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CONTRACT 5343 Public Works Contract CLOSED Agreement No. 5343 PUBLIC WORKS CONTRACT BETWEEN THE CITY OF EL SEGUNDO AND STEPHEN DORECK EQUIPMENT RENTALS,INC. CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD, PROJECT NO.: PW #17-22 This CONTRACT is entered into this 7th day of June, 2017,by and between the CITY OF EL SEGUNDO, a general law city and municipal corporation ("the City") and STEPHEN 1;a.01.,1'1l1M[11NT W� 1"N'I"A1..,5, ICI(.'., a Califbriiia Cornoratioii, ("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 six liwidred ciality thmisarid, sea^c:rl IWIldred Ibi-ty-five Dollars aml zero ccrits ($680.745.00) for the Work in the manner set forth in the Contract Documents. The City may adjust this amount as set forth in the Contract Documents. 3. TIME FOR PERFORMANCE, A. The Contractor will fully complete the Work within sixty (60) working days (the "Contract Time.") Agreement No. 5343 B. The Contract Time will commence when the City issues a Notice to Proceed. The Contract Documents will supersede any conflicting provisions included on the notice to proceed issued pursuant to this Contract. C. The Contractor may not perform any Work until: i. The Contractor furnishes proof of insurance as required by the Contract Documents; and ii. The City gives the Contractor a written, signed, and numbered purchase order and notice to proceed. D. By signing this Contract,the Contractor represents to the City that the Contract Time is reasonable for completion of the Work and that the Contractor will complete the Work within the Contract Time. E. Should the Contractor begin the Work before receiving written authorization to proceed, any such Work is at the Contractor's own cost and risk. 4. DISPUTES. Disputes arising from this contract will be determined in accordance with the Contract Documents and Public Contracts Code §§ 10240-10240.13. 5. THIRD PARTY CLAIMS. In accordance with Public Contracts Code § 9201, the City will promptly inform the Contractor regarding third-party claims against the Contractor, but in no event later than ten (10) business days after the City receives such claims. Such notification will be in writing and forwarded in accordance with the "Notice" section of the Contract Documents. As more specifically detailed in the Contract Documents, the Contractor agrees to indemnify and defend the City against any third-party claim. 6. TAXPAYER IDENTIFICATION NUMBER. The Contractor will provide the City with a Taxpayer Identification Number. 7. PERMITS AND LICENSES. Unless otherwise provided, the Contractor, at its sole expense,will obtain and maintain during the Contract Time,all necessary permits, licenses, and certificates that may be required in connection with the Work. 8. OWNERSHIP OF DOCUMENTS. All documents, data, studies, drawings, maps, models,photographs and reports prepared by the Contractor under the Contract Documents are the City's property. The Contractor may retain copies of said documents and materials as desired, but will deliver all original materials to the City upon the City's written notice. 9. INDEMNIFICATION. The Contractor agrees to indemnify, defend, and hold the City harmless as set forth in the Contract Documents. The requirements as to the types and limits of insurance coverage to be maintained by the Contractor as required by the Contract Documents, and any approval of such insurance by the City, are not intended to and will Agreement No. 5343 not in any manner limit or qualify the liabilities and obligations otherwise assumed by the Contractor pursuant to the Contract Documents, including, without limitation, to the provisions concerning indemnification. 10. INDEPENDENT CONTRACTOR. The City and the Contractor agree that the Contractor will act as an independent contractor and will have control of all work and the manner in which is it performed. The Contractor will be free to contract for similar service to be performed for other employers while under contract with the City. The Contractor is not an agent or employee of the City and is not entitled to participate in any pension plan, insurance, bonus or similar benefits the City provides for its employees. Any provision in this Contract that may appear to give the City the right to direct the Contractor as to the details of doing the work or to exercise a measure of control over the work means that the Contractor will follow the direction of the City as to end results of the work only. 11. AUDIT OF RECORDS. The Contractor will maintain full and accurate records with respect to all services and matters covered under this Contract. The City will have free access at all reasonable times to such records, and the right to examine and audit the same and to make transcript therefrom, and to inspect all program data, documents,proceedings and activities. The Contractor will retain such financial and program service records for at least three (3)years after termination or final payment under the Contract Documents. 12. NOTICES. All communications to either party by the other party will be deemed made when received by such party at its respective name and address as follows: The Citv The Contractor City of El Segundo-Public Works Stephen Doreck Equipment 350 Main Street Rentals, Inc. El Segundo, CA 90245 9075 Telegraph Rd. Attn: John Gilmour Pico Rivera, CA 90660 Attn: Stephen Doreck Any such written communications by mail will be conclusively deemed to have been received by the addressee three (3) days after deposit thereof in the United States Mail, postage prepaid and properly addressed as noted above. In all other instances, notices will be deemed given at the time of actual delivery. Changes may be made in the names or addresses of persons to whom notices are to be given by giving notice in the manner prescribed in this paragraph. 13. NO THIRD PARTY BENEFICIARY. This Contract and every provision herein is for the exclusive benefit of the Contractor and the City and not for the benefit of any other party. There will be no incidental or other beneficiaries of any of the Contractor's or the City's obligations under this Contract. Agreement No. 5343 14. INTERPRETATION. This Contract was drafted in, and will be construed in accordance with the laws of the State of California, and exclusive venue for any action involving this Contract will be in Los Angeles County. 15. EFFECT OF CONFLICT. In the event of any conflict, inconsistency, or incongruity between any provision of the Contract Documents, precedence will be as follows: A. This Contract; B. The Standard Specifications; and C. Precedence of documents as determined in the Standard Specifications, 16. SEVERABILITY. If any portion of the Contract Documents are declared by a court of competent jurisdiction to be invalid or unenforceable, then such portion will be deemed modified to the extent necessary in the opinion of the court to render such portion enforceable and,as so modified,such portion and the balance of this Contract will continue in full force and effect. 17. AUTHORITY/MODIFICATION. The Parties represent and warrant that all necessary action has been taken by the Parties to authorize the undersigned to execute this Contract and to engage in the actions described herein. This Contract may be modified by written amendment. The City's city manager,or designee,may execute any such amendment on the City's behalf. 18. ACCEPTANCE OF FACSIMILE SIGNATURES. The Parties agree that this Contract, agreements ancillary to this Contract, and related documents to be entered into in connection with this Contract will be considered signed when the signature of a party is delivered by facsimile transmission. Such facsimile signature will be treated in all respects as having the same effect as an original signature. 19. COVENANTS AND CONDITIONS. The parties agree that all of the provisions hereof will be construed as both covenants and conditions, the same as if the words importing such covenants and conditions had been used in each separate paragraph. 20. CAPTIONS. The captions of the paragraphs of this Contract are for convenience of reference only and will not affect the interpretation of this Contract. 21. TIME IS OF ESSENCE. Time is of the essence for each and every provision of the Contract Documents. Agreement No. 5343 IN WITNESS W H FRI-"OF the parties hereto have executed this contract the day and year first hercinabove written. CITY OF F.I. SFGUN DO STFITI-IFN DORL'CK F-Q U I I'M ENT R I�J,l FALS, INC. Greg Cd vnter Cll Dorcck City N4 u, I cl, ATTEST: ,,Xp��Ya.,J[, 11) Clerk Contractor State License No.: ( ,0 Contractor City Business License No.: -25C,14 APPROVED AS TO FORM: Ibr Mark D. Flenslv, City Attorney Insurance Reviewed by ", 1 Agreement NO. 5343 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT ' N,`,u.x�, ,~v�m�x,�`."v"�°�~ vv:��°x,��, e ,'...�``*'�`=��,�^`' ,, State of California Los N County of �^e�^�� On |onc|2,2017 before nm. Sylvia Sifuzntca . ^ personally appeared _ _ Stephen Name(s)of Sigrer(s) who proved to me on the basis of satisfactory evidence to be the ponmn(y) whoae name(j) �4hw ` subscribed Vo the within instrument and acknowledged to me that hn/~hWbf executed the same in � hiu8i6AHW authorized oupuoity(ibW), and that by hia/V#r/th& uignature(,7) on the instrument the pomon(A)' or the entity upon behalf of which the poraon(*) uotod. executed the instrument. ;1� Los Angeles County | certify under PENALTY OF PERJURY under the COMM, Expires laws of the State of California that the foregoing paragraph iu true and correct. WITNESS my hand and official seal � ^ � Signal � OPTIONAL Though mommmawwm,mw�not�qum�»r��/,may doounoo/ ` and could prevent myudomo/removal and nm/mvomen/of this mm,to another document, Description fAttached D t ' � o o�umen � Title o,Type nf Document: Document oeto _ _ Number of Papee Signvr(s)Other Than Named Above: Capooity(imm) Claimed by Signer(s) Signer's Name: Signer's Name: Co�mwmO��e,--Tn|o(�,__ �� :�Coqno�mOMiwm--Th|o(u)��_ mmvmuu| | ||nUpiuun| ! Po�ner--UL��ou � /G*no�| � u°mm"=ui�= � )P;�no --� |Um�d JGenom| �np��"�b�� ' Attorney in Fact | |Aoomvy in Fact . / Trustee | 1Tmoteo � |! Gua��nn,Cunoowom, / 1 Guardian o,Conservator Omoc I Othoc ^ Signer Is Representing: Signer Is Representing: 9 2009 Nalional NolarV Association-NalionalNotary org 1-600-US NOTARY(1-800-1376-6827) Item 0,9907 Agreement No. 5343 THE FINAL PREMIUM IS PREDICATED ON THE FINAL CONTRACT PRICE FAITHFUL PERFORMANCE BOND CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD. PROJECT NO.: PW#17-22 Bond No. 2256129 Bond Fee: $7,097,00 Stephen Doreck Equipment Rentals, Inc. ("PRINCIPAL") and North American Specialty Insurance Company , a corporation incorporated under the laws of the State of New Hampshire and licensed by the State of California to execute bonds and undertakings as sole surety, as surety ("SURETY"), are held and firmly bound unto the CITY OF EL SEGUNDO("CITY")in the sum of six lttittdred eiallty tliot,usatid. serrcll lILMdred forty-five DOLLARS tttid zero cems t' '680.745.t1f;t1, 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 17-22, 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 17-22, 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 FILE NO. PW 17-22) 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 completion and acceptance by CITY. Should PRINCIPAL fail to correct its work against any Agreement No. 5343 defective work, labor, or materials, 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. 4. This bond is conditioned upon and guarantees due compliance with all applicable law including, without limitation, the El Segundo Municipal Code ("ESMC"). 5. SURETY, for value received, agrees that no changes, extensions of time, alteration or modification of SPECIFICATIONS NO. PW 17-22 or of the obligation to be performed will in any way affect its obligation on this bond, and it waives notice of any such change, extension of time, alteration or modification of the contract documents or of the obligation to be performed. 6. This bond consists of this instrument; the plans and specifications identified above; and the following two (2) attached exhibits all of which are incorporated herein by reference: A. A certified copy of the appointment, power of attorney, bylaws or other instrument entitling or authorizing the persons executing this bond to do so; B. A certificate issued by the county clerk for the county in which SURETY's representative is located conforming with California Code of Civil Procedure § 995.640 and stating that SURETY's certificate of authority has not been surrendered, revoked, cancelled, annulled,or suspended, or in the event that it has,that renewed authority has been granted; and 7. Should PRINCIPAL perform its obligations within the time allowed, PRINCIPAL's obligation will be void one (1) year following the acceptance of the performance by CITY; otherwise this obligation will remain in full force and effect. [SIGNATURES ON FOLLOWING PAGE] Agreement No. 5343 SIGNED AND SEALED this 9th day of June , 2017 ec q I i8ity IRSUrance Company U Steph?A D k E iipment Rent,1§, Inc North AmqfJaa�).§PW Jl ir I VIZINCIPAL's Pl�ENHJE W"Attorney-in-Fact Arturo Ayala PRINCIPAL'S SECRETARY SURETY's 8MMUNRYAftorney-in-Fact 4610 PRINCIPAL's MAILING SURIETY's MAILING ADDRESS: ADDRESS: 9075 1'elearap.lI.j3pA.... 6 FILitton Cenj r QrjXq Suite 850 Pico Rivera, CA 90660 Santa Ana. CA 92707 ............................... ............................... NOTE: (1) ALL signatures must be acknowledged by a notary public. Return one(1)original to City Clerk's Office. (2) Bond shall be effective for one(1)year after acceptance of the job. Agreement No. 5343 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT 4 4, �4 1 4� {; 4 q, 1: �1 4 1 4'41 4 4 4 r4 S 6 4' e 4 f" d Al 4 4 State of California County of Los Angeles 0 06/12/2017 `yl Vat Sil UC111,CS(Notary Public) n before me, Date Here Insert Name and Title of the 011icer personally appeared Catherine R.Doreck and Pablo Viramontes Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that 1 bfWthey executed the same in LIEN E XhUfter/their authorized capacity(ies), and that by j•M #2081164 xkts*er/their signature(s) on the instrument the V, SYLVIA SIFLIENTES 1�, s person(s), or the entity upon behalf of which the 1� Commission# Public _California z County Notary Public -California z person(s) acted, executed the instrument. z Lo z Los Angeles County fWf�ftmm- Expires Oct 8, I certify under PENALTY OF PERJURY under the 2018 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Nola y Seal Above 7 Pub'�c OPTIONAL . .......... ....... v ,t persons the information below is not required bylaw,it may,prove i,�:ohw 0 0,persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s)Other Than Named Above: Capacity(es) Claimed by Signer(s) Signer's Name: Signer's Name Corporate Officer—Title(s): I Corporate Officer Title(s): Individual Individual Partner—El Limited 17 General Top of thumb here '_1 Partner—l_1 Limited [-1 General Top of 11hWilb here Attorney in Fact '_1 Attorney in Fact Trustee I Trustee Guardian or Conservator Guardian or Conservator Other: I Other: Signer Is Representing: Signer Is Representing: 'AX 2CIAN Q 2009 National NolarV Association•NalionalNotary org•1-000-US NOTAHY(1-800-876-6627) Item 05907 ..._._........................ . ........ ............................................................. ........... Agreement 343 .M... ..,.....,�...,.,_�. �. . ��...mm� �=_.ALL ,. reement o. CALIFORNIA PURPOSE ACKNOWLED . . N . ...w . .. .... GMENT 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 6/9/17 before me, Susan Pugh of Notary exactly as it appears o�rr e official seal o -' Notary Public, Date Insert Name .............r personally ersonall appeared eared Arturo A. .Ia....._ 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 sus os�t7 and that b ohis/heentity,t 'ir sionl behalf on the the �person(s) th , executed the sarne In his./her/their authorized ca acl y( AN Pucn Y g ( ) instrument the coma 5 person( ) p p n(s) .'h Notary Public-caiifornia m ORANGE COUNTY LL acted„ executed the instrument. » w "mXlti Cornm,,Expires p res AX r2s,x2 19 ry„M I certify under PENALTY OF PERJURY under the laws of ” the State of California that the foregoing paragraph is true and correct. Witness my hand and official seal. 'a^L...,I', wi Place Notary Seal Above Signature ign6ture of Notary ruble'11 ... .................w w �usan Pugh OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document Title or Type of Document: Faithful Performance Bond Document Date: „_,,,,...6/9/17 ........................... Number of Pages: Three Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Arturo Avala _r Signer's Name: IT ❑ Individual ❑ Individual ❑ Corporate Officer—Title(s),.............. ❑ Corporate Officer —Title(s):.,.... ❑ Partner ❑Limited ❑General ❑ Partner ❑Limited❑ General d Attorney in Fact - -- ❑ Attorney in Fact ❑ Trustee ® - ❑ Trustee ❑ Guardian or Conservator Top of thumb here ❑ Guardian or Conservator Top of thumb here Other: .........WW_� ❑ Other: Signer is Representing: Signer is Representing: _. ..........................vr ........_. ................... __................. �...._.... NAS8URETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WISTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty I Company, ub duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: DANIEL aooxAaxY.^RnoRnw/ALA,ANDREW Wxramsonr.DWIGHT xxILLx.aeAzwNAnnzuLLmnnznnm and MICHAEL cAunmEoA JOINTLY _ Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE 81TyDRRD TWENTY FIVE MILLION(*l25.OV0.000.O0)DOLLARS _ This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards o[ Directors o{North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two oy the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary o,any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each^,any orthem hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and din FURTHER RESOLVED,that the signature nf such officers and the seal of the Company may he affixed m any such Power vf Attorney vrooany certificate relating thereto br facsimile,and any such Power v[Attorney o/ov,bfi^mc bearing such facsimile signatures orfacvbnile,val,bal)ho binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is aff ached." om/ loeociiII10I NO r NN e4 By SEAL a r it roi scroor N oce Prwofeat ot WashAngtim m"p=, u�*.,m,r�m�'�m�^^�u="mroa�u""="�wm�� &o^"'°,Vice President",W=*., Insurance Corporation Mike^o^.x='.,v�e,�w�,",v=^'"*=*��"a=m*""="�C.mn=, --' ��!��Q��^"�/�J'��=�*^/��c"~^°� IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 5th day of Dox*mhur ,2O16 _ North American Specialty Insurance Company Washington International Insurance Company State ofIllinois Westport Insurance Corporation County ofCook ',: 0u this_5th day v[ D»»»^b,x .2o Kibeo^rnmu.nNvmrypuhbcpomoually appeared S/*vooP'Anderson .Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President vy Westport Insurance Corporation and Michael 4. ltm Senior Vice President vf Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OF A 11A LNOTAW IC S TPA OF IWND� My COMMISS '10 EX IR M.Kenny,Notary Public 1, ]cQrcy Goldberg . the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy n{a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which ix still bu full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 9& day of, June 120 17 mmcyGuldberg Imcojoicnial: a Agreement No. 5343 No. 6436 STATE OF CALIFORNIA 1D EPARrTMEN'T OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY,That,pursuant to the Insurance Code of the State of California, North American Specialty Insurance Company of Manchester, New Hampshire, organized under the laws of New Hampshire, subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State,subject to all provisions of this Certificate, the following classes of insurance: Fire,Marine,Surety,Disability,Plate Glass,Liability,Workers'Compensation, Boiler and Machinery,Burglary,Sprinkler,Automobile,and Aircraft as such classes are now or may hereafter be defined in the Insurance Laws of the Slate of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of any,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are, or may hereafter be changed or amended. IN WITNESS WHEREOF,effective as of the 23rd day of December, 1996,I have hereunto set my hand and caused my official seal to be affrxed this 23rd day of December, 1996 Fee $92.00 Chuck Quackenbush Insurance Commissioner Rec.No. Filed 1 0/8/96 By Victoria S.Sidbury Deputy Certification I, the undersigned Insurance Commissioner of the State of California, do hereby certify that I have compared the above copy of Certificate of Authority with the duplicate of original now on f le in my office,and that the same is a full, true, and correct transcript thereof, and of the whole of said duplicate, and said Certificate of Authority is now in fill force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and caused my official seal to be affixed this 26th day of June, 2008. Steve Poizner Insurance Commissioner By I �`11 Pauline DAndrea Agreement No. 5343 N HUGH NG TTV E PROPERTY RECORDS HUGH BIRTH AND DEATH RECORDS 4M CLERK-RECORDER MARRIAGE LICENSES/RECORDS PASSPORTS FICTITIOUS BUSINESS NAMES i NOTARY REGISTRATION ORANGE COUNTY ARCHIVES CERTIFICATE OF ADMITTED SURETY INSURER Certificate pursuant to 995.640(a)Code of Civil Procedure State of California County of Orange I, Hugh Nguyen, County Clerk-Recorder of the County of Orange, State of California, in and for said County, DO HEREBY CERTIFY THAT North American S ae�ty Insuuu'auuee Company has been issued a Certificate of Authority as an Admitted Surety Insurer by the State of California Insurance Commissioner who authorized the Insurer to transact Surety Insurance in the State of California and that based on the records in this office, that authority has not been surrendered, revoked, cancelled, annulled or suspended. In Testimony Whereof, I execute this certificate and have hereunto set my hand and affixed the seal of said County this 9th day of June, 2017. w Hugh Nguyen, Orta)i c County Clerk-Recorder �-- (Purple Seal) w Hazel L. Bennett, Deputy Clerk-Recorder �f NORTH COUNTY BRANCH OFFICE ORANGE COUNTY SOUTH COUNTY BRANCH OFFICE HISTORIC DOWNTOWN FULLERTON HALL OF RECORDS LAGUNA HILLS CIVIC CENTER 201 N. HARBOR BOULEVARD 12 CIVIC CENTER PLAZA, ROOM 101 24031 EL TORO ROAD FULLERTON, CALIFORNIA 92832 SANTA ANA, CALIFORNIA 92701 LAGUNA HILLS, CALIFORNIA 92653 (714) 834.2S00 • FAX (714) 834.2675 • WWW.00RECORDER.COM • WWW.00ARC HIVES.COM THE FINAL PREMIUM IS Agreement No. 5343 PREDICATED ON THE FINAL CONTRACT PRICE LABOR AND MATERIALS BOND CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD. PROJECT NO.: PW#17-22 Bond No. 2256129 Bond Fee: See Performance Bond Steohen Doreck Eouioment Rentals, Inc. , as principal ("PRINCIPAL") and North American Specialty Insurance Domoany , a corporation incorporated under the laws of the State of New Hamoshire 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 six h1111dred Ci011V 1110LIsand, severe IlUrrdrccl forty-lave DOLLARS alid zero cents ($680,745.00), 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 SPECIFICATIONS NO.PW 17-22 ("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 17-229 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 17-22), which are made a part of this bond when said plans and profiles are approved by the City Council and filed with CITY's Engineering Division. 2. PRINCIPAL will pay all contractors, subcontractors, and persons renting equipment. 3. PRINCIPAL will pay for all materials and other supplies, for equipment used in, 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 Agreement No. 5343 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 17-22,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] Agreement No. 5343 SIGNED AND SEALED this 9th day of June , 2017 Equipment; Rerrfls yf North, Insurance Company Steph boreck ,Inc. Halt r✓�s"' y Ile 1 Ord!. �/' ....I" ,. real' a SIDE.I ' I'^. �' ' '� ' � �; Attorney-in-Fact � 1 t�Ia� "1`� s Arturo Ayala PRINCIP SECRETARY's SECRE SURETY's &WZ ( Attorney-in-Fact V/ea-mclt* PRINCIPAL's MAILING ADDRESS: SURETY's MAILING ADDRESS: 9075 Teleqraph Road 6 Hutton Center Drive, Suite 850 Pico Rivera. CA 90960---.-. ...........wyyy Santa Ana, CA 92707 ............. NOTE: (1) ALL signatures must be acknowledged by a notary public, Return one (1) original to City Clerk's Office. Agreement NO. 5343 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of Los Angeles � � On 06/12/2017 before me. Sylvia Sifucutca(Notary Public) _ ' Date *"=/,,",,Name^.~�n.�..,the ooa". � personally appeared Catherine BL. Dnrcck and Pablo Viraunontca ( Nam**m,w=r(w , '^ who proved to me on the basis of satisfactory evidence to he the person(s) whose name(s) ig/ova subscribed Vo the within instrument and acknowledged to me that !�K/they executed the same in xWuWr/their authorized uupaoity(ien). and that by ' xhlkoftenYhair signature(s) on the instrument the ` Commission#2081164� person(s), or the entity upon behalf of which the � person(s) ootnd, executed the instrument, Los Angeles County My Comm. Expirei Oct 8, 8 | certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph iy true and correct � WITNESS my hand and official seal. Place Nolay— OPTIONAL -- ------~ �- nmuoomvw�mm�muomwmnm�vw��»/��x document "^r "^"^'`"�°*°^^'""' and could prevent fraudum^ remm^almndamuacomont of this form m another document Description of Attached Document `^ Title o'Type ofDocument: Document Date: Number cfPages: aignor(s)Other Than Named Auove� � Capacby(ies) Claimed bgSigner(a) . Signer's Name: Signe/xwame� Corporate Offiver--nuo(s) ;Corporate Officer--Th|e(s):__ ' Individual | |Individual � Partner—uUm�� Gonood --------- �puxno, |Umi�� )General --------- ' -- npum�m/�� -- - n~mm""^x°.. | � Attorney in Fact / |Auomey in Fact � Trustee :Trustee | Guardian o,Conservator nGuardian or Conservator Omoc � [-I Other: Signer Is Rnpnoeenhng:__---_-- Signer Is Representing: � °��Xx^� 1�4,0��,`�=/��xx CL)2009 National Notary Association-NalionalNotary org I 600-US NOTARY Item#5907 Aweement No. 5343 � CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT � __ ____ Ano�ry public oro�ero�oeroomp|e�ng this oe��oa��veh�eoon|ydheidandh/ofdhe individual who signed the Udooumenthuwhioh this certificate ivattaohod. and not the truthfu|naao. aoourac� orva|idityofthatdooumonL � v ___ u STATE OFCALIFORNIA County of [>ra9e__ � �� On 8/0/17 befonume. Susan Pugh . No�aryPub|io. Y �� Date Insert Name m Notary exactly asu appears on the official seal personally appaared Ad |a wumo(v)mo/unv,(s) ------ _____ , / who proved to me on the basis of satisfactory evidence to be the person(s) whose name(n) is/are subscribed to the | within instrument and acknowledged,t me that he/mbe/thm ' executed the same|mhis/hec/theIr amtbohzeduapa,o|ty(}e$), and that by his/her/their signature(s) on the instrument the SUSAN,«uH « person(s), or the entity upwm be hadfofwh}oh the person(s) a)oom� �u�n�uns ��d, executed the instrument. Notary u ORANGE COUNTY LL �� | �� PEN�YOF PERJURY u�� t� �� ~^~~~ the State of California that the foregoing paragraph intrue x � and correct. Witness my hand and official seal. Signature Place mma�Seal*mmm n/on�ummwma�p"m� �u��nPugh --------------- ---- OPTIONAL ^-' '-- - -- -- ----------' -- - Though the information below is not required by law, it may prove valuable bo persons un the document and could prevent fraudulent removal and reattachment of the form to another document. Description of Attached Document � Title or Type ofDocument: Labor and [Wa�orin|oBond ___ _ � Document Date: 6/0/17 NumbarnfPagoo' Three � � Signar(o) Other Than Named Above: ..._...... ____ � Cmpmoity(iae) C|ainmad byS|gnar(m) | � � Signer's Name: Arturo Ayala Signer's Name: _ R Individual El Individual [] Corporate Officer--Tltle(s)� [] Corporate Officer --Tldo(e)� [] Partner []Limited El General [] Partner []Limited[] General �N Attorney inFact [] Attorney inFact [] Trustee [] Tiun1oo was k M.. � LJ Guardian orConservator Top of thumb here [] Guardian orConservator Top of thumb here U Other: R Other: __ ____ Signer is Representing� � Signer ioRepresenting: �___� �� ___ _=�� NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WAS8lNGT0N INTERNATIONAL INSURANCE COMPANY WEST9QRT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN B)' lI[ESE PRESENTS, H|&^['Nortb American Specially Insurance C^oqnmy a corporatimi chily organized and existing uo'|c, laws of the State vf New U shire,and having,im principal office in the City f Manchcswr,m I lanipshireand u6 uhntemudvmal{om`mnm, Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: DANIEL HUCKABAY,ARTmmAY��o��000��u��o��A _________ __ �ouvr��o�uovomm�� ___ Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract vrouretyshipoxcomx&uudo,dbi,uodmrdyxballvxvoodthe amount of. ONE HUNDRED TWENTY FIVE MILLION($|25,0V0,00O�OO)o0LL/uzS _ This Power of Attorney in granted and io signed hy facsimile under and hy the authority of the following Resolutions adopted hx the Boards vf Directors^f North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. 'RESOL\oao.that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby io authorized m attest m the execution o{any such Power of Attorney and m attach&oreiuthe,ualnfdnComvmn; and din FURTHER RESOLVED,that the signature of such officers and the seal of the Company may huaffizvdmany such Power o[Attorney vrmany certificate relating thereto oy facsimile,and any such Power of Attorney moondfiumte bearing such facsimile signatures o,facsimile seal shall be binding upon the Company when nv affixed and iu the future with regard to any bond,undertaking o,contract o[surety m which dbmuuohod.^ w ="* SEAL y*`�^^~u�",w~w,~"~," ".*~�w"m°°m�~^.uaa�a� i"m==� &Se*orp=rresment of North^=^="Specialty Insurance Company &Senior Vice President ofWes xy - *u�^�'�.w"*,va"r""a=' ��, &Senior Vice President of Nwito%iutrtrau Slimalty limn�mce Company IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 5.b day of_ `2V_16'_ North American Specialty Insurance Company Washington International Insurance Company State ofIllinois Westport Insurance C^,yvrud^n County vfCook `p: 0u this_5th day of December .2o «i before me,u Notary Public personally upyomvd__ P,Anderson .Senior Vice President of Washington International In Company and Senior Vice President of North Aan i Specialty Company and Senior Vice President vf Westport Insurance Corporation and kigbNIc)A&e Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. �OFFICIAL SEAL LNYOTARY PUBUC,STATE OF IWNOIS OF Y COMM1$S1U0CN EXP!IRES 12104 017 M.Kenny,Notary Public 1, Jeffrey Goldberg the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Wempou/onormn vCv,yvmuivodobuvohyovnd{ydbmthenhvvumodfon,8uiuuiv^tr"omnd000nctcvprvfo Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which io still iu full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 9th day ofJune _ 20 17. Jeo�y Cuw^rL!,,/=w=�,.�u~°�n= Agreement No. 5343 No. 6436 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE SAN FRANCISCO Amended Certificate of Authority THIS IS TO CERTIFY,That,pursuant to the Insurance Code of the State of California, North American.Specialty Insurance Company of Manchester, New Hampshire, organized under the laws of New Hampshire, subject to its Articles of Incorporation or other fundamental organizational documents, is hereby authorized to transact within this State,subject to all provisions of this Certificate, the following classes of insurance: Fire,Marine,Surety,Disability,Plate Glass,Liability,Workers'Compensation, Boiler and Machinery,Burglary,Sprinkler,Automobile,and Aircraft as such classes are now or may hereafter be defined in the Insurance Laws of the State of California. THIS CERTIFICATE is expressly conditioned upon the holder hereof now and hereafter being in full compliance with all,and not in violation of any,of the applicable laws and lawful requirements made under authority of the laws of the State of California as long as such laws or requirements are in effect and applicable,and as such laws and requirements now are, or may hereafter be changed or amended. IN WITNESS WHEREOF,effective as of the 23rd day of December, 1996, I have hereunto set my hand and caused my official seal to be affixed this 23rd day of December, 1996. Fee $92.00 Chuck Quackenbush Insurance Commissioner Rec.No. Filed 10/8/96 By Victoria S.Sidbury Deputy Certification I, the undersigned Insurance Commissioner of the State of California, do hereby certify that I have compared the above copy of Certificate ofAuthority with the duplicate of original now on file in my office,and that the same is a full, true, and correct transcript thereof, and of the whole of said duplicate, and said Certificate of Authority is now in full force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and caused my official seal to be affixed this 26th day of June, 2008. Steve Poizner Insurance Commissioner By PO I'A VJW Pauline D Andrea Agreement No. 5343 HUGHHUGHNGUYEN PROPERTY RECORDS 1�lJlJ 1 1� BIRTH AND DEATH RECORDS CLERK—RECORDER MARRIAGE LICENSES/RECORDS PASSPORTS hliV�i°'`'„IIIInu iQ' a FICTITIOUS BUSINESS NAMES NOTARY REGISTRATION ORANGE COUNTY ARCHIVES CERTIFICATE OF ADMITTED SURETY INSURER Certificate pursuant to 995.640(a)Code of Civil Procedure State of California County of Orange 1, Hugh Nguyen, County Clerk-Recorder of the County of Orange, State of California, in and for said County, DO HEREBY CERTIFY THAT Nardi ,Anrerican S ILA "r:� Insurance Comp ativ has been issued a Certificate of Authority as an Admitted Surety Insurer by the State of California Insurance Commissioner who authorized the Insurer to transact Surety Insurance in the State of California and that based on the records in this office, that authority has not been surrendered, revoked, cancelled, annulled or suspended. In Testimony Whereof, I execute this certificate and have hereunto set my hand and affixed the seal of said County this 9th day of June, 2017. Hugh Nguyen, Orrrr r County Clerk-Recorder (Purple Seal) azel L. Bennett, Deputy Clerk-Recorder NORTH COUNTY BRANCH OFFICE ORANGE COUNTY SOUTH COUNTY BRANCH OFFICE HISTORIC DOWNTOWN FULLERTON HALL OF RECORDS LAGUNA HILLS CIVIC CENTER 201 N. HARBOR BOULEVARD 12 CIVIC CENTER PLAZA, ROOM 101 24031 EL TORO ROAD FULLERTON, CALIFORNIA 92832 SANTA ANA, CALIFORNIA 92701 LAGUNA HILLS, CALIFORNIA 92653 (714) 834-2500 ♦ FAX (714) 834-2675 ♦ WWW.00RECORDER.COM ♦ WWW.00ARCHIVES.COM Agreement No. 5343 PROPOSAL FOR THE CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD. PROJECT NO.: PW 17-22 Ma 16 17 Date May 16 20�. Company Name: Stephen Doreck Equipment Rentals, Inc. TO THE CITY OF EL SEGUNDO: In accordance with the City of El Segundo's Notice Inviting Sealed Bids, the undersigned BIDDER hereby proposes to furnish all materials, equipment, tools, labor, and incidentals required for the above stated project as set forth in the Plans, Specifications, and contract documents therefor, and to perform all work in the manner and time prescribed therein. BIDDER declares that this proposal is based upon careful examination of the work site, Plans, Specifications, Instructions to Bidders, and all other contract documents. Submittal of this bid shall be considered evidence that the BIDDER has satisfied himself regarding the contract documents, access and any other field conditions which may 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. 5343 EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE BIDDER certifies that in all previous contracts or subcontracts,all reports which may have been due under the requirements of any agency, State, or Federal equal employment opportunity orders have been satisfactorily filed, and that no such reports are currently outstanding. AFFIRMATIVE ACTION CERTIFICATION BIDDER certifies that affirmative action has been taken to seek out and consider minority business enterprises for those portions of the work to be subcontracted, and that such affirmative actions have been fully documented,that said documentation is open to inspection,and that said affirmative action will remain in effect for the life of any contract awarded hereunder. Furthermore, BIDDER certifies that affirmative action will be taken to meet all equal employment opportunity requirements of the contract documents. NONCOLLUSION DECLARATION BIDDER declares that the only persons or parties interested in this proposal as principals are those named herein; that no officer, agent, or employee of the City of El Segundo is personally interested, directly or indirectly, in this proposal; that this proposal is made without connection to any other individual,firm,or corporation making a bid for the same work and that this proposal is in all respects fair and without collusion or fraud. I-C-2 Agreement No. 5343 BID SCHEDULE CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD. PROJECT NO.: PW 17-22 Company Name: Stephen Doreck Equipment Rentals, Inc. Note: Bid Item work is elaborated in detail in the proj and ,I e _�ctpkins a a sxclfications. ................. DESCRIPTION UNIT UNIT AMOUNT ................................ ITEM NO. F�Ty� PRICE BASE BID ITEMS Mobilization/Demobilization 1 LS 1 $ 30 q6s' c $3o 9 bs-.to Traffic Control, Public Safety and 2 Convenience LS 1 $ -3,%,50 DO $ ?,%50.00 .................. Utility Potholing 3 LS 1 $'*3 A Q.0 .6350* 0 ................................. ...................... .................................."I',"",........... Bracing and Shoring 4 LS 1 $ lls"00-w 00 ...........---__5.......... . ................ ...... Temporary High-Line Piping System LS I $ Z"M5 00 $ sqs 00 ........... Construct 10-inch Ductile Iron(Class 52) Water Main including all Fittings and Appurtenances, Trench Excavation, Pipe 6 Bedding, Trench Backfill, Trench LF 1,050 $ 1657,06 $1 Z Resurfacing, and Temporary and Permanent Traffic Striping and Markings ................... Remove Existing 6-inch Water Main and Construct 10-inch Ductile Iron (Class 5 2) Water Main in same alignment including all Fittings and Appurtenances, Trench 7 Excavation, Pipe Bedding, Trench LF 565 166-00 9 3,17 q 0 01' Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings ........... Remove Existing Abandoned 12-inch 8 Water Main and Construct 10-inch Ductile LF 510 $ 1106-00 $ lq�60A Iron (Class 52) Water Main in same alignment including all Fittings and .................... I-C-3a Agreement No. 5343 .............................................. .................................................................... Appurtenances, Trench Excavation, Pipe Bedding, Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings ................................ .............................................................................. Install 8-inch Gate Valve and Adjustable 9 Valve Box EA 2 $ 1 2,95- � J_. - oo $ 2,qqo.t)O ............................................................... Install 10-inch Gate Valve and Adjustable 10 Valve Box EA 7 $ I $ 1 qqo.00 ............................. ............... ........ ................. ............ Construct Fire Hydrant Connection complete including Hydrant Lateral, all Fittings and Appurtenances, Hydrant, Gate Valve, Trench Excavation, Pipe Bedding, EA 5 $_%7yojo $R8j7.50,00 Trench Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings Abandon Existing Fire Hydrant Complete including Removal of Hydrant and Piping, Trench Backfill, Trench Resurfacing, 12 Construction of Concrete Plugs, EA 5 $ 5VO.0 0 $ 40O.Vo Restoration of Sidewalk and/or Landscaping . .......................... ...... ...................... Construct 1-inch Water Service Connection, Remove Existing Meter, Install New Meter, and Connect to Existing Customer Service including, all Fittings and Appurtenances, Trench 13 Excavation, Pipe Bedding, Trench EA 39 $-t,42.6-00 $ ,:!Ci Backfill, Trench Resurfacing, and Temporary and Permanent Traffic Striping and Markings, Repair Existing Landscape /Hardscape /Concrete In Kind Furnish new 3/4 inch and I inch, smart 14 meters for bid item#13 as determined by LS 1 $30,000 $30,000 existing condition and by the Engineer. ........................................................... Connect New Water Main to Existing Service including 10-inch x 6-inch Tee in 15 New Water all Fittings ad Appurt in,New 6-inch Gate Valve, EA I $1�405'.DO $6 335' OD enances, Trench Excavation, Pipe Bedding, Trench Backfill, Trench Resurfacing, and I-C-3b Agreement No. 5343 Temporary and Permanent Traffic Striping and Markings ............................... ........ m .......,.,.,.m �... Construct Air Relief Valve Connection Complete including, all Fittings and Appurtenances, Trench Excavation, Pipe 16 Bedding, Trench Backfill, Trench EA 1 $ 5 6SD,,fla $., ,b�'a'z►o Resurfacing, and Temporary and Permanent Traffic Striping and Markings mm Connect to Existing Water Main including........................................................................................................... all Pipe, Fittings and Appurtenances, Trench Excavation, Pipe Bedding, Trench Backfill, Trench Resurfacing, and 17 Temporary and Permanent Traffic Striping EA 8 $_� X75.0®I $ 37®96b.00, and Markings, Removal of Interfering Portions of Existing Pipe and Valves, and Cut and Abandon Existing Water Main(s) and Valve(s) ............... Miscellaneous Water Improvements 18 LS 1 $50,000 $50,000 ALTERNATE BID ITEMS (Pending City Engineer Approval) w..................................................... �........_.........,.,.,.,.,.,.,.,.,.,.,........................................... ,.........,.,..................,.,.,. . Type II Slurry Seal from Gutter to Gutter in project area SF 85,000 $ r30 $ Zs s60.�`� TOTAL BID (#1 thru#19) _ $ (C) coo Ll J ➢ 'A1 1 1 a I°I'�^ i � t)1 1`)S: 5 l'� S°C oar, Vt"V4 rQA .. .... "... .......................... VIA n cQA-'s.......................................... I-C-3 c Agreement No. 5343 BIDDER'S INFORMATION Company Name: Stephen Doreck Equipment Rentals, Inc. BIDDER certifies that the following information is true and correct: Form of Legal Entity (i.e., individual, partnership, corporation, etc.) Corporation If corporation, State of Incorporation(i.e., California) California Business Stephen Doreck Equipment Rentals, Inc. ........................................................................................................................................................................................... Address 9075 Telegraph Road .................................................................................................................................................................... Pico Rivera, CA 90660 .......................................................................................................... Telephone No. 5 62) 949-4 Facsimile No. 562) 261-5038 State Contractor's License No. and Class 665471-A Original Date Issued 3/1996 Expiration Date 02/28/2018 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: Catherien R. Doreck- President 8026 E Tarma St., Long Beach, CA 90660 562) 430-0194 Stephen L. Doreck-Vice President 8026 E Tarma St., Long Beach, CA 90660 562) 733-8821 Pablo Viramontes -Vice President 15625 Morgan Hill Court, Fontana, CA 92336 909) 770-2169 ...................................................................................................................................... The date of any voluntary or involuntary bankruptcy judgments against any principal having an interest in this proposal is as follows: None All current and prior DBA's, aliases, and/or fictitious business names for any principal having an interest in this proposal are as follows: _ ...... ....................................................................................... I-C-4 Agreement No. 5343 BIDDER'S INFORMATION (CONTINUED) Company Name: Stephen Doreck Equipment Rentals, Inc. Bidder shall list the name of the person who attended the mandatory pre-bid job walk: Name: Title: I-C-5 Agreement No. 5343 IN WITNESS WHEREOF, BIDDER executes and submits this proposal with the names, titles, hands, and seals of all a forenamed principals this 16th day of MaY._. 2017 BIDDER Stephen Doreck Equipment Rentals, Inc„ Stephen L. Doreck - Vice President -4........... ..... ................................................................................................................................................................... ...................................... ............... ...................................................................................................................................... Subscribed and sworn to this 16th day of May 2017 SYLVIA SIFUENTE6 Commission # 2081164 Notary Public-California a Los Angeles county lres Oct 8, 2018 NOTARY PUBLIC ,;m.. . My Comm, Fx,. A, Sylvia("8 uentes (Notary Public) I-C-6 Agreement No. 5343 CAIR i1FT011FINIA JUIRA"T W1 W'H &1111:T'111F'1kN I S1 AT11EMENT 1 See Attached Document (Notary to cross out lines 1-6 below) [--I See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Signature of Documenl Signer No 1 Signature of Document Signer No 2(it any) State of California Subscribed and sworn to (or affirmed) before me Los Angeles 16th May 17 M;' County of on this day of 20— Date Month Year by Stephen L. Doreck SyLVIA SIFU Name of Signer Commission#2081164 A 11 hisph ENTES proved to me on the basis of satisfactory evidence Notary Public California to be the person who appeared before me z z z LOS Angeles County (and My COMM. EXPIRS Oct 8, 2018 (2) Name of Signer proved to me on the basis of satisfactory evidence to be the person [io apponroxJ before me.) 'A Place Nolary Seal Above '011c WI SybiLl'sif)ntes(Notary Public) OPTIONAL though the information below is not required by law, it may prove valu- Top Of thumb here Top of thumb here able to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document Further Description of Any Attached Document Title or Type of Document Document Date: Number of Pages: Signer(s) Other Than Named Above: < q °�'x a;V';r x," 7""4'�'('il .W! Xr, "X �"X d"X „Y 4•)'t X�:4 X, �';14 „:x 1�N: <;4 a,,4 D 2009 National Notary Association•NalionalNotary org•1-800-US NOTARY(1-800-876-6827) Item#5910 Agreement No. 5343 Bond No. CSBA-4796 PROPOSAL GUARANTEE BID BOND CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD. PROJECT NO.: PW 17-22 KNOW ALL MEN BY THESE PRESENTS that, Stephen Doreck Equipment Rentals,Inc. , as BIDDER, and North American Specialty Insurance Company , as SURETY, are held and firmly bound unto the City of El Segundo, in the penal sum of Ten Percent of Amount Bid DOLLARS (S I oI'Al 10UflI Bid ),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 20th day of April , 2017 BIDDER* Stephen Doreck Equipment Rentals, Inc. 9075,Tcle,g,nal)li IZoad, I'igo hive.-a, c." 9-4949 SURETY* North Nnierican Specialty 6 I Itnt on �4nm°Drive, Suite 850, Santa Ana. CA 92707 (714) 550-7799 Aak��i° Ayala, ttc t" "-w� -Fact 4'1 U N, Ba via SL,Sinte'201 Subscribed and sworn to this day of (� t�t 92867(714)516-1232 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. 5343 CALIFORNIA A1111-11-.11PUR11POSIII ACKNOWLED,GMIEN I State of California dti County of Los Angeles On May 16, 2017 before me, S IlVil Sifl.M'ItCS ('Norare,Public) Dale Here Insert Name and Title of the Officer . Doreck personally appeared Stephen Name(Lo s) f Signer(s) who proved to me on the basis of satisfactory evidence to be the person(j) whose name(j) is/fffl subscribed to the within instrument and acknowledged to me that he/M/fffi4f executed the same in his/N&/MI authorized capacity(itfi), and that by 6 SYLVIA SIFLIENTES his/V#r/tV& signature(,q) on the instrument the Commission#2081164 person(p), or the entity upon behalf of which the z Notary Public-California Z person(A) acted, executed the instrument. Z Los Angeles County pires Oct 8� 2018 N1 Comm. EX I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. 1% WITNESS my hand and officiril seal,, e, Signaturq Place Notary Seal Above �,qwjrov�, 0� wu1y Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons i,,J1 in),on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document 611 Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) h M„, Signer's Name: Signer's Name: Corporate Officer--Title(s): I Corporate Officer Title(s): Individual I Individual Partner—F1 Limited I I General Top of thumb here r]Partner—I I Limited l I General Top of thumb here 1 1 Attorney in Fact [.1 Attorney in Fact I ! Trustee I Trustee I Guardian or Conservator [_1 Guardian or Conservator h, I I Other: CI Other: Signer Is Representing: Signer Is Representing: ©2009 National Notary Association•NationalNotary org•1-800-US NOTARY(1-800-876-6827) Item#5907 4n ____- -_- ____`_____________________��` CALIFORNIA ALL-PURPOSE-PKURPOSE ACKNOWU EDGMENT Uv _______ �Ancdarypub|iuorothero�ioercomp theindividua|vhooigned the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. STATE OFCALIFORNIA � . County of Orange � On 4/20/17 before me, Susan Pugn . Notary Public, -------Date Insert Name m Notary exactly aau appears"n the official seal | / personally appeared Arturo Ayala / wam°(s)ma/uoer(m / | _ who proved to ma on the basis of satisfactory evidence to be the whose 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 SUSAN PUGH pe/vvn(u), or the entity upon ueoux of vvmu' the pe/uux\u/ COMM.#2105405 0 acted, executed the instrument. y Public-California 0: ORANGE COUNTY U. | certify under PENALTY OF PERJURY under the laws of ' mvmmm.Expiws Apr 39.uo1w� the Stab* of California that the foregoing paragraph is true and correct. Witness my hand and official Signature Place Notary Seal Above =e="re ol'Notary Public Suq',ynrugh � ~�--- ---- '-------~ OPTIONAL ~ ' ' - - ' --- --------'----- -~ / Though the information below is not required bylaw, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment ofthe form bo another document. Description of Attached Document | Title nr Type ufDocument: Bid Bond Document Date: 4/2017 Number ofPnge& One Signer(n) Other Than Named Above: � Capaody(iem) Claimed bySi8nmr(m) | Signer's Name: ArtunoAva|a Signer's Name: [] Individual [1 Individual [] Corporate Offioer--'TiUa(o)� [] Corporate Officer —Title(s): [] Partner []Limited El General [] Partner []Limited[] General 9 Attorney in Fact [] Attorney in Fact O Trustee E] Trustee � [1 Guardian orConservator Top of thumb here� � E] Guardian orConservator Top of thumb here 7 Other: [] Other: Signer is Repmsenting� Signer is Representing: " 11 411HU I ;i iiiWombbw NAS SURE TY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRFSENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: DANIEL HUCKABAY,ARTURO AYALA,ANDREW WATERBURY,DWIGHT REILLY,SHAUNNA ROZELLE OSTROM and MICHAEL CASTANEDA JOJNTLY OR SEVERALLY .......... ..........1.1.1.............. Its true and lawful A ttomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE, MILLION($125,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duty called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seat of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." N ire. By N Ole VfrOdejit W W;lslinglon Conlpa.y L f SEAL 2i J-` SEAL &Senior Vice President of North American Specialty Insurance Company Z: Vice President of Westport Insurance Corporation 1973 10 &Senior By, .......... Mike A.Ito,Sintio,Vice Presideat ofWashington International falsulmrice Company [JIM � &Se m:,Vice President of NotihAnivrocan Specialty lowl,aoce Company & n i1orolioo Semo-Vice President of Westport Ja$jjl,nCe Coll IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 5th day of December 20. 16 -' North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 5th day of December 20 16 before me a Notary Public personally appeared Steven P.Anderson Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and N1 ioliael A,liq Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me, who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. .......... 0"'C'A" M Wy ENOTARYMPJSUSLIC�STATE OF ILLJMoi] M.Kenny,Notary Pubfic My 03M SL '10N EXPIRES I 21MJ201�1 Jefli'cy Goldberg the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington ................ "" " "" .... ................................. ............................................ rn Inteational Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect. IN WITNESS WHEREOF,I have set my band and affixed the seals of the Companies this 20th day of, April, ,20,17 J'A`I"Ky CkAdbcog'Voce ill Csidc'A&.Assisfant S,.Crol:ry ol'Wsbinj""ton iviofflatmnaa I"Sorwo,Company cC North Arneoican Specialty inrurn)kce C,,nipaoy&Vic,, &A:ismwt •.0 wy of W,-,apw ins.rxwo Cufp=tr.r i Agreement No. 5343 CONTRACTOR'S LICENSE DECLARATION (Business and Professions Code Section 7028.15) 1. BIDDER'S Contractor's License Number is: 665471 Class No.: A 2. The expiration date of BIDDER'S Contractor License is: 02/28/2018 3. BIDDER acknowledges that Section 7028.15(e) of the Business and Professions Code provides as follows: "A licensed contractor shall not submit a bid to a public agency unless his or her contractor's license number appears clearly on the bid,the license expiration date is stated, and the bid contains a statement that representations herein are made under penalty of perjury. Any bid not containing this information, or a bid containing information which is subsequently proven false, shall be considered non-responsive and shall be rejected by the public agency." The undersigned declares, under penalty of perjury, that the representations made by the undersigned in this bid proposal are true and correct. Executed on May 16 201 , at Pico Rivera, CA (insert City and State where Declaration signed). Si rva j e Stephen L. Doreck ........... Typed Name Vice President ............................................................. Title Stephen Doreck Equipment Rentals, Inc. Company Name I-C-8 Agreement No. 5343 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT X Y N,e,�I:e,:,i C:4'i%e 1:�4 0'4"M,CX,� ",e,u x'w:y 4 x 4,V'A r`4 X X 4' >.'t' X',4 X, State of California County of Los Angeles before me, on May 16, 2017 S�111'i,'l Si,f Licntcs (Novu-y Public) Date Hem Insert Name and Title of the Office( personally appeared Stephen L. Doreck Name(s)of Stgner(s) who proved to me on the basis of satisfacto ry evidence to be the person( whose name(j) is/*# y subscribed to the within instrument and acknowledged to me that helMlYMbf executed the same in his/IM/tHR/ authorized capacity(M), and that by SYLVIA SIFLIENTES his/V#r/tVkff signature(,q) on the instrument the Commission#2081164 person(A), or the entity upon behalf of which the Notary Public California person( acted, executed the instrument. Z Los Angeles County M comm. Expires Oct 8,2018 I certify under PENALTY OF PERJURY under the jM laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal, k Signatw Place Notary Seal Above Notary Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. �j Description of Attached Document Title or Type of Document: jN Document Date: Number of Pages, Q, Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Sl Corporate Officer---Title(s): Corporate Officer—Title(s)° e� Individual holffim I I Individual l i Partner—-1 Limited r-I General lop of thumb here I i Partner I Limited I I General Top of thumb here 'I Attorney in Fact Attorney in Fact 1 Trustee I Trustee I Guardian or Conservator 1 1 Guardian or Conservator Other: I Other: Signer Is Representing: Signer Is Representing: Q 2009 National Notary Association-NationalNolary org-1-800-US NOTARY(1.800-876-6827) Item#5907 Agreement No. 5343 NON-COLLUSION DECLARATION TO BE EXECUTED BY BIDDER AND SUBMITTED WITH BID (pursuant to Cal. Pub. Contract Code § 7106) The undersigned declares: I am the Vice President of Stephen Doreck Equipment Rentals,Inc., the party making the foregoing bid. The bid is not made in the interest of, or on behalf of, any undisclosed person, partnership, company, association, organization, or corporation. The bid is genuine and not collusive or sham. The bidder has not directly or indirectly induced or solicited any other bidder to put in a false or sham bid. The bidder has not directly or indirectly colluded, conspired, connived, or agreed with any bidder or anyone else to put in a sham bid, or to refrain from bidding. The bidder has not in any manner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the bid price of the bidder or any other bidder, or to fix any overhead, profit, or cost element of the bid price, or of that of any other bidder. All statements contained in the bid are true. The bidder has not, directly or indirectly, submitted his or her bid price or any breakdown thereof, or the contents thereof,or divulged information or data relative thereto,to any corporation,partnership, company, association, organization,bid depository, or to any member or agent thereof, to effectuate a collusive or sham bid, and has not paid, and will not pay, any person or entity for such purpose. Any person executing this declaration on behalf of a bidder that is a corporation, partnership, joint venture,limited liability company, limited liability partnership,or any other entity,hereby represents that he or she has full power to execute, and does execute,this declaration on behalf of the bidder. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration is executed on May 16, 2017 d date], at Pico Rivera N city], CA [state]." Dated this 16th day of May 2017 . Stephen Doreck Equipment Rentals, Inc. Name Stephen L. Doreck/Vice President Title . J �a'ig,�1�rR�N I-C-9 Agreement No. 5343 CA1111 1111IFT0111RHIA JU111RAT W1 I H A11F:,]1F1AHT s rAl 11:11EMENT �A c' 4 x:< x• ; j ;:4j <x "Cx ,<x KxX"A: ("q x%4- x x <x A��'A 1 j See Attached Document (Notary to cross out lines 1-6 below) I See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) Atl r'p Signature of Document Signer No I Signature of Document Signer No 2(it any) State of California Subscribed and sworn to (or affirmed) before me Los Angeles 16th May 17 County of on this day of 20 Date Month Year by �4 Stephen L. Doreck Name of Signer proved to me on the basis of satisfactory evidence SYLVIA SIFLIENTES to be the person who appeared before me Commission #2081164 z Notary Public-California (and Los An geles County (2) MY COMM. EX0reS Oct 8, 2018 Name of Signer proved to me on the basis of satisfactory evidence to be the person who a)pe:retJ before me.) Signatur tl Place Notary Seal Above Sylvia-t ucntes(No ary Public) OPTIONAL (hough the information below is not required by law, it may prove vale- Top of thumb here Top of thumb here able to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document 4 Further Description of Any Attached Document I'll Title or Type of Document: l", Document Date: Number of Pages, Signer(s) Other Than Named Above: X;K X'X A"k%'X 4,x( ��iUrr X'::° T-)2009 National Nolary Association-NalionalNolary org•1-800-US NOTARY(1-800-876-6827) Itern#5910 Agreement No. 5343 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." J , Signature of Bidder: Title: r" Stephe L. Doreck/Vice President Stephen Doreck Equipment Rentals, Inc. Business Name: .................................................................. Business Address: 9075 Telegraph Road Pico Rivera, CA 90660 ............................................................................................m 562 949-4949 Telephone Number: ( ) Dated this 16th day of May 2017 I-C-10 Agreement No. 5343 CALIFORNIA ALL-11PURIPOSE ACKNOWLEDGMENT x t,,e 4 P, C�1.4 1 1,e W x 4�0%4,C^4 N 4, 4 A 0'x e A 4 4 e,4,X, 4,;q"A/�x s 11 State of California Los Angeles County of On May 16, 2017 before me, S)Ihli�l Si['LICntCS (Here I se n Norary Public) Date rt N arne and Title of the Officer Stephen L. Doreck personally appeared Narne(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(j) whose name(q) is/ff# subscribed to the within instrument and acknowledged to me that he/MYNJI executed the same in 'A, his/119AHWI authorized capacity(iffl), and that by his/V#r/tVffy signature(,q) on the instrument the person(A), or the entity upon behalf of which the SYLVIA SIFLIENTES person(p) acted, executed the instrument. Commission #2081164 Z Notary Public-California Zz Z I certify under PENALTY OF PERJURY under the LOS Angeles County -2: Comm. Expires Oct 8,, 2018 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature Place Notary Seal Above OPTIONAL Though the information below is not required by law, it may prove valuable to 1.+rqstrrfro relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document Document Date: Number of Pagesi kp Signer(s) Other Than Named Above, Capacity(ies) Claimed by Signer(s) Si 'gners Name� Signer's Name, Corporate Officer—Title(s): I I Corporate Officer Title(s): I I Individual 1-1 Individual rli N 1 Partner—F]Limited 1-1 General Top Of thumb here El Partner—[-I Limited Cl General Top of thumb here 1 Attorney in Fact ❑Attorney in Fact 0 I Trustee C1 Trustee 1 1 Guardian or Conservator I Guardian or Conservator Other: I I Other: Signer Is Representing: Signer Is Representing: 6 ',,q A.;x x,. ,`+,x,;" ;t Q 2009 National Notary Association•NationalNotary org•1-800-US NOTARY(1-800-876-6827) Ilern 45907 Agreement No. 5343 BIDDER'S CERTIFICATION OF SUBCONTRACTORS CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD, PROJECT NO.: PW 17-22 Company Name: Stephen Doreck Equipment Rentals, Inc. As detailed in Section 2-3.1 (Page II-B-3) of the City Standard Specifications, BIDDER certifies that it has listed below all subcontractors who will perform work in excess of one-half of one percent (0.5%) of the total bid price or certifies that the BIDDER is fully qualified to perform and will perform that portion of the work itself. Description of Subcontractor's Portion of Name of Contractor Work Estimated Subcontractor Address License No. Subcontracted $Amount -. ...w...,... __ . ................... All (Number and Street) C9-Yl n C� .Q-.�:.... �,�.....7,.2 � 211 1`S -- (City, Zip Code) S` Y ....... .......... Make copies of this page 7711 l�lit" Maul space is needed) ;o _.w 17 . . t. ._. :.................:.. 05/16/20....... Signature of Bidder Date Stephen L. Doreck /Vice President 1-C-11 Agreement No. 5343 CAL11111:::VFUN1A AIR L,41F"OU III RPOSIII ACKNOWL E,.I DGMEN I r. x 4,1`1 4 x x,�,�ex x �q,�4 x%x Vj '<,A; ";4L iM State of California County of Los Angeles On May 16, 2017 before me, Sylvia Sifilientes (Noutry Public) Date Here Insert Name and Title of the_Offi—cW_ �fV Y personally appeared Stephen L. Doreck Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(j) whose name(q) is/N# subscribed to the within instrument and acknowledged to me that he/WNIYNV executed the same in hislWAHM authorized capacity(M), and that by his/Vhfr/tV& signature(q) on the instrument the SYLVIA SIFLIENTIES person(A), or the entity upon behalf of which the Commission#2081164 person(p) acted, executed the instrument. e� Notary Public -California Z > Los Angeles County I certify under PENALTY OF PERJURY under the M Comm, Expires Oct 8, 2018 laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official Signature Place Notary Seal Above n, hi, Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date, Number of Pages Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name, Signer's Name: Corporate Officer—Title(s): I I Corporate Officer Title(s) Individual I I Individual Partner—,11 Limited i I General Top of thLIrTib here Fl Partner—I I Limited -] General Top of thumb here 1 Attorney in Fact 1. i Attorney in Fact Trustee I-I Trustee 1 Guardian or Conservator 1 11 Guardian or Conservator Other: f I Other: Signer Is Representing: Signer Is Representing: r ,x "m %,X, 4,.^r', 64,,a <,q A"cx,q 'AX X,o x,-, x, +,,"a.4"M X,K 1,1 X.,X X"M Av N, 0 2009 National Notary Association•NationalNotary org•1-800-US NOTARY(1800-876-6827) Item 05907 Agreement No. 5343 REFERENCES company Name: Stephen Doreck Equipment Rentals, Inc. The following are the names, addresses, and telephone numbers for public agencies for which BIDDER has performed similar work as the prime contractor or major subcontractor within the past five (5) years: 1. Project Title: WEST SIDE WATER — SEWER REPLACEMENT Location: MADISON — OHIO CITY OF SOUTH GATE 8650 CALIFORNIA AVE. SOUTH GATE, CA 90280 Name and address of owner KEN TANG 805) 653-6597 Name and current telephone number of person familiar with project Type of Work: Wokc M GTv�S Ta��10� Contract amount: $$4,467,897.62 Date completed: 2/2013 Amount of work done by my/our firm under contract Did your firm have any financial interest in Project? No ........................................................... 2. Project Title: DUCTILE IRON PIPE Location: WESTERN AVE. - ROLLING HILLS RD CITY OF TORRANCE 20500 MADRONA AVE. TORRANCE, CA 90503 Name and address of owner EMMANUEL MARTIN 310) 618-3059 Name and current telephone number of person familiar with project Type of Work: WAvr /44w Tn" k1 ov\ Contract amount: $$1 ,574,419.11 Date completed: 12/2012mm Amount of work done by my/our firm under contract$m.. mm�, S )1Lk q Did your firm have any financial interest in Project? Nb I-C-12 Agreement No. 5343 3. Project Title: SMALL MAIN REPLACEMENT PROJECT PHASE ..................................................................................................................... Location: GARFIELD AVE. & MINNESOTA CITY OF PARAMOUNT 16400 COLORADO PARAMOUNT, CA 90723 Name and address of owner CHRISTOPHER S. CASH 562) 220-2000 Name and current telephone number of person familiar with project Type of Work: a r Mcbx h Contract amount: $$1 ,196,462.76 Date completed: 11/2013 Amount of work done by my/our firm under contract $ t Did your firm have any financial interest in Project? 4. Project Title: CAST IRON MAIN REPLACEMENT Location: ATLANTIC AVE. LONG BEACH WATER DEPARTMENT 1800 E. WARDLOW ROAD LONG BEACH, CA 90807 Name and address of owner AB RENDON 562)570-2341 Name and current telephone number of person familiar with project: Type of Work: r McAlilh Contract amount: $$ 3,161 ,479.20 Date completed: 09/2014 Amount of work done by my/our firm under contract$................... ..!¢........... .... .......®.................................................................. Did your firm have any financial interest in Project? 5. Project Title: WATER MAIN REPLACEMENT Location: ESHELMAN AVE. — PCH TO LOMITA CITY OF LOMITA 24300 NARBONNE AVE. LOMITA, CA 90717 Name and address of owner TOM SHABAZI 310) 325-7110 Name and current telephone number of person familiar with project: I-C-13 Agreement No. 5343 Type of Work: r Aqi Contract amount: $ .1..,.',.699,398.00 Date completed: .3./.2.0..1..4................................................................ C 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: Wright, Finnigan & Sommer Ins. Associates 22800 Savi Ranch Pkwy Suite # 202, Yorba Linda, CA 92887 714) 283-1999 Commercial Surety Bond Agency 1411 N. Batavia St., Suite # 201 , Orange, CA 92867 714) 516-1232 I-C-14 Agreement No. 5343 BIDDER'S STATEMENT OF PAST CONTRACT DISQUALIFICATIONS CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD,. PROJECT NO.: PW 17-22 Company Name: Stephen Doreck Equipment Rentals, Inc. Please state all instances of being disqualified, removed, or otherwise prevented from bidding on, or completing, a federal, state, or local government project due to a violation of a law or safety regulation. 1 Have you ever been disqualified from any government contract? Yes ❑ No M 2, If yes, explain the circumstances: ............................................... ........................................... 3. Are you registered in accordance with Labor Code § 1725.5 [Note: failure to register requires the City to reject your bid as nonresponsive]? Yes Il No Idde° sigaaaftir•e Stephen L. Doreck/ Vice President ................................................................. Name (Please Print) I-C-15 Agreement No. 5343 ga CALIFORNIA ALL-PURIPOSE ACKNOWLEDGMENT 4,,x, 14 e^,NL,�,,O'N' ".a.0 x 4 4:� , , �e",(�"#L��,"X X'�� ,�A q<>�) X x 4 1`4;VA'r'A X�4<',4 4%4 0`4 State of California County of Los Angeles Ik t On May 16, 2017 before me, Sylvia Sifulentes (Notar, Public) bate Here Insert Name and Title of the 011icer 14" personally appeared Stephen L. Doreck Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(,) whose name(4) is/pffl subscribed to the within instrument and acknowledged to me that he/M1YW4i executed the same in his/liff/tHeYl authorized capacity(iffl), and that by - - - - - - - his/V#r/tV& signature(q) on the instrument the SYLVIA SIFUENTES person(A), or the entity upon behalf of which the Commission#2081164 person(p) acted, executed the instrument. Notary Public•California z Los Angeles County Comm. Expires Oct 8,2018 1 certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal Above i d d Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document �A 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: 1 Corporate Officer--Title(s). Corporate Officer—Title(s): Individual I-I Individual Partner—F-1 Limited General 10P f[11LIT11h hPrR IC I Partner—1 1 Limited I I General Top of LhUmb nee I Attorney in Fact 1 Attorney in Fact 0 �4 1 1 Trustee I Trustee I Guardian or Conservator I I Guardian or Conservator Other: i-i Other: Signer Is Representing: Signer Is Representing: 9 2009 National Notary Association•NationalNotary org•1-800-US NOTARY(1-800-876-6827) Item 05907 Agreement No. 5343 INSURANCE REQUIREMENTS [MUST BE SUBMITTED WITH PROJECT PROPOSAL] CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD. PROJECT NO.: PW 17-22 company Name: Stephen Doreck Equipment Rentals, Inc. To be awarded this contract, the successful bidder must procure and maintain the following types of insurance with coverage limits complying, at a minimum, with the limits set forth below: Type of Insurance Limits Commercial general liability: $2,000,000 Business automobile liability: $1,000,000 Workers compensation: Statutory requirement Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form No. CG 00 01 11 85 or 88. The amount of insurance set forth above must be a combined single limit per occurrence for bodily injury, personal injury, and property damage for the policy coverage. Liability policies must be endorsed to name the City, its officials, and employees as "additional insureds" under said insurance coverage and to state that such insurance will be deemed "primary" such that any other insurance that may be carried by the City will be excess thereto. Such endorsement must be reflected on ISO Form No. CG 20 10 11 85 or 88, or equivalent. Such insurance must be on an "occurrence," not a "claims made," basis and will not be cancelable or subject to reduction except upon thirty (30) days prior written notice to the City. Insurer will agree in writing to waive all rights of subrogation against the City, its officers, officials, employees and volunteers for losses arising from work performed by Contractor for the City. Automobile coverage must be written on ISO Business Auto Coverage Form CA 00 0106 92,including symbol 1 (Any Auto). The Consultant must furnish to the City duly authenticated Certificates of Insurance evidencing maintenance of the insurance required under this Agreement,endorsements as required herein,and such other evidence of insurance or copies of policies as may be reasonably required by the City from time to time. Insurance must be placed with admitted insurers with a current A.M. Best Company Rating equivalent to at least a Rating of"A:VII." Certificate(s)must reflect that the insurer will provide thirty (30)day notice of any cancellation of coverage. The Consultant will require its insurer to modify such certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, and to delete the word "endeavor" with regard to any notice provisions. The City requires California Worker's Compensation Coverage with the associated Waiver. Out-of- state coverage will not be accepted in lieu of the California coverage, because the work is being performed in the State of California. By signing this form, the bidder certifies that it has read, understands, 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." , May 16 2017r re -- - ............. � .. Date , ( �ier Signature Steplen L. Doreck /Vice President I-C-16 Agreement No. 5343 CALIFORNJA ALL-PURPOSE ACKNOWLEDGMENT < State of California County of Los Angeles W,!;May 16, 2 017 Sylvi�aSifluentes (Notary Public) On before me, Date Here Insert Name and Title OI the Officer personally appeared Stephen L. Doreck Name(s)of Signer(s) who proved to me on the basis of satisfactory �j evidence to be the persol whose name(j) is/ff# subscribed to the within instrument and acknowledged to me that he/M/ffilll executed the same in his/liff/tH41 authorized capacity(M), and that by SYLVIA SIFLIENTES his/I�#MV#1 signatul on the instrument the Commission#2081164 Notary Public California person(t), or the entity upon behalf of which the Z LOS ngeles County person(A) acted, executed the instrument. r M COMM. EX Ire's Oct 8 201 I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official se ill. Signature: CA,/ Niy sign Place Notary Seal Above Signature of 0;1� Public OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Page& Signerl Other Than Named Above: Capacity(les) Claimed by Signell Signer's Name: Signer's Name. 1 Corporate Officer—Title(s) [_1 Corporate Officer Title(S)L i Individual Ll Individual NOW Partner—F-1 Limited I-I General lop of thurnin tipre i j Partner—1-1 Limited I I General Top of thumb here I I Attorney in Fact 5 Attorney in Fact Trustee I !Trustee pIr I Guardian or Conservator I Guardian or Conservator 1wl Other: F1 Other: Signer Is Representing: Signer Is Representing' i Ali 4 &"4,4 X X,1,x,, 4.W:",M�A�,'w,1,4,,N �,A, X,,X X,X�,1�{,;X 41 A X 115.1 4 X.4 4" X/'44,I 9)2009 National Notary Association-NationalNotary org-1-600-US NOTARY It-600-676-6827) Item 05907 Agreement No. 5343 END PROPOSAL SECTION I-C-17 Agreement No. 5343 May 9, 2017 ADDENDUM NO. 1 to THE CONTRACT DOCUMENTS, SPECIFICATIONS, AND PLANS for CENTER ST. WATER MAIN IMPROVEMENT, PINE AVE. TO EL SEGUNDO BLVD, PROJECT NO. PW 17-22 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, May 16, 2017, at 11:00 am. 2. The question, "AVK is the only valve company who offers stainless steel stems. Are Mueller RSGV's an acceptable alternate to AVK?", has the following answer: The valves can be Muller as long as they have the (Options) stainless steel stem. 3. The question, "The project documents do have drawings WT-1 and WT-17. However, there are no model numbers referenced for the meters or the meter boxes. Do we need to supply them to the contractor or does the contractor purchase them from the city of El Segundo?", has the following answer: The contractor will need purchase the Meters & Boxes from a vendor. See Attachment 1 for model numbers. 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. Print Company Name: Stephen Doreck Equipment Rentals, Inc. Stephen L. Doreck / Vice President PrintName: �....................................... P .................................................................... Signature: , ", Date: 05/16/2017 Gam, _.... . of 1 350 Main Street,El Segundo, CA 90245-3895 (310) 524-2316 Agreement No. 5343 CALIFORNIA All I.-PUR11POSE ACKNOWLEDGMENT l State of California County of Los Angeles On May 16, 2017 before me, SylviaSifucntcs (Notary Public) Date Here inseit Name and Title of the Officer personally appeared Stephen L. Doreck Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(j) whose name(j) is/hr# subscribed to the within instrument and acknowledged to me that hel~Nbf executed the same in his/116f/tHdi authorized capacity(iN), and that by his/V#r/tV& signature(!] on the instrument the SYLVIA SIFILIENTES person(p), or the entity upon behalf of which the person(p) acted, executed the instrument. U commission #2081164 Notary Public -California z S Z Z Los Angeles County I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing MY COMM. Expires Oct 8, 2018 paragraph is true and correct. WITNESS my hand and official seal. ?"S Af Signatur& Place Notary Seal Above I J I OPTIONAL., ........ ............. Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date, Number of Pages, Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name Corporate Officer—Title(s). L 1 Corporate Officer Title(s). i Individual I Individual Partner—F1 Limited f-)General lop of thumb here ❑J Partner—I I Limited C 1 General Top of IhLJrnb here I i Attorney in Fact [I Attorney in Fact Trustee I 'I Trustee I Guardian or Conservator I I Guardian or Conservator Other: I-]Other: Signer Is Representing Signer Is Representing: Q 2009 National Notary Association•NationalNotary org•1-800-US NOTARY(1-800-876-6827) Item 45907