The URL can be used to link to this page

CONTRACT 5275 Public Works Contract CLOSED Agreement No. 5275 PUBLIC WORKS CONTRACT BETWEEN THE CITY OF EL SEGUNDO AND STEPHEN DORECK EQUIPMENT RENTALS,INC. WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 This CONTRACT is entered into this 8th day of r.. lLLuj[y, 2017, by and between the CITY OF EL SEGUNDO,a general law city and municipal corporation("the City")and Stephen Doreck Eouhmient Rentals, Inc.„ a California Corporation. ("the Contractor"). I. 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 Five 1-lundred Sev�nty_Nine 'mousand. Six 1-lundred Fifty Seven Dollars and Fifty Cents ($579.657.50) 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 Forty-Five (45) working days (the "Contract Time.") I-D-1 Agreement No. 5275 B. The Contract Time will commence when the City issues a Notice to Proceed. The Contract Documents will supersede any conflicting provisions included on the notice to proceed issued pursuant to this Contract. C. The Contractor may not perform any Work until: i. The Contractor furnishes proof of insurance as required by the Contract Documents; and ii. The City gives the Contractor a written, signed, and numbered purchase order and notice to proceed. D. By signing this Contract,the Contractor represents to the City that the Contract Time is reasonable for completion of the Work and that the Contractor will complete the Work within the Contract Time. E. Should the Contractor begin the Work before receiving written authorization to proceed, any such Work is at the Contractor's own cost and risk. 4. DISPUTES. Disputes arising from this contract will be determined in accordance with the Contract Documents and Public Contracts Code §§ 10240-10240.13. 5. THIRD PARTY CLAIMS. In accordance with Public Contracts Code§9201,the City will promptly inform the Contractor regarding third-party claims against the Contractor,but in no event later than ten(10)business days after the City receives such claims. Such notification will be in writing and forwarded in accordance with the "Notice" section of the Contract Documents. As more specifically detailed in the Contract Documents,the Contractor agrees to indemnify and defend the City against any third-party claim. 6. TAXPAYER IDENTIFICATION NUMBER. The Contractor will provide the City with a Taxpayer Identification Number. 7. PERMITS AND LICENSES. Unless otherwise provided, the Contractor, at its sole expense,will obtain and maintain during the Contract Time,all necessary permits,licenses, and certificates that may be required in connection with the Work. 8. OWNERSHIP OF DOCUMENTS. Al l 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 not I-D-2 Agreement No. 5275 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. NO'T'ICES. 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 Public Works Stephen Doreck City of El Segundo Equipment Rentals, Inc. 350 Main Street, 9075 Telegraph Rd. El Segundo, CA 90245 Pico Rivera, CA 90660 Attn: Arianne Bola Attn: Stephen Doreck 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. I-D-3 Agreement No. 5275 14. INTERPRETATION. This Contract was drafted in, and will be construed in accordance with the laws of the State of California, and exclusive venue for any action involving this Contract will be in Los Angeles County. 15. EFFECT OF CONFLICT. In the event of any conflict, inconsistency, or incongruity between any provision of the Contract Documents,precedence will be as follows: A. This Contract; B. The Standard Specifications; and C. Precedence of documents as determined in the Standard Specifications. 16. SEVERABILITY. If any portion of the Contract Documents are declared by a court of competent jurisdiction to be invalid or unenforceable, then such portion will be deemed modified to the extent necessary in the opinion of the court to render such portion enforceable and,as so modified,such portion and the balance of this Contract will continue in full force and effect. 17.AUTHORITY/MODIFICATION. The Parties represent and warrant that all necessary action has been taken by the Parties to authorize the undersigned to execute this Contract and to engage in the actions described herein. This Contract may be modified by written amendment. The City's city manager,or designee,may execute any such amendment on the City's behalf. 18. ACCEPTANCE OF FACSIMILE SIGNATURES. The Parties agree that this Contract, agreements ancillary to this Contract,and related documents to be entered into in connection with this Contract will be considered signed when the signature of a party is delivered by facsimile transmission. Such facsimile signature will be treated in all respects as having the same effect as an original signature. 19. COVENANTS AND CONDITIONS. The parties agree that all of the provisions hereof will be construed as both covenants and conditions,the same as if the words importing such covenants and conditions had been used in each separate paragraph. 20. CAPTIONS. The captions of the paragraphs of this Contract are for convenience of reference only and will not affect the interpretation of this Contract. 21. TIME IS OF ESSENCE. Time is of the essence for each and every provision of the Contract Documents. I-D-4 Agreement No. 5275 IN WITNESS WHEREOF the parties hereto have executed this contract the day and year first hereinabove written. CITY -`EL S120JNDO STEPHEN DORECK EQUIPMENT RENTALS, Greg <t iter Ste'�lien L. Doreck it °„, Vice President AT`11-ST: 4-,m ° + Taxpayer ID No. 20-8858954 Tra y ea r, Ci Cler Contractor State License No.: 665471-A Contractor City Business License No.: 25624 APPROVED AS TO FORM: MARK D. HENSLEY, City Attorney By: for Karl H. Berger, Assistant City Attorney Insurance Reviewed by: / I-D-5 Agreement ��O. 5275 rosn��pncmmma —n nO PREDICATED owTHE nmmmNTRACrAMOuNT FAITHFUL PERFORMANCE BOND WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT N[).: PWl7-03 Bond No. 2221634 Bond Fee: $6.34e.00 8tsnhsoDorn I�ndo]e. hzo. (^^Pl�[��C1��I.``) ---~—~----- ----- ("PRINCIPAL") and North American Specialty Insurance cvmpo^y___ _____� , xcorporutou incorporated under the laws o[the State of New Hampshire and licensed hy the State o[ California to execute bonds and undertakings as sole surety,as surety("SURETY"),are held and firmly bound unto the CITY(}F ELQ|BG[JNIJ()(^^CIIY")io the sum of Five Bmuub�edSeN�*ntY N 4neTh0u8mnd' SiX |l1.111(11-cdl'#1v ScvenDm}larmaml�i#v Ceu1m($ ),lawful money o[the United States,which may hoincreased or decreased byarider hereto executed in the same manner as this bond,for the payment of which sum PRINCIPAL and SURETY bind themselves, their successors, and oaoiguo,jointly and severally,bythis iumtroozcut. PRINCIPAL or SURETY will apply this bond for the faithful performance of any and all of the conditions and stipulations set forth iu this bond,SPECIFICATIONS NO.D^W 17-03,and the public works contract eroun1cd with such Specifications. In the come of any default in the performance o[the conditions and stipulations ofthionndertokiou,itivagzendtbutyRlNClPAL oc SURETY will apply the bond or any portion tbcceo[ bo the oa�x[ocliouof any damages, reclamation, assessments,penalties, or deficiencies odui bv reason of such default. BOND CONDITIONS l. l,lQNC[PAJ. will oouabuc\ the public improvements identified in SPECIFICATIONS NO' 8,W 87-03, a copy of which is ou file with ClTY`uEngineering Division (^],oblioProject"). Such performance will bobu accordance with C}TY`a plans and profiles (CITY DRAWING FILE NO. PW87-03) which are made o 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 ou shown above. 2. PIUNClPAL^o work mu the Public Project will be done io accordance with ClTY`e plans and npooifioudouaand with any permit issued byCITY. 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 he firmly bound for the payment of all necessary costs therefor. 3. PRINCIPAL will guarantee its vrndc against any defective work, labor, or nootodnlu on the Public Project for u period of one (l) year following the Public Project's completion and acceptance byCITY. I'>5'l Agreement No. 5275 4. This bond is conditioned upon and guarantees due compliance with all applicable law including, without limitation, the El Segundo Municipal Code (`SSMC"). 5. SURETY, for value received, agrees that no changes, extensions of time alteration or modification of SPECIFICATIONS NO. PW 17-03 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. 5275 SIGNED AND SEALED this 8th day of February 72017 Stept n:Doreck Equipment Renta s,Inc, North Amer��-,gf)eciauy I p�nce Company 1`17T)NCIPAL's PRESIDENT+- -af- eetwiu 'a"')Rfli Y's M—Mm.W'4r-iura Ayala,Attorney-in-Fact ........... 44 '4: e do 0 �le, - , � e PRINT I PAL's SECRETARY SURETY's SECRETARY .-- 0 U;ramcvL t� ) PRINCIPAL's MAILING ADDRESS: SURETY'S MAILING ADDRESS: 9075 Telegraph Road 6 Hutton Center Drive,Suite 850 Pico Rivera,CA 90660 Santa Ana,CA 92707 ................... 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. 1-E-3 Agreement No. 5275 �CAI BF01 11141A AL.1 ACKINOM111 011C31IGMEM`' State of California County of Los Angeles On 02/09/2017 before me, Sylvia Sil ucnws (Nouary Public) Dale Here Insert Name and Title of the Office, personally appeared Catherine R.Doreck and Pablo Viramontes Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) ix/are subscribed to the within instrument and acknowledged to me that 11WM19/they executed the same in $YLVIA 11FUENTES MgMer/their authorized capacity(ies), and that by "" T" CIO 0 xkbs*er/their signature(s) on the instrument the COMMISSIOn#2081164 107Notary Public•Californill person(s), or the entity upon behalf of which the Loss Angetel County person(s) acted, executed the instrument. Comm, Expires Oct wax , 1#1 V 401,111",0144w,''40 t 0.2018 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 PIx;.Nola y Sal Ahove Ow ........... (.)P77GNA,1 Though the information below is not required by law, it may prove vat le r relying on the document and Could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document 1� Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above Capacity(ies) Claimed by Signer(s) Signers Name Signer's Name Corporate Officer—Title(s) Corporate Officer Title(s) Individual i Individual Partner Limited iGeneral Top of thumb here j Partner Limited j General Top of Inurnib nere 4, Attorney in Fact I Attorney in Fact Trustee Trustee Guardian or Conservator i Guardian or Conservator Other: I Other: Signer Is Representing- Signer Is Representing: I. 92009 National Notary Association•Nationa'Nolary org•I-600-LIS NOTARY(1-800-0766827) tl x I y Item k5907 Agreement No. 5275 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ry public or other officer completing this certificate verifies only the identity of the indiv"'idua|who signed the hdocument to which this certificate iaattoohod. and not the truthfu|nauu. uoouracK or validity of that dooument U L_ STATE OFCALIFORNIA County of Oranoe � On Febnua�y 8th, 2017 before me, GhaunnoRoze||eOstrom Notary Public, Date Insert Name of Notary exactly u,x appears oo the official seat personally appeared Arturo Ayala ---- -- -- ----' | who proved to me on the basis of satisfactory evidence to be the on(s) whose narne(s) Ware 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 hisJlher/their signatUre(S) On the Instrument the person(s), or the entity Upon beWf of which the person(s) acted, executed the instrumeft COMM.#2159617 | | certify under PENALTY OF PERJURY under the laws of � the State of California that the foregoing paragraph is boa ORANGE COUNTY U. and correct. |� � MyComm.ExpiresJull 11, .� Witness my 7,, | ! Signature eg�m, p0�4` Sbaunrib'Roze|he Om86ni�— OPTIONAL � Though the law, it may prove valuable the document and could prevent fraudulent removal and reattachment ofthe /bnntm another document. Description mf Attached Document � Title or Type ofDocument: Faithful Performance Bond Document Date: _O��8/2�17 Number Three � ' � � Signer(n) Other Than Named Above: � Cspocity(|em)Claimed 6yS|gnar(s) � Signer's Name: ArtunmAya|a Signer's Name: [] Individual [] Individual | r_j Corporate Officer—Title(s):__ ...................................... O Corporate Officer —Tdo(s): _ O Partner El Limited El General O Partner O Limited OGeneral � Attorney in Fact O Attorney in Fact � [] Trustee E] Trustee � [] Guardian orConservator �w��umbh*m [] Guardian orConservator Top of thumb here [] Other: [] Other: � Signer iaRepresenting: Signer ieRepresenting: � ___............................ � ___'_ � ........ __- A on 221634 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL KIE NBA'11 IFSE PRESENTS,THA I North American Specialty Insurance C(mlpafly,a corl,iorafion duly"organized aiid existing ander laws of the State ofNeWW I lampshire,and having ivs principal office hi the City of Manchester.New I lampshire aad Washington Interoatimial Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: DANIEL RUCKABAY,ARTURO AYALA,ANDREW WATERBURY,DWIGHT REILLY,SHA`U`NNA ROZELLE OSTROM and MICHAEL CASTANEDA JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE MILLION($125,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." qZ PPON' §. By SWV00 I I—AflOvomm,Scowl:%6TWAidejlt ot imurauev Company i!f SEAL SEAL &Senior Vice President of North American Specialty Insurance Company M &Senior Vice President ofWestport Insurance Corporation 1973 (D%%. �n ..................^.,.,.,.,.,.... VUP PrrNideol oM ashiogoni International Insurance Company &Senior Vice President of Not tat Aineriona Specialty in.iovaoce Company tip &Senior Vice President or Westport Inswance Corooriitioa IN WITNESS WI-IEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 5th day of December go 16 ............................ .......... North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook SS: On this 5th day of December .201 before me,a Notary Public personally appeared Suwen tl.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice Presidew of Norlh American Specialty hisurance Company and Senior Vice President of Westport himis'ance Corpoiation and Michael A, lio Senior Vice Ilresident ol'Wilshington International hisorarice Company and Senior Vice 11rcsident of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY USU �X [NOTAIRIY PuBUC,STATE OF IWNOIS My COMMISSIO MY COMMISSION EVIRES,1?�04120t 7 M.Kenny,Not Public, 1, Jeffrey(k)ldberg, the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby----certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 8th day of..............Fe ruary 20 17 k-u 606,rg,Vice hn�-gdvnt&A�ow.W,t Scc,oa�rat"Wal hiqll'lon hisurarice coalipally& No,1h Awmwm,N,euilty Insurmwc Compan�,&Vice fres4ko�&I Mioqmt t 111s.mn¢v ca,poration '10�111141 di''I'li I d,1,1 1,11, li i, Agreement No. 5275 TT �ry N PROPERTY RECORDS V G" `N GUYED ` BIRTH AND DEATH RECORDS CLERK-RECORDER MARRIAGE LICENSES/RECORDS PASSPORTS FICTITIOUS BUSINESS NAMES NOTARY REGISTRATION ORANGE COUNTY ARCHIVES CI.,'RTIF1CA`l E OF ADMITTED 'SWRETY NSLJRIJI Certificate pursuant to 995.640(a)Code of Civil Procedure State of California County of Orange 1, Hugh Nguyen, County Clerk-Recorder of the County of Orange, State of California, in and for said County, DO HEREBY CERTIFY THAT Not-th Aincrican Siwcialtv Insurance C"oinnany, has been issued a Certificate of Authority as an Admitted Surety Insurer by the State of California Insurance Commissioner who authorized the Insurer to transact Surety Insurance in the State of California and that based on the records in this office, that authority has not been surrendered, revoked, cancelled, annulled or suspended. In Testimony Whereof, I execute this certificate and have hereunto set my hand and affixed the seal of said County this 8th day of February, 2017. Hugh Nguyen, Or7)e'tPi'Llty County Clerk-Recorder (Purple Seal) ._... lm. zc1 L. Bennett, Clerk-Recorder °� wM 0 t'1 U `' NORTH COUNTY BRANCH OFFICE ORANGE COUNTY SOUTH COUNTY BRANCH OFFICE HISTORIC DOWNTOWN FULLERTON HALL OF RECORDS LAGUNA HILLS CIVIC CENTER 201 N. HARBOR BOULEVARD 12 CIVIC CENTER PLAZA, ROOM 101 24031 EL TORO ROAD FULLERTON, CALIFORNIA 92832 SANTA ANA, CALIFORNIA 92701 LAGUNA HILLS, CALIFORNIA 92653 (714) 834-2500 • FAX (714) 834-2675 • WWW.00RECORDER.COM ♦ WWW.00ARCHIVES.COM Agreement No. 5275 THE FINAL PREMIUM IS PREDICATED ON THE FINAL CONTRACT AMOUNT LABOR AND MATERIALS BOND WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 Bond No. 2221634 Bond Fee: Included in Performance Bond Stephen Doreck l"'AILlintric;tit Rentals, Inc. as principal ("PRINCIPAL") and North American Specialty Insurance Company a corporation incorporated under the laws of the State of New Hampshire 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 Five I-11.111xlrcd Sevemy Nine"h0L1Sal1 I,,Six I-lumired I7i11v Seven Dollars aiid billy C'ciats($579,657150), lawful money of the United States,which may be increased or decreased by a rider hereto executed in the same manner as this bond, for the payment of which sum PRINCIPAL and SURETY bind themselves, their successors, and assigns,jointly and severally,by this instrument. This bond is conditioned upon and guarantees payment by PRINCIPAL to contractors, subcontractors,and persons renting equipment;payment by PRINCIPAL and all PRINCIPAL'S subcontractors for all materials,provisions,provender,or other supplies,and equipment used in, upon,for or about the performance of the work contemplated in WATER IMPROVEMENTS ON MARIPOSA AVENUE PROJECT, SPECIFICATIONS NO. PW 17-03 ("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 17-03, 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 (CITY DRAWING FILE NO. PW 17-03), 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. 3. PRINCIPAL will pay for all materials and other supplies,for equipment used in, I-F-1 Agreement No. 5275 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 17-03, 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. 5275 SIGNED AND SEALED this 8th day of February , 20 t7 Stephen Dorec k Equipment Rentals,inc North Ameto "n, ow.iranZu,Company r �NCIPAL's PRESIDF>T-- w'. /. rte'(--(61Tk,ETY's ', *WM "Arturo Ayala,Attorney-in-Fact PP,JNCIPAL's SECRETARY SURETY'S SECRETARY /'able) Vi,%erW--¢S PRINCIPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS: 9075 Telegraph Road 6 Hutton Center Drive,Suite 850 Pico Rivera,CA 90660 Santa Ana,CA 92707 — ...._....... ...................................................... rrrr 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. 5275 F 5,11041 M L ilt:VM11:: titb it II IIII IIII:I EIDGMEM"'T State of California County of Los Angeles On 02/09/2017 before me, S1"'k,ia Sawtmitcs (Notary Public) _ Dale Here Insert Name and Title of the 011icer 'A personally appeared Catherine R. Doreck and Pablo Viramontes Names)of Signer(s) i who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Vare subscribed to the within instrument and acknowledged to me that t*tX(la/they executed the same in XkWWr/their authorized capacity(ies), and that by )MLAcer/their signature(s) on the instrument the 8'YLVIA IFU NT '8 person(s), or the entity upon behalf of which the Co loo#208110.4 person(s) acted, executed the instrument. Notary Public•California Los Angeles County, I certify under PENALTY OF PERJURY under the r Comm. Expires Oct 8,2018 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Sk (, Place Notary Seal Ahave Though the information below is not required bylaw, m on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document Document Date: Number of Pages: Signer(s)Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name Corporate Officer Title(s) Corporate Officer—Title(s):--------- __ _______ Individual SON " t I i Individual ® �. . 'd Partner—C Limited i General Top oI thumb here I Partner—" I Limited 1 General Top of Ihulrlb here Attorney in Fact Attorney in Fact Trustee Trustee Guardian or Conservator Guardian or Conservator Other: Other: Signer Is Representing: Signer Is Representing: OL 2009 National Notary Association•Natrona'Notary org•1 000-US NOTARY(1-800-076-6627) Item 45907 Agreement No. 5275 .............. CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ......................... A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OF CALIFORNIA County of On February 8th, 2017 before me, Shaunna Rozelle Ostrom Notary Public, Date.. Insert Name of Notary". exactly as it appears on the official seal personally appeared Arturo Ayala .......... ...... Name(s)of Signer(s) .......... who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrurnent and acknowledged to me that heishe/they executed the same in his/he•/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) SHAUNNA ROZELLE OSTROM acted, executed the instrument. '0- COMM.02159617 M I certify under PENALTY OF PERJURY under the laws of U) � ,t Notary Public•California the State of California that the foregoing paragraph is true ORANGE COUNTY LL and correct. My Comm,Expirealul 11,2020 E� Witness a and 01 Is Signatur I, Place Notary Seal Above TShaunnAdzelle Ostrom OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Labor and Materials Bond .............. Document Date: 02/08/2017 Number of Pages: Three Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Arturo, la Signer's Name: y ..................... El Individual El Individual ❑ Corporate Officer Title(s):........... E] Corporate Officer —Title(s): ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General Attorney in Fact El Attorney in Fact F] - ❑ Trustee ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: ............... ........ ......................_,", ........... .............................. Signer is Representing: Signer is Representing: ___"'................................................. ............. ............... .............. ........... .................. I..........I... ......... ............ 11,11 Rlontt.�221634 who NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WBOTYORTDNSORANCB CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN 8Y'O KISE PRESENTS,7|IA]`Nnr/h American Sp,dxA7 Insurance(l,mpmoI,uvnil6u]y^, l and existiog ordw, laws ofthe Stato of N I lampshire,and having its principal office ht the City ofManchester,New|hoopshire Mld mmx4ingua;lutecuminua|Inxomx`co Company a corporation organized and existing under the laws of the State nf New Hampshire and having its principal office in the City of Schaumburg, Illinois,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland 9mkKunnxouacbdoxybvrvhymake.00ustdnteuoduproiut: DANIEL noonuBAx,»RnzmoxYxLx.ANDREW WATaoBnoY.DWIGHT nEILLr.onAummAmozuu-uomzrmm and ux/oxAeLcASzxmaox ____ _ _ __ m�n�maaa�u��_. ____ Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by |mv,regulation,contract or othorwiuv,provided that ov bond orundertaking or contract or suretyship executed under this authority shall exceed the amount of. ONE HUNDRED TWENTY FIVE MILLION($|2r.00O,V00.00)DOLLARS This Power ur Attorney is granted and io signed hr facsimile uudc and hythe authority vf the following Resolutions adopted hy the Boards n[ Directors of North American Specialty Insurance Company mod\9uddngtvniuematiomdbuuuomooCompany at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two v[the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named iu the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein theroaloftheComnany; and hia FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney vrmany certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures orhmnimOoovalxbo|hu binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." gjIONAI 13Y u°="eand°sn.',=° mcr presi*=*lv°*wl/°^el"affin'",/~"="=company i SEAL 8, &oeni^,n=President.,w°m American Specialty Insurance Company a Senior Vice President 'W°,*.,,u.^"."",,Corporation v. 1973 �r m'�^.u"'u""/°,*',"w"^w.* *,.="=��" —°=�'' ��=,�m�'� m~,=y Vice President IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 5th day of __o�emho .20 16 North American Specialty Insurance Company Washington International Insurance Company State ofIllinois Westport Insurance Corporation County ofCook »», 0o this_5th day of ouu»mh«r .20�6ho0vrvmu.a0otaryPuhUvp'x;nmdly appeared 3 Anderson Senior Vice ym,oidenx of Washington International I Company and Senior Vice President ofNnrtb&mcl Specialty Insurance Cmmpum) and Senior Vice President pf Westport Insurance Corporation Senior Vice President m[woobinglvm[otemoximmiiomwn/rwoCnnpm/ym/d Senior Vice|`il or North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being hrmo duly sworn,acknowledged that they signed the above Power nf Attorney uo officers uf and acknowledged said instrument mb^the voluntary act and deed o[their respective companies. M NY [NY ST T 0 M 0:TAl YPUSUC A E F lWN0 6 C,0 eXVIRES IM M=MISSION120117 <` ~^°,""y'.,"""/^"""^ 1 � 1, ]cKieyso]Jhmg ' the duly elected Vice Pre�dem and Aa�nuouSvo�un� o[Nn�hAmudouuSpeokd��vmuoo Company,\�o��Omu Uuem��mUInsurance Comymnand Wem�ou[usumoocCorporation dv hereby certify that the above and foregoing iou true and correct copy o[u Power ofAttorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which io still iu fall force and effect. DN WITNESS WHEREOF,T have set my hand and affiredthe seals vf the Companies this Nb day of February ,20 17 ____................... jew o" Pfc,"ident&y=sismmSecu , f Wedinngton lillm*itio= holluvw"Com=^,u Agreement No. 5275 No. 6436 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY,That,pursuant to the Insurance Code of the State of California, North American Specialty Insurance Company of Manchester, New Hampshire, organized under the laws of New Hampshire, subject to its Articles of Incorporation or other fundamental organizatfanal documents, is hereby authorized to transact within this State,strbject to all provisions of this Certificate, the following classes of insurance: Eire,Marine,Surety,Disability,Plate Glass,Liability,Workers'Compensation, Boiler and Machinery,Burglary,Sprinkler,Automobile,and Aircraft as such classes are now or may hereafter be defined in the Insurance Laws ofthe State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of any,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are,or may hereafter be changed or amended. IN WITNESS WHEREOF,effective as 6f the 23rd day of December, 1996,I have hereunto set my hand and caused my official seal to be aFmed this 23rd day of December,1996. Fee $92.00 Chuck Quackenbush Insurance Commissioner Rec.No. Filed 1018196 By Victoria S Sidbury Deputy Certification I,the undersigned Insurance Commissioner of the State of California,do hereby certify that I have compared the above copy of Certificate ofAuthority with the duplicate of original now on file in my of cr,and that the same is a faill, true, and correct transcript thereof, of the i4liole of said duplicate„ and said Certificate of Authority is now in full force and effect. IN WITNESS WHEREOF,l have hereunto set my hand and caused my official seal to be affixed this 26th day of June,2008. Steve Poizner Insurance Commissioner "y P I`Awl".. Pauline D Andrea Agreement No. 5275 HUGH NGUYEN PROPERTY RECORDS BIRTH AND DEATH RECORDS CLERK—RECORDER MARRIAGE LICENSES/RECORDS PASSPORTS FICTITIOUS BUSINESS NAMES i ail!'il r NOTARY REGISTRATION ORANGE COUNTY ARCHIVES CERTIFICATE OF ADMl'I°l EM SURETY INSURER Certificate pursuant to 995.640(a)Code of Civil Procedure State of California County of Orange I, Hugh Nguyen, County Clerk-Recorder of the County of Orange, State of California, in and for said County, DO HEREBY CERTIFY THAT Not-tit American Sralr cia ltv Insurance Conitmav has been issued a Certificate of Authority as an Admitted Surety Insurer by the State of California Insurance Commissioner who authorized the Insurer to transact Surety Insurance in the State of California and that based on the records in this office, that authority has not been surrendered, revoked, cancelled, annulled or suspended. In Testimony Whereof, I execute this certificate and have hereunto set my hand and affixed the seal of said County this 8th day of February, 2017. Hugh Nguyen, Or rZ, eputy�County Clerk-Recorder (Purple Seal) zB Clerk-Recorder VNI NORTH COUNTY BRANCH OFFICE ORANGE COUNTY SOUTH COUNTY BRANCH OFFICE HISTORIC DOWNTOWN FULLERTON HALL OF RECORDS LAGUNA HILLS CIVIC CENTER 201 N. HARBOR BOULEVARD 12 CIVIC CENTER PLAZA, ROOM 101 24031 EL TORO ROAD FULLERTON, CALIFORNIA 92832 SANTA ANA, CALIFORNIA 92701 LAGUNA HILLS, CALIFORNIA 92653 (714) 834-2500 ♦ FAX (714) 834-2675 ♦ WWW.00RECORDER.COM ♦ WWW.00ARCHIVES.COM Agreement No. 5275 PROPOSAL FOR THE WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 Date January 10th 20 17 Company Name: Stephen Doreck Equipment Rentals, Inc. TO THE CITY OF EL SEGUNDO: In accordance with the City of El Segundo's Notice Inviting Sealed Bids, the undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the above stated project as set forth in the Plans, Specifications, and contract documents therefor, and to perform all work in the manner and time prescribed therein. BIDDER declares that this proposal is based upon careful examination of the work site,Plans, Specifications, Instructions to Bidders, and all other contract documents. Submittal of this bid shall be considered evidence that the BIDDER has satisfied himself regarding the contract documents,access and any other field conditions which may effect bid prices. If this proposal is accepted for award, BIDDER agrees to enter into a contract with the City of El Segundo at the unit and/or lump sum prices set forth in the following Bid Schedule.BIDDER understands that failure to enter into a contract in the manner and time prescribed will result in forfeiture to the City of El Segundo of the proposal guarantee accompanying this proposal. BIDDER understands that a bid is required for the entire work,that the estimated quantities set forth in the Bid Schedule are solely for the purpose of comparing bids, and that final compensation under the contract will be based upon the actual quantities of work satisfactorily completed.THE CITY OF EL SEGUNDO RESERVES THE RIGHT TO INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND TO DELETE ANY ITEM FROM THE CONTRACT.It is agreed that the unit and/or lump sum prices bid include al I 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 pDIIAI, E,M PLOY M Jr,NT 013PORTUNITY COMPLIANCE I-C-1 Agreement No. 5275 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 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. 5275 BID SCHEDULE WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 Company Name: Stephen Doreck Equipment Rentals, Inc. ITEM DESCRIPTION UNIT QTY UNIT AMOUNT NO. PRICE IN FIGURES Mobilization/Demobilization 1 LS 1 $ 7 .0�" $ . ........................ _..�..... ............ Traffic Control, Public Safety and 2 Convenience LS 1 $ 2,$00.00 $ 2,SX.0 Utility Potholing 3 LS 1 $ �,.��` C $ S,2g0. Ot ...................................... ......................................._ �.........._�......... Bracing and Shoring 4 LS 1 $-%2,kO,00 $ Construct 12-inch Ductile Iron (Class 52) Water Main including all Fittings and Appurtenances, Trench 5 Excavation, Pipe Bedding, Trench LF 1,650 $ 1418.00 $ Z I 60' Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings .._rw Construct 10-inch Ductile Iron (Class 52) Water Lateral including all Fittings and Appurtenances, Trench 6 Excavation, Pipe Bedding, Trench LF 30 $ IL16.00 $ q,3g0.O' Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings Construct 8-inch (Ductile Iron (Class 52) Water Lateral including all Fittings and Appurtenances, Trench LF 220 7 Excavation, Pipe Bedding, Trench $ . 00 $3(0( $0.ov Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings 8 Construct 6-inch Ductile Iron Class LF 465 __......_.. .__.............___............ _.................... _.„__ ITITITIT� 52) Water Lateral including all Fittings $ 142. 00 $±�_ _.�..� I-C-3a Agreement No. 5275 ...................................._ ww.....................................................rrrr._rrrr.. .�ww_www�ww. and Appurtenances, Trench Excavation, Pipe Bedding, Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings Install 12-inch Gate Valve and 9 Adjustable Valve Box EA 4 $ 2,5'75-00 $ f D MD0 ................................r—...................................................._................. Install 10-inch Gate Valve and 10 Adjustable Valve Box EA 1 $ Z,,DD.00 $ Z-0;30. 0rl Install 8-inch Gate Valve and 11 Adjustable Valve Box EA 4 $m. ,3ZS.00 $ 5.300.DU Install 6-inch Gate Valve and 12 Adjustable Valve Box EA 8 $ W- 00 $ -7 20,OD - Construct 2.-inch Water Service Connection and Connect to Existing Customer Service including, all Fittings and Appurtenances, Trench 13 Excavation, Pipe Bedding, Trench EA 4 $� $ Z�,�d,p% Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings, Repair Existing Landscape / Hardscape / Concrete In Kind Install 6-inch x 3-inch (or 4-inch) Ductile Iron Reducer at curb line, install 3-inch (or 4-inch) Ductile Iron Pipe, and Connect to Existing 14 Customer Service including all Fittings EA 2 $4)1 00 $ 9,300.00 and Appurtenances, Trench Excavation, Pipe Bedding, Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings Connect to Existing Water Main including all Pipe, Fittings and Appurtenances, Trench Excavation, Pipe Bedding, Trench Backfill, Trench 15 Resurfacing, and Temporary and EA 3 $ p,00 $ 121750.00 Permanent Traffic Striping and Markings, Removal of Interfering Portions of Existing Pipe and Valves, and Cut and Abandon Existing Water Main(s) and Valve(s) 1-C-3b Agreement No. 5275 Furnish and Install 2-inch Spectrum 16 130 Metron Water Meter per EA 4 $�14,9SD•00 $—Lq i Specifications. ___......._......_ Furnish and Install 3-inch Spectrum 17 175 Metron Water Meter per EA 1 $ "A $ Specifications. .. .................... Excavate the ..................... h... e trench at the intersection 18 of Mariposa and Nash by hand before LF 100 $ the water main installation to investigate existing utilities. Alterna (Determined Determined by the City on as-needed basis .... ... ...Bid Items Misc. Water Improvements 19 LS 1 $40,000 $40,000 ................................................... _m.._. Cold Mill and overlaid top 2" asphalt SF 18,150 20 concrete per specs for full width of the $. 2 .�� $ travel lane that contains the trench TOTAL BID ITEM ITHROUGH 20 7 , 51D TOTAL BID WRITTEN IN WORDS: F _-. ', .......w..::...w................... ...:` ............ ..�_'...... 0,1!!� d 0 1 )Ors r V V ost� �4 I-C-3c Agreement No. 5275 BIDDER'S INFORMATION Company Name: D#ncck |'Auipmnen1Rcm[4lm, Inc. ____ BIDDER certifies that the following information is true and correct: Form ofLegal Entity (i.e., individual, partnership, corporation, etc.) Corporation If corporation, State of Incorporation(i.c." California)_California—........... Business _Rplt4ls, Inc. Address 4075 Telegraph Road Pico Rivera, Cn406h0 Telephone No, 562 949-4949 Facsimile No. 5h2) 2� |-�03� _ State Contractor's License No. and Class 06547| /\ - Original Date Issued_ 03/02/2007 Expiration Dnic February 28, 2018 The following are the uomoo"ddco. mddrcoucu, and phone numbers of all individuals, Onn nocmhexx, partners,joint vcuturcco, and/or corporate officers having principal interest in this proposal: Catherine 8. l]occck-President 8026B.Taunu8t. Long Beach,CuuO8O0-(562 Stephen L. [)orook- Vice President -8O26B. Turmu St. Long Qouoh,CuVOQO8-(562)43O'Ol9� � ��`�� Puh1o \/irumnutcn Vice President yft,|omtmnu. 192336-(909)770-2169 The date of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal is as follows: N/& --------'--------- All current and prior DBA's, aliases, and/or fictitious business names for any principal having an interest in this proposal are as follows: oti.............. ------ ------ I-C'4 Agreement No. 5275 BIDDER'S INFORMATION(CONTINUED) Company Name: Stenhen Doreck Equipment Rentals, Inc. Bidder shall list the name of the person who attended the mandatory pre-bid job walk: Name: Rick Hernandez Title: Superintendent I-C-5 Agreement No. 5275 IN WITNESS WHEREOF,BIDDER executes and submits this proposal with the names,titles, hands, and seals o[all o forenamed principals this I Oth day of January ` 20_[7 . BIDDER Stephen Dorook Equipment Rentals, Inc. 8Lc | �l L. D orco k- Vice President I�I Me, ....._ ...... Subscribed and sworn\othis \0th day o[ January ^ 20 [7 NOTARY PUBLIC Notary Public-California Los Angeles County Comm. E70es Oct 8,2018 |'C'6 Agreement No. 5275 CALIFORNIA JUIRAT WITH AFF11ANT STATEMENT I "k"�t 4 K A%4 "4 <A '4, x<% s x �q: q I See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of DOCUment Sigrer No I Signature of Document Signer No 2(it any) State of California Subscribed and sworn to (or affirmed) before me Los Angeles loth January 17 County of on this day of 20 Date Month Year by 0 Stephen L. Doreck d� Name of Signer $YLVIA SIFUENTES COMINGsion#2081164 proved to me on the basis of satisfactory evidence z to be the person who appeared before me Notary Pubk-California ;z Los Angeles County (and Oct 8,2018 Comm. Expires Name of Signer proved to me on the basis of satisfactory evidence h penx 7Wilr( re me.)be t , Place Notary Seal Above of y s(Notary Public) � OPTIONAL WIN. (hough the information below is not required by law, it may prove valu- Top of thumb here Top Of thUlTilb here able to persons retying on the document and could prevent fraudulent rernovat and reattachment of this form to another document ,i� Further Description of Any Attached Document Title or Typo of Documenl Docurneril Date: Number of Pages Signer(&)Other Than Named Above CXX XX"v C'rX"` r;r 4 X "I'%;c 'X a.,r ;c X 4 e',X X'w^u 1 Oc 2009 National Notary Association-NalionalNolary org-1-800-US NOTARY(1-800-876-6827) Ilem N5910 Agreement No. 5275 Bond No. CSBA-3823 PROPOSAL GUARANTEE BID BOND WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: pW 17-03 KNOW ALL MEN BY THESE PRESENTS that, Stephen Doreck Equipment Rentals,Inca m ------ as BIDDER,and fords ctl"can Socc'atllty hisura nc„e C,°ompars' , as SURETY, are held and firmly bound unto the City of El Segundo, in the penal sum of Ten Percent of Amount Bid __. DOLLARS t)CAnic:unt f3ic'1 " ,which is ten (10%) percent of the total artiount bid by BIDDER to the City of EI 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 OULIGATION ARE SUCH that,whereas BIDDER is about to submit a bid to the City of EI 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 E1 Segundo. IN WI'T'NESS WHEREOF the parties hereto have set their names, titles,hands,and seals this 27th day of December , 2016 BIDDER'S Stephen Doreck Equipment Rentals,Inc. mm 907 el,e. � � N os Q.�a �r "�„e,. a CA, 9,11"od � b�2 r 949-4949 y yip IC1e "'W S# iw- SURKrY* North, incrican Speciaky Insurance Company 6 Hutton Center Drive, Suite 850, Santa Ana, CA 92707 (714)550-7799 1, ark>A' �. I µ rl 1 ; 14 p I �N. tta�tav ,..�. Mai ,a'tl ak,a�� 14 het„ � wa 1 tti:`.�1I. „„ tv�tl rose, C A 92867(„714)516-1232 Subscribed and sworn to this day of , 20� NOTARY PUBLIC *Provide BIDDER/SURETY name, title, address and telephone number and the name, title, address and telephone number for authorized representative. I-C-'1 Agreement No. 5275 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ' State ofCalifornia � N County of Loo= s"`s 0n 0l�0/2Ol7 be{oram�. 5yl��u5i��nCcn/�� . Dale Here/=/Name and Tilwm the 011i= personally appeared Stephen ` . wam**mx,gn"w who proved to me on the basis of satisfactory evidence to be the pemon(@) whose numoNA is/#W subscribed Vo the within instrument and acknowledged ` to me that hollMlYh*b/ executed the same in hio/110416/ authorized oapaoity(i6W). and that by ` hia/V#�h/ff uignoturn(«) on the instrument the ^ Cm�n�m ponxon(A), or the entity upon behalf of which the mm� Public poroon(p) acted, executed the instrument. Los Angeles Wl � County MY Comm. Exp�m | certify under PENALTY OF PERJURY under the ^ �� |mwa of the State of California that the foregoing ' paragraph io true and correct. WITNESS my hand and official sem| OPTIONAL ~ Though the information oom required bylaw,xmay «ovom^or and could prevent fraudulent removal and reattachment of this form m another document Description of Attached Document ` Title o,Type ofDocument Document Date: Number of Pages > Signo,(»)Other Than Named Above: —------------_----- --------—————— � Capeoity(iem) C|oimed by Signer(s) ^ Signer's Name: � � Signer's Name Cnrpomm Officer—Tina(u) Corporate Officer--Tx|o(u):----- ------------- _______ muivmov| | |Individual � Partner— -I Limited 'General ��he(e /Partner— IUmited 1 General I Top awu,mhere Attorney in Fact i Attorney m Fact ' Trustee ITmateo / Guardian v,Conservator |Guardian orConservator " Omoc / )mhor: Signer Is Representing: Signer Is Representing: xx�maw +=~`.�'rp^�,^� Q 2009 National Noiary Association Natio—INoTary org 1-800 US NOTAHY(1-800-076-6B27) llem 05907 Agreement No. 5275 ..... ....... CALIFORNIA"'A' LL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. ------ STATE OF CALIFORNIA County of Orange..... On 12/27/16 before me, Susan Pugh Notary Public, Date Insert Name of Notary exactly as it appears on the official seal personally appeared Arturo Ayala who proved to cute on the basis of satisfactory evidence to be the person(s) whose name(s) is/are Subscribed; to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by hisflner/their us on on the instrument the -,tj,K�AN pkjGn person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. NotrVY ('()klNTy I certify under PENALTY OF PERJURY under the laws of (MANCS 2 tb 20 V) the State of California that the foregoing paragraph is true W - y and correct. ji� Witness my hand and official,seal, Signature Place,Notary Seal Above SigrualOro 01 otary Publl�,�san Pugh OPTIONAL ...... ........ Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent frauduleni removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Bid Bond Document Date.- 12/27/16 Number of Pages: One Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) h Signer's Name: Arturo Ayg!g Signer's Name: E] Individual F-1 Individual ❑ Corporate Officer—Title(s) ....... ❑ Corporate Officer —Title(s):,. ❑ Partner Olimited ❑General - Partner El Limited El General E4 Attorney in Fact I Attorney in Fact E] Trustee E] Trustee • am ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here ❑ Other: ❑ Other: Signer is Representing Signer is Representing, ...................... 1-1...... 3ond No. CSC/ -3S NA S SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal Office in the City of Manchester,New Hampshire and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City ot'SchurimbUrg, Illinois,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: DANIEL HUCKABAY,ARTURO AYALA,ANDREW WATERBURY,DWIGHTREILLY,SHAUNNA ROZELLE OSTROM and MICHAEL CASTANEDA ............. joiNTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount Of: ONE, I-IIJNDPED TWENTY FIVE MILLION($125,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the Following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated,l my 18,2011. "RESOLVED, that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings arid all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the Signature Of Such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seat shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." Ulf" 0 u!" ON �TZI A44' T F PC ....... -'0 q --- C��tl� N, 0 By 0 4 SEAL &Senior Vice President of North American Specialty insurance Company ? SEAL g &Senior Vice P-siderititf W.tp.rt Isur—cc Corporation to 6% 1973 q p, By fA Q Mike A.Ito,Svitior Vice President of Wimfunpnni later udiorml Insurance(npnpagly &Seme:,Vic.President of Nin'th nnencon Stwendry tiumvince company &Sender,Vice President of Wvi,lpov I hodproace Coi porathni INI WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 5th day of December .20 16 North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 5th day of December ,2016 before me,a Notary Public personally appeared Steven P.Anderson .Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and..N_fichac� A. Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. RL"'C'A'=M K KENNY M 4YPUSUC I STA T E F 1�UND S M.KennyNota Public M[YC0 MM1SS10N EXPIRES j 04"a 17 ry 1, J e fli e y Cro I t'i be r f" the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 271h day of Oecclll6cr 20_16 ...................I................. ........................................................... Jeffi ey GoWberg,Vice President&Ass start Secretary of Wasitington International Instarmce,Company& North Arsoricart Specialty insurance Company&Vice President&&menft Secretary of Wesmort Insurance Corporation .......... am Agreement No. 5275 CONTRACTOR'S LICENSE DECLARATION (Business and Professions Code Section 7028.15) 1. BIDDER'S Contractor's License Number is: 665471 Class No.: A 2. The expiration date of BIDDER'S Contractor License is: February 28 20 18 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.I',111t Ily I II, 20 17 , at Pico Rivera, Ca (insert City and State where Declaration signed). Sign�tta��°e Stephen L. Doreck Typed Name Vice President Title Stephen Doreck Equipment Rentals,Inc. .11,111,111,11111,.....................__..________________- Company Name I-C-8 Agreement No. 5275 CALIF011111NIA A1111 J111 -PURPOSE ACKNOWL.111EIIII)GMENT x,"/A^~ ``.X~�'^x�*� ,xva,rx:C�^,�/,a, "��"��X,4 ' ��v�,,,*X / 4 a ='~� � State ofCalifornia � � County of Lou Angeles & On 01/10/2017 before me. Sylvia 8ihucnteo(Notary tDate ".,.,.,.' ,'., .,/.... � personally appeared Stephen LDorcck ^ Na=**"/,n��w � `^ who proved to me on the basis of satisfactory � evidence to be the person(j) whose name(j) is/AW � subscribed kz the within instrument and acknowledged � to me that ho/MlY6WY executed the oumo in | hio/ili&/th&K authorized oapaoi\y(i6W), and that by hia/V#r/VW� signature(q) on the instrument the ponsun(A). or the entity upon behalf of which the ` ' ponmo(p) aotod. executed the instrument. Notary Pubic-California Comm.''^"-'~County � | «»�ih/ under PENALTY OF PERJURY ondortho . Expires °~�0� |mwu of the S1oAo of California that the foregoing � paragraph ia true and correct. t ' WITNESS my hand and official seal, { o/yxaw/e v � � OPTI0NNA L ThOUgh the information below m not required o/law xmay m" document ' � and could prevent fraudulent removal and reattachment o/mouxmm another document i Description of Attached Document ' Title o,Type of Document: __----__--�-- ' Dnoumont Date: Number Pages: � _ � Signer(s) Other Than womox Above: � Capocity(ieo) Claimed bySigner(m) ) Signer's Name Signer's Name: � Corporate Officer—Tu|e(s) Corporate Officer--Th\o(s):----- �_ � Individual /|ndividwo| Partner—' �Um�� onong Top of / Partner--� �umimu 'Grnon� �mwm"m»m" ", _� � � ° Attorney m Fact Attorney in Fact � Trustee 'Trustee � i Guardian or Conservator � ' /Gvnnban or Conservator � ^ omec ' iOthoc Signer Is Representing: Signer �opnawanhng� -----__ � | � '` +» x" 0��'*`x*z�'��` CC)mmMw=l Notary^=="*°'wwionwwm° ~w''oo oo NOTARY o-w0-67^*mn *m m90' Agreement No. 5275 NON-COLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID State of California ) ) ss. County Of Los AngeW Stephen L. Doreck being first duly sworn, deposes and say that he or she is Vice President of Stephen Doreck Equipment Rentals, Inc. ......._ ..... ........ 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. - Step en Doreck Equipment Rentals,Ln......c.... Signature Name of Bidder/Company Name Stephen L. Doreck January 10,2017 Typed Name Date Vice President Title I-C-9 Agreement No. 5275 CA 11 I I, :::'I1::'I1 1I° SCI°" l°"II@ IIEJI' '" ' I See Attached Document (Notary to cross out lines 1-6 below) See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Document Signer No 2(it any) State of California Subscribed and sworn to (or affirmed) before me Los Angeles 10th January 17 County of on this day of 20 _, Dale Well- Year by (11 Stephen L. Doreck Name of Signer n SYLVIA 81FU' NT '8 proved to me on the basis of satisfactory evidence Co' salon 2081 to be the person who appeared before me (.) (,) Notary •Californla (and Los Angeles County my Comm, Expires Oct 8, 2018 (2) Name of Signer , ui roved to me on the basis of satisfactory rY evidence I i before me.) Si natuuM" n Ill I� r , I o e the person Plane Notary Seal Above ,r "'• �',I'o ^,�', if'�' ,� I'�d,", �)V I"t�fitwfilcs(Notary Public) ...,_....... ......_.....,,. ., ... OPTIONAt,,, __,,,... __,. ..._..... ., though the fnforrna!fon below is not required by law, It may prove valu- Fop ,¢Ih mu fb tin,' l I Top of Ihumh here <ahle to persons relying on the documenl and could prevent fraudulent a, removal and reattachment of this form to another document Further Description of Any Attached Document n Tille.or Type of Dorumenl I Document Dale. Number of Pages Signors)Other Than Named Above: ',4', 'X 4 d..,'.,..°' f 'u.J,;;4 �! 4 ...d' ',�:N R'�I..n.'.,(�,a 'n .,��, ( 'u 1��C;f I„y'i„N i'�,,',o �i:, M v l ;V.."sir ©2009 National Notary Associalion•NalionalNolary org•1-800-US NOTARY(1-800-876-6827) Item 1,5910 Agreement No. 5275 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: 11ia Title: Stephen L. Doreck Business Name: Stephen Doreck Equipment Rentals,Inc. Business Address: 9075 Road Pico ................................................................. Pico Rivera, Ca 90670 Telephone Number: ( 562 ) 949-4949 Dated this 10th day of January , 20 17 . I-C-10 Agreement No. 5275 CALIF0111141,A Ail 111 EDGMEN'T State of California County of Los Angeles On 01/10/2017 before me, Sylvia Sil'uenl:cs(Notitry Public) Dale Here Insert Name and Title of the 011icer personally appeared Stephen L.Doreck Name(s)of S,goer(s) ,j who proved to me on the basis of satisfactory evidence to be the person($) whose name(q) is/pffl subscribed to the within instrument and acknowledged to me that helsMIYNbf executed the same in hislWAHM authorized capacity(M), and that by SYLVIA SIFUEN7TES I Commission#2061164 his/V#r/tIj(/# signature(;, on the instrument the �l fj� la Notary Public-California person(p), or the entity upon behalf of which the Z Los Angeles County person(p) acted, executed the instrument. y Comm. Expires Oct 8,20 18 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct WITNESS my hand and official seal. Signature Place Notary Seal Above S,qr)alLjr OPTIONAL Though the information below is not required by law, it may prove valuable io'persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document Dombimpillf Number of Pages: Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer—Title(s): Corporate Officer Title(s): Individual i Individual Partner—Ll Limited I General Top of thumb here J Partner—L I Limited I General Top d"Ihumb h!,. Attorney in Fact I Attorney in Fact Trustee 1 Trustee I Guardian or Conservator I Guardian or Conservator Other: I I Other: Signer Is Representing: Signer Is Representing: CQ 2009 National Notary Associalmn•National Notary org•1-800 US NOTARY(1-800-676.6827) Item P5907 Agreement No. 5275 DESIGNATION OF SUBCONTRACTORS WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 Company Name:Stephen Doreck Equipment Rentals, Inc. BIDDER will perform the majority of the work and proposes to subcontract certain portions of the work which are in excess of one-half of one percent (1/2 of 1%) of the bid and to procure materials and equipment from suppliers and vendors as follows: ,.. wwwwwwww�.._a...............................--, ------ Name of -............ �. Sub- Description of Subcontractor contractor portion of License Work Estimated Number Address Subcontracted $Amount All r1f�'icgvl iP,D. 8o Y Z 22 ._.......................... �S-r �S�h�l-� Zl��0�3 dv�r�ay 1,39�x i Goro.�a_......�_A.............. .'L � ................................... .................................... _w............................... rr_... . Agreement No. 5275 REFERENCES Company Name: Stephen Doreck Equipment Rentals, Inc. 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: Smith Avenue Water Line Replacement Location: Various Streets City of Corona-400 Vicentia Ave. Corona, Ca 92822 Name and address of owner _Peter Ramey(951) 739-4888 Name and current telephone number of person familiar with project Type of Work: Water Line Replacement Contract amount: $ 879,025.00 Date completed: 08/2015 Amount of work done by my/our firm under contract$9.Q1..26.9.5.8........................................................................................................ Did your firm have any financial interest in Project?..N.o................................................................................................................................................ 2. Project Title: Water Line Replacement& Street Rehabilitation for De La Fuente from Harding Ave. Location: De La Fuente /Harding Ave. City of Monterey Park- 320 W.Newmark Ave. Monterey Park, Ca 91754 Name and address of owner Rey Alfonso (626) 307-1320 Name and current telephone number of person familiar with project Type of Work: Water Line Replacement& Street Rehabilitation Contract amount: $, 415.,.78.6.5.2 Date completed:...1.......1.1..1..5........................................................................................... Amount of work done by my/our firm under contract$ 415,786.:.52., Did your firm have any financial interest in Project? No . ............ I-C-12 Agreement No. 5275 3. Project Title: Large Portable Valce Replacement Project Location: Willow St. /Adriatic Ave. & Loma Ave. / 8th St. Lon4 Beach Water Denartment - 1800 E. Willow Ave. Long Beach. Ca 90807 Name and address of owner Eduardo Lomeli (562) 570-2300 Name and current telephone number of person familiar with project Type of Work: Water Valve Replacement Contract amount:$9.6.5. 1..65.:0.�....................................................� Date completed:....04/2.0..1..6............... 1.,131.50 Amount of work done by my/our firm under contract$ �7 1..... Did your firm have any financial interest in Project? No .................................................................................................. 4. Project Title: Water Main Replacement Project Location: Route 66 & Glendora City of Glendora- 116 E. Foothill Blvd. Glendora, Ca 91741 Name and address of owner Noel Zemla(626) 852-4845 Name and current telephone number of person familiar with project: Type of Work: Water Main Replacement Contract amount: $ iRR._412 50 Date completed: 07/2015 Amount of work done by my/our firm under contract$A46,289.45 ............................................................................................... Did your firm have any financial interest in Project? No 5. Project Title: 2013-2014 Water Main Replacement Project Location: Various Streets City of Manhattan Beach - 1400 Highland Ave. Manhattan Beach, Ca 90266 Name and address of owner I-C-13 Agreement No. 5275 Munc and cutrara tcllqph(.,)nc- nlnnL)er- of,J-'wrson fan°flllidf vvUh T'YRO, Of Work: "unoull a� —I Afnount clkvork dc)vic by nq/cwr firrn tuider Did your firrn hav,c,,,any financAal intruest in Project? plqc" Bidder Yna.y attach nn:ddirioned l-clfi�"rl(.,,nc(?1..iap following aric dic, ru"UTIC'S avl(l nurnbcn's I:or aH briokc,rs and suric,,dics ffoiln %Vhloull BIDDER hutnrllcls to ivosurancle, honlds!� 13 I)ana 11,4 '.21,-,,3'-- 1 �U'Ckah,�,/ C7 14 2 a Pollulla HH) A I q K-wnvlla S11. , .,hr 112q, a Agreement No. 5275 BIDDER'S STATEMENT OF PAST CONTRACT DISQUALIFICATIONS WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 Company Name: Stephen Doreck F,gtiinment Rentals. Inc. 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: ICI✓A ww ............... 3. Are you registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject your bid as non-responsive]? Yes R, No �I Bidder_ ..._Signature. mm..... ..............................�. __ . ..'...1:2..li.en L Doreck/Vice President.......................................... Name (Please Print) I-C-15 Agreement No. 5275 CALIFOR10A AL11 'dIPUR11120SE ACKII 4OWLIllW:.:.;IIlf :IVI "'r State of California a' County of Los Angeles On 01/10/2017 before me, S'ylvTar Sifuentes(Notary y Public) Dale :is,:'Insert Name W Ivan of the':Il,: personally appeared Stephen L.Doreck Names)of Siyner(sJ '' t^' who proved to me on the basis of satisfactory evidence to be the person(j) whose name(q) is/pffl subscribed to the within instrument and acknowledged to me that helMI1N # executed the same in hisH&AHW authorized capacity(M), and that by SYLVIA 81Rr2081 081 ES his/V#r/tV& signature(q) on the instrument the ;tl Commission# 184 person(A), or the entity upon behalf of which the Notary httbNC-California person(p) acted, executed the instrument. Los AnpeW County My Comm. Ell I certify under PENALTY OF PERJURY under the H' laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. �Sqi� nri6,µ..PQ 'y: .�,,....,.«...»....,,.w...... ry OPTIONAL. ::.:,�..,»»,I»»„»»»»».�u»�1�.� ,,.nature �„»,.•.,,...... Phra Nola Seal Move S'.. ' Though the Information below Is not required bylaw, It may prove udrr aP Y t n :r,urr relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date: Number of Pages Signer(s)Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer—Title(s) Corporate Officer---Title(s):_____ _ __ Individual *° i Individual "Y of �•Ww i Partner—'__1 Limited I General 1 Partner— Limited I General Top or thun1to here Attorney in Fact 1 Attorney in Fact Trustee 1 Trustee I Guardian or Conservator 1 Guardian or Conservator Other: IOther: r" Signer Is Representing: Signer Is Representing: w' ',. tl.,', M'. u 2009 NahonW Nolary Associahon•Nahona'Nolary org•1-000 US NOTARY(1-000-676-6027) Item#5907 Agreement No. 5275 INSURANCE REQUIREMENTS [MUST BE SUBMITTED WITH PROJECT PROPOSAL] WATER MAIN IMPROVEMENTS ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 Company Name: Stephen Doreck Equipment Rentals, Inc. 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 I'nsurwice 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." January 10,2017 Date 4iAder�sijnjre Stephen L. Doreck/Vice President I-C-16 Agreement No. 5275 CA11 IFORNMAll L-1PURPOSE ACKNOW11 ElIDGME III 4 I q q X q d,1 4 4 4'..a,dr^ 4 1 e 4 r 4 State of California County of Los Angeles 01/10/2017 Syk,ia Sifuentes(NovarN On before me, y Public), Dale Here lo—I Name all,I q!,' h, I IYY I, personally appeared Stephen L.Doreck Name(s)of S,gnef(s) who proved to me on the basis of satisfactory evidence to be the person(j) whose name(j) is/AW subscribed to the within instrument and acknowledged to me that helMIYN# executed the same in tm hisH&/tHW authorized capacity(M), and that by SYLVIA GIFUENTES his/V#r/tVN signature(M on the instrument the COffW*IlCn#2081184 person(A), or the entity upon behalf of which the 11� Notary PUbille California person(p) acted, executed the instrument. Z Los AngMn County fir comm. Expires act e,2018 1 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 oy "k Place Notay Seat Ahove OPTIONAL. ................... �d` Nv— ......................... 1,10, relying on Ih Though the Wotmation below is not required bylaw,it may prove e document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date Number of Pages: Signer(s)Other Than Named Above: Capacity(les) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer--Title(s): Corporate Officer--Title(s): Individual 11 Individual Partner—:-I Limited General Top of ffiurrib iiefe I Partner 1 Limited General Top of thumb here Attorney in Fact I Attorney in Fact Trustee 1 Trustee vii Guardian or Conservator I Guardian or Conservator Other: I Other: J Signer Is Representing: Signer Is Representing: CQ 2009 Nghona!Notary Asqociahon-Nat,orralNolavy org•I-BOO US NOTARY(1-800-1376-6827) Item k5907 Agreement No. 5275 END PROPOSAL SECTION I-C-17 Agreement No. 5275 , I�WB6dW ILSIGUND, 4,1Cf WIriN041Ar•} Jan. 4, 2017 ADDENDUM NO. 1 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for Water Main Improvement On Mariposa Avenue PROJECT NO.: PW 17-03 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 proposal pages are to be replaced in their entirety. See attachment in Addendum#1 Supplement. As evidence that the BIDDER has read this Addendum, the BIDDER must acknowledge same in the space provided below and submit this Addendum with the Bid Proposal. Failure to provide such acknowledgement shall render the bid as non-responsive and subject to rejection. w M... Signature: Date: January 10,20117 Print Company Name: Stephen Doreck Equipment Rentals, Inc. Page 1 of 1 350 Main Street, El Segundo,CA 90245-3895 (310) 524-2300 Fax(310)640-0489 Agreement No. 5275 CA1111.11FORNIA AL111I.~PURPOSE ACKNOWLEDGMENT State cdCalifornia ~ County nf Los Angeles �-��-_ On O|�O/20l7 b��ureme. Sv1vi �i��u�ca (Notar Public) �a. —� - ��Insert�=and mum the Officer � appoan�� Stephen LDnrcck personally ° � who proved to me on the basis of satisfactory � evidence to be the person(*) whose name(q) is/pffl ^ subscribed to the within instrument and acknowledged to me that he/Mk*0W/ executed the name in � his/114/M/ authorized oapuoity(M), and that by ' SIFUENTES hio/��hiff signature(q) on the instrument the --'---- - — porson(A), or the entity upon behalf of which the pomoo(p) aoted. executed the instrument. Lot Angalls C" | certify under PENALTY OF PERJURY under the |mwo of the State of California that the foregoing paragraph iu true and correct WITNESS my hand and official seal Siqeuhwwi! - ,m"wm�Seal^h— N OPTIONAL � nmouomvmmnnammoemwsom�voxed bylaw,it �mamo°'�0 document ` and could prevent oa"dumv/mmo,o/and*wouxomeor of this form to another document. � � Description of Attached Document `^ Title o,Type of Document Document Date: Number oxPages: Signer(s)Other Than Named Above: � Cepaoity(iem) Claimed bySigner(s) � � Signer's Name: Signer's Name: Cnqm/ate Officer—Tx|e(s) /Corporate Officer--Th|o(s): mmvmuo| ' /|nuiviuua| � Portner-- Limited i Gonond mp* m"�o/e� � i Partner--� i Limited �Gnnon| -op of m""»�� _ / Attorney inFact /Attorney inFact Trustee /Trustee / Gun��norConvonmm, � 'Guun�uon,Cvnvo�am, � Other: / omoc��_�___�__ ��n", b Ropmn�nong� ��mx� Representing: , � ^ m20m National ww"v*"="/.on'w,wni�Nomry"m'/80voo NOTARY o-w0-o76-mun w=m90r Agreement No. 5275 CITY OF EL SEGUNDO WATER MAIN IMPROVEMETN ON MARIPOSA AVENUE PROJECT NO.: PW 17-03 ADDENDUM NO. 1 SUPPLEMENT DATE: Jan. 4, 2017 TO: All Prospective Bidders The information and clarification provided in this Addendum shall be considered as incorporated into the specifications for the above-referenced project. All other portions of Contract Documents and previous Addenda not specifically mentioned in this Addendum remain in force. Changes and Clarifications: #1)The Proposal Pages are to be replaced in their entirety. See attachment at the end of this supplement. 1. Agreement No. 5275 SIGUNU 1J.1 C r A 4'T F,#1 ARM 6N Jan. 4, 2017 ADDENDUM NO. 2 to THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS for Water Main Improvement On Mariposa Avenue PROJECT NO.: PW 17-03 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, January 10, 2017 at 11:00 am 2. Please add Section 6-11.11 below to the General Provisions (on page II-B-22) 6-11.11 A13 626 (],AIMS; 11RO(::1:SS Claims made by a Contractor for one or more of the following are subject to the claim resolution process set forth in Public Contract Code section 9204: (A) A time extension, including, without limitation, for relief from damages or penalties for delay assessed by the city under a contract for a public works project. (B) Payment by the city of money or damages arising from work done by, or on behalf of, the contractor pursuant to the contract for a public works project and payment for which is not otherwise expressly provided or to which the claimant is not otherwise entitled. (C) Payment of an amount that is disputed by the city. Page 1 of 2 350 Main Street, El Segundo, CA 90245-3895 (310)524-2300 Fax(310)640-0489 a Agreement No. 5275 IL S[OU 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. Signature: —- _. ....., Date: January 10, 2017 Stephen L.. Doreck/Vice 11'resiclent Print Company Name: Stephen Doreck Equipment Rentals, Inc.______. .. . R .......... .... ............ Page 2 of 2 350 Main Street, El Segundo,CA 90245-3895 (310)524-2300 Fax (310)640-0489 Agreement No. 5275 !IHI t,IIII '-PURIIPOSE ACKNOWLEII)GUMT ar'w'r ,,;,. t 'r^,„',"n+ v' M'¢+;;rc a'v,a ,u"'e'a`i'w„ r+"',9 ," ,w' 'sr; ',' n`„'yi, ,,.u',7 ra"w, ,rl.+. n '14,r'nia .'rcld';e w „,✓'.: „',I State of California County of Los Angeles On 01/10/2017 before me, Sylvia Sifuentes(Notary Public) Dale hbpen Insert 1 mot liW" of he IPI” personally appeared Stephen L. Doreck Nemets)of&goer(s) who proved to me on the basis of satisfactory evidence to be the person() whose name(j) is/PM subscribed to the within instrument and acknowledged to me that he/"/1'W# executed the same in hisM&/tHW/ authorized capacity(M), and that by YL A 8'I'FUEN7 8 his/V#r/tf71& signature(q) on the instrument the ,-07' ' Notary ssion#2081164 person(p), or the entity upon behalf of which the Public•California person(p) acted, executed the instrument. a;C'wn'unty�,„ ��, ,�,° s Oct 8,2018 s Angeles mm. ndrs 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. Si natu�°� � � ,7 rmM•.°. ,. . .. Place Notary Seal Above g .�*, "'Iw'+w.r .a r•I•;A>tr, , not required I Though the information below is..,,. b law,it may prove d, 4,relying the document o t,' D and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title oI Type of Document Document Date: Number of Pages Signer(s)Other Than Named Above Capacity(ies) Claimed by Signer(s) Signer's Name: — Signer's Name: Corporate Officer—Title(s) Corporate Officer--Title(s): Individual = 1 1 Individual memo °'rp° Partner— -1 Limited General Tor,of thumb here 1 Partner—: Limited 1 General Top or Ihurnb here Attorney in Fact Attorney in Fact Trustee Trustee 1 Guardian or Conservator Guardian or Conservator Other: Other: Signer Is Representing: _ Signer Is Representing: ,. 4,"',0 "•,,." : "M,"f,m,.JI, '" r;P„w” A„M1,;N ",,r':w:,_$ ' a',.d"A,'d,'; 'r"y Po.•^,,;,n',Wr,M"i'd'9:x{'a„ :, (, 'x,,,; ”„q.,Jn„t' rrX ..°{,'fi",rc `)2009 Naliona1 Nola r7 Assocml ion•Na hones Notary org•1-000-US NOTARY(1-800-1376-6827) ilem 05907 No ee 527 5 2. o 0 L) U') o 'A 0 Sf 0 Zo kO 101, 18 0 L) UW Co. 0 00) 0, zo z, CA O Ol cd 601