifixuii000f SPECIFICATIONS NO.PW16-33,orof the obligation tobc
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 orofthe
obligation tobeperformed.
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. /\ uertlfiudcopy of the appointment, power nf attorney, bylaws orother
instrument entitling orauthorizing the persons executing this bond todo
so; and
B. & certificate lomucd by the county clerk for the county in which
3lI0ET,/`u representative ia located conforming with California Code of
Civil Procedure § 995.640 and o1u1io0 that SDI0ETY`a certificate of
authority has not been surrendered, revoked, cancelled, annulled, or
suspended, or in the event that ithas, that reuuvrcd authority has been
granted.
7. Should PRINCIPAL por/boo its obligations within the time allowed,
PRINCD`AL`s obligation will be void upon the acceptance of the performance by CITY;
otherwise this obligation will remain io fall force and effect.
[SIGNATURES ON FOLLOWING PAGE]
Agreement No. 5234
SIGNED AND SEALED this,.-,. 1,21h day of, December 20 16
7
E[ecnor Belco F_Je�ctr�ce Mc.
.............._,.
.& aU&.
A 1
SURETY',,rR✓,.i F
"ice. Victoria M. Campbell, Attorney-in-Fact
PRINCIPA 1, s C.FO SURETY's SECRETARY
PRINCIPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS:
4A31 Schaefer Avenue 1299 Zurich Way
Chino, CA 91710 Schaumburg, IL 60196- 1056
NOTE: (1) ALL signatures must be acknowledged by a notary public.
Return one(1) original to City Clerk's Office.
Agreement No. 5234
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
U
document to which this certificate iuottauhed.and not the�u�f |naoo.aonumo�ovv�idityofthatdouument. |
V __ __ |
State ofCalifornia �
County of Orange >
� �01�
Dn____ot��_1w ^"'" before me, L.Clark,Notary Public ,
Date Here Insert Name and Title of the Officer
personally appeared Victoria M.Campbell
Nanna(s) ofSi7nor(s)
- ^
who proved to me on the basis of satisfactory evidence to be the (s) whose name(s) is/are
ouUaonbaU to the within instrument and acknowledged to mo that+Ia/ h executed the same in
hio/her/8*eir authorized oupaoity(iea), and that by his/her/their signature(s)on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
| certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
io true and correct.
WITNESS my hand and official seal,
^,~~''=`~^ --'" Signature.....
Si7na�oeofNo�(yPub�o
- -
Place Notay Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this /onn to an unintended document.
Description of Attached Document DEC 1 ° 2016
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capamity(iee) Claimed by Signer(m)
Signer's Name: Signer's Name:
O Corporate Officer -- Title(s): El Corporate Officer — Title(s):
OPartner -- [] Limited El General [] Pedner — OLimited [I General
O Individual [XI Attorney in Fact O Individual El Attorney in Fact
El Trustee O(]uordian or Conservator El Trustee El Guardian or Conservator
El Other: [] Other:
Signer Is Representing: Signer Is Representing:
02U14 National Notary Association ^vvww.Nationa|Notory.org ^ 1-8OO'US NOTARY(1'80O'87G'G827) |tam #5907
Agreement No. 5234
................
...................................................
....................
.......... ..........
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 talArrivi
County of In �&"afvo I
On 9eLPbWA 7016before me, 0WO M "N
1�lwe vis(1111 nameand WkAk�jht
personally appeared
who proved to me on 4tee asi�s of satisfactory evidence to be the person(s) whose
name(-,)(&re subscribed to the within instrument and acknowledged to me that
KZE)she/they executed the same in d2yher/their authorized capacity(�es), and that by
(�er/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(6-) 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.
OLIVIA CHEA
F 777 '�'
(4�.,W, Commi"on No,2107474 z
WITNES mv hat7d-aid official seal. ji
1� NOTARY PUBLIC-CALIFORNIA IC2)
SAN BERNARDINO�COUNTY
My Comm,Expires APRIL Ia.2019J
Nota bl c"S", ature (Notary Public Seal)
ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM
Thisform complies with current California statutes regarding notary wording and,
DESCRIPTION OF THE ATTACHED DOCUMENT ifneeded should be completed and attached to the document Acknolwedgenlsftom
ther states may he completedfor documents being sent to that state so long as the
%Y� ording does not require the California notary to violate California notary law.
�e� d'escriptiio of hed documentk - State and County information must be the State and County where the document
0 signer(s)personally appeared before the notary public for acknowledgment
a'A ff 'n - Date of notarization must be the date that the signer(s)personally appeared which
'Wl'--cription of Wached docWent continued) must also be the same date the acknowledgment is completed
Number of Pages Document Date.................................................. - The notary public must print his or her name as it appears within his or her
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 c
he/she/they—, is/afe)or circling the correct fonns.Failure to correctly indicate this
FJ Individual (s) information may lead to rejection of document recording
Corpo�%e ' The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lines If seal impression smudges, re-scal if a
VIA01(T I itle), sufficient area permits,otherwise complete a different acknowledgment form
El Partner(s) Signature of the notary public must match the signature on filc with the office of
the county clerk
L1 Attorney-in-Fact Additional information is not required but could help to ensure this
E] Trustee(s) acknowledgment is not misused or attached to a different document
Indicate title or type of attached document,number of pages and date
F-1 Other I
ndicate the capacity claimed by the signer If the claimed capacity is a
corporate officer,indicate the title(i e CEO,CFO,Secretary)
Im Xim 11�161' Securely attach this document to the signed document with a staple
..........I--...........................
Agreement No. 5234
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
Jill County of2a"%Mrc�no
(Obefore me,
rld WN I i
(Here ns4l narne a
personally appeared 3em C-evAR
who proved to me on the basis of satisfactory evidence to be the person(s-) whose
name(s-)(&re subscribed to the within instrument and acknowledged to me that
<E&she/they executed the same in(�Yher/their authorized capacity(L-6), and that by
(�her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct.
Commission No.2107474
WIT S m hg-tfTb d official seal. NOTARY PUBLIC-CALIFORNIA
SAN BERNARDINO COUNTY
My Comm Expires APRIL 18,2019
ary ubli (Notary Public Seal)
.............
INSTRUCTIONS FOR COMPLETING THIS FORM
ADDITIONAL OPTIONAL INFORMATION
.......... Thisjbi'lir C"fill wah nola�v warehow and,
DESCRIPTION OF THE ATTACHED DOCUMENT tfrl sitil be cornplelied ql ariachetlia ohe ekwurtl A
ofk'�r Stores lyll be comple'll clociomil helloil I il siol lol(is rhe
(,",ding dclle��ntjl require/he("al!forr"a flolary I Vtoleve Call nofally lau"
Qjfl 0 d C 6 f attac �A doctinil - State and County informil rntiq be the State and County where the document
signer(s)personally appeared before the notary public for acknowledgment.which
- Date of notarization must be the date that the signer(s)personally appeared
I Ord
I d cir�pltl of ttach 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
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.
CA.PACITY CLAIMED BY THE SIGNER e Indicate the rl singular or plurlil forms by crossing off incorrect forms(i.e.
"shel'thl iq ilife)of cireling 0%,,c(ilrrcc�forim I to correctly indicate this
El Individual (s) infornwhon nwy lead to rejeetion ofdocufficin recording
�CAqpte Officer - The noulay sea[ initiression: rnust be clear �ind photographically reproduci
impression must not cover lexi of lines. lfsea� impression lmnwigcS,ru-skn0
It e nt area pl olfierwiw complete a diM�reiit acknowledgmW kmil if
suffiole
- Signature I notary public must match the signature on file with the offic o
171 Partner(s) the county clerk.
El Attorney-in-Fact Additional information is not required but could help to ensure thi s
E:] Trustee(s) acknowledgment is not misused or attached to a different document
Indicate title or type of attached document,number of pages and date
Other
llp Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer,indicate the title(i e CEO,CFO,Secretary)
Jo���mn w"�fv'�
Agreement No. 5234
PROPOSAL
FOR THE
FIBER OPTIC NETWORK EXPANSION
Project No.: PW 16-33
Date '" n)ber � ,201 b
Company Name . ". :. ' lectDI„..... . 1 ,
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.
FOIJAL EMPLOYMENT.NT OPPORTUNITY COMPLIANCE
I-C-1
Agreement No. 5234
BIDDER certifies that in all previous contracts or subcontracts,all reports which may have been
due under the requirements of any agency,State,or Federal equal employment opportunity orders
have been satisfactorily filed, and that no such reports are currently outstanding.
AFFIRMATIVE ACTION CERTIFICATION
BIDDER certifies that affirmative action has been taken to seek out and consider minority business
enterprises for those portions of the work to be subcontracted, and that such affirmative actions
have been fully documented, that said documentation is open to inspection, and that said
affirmative action will remain in effect for the life of any contract awarded hereunder.Furthermore,
BIDDER certifies that affirmative action will be taken to meet all equal employment opportunity
requirements of the contract documents.
NONCOLLUSION DECLARATION
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. 5234
BID SCHEDULE
FIBER OPTIC NETWORK EXPANSION
PROJECT NO.: PW 16-33
Company Name: F-Nenvr u>,vq
BASE BID ITEMS
...........................................................................-.............................................
Item Unit Price Total
No. Description Qty Unit M M
1 Mobilization for lump sum I LS siellow
2 Pothole existing, tit i I i I i es prior to commencing any I LS tq 000
excavation for „�cw lump sum f 42,61M)
Provide, furnish,test and deliver all materials,tools,
equipment, labor and services necessary for installation of
3 4-inch PVC conduit at various locations using open 1,965 LF $0(34 "I�
trench method including backfill and AC pavement for
per LF
Provide, furnish,test and deliver all materials,tools,
4 equipment, labor and services necessary for installation of 400 LF (00 S2410w:
4-inch PVC conduit at various locations using direct
boring method for lkw-per LF
Provide, furnish,test and deliver all materials,tools,
5 equipment, labor and services necessary for installation of 3 EA
Jensen 44X4"01 148-01) or equivalent Pullboxes at various 412) 160
locations lot each
Provide, furnish,test and deliver all materials,tools,
6 equipment, labor and services necessary for installation of 2,365 LF
Cable Identification tapes for all new conduit forl I
per LF.
Provide, furnish,test and deliver all materials,tools,
7 equipment, labor and services necessary for installation of 2,365 LF
low friction, polyethylene jacketed polypropylene rope
with 1800 psi tensile strength for � per LF.
Provide,furnish,test and deliver all materials,tools,
equipment, labor and services necessary for installation of
8 1 Coming Altos 144EU4-T41 0 1 D20 144 strand single 6,323 LF *N)(0)9
mode fiber optic cable or equivalent through exiting
conduit for per LF.
Provide, furnish,test and deliver all materials,tools,
equipment, labor and services necessary fusion splicing
9 and termination of one Coming Altos 144EU4-T4 10ID20 I EA
144 strand single mode fiber optic cable(Both sides for a
total of 288 connections)for 9UD each.
10 Provide, furnish,test and deliver all materials,tools, I EA 4 -3)40 -31 40D
I-C-3a
Agreement No. 5234
equipment, labor and services necessary for installation of
a Corning CCH-04U Closet Connector Housing or
1 11 (populated h 6 I-CS24-A9-POORE
�siled Cassettes for ti l each.
��iv�t c��tt o u aj w...................1;t~
Provide, furnish,test and deliver all materials,tools,
equipment, labor and services necessary for installation of
11 a Corning WCH-12P wall mount connector housing or 1 EA
equivalent with a Corning WCH-SPLC-12 Splice Tray
Holder or I
CCH-CP24-A9 t
dual LC panels) or. (populated Pi with 6 each.
Provide water-tight electrical
conduit sealant and fire
l2 rated caulks for t lump sum. LS is
13 ,Provtde
' Traffic Control for � lump sum. LS � 2DI L9'
.... ....,,, ..
-' ide
- l "c.placernent street striping and markings for
14 --------lump sum. LS t a eq
. ... .. .. ... a ..
t;a
TOTAL BASE BID=$ I
TOTAL BID WRITTEN IN WORDS; "
Q�& 2,M OAS
ALTERNATIVE BID SCHEDULE
I-C-3b
Agreement No. 5234
FIBER OPTIC NETWORK EXPANSION
—� PROJECT NO.: PW 16-33
�z�
Company Name: iemof co IpAecww'1(I( ,
......................................................................
ALTERNATIVE BID ITEMS
Item Unit Total
No.
Description QTY Unit Price($) ($)
(Hither Al or A2)Provide type 2 slurry seal
Al I 19,650 SgFt
sq ft.
(Either Al or A2)Provide 2"Overlay for the
A2 width of the travel lane in which the trench is 57,150 SgFt 42JA S I 1
located.
Provide, furnish,test and deliver all
materials,tools, equipment, labor and
A3 services necessary for installation of(1)three 6,323 LF 1
cell,3"Maxcell,part number
MXC3456BK5300
A4 Mandrel Conduit for testing existing conduit. 1,000 LF 31 C)W
All work shall be per these specifications and attachments. Prevailing wage rates apply. The
City of El Segundo reserves the right to reject any or all bids, to waive any irregularity, and
to take all bids under advisement for a period of ninety(90) calendar days.
I-C-3 c
Agreement No. 5234
BIDDER'S INFORMATION
Company Name: ..:.-At C.
BIDDER certifies that the following information is true and correct:
Form of Legal fl?nt ty (i.e., individual, partnership, corporation, etc.)
If corporation, State of Incorporation (i.e., California)
Business e V.VA.,,. t.C,
Address i.; "
k.�) �. .
Ci
Telephone No, 0
Facsimile No. _ Wk?)- 1; 1
Email Address
State Contractor's License No. and Class 3!'�„Z—A,B 0
Original Date Issued –ftA -1 Expiration ate )
The following are the names,titles, addresses, and phone numbers of all individuals, firm
members, partners,joint venturers, and/or corporate officers having principal interest in this
ki7as&�1
A(� �'lll�_ 311otY1 $ItVc) `�'A1 �Cketf Ave
The date of any voluntary or involuntary bankruptcy judgments against any principal having an
interest in this proposal is as follows:
Y)(DY)e
All current and prior DBA's, aliases, and/or fictitious business names for any principal having
an interest in this proposal are as follows:
n on-e
I-C-4
Agreement No. 5234
BIDDER'S INFORMATION(CONTINUED)
Company Name:
Bidder shall list the name of the person who inspected the project:
Name:
Title:
2
I-C-5
Agreement No. 5234
IN WITNESS WHEREOF,BIDDER executes and submits this proposal with the names,titles,
hands,
and seals of all aforenamed principals this 1Sp day of 20
BIDDER
1'h . .,...:............................
................................................................
Subscribed and sworn to this .......... ..................................... day of 20_.
NOTARY PUBLIC
I-C-6
Agreement No. 5234
A
JURAT
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'M3
Subscribed and sworn to (of-affirmed) before me on this tt day of
20 00 - by ,)NA WM�
proved to me on the basis of satisfactory evidence to be the person(s) who appeared
before me.
.,. p;Y ..
OLIVIA C
Commission No.2107474
NOTARY PUBLIC-CALIFORNIA
SAN BERNARDINO NTY
(Seal) my Co .mm EW"AP*A.is.COU 20ig
OPTIONAL INFORMATION INSTRUCTIONS
The wording of all Jurats completed in California after January 1, 2015 must be in the
form as set forth within this Jurat. There are no exceptions. If a Jurat to be completed
does not follow this form, the notary must correct the verbiage by using a jurat stamp
containing the correct wording or attaching a separate jurat form such as this one with
does contain the proper wording. In addition, the notary must require an oath or
DESCRIPTION OF THE ATTACHED DOCUMENT affirmation from the document signer regarding the truthfulness of the contents of the
No document The document must be signed AFTER the oath or affirmation.If the document
—
was previously signed,it must be re-signed in front of the notary public during the jurat
(Title or description of attached document) process.
• State and county information must be the state and county where the
(Tide or description of attached document.1 e 1.n.t.1.c..o I n.tin,u I e..d document signer(s)personally appeared before the notary public.
• Date of notarization must be the date the signer(s) personally
appeared which must also be the same date the jurat process is
completed.
Number of Pages Document Date
• Print the name(s) of the document signer(s)who personally appear at
the time of notarization.
......... ..... Signature of the notary public must match the signature on file with the
Additional information office of the county clerk.
• 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 sufficient area permits, otherwise complete a
different jurat form.
Additional information Is not required but could help
to ensure this jurat is not misused or attached to a
different document.
Indicate title or type of attached document,number of
pages and date.
2015 Version www.NotaryClasses.com 800-873-9865 • Securely attach this document to the signed document with a staple.
.............. ...........
MMMML ''—'-
----- ----------------- —---------
Agreement No. 5234
PROPOSAL GUARANTEE
BID BOND
FIBER OPTIC NETWORK EXPANSION
PROJECT NO.: PW 16-33
KNOW ALL MEN BY THESE PRESENTS that,
Elecnor Belco Electric, Inc. , as BIDDER, and
Fidelity and Deposit Company of Maryland , as SURETY, are held and firmly bound unto the
City of El Segundo, in the penal sum of-Ten Percent of Arn,ouint Bid DOLLARS ($1oi.),which is ten
(10%) percent of the total amount bid by BIDDER to the City of El Segundo for the above
stated project, for the payment of which sum, BIDDER and SURETY agree to be bound,
jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that,whereas BIDDER is about
to submit a bid to the City of El Segundo for the above stated project,if said bid is rejected,or if
said bid is accepted and a contract is awarded and entered into by BIDDER in the manner and
time specified,then this obligation shall be null and void,otherwise it shall remain in full force
and effect in favor of the City of El Segundo.
IN WITNESS WHEREOF the parties hereto have set their names,titles,hands, and seals this
th day of November 2016
BIDDER* Elecnor Belco I':.lerc't rl(,InC. 4331 Schaefer Ave,Chino,CA 91710 John L Wong,Vice President Transportation Division 909-993-5470 ext 254
SU12ETY* Fidelity and Deposit C:onrwov of Mitrvla od Attn SuAr<etv 1)e pr,,600 faerd Brook 61vd,0Wine ry iIN,MD' 711 t 7
Authorized Representative:Margaret Hertz,777 South Figueroa St„Ste 3900 Los angeles,CA 90017 213-270-0757
Logan Charles Lehrkamp,Attor�
Subscribed and sworn to this day of ....._-w............__, 20 .
NOTARY PUBLIC
*Provide BIDDER/SURETY name, title, address and telephone number and the name, title,
address and telephone number for authorized representative.
I-C-7
Agreement No. 5234
.......................... ............... ................... .. ..........
ALL- PURPOSE
CERTIFICATE OF' ACKNOWLEDG,MENT
A notary public or other officer completing this certificate verifies only the II
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
County of oemwft
On �K AL before me, (Am c
personally appeared cJ
who proved to me on the basis of Msatsfactory evidence to be the person(s) whose
name(s-)(&re subscribed to the within instrument and acknowledged to me that
<fioshe/they executed the same in 42yher/their authorized capacity(ies), and that by
( Is er/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s-) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that
the foregoing paragraph is true and correct.
NES my OL IV IA
h-and and of
WIT ,
-S - ficia l seal.
Comminion No.2107474
NOTARY PUBLIC-CALIFORNIA 2
SAN BERNARDINO COUNTY
Aly Cornet.ENOW APAK Ia.2019
Notary Public S�1-9natu'e (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 ifneeded,should be completed and attached to the document Acknolwedgentsfrom
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 acknowledgment
• Date of notarization must be the date that the signer(s)personally appeared which
(Title 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.
• Indicate the correct singular or plural forms by crossing off incorrect forms(i
CAPACITY CLAIMED BY THE SIGNER e
El Individual (s) he/she/they,is/afe)or circling the correct forms Failure to correctly indicate this
information may lead to rejection of document recording
Corporate Office • The notary seal impression must be clear and photographically reproducible
LOImpression must not cover text or lines If seal impression smudges,re-seal if a
sufficient area permits,otherwise complete a different acknowledgment form
• Signature of the notary public must match the signature on file with the officeEl Partner(s) of G
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 -C- Indicate title or type of attached document,number of pages and date
❑ 4P Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer,indicate the title(i e,CEO,CFO,Secretary).
1:11 ; I I Securely attach this document to the signed document with a staple
Agreement No. 5234
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
validit of that document.
State of Minnesota
County of Hennepin
On November 15, 2016 before me, Kelly Nicole Bruggeman, Notary Public
(insert name and title of the officer)
° personally appeared Logan Charles Lehrkamp, Attorney-in-Fact
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
9 subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I 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. .. .. -^KELLY NICOLE BRUGGEMAN
Notary Public
• , �. Biala of Minnesota
My Commission E'xpites
... January 31,2021
Signature (Seal)
Agreement No. 5234
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New
York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
GERALD F.HALEY,Vice President,in pursuance of authority granted by Article V,Section 8,of the By-Laws of said Companies,which
are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby nominate,
constitute, and appoint Robin RUTLIN, Suzanne M. BRENNER, Kelly Nicole BRUGGEMAN, Blake S. BOHLIG, Logan Charles
LEHRKAMP, Tasha N. WILLIAMS, Julie Marie DECKER, Megan Nicole MONETTE and Michelle Anne MCMAHON, all of
Minneapolis,Minnesota, EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as
surety,and as its act and deed:any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these
presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes, as if they had been duly executed and
acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New
York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings
Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings
Mills, Maryland.,in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of
the By-Laws of said Companies,and is now in force.
IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 8th day of August,A.D.2016.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
cratyt�, �a�erer,rs :.4nNS�, ro
3fia9 ,u ION
? r
✓»xX�MIMXAY�XX'bAMM\
n•y
Secretary Vice President
Michael McKibben Gerald F. Haley
State of Maryland
County of Baltimore
On this 8th day of August,A.D.2016,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,GERALD F.
HALEY,Vice President,and MICHAEL MCKIBBEN,Secretary, of the Companies,to me personally known to be the individuals and officers described
in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the
said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that the said
Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said
Corporations.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written.
xa"^°"�aY X tl"�rrRrr„
a' w
�'NCf1Y�11N1'�'A\4a""
Maria D.Adamski,Notary Public
My Commission Expires:July 8,2019
POA-F 184-8370L
Agreement No. 5234
EXTRACT FROM BY-LAWS 0FTHE COMPANIES
"Article V. Section R.AmnneNs,in-Fam The Chief Executive Officer,the President,oc any Executive Vice President vr Vice President
moy, by written instrument under the attested corporate sno|, appoint auumeys-in-fact with authority to execute hondo, pnUdno,
pccogoizanuns, mipu|uhona, u"dnnokings, or other like instruments on behalf nfthe Cooupuny, and may axtbudzn any officer orany such
attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any Such appointment or authority at any
hmn."
CERTIFICATE
], the undersigned, Vice President of the ZURICH &&W8D|CAN INSURANCE COMPANY, the COLONIAL AMERICAN
CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY 0F MARYLAND, do hereby certify that the
foregoing Power of Aunmcy is mU\ in full force and effect no the date of this certificate; and Idn further certify that Article V.Section 8,of
the By-Laws o[the Companies ia still iuforce.
This Power nf Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of
Directors ofthe ZURICH AMERICAN INSURANCE COMPANY utx meeting duly called and held no the l5tb day nf December ]998.
RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary
and the Seal ofthe Company may hc affixed hy facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such
facsimile signature and seal shall ho valid and binding nnthe Company."
This Power of Attorney and Conifiomemay be signed by facsimile under and hy authority nf the following resolution uf the Board nf
Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at u meeting duly called and bold no the 5th day of
May, 1994. and the following »nso]ubno of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at o
meeting duly called and held oo the ]0/b day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature
of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or hereafter, wherever appearing upon a
certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect
a;though manually affixed.
INTES"I'INIONY WHEREOF,l hme heroinlo subscribed my name and affixed the corporate seals of the said Companies,
this doynfol,U C 28��_
0 SEAL
A4
Michael Bond, Vice President
Agreement No. 5234
Disclosure Statement ZURICH",
NOTICE OF DISCLOSURE FOR AGENT&BROKER COMPENSATION
If you want to learn more about the compensation Zurich pays agents and brokers visa
http,//www.zu6r-hnapmducermmpen&BtiDn.CDM
or call the fb3mhoing tolWee.number (866) 903-1182
This Notice is provided on heha}f of Zurich American Insurance Company
and its underwriting subsidiaries_
u MJ-�4-A Cv (nil)
Agreement No. 5234
CONTRACTOR'S LICENSE DECLARATION
(Business and Professions Code Section 7028.15)
1. BIDDER'S Contractor's License Number is:
�1-3Qi'�-1b Class No.: )� i 1�l C_LG
2. The expiration date of BIDDER'S Contractor License is:
r ....................._.........., 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 onWMof 1'�;20 J(o, at
(insert City and State where Declaration signed).
� � ...a re.... ........................_ N...
Typed Name
vv
Title
Company Name
I-C-8
Agreement No. 5234
NON-COLLUSION DECLARATION
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
(pursuant to Cal. Pub. Contract Code § 7106)
The undersigned declares;
I am the ��( �, ,,� ..
�_. �� � J
°( � . � r the party making
the foregoing bid.
The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership,
company, association, organization, or corporation. The bid is genuine and not collusive or
sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a
false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or
agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. 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. All statements
contained in the bid are true. 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,to any corporation,partnership,company,association,organization,bid depository,or to
any member or agent thereof,to effectuate a collusive or sham bid,and has not paid,and will not
pay, any person or entity for such purpose.
Any person executing this declaration on behalf of a bidder that is a corporation, partnership,
joint venture, limited liability company,limited liability partnership,or any other entity,hereby
represents that he or she has full power to execute, and does execute,this declaration on behalf
of the bidder.
I declare under penalty of perjury under the laws of the State of California that the foregoing
is true and correct and that this declaration is executed on'OW.'..1"7 [date], at
C II1V�b [city], C [state]."
Dated this � � day of ITI iV � r � 20 lko.
Name
.'.... ..._...................... �
Title ,
Siv at. 'c
I-C-9
Agreement No. 5234
WORKER'S COMPENSATION CERTIFICATION
Section 1861 OF THE LABOR CODE
(Workers' Compensation)
Pursuant to Section 1861 of the Labor Code, the BIDDER, in submitting his/her
PROPOSAL, shall sign the following certification:
"I am aware of the provisions of Section 3700 of the Labor Code which require every
employer to be insured against liability for workers' compensation or to undertake self-
insurance in accordance with the provisions of that code, and I will comply with such
provisions before commencing the performance of the work of this contract."
Signature of Bidder:
Title:
Business Name: " " .,°WO I' -A(0
Business Address: ''131 �Qe � e
C hoc� � C q,�-Atc)
Telephone Number: 0
Dated this. day of 1��� � . 20 l lo.
I-C-10
Agreement No. 5234
DESIGNATION OF SUBCONTRACTORS
FIBER OPTIC NETWORK EXPANSION
PROJECT NO.: PW 16-33
Company Name: ,`:.::: ...:. ..::: y J� . ' . .. 1 .. _
BIDDER will perform the majority of the work and proposes to subcontract certain portions ofthe
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
r (Number and Street)
ASP,Mvf ".
1 ( 'ityi :'ocic)
I�
900A s CA, q 241
..........:
............................
Ho CA 9154)9
i
.................................................................................................................................................. ..........................................
.........................................................._...................................................
.......................................................
I-C-1 1
Agreement No. 5234
REFERENCES
Company Name: _...ww..._......... ........ : .... .p C Mco
The following are the names,addresses,and telephone numbers for agencies for which BIDDER
has performed similar work as the prime contractor or major subcontractor within the past five
(5)years: y
I. Project Title: p ° . . "ro.( y:.: N Q". V.O .
Location:
1 C ! 1 } C
Name a\nd address of owner
Name and current telephone number of person familiar with project
Type of Work:
`. ,
Contract amount:$ Y.
..�...:�...�.�'' .�-'.. ................�,.................. Date completed:
w
Amount of work done by my/our firm under contract$„ 'C .
Did your firm have any financial interest in Project?
2. Project Title;
Location: � ;
Name ind address of owner
o- 12-
Name and current telephone number of person familiar with project
Type of Work: Q�Vc,�., vi6eu oe ., :. IV
( - p _ , " �
Contract amount:$ 1 � Date completed:
Amount of work done by my/our firm under contract$ C5��l �.IT
Did your firm have any financial interest in Project?
I-C-12
Agreement No. 5234
3, Project Title: emfa
Location: N(Va lb
C 16' MrAcll ��-no I
IA-lba " () CIVIC (pfq(,f pir,
Name al'Id address of owner
J m
Name and current telephone number of person familiar with project
Type of Work:
Contract amount:$ I i v Date completed: ,,�O ivl I,WGY gus;-
Amount of work done by my/our firm under contract$ ...............-—--------
Did your firm have any financial interest in Project?
4. Project Title:
Location: &TeMCC:,Vft
N2 a d"address of
S,Ar\US2&Qk cM--&4— �Z�A
Name and current telephone number of person familiar with project:
Type of Work:
Contract amount:$ Date completed: ._. nil"
Amount ofwork done by my/our firm under contract$
.............
Did your firm have any financial interest in Project?
5. Project Title: 'A%(fic ftk�
Location:
MAC (tLclf f"Y'.
Name acid address of owner
FvO
I-C-13
Agreement No. 5234
Name and current telephone number of person familiar with project:
Type of Work: I "7t-
f
Contract amount:$ & Date completed:
a
-- 441
Amount of work done by my/our firm under contract . .............
Did your firm have any financial interest in Project? lv�
ti
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:
I c
a(d,
........... ......
2.-� ..............
'22;,— . C'
I-C-14
Agreement No. 5234
BIDDER'S STATEMENT OF
PAST CONTRACT DISQUALIFICATIONS
FIBER OPTIC NETWORK EXPANSION
PROJECT NO.: PW 16-33
Company Name:
Please state all instances of being disqualified, removed, or otherwise prevented from
bidding on, or completing, a federal, state, or local government project due to a violation of a
law or safety regulation.
I. Have you ever been disqualified from any government contract?
Yes ❑ No X
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 I No ❑
^'.5....Signature uL.. �w .....�
Bid�l ...... .. wwww..... .Ww.
Name (Please Prillt)
I-C-15
Agreement No. 5234
INSURANCE REQUIREMENTS
[MUST BE SUBMITTED WITH PROJECT PROPOSAL]
FIBER OPTIC NETWORK EXPANSION
p���`1
PROJECT NO.:-�-P�rW 16-33,
Company Name: 'F-Z-l� y.................Y. ............ 1.'4..
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:
Tvne of Insurance Limits
Commercial general liability: $2,000,000
Business automobile liability: $1,000,000
Workers compensation: Statutory requirement
Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form No.CG
00 01 11 85 or 88. The amount of insurance set forth above must be a combined single limit per
occurrence for bodily injury, personal injury, and property damage for the policy coverage. Liability
policies must be endorsed to name the City, its officials, and employees as"additional insureds"under
said insurance coverage and to state that such insurance will be deemed"primary"such that any other
insurance that may be carried by the City will be excess thereto. Such endorsement must be reflected on
ISO Form No.CG 20 10 11 85 or 88,or equivalent. Such insurance must be on an"occurrence,"not a
"claims made,"basis and will not be cancelable or subject to reduction except upon thirty(30)days prior
written notice to the City.
Insurer will agree in writing to waive all rights of subrogation against the City, its officers, officials,
employees and volunteers for losses arising from work performed by Contractor for the City.
Automobile coverage must be written on ISO Business Auto Coverage Form CA 00 01 06 92,including
symbol 1 (Any Auto).
The Consultant must furnish to the City duly authenticated Certificates of Insurance evidencing
maintenance of the insurance required under this Agreement,endorsements as required herein,and such
other evidence of insurance or copies of policies as may be reasonably required by the City from time to
time. Insurance must be placed with admitted insurers with a current A.M. Best Company Rating
equivalent to at least a Rating of"A:VII." Certificate(s)must reflect that the insurer will provide thirty
(30)day notice of any cancellation of coverage. The Consultant will require its insurer to modify such
certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of
cancellation imposes no obligation, and to delete the word "endeavor" with regard to any notice
provisions.
The City requires California Worker's Compensation Coverage with the associated Waiver. Out-of-state
coverage will not be accepted in lieu of the California coverage,because the work is being performed in
the State of California.
By signing this form, the bidder certifies that it has read, understands, and will 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."
1
Date M(Jidder'.° Signature
I-C-16
Agreement No. 5234
END PROPOSAL SECTION
I-C-17
Agreement No. 5234
A 01
October 31, 2016
ADDENDUM NO. 1
to
THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS
for
RICHMOND STREET IMPROVEMENTS PROJECT
PROJECT NO. PW 16-33
ATTENTION BIDDERS:
The following additions, modifications, and clarifications to the specifications shall be
included in, and become a part of, any contract which may be executed for the above
project in the City of El Segundo:
1. The bid due date and time has changed to Tuesday,November 15,2016,at
11:00 am.
2. Questions regarding bid has changed to Monday,November 07, 2016, by 3:00
pm.
As evidence that the BIDDER has read this Addendum, the BIDDER must acknowledge
same in the space provided below and submit this Addendum with the Bid Proposal.
Failure to provide such acknowledgement shall render the bid as non-responsive and
subject to rejection 1
Signature: Date: \ ��s I l l
... :........................... µ.>
, u
Print Company Name: , i r .. 1�► , I�C .
Page 1 of 1
350 Main Street,El Segundo,CA 90245-3895 (310)524-2300 Fax(310)640-0489
Agreement No. 5234
November 9, 2016
ADDENDUM NO. 2
to
THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS
for
FIBER OPTIC NETWORK EXPANSION
PROJECT NO. PW 16-33
ATTENTION BIDDERS:
The following additions, modifications, and clarifications to the specifications shall be
included in, and become a part of, any contract which may be executed for the above
project in the City of El Segundo:
1. The bid due date and time is still Tuesday,November 15,2016,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 below and submit this Addendum with the Bid Proposal.
Failure to provide such acknowledgement shall render the bid as non-responsive and
subject to reject ki'i.
m
Signature: m_..................................................................................................... Date: . . . .....
Print Company Name:
a
Page 1 of 1
350 Main Street, El Segundo,CA 90245-3895 (310)524-2300 Fax(310)640-0489
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Agreement No. 5234
ELECNOR BELCO ELECTRCIC, INC.
BILL OF MATERIALS
CITY. DESCRIPTION
2,500' 4" PVC SCHEDULE 80 CONDUIT
20 4" PVC SCHEDULE 80 ELBOWS
20 4" PVC COUPLINGS
20 4" PVC BELL ENDS
3 JENSEN 44X-FOH48-09 PULL BOX
6,600' CORNING ALTOS 144EU4-T410D20 144 SMFO FIBER OPTIC CABLE
1 CORNING FUSION SPLICE ENCLOSURE
1 CORNING CCH-04U CLOSET CONNECTOR HOUSING (FDU)
1 CORNING WCH-12P WALL MOUNT CONNECTOR HOUSING
80 SLURRY ENCASEMENT(YD)
160 ASPHALT PATCH (TON)
NOTE:
CORNING IS CURRENTLY A LONG LEAD TIME DUE TO MANUFACTURING DELAYS. PRYSMIAN CABLE HAS
BEEN SUBSTITUTED AND ACCEPTED BY A NUMBER OF AGENCIES.
6,600' PRYSMIAN F-ETHIJKT-I2-ES-144-E3 144 SMFO
Agreement No. 5234
11/14/2016 Quality Management-Integrated Management System-Responsibility-Elecnor
Home Responsibility 1 integrated Management System , Quality Management
i,5 .t I'I I I,lI I,�,)1,1111,,L��„� ,1�., �.��,,,,,„'` Quality Management
hid„I✓,i,il�,,,I P Y.�r i�,„',,ruuea P' it Jl,'iiv`n� ,ir d,lu�,
tl,1,,PuS n,nhry '/' rw„r., I,,n Elecnor's Quality System was certified by AENOR in 1995 pursuant to Standard UNE-EN ISO 9001:2008.
hnln,
Among the primary aspects undertaken we hereby include:
• Managing customer satisfaction
Establishing a system of indicators which measures process efficiency
Consolidating the continuous improvement in the process of defining and implementing corrective,
preventative and improvement measures
. Performing all scheduled activities to maintain the Integrated Management System
Certification
During the year, AENOR conducted the following audits to renew the NE-E
ISO 9001:2003 quality management systems certification of various departments
,and business units, with satisfactory results,
If Energy Unit
I) Major Networks Unit
I,.l, Northern Regional Office
Is Eastern Regional Office
I":1 Central Regional Office
I.r North Past regional Office
l) Southern regional Office
p Elecnor Environment
The following Group subsidiaries were also successfully audited:
p Ehisa Construcciones y Maras
p Elecnor `eguridad
p Area 3, Equiparniento, Disoiao e Int eriorisrr►o
Aplicaciones Tdcnicas do la Energia
p Audeca
p Deirnos
p Hidroa€ribiente
p Adhorna Prefabricaci6n
In order to continue irnprovin , efforts will be made in 2010 to optimise production
procedures for high-voltage line assembly activities, high-voltage substations,
facilities and telecommunications.
Additionally, due to lecnor's growing presence abroad, the groundwork is being
laid to implement the Integrated Management System at international level.
The duality systems in glace throw up two key indicators that allow us to learn the
expectations and degree of satisfaction of our customers: certificates of goad
ex ecution and customer satisfaction surveys.
Elecnor
Paseo de Is Castellana,95-1711 floor
Torre Europa Building-28046 MADRID-Spain
elecnor(Pelecnor.com
hftp://www.elecnor.com/en/responsibi I ity/m anagem ent/quality/ 1/1