CONTRACT 5278 Public Works Contract CLOSED Agreement No. 5278
PUBLIC WORKS CONTRACT
BETWEEN
THE CITY OF EL SEGUNDO AND
CORRAL CONSTRUCTION&
DEVELOPMENT INC.
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.: PW 15-10
This CONTRACT is entered into this 8h day of February, 2017, by and between the
CITY OF EL SEGUNDO, a general law city and municipal corporation ("the City") and
Corral COnSt.ruction& Deve10Dment 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
FIFTY EIGHT THOUSAND,NINE HUNDRED NINETY EIGHT Dollars ($58,998.00)
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. 5278
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. THIRD PARTY CLAIMS. In accordance with Public Contracts Code§9201,the City will
promptly inform the Contractor regarding third-parry claims against the Contractor,but in no
event later than ten(10)business days after the City receives such claims. Such notification
will be in writing and forwarded in accordance with the "Notice" section of the Contract
Documents. As more specifically detailed in the Contract Documents,the Contractor agrees
to indemnify and defend the City against any third-party claim.
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 as set forth in the Contract Documents. The requirements as to the types and limits
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Agreement No. 5278
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 parry will be deemed made
when received by such parry at its respective name and address as follows:
The Citv The Contractor
Ken Berkman Renee Soto
Interim Public Works Director Vice President
City of El Segundo Corral Construction&Development Inc.
350 Main Street 5211 E Washington Blvd.,#2-122
El Segundo,CA 90245 Commerce, CA 90040
(310) 524-2356 (562)762-6632
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.
12. NO THIRD PARTY BENEFICIARY. This Contract and every provision herein is for the
exclusive benefit of the Contractor and the City and not for the benefit of any other party.
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Agreement No. 5278
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, 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.
16. 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.
17. ACCEPTANCE OF FACSBULE 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. THE IS OF ESSENCE. Time is of the essence for each and every provision
of the Contract Documents.
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Agreement No. 5278
IN WITNESS WHEREOF the parties hereto have executed this Contract the day
and year first hereinabove written.
CITY 'EL jUND
Ore rpe r Renee to �
Ci a.nager Vice President
ATTEST:
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�r� Taxpayer ID No. uo -3 L�21 Y S-
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er e� N.
"fra
Ci Cl ,
Contractor State
License No.: 928805
Contractor City Business
License No.:
APPROVED AS TO FORM:
MARK D. HENSI`LEY, City Attorney
By: 1'
David H.King,
Assistant City Attorney
Insurance Reviewed by:
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Agreement No. 5278
(Premium included in the Performance Bond)
LABOR AND MATERIALS BOND
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.: PW 15-10
Bond No, 71881514
Bond Fee: Included
Corral Construction & Development , Inc .
as principal ("PRINCIPAL")
Western Surety Company
and .. . ... ... . , a corporation
incorporated under the laws of the State of South Dakota 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
FIFTY" EIGIµIT THOUSAND. NINE HUNDRED NINETY EIGHT DOLLARS
($58.998.00 , 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 MEN'S LOCKER ROOM IMPROVEMENTS PROJECT,
SPECIFICATIONS NO. PW 15-10 ("Public Project"), the Public Works Contract executed
for such Public Project, and for all work or labor of any kind performed for the Public
Project, In the case of any default in the performance of the conditions and stipulations of this
undertaking, it is agreed that PRINCIPAL or SURETY will apply the bond or any portion
thereof, to the satisfaction of any damages, reclamation, assessments, penalties, or
deficiencies arising by reason of such default.
BOND CONDITIONS
1. PRINCIPAL will construct the public improvements identified in
SPECIFICATIONS NO. PW 15-10, and the Public Works Contract executed for such
Specifications, copies of which is on file with CITY's Engineering Division("Public Prcj ect").
Such performance will be in accordance with CITY's plans and profiles (CITY DRAWING
FILE NO. PW 15-10), 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. 5278
Bond No. 71881514
3. PRINCIPAL will pay for all materials and other supplies,for equipment used in,
on, for or about the performance of the Public Project, and will pay for all work and labor
thereon.
4. This bond is conditioned upon and guarantees due compliance with all applicable
law including,without limitation, the El Segundo Municipal Code("ESMC").
5. SURETY, for value received, agrees that no changes, extensions of time,
alteration or modification of SPECIFICATIONS NO. PW 15-10, or of the obligation to be
performed will in any way affect its obligation on this bond, and it waives notice of any such
change, extension of time, alteration or modification of the Contract documents or of
the obligation to be performed.
6. This bond consists of this instrument; the plans and specifications identified
above; and the following TWO (2) attached exhibits all of which are incorporated herein by
reference:
A. A certified copy of the appointment, power of attorney, bylaws or other
instrument entitling or authorizing the persons executing this bond to do so;
and
B. A certificate issued by the county clerk for the county in which SURETY's
representative is located conforming with California Code of Civil Procedure
§ 995.640 and stating that SURETY's certificate of authority has not been
surrendered,revoked, cancelled, annulled, or suspended, or in the event that
it has,that renewed authority has been granted.
7. Should PRINCIPAL perform its obligations within the time allowed,
PRINCIPAL's obligation will be void upon the acceptance of the performance by CITY;
otherwise this obligation will remain in full force and effect.
[SIGNATURES ON FOLLOWING PAGE]
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Agreement No. 5278
Bond No . 71881514
SIGNED AND SEALED this 28th day of February 120 17
PRINCIPAL's PRESIDENT
SURETY Attorney-in-fact
Ernesto Corral Blake A Pfister
PRINCIPAL's SECRETARY SURETY's SECRETARY
PRINCIPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS:
Corral Const & Dev Inc Western Surety Company
5211 E Washington B1#2-122 101 S Reid #300
Commerce , CA 90040 Sioux Falls , SD 57103
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. 5278
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-.._Qs j_0 .__....._... _. )
On February 28 , 2017beforeme, Lianne Nahina , Notary Public
Date Mere Insert Name and Title of the Officer
personally appeared Blake A. Pfister
Name(s)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(op) whose name(s) isloo
subscribed to the within instrument and acknowledged to me that he/ executed the same in
his/ authorized capacity ,and that by his/ signature(I/)on the instrument the person
or the entity upon behalf of which the person( acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of Califomia that the foregoing paragraph
is true and correct.
LIANNE NAHINA
" = COMM.#2134629 WITNESS my hand and official seal.
NOTARY PUBLIC-WORNIA X
GE COUNTY Si natur
, ORAN UNTY
EXP.DE
WIY COMM 'CO
, g o .H .
77 Signature of Notary Public
Place Notary Seal Above
OP77ONAL
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: Bond 71881514 Document Date: February 28 , 2017
Number of Pages: Signer(s) Other Than Named Above: Z,/ _.Npj
Capacity(ies) Claimed by Signer(s)
Signer's Name: Blake A Pfister Signer's Name: - -----
❑ Corporate Officer — Title(s): O Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑General ❑Partner — ❑ Limited ❑General
• Individual IN Attomey in Fact ❑ Individual ❑Attorney in Fact
•Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator
❑Other: 0 Other:
Signer Is Represent Signer Is Representing:
Western Mr"ety... ..r i pant' ._-
02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
Agreement No. 5278
Western, Surety (,..olmpany
POWER OF ATTORNEY-CERTIFIED COPY
Bond No. 117�81 14
Know All Men By These Presents,that WESTERN SURETY COMPANY,a corporation duly organized and existing under the laws
of the State of South Dakota,and having its principal office in Sioux Falls, South Dakota(the"Company"),does by these presents make,
constitute and appoint BLAX'El., A PFISTER ......................
..........—............... ....................................................................
its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred,to execute,acknowledge and deliver for and on its
behalf as Surety,bonds for:
Principal: Corral Construction & Development, Inc.
Obligee: City of El Segundo
Amount: $1,000,000.00
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President,sealed with
the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said attorneys)-in-fact
may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety
Company which remains in full force and effect.
"Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary,any Assistant Secretary,Treasurer,or any Vice President or by such other
officers as the Board of Directors may authorize. The President,any Vice President,Secretary,any Assistant Secretary,or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
All authority hereby conferred shall expire and terminate,without notice,unless used before midnight of March 20
2017 but until such time shall be irrevocable and in full force and effect.
0 kitt
1,y 6 40,
v Western Surety Company has caused these presents to be signed by its Vice President,Paid T.Bruflat,and its
cor e t"baa this 28th day of FP.1 a Ita.ry 2017
WEST R' SURE " ' ' COMPANY
rl A Paul T, miflat,Vice Presidmt
C41r LA
$0mm;181' I I -s
On this day of in the year 2017 before me,a notary public,personally appeared
Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of
WESTl"a RN Sl M'ETY COMPANY and acknowledged said instrument to be the voluntary act and deed of said corporation.
+
J. MOHR
faNOTARY PUBLIC(R' ary Public-South Dakota
L
SOUTH DAKOTA
+
My &,
r).j,
.; June 23, 2021
I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota,do hereby certify that the
attached Power of Attorney is in full force and effect and is irrevocable,and furthermore,that Section 7 of the bylaws of the Company as
set forth in the Power of Attorney is now in force.
In testimony whereof,I have hereunto set my hand and seal of Western Surety Company this 28th day of
February
WEST .i RY SURE " Y COMPANY
Paul T. ,ruflat,Vice President
To validate bond authenticity,go to svwvv,(!na.qurety,g(gn >Owner/Obligee Services>Validate Bond Coverage.
Form F5306-1-2016
Agreement No. 5278
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CO0F§ 11Q0
Anotary public mother 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 nfCAUfo ia )
County of ___ )
On � be�rame, _ E AMIR NOTARY PUB�C_ ___ .____,
' Date Here Insert Name and Title of the Officer
personally appeared
Naxne(dnf3ignar(s)
who pnzVmd to nme on the basis of satisfactory evidence to be the (8� whose nal"no `41W
shL
6?/her/Meir authorized capac;ity(kis), and that I- �.5(s),on the irlstrUrnent the porsor�s),
'or the e1r1fity Upon bohWf of which the pe',sor�%)'acted, executed the instrument.
| certify under PENALTY [)F PERJURY under the laws
of the State of California that the foregoing paragraph
/o true and correct.
~� 4^ 1~ WITNESS my hand and official oeaL'`,
#M61'747 103
��r��� Signature __��/��~- ~~--~—
&y CnmoE � /, �0� � — -
Signature of0obsg/Public
Place Notary Seal Above
QP77O8AU-
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form toon unintended document,
Description of Attached Document
Title or Type ofDocument: _
Document Dato: _ Number of Pagoo: _
Signer(s) Other Than Named Above: __ _
CaAmcity(iem) Claimed bXSiQnmr(s)
Signer's Name: _ Signer's Name: _
OCorporate Officer -- Title(s): -__ []Corporate Officer -- Title(s):
UPartner — OUmited El General El Partner — O Limited OGonera|
U Individual El Attorney in FaGt [] Individual 01 Attorney in Fact
El Trustee [] Guardian or Conservator El Trustee [] Guardian or Conservator
[]Other: --___ E] Other:
Signer |aRepreaentinA� _ Signer |eRepresenting: _ __
@2O1G National Notary Association ^ www.Nationa|Notaryorg ' 1'8OO-US NOTARY (1-8OV-87O'6827) Item#5907
^
^
Agreement No. 5278
N? 3472
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
AMENDED
Certificate of Authority
THIS Is To CEtrmy,That,pursuant to the Insurance Code of the State of California,
WESTERN SURETY COMPANY
of SIOUX FALLS, SOUTH DAKOTA ,organized under the
laws of SOUTH DAKOTA ,"bled to its Articles of Incorporation or
other fundamental organizational documents, is hereby authorized to transact within this State,
subject to all provisions of this Certificate,the following classes of bsurance:
SURETY and LIABILITY
as such classes are now or may hereafter be defined in the Instounce Laws of the State of California.
Tms CEaTTFCc&-rz 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 lawfud 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 WMUM WMZRWF,effective as of the--2. ST---__-day
of-- MAKH 1915__, I have hereunto set
my hand and caused my ofitoial seal to be affixed this-21sT---
day of MARCH `18 75
Fee WESLEY J. KINDER
Inn7ronm Coma"imw
Rec.No.
Filed By � f�
NOTICE:
Qualification with the Secretary of State must be accomplished as required by the California Corporations Code
promptly after issuance of this Certificate of Authority.Failure to do so will be a violation of Ins.Code Sec.701
and will be grounds for revoldng this CerUllcate of Authority pursuant to the covenants made in the application
therefor and the conditions contained herein.
Fonu C8•3 IIM-04 7.70 M su•m mr
Agreement No. 5278
(Premium subject to adjustment based on final contract price)
FAi rtir uL PERFORMANCE BOND
POLICE DEPARTMENT
MEN'S LOCKER ROOM RVIPROVEMBNTS PROJECT
PROJECT NO.:PW 15-10
Bond No. 718 81514
Bond Fee: Premium : $1 , 770
Corral Construction & Development , Inc .
as principal ("PRINCIPAL")
and Western Surety Company . acorporation
incorporated under the laws of the State of��o u t h Dakota and licensed by the State of
California to execute bonds and undertakings as sole surety,as surety("SURETY"),are held and
firmly bound unto the CITY OF EL SEGUNDO ("CITY")in the sum of
FIFTY EIGHT THOPSAND. NINE HUNDRED NINETY EIGHT DOLLARS
55$, " 8.00), lawful money ey 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 15-10, and the
Public Works Contract executed with such Specifications. In the case of any default in
the performance of the conditions and stipulations of this undertaking, it is agreed that
PRINCIPAL or SURETY will apply the bond or any portion thereof, to the satisfaction of
any damages, reclamation, assessments, penalties, or deficiencies arising by reason of such
default.
BOND CONDITIONS
1. PRINCIPAL will construct the public improvements identified in
SPECIFICATIONS NO. PW 15-10, a copy of which is on file with CITY's Engineering
Division ("Public Project"). Such performance will be in accordance with CITY's plans and
profiles (CITY DRAWING NO. PW 15-10) 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. 5278
Bond No. 71881514
completion and acceptance by CITY.
4. This bond is conditioned upon and guarantees due compliance with all applicable
law including, without limitation, the El Segundo Municipal Code("ESMC").
5. SURETY, for value received, agrees that no changes, extensions of time,
alteration or modification of SPECIFICATIONS NO. PW 15-10 or of the obligation to be
performed will in any way affect its obligation on this bond, and it waives notice of any such
change, extension of time, alteration or modification of the Contract documents or of
the obligation to be performed.
6. This bond consists of this instrument; the plans and specifications identified
above; and the following two (2) attached exhibits all of which are incorporated herein by
reference:
A. A certified copy of the appointment,power of attorney,bylaws or
other instrument entitling or authorizing the persons executing
this bond to do so;
B. A certificate issued by the county clerk for the county in which
SURETY's representative is located conforming with California
Code of Civil Procedure § 995.640 and stating that SURETY's
certificate of authority has not been surrendered, revoked,
cancelled, annulled, or suspended, or in the event that it has,that
renewed authority has been granted; and
7. Should PRINCIPAL perform its obligations within the time allowed,
PRINCIPAL's obligation will be void upon the acceptance of the performance by CITY;
otherwise this obligation will remain in full force and effect.
[SIGNATURES ON FOLLOWING PAGE]
I-E-2
Agreement No. 5278
Bond No. 71881514
SIGNED AND SEALED this 2 8th day cif February ? 20 17
Corral Construction & Developme'nt , Inc . West "rd Surety Company
ww��w
PRINCIPAL � .... .. . . . � Attorn .....�
RINCIPAL 5 RLS f6l ENT SI,R 7`y' e y4 d i n—f a c t
Ernesto Corral Blake A Pfister
PRINCIPAL's SECRETARY SURETY'S SECRETARY
PRINCIPAL's MAILING ADDRESS: SURETY'S MAILING ADDRESS:
Corral Const & Dev Inc Western Surety Company
5211 E Washington B1#2-122 101 S Reid #300
Commerce , CA 90040 Sioux Falls , SD 57103
NOTE: (1) ALL signatures must be acknowledged by a notary public.
Return one(1)original to City Clerk's Office.
(2) Bond shall be effective for one(1)year after acceptance of the job.
I-E-3
Agreement No. 5278
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__Dr a n g e
OnFebruary 28 , 2017 beforeme, Lianne Nahina , Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Blake A._ Pfister
Name(s)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(4) whose name(s) Is/AV
subscribed to the within instrument and acknowledged to me that hel executed the same in
his/O~i authorized capacity ,and that by his/4000W signature(II)on the instrument the person o),
or the entity upon behalf of which the person( acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
�• - - -, is true and correct.
LIANNE NAHINA
COMM.#2134629 X WITNESS my hand and official seal,
ORANGE COUNTY w
r" N NOTARY MlcxA FORMA N
MY COMM.EXP.DEC 5,22019 N Signature
.V Signature of Notary Public R
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: B o n d 718 81514 Document Date:F e b r u a r y 28 , 2017
Number of Pages: Signer(s) Other Than Named Above: U/a_,__Nn e
Capacity(ies) Claimed by Signer(s)
Signer's Name: Blake A •.__ ':f i s t e r _...mm. Signer's Name:, -w-_ --
LJ Corporate Officer — Title(s): ._ ...,,,�,,, 0 Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General ❑ Partner — ❑Limited ❑General
❑ Individual IN Attorney in Fact ❑ Individual ❑Attorney in Fact
❑Trustee ❑ Guardian or Conservator ❑Trustee ❑Guardian or Conservator
❑Other, - ❑ Other:
Signer Is Representing: —� Signer Is Representing:
Western Surety Company
02014 National Notary Association •www.NationaiNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
Agreement No. 5278
Western Surety C....ompany
POWER OF ATTORNEY-CERTIFIED COPY
Bond No. .7.111-8-81,151-14
Know All Men By These Presents,that WESTERN SURETY COMPANY,a corporation duly organized and existing under the laws
of the State of South Dakota,and having its principal office in Sioux Falls, South Dakota(the"Company"),does by these presents make,
constitute and appoint RLAKE A PFISTE,,R
its true and lawful attorneys)-in-fact, with full power and authority hereby conferred,to execute,acknowledge and deliver for and on its
behalf as Surety,bonds for:
Principal: Corral Construction & Development, Inc.
Obligee: City of El Segundo
Amount: $1, 000,000.00
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President,sealed with
the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said attomey(s)-in-fact
may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety
Company which remains in full force and effect.
"Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary,any Assistant Secretary,Treasurer,or any Vice President or by such other
officers as the Board of Directors may authorize. The President,any Vice President,Secretary,any Assistant Secretary,or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
AH authority hereby C=,ferred shall expire and terminate,without notice,unless used before midnight of March -2110
but unti I such time shall be irrevocable and in full force and effect.
a.oa 'I f Western Surety Company has caused these presents to be signed by its Vice President,Paul T.Bruflat,and its
wvwo;�
VSthis 28th day of 2017
04
WEST R SURE,'";J` COMPANY
P
Paid T.,trLdlot,Vice President
as
C01 HA
On this day of ry in the year 2017 before me,a notary public,personally appeared
Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of
wEs'rf,,-Jl4 sulu;,ry COMPANY and acknoMedged said instrument to be the voluntary act and deed of said corporation.
+
J. MOHR
NOTARY PUBLIC(Rf t,
f( L I o ary Public-South Dakota
SOUTH (>AKOTA 0
My Cm,wasilcm Junt,,, 23, 2021
1 the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota,do hereby certify that the
attached Power of Attorney is in full force and effect and is irrevocable,and furthermore,that Section 7 of the bylaws of the Company as
set forth in the Power of Attorney is now in force.
In testimony whereof,I have hereunto set my hand and seal of Western Surety Company this 28th day of
February 2017
WESIZR SURE3-`� COMPANY
t,Vice
Paul Y� , i, President
To validate bond authenticity, go to www.cnasy.,r et
.. y.corq >Owner/Obligee Services>Validate Bond Coverage.
Form F5306-1-2016
Agreement No. 5278
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 11OQ
A notary public ur other officer completing this certificate verifies only the identity of the individual who signed the
j
document to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. U
State nfCciH )
County of 14o
On before me, VACHE AMIRIAN NOTARY PUBLIC .
Date Here Insert Name and Title of the Officer
personally appeared ������� /a��� / ..........
&anxe(s)of3ignor(s)
.__ _'_
who proved bz nno on the basis of satisfactory ev�deM&e to be the a&<m/hmse n
e moeo to the m/unm instrument and } ) tg ex*oute� th� Onie, in
authmr�ed cap the[notrmnnentthe pmr op,(&),
mr�heentity upon behalf of Which the pemaonH aotmd' executed the instrument.
| certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
VAC � VV|TN2GSmy hand and official seal,
00MM.#20617.4 71 W
'N LOS ANGD EES� hyCmnm� �r�A a �7�»�� � Signature
���~�+ ' -
- 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 toan unintended document,
Description of Attached Document
Title mr Type ofDocument:
Document Date: -- _ Number of Pages,
Signer(s) Other Than Named Above:
Ompouity(iea) Claimed bySi0ner(s)
Signer's Name: � _ Signer's Nama:__
El Corporate Officer -- llt|o(s): []Corporate Officer -- Td|e(s):_...._ ........
_
UPartner — OUmited OGemmn| El Partner — OUmited El General
O Individual El Attorney in Fact [] Individual []Attorney in Fact
El Trustee [] Guardian or Conservator El Trustee []Guardian or Conservator
El Other: [] Other:
Signer Is Representing/ Signer Is Representing:
@2O16 National Notary Association ^ www.NaUona|Notary.org ' 1'80O'US NOTARY(1'80O-O7O'8827) Item#5907
Agreement No. 5278
N': 3472
STATE OF CALIFORNIA
DEPARTMENT OF INSURANCE
SAN FRANCISCO
AMENDED
Certificate of Authority
Tars Is w CEtrrmr.That,pursuant to the Insurance Code of the State of California,
WESTERN SURETY COMPANY
of SIOUX FALLS, SOUTH DAKOTA ,organized under the
laws of SOUTH DAKOTA ,subject to its Articles of Incorporation or
other fundamental organizational documents, is hereby authorized to transact within this State,
subject to all provisions of this Certificate,the following classes of Msurance:
SURETY and LIABILITY
as such classes are now or may hereafter be defined in the Insurance Laws of the State of California.
Tats CE -niricA7E 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 lass and lawful requirements
made under authority of the lama of the State of California as long as such Taus or requirements are
in effect and applicable,and as such laws and requirements now are,or may hereafter be changed
or amended.
IN Wrrx=''Wwat zop, of ective as of the-21,ST ----.--day
Of- MARCH 1915_., I have hereunto set
my hand and caused my official sed to be affixed txed this-21ST.
day of MARCH -1915
Fee WESLEY J. KINDER
Iawra�oa Coeanlatoaa
Rec.No.
Filed By
NOTICE e
Qualification with the Secretary of Stator roust be a000mplished as required by the California Corporations Code
promptly after i;voianco of this Certificate of Authority.Failure to do so will be a violation of Ins.Code See.701
zmd will be grounds for revolting this Certificate of Authority pursuant to the covenants made in the application
therefor and fbe conditions a ntalned hmin.
ro M Ce•7 ism..",.,,.m our 0 o,r
Agreement No. 5278
PROPOSAL
FOR THE
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.: PW 15-10
Date 2011
Company N e: t
TO THE CITY OF EL SEGUNDO:
In accordance with the City of El Segundo's Notice Inviting Sealed Bids, the
undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor,
and incidentals required for the above stated project as set forth in the Plans,
Specifications, and Contract documents therefor, and to perform all work in the manner and
time prescribed therein.
BIDDER declares that this proposal is based upon careful examination of the work site,
Plans, Specifications, Instructions to Bidders, and all other Contract documents. Submittal of
this bid shall be considered evidence that the BIDDER has satisfied himself regarding the
Contract documents, access and any other field conditions which may affect bid prices.If this
proposal is accepted for award, BIDDER agrees to enter into a Contract with the City of El
Segundo at the unit and/or lump sum prices set forth in the following Bid Schedule.BIDDER
understands that failure to enter into a Contract in the manner and time prescribed will result
in forfeiture to the City of El Segundo of the proposal guarantee accompanying this proposal.
BIDDER understands that a bid is required for the entire work,that the estimated quantities set
forth in the Bid Schedule are solely for the purpose of comparing bids, and that final
compensation under the Contract will be based upon the actual quantities of work
satisfactorily completed. THE CITY OF EL SEGUNDO RESERVES THE RIGHT TO
INCREASE OR DECREASE THE AMOUNT OF ANY QUANTITY SHOWN AND
TO DELETE ANY ITEM FROM THE CONTRACT.It is agreed that the unit and/or lump
sum prices bid include all apparent expenses, taxes, royalties, and fees. In the case of
discrepancies in the amounts bid, unit prices shall govern over extended amounts, and words
shall govern over figures.
If awarded the Contract, the undersigned further agrees that in the event of the BIDDER'S
default in executing the required Contract and filing the necessary bonds and
insurance certificates within ten working days after the date of the City of El Segundo's notice
of award of Contract to the BIDDER,including sending by U.S.Mail a Public Works Contract
for signature by the Awardee,the proceeds of the security accompanying this bid shall become
the property of the City of El Segundo and this bid and the acceptance hereof may, at the City
of El Segundo's option,be considered null and void.
I-C-1
Agreement No. 5278
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 outstaaradiaag.
BIDDER certifies that saf'finnative action has been taken to seek out and consider minority business
enterprises for those portions of the work to be subcontracted, and that such affinn ative 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 af`firaaaative action will be taken to meet all equal
employment opportunity requirements of the Contract documents.
p ^w E ;v
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. 5278
BID SCHEDULE
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.: PW 15-10
Company Name: ,
Base Bid Items
Unit Price Item Total
Item Description Estimated (in figures) (in figures)
No. unit Qua"ti Dollars/Cents Dollars/Cents
Remove and dispose of all Y 5
0 -700'
1 existing tile,sinks,fixtures,a LUMP C) -
urinal, and unnecessary Sum
plumbing components
�i Lump
2 Adjust urinal to ADA height sum I
3 Repair any miscellaneous pipe, Lump I
elbows,couplings,etc. Sum C-)C5
Relocate mirror,soap
4 dispensers,paper towel LUMP
Sum 1
_dispenser and urinal partition
Remove and replace
5 waterproofing/moisture barrier SF 460
layers as necessary
6 Install floor and wall tide SF 442
(12"x24"tile)
Install shower floor tile(2"x2"
7 SF 18
QDC
tile)
Install three new sinks
1! including faucets,Quartz
8 countertop,structural Sum Lump
1 1
components,and plumbing
it components as necessary
Install new balancing shower
9 valves and low-flow shower EA 2 cx�
heads
10 Install two shower vents, Lump 1 CV .......
ductwork and fittings Sum
L
11 Install new trap primers in the Lump 1 t C,Y—)
I t
floor drains slum
--........... ....................................... .............. .......
Prep and paint surfaces(wall
12 SF 380
&ceiling) I
I-C-3
Agreement No. 5278
lase Bid Items(Cont.)
UNIT
PRICE IN ITEM TOTAL
ITEM FIGURES IN FIGURES
NO. DESCRIPTION UNIT QTY
13 'remove existing bathroom stall partitions and LS 1 � °, w
install new bathroom stall partitions
14 kemove existing shower stall door and install LS 1
new shower stall doors
15 Install a GFCI electrical outlet, outlet box and LS 1
all wiring necessary
16 Miscellaneous improvements as determined by LS ( 1 $5000.00 $5000.00
the Engineer as necessary
TOTAL BASE BID FOR ITEMS 1-16 IN FIGURES
=$ l :
TOTAL BASE BID FORNEMS 1-16 WRITTEN IN WORDS: a (Q
I-C-3a
Agreement No. 5278
BIDDER'S INFORMATION
Company Name: 9UEC&rvFNT TKC
BIDDER certifies that the following information is true and correct:
Form of Legal Entity(i.e., iridividual, Pamicrsliip, coi,lx)ratioii, etc.)
If corporation, State of Incorporation(i.e., California)
Business
............................
Address Corvwm tf U t 9 co q,-t-3
Telephone No. t5
Facsimile No.
State Contractor's License No. and Class C,
Original Date Issued 2-�n�U-Y-)q Expiration Date wig
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:
CO CLZ I'M ® '5-,1C, \,,k)k k r a 2--t
2 -2-
(s 6-L) -7 2
The date of any voluntary or involuntary bankruptcy j udgineiits- 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:
NJ
...................... ....... .... ................. ..........................................
I-C-4
Agreement No. 5278
BIDDER'S INFORmAxioN(CONTINUED)
Company Name, .................................
Bidder shall list the name of the person who attended the mandatory pre bid job walk:
Name:
Title: v
I-C-5
Agreement No. 5278
IN WITNESS WHEREOF,BIDDER executes and submits this proposal with the names,titles,
hands,
and seals of all a forenamed principals this 3 day of6DrQ U*V� 20
BIDDER
+ /9 M OJT (MC,'
era 0 0 q0
9'b 7-0
wt 4,
A not A bli 0 other officer co ledw th.Is
Rte vc
griE;
j,only the iderTivy of t
Indlylo' he gocument to w�i�cg this
ce rflluclaatewihs o.tNN'Te, cit M1 n f t the tru t h u n e ss,
accuracy,or vITRIty of t iat docurnent.
Subseribed aiid sworn to this 3 day of 20
NOTARY PUBLIC
z
rQA�r�JESUS'LOPE?
Commission#2124372
Notary Public-California zz
Los Angeles County
Comm.EmIres So 18,2019
I-C-6
Agreement No. 5278
Bid Bond No . 71860208
PROPOSAL GUARANTEE
BID BOND
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.: PW 15-10
KNOW ALL MEN BY THESE PRESENTS that,
Construction & Development , Inc .
Corral Constr ,as BIDDER,and
Western Surety
e s e Company..
as SURETY,are held and firmly bound unto the
City of El Segundo, in the penal sum of ten percent of bid in DOLLARS
($ 10% ),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
3rd day of January 2017
Corral Construction & Development , Inc .
BIDDER* 5211 E Washington Blvd #2-122 , Commerce , CA 90040
Tarn sLo Corr �Y
Presi,den"t„ " " 562- 162.- .;i
Western Surety Company
SURETY* 101 S Rei("�1 #300 , Sioux Falls , SD 57103
B .al,e A Pfi:�,ter , ,attorney-in-tact 800-331 6Q53
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. 5278
CALIFORNIA ALL-PURPOSE ACKiMJOWLEDGM' ENT CAVIL 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--Q-r- Tye )
On December 27 , 2016beforeme, Lianne Nahina , Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Blake A. Pfister
Name(s)of Signer(s)
who proved to me on the basis of satisfactory evidence to be the person(g) whose name(s) is/Mv
subscribed to the within instrument and acknowledged to me that he/ lam executed the same in
hls/ it authorized capacity ft),and that by his/1MfXW signature on the instrument the person
or the entity upon behalf of which the person( acted, executed the instrument.
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.
V �J
I
) I� I ti Ian, InYl,n f 2019 e ' xn �
�
g 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: Bid Bond 71860208 Document Date:J a n u a r y 3 , 2017
Number of Pages: 1 Signer(s) Other Than Named Above: NJ L, None .-_
Capacity(ies) Claimed by Signer(s)
Signer's Name: , Blake A. Pfister Signer's Name: --------
11 Corporate Officer — Title(s): ❑Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑General ❑ Partner ❑ Limited ❑General
❑ Individual IN Attorney in Fact ❑ individual ❑Attomey in Fact
❑Trustee ❑Guardian or Conservator ❑Trustee ❑Guardian or Conservator
❑ Other: 0 Other:
Signer Is Representing: p _ Signer Is Representing:
estern Surety Company
02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907
Agreement No. 5278
Western Surety C.,kimpany
POWER OF ATTORNEY- CERTIFIED COPY
Bond No. 21860208
Know All Men By These Presents,that WESTERN SURETY COMPANY, a corporation duly organized and existing under the laws
of the State of South Dakota,and having its principal office in Sioux Falls, South Dakota(the"Company"),does by these presents make,
constitute and appoint ....... . ................f... ter
FI
..................................
its true and lawful attorney(s)-in-fact,with full power and authority hereby conferred,to execute, acknowledge and deliver for and on its
behalf as Surety,bonds for:
Principal: Corral Construction & Development, Inc.
Obligee: City of El Segundo
Amount: $1, 000, 000. 00
and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the Senior Vice President,sealed with
the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said attorneys)-in-fact
may do within the above stated limitations. Said appointment is made under and by authority of the following bylaw of Western Surety
Company which remains in full force and effect.
"Section 7. All bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, any Assistant Secretary,Treasurer, or any Vice President or by such other
officers as the Board of Directors may authorize. The President,any Vice President, Secretary,any Assistant Secretary,or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds,policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile."
All authority hereby conferred shall expire and terminate,without notice,unless used before midnight of AiDril 3
2017 ,but until such time shall be irrevocable and in full force and effect.
h- tt�vllpfls
Western Surety Company has caused these presents to be signed by its Vice President,Paul T.Bruflat,and its
3rd day of
_--january 2017
this
Z 44,p t,
4t E S 7' Ti, SURE " COMPANY
W 1K U I - - ""
T
a
1) A Paul T. rtdl�ai,Vice President
bi F"'Ot(Arl]
ss
I Ilk
On 's day of -----ja—nu in the year
aj�y 2017 before me,a notary public,personally appeared
Paul T. Bruflat, who being to me duly sworn, acknowledged that he signed the above Power of Attorney as the aforesaid officer of
WESTERN SIMETY COMPANY,u%d a0mowledged said instrument to be the voluntary act and deed of said corporation.
+
J. M�OHR
X(R, NOTARY PUBLIC Public-South Dakota
SOUTH DAKOTA
My Commission Expires June 23, 2021
I the undersigned officer of Western Surety Company, a stock corporation of the State of South Dakota, do hereby certify that the
attached Power of Attorney is in full force and effect and is irrevocable,and furthermore,that Section 7 of the bylaws of the Company as
set forth in the Power of Attorney is now in force.
In testimony whereof,I have hereunto set my hand and seal of'Western Surety Company this 3-rd day of
January 2017
WEST j R SURE,'�' Y COMPANY
.Paul T, ruflat,Vice Pr__ _' .
esident
To validate bond authenticity,go to w rww nc rx,asur,at wconi >Owner/Obligee Services>Validate Bond Coverage.
Form F5306-1-2016
Agreement No. 5278
CONTRACTOR'S LICENSE DECLARATION
(Business and Professions Code Section 7028.15)
1. BIDDER'S Contractor's License Number is:
O'S Class No.: C
2. The expiration date of BIDDER'S Contractor License is:
20
3. BIDDER acknowledges that Section 7028.15(e)of the Business and Professions
Code provides as follows:
"A licensed Contractor shall not submit a bid to a public agency unless his or
her Contractor's license number appears clearly on the bid,the license expiration
date is stated, and the bid contains a statement that representations herein are
made under penalty of perjury. Any bid not containing this information, or
a bid containing information which is subsequently proven false, shall be
considered non-responsive and shall be rejected by the public agency."
The undersigned declares,under penalty of perjury,that the representations made
by the undersigned in this bid proposal are true and correct.
Executed oil 20 t l at
(insert City and State where Declaration signed).
Slg�aat.u�
l
Typed Name
Title
Company Name
I-C-8
Agreement No. 5278
NON-COLLUSION AFFIDAVIT
TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID
State of California )
) ss.
County of )
SoTo being first duly sworn, deposes and say that he or she is
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.
Signawrlb Name of Bidder/Company Name
l ( 7
Typed Name Date _
Title
I-C-9
Agreement No. 5278
WORKER'S COMPENSATION CERTIFICATION
Section 1861 OF THE LABOR CODE
(Workers'Compensation)
Pursuant to Section 1861 of the Labor Code,the BIDDER,in submitting his/her
PROPOSAL, shall sign the following certification:
"I am aware of the provisions of Section 3700 of the Labor Code which require every
employer to be insured against liability for workers'compensation or to undertake self-
insurance in accordance with the provisions of that code, and I will comply with such
provisions before commencing the performance of the work of this Contract."
Signature of Bidder:
Title: VP
Business Name:
Business Address:
r �
Telephone Number: ��)
Dated t17is (Jay of � � � ..� . 20
I-C-10
Agreement No. 5278
DESIGNATION OF SUBCONTRACTORS
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.:PW 15-10
Company Name:_,,,,,,,, ,,,,,,,,,_,,,,,,,,,,,,,,,,,,,,m.,,. . ... m
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:
... . . __.... ... . . . ... .,. I _. ..,.,.Description of
.,........... .� ..... .._
Subcontractor's Portion of
Name of Contractor Work Estimated
Subcontractor Address License No. Subcontracted $Amount
umber... . . .and Street)............... .....�__..._�......� ._.. ..u. ... ..... . __......
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(City,Zip Code)
i
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I-C-11
Agreement No. 5278
REFERENCES
Company Name:
The following are the names, addresses, and telephone numbers for public agencies for
which BIDDER has performed similar work as the prime Contractor or major Subcontractor
within the past five(5)years:
1. Project Title: Gfv"Ok (-
Location: ,V� F f
Name and address of owner
l �z
Name and current telephone number of person familiar with project
Type of Work: C t
Contract amount: $ .t ...... ......_._. Date completed:--.. 1
Amount of work done by my/our firm under Contract$ ...._._......................
Did your firm have any financial interest in Project? c')
2. Project Title: M � d t"- CA0,
Location: r 1 Lf N Of C"
Name and address of owner
(V\As,�rl (Cltu�,A)
Name and current telephone number of person lainiliar with project
Type of Work: 0
Contract amount: $ .__w.... w_ .r. N_...... ..... Date completed:
Amount of work done by my/our firm under Contract$ ...............r.....
Did your firm have any financial interest in Project? l
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Agreement No. 5278
3. Project Title:
Location: 5
vp
Name and address of owner vr-4OLJS
Name and current telephone number of person familiar with project
Type of Work:
C)�
Date completed:
Contract amount: $................................_.r..... ..................................... .......
Amount of work done by my/our firm under Contract$
Did your firm have any financial interest in Project?
4. Project Title: �'"�' 5c r ' "~
Location: 1' C
0
. . .
Name and address of owner o
-�A4-,(A A -L
Name and current telephone number of person familiar with project:
Type of Work:
Contract amount: $ 0 p c, Date completed: ........... 4-2,Ot io
Amount of work done by my/our firm under Contract$
Did your firm have any financial interest in Project?
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Agreement No. 5278
5. Project Title: T
Location: � o..
i
Name and address of owner ' C' a CL'
Name and current telephone number of person familiar with project:
Type of Work: 6
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:
� O .
I-C-14
Agreement No. 5278
BIDDER'S STATEMENT OF
PAST CONTRACT DISQUALIFICATIONS
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.: PW 15-10
Company Name: S °. 6, 0-Z--LA3WeMG0-T- -.I-w L
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 ❑ No
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 ❑
Bidddr's "ignatLire ...............................................
0
Name(Please Print)
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Agreement No. 5278
INSURANCE REQUIREMENTS
[MUST BE SUBMITTED WITH PROJECT PROPOSAL]
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PROJECT NO.. PW 15-10
Company Name:
To be awarded this Contract,the successful bidder must procure and maintain the following types of
insurance with coverage limits complying,at a minimum,with the limits set forth below:
"Eyve of Insurance Limits
Commercial general liability: $2,000,000
Business automobile liability: $1,000,000
Workers compensation: Statutory requirement
Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form No.CG
00 01 11 85 or 88. The amount of insurance set forth above must be a combined single limit per
occurrence for bodily injury, personal injury, and property damage for the policy coverage. Liability
policies must be endorsed to name the City,its officials,and employees as"additional insureds"under
said insurance coverage and to state that such insurance will be deemed"primary"such that any other
insurance that may be carried by the City will be excess thereto. Such endorsement must be reflected on
ISO Form No. CG 20 10 1185 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."
wa
Date 13atld&'s Signature
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Agreement No. 5278
"Y I
December 27,2016
ADDENDUM NO. 1
to
THE CONTRACT DOCUMENTS, SPECIFICATIONS AND PLANS
for
POLICE DEPARTMENT
MEN'S LOCKER ROOM IMPROVEMENTS PROJECT
PW 15-10
ATTENTION BIDDERS:
The following additions, modifications, and clarifications to the specifications shall be
included in,and become a part of,any contract which may be executed for the above project
in the City of El Segundo:
1. The bid due date and time is still Tuesday,January 3,2017,at 11:00 am.
2. The following Contract specification pages have been revised:
a. Page I-A-3,removed"C-5",66C-9319 66C-15999 6(C-20"31 11C-33"and"C-
36" as acceptable classes of license.
b. Page III-A-5,removed the word"roof'in Section 10-0(DISPOSAL OF
REMOVALS).
c. Page III-A-6,removed the words "roof repair/replacement at each site"
and added the word"work in Section 12-0(COMPLETION).
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: ........................:....... „. ... ".....:', . ............... _..........mm.. Date:
Print Company Name:
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350 Main Street,El Segundo,CA 90245-3895 (310)524-2300 Fax(310)640-0489