CONTRACT 5277 Public Works Contract CLOSED Agreement No. 5277
PUBLIC WORKS CONTRACT
BETWEEN
TBE CITY OF EL SEGUNDO AND
CINBAD INDUSTRY,INC.
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT NO.: PW 17-07
This CONTRACT is entered into this 8'day of Februarv. 2017 by and between the
CITY OF EL SEGUNDO, a general law city and municipal corporation ("the City") and
Qnbad Industrv. Inc., ("the Contractor").
1. WORK
A. The Contractor will provide all work required by the Contract Documents (the
"Work"). The Contractor agrees to do additional work arising from changes
ordered by the City in accordance with the Contract Documents.
B. The Contractor and the City agree to abide by the terms and conditions contained
in the Contract Documents;
C. The Contractor will furnish all of the labor; supplies and materials; equipment;
printing;vehicles;transportation;office space and facilities;all tests,testing and
analyses;and all matters whatsoever(except as otherwise expressly specified to
be furnished by the City)needed to perform and complete the Work and provide
the services required of the Contractor by the Contract Documents.
D. "Contract Documents"means the Notice Inviting Bids;Instructions to Bidders;
Supplementary Instructions to Bidders; Proposal; this Contract; Standard
Specifications; Supplementary Conditions; Exhibits; Technical Specifications;
List of Drawings; Drawings; Addenda; Notice to Proceed; Change Orders;
Notice of Completion; and all other documents identified in the Contract
Documents which together form the Contract between the City and the Contractor
for the Work. The Contract Documents constitute the complete agreement
between the City and the Contractor and supersede any previous agreements or
understandings.
2. CONTRACT SUM. The City agrees to pay the Contractor a sum not to exceed
THIRTY F'OI,.:GII THOUSAND, SIX, HI.1NDRED EIGHTY TY Dollars ($34.680.00) for the
Work in the manner set forth in the Contract Documents. The City may adjust this
amount as set forth in the Contract Documents.
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Agreement No. 5277
A. TIME FOR PERFORMANCE. The Contractor will fully complete the Work
within twenty(20)working days(the"Contract Time.")
B. The Contract Time will commence when the City issues a Notice to Proceed.
The Contract Documents will supersede any conflicting provisions included on
the notice to proceed issued pursuant to this Contract.
C. The Contractor may not perform any Work until:
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.
3. DISPUTES. Disputes arising from this Contract will be determined in accordance with the
Contract Documents and Public Contracts Code§§ 10240-10240.13.
4. TYHRD 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.
5. TAXPAYER IDENTIFICATION NUMBER. The Contractor will provide the City with a
Taxpayer Identification Number.
6. 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.
7. OWNERSHIP OF DOCUMENTS. All documents,data,studies,drawings,maps,models,
photographs and reports prepared by the Contractor under the Contract Documents are the
City's property. The Contractor may retain copies of said documents and materials as
desired, but will deliver all original materials to the City upon the City's written notice.
8. INDEMNIFICATION. The Contractor agrees to indemnify, defend, and hold the City
harmless asset forth in the Contract Documents. The requirements as to the types and limits
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Agreement No. 5277
of insurance coverage to be maintained by the Contractor as required by the
Contract Documents,and any approval of such insurance by the City, are not intended
to and will not in any manner limit or qualify the liabilities and obligations otherwise
assumed by the Contractor pursuant to the Contract Documents, including, without
limitation, to the provisions concerning indemnification.
9. 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.
10. 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.
11. NOTICES. All communications to either party by the other party will be deemed
made when received by such party at its respective name and address as follows:
The Citv The Contractor
Ken Berkman Nahed Abed
Interim Public Works Director President
City of El Segundo Cinbad Industry,Inc.
350 Main Street 21417 Germain St.
El Segundo,CA 90245 Chatsworth,CA 91311
(310)524-2356 (818)822-2419
Any such written communications by mail will be conclusively deemed to have beenreceived
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.
12. NO TBJRD PARTY BENEFICIARY. This Contract and every provision herein is
for the exclusive benefit of the Contractor and the City and not for the benefit of any
other party.
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Agreement No. 5277
There will be no incidental or other beneficiaries of any of the Contractor's or the
City's obligations under this Contract.
13. 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.
14. 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.
15. SEVERABII.ITY. 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.
16. AUTHORITUMODIFICATION. 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
17. 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.
18. 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.
19. CAPTIONS. The captions of the paragraphs of this Contract are for
convenience of reference only and will not affect the interpretation of this
Contract.
20. TEWE IS OF ESSENCE. Time is of the essence for each and every provision
of the Contract Documents.
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Agreement No. 5277
IN WITNESS WHEREOF the parties hereto have executed this Contract the day
and year first hereinabove written.
4Gregrpe b EGUNIA
«,.. c
n r Nahed Ab ed,,President
ager Cinbad Industry,Inc.
ATTEST:
^
Taxpayer ID No.
.T,"
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City Clerk
Contractor State
License No.: 943369
Contractor City Business
License No.:
APPROVED AS TO FORM:
MARK D. HEN "I,°, A City Attorney
By:
David R King,
Assistant City Attorney
Insurance Reviewed by: l
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� This wa your document �
—� 20170216197 Recorder's Office, Los Angeles County,
Recorded/Filed in Official Records
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FEES: 33.00
TAXES: 0.00
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PAID: 33.00
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THIS FORM Is NOT .oaEDUPLICATED �
RECORDING REQUESTED BY Agreement No. 5277
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SPACE ABOVE THIS LINE RESERVED FOR RECORDER'S USE
TITLE
6a
Agreement No. 5277
LABOR AND MATERIALS BOND
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT NO.: PW 17-07
Bond No.705333P
Bond Fee:Included
Cinbad Industry Inc. as principal ("PRINCIPAL")
and Indemnity Company of California a corporation
incorporated under the laws of the State of California and licensed by the State of
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
'I'HIR`FY F()lil1 THOUSAND, SIX HUNDRED EIGHTY DOLLARS ($34,680,00),
lawful money of the United States, which may be increased or decreased by a rider hereto
executed in the same manner as this bond, for the payment of which sum PRINCIPAL and SURETY
bind themselves, their successors, and assigns,jointly and severally, by this instrument.
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 POLICE DEPARTMENT
KITCHEN REMODEL PROJECT, SPECIFICATIONS NO. PW 17-07 ("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 17-07, 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 17-07), 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.
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Agreement No. 5277
3. PRINCIPAL will pay for all materials and other supplies,for equipment used in,
on, for or about the performance of the Public Project, and will pay for all work and labor
thereon.
4. This bond is conditioned upon and guarantees due compliance with all applicable
law including, without limitation, the El Segundo Municipal Code (`SSMC").
5. SURETY, for value received, agrees that no changes, extensions of time,
alteration or modification of SPECIFICATIONS NO. PW 17-07, 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]
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Agreement No. 5277
SIGNED AND SEALED this 10th day of February , 20 17
Shilo Lee o no
plI INCIPAL's M,ESQ[;)F;NT Attorney-)i_F Vs Printed Name
PRINCIPAL's SECRETARY Signature
PRINCIPAL'S MAILING ADDRESS: SURETY'S MAILING ADDRESS:
Cinbad Industry Inc. Indemnity Company of California
21417 Germain Ave 17771 Cowan Ste 100
Chatsworth, CA 91311 Irvine, CA 92614
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.
II-B-1
Agreement No. 5277
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COUNTYCLERK
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Agreement No. 5277
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725,IRVINE,CA 92623 (949)263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each
hereby make,constitute and appoint:
***Stephanie Hope Shear, Shilo Lee Losino,jointly or severally'
as their true and lawful Attomey(s)-in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of
suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as
each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attorney(s)-in-Fact,pursuant to these
presents,are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008.
RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or any Vice President of the
corporations be,and that each of them hereby is,authorized to execute this Power of Attorney,qualifying the attorney(s)named in the Power of Attorney to execute,on behalf of the
corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of either of the corporations be,and each of them hereby is,authorized
to attest the execution of any such Power of Attorney;
RESOLVED,FURTHER,that the signatures of such officers 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 shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF,DEVELOPERS SURETYAND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this January 29,2015.
A
fi,tY PA Y
By:
Daniel Young,Senior Vice-President *w .» rt�pfa4 tl °a: Cs O PO '' 5"
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BY .....a'. 7i"OCR
tuiarkLansdon,Vic�President oft, ,,.�;� �, �"�"L �r'�" �
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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 Iruthfulness,accuracy,or validity of that document.
State of California
County of Orange
On ....................... p _!y J ary Public
i�uar .J ,,,'I5
Dare before me, Lucille
Insed Name an..Nq a
o t
and Title of the Officer
personally-appeared Daniel_Young and Mark Lansdon
Name(s)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)isiare subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of
LUCILLE RAYMOND which the person(s)acted,executed the instrument.
Commission N 2001945
Notary Public-California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
Orange County true and correct.
L ray Comm.Expres 0 11 „20181
, r,,,n y ,u ru^ u " Irl,, WITNESS my hand and official seal.
Place Notary Seal Above Signature _ ...... ,....._.... Lucill 6yhuo
nI Notary Public
CERTIFICATE
The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of'this Certificate.
This Certificate is executed in the City of Irvine,California,this 6 day of / ��.� �`7
By: ..` .J./ rrosParzl,doss 5par�t 6 ...,,
Cas"iile ry
ID-1380(Rev.01/15)
Agreement No. 5277
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189
�:,4xU<,4 x'Asa"�`�xlx <,,A
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
State of California )
County of LOS ANGELES )
On O_VY610 -7 before me,
GAIL L. NICHOLSON, NOTARY PUBLIC
„
Date Here Insert Name and Title of the Officer
personally appeared SHILO LEE LOSINO
Name(s)of Signer(s)
p
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
GAIL L.NICliOL CN d and official seal.
Notary Public•Ceiltomle WITNESS my...han
` Loe Angeles Co n
9 ty
Commission N 215367
M Comm,Ex ire$bye 19, 02C Signature�r µ Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended 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):
❑Partner — ❑ Limited ❑General ❑ Partner — ❑Limited ❑General
❑Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact
❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator
❑Other: ❑ Other:
Signer Is Representing: Signer Is Representing:
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02014 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
Agreement No. 5277
This page port of� � 20170216198
Pa es:
4. Recorded/Filed in Official Records
Recorder's Office, Los Angeles County,
California
Wo 02/23117 AT 09:62AM
FEES: 33.00
TAXES: 0.00
OTHER: 0.00
PAID: 33.00
LEADSHEET
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THIS FORM IS NOT TO BE DUPLICATED
Agreement No. 5277
RECORDING REQUESTED BY 02123,12017
WHEN RECORDED MAIL TO
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TITLE
Agreement No. 5277
FAITHFUL PERFORMANCE BOND
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT NO.: PW 17-07
Bond No.705333P
Bond Fee:$867
Cinbad Industry Inc. as principal ("PRINCIPAL")
and Indemnity Company of California , a corporation
incorporated under the laws of the State of California 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
THIRTY FOtlR THOUSAND,dal H[IND'RER EIGGHTYDOLLARS ($34,680.00),
lawful money of the United States, which may be increased or decreased by a rider hereto
executed in the same manner as this bond, for the payment of which sum PRINCIPAL and
SURETY bind themselves, their successors, and assigns, jointly and severally, by this
instrument.
PRINCIPAL or SURETY will apply this bond for the faithful performance of any and all of the
conditions and stipulations set forth in this bond,SPECIFICATIONS NO.PW 17-07,and the
Public Works Contract executed with such Specifications. In the case of any default in the
performance of the conditions and stipulations of this undertaking,it is agreed that PRINCIPAL
or SURETY will apply the bond or any portion thereof, to the satisfaction of any damages,
reclamation, assessments, penalties, or deficiencies arising by reason of such default.
BOND CONDITIONS
1. PRINCIPAL will construct the public improvements identified in
SPECIFICATIONS NO. PW 17-07, a copy of which is on file with CITY's Engineering
Division ("Public Project"). Such performance will be in accordance with CITY's plans and
profiles(CITY DRAWING NO.PW 17-07)which are made a part of this bond when said plans
and profiles are approved by the City Council and filed with CITY's Engineering Division.
CITY has estimated the required amount of the bond as shown above.
2. PRINCIPAL's work on the Public Project will be done in accordance with
CITY's plans and specifications and with any permit issued by CITY. Should PRINCIPAL fail
to complete all required work within the time allowed,CITY may,at its sole discretion,cause all
required work to be done and the parties executing the bond will be firmly bound for the
payment of all necessary costs therefor.
3. PRINCIPAL will guarantee its work against any defective work, labor, or
materials on the Public Project for a period of one (1) year following the Public Project's
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Agreement No. 5277
completion and acceptance by CITY.
4. This bond is conditioned upon and guarantees due compliance with all applicable
law including, without limitation,the El Segundo Municipal Code (`SSMC").
5. SURETY, for value received, agrees that no changes, extensions of time,
alteration or modification of SPECIFICATIONS NO. PW 17-07 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]
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Agreement No. 5277
SIGNED AND SEALED this 10th day of February 20 17
Shilo I_ "0sino
PRINCIPAL's PRESIDENT Attorne 41.Iw t"s Printed Name
PRINCIPAL's SECRETARY Signature
PRINCIPAL'S MAILING ADDRESS: SURETY's MAILING ADDRESS:
Cinbad Industry Inc. Indemnity Company of California
21417 Germain Ave. 17771 Cowan Ste 100
Chatsworth, CA 91311 Irvine, CA 92614
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.
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Agreement No. 5277
Certif'uic t Ipul lsualt to 995M,09a)Code of Civil Procedure
Clerk rif Cowrity
d I,naxW for Id C4unty
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In 40may Mmmof,I have o '1 1:k fliu od;m KI a fti:ENJ d!!"a SON(Olf
OJUNIFYCLERK
Deputy Couqjy CIO*
Agreement No. 5277
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725,IRVINE,CA 92623 (949)263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each
hereby make,constitute and appoint:
***Stephanie Hope Shear,Shilo Lee Losino,jointly or severally***
as their true and lawful Attorney(s)•in-Fact,to make,execute,deliver and acknowledge,fore and on behalf of said corporations,as sureties„bonds,undertakings and conlracls of
suretyship giving and granting unto said Atl(xney(s)-in"Fact full power and aulfroaity'to do and to perform every act necessary,requisite or proper to be done in connection therewith as
each of said coporalions could do,bast feserving to each of said corporations furl power of substitution and revocation,and all of the acts of said Attorney(s)4n-Fact,pursuant to these
prosonls.are hereby ratified and corrhtrned.
This Power of Attomey is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008.
RESOLVED,that a combination of any two of the Chairman of the Board,.the Presideft,Executive'Vice President,'S'enior Vice-President or any Vice President of the
corporalions be,and that each of thern hereby is,authorized to execute this Power of Attorney,qualifying the aftorney(s)named in the Power of Attorney to execute,on behalf of the
corporations,bonds,undertakings and contracts of suretyship:and that the Secretary or any Assistant Seorelary of either of the corporations be,and each of them hereby is,authorized
to attest the execution of any such Power of Attorney„
RESOLVED,FURTHER,that the signatures of such officers may be affixed to any such mower of Attorney or to any certificate relating thereto by facsimile,and any such
Power of Attorney or certificate bearing such facsimile signatures shall be vatgd and binding upon tlhe corporations when so affixed and in the future with respect to any bond,undertaking
or contract of suretyship to which,it is atiached.
IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this January 29,2015.
r ty,
AND
�^�
+°r
Daniel Young, Vice-President
_ x ' pCT c O
g, or Vice President P'O
J". 10 ` Y'
__.. - _ n rw= OCT.5 0
µ 196
By. Mark Lansdon,Vice-President
1 9 3 N
/F
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 January 29,2015 before me, ... Lu ile 6��fgnfl,,N Qa:tar a )pp„
... _
Dole ere Insert Nana and Tile of Me efhrar
personally appeared .__,,,,,,,,,, 9 on
Daniel Youn and Mark Lansd................. ,........................, _�_.,.............. „,._._...,,
Names)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the parson(s)whose nanfe(s)is/are subscribed
fo the within instrument and acknowledged to me that he/sherthey execulod the same in hislhertiheir authorized
capacity(ies),and that by his/her/their signatures)on the'insti ument the person(s),or the entity upon behalf of
LUCILLE RAYMOND which I person(s)acted,executed the instrument.
Commission#2081945
Notary Public-Callforniat I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
_ Orange County true and correct.
M Comm.E iras Oct'13„ 018
w„„md,..a, ip uuu II10,11p 11lli, ,I i,,ii' WITNESS my hand
Place No eat. �.
Notary Seal Above I° _
ry " Signature �_ ....and official s........,r_..
LUCIII y aond,Notary Pub..... ..
y tic
CERTIFICATE
The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETY AND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of this Certificate.
This Certificate is executed in the City of Irvine,California,this day of I
By: t ass e 1, rrdsfra .. stistt e wEr
Y
ID-1380(Rev.01/15)
Agreement No. 5277
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
State of California )
County of r LOS ANGELES )
On _� �m before me, GAIL L. NICHOLSON, NOTARY PUBLIC
Date Here Insert Name and Title of the Officer
personally appeared SHILO LEE LOSINO
Name(s) of Signer(s)
a
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
NNCNpL is true and correct.GAIL
Notary Public
Angeles �mis WITNESS my hand and official seal.
Commission County 36647 `
, 215 ..,.,..
�' nrnr.Crc irss s 1%2020 Si nature, "Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document: Document Date:
Number of Pages: Signer(s) Other Than Named Above:
Capacity(lies) Claimed by Signer(s)
Signer's Name: Signer's Name:
❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑General ❑ Partner — ❑Limited ❑General
❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact
❑Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator
❑Other: ❑ Other:
Signer Is Representing: . .,,,,,,,,,,,,,,,,__ Signer Is Representing:
02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
Agreement No. 5277
PROPOSAL
FOR THE
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT .. 7
Company Name.
TO THE CITY OF EL SEGUNDO:
In accordance with the City of E1 Segundo's Notice Inviting Sealed Bids, the
undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor,
and incidentals required for the above stated project as set forth in the Plans,
Specifications, and Contract documents therefor, and to perform all work in the manner and
time prescribed therein.
BIDDER declares that this proposal is based upon careful examination of the work site,
Plans, Specifications, Instructions to Bidders, and all other Contract documents. Submittal of
this bid shall be considered evidence that the BIDDER has satisfied himself regarding the
Contract documents, access and any other field conditions which may affect bid prices. If this
proposal is accepted for award, BIDDER agrees to enter into a Contract with the City of El
Segundo at the unit and/or lump sum prices set forth in the following Bid Schedule.BIDDER
understands that failure to enter into a Contract in the manner and time prescribed will result
in forfeiture to the City of El Segundo of the proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work,that the estimated quantities set
forth in the Bid Schedule are solely for the purpose of comparing bids, and that final
compensation under the Contract will be based upon the actual quantities of work
satisfactorily completed. THE CITY OF EL SEGUNDO RESERVES THE RIGHT TO
INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND
TO DELETE ANY ITEM FROM THE CONTRACT.It is agreed that the unit and/or lump
sum prices bid include all apparent expenses, taxes, royalties, and fees. In the case of
discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words
shall govern over figures.
If awarded the Contract, the undersigned further agrees that in the event of the BIDDER'S
default in executing the required Contract and filing the necessary bonds and
insurance certificates within ten working days after the date of the City of El Segundo's notice
of award of Contract to the BIDDER,including sending by U.S.Mail a Public Works Contract
for signature by the Awardee,the proceeds of the security accompanying this bid shall become
the property of the City of El Segundo and this bid and the acceptance hereof may, at the City
of El Segundo's option, be considered null and void.
I-C-1
Agreement No. 5277
requirements of the Bidding Documents,the City will award the Contract to Bidder
by signing the Agreement and returning a signed copy of the Agreement to Bidder.
14.8 If the City consents to the withdrawal of the Bid of the apparent lowest responsible
Bidder, or the apparent lowest responsible Bidder fails or refuses to sign the
Agreement or submit to the City all of the items required by the Bidding Documents,
within ten (10) days after receiving the City's notification, or the City determines
that the Bidder is not financially or otherwise qualified to perform the Contract,the
City may reject such Bidder's Bid and select the next apparent lowest responsible
Bidder, until all bids are exhausted, or reject all Bids.
I-B-8
Agreement No. 5277
BID SCHEDULE
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT
®® PW 17-07
Company Name:
Base Bid Items
.......................... ................... .. ....
............. ...
Unit Price Item Total
Item Description Estimated (in figures) (in figures)
No. Unit Quantity Dollars/Cents Dollars/Cents
Removal and disposal of
harmful substances per Lump 1 350c)
Cal/OSHA and AQMD Sum w .5'js%)c
requirements
Remove and dispose of all Lump
2 existing flooring, cabinets, Sum 1 000 0
sink, and wall base
3 Install new cabinets Lump I
Sum q00
4 Install new countertops Lump
Sum c) o o
Install new sink, fixture, and Lump
5 necessary plumbing Sum I
components
6 Adjust electrical outlets as Lump I
necessary Sum 5. C)C) oo. 0 0
7 Install new floor tile(6"x40") SF 255 A - 00
0 6,0
8 Install new backsplash the SF 25
9 Prep and paint surfaces(walls) SF 470
Miscellaneous improvements
10 as determined by the Engineer LS 1 $5000.00 $5000.00
as necessary
TOTAL BASE BID FOR ITEMS 1-10 IN FIGURES
TOTAL BASE BID FORrIEMS 1-10 WRITTEN IN WORDS:
/e(
I-C-3
Agreement No. 5277
EQUAL { T' r
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.
AIMIRMA'I'l VILA N, FtCA11Q�N
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.
NUNQUI'LLISQrs ALL,L121
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. 5277
BIDDER'S INFORMATION
ell
Company Name: C4,7AJ)3,i,1,*
BIDDER certifies that the following information is true and correct:
Form of Legal Entity (i.e., individual,partnership, corporation, etc.)
If corporation, State of Incorporation (i.e., California) C#e,,1F0ReJ1" .
Business
.................-----—--------- ............................
Address 7-
Telephone No. 419 13.9 ell
Facsimile No. / 8 7 0 0 10 9P
State Contractor's License No. and Class
Original Date Issued Expiration Date
The following are the names,titles, addresses, and phone numbers of all individuals, firm
members,partners,joint venturers, and/or corporate officers having principal interest in this
proposal: lva4�rzo Aeo -..- ARn-lo ra r-
1�2
The date of any voluntary or involuntary bankruptcy judgments against any principal having an
interest in this proposal is as follows:
All current and prior DBA's, aliases, and/or fictitious business names for any principal having
an interest in this proposal are as follows:
I-C-4
Agreement No. 5277
BIDDER'S INFORMATION(CONTINUED)
Company Name: ( ,ur ',,,, .�
Bidder shall list the name of the person who attended the mandatory pre-bid job walk:
Name: �� �
Title:
I-C-5
Agreement No. 5277
'' Wiiiiii%;f ll iu .,x OTM
ioJ „. A"
Bid Bond
CONTRACTOR: BURETS':
(Name, legal status and address) (Name, legal status and principal place
Cinbad Industry Inc of business)
21417 Germain Ave indemnity Company of California
Chatsworth, CA 91311 17771 Cowan Ste 100 This document has important legal
Irvine, CA 92614 consequences.Consultation with
OWNER: an attorney is encouraged with
(Name, legal status and address) respect to its completion or
City of El Segundo modification,
350 Main St Any singular reference to
El Segundo, CA 90245 Contractor,Surety,Owner or
BOND AMOUNT:Ten Percent of the Greatest Amount Bid(10%of G.A.B.) other party shall be considered
plural where applicable.
PROJECT:
(Name, location or address, and Project number, if any)
City Council Chambers
Kitchen Remodel
Project#: PW 17-07
T he Contractor and Surety are bound to the Owner in the amount set forth above,for the payment of which the
Contractor and Surety bind themselves,their heirs,executors,administrators,successors and assigns,jointly and
severally,as provided herein.The conditions of this Bond are such that if the Owner accepts the bid of the Contractor
within the time specified in the bid documents,or within such time period as may be agreed to by the Owner and
Contractor,and the Contractor either(1)enters into a contract with the Owner in accordance with the terms of such
bid, and gives such bond or bonds as may be specified in the bidding or Contract Documents,with a surety admitted
in the jurisdiction of the Project and otherwise acceptable to the Owner,for the faithful performance of such Contract
and for the prompt payment of labor and material furnished in the prosecution thereof,or(2)pays to the Owner the
difference,not to exceed the amount of this Bond,between the amount specified in said bid and such larger amount
for which the Owner may in good faith contract with another party to perform the work covered by said bid,then this
obligation shall be null and void,otherwise to remain in full force and effect.The Surety hereby waives any notice of
an agreement between the Owner and Contractor to extend the time in which the Owner may accept the bid. Waiver of
notice by the Surety shall not apply to any extension exceeding sixty(60)days in the aggregate beyond the time for
acceptance of bids specified in the bid documents,and the Owner and Contractor shall obtain the Surety's consent for
an extension beyond sixty(60)days.
If this Bond is issued in connection with a subcontractor's bid to a Contractor,the term Contractor in this Bond shall
be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor.
When this Bond has been furnished to comply with a statutory or other legal requirement in the location of the Project,
any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrorn and
provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein.When so
furnished,the intent is that this Bond shall be construed as a statutory bond and not as a common law bond.
Signed and sealed this 23rd day of January,2017
Cinbad Industry Inc.
rl)
ss (Principal) r µ . ..._. .. .
rtne.. �,..,.�� (5r�
(Title)
lnderrrrlit rl ny of California
(Surety) .,... (Seal)
o .. .. . ..
(Witness)
Signature .... .olute �II�-��......_..,..�-w�
J act, Shilo Lee Losino
ry b l utl;";ru p u oil a u!Innpu,oll 1,a„liupu a„,n r:ulrighialll„ l?%v u:w"ui;u'I,uu,a lL'ici:uulin Nut,a 11' v,Nllihich• dllil„ VI,,,'!all upullu nu'.';:„hill II N I11;) uI n,Iin7g'li alll„uS ',ualu IM 111hali;
r h llu,,p¢,u„ YVITV uIcI1 bo ll
trlit
AIA Document A310 2010 Copyri ht 0 1963,1970 and 2010 b The American Institute of Architects.All rights served.1u'„dM%l Il l l u.r:"'II Ilui 1 °”
9 y
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ail II„,uii,IV:uI uV r uin � I uu V':011, !ill xunh¢.i u iiu,ul I u l l ^ ni .011 Il I'll m 0,'us d III w+ 11111,1016111111011111,1011111,10161111110111111 a 8110, 'llIr I,1 11duu tl,h: V+m^r,
Purchasers are permitted to reproduce ten(10)copies of this document when completed,To report copyright violations of AIA Contract Documents,e-mail
The American Institute of Architects'legal counsel,copyright @aia,org, 061110
Agreement No. 5277
POWER OF ATTORNEY FOR
DEVELOPERS SURETY AND INDEMNITY COMPANY
INDEMNITY COMPANY OF CALIFORNIA
PO Box 19725,IRVINE,CA 92623 (949)263-3300
KNOW ALL BY THESE PRESENTS that except as expressly limited,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,do each
hereby make,constitute and appoint:
***Stephanie Hope Shear, Shilo Lee Losino,jointly or severally—
as their true and lawful Attomey(s}in-Fact,to make,execute,deliver and acknowledge,for and on behalf of said corporations,as sureties,bonds,undertakings and contracts of
suretyship giving and granting unto said Attomey(s)-in-Fact full power and authority to do and to perform every act necessary,requisite or proper to be done in connection therewith as
each of said corporations could do,but reserving to each of said corporations full power of substitution and revocation,and all of the acts of said Attomey(s)-in-Fact,pursuant to these
presents,are hereby ratified and confirmed.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Boards of Directors of DEVELOPERS SURETY
AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA,effective as of January 1st,2008.
RESOLVED,that a combination of any two of the Chairman of the Board,the President,Executive Vice-President,Senior Vice-President or any Vice President of the
corporations be,and that each of them hereby is,authorized to execute this Power of Attorney,qualifying the attomey(s)named in the Power of Attorney to execute,on behalf of the
corporations,bonds,undertakings and contracts of suretyship;and that the Secretary or any Assistant Secretary of either of the corporations be,and each of them hereby is,authorized
to attest the execution of any such Power of Attorney;
RESOLVED,FURTHER,that the signatures of such officers 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 shall be valid and binding upon the corporations when so affixed and in the future with respect to any bond,undertaking
or contract of suretyship to which it is attached.
IN WITNESS WHEREOF,DEVELOPERS SURETY AND INDEMNITY COMPANY and INDEMNITY COMPANY OF CALIFORNIA have severally caused these presents to be signed by
their respective officers and attested by their respective Secretary or Assistant Secretary this January 29,2015.
AN
PAN Y
f
By: .... ......
Daniel Young,Senior Vice President - rr ' POO°
a OCT
Z.
J
14 OCT.5
By -.............. aa'". 1936 yx 1967
y„... r 9
Mark Lansdon,Vice-President
�'wwAJprlvw.Ywlw'fM'1kM*j4�#
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 Calfomia
County of Orange
On_ January 29,20'15 .,.ucille Raymond,Notary Public
before me, H__...w....
Gale b ere Insert Name and Title of the Officer
personally appeared Daniel Young 9nd„M!!k Lansdon
Nanrolsp ewd"Sipn�e Qsl ....
who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s)is/are subscribed
to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized
capacity(ies),and that by his/her/their signature(s)on the instrument the person(s),or the entity upon behalf of
LUCILL 'RAYMOND which the person(s)acted,executed the instrument.
CorrtrMs:ion 2001915
E Notary Public-California I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is
Oranp Courtly true and correct.
COMM.Expires Oct l3,2010
r w�.ri h,+",, ddo, um Al IUioumWl, u � WITNESS my hand and official seal.
Place Notary Seal Above ove Signature �.-........_ _.............................. ..__ �.... ..........._.�
Luoill iy fond,Notary Public
CERTIFICATE
The undersigned,as Secretary or Assistant Secretary of DEVELOPERS SURETYAND INDEMNITY COMPANY or INDEMNITY COMPANY OF CALIFORNIA,does hereby
certify that the foregoing Power of Attorney remains in full force and has not been revoked and,furthermore,that the provisions of the resolutions of the respective Boards of Directors of
said corporations set forth in the Power of Attorney are in force as of the date of this Certificate.
This Certificate is executed in the City of Irvine,California,this f-k day of v � J 1 -7
l
BY ........ �iii .. rrwsforai,Assistant 1.:.(� � _....... .._..
ID-1380(Rev.01/15)
Agreement No. 5277
CALIFORNIA ALL-PURPOSE ACKNOWLEDOMENT CIVIL CODE I 189
----- ..........................................................................................................
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document.
..............
State of California
County of LOS ANGELES
Ors before me, GAUL L MCIHOLSON, NOTARY PUBLIC
.........................
Date Here Insert Name and Title of the Officer
personally appeared SMLO LEE LOSMO
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 instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
ML
;1GN
OSO is true and correct.
O L,16000 W
Notary PuMo -Ctidernis
WITNESS my hand and official seal.
Los Aq0sv oeup�y
M S"
Signature
_',,.m_. ........................... .......................................... ............
iture of Notary Public
Place Notary Seal Above
OPTIONAL '
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended 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):
❑ Partner — ❑Limited ❑General ❑Partner — ❑Limited ❑General
❑ Individual ❑Attorney in Fact ❑Individual ❑Attorney in Fact
❑Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator
❑Other: ❑ Other:
Signer Is Representing: Signer Is Representing:
<1 ..A. X
02014 National Notary Association - www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
. � �� Agreement No. 5277
PROPOSAL GUARANTEE
BID BOND
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT NO.: PW 17-07
KNOW ALL MEN BY THESE PRESENTS that,
as BIDDER, and
as SURETY,are held and firmly bound unto the
City of El Segundo, in the penal sum of DOLLARS
($ ),which is ten (10%)percent of the total amount bid by BIDDER to the
City of El Segundo for the above stated project, for the payment of which sum,BIDDER and
SURETY agree to be bound,jointly and severally, firmly by these presents.
THE CONDITIONS OF THIS OBLIGATION ARE SUCH that,whereas BIDDER is about
to submit a bid to the City of El Segundo for the above stated project,if said bid is rejected,or if
said bid is accepted and a Contract is awarded and entered into by BIDDER in the manner
and time specified,then this obligation shall be null and void, otherwise it shall remain in full
force and effect in favor of the City of El Segundo.
IN WITNESS WHEREOF the parties hereto have set their names,titles,hands, and seals this
day of . 20
BIDDER*
SURETY* '
Subscribed and sworn to this — day of . 20
NOTARY PUBLIC
*Provide BIDDER/SURETY name, title, address and telephone number and the name, title,
address and telephone number for authorized representative.
I-C-7
Agreement No. 5277
IN WITNESS WHEREOF,BIDDER executes and submits this proposal with the names,titles,
hands,
and seals of all a forenamed principals this day of .20
BIDDER
) noto '7 ..............................
A
o�
Subscribed and sworn to this day of 20
NOTARY PUBLIC
k"WNJ
I-C-6
Agreement No. 5277
A notary p ublic or other officer
completing this
certificate verifies only the identity of the individual
,who signed the document to which this certificate
is attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Los �^ge ins
Subscribed and sworn to (or affirmed) before me on this
day of j-guar 201'1 , by NAN ei'> fi) A i3�fl
proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.
D.
Sign turn "
OP
»..
��1�!11111
Agreement No. 5277
CONTRACTOR'S LICENSE DECLARATION
(Business and Professions Code Section 7028,15)
1. BIDDER'S Contractor's License Number is:
'?
x`336 9 Class No.: —A
2. The expiration date of BIDDER'S Contractor License is:
4 20
.........................
...................-
® 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 oiA 1 20/7 , at
�4�M _9
kag,77,C CIO' (insert City and State where Declaration signed),
Signature
A&enq ACID
Typed Name
Title
...................
'Yk/
ue r C
Company Name
I-C-8
Agreement No. 5277
NON-COLLUSION AFFIDAVIT
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
State of California ) 2E� .�'�TG�-0 h- `U
ss.
County of )
--,A-T-r4 :.,to r47being first duly sworn, deposes and say that he or she is
of
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, onto any.niember or agent
thereof to effectuate a collusive or sham bid.
it o, ,rielld i /'1 C
Signature Name of Bidder/Company N ie
yped Name Date
�le
I-C-9
Agreement No. 5277
A notary..p. ............r ot.....ww.....
public o her officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate
is attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of Los
Subscribed and sworn to (or affirmed) before me on this aq+'
day of 0anvoyq 20 1-1 , by __14A A1ETV 4+ Ll��D
proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.
tIIII11IIIII
� �� D. eq���Pi
SSIO**** / "
y' 0
�
�� .:
" Signature ,
OP
qpY 6 n� r w�, qF gyp,
Agreement No. 5277
WORKER'S COMPENSATION CERTIFICATION
Section 1861 OF THE LABOR CODE
(Workers' Compensation)
Pursuant to Section 1861 of the Labor Code, the BIDDEN, in submitting his/her
PROPOSAL,, shall sign the following certification;
"I am aware of the provisions of Section 3700 of the Labor Code which require every
employer to be insured against liability for workers' compensation or to undertake self-
insurance in accordance with the provisions of that code, and I will comply with such
provisions before commencing the performance of the work of this Contract."
Signature of Bidder: ,.
Title: /
Business Name: r r&5e r
Business Address: ca r-4
Telephone Number:
Dated this_ ;'"" (lay of , 20
I-C-10
Agreement No. 5277
DESIGNATION OF SUBCONTRACTORS
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT NO.: PW 17-07
Company Name: "'
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:
Description of
Subcontractor's Portion of
Name of Contractor Work Estimated
Subcontractor Address License No. Subcontracted $Amount
u
�
(Number and Street) 1,
3
� 'w {,. r 4tR,',.i�� ll�� r�t�i �,�� ,{� t.��l� .�� (� fo
(City,Zip Code)µ to
I
.......... ...
I
I
�I
-............
�E
I
i
i
I
................
I-C-I 1
Agreement No. 5277
REFERENCES
Company Name: a �,
. ...........
The following are the names, addresses, and telephone numbers for public agencies for
which BIDDER has performed similar work as the prime Contractor or major Subcontractor
within the past five (5) years:
1. Project Title:
Location:
Name and address of owner
-
Name and current telephone number of person familiar with project
Type of Work: ...........,...................
Contract amount: $ Date completed:
Amount of work done by my/our firm under Contract$
Did your firm have any financial interest in Project?
2. Project Title:
Location:
Name and address of owner
Name and current telephone number of person familiar with project
Type of Work:
Contract amount: $ _ . .............................................._ Date completed: .....................
Amount of work done by my/our firm under Contract$
Did your firm have any financial interest in Project?
I-C-12
Agreement No. 5277
3, Project Title:
Location:
Name and address of owner
Name and current telephone number of person familiar with project
Type of Work:
Contract amount: $......... Date completed: mm...
Amount of work done by my/our firm under Contract$
Did your firm have any financial interest in Project?
4. Project Title:
Location:
Name and address of owner
Name and current telephone number of person familiar with project:
Type of Work:
Contract amount: $ Date completed:
Amount of work done by my/our firm under Contract$
Did your firm have any financial interest in Project?
I-C-13
Agreement No. 5277
CINBAD INDUSTRY INC
(818)822-2419
71417 Germain St.Chatsworth CA 91311-2239
General Description of the work: Woodchip MataWlation at 10 parks,
Dollar Value: $47,500.00
Project Manager: Lee Withers
Phone Number: (951) 351-6054
Contractor: Cinbad Industry
Nahed Abed
Address: Riverside, CA
Scope of work: Installation of woodchips at 10 riverside parks.
Completion mate: October 28, 2013
General Description of the work., Roof Replacement
Dollar Value: $21,900.00
Project Manager:John Di Mario
Phone Number: (626) 855-1517
Contractor: Cinbad Industry
Nahed Abed
Address: 15900 E. Main St, La Puente, CA
Scope of work: Roof Replacement
Completion Date: In progress.
General Description of the work, Bell Garden P0ce Department Restroo
Rehabilitation
Dollar Value. $46,806.010
Project Manager: Douglas Benash
Phone Number: (626) 203-2849
Contractor: Cinbad Industry
Nahed Abed
Address: 8327 Garfield Ave, fell Garden, CA
Scope of work: Restroom restoration
Completion Date: In progress.
General Description of the work: Long beach WMdow Replacement
Dollar Value: $44,918.35
Project Manager:Anne Takii
Phone Number: (562) 570-6362
Contractor: Cinbad Industry
Nahed Abed
Address: 333 W, Mean Blvd, Long Beach, CA
Scope of work: Window replacement
ant
Completion Date: In Progress..
Agreement No. 5277
(818) 822-2419
21417 Germain St, Chatswoilh CA 91311-2239
General Description of the work: Miscellaneous park Improvements wc1rk at
Nietos Park and Sanfis Fe Springs Plark
Dollar Value: $44,450.83
Project Manager: Dina Hozenoyer
Phone Number: (818) 572-6024
President and Superintendent., Cinbad Industry
Nahed Abed
Address: Santa Fe Springs, CA
Scope of work: Removal of sand followed by ground compaction, 'Installation of
wood chips in lieu of sand. Install turf, repaint playground equipment,
Completion Date: May 28, 2012
General Description of the work: Gerrftos Park East Restroom HohabOitafion
Dollar Value: $209,174.08
Project Manager: Freddy Bonilla
Phone Number: (562) 916-14229
Contractor: Cinbad Industry
Nahed Abed
Address: 13234 166th St, Cerritos, CA 90703
Scope of Work: Rehabilitation and remodeling of restroorn.s. Cabinet replacement
and kitchen remodeling,
Completion Date: June 26, 2013,
General Description of the work: City of South Cate Municipal Audftorlum
Dollar Value: $302,503.55
Project I' aria Steve (01c)stly
Phone Number., (,'123) 5610-5494
Coritnactor: ('11"Ohibad Industry
Nahed Abed
Address: 4900 Southeai Ave, Southgate, CA 90703
Scope of Work., Installation of, audio/video lightirAg Syst(,)m foraudRorlurrt with
Stool Support aral for ( aryj(3q-
'Uspeakers, Reinstaliation of new carpetling and
=ue,flc carpet panals, PaNting of auditork.un and replacing, sanding and
gloSsing of wood flooring,
Completion Date: Novernbe r 7, 20,13
Agreement No. 5277
(918)822-2419
21417 Gol'"main SL Clm1,:wi"M1rth CA 9.B 2239
General Description of the work: Demolition and replacement of ifra,11(ways and
ramp at Carson field office
Dollar Value: $77,000.00
Project Manager: Magdi Labib
Phone Number: (562) 508-6811
Contractor: Cinbad Industry
Nahed Abed
Address: 24501 S. Figueroa St, Carson, CA 90745
Completion Date: In Progress,
General Description of the work: Parking lot demolition and eler:trlr:, low voltage,
arnera systerri, landscaping and abatement at t.JCLA
I'"`)ollrv'Valuo: $699,9150,00
Project Manager: Timothy Fbertowski
Phone Number: (818) 019-8779
Contractor: Cinbad Industry
Nahed Abed
Address: 1344 16th St, Santa Monica CA 90404
Completion Date: In Progress.
M
ahocl Abed, President
Agreement No. 5277
5. Project Title,
..........
Location:
..........
Name and�`address of owner--' ................................................. ................
...........
Name and-c— p
urrent—tele`—hone num`&e"-r" f oi p e"r's n
'"o" -� familiar with projea
Type of Work:
--—-------------------
Contract amount: $ Date completed:
Amount of work done by my/our firm under Contract ........
Did your firm have any financial interest in Project?
Bidder may attach additional reference pages if necessary.
The following are the names, addresses, and telephone numbers for all brokers and sureties from whom
BIDDER intends to procure insurance bonds:
guaXry 11L1PCA4A1t ry
.........................11................
1'7q 97 S fe
..........
...........
�f ew U2re L-&-e -ZovMve adr�j
...........
................................g
A Zoa/' V-,e e-12617
3
I-C-14
Agreement No. 5277
BIDDER'S STATEMENT OF
PAST CONTRACT DISQUALIFICATIONS
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
PROJECT NO.: PW 17-07
Company Name:
_ oaf y, , blc-
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.
1. Have you ever been disqualified from any government Contract?
Yes El No
,,y
2. If yes, explain the circumstances:
1 Are you registered in accordance with Labor Code § 1725.5 [Note: failure to register requires
the City to reject your bid as nonresponsive]?
Yes No 0
Bidder's Signature
A,124�co (A A9
Name (Please Print)
I-C-15
Agreement No. 5277
INSURANCE REQUIREMENTS
[MUST BE SUBMITTED WITH PROJECT PROPOSAL]
POLICE DEPARTMENT
KITCHEN REMODEL PROJECT
� U)W)]F"Ck` .N().: PVVl7-07
Company Name: _ � ��������s�� '/OC_ ______.
To be awarded this Contract, the mucucyofu| bidder must procure and maintain the following types of
insurance with coverage limits complying, at a minimum,with the limits set forth below:
Tyne ofInsurance Limits
Commercial general liability: $2,080,000
Business automobile liability: $1,000,000
Workers compensation: Statutory requirement
Commercial general liability insurance must meet oc exceed the requirements of ISO-CGL Form No.CG
00 01 |l 05 or 88. The amount of insurance set forth above must he u 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 hc carried hy the City will bo excess thereto. Such endorsement must bo reflected ou
ISO Form No. C(]20lO }l 85or08, orequivalent. Such insurance must beuuau°ouomreuce,'`not u
"claims made,"basis and will not be cancelable or subjectto reduction except upon thirty(30)days prior
written notice to the City.
luaun:r will agree in poidog to waive all rights of subrogation against the City, its utfiocm, otOoio1o,
employees and volunteers for losses arising from work performed hy Contractor for the City.
Automobile coverage must he written ou ISO Business Auto Coverage Form C&0OOl0692,including
aynoho| l (Any Auto).
The Consultant must furnish to the City duly authenticated Certificates of Insurance evidencing
maintenance of the insurance required under this Agreement,endorsements uu required herein,and such
other evidence of insurance or copies of policies as may be reasonably required by the City from time to
time. [uaucuuoc numt he placed with admitted insurers with u current A.M. Qout Company Rating
equivalent tou1 least u Rating of^'A:\/D." CcrtiOcu1e(u)must reflect that the insurer will provide thirty
(3O)day notice of any cancellation ofcoverage. 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
uuuucUa1ion inupouca no obligation, and to delete the word ^^oudeuvur` 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 ofCalifornia.
By signing this form, the bidder certifies that it has read, understands, and will comply with these
insurance requirements ifitiu selected ua the City's consultant. Failure to provide this insurance will
render the bidder's proposal^^nonrnopouoivu.°
4140a2l
Date Bidder's Signature
l-C'lh
Agreement No. 5277
END PROPOSAL SECTION
I-C-17