16.E
TA
CompliancewithRegulations
Nondiscrimination
9.QUALITYASSURANCETheCityusesaQualityAssuranceProgram(QAP)toensureamaterialisproducedtocomplywiththeContract.TheCitymayexaminetherecordsandreportsofteststheprimecontractorperformsiftheyareavailableatthejobsite.ScheduleworktoallowtimeforQAP.10.PROMPTPAYMENTFROMTHECITYTOTHECONTRACTORSTheCityshallmakeanyprogresspaymentwithin30daysafterreceiptofanundisputedandproperlysubmittedpaymentrequestfromacontractoronaconstructioncontract.IftheCityfailstopaypromptly,theCityshallpayinteresttothecontractor,whichaccruesattherateof10percentperannumontheprincipalamountofamoneyjudgmentremainingunsatisfied.Uponreceiptofapaymentrequest,theCityshallactinaccordancewithbothofthefollowing:1.EachpaymentrequestshallbereviewedbytheCityassoonaspracticableafterreceiptforthepurposeofdeterminingthatitisaproperpaymentrequest.2.Anypaymentrequestdeterminednottobeaproperpaymentrequestsuitableforpaymentshallbereturnedtothecontractorassoonaspracticable,butnotlaterthanseven(7)days,afterreceipt.Arequestreturnedpursuanttothisparagraphshallbeaccompaniedbyadocumentsettingforthinwritingthereasonswhythepaymentrequestisnotproper.11.[Omitted]12.DBERUNNINGLLYorA1'l'AINMENTSAftersubmittinganinvoiceforreimbursementthatincludesapaymenttoaDBE,butnolaterthanthe10ofthefollowingmonth,theprimecontractor/consultantshallcompleteandemailtheLAPMExhibit9-F:DisadvantagedBusinessEnterpriseRunningTallyofPaymentstoth [email protected].[Omitted]14.TITLEVIASSURANCESDuringtheperformanceofthisAgreement,thecontractor,foritself,itsassigneesandsuccessorsininterest(hereinaftercollectivelyreferredtoasCONTRACTOR)agreesasfollows:
ProjectNo.5651
(1
(2)
:CONTRACTORshallcomplywiththeregulationsrelativetonondiscriminationinfederallyassistedprogramsoftheDepartmentofTransportation,Title49,CodeofFederalRegulations,Part21,astheymaybeamendedfromtimetotime,(hereinafterreferredtoastheREGULATIONS),whicharehereinincorporatedbyreferenceandmadeapartofthisagreement.:CONTRACTOR,withregardtotheworkperformedbyitduringtheAGREEMENT,shallnotdiscriminateonthegroundsofrace,color,sex,nationalorigin,religion,age,ordisabilityintheselectionandretentionofsub—app|icants,includingprocurementsofmaterialsandleasesofequipment.
16.E
SolicitationsforSub-agreementsIncludingProcurementsofMaterialsand |ncorQorationofProvisions
CONTRACTORshallnotparticipateeitherdirectlyorindirectlyinthediscriminationprohibitedbySection21.5oftheRegulations,includingemploymentpracticeswhentheagreementcoversaprogramsetforthinAppendixBoftheRegulations.(3)Eguipment:InallsolicitationseitherbycompetitivebiddingornegotiationmadebyCONTRACTORforworktobeperformedunderaSub—agreement,includingprocurementsofmaterialsorleasesofequipment,eachpotentialsub-applicantorsuppliershallbenotifiedbyCONTRACTORoftheCONTRACTOR’SobligationsunderthisAgreementandtheRegulationsrelativetonondiscriminationonthegroundsofrace,color,ornationalorigin.(4)InformationandReports:CONTRACTORshallprovideallinformationand (5)SanctionsforNoncompliance:IntheeventofCONTRACTOR’Snoncompliance ProjectNo.5651
reportsrequiredbytheRegulations,ordirectivesissuepursuantthereto,andshallpermitaccesstoitsbooks,records,accounts,othesourcesofinformation,anditsfacilitiesasmaybedeterminedbytheCaliforniaDepartmentofTransportationorFHW AtobepertinenttoascertaincompliancewithsuchRegulationsordirectives.WhereanyinformationrequiredofCONTRACTORisintheexclusvepossessionofanotherwhofailsorrefusestofurnishthisinformation,CONTRACTORshallsocertifytotheCaliforniaDepartmentofTransportationortheFHW Aasappropriate,andshallset towiththenondiscriminationprovisionsofthisagreement,theCaliforniaDepartmentofTransportationshallimposesuchagreementsanctionsasitortheFHW Amaydeterminetobeappropriate,including,butnotlimitedto:(a)withholdingofpaymentstoCONTRACTORundertheAgreementwithinareasonableperiodoftime,nottoexceed90days;and/or(b)cancellation,terminationorsuspensionoftheAgreement,inwholeorinpart.(6) :CONTRACTORshallincludetheprovisionsofparagraphs(1)through(6)ineverysub-agreement,includingprocurementsofmaterialsandleasesofequipment,unlessexemptbytheRegulationsordirectivesissuedpursuantthereto.CONTRACTORshalltakesuchactionwithrespecttoanysub-agreementorprocurementastheCaliforniaDepartmentofTransportationorFHW Amaydirectasameansofenforcngsuchprovisionsincludingsanctionsfornoncompliance,provided,however,that,intheeventCONTRACTORbecomesinvolvedin,oristhreatenedwith,litigationwithasub-applicantorsupplierasaresultofsuchdirection,CONTRACTORmayrequesttheCaliforniaDepartmentofTransportationenterintosuchlitigationtoprotecttheinterestsoftheState,and,inaddition,CONTRACTORmayrequesttheUnitedStatestoenterintosuchlitigationtoprotectthe
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Ruv.0Ssplembar2020
15.USEOFUNITEDSTATES-FLAGVESSELS(CARGOPREFERENCEACT)
ProjectNo.5651
TheCONTRACTORagrees-1.ToutilizeprivatelyownedUnitedStates-flagcommercialvesselstoshipatleast50percentofthegrosstonnage(computedseparatelyfordrybulkcarries,drycargoliners,andtankers)involved,whenevershippinganyequipment,material,orcommoditiespursuanttothiscontract,totheextentsuchvesselsareavailableatfairandreasonableratesforUnitedStates-flagcommercialvessels.ToFurnishwithin20daysfollowingthedateofloadingforshipmentsoriginatingwithintheUnitedStateorwithin30workingdaysfollowingthedateofloadingforshipmentsoriginatingoutsidetheUnitedStates,alegiblecopyofarated"on-board”commercialoceanbi||-of-adinginEnglishforeachshipmentofcargodescribedinparagraph(1)ofthissectiontoboththeContractingOfficer(throughtheprimecontractorinthecaseofsubcontractorbills-of-lading)andtotheDivisionofNationalCargo,OfficeofMarketDevelopment,MaritimeAdministration,Washington,DC20590.Toinsertthesubstanceoftheprovisionsofthisclauseinallsubcontractsissuedpursuanttothiscontract.
16.E
EXHIBITACONTRACTDOCUMENTSCityofHemetContractorAgreement(includingAttachment1,Attachment2andAttachment3)ChangeOrdersissuedbyAgency,signedbyContractorand(ifnecessary)approvedbyCityCouncilNoticeInvitingBids,InstructionstoBidders,andBidder’sProposalandInformationRequiredforBidSubmittalBidSchedu|e(s)Addendaand/orBulletinsPlansSpecialProvisions(Specifications)GeneralConditionsGeneralProvisionsStandardSpecificationsforPublicWorksConstruction("Greenbook”)2018editionasamendedandsupplementedStateStandardSpecificationsStateStandardPlansPermitsissuedbyjurisdictionalregulatoryagenciesElectric,gas,telephone,andcabletelevisioncompanyspecificationsandstandardsNoticeofAwardNoticetoProceedCertificate(s)ofRequiredinsuranceandWorker’sCompensatonnsuranceSecurityforPayment(Labor&Materials)andPerformanceEscrowAgreementforSecurityDepositsinLieuofRetentionlfthereisaconflictbetweenanyoftheContractDocuments,thedocumentshghestinprecedenceshallcontrol.TheorderofprecedenceoftheContractDocumentsshallbeasprovidedinSection3-7.2oftheSpecalProvisions.Detaildrawingsshalltakeprecedenceovergeneradrawings.
16.E
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Rev.(3Febzuary2020
EXHIBITBCONTRACTPRICE
NottoExceed$699,490.00TheContractPriceforperformingallWorkdescribedintheContractDocuments,includinglabor,materials,servicesandequipmentisthetotalamountofalllumpsumitemsandofallunitpricesums,determinedbymultiplyingtheunitpriceforeachitemtimestheactualquantityofeachsuchitem,asdeterminedbytheAgency.
16.E
Limitscombinedsingle
EXHIBITCINSURANCEGeneralRequirements.ContractormustprocureandmaintaininfullforceandeffectduringthetermofthisContractthefollowingtypesofinsurancewithcoveragelimitscomplying,ataminimum,withthelimitssetforthbelow:TypeofInsuranceCommercialGeneralLiability$5,000,000BusinessAutomobileLiability$5,000,000Workers’Compensation$1,000,000Builder'sRisk CompletedvalueoftheprojectSuretyBonds AsdescribedbelowProfessionalLiability$1,000,000Contractors’PollutionLegalLiability$1,000,000lfthecontractormaintainshigherlimitsthantheminimumsshownabove,theCityrequiresandshallbeentitledtocoverageforthehigherlimitsmaintainedbythecontractor.AnyavailableinsuranceproceedsinexcessofthespecificminimumlimitsofinsuranceandcoverageshallbeavailabletotheCity.CommercialGeneralLiabilityInsurance.InsuranceServicesOfficeFormCG0001coveringCGLonan”occurrence”basis,includingproductsandcompletedoperations,propertydamage,bodilyinjuryandpersonal&advertisinginjurywithlimitsnolessthan$5,000,000peroccurrence.Ifageneralaggregatelimitapplies,eitherthegeneralaggregatelimitshallapplyseparatelytothisproject/locationorthegeneralaggregatelimitshallbetwicetherequiredoccurrencelimit.BusinessAutoCoverage.InsuranceServicesOfficeFormNumberCA0001coveringCode1(anyauto),withlimitsnolessthan$5,000,000peraccidentforbodilyinjuryandpropertydamage.IfContractororContractor'semployeeswillusepersonalautosinanywayonthisProject,Contractormustprovideevidenceofpersonalautoliabilitycoverageforeachsuchperson.WorkersCompensation.InsuranceasrequiredbytheStateofCalifornia,withStatutoryLimits,andEmployers’Liabilityinsurancewithalimitofnolessthan$1,000,000peraccidentforbodilyinjuryordisease.Builder'sRisk(CourseofConstruction).Insuranceutilizingan'’AllRisk”(SpecialPerils)coverageform,withlimitsequaltothecompletedvalueoftheprojectandnocoinsurancepenaltyprovisions.ContractormaysubmitevidenceofBuilder'sRiskinsuranceintheform
16.E
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ofCourseofConstructioncoverage.SuchcoverageshallnametheCityasaosspayeeastheirinterestmayappear.SuretyBonds.ContractorshallprovidethefollowingSuretyBonds:(1)Bidbond,(2)performancebond,(3)paymentbond,and(4)maintenancebond.ThePaymentBondandthePerformanceBondshallbeinasumequaltothecontractprice.IfthePerformanceBondprovidesforaone-yearwarrantyaseparateMaintenanceBondisnotnecessary.IfthewarrantyperiodspecifiedinthecontractisforlongerthanoneyearaMantenanceBondequalto10%ofthecontractpriceisrequired.Bondsshallbedulyexecutedbyaresponsiblecorporatesurety,authorizedtoissuesuchbondsintheStateofCaliforniaandsecuredthroughanauthorizedagentwithanofficeinCalifornia.ProfessionalLiability.Ifdesign/build,withlimitsnolessthan$1,000,000peroccurrenceorclaim,and$2,000,000policyaggregate.Contractors’PollutionLegalLiabilityand/orAsbestosLegalLiabilityand/orErrorsandOmissions(ifprojectinvolvesenvironmentalhazards)withlimitsnolessthan$1,000,000peroccurrenceorclaim,and$2,000,000policyaggregate.OtherInsurance.ContractormayberequiredtoobtainsuchotherinsurancecoverageasmayberequiredbyapplicablelaworbytheCity.10.ExcessorUmbrellaLiabilityInsurance(OverPrimary).Ifanexcessorumbrellaliabilitypolicyisusedtomeetlimitrequirements,theinsurancemustprovidecoverageatleastasbroadasspecifiedfortheunderlyingcoverages.Anysuchcoverageprovidedunderanexcessorumbrellaliabilitypolicymustincludea”dropdownprovision”providingprimarycoverageaboveamaximum$25,000self-insuredretentionforliabilitynotcoveredbyprimarybutcoveredbytheumbrella.Coveragemustbeprovidedona”payonbehalf"basis,withdefensecostspayableinadditiontopolicylimits.Theremustbenocross—liabilityexclusionprecludingcoverageforclaimsorsuitsbyoneinsuredagainstanother.CoveragemustbeapplicabletoCityforinjurytoemployeesofContractor,itssubcontractorsorothersperformingworktosatisfyContractor’sobligationsunderthisContract.ThescopeofcoverageprovidedissubjecttoapprovalofCityfollowingreceiptofproofofinsuranceasrequiredherein.Limitsaresubjecttoreview,butinnoeventmaybelessthan$2,000,000peroccurrenceandaggregate.11.CertificatesofInsuranceandEndorsements.PriortocommencinganyWorkunderthisContract,ContractormustfilewiththeDirectorCertificatesofnsuranceandEndorsementsevidencingtheexistenceofallinsurancerequiredbythisContract,alongwithsuchotherevidenceofinsuranceorcopiesofpoliciesasmayreasonablyberequiredbyCity.SuchCertificatesofInsuranceandEndorsementsmustbeinaformapprovedbytheCityAttorneyofCity.ContractormustmaintaincurrentcertificatesandendorsementsonfilewithCityduringthetermofthisContractreflectingtheexistenceofallrequiredinsurance.Eachofthecertificatesmustexpresslyprovidethatnomaterialchangeinthepolicy,orterminationthereof,willbeeffectiveexceptupon30dayspriorwrittennoticeto
16.E
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City.TheCityreservestherighttorequirecomplete,certifiedcopiesoftheinsurancecertificatesandendorsements.
14.FailuretoMaintainRequiredInsurance.IfContractor,foranyreason,failstohaveinplace
15. 16.
atalltimesduringthetermofthisContractalloftherequiredinsurancecoverage,theDirectormayobtainsuchcoverageatContractor'sexpenseanddeductthecostfromthesumsdueContractor.Subcontractors.Contractorshallrequireandverifythatallsubcontractorsmaintaininsurancemeetingalltherequirementsstatedherein,andContractorshallensurethatEntityisanadditionalinsuredoninsurancerequiredfromsubcontractors.ForCGLcoveragesubcontractorsshallprovidecoveragewithaformatleastasbroadasCG20380413.EffectofCoverage.TheexistenceoftherequiredinsurancecoverageunderthisContractwillnotbedeemedtosatisfyorlimitContractor'sindemnityobligationsunderthisContract.ContractoracknowledgesthattheinsurancecoverageandpolicylimitssetforthinthisContractconstitutetheminimumcoverageandpolicylimitsrequired.AnyinsuranceproceedsavailabletoCityinexcessofthelimitsandcoveragerequiredbythisContract,andwhichisapplicabletoagivenloss,mustbemadeavailabletoCitytocompensateitfor
12. 13.
AccessibilityofInsurers.InsuranceistobeplacedwithinsuranceswithacurrentA.M.BestratingofnolessthanA:VII,unlessotherwseacceptabletotheCity.WaiverofSubrogation.ContractorherebyagreestowaiverightsofsubrogationwhichanyinsurerofContractormayacquirefromContractorbyvirtueofthepaymentofanyloss.Contractoragreestoobtainanyendorsementthatmaybenecessarytoaffectthiswaiverofsubrogation.TheWorkers’CompensationpolicyshallbeendorsedwithawaiverofsubrogationinfavoroftheEntityforallworkperformedbytheContractor,itsemployees,agentsandsubcontractors.
17.SpecialRisksorCircumstances.Entityreservestherighttomodifytheserequirementsincludinglimits,basedonthenatureoftherisk,priorexperience,insurer,coverage,orother
16.E
PAYMENTBOND(BondforLaborandMaterial)KNOWALLPERSONSBYTHESEPRESENTS:1.01THATWHEREAS,CITYOFHEMET(Owner)hasawardedtoYunexLLCasPrincipal,datedthedayof 20_(theContract),titledtheCityofHemetCitywideTrafficSignalSafetyUpgradesProjectintheamountof$699,490.00,sixhundredandninety-ninethousandfourhundredandninetydollars,whichContractisbythisreferencemadeaparthereof,fortheworkofthefollowingContract:
1.02 1.03NOW,THEREFORE,we,theundersignedPrincipaland(NameofSuretvlasSurety,areheldandfirmlybounduntoOwnerinthesumof100%OFTHECONTRACTPRICE|§699,490.00|,forwhichpaymentwellandtrulytobemadewebindourselves,ourheirs,executors,administrators,successors,andassigns,jointlyandseverally,firmlybythesepresents.
1.05ThisbondshallinuretothebenefitofanyofthepersonsnamedinCaliforniaCivilCodeSection9100,astogivearightofactiontosuchpersonsortheirassignsinanysuitbroughtuponthisbond.TheintentofthisbondistocomplywiththeCaliforniaMechanic'sLienLaw.1.06Surety,forvaluereceived,herebyexpresslyagreesthatnoextensionoftime,change,modification,alteration,oradditiontotheundertakings,covenants,terms,conditions,and
CITYWIDETRAFFICSIGNALSAFEYUPGRADES,ATV ARIOUSLOCATIONSTHROUGHOUTTHE ANDWHEREAS,PrincipalisrequiredtofurnshabondinconnectionwiththeContracttosecurethepaymentofclaimsofaborers,mechanics,materialsuppliers,andotherpersonsasprovidedbylaw;
1.04THECONDITIONOFTHISOBLIGATIONISSUCH,thatifPrincipal,oritsexecutors,administrators,successors,orassignsapprovedbyOwner,oritssubcontractorsshallfailtopayanyofthepersonsnamedinCaliforniaCivilCodeSection9100,oramountsdueundertheStateofCaliforniaUnemploymentInsuranceCodewithrespecttoworkorlaborperformedundertheContract,orforanyamountsrequiredtobededucted,withheld,andpaidovertotheStateofCaliforniaEmploymentDevelopmentDepartmentfromthewagesofemployeesofPrincipalandsubcontractorspursuanttoSection13020oftheStateofCaliforniaUnemploymentnsuranceCodewithrespecttosuchworkandlabor,thatSuretywillpayforthesameinanamountnotexceedingthesumspecifiedinth5bondplusreasonableattorneys’fees,otherwisetheaboveobligationshallbecomeandbenulland
16.E
agreementsoftheContract,ortotheworktobeperformedthereunder,shallinanywayaffecttheobligationofthisbond;anditdoesherebywaivenoticeofanysuchextensionoftime,change,modification,alteration,oradditiontotheundertakings,covenants,terms,conditions,andagreementsoftheContract,ortotheworktobeperformedthereunder.1.07Surety’sobligationshereunderareindependentoftheobligationsofanyothersuretyforthepaymentofclaimsoflaborers,mechanics,materialsuppliers,andotherpersonsinconnectionwithContract;andsuitmaybebroughtagainstSuretyandsuchothersureties,jointlyandseverally,oragainstanyoneormoreofthem,oragainstlessthanallofthemwithoutimpairingOwner’srightsagainsttheother.1.08CorrespondenceorclaimsrelatingtothisbondshallbesenttoSuretyattheaddresssetforthbelow.
CONTRACTORASPRINCIPALSURETYCompany:(Corp.Seal) Company:(Corp.Seal) Signature Signature
Name Name
Title Title
StreetAddress StreetAddress
City,State,ZipCode City,State,ZipCode
INWITNESSWHEREOF,wehavehereuntosetourhandshisdayof,20
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[InsertnameofSurety]
[InsertnameofContractor] [InsertnameofSurety]
T.
me:
CONSTRUCTIONPERFORMANCEBOND
CONTRACTORSURETY:
Address PrincipalPlaceofBusiness
City/State/Zip
CONSTRUCTIONCONTRACT:CITYWIDETRAFFICSIGNALSAFETYUPGRADES,ATV ARIOUSLOCATIONSTHROUGHOUTTHECITYOFHEMET,dated 20,intheamountof$699,490.00.CONTRACTORASPRINCIPALSURETYCompany:(Corp.Seal) Company:(Corp.Seal) Signature Signature
Na Name:
THISCONSTRUCTIONPERFORMANCEBOND(Bond)isdated[Month,Day],20_isintheamountof$699,490.00(PenalSum),whichis100%oftheContractSumandisenteredintobyandbetweenthepartieslistedbelowtoensurethefaithfulperformanceoftheContractidentifiedbelow.ThisBondconsistsofthispageandtheBondTermsandConditions,Paragraphs1through14attachedtothispage.AnysingularreferencetoYunexLLC(Contractor),(Surety),CITYOFHEMET(Owner),orotherpartyshaIbeconsideredpluralwhereapplicable.
City/State/Zp
16.E
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' I:1..:r:|".-.r.'|_'r:'|!u.I.:I.'.;"'.—'5-.=..~=«".'-a'='—'-:-'5.“-'-' BONDTERMSANDCONDITIONSContractorandSurety,jointlyandseverally,bindthemselves,theirheirs,executors,administrators,successorsandassignstoOwnerforthecompleteandproperperformanceoftheConstructionContract,whichisincorporatedhereinbyreference.IfContractorcompletelyandproperlyperformsallofitsobligationsundertheConstructionContract,SuretyandContractorshallhavenoobligationunderthisBond.IfthereisnoOwnerDefault,Surety'sobligationunderthisBondshallariseafter:3.1OwnerprovidesSuretywithwrittennoticethatOwnerhasdeclaredaContractorDefaultundertheConstructionContractpursuanttothetermsoftheConstructionContract;and3.2OwnerhasagreedtopaytheBalanceofContractSum:3.2.1ToSuretyinaccordancewiththetermsofthisBondandtheConstructionContract;or3.2.2ToaContractorselectedtoperformtheConstructionContractinaccordancewiththetermsofthisBondandtheConstructionContract WhenOwnerhassatisfiedtheconditionsofParagraph3above,Suretyshallpromptly(within40Days)andatSurety'sexpenseelecttotakeoneofthefollowingactions:4.1ArrangeforContractor,withconsentofOwner,toperformandcompletetheConstructionContract(butOwnermaywithholdconsent,inwhichcasetheSuretymustelectanoptiondescribedinParagraphs4.2,4.3or4.4below);or4.2UndertaketoperformandcompletetheConstructionContractitself,throughitsagentsorthroughindependentcontractorsorConstructionentities;provided,thatSuretymaynotselectContractorasitsagentorindependentcontractororContractorwithoutOwner'sconsent;orUndertaketoperformandcompletetheConstructionContractbyobtainingbidsfromqualifiedcontractorsorConstructionentitiesacceptabletoOwnerforacontractforperformanceandcompletionoftheConstructionContractand,upondeterminationbyOwnerofthelowestresponsiveandresponsibleBidder,arrangeforacontracttobepreparedforexecutionbyOwnerandthecontractororContractorselectedwithOwner'sconcurrence,tobesecuredwithperformanceandpaymentbondsexecutedbyaqualifiedsuretyequivalenttothebondsissuedontheConstructionContract;and,ifSurety’sobigationsdefinedinParagraph6below,exceedtheBalanceofContractSum,thenSuretyshallpaytoOwnertheamountofsuchexcess;or
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4.4 6.1
6.3 Waiveitsrighttoperformandcomplete,arrangeforcompletion,orobtainanewcontractororContractor,andwithreasonablepromptnessunderthecircumstancesand,afterinvestigationandconsultationwithOwner,determineingoodfaithitsmonetaryobligationtoOwnerunderParagraph6below,fortheperformanceandcompletionoftheConstructionContractand,assoonaspracticableaftertheamountisdetermined,tenderpaymenttherefortoOwnerwithfullexplanationofthepayment’scalculation.IfOwneracceptsSurety’stenderunderthisParagraph4.4,OwnermaystillholdSuretyliableforfuturedamagesthenunknownorunliquidatedresultingfromtheContractorDefault,asagreedbyOwnerandSuretyatthetimeoftender.lfOwnerdisputestheamountofSuretyfstenderunderthisParagraph4.4,OwnermayexerciseallremediesavailabletoitatlawtoenforceSurety’sliabilityunderParagraphs6and6.3below.
Contractor'sobligationstocompletetheConstructionContractandcorrectDefectiveWork; TotheextentotherwiserequiredofContractorundertheConstructionContract,Contractor'sobligationstopayadditionallegal,designprofessional,andothercostsnotincludedwithinliquidateddamagesresultingfromContractorDefault(butexcludingattorney'sfeesincurredtoenforcethisBond).
AtalltimesOwnershallbeentitledtoenforceanyremedyavailabletoOwneratlaworundertheConstructionContractincluding,withoutlimitation,andbywayofexampleonlyrightstoperformwork,protectWork,mitigatedamages,advancecriticalWorktomitigatescheduledelay,andcoordinateWorkwithotherconsultantsorcontractors.|fSuretyelectstoactunderParagraphs4.1,4.2or4.3above,withinthetimeperiodprovidedinParagraph4,above,andcomplieswithitsobligationsunderthisBond,Surety’sobligationsunderthisBondarecommensuratewithContractor'sConstructonContractobligations.Surety’sobligationsincude,butarenotlimitedto:
6.2Contractor'sobligatonstopayIquidateddamages;and
IfSuretydoesnotelecttoactunderParagraphs4.1,4.2,4.3,or4.4,above,withinthetimeperiodprovidedinParagraph4,above,orcomplywithitsobligationsunderthisBond,thenSuretyshallbedeemedtobeindefaultonthisBondtenDaysafterreceiptofanadditionalwrittennoticefromOwnertoSuretydemandingthatSuretyperformitsobligatonsunderthisBond.SuchSuretydefaultshallbeindependentoftheContractorDefault.TotheextentSurety’sindependentdefaultcausesOwnertosufferdamagesincluding,butnotlimitedto,delaydamages,whicharedifferentfrom,orinadditionto(butnotduplicativeof)damageswhichOwnerisentitledtoreceiveundertheConstructionContract,Suretyshallasobeliableforsuchdamages.IntheeventanySuretyobligationfollowingitsindependentdefaultisinconsistentorconflictswithCaliforniaCivilCodeSection2809,oranyotherlawwhicheitherprohibits,restricts,limitsormodifiesinanywayanyobligationofasuretywhichislargerinamountorinanyotherrespectmoreburdensomethanthatoftheprincipal,Suretyherebywaivestheprovisionsofsuchlawstothatextent.
16.E
Rev.I’)
February2020
|fSuretyelectstoactunderParagraphs4.1,4.3or4.4above,withinthetimeperiodprovidedinParagraph4,above,andcomplieswithallobligationsunderthisBond,Surety’smonetaryobligationunderthisBondislimitedtothePenalSum.NorightofactionshallaccrueonthisBondtoanypersonorentityotherthanOwneroritssuccessorsorassigns.
AllnoticestoSuretyorContractorshallbemailedordelivered(attheaddresssetforthonthesignaturepageofthisBond),andallnoticestoOwnershallbemailedordeliveredasprovidedinSection1-7.1.10oftheSpecialProvisions.ActualreceiptofnoticebySurety,OwnerorContractor,howeveraccomplished,shallbesufficientcomplianceasofthedatereceivedattheforegoingaddresses.AnyprovisioninthisBondconflictingwithanystatutoryorregulatoryrequirementshallbedeemeddeletedherefromandprovisionsconformingtosuchstatutoryrequirementshallbedeemedincorporatedherein.Definitions14.1BalanceofContractSum:ThetotalamountpayablebyOwnertoContractorpursuanttothetermsoftheConstructionContractafterallproperadjustmentshavebeenmadeundertheConstructionContract,forexample,deductionsforprogresspaymentsmade,andincreases/decreasesforapprovedModificationstotheConstructionContract.14.2ConstructionContract:TheagreementbetweenOwnerandContractoridentifiedonthesignaturepageofthisBond,includingallContractDocumentsandchanges Suretyherebywaivesnoticeofanychange,alterationoradditiontotheConstructionContractortorelatedsubcontracts,designagreements,purchaseordersandotherobligations,includingchangesoftime,andofanyOwneractioninaccordancewithParagraph5above.SuretyconsentstoaltermsoftheConstructionContract,includingprovisionsonchangestotheContract.Noextensionoftime,change,alteration,Modification,deletion,oradditiontotheContractDocuments,oroftheWork(includingservices)requiredthereunder,oranyOwneractioninaccordancewithParagraph5aboveshallreleaseorexonerateSuretyonthisBondorinanywayaffecttheobligationsofSuretyonthisBond,unlesssuchactionisanOwnerDefault.Anyproceeding,legalorequitable,underthisBondshallbeinstitutedinanycourtofcompetentjurisdictionwhereaproceedngispendingbetweenOwnerandContractorregardingtheConstructionContract,orintheSuperiorCourtoftheCountyofRiverside,California,orinacourtofcompetentjurisdictioninthelocationinwhichtheWorkislocated.CommunicationsfromOwnertoSuretyunderParagraph3.1aboveshallbedeemedtoincludethenecessaryagreementsunderParagraph3.2aboveunlessexpresslystated
16.E
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I-I I-—Z-—2Iu———f——I-IETIJZX 2-IlhI-'H.bI'h'I-I":-I'|-I-I-1..-I_'I-.'I-I-I-rl'I-III'-.?-—.-.|_-..|-I-I-I-I.-I-a-|.l: J—'..—I-'-H-'-I-‘II.-I'—‘Juj-IuIufI'*.Iuju‘ E-"I-$%'?-I-3-lhrIi'i'-I-I-I--I---|'I-I--I-'|-I-I-_ .|. _.__.__|_|.J_|— -_..-_..Zjhli |_-Jé.I_—.-J.:..|.|.u-.I.I-I.—:-.;.I.-I.|.l 1.‘:-r'-I’:-I-Il.I-'-I-I-I-I-—--II-'I--‘I-.I-I-I-I-I-I--In '.i3?‘1:3r3!2i)}14.3ContractorDefault:MaterialfailureofContractor,whichhasneitherbeenremediednorwaived,toperformorotherwisetocomplywiththetermsoftheConstructionContract,limitedto’’default”oranyotherconditionallowingaterminationforcauseasprovidedinSection6-7.3oftheSpecialProvisions).OwnerDefault:MaterialfailureofOwner,whichhasneitherbeenremediednorwaived,topayContractorprogresspaymentsdueundertheConstructionContractortoperformothermaterialtermsoftheConstructionContract,ifsuchfailureisthecauseoftheassertedContractorDefaultandissufficienttojustifyContractorterminationoftheConstructionContract.
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$69
ESCROWAGREEMENTFORSECURITYDEPOSITINLIEUOFRETENTIONPublicContractCodeSection22300THISESCROWAGREEMENT("EscrowAgreement”)ismadeandenteredintothisdayof20_,byandbetweenCityofHemet("Owner"),whoseaddressis445EastFloridAvenue,Hemet,CA92543.YunexLLC("Contractor”),whoseprincipalplaceofbusinessislocatedat2250BusinessWayRiverside,CA92501,andOwner,asescrowagent[OR]NameofBankastateorfederallycharteredbankintheStateofCalifornia,whoseplaceofbusinessislocatedat[Address]("EscrowAgent").Fortheconsiderationhereinaftersetforth,Owner,ContractorandEscrowAgentagreeasfollows:1.PursuanttoPublicContractCodeSection22300,ContractorhastheoptiontodepositsecuritieswithEscrowAgentasasubstituteforretentionearningsrequiredtobewithheldbyOwnerpursuanttoContractenteredintobetweenOwnerandContractorfortheCityofHemetCitywideTrafficSignalSafetyUpgradesProjectintheamountof9,490.00dated2 (the"Contract”).Alternatively,onwrittenrequestofContractor,Owner betweenOwnerandContractor.Securitiesshallbeheldinnameof,andshalldesignateContractorasthebeneficialowner.OwnershallmakeprogresspaymentstoContractorforthosefundswhichotherwisewouldbewithheldfromprogresspaymentspursuanttoContractprovisions,providedthatEscrowAgentholdssecuritiesinformandamountspecifiedinParagraph1ofthisDocument006290.WhenOwnermakespayment(s)ofretentionearneddirectlytoEscrowAgent,EscrowAgentshallholdsaidpayment(s)forthebenefitofContractoruntilthetimethattheescrowcreatedunderthisEscrowAgreementisterminated.Contractormaydirecttheinvestmentofthepaymentsintosecurities.AlltermsandconditionsofthisEscrowAgreementandtherightsandresponsibilitiesofthepartiesshallbeequallyapplicableandbindingwhenOwnerpaysEscrowAgentdirectly.ContractorshallberesponsibleforpayingallfeesfortheexpensesincurredbyEscrowAgentinadministeringtheEscrowAccount,andallexpensesofOwner.SuchexpensesandpaymenttermsshallbedeterminedbyOwner,Contractor,andEscrowAgent. shallmakepaymentsoftheretentionearningsdirectlytoEscrowAgent.WhenContractordepositsthesecuritiesasasubstituteforContractearnings,EscrowAgentshallnotifyOwnerwithintenDaysofthedeposit.ThemarketvalueofthesecuritiesatthetimeofsubstitutionshalbeatleastequaltothecashamountthenrequiredtobewithheldasretentionundertermsofContract InterestearnedonsecuritiesormoneymarketaccountsheldinescrowandallinterestearnedonthatinterestshallbeforsoeaccountofContractorandshallbesubjecttowithdrawalbyContractoratanytimeandfromtimetotimewithoutnoticetoOwner.
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10. ContractorshallhavetherighttowithdrawalloranypartoftheprincipalintheEscrowAccountonlybywrittennoticetoEscrowAgentaccompaniedbywrittenauthorizationfromOwnertoEscrowAgentthatOwnerconsentstowithdrawalofamountsoughttobewithdrawnbyContractor.OwnershallhavetherighttodrawuponthesecuritiesineventofdefaultbyContractor.UponsevenDayswrittennoticetoEscrowAgentfromOwnerofthedefault,EscrowAgentshallimmediatelyconvertthesecuritiestocashandshalldistributethecashasinstructedbyOwner.UponreceiptofwrittennotificationfromOwnercertifyingthattheContractisfinalandcomplete,andthatContractorhascompliedwithallrequirementsandproceduresapplicabletotheContract,EscrowAgentshallreleasetoContractorallsecuritiesandinterestondepositlessescrowfeesandchargesoftheEscrowAccount.Theescrowshallbeclosedimmediatelyupondisbursementofallmoneysandsecuritiesondepositandpaymentsoffeesandcharges.EscrowAgentshallrelyonwrittennotificationsfromOwnerandContractorpursuanttoParagraphs5through8,inclusive,ofthisDocument006290andOwnerandContractorshallholdEscrowAgentharmlessfromEscrowAgent'sreleaseanddisbursementofsecuritiesandinterestassetforth.NamesofpersonswhoareauthorizedtogivewrittennoticeortoreceivewrittennoticeonbehalfofOwnerandonbehalfofContractorinconnectionwiththeforegoing,andexemplarsoftheirrespectivesignaturesareasfollows:ONBEHALFOFOWNER:ONBEHALFOFCONTRACTOR:
Title TitleName NameSignature SignatureAddress AddressCity/State/ZipCode City/State/ZipCodeONBEHALFOFESCROWAGENT:
Title
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5355:’,Fefuiuary2020SignatureAddressCity/State/ZipCodeINWITNESSWHEREOF,thepartieshaveexecutedthisEscrowAgreementbytheirproperofficersonthedatefirstsetforthabove.OWNER: CONTRACTORCITYOFHEMET Title Title
Name Name
Signature SignatureATTEST
Signature
PrintNameSecretary
ESCROWAGENT
Title
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Rev.0February2020
Signature
[IFREQUIRED]REVIEWEDASTOFORM:
CounselforOwner
PrintName
Date
AtthetimetheEscrowAccountisopened,OwnerandContractorshalldelivertoEscrowAgentafullyexecutedcounterpartofthisDocument.
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’UNE><TRAFFICBlDDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencywillnotberesponsibleforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.
TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPN0.5651andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
ASiemensBusiness
Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(s) A1(M-7:+-L\\\Qia‘5Ho-\0\-z\\
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSCHEDULEBASEBID-CITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPN0.5651ITEMNO DESCRIPTIONMobilization(NottoExceed5%ofBid)Traf?candPedestrianControlRemoveandSalvageExistingMan/HandModule.FurnishandInstallPedestrianCountdownModule.RemoveandSalvageExistingNon-CompliantPedestrianPushButton.FurnishandInstallPolaraiN2APSADACompliantPedestrianPushButtonAssemblyw/R10-3iPlacard.FurnishandInstallPolaraAPSPushButtonCentralControlUnitandInterconnectBoardandallotherEquipmentNecessaryforaFullyFunctioningAPSSysteminExistingTraf?cControllerCabinet.RemoveandSalvageExistingHPSSafetyLightFixtureAssembly.FurnishandInstallLEDSafetyLightFixtureAssembly.RemoveandSalvageExistingController.FurnishandInstallMcCainATCeX2Controller(orapprovedequal)withOmniSoftwareandEquipmentperPlan.RemoveandSalvageExistingController.FurnishandInstallMcCain2070LXController(orapprovedequal)withOmniSoftwareandEquipmentperPlan.
UNIT
LSLS
EA
EA
EA
EA
EA
EA
TOTALBASEBID(numbers)
ESTIMATEDQUANTITY
151
253
37 142
39 UNITPRICEEXTENDEDITEMAMOUNT
YUNEXTRAFFICASiemensBusiness
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’UNEXTRAFFCB|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) Intheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.
ASiemensBusiness
BASEBIDTOTAL(inwords)Do¢U°\¢6Ann?-.€P°
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YUNEXTRAFFICBlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:
DBA(ifany)
Nameandtitleoftheowner
Nameandtitleofsecondpartnerorofficer
BusinessAddress
Facsimilenumber
Company
Date DateSignatureofBidder SignatureofB
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturescorporatearerequired.) ASiemensBusiness
YunexLLC/DIR#:1000815000IContractorsLicense#:1080007(A8!.C-10) MarcBuncherICEO
DirkRauber/CFO
2250BusinessWay,Riverside,CA92501
(951)784-6600
MichaelJ.Hutchens,OperationsManager([email protected]) 10/19/2021 10/19/2021
StevenTeal,DirectorofService RobertPaquette,SalesManager Legalnameofthebusiness,DRReg.andContractorLicenseNos.Corporation(Delaware)BusinessType(Corporation,Partnership,SoleProprietor) Telephonenumber(951)784-6700
NameandEmailaddressofprimarycontacthttps://www.yunextraffic.com/g|oba|/en/ A1—4Pleaseseeattached"DelegationofApprovalAuthority"forsignatureauthorizationPage 83 of 352
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ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia_ _Countyof Riverside) beforemeCandaceGallaher—NotaryPublic(insertnameandtitleoftheofficer)personallyappearedwhoprovedtomeonthebasisofsatisfactoryevidencetobethesubscribedtothewithininstrumentandacknowle0methat sameinhr/theirauthorizedcapacity(ies),andthatbyr/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandofficialseal CANDACEGALLAHER'- NotaryPublic-CaliforniaRiversideCountyCommission9‘2300629‘ Signature (Seal)Mymm‘E"‘”'““'95-2°13
\c>~\¢\~
person(s)whosename(s)/ /theyexecutedthe
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YUNEXTRAFFICBlDDER'SPROPOSAL(Cont'd) ”'""e"‘
CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(017)CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClassAContractor'sLicenseCombinationofSpecialtyClassCContractor'sLicenses
3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:aBearsthelicensenumber(s)bExpireson Signatureof DateSignatureofBid Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore—eva|uatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
A1—5
2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposanonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15) 1080007(ClassA81C-10)
08/31/2023
10/19/2021 10/19/2021
StevenTeal,DirectorofService RobertPaquette,SalesManager Pleaseseeattached"DelegationofApprovalAuthority"forsignatureauthorization
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9r~=v~n-wen.i. PeeswrPKDuar\~‘=’whoprovedtomeonthebasisofsatisfactoryevidencetobethepereon(s)whosename(s)waresubscribedtothewithininstrumentandacknowiedgedtomethathg!/site/theyexecutedthesameinhhs//tyér/theirauthorizedcapacity(ies),andthatbyhié/hpr/theirsignature(s)ontheinstrumentthe
ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliditvofthatdocument.StateofCalifornia_ _Countyof Riverside) beforeme,CandaceGallaher-NotaryPublic(insertnameandtitleoftheofficer)personallyappeared person(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandofficialseal N°f§,’;°;u?,?if§LcLa'}i';§;'*mRiversideCountyCommissionIf2300629MyComm.ExpiresAug8,2023 IVNNSignature (Seal)
"Lo‘L\
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’UNEXTRAFFICASiemensBusiness
ClPNo.5651ederalAidProjectNo.5186(017)BIDSECURITYFORMFORCHECKNOTE:EFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,nafterreferredtoas"Agency",fordollars($ thisamountbeing10pe(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyiferofthefollowingoccurs A.IfsaidBidshallbe bytheAgency;B.IfsaidBidshallbeaccetheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformhedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofa performinglabororfurnishingmaterialsinconnectiontherewith,andshallina herrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyAgencySaidcheckshallalsobecomethepropertyoftheiftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendarrthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstatheawardoftheContracttoanotherbidder.
SignatureofBidder DateSignatureofBidder Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateojf?cersarerequired.) BlDDER'SPROPOSAL(Cont'd)N/A-ExecutedBidBondhasbeenprovidedonfollowingpages
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5 BlDDER'SPROPOSAL(Cont’d)PleaseseeexecutedBidBondFormsonthefollowingpages ’UNEXTRAFFICASiemensBusiness CIPNo.5651AidProjectNo.5186(O17)BIDSECURITYFORMFORBONDKNOBYTHESEPRESENTS:undersigned (NameofContractor)asPrincipalandtheu ignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdoftheStateofCalifornia,asobligee,inthepenalsumof(JInDollars( ImoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregatea ntofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindrselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybypresents.WHEREAS,saidPrincipalissubmittingfor[PROJECTNAMEANDDESCRIPTION]THECONDITIONOFTHISOBLIGATIONISCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardsaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContraawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaboraMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddo requiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoreinfullforceandeffectINWITNESSWHEREOF,theaboveboundenpartieshavecutedthisinstrumentthisdayof 20(Month) (CorporateSeal) ByPrincipalBYSurety(CorporateSeal) By
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDBondNo.79434—CHU-21-132KNOWALLBYTHESEPRESENTSThattheundersigned YunexLLC (NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInwords)TenPercentoftheAmountBidDollars($10%oftheAmountBidlawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]CitywideTrafficSignalSafetyUpgrades;CapitalImprovementProjectNo.5651/FederalAidProjectNo.5186(017)THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis13thdayofOctober I202_1_(Month) YunexLLCBvFederalInsurBvSuretyAnnetteAudinot.Altorney—in-FactorateSeal) By Principal51'€\Aar¢‘WP<LJ>I\>\?oFs€k=-vice
l"@°'€V\=r«°«~v=~
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CandaceGailaher
whoprovedtomeonthebasisofsatisfactoryevidencetobethepe[son(s)whosename(s)it/aresubscribedtothewithininstrumentandacknowledgedtomethatbe/swe/theyexecutedthesameinhyé/her/theirauthorizedcapacity(ies).andthatbyhiéliyérltheirsignature(s)ontheinstrumentthe
ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia_ _Countyof Riverside) -NotaryPublic(insertnameandtitleoftheofficer)beforeme,
personallyappeared
person(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect... CANDACEGALLAHERWITNESSmyhandandofficialseal Nampub“c_c,,m°,,,iaRiversideCountyCommissionh‘2300629MyComm.ExpiresAug8.2023 LVNNSignature (Seal)
On\-t>—
‘venx,ea(1t>v,€te—<'\’4°(GN='\1€
16.E
CALIFORNIAALL-PURPOSECERTIFIATEOFACKNOWLEDGMENT
nlmaIndW:cm:al?m)
KRISTINBENDERNOTARYPUBLICOFNEWJERSEYCommission32343756MyCommissionExpires4ml2|!26 No! II ignaure.MyCommissionExpires:Apri(‘2026
CAnotarypublicorotherof?cercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness.accuracy,orvalidityofthatdocument.Stateofl NewJersey }Countyof Morris}onOctober13.2021beforeme KristinS.Bender,NotaryPublicI (HereInsert personallyappearedAnnetteAudinotwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhisther/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.WITNESSmyhandandof?cialseal (NotaryPublicSeal)21 INSTRUCTIONSFORCOMPLETTNGTHISFORMThirformcomplieswithcurrentCaliforniastatutesregardingnotarywordingand,DESCRIPTIONOFTHEATTACHEDDOCUMENTifneeded.shouldbecompletedandattachedtothedocument.Acknowledgments?omotherstate:maybecompletedfordocumentsbeingsenttothatstatesolongasthewordingdoesnotrequiretheCalifornianotarytoviolateCali?arnianotarylaw(Titleordescriptionofattacheddocument)0StateandCountyinfonnationmustbetheStateandCountywherethedocumentsigner(s)personallyappearedbeforethenotarypublicforacknowledgment.-Dateofnotarizationmustbethedatethatthesigner(s)personallyappearedwhichmustalsobethesamedatetheacknowledgmentiscompleted.IThenotarypublicmustprinthisorhernameasitappearswithinhisorher(Titleordescriptionofattacheddocumentcontinued)NumberOfPagesDocumentn=t‘ commissionfollowedbyacommaandthenyourtitle(notarypublic).0Printthename(s)ofdocumentsigner(s)whopersonallyappearatthetimeofnotarization.CApAC|TYCLAIMEDBYTHESIGNER0indicatethecorrectsingular.orpluralfonnsbycrossingoft‘incorrectforms(i.e.DIndividual(S) leet/‘she/daey,—IS/alre)dorcirclingthefcgrrectforms.Faiiluretocorrectlyindicatethisinormationmayeatorejection0ocumcntrecortng.CiCorporateOflicer -Thenotarysealimpressionmustbeclearandphotographicallyreproducible.impressionmustnotcovertextorlines.it‘sealimpressionsmudgcs,re-sealifaTitle suf?cientareapennits,otherwisecompleteadifferentacknowledgmentformDPartné?s)) -Signatureofthenotarypublicmustmatchthesignatureon?lewiththeofficeof_ thecountyclerk.iXlAHOFHBV-ln-Fact-2-AdditionalinfonnationisnotrequiredbutcouldhelptoensurethisDTl-ustee(5) acknowledgmentisnotmisusedorattachedtoadifferentdocument.1]other 4-indicatetitleortypeofattacheddocument,numberofpagesanddate.-.‘indicatethecapacityclaimedbythesigner.Iftheclaimedcapacityisacorporateofficer,indicatethetitle(i.e.CEO,CFO,Secretary).2015\/er5|OnWWWNg«,a_;~Yc.,—,55e5com330.573.93350Securelyattachthisdocumenttothesigneddocumentwithastaple.
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PowerofAttorneyFederalInsuranceCompanyIVigilantInsuranceCompanyIPaci?cIndemnityCompanyWestchesterFireInsuranceCompanyIACEAmericanInsuranceCompanyKnowAllbyThesePresents.thatFEDERALINSURANCECOMPANY ,anIndianacorporation.VIGILANTINSURANCECOMPANY .aNewYorkcorporation.PACIFICINDEMNITYCOMPANY ,aWisconsincorporation,WESTCHESTERFIREINSURANCECOMPANYandACEAMERICANINSURANCECOMPANYcorporationsoftheCommonwealthofPennsylvania.doeachherebyconstituteandappoint eachastheirtrueandlawfulAttorney—in—FacttoexecuteundersuchdesignationintheirnamesandtoaITrxtheircorporatesealstoanddeliverforandontheirbehalfassuretythereonorotherwise.bondsandundertakingsandotherwritingsobligatoryinthenaturethereof(otherthanbailbonds)givenorexecutedinthecourseofbusiness.andanyinstrumentsamendingoralteringthesame,andconsentstothemodificationoralterationofanyinstrumentreferredtoinsaidbondsorobligations.InWitnessWhereof.saidFEDERALINSURANCECOMPANY .VIGILANTINSURANCECOMPANY ,PACIFICINDEMNITYCOMPANY .WESTCHESTERFIREINSURANCECOMPANYandACEAMERICANINSURANCECOMPANYhaveeachexecutedandattestedthesepresentsandallixedtheircorporatesealsonthis10“‘dayofMarch,2020. lt.w.‘n.\I.Iililorrxe..-\.\~‘i.\‘l:IIll.\'Lcrel;rr)
STATEOFNEWJERSEYCountyofHunterdon55
Onthis10"‘dayofMarch,2020beforeme.aNotaryPublicofNewjersey,personallycameDawnM.ChlorosandStephenM.Haney.tomeknowntobeAssistantSecretaryandVicePresident,respectively.ofFEDERALINSURANCECOMPANY ,VIGILANTINSURANCECOMPANY .PACIFICINDEMNITYCOMPANY ,WESTCHESTERFIREINSURANCECOMPANYandACEAMERICANINSURANCECOMPANY .thecompanieswhichexecutedtheforegoingPowerofAttorney.andthesaidDawnM.ChlorosandStephenM.llaney.beingbymedulysworn.severallyandeachforherselfandhimselfdiddeposeandsaythattheyareAssistantSecretaryandVicePresident,respectively.ofFEDERALINSURANCECOMPANY ,VIGILANTINSURANCECOMPANY .PACIFICINDEMNITYCOMPANY ,WESTCHESTERFIREINSURANCECOMPANYandACEAMERICANINSURANCECOMPANYandknowthecorporatesealsthereof.thatthesealsaffixedtotheforegoingPowerofAttorneyaresuchcorporatesealsandweretheretoaffixedbyauthorityofsaidCompanies;andthattheirsignaturesassuchofficersweredulyaffixedandsubscribedbylikeauthority.NotarialSeal CERTIFICATIONResolutionsadoptedbytheBoardsofDirectorsofFEDERALINSURANCECOMPANY .VIGILANTINSURANCECOMPANY ,andPACIFICINDEMNITYCOMPANYonAugust30.2016:WESTCIIESTERFIREINSURANCECOMPANYonDecemberII,2006;andACEAMERICANINSURANCECOMPANYonMarch20,2009:“RESOLVED,thatthefollowingauthorizationsrelatetotheexecution.forandonbehalfoftheCompany.olbonds.undertakings.recognizances,contractsandotherwrittencommitmentsoltheCompanyenteredintointheordinarycourseofbusiness(eacha"WrittenCommitment"):(I)EachoftheChairman.thePresidentandtheVicePresidentsoftheCompanyisherebyauthorizedtoexecuteanyWrittenCommitmentforandonbehalfoftheCompany.underthesealoftheCompanyorotherwise.(2)Eachdulyappointedattor‘ney~ln~factoftheCompanyisherebyauthorizedtoexecuteanyWrittenCommitmentforandonbehalfoftheCompany.underthesealoftheCompanyorotherwise.totheextentthatsuchactionisauthorizedbythegrantofpowersprovidedforinsuchperson'swrlttenappointmentassuchattorney-in-fact.(3) ftheII.t Vice the beof to y nofth ny utho for ie of or e mnyas pec poin peci Wn o o mWrittenCommitments(4)EachoftheChairman,thePresidentandtheVicePresidentsoftheCompanyisherebyauthorized.forandonbehalfoI'theCompany.todelegatein anyotherofliceroftheCompanytheauthoritytoexecute.forandonbehalfoftheCompany.undertheCompany'ssealor‘otherwise.suchWrittenCommitmentsofthe asarespeci?edinsuchwrittendelegation.whichspecificationmaybebygeneraltypeorclassofWrittenCommitmentsorbyspecificationofoneormoreparticular‘WrittenCommitments(5)ThesignatureofanyoflicerorotherpersonexecutinganyWrittenCommitmentorappointmentordelegationpursuanttothisResolution.andthesealoftheCompany.mayheaflixedbyfacsimileonsuchWrittenCommitmentorwrittenappointmentordelegation.FURTIIERRESOLVED.thattheforegoingResolutionshallnotbedeemedtobeanexclusivestatementofthepowersandauthorityofollicers,employeesandotherpersonstoactforandonbehalfoftheCompany.andsuchResolutionshallnotlimitorotherwiseaITecttheexerciseofanysuchpowerorauthorityotherwisevalidlygrantedorvested"I.DawnM.Chloros.AssistantSecretaryofFEDERALINSURANCECOMPANY .VIGILANTINSURANCECOMPANY .PACIFICINDEMNITYCOMPANY ,WESTCHESTERFIREINSURANCECOMPANYandACEAMERICANINSURANCECOMPANY(the“Companies")doherebycertifythat(i)theforegoingResolutionsadoptedbytheBoardofDirectorsoftheCompaniesaretrue.correctandinfullforceandeffect.(ii)theforegoingPoweroI'Attorneyistrue,correctandinfullforceandeffect.GivenundermyhandandsealsofsaidCompaniesatWhitehouseStation,NJ,thisOCt0be|'13.2021 lkrwn.\l(L|‘Il()r(x~'...\x~'i.~'r:rr1r.\Lvr't-r:rr~,"INTHEEVENTYOUWISHTOVERIFYTHEAUTHENTICITYOFTHISBONDORNOTIFYUSOFANYOTHERMATTER.PLEASE Quuncrsx.@&xm2pe./
AnnetteAudinot
yévwwéxvSlcphcn.\lIlzmcy.\’icc|'l'(‘.~‘i£1L‘lll
KATHERINEJ.ADELAARNOTARVPUBLICOFNEWJERSEYNo2316085CommissionExpiresJuly18,2024 DusLm_\’Y\.Q31-
CONTACTUSAT:ema
Combined:FED-VIG-Pl-WF|C—AA|C(rev11-19)
16.E
11.259342 12202.890
'I.5?\.7IB
2410891
5 as527052 $15527052
34'luzfbyw mlunaxIn
Member,PanulyivanllAllocllllnnn1Nulal|os
DocuSignEnvelopeID:0BB37366-A23A-4BAD-951D-3D819B17B5F2 FEDERALINSURANCECOMPANYSTATEMENTOFASSETS.LIABILITIESANDSURPLUSTOPOLICYHOLDERSStatutoryBasisDecember31.2020(inthousands)
LIABILITIESANDASSETS SURPLUSTOPOLICYHOLDERS
CashandShortTermInvestments$ (247,647)OutstandingLossesandLossExpenses$7.823.012United318198GOV6i'nm6nl.State ReinsurancePayableonLossesandExpenses1.421.176andMunicipalBonds 4.277.332UnearnedPremiums 2.145.775OtherBonds 5.455.272CededReinsurancePremiumsPayable261.276Stocks 567,832OtherLiabilities 551641OtherInvestedAssets 1207053TOTALINVESTMENTS TOTALLIABILITIES InvestmentsinAttiiiates: CapitalStock 20.980GreatNorthernins.00. 404.889Paid-inSurplus 2.711.474VigiiantIns.Co 349.615UnassignedFundsChubbindemnityIns.00. 182.191ChubbNationalIns.Co. 186.189SURPLUSTOPOLICYHOLDERS4324172OtherAffiliates 98.826PremiumsReceivable1.634.609OtherAssets
TOTALLIABILITIESANDTOTALADMITTEDASSETS SURPLUS
investmentsarevaluedinaccordancewithrequirementsoftheNationalAssociationoiinsuranceCommissioners.AtDecember31.2020.investmentswithacarryingvalueof507.794.700weredepositedwithgovernmentauthoritiesasrequiredbylaw.
STATEOFPENNSYLV ANIACOUNTYOFPHILADELPHIAJohnTaylor.beingdulysworn.saysthatheisSeniorVicePresidentofFederalInsuranceCompanyandthattothebestoihisknowledgeandbelieftheforegoingatrueandcorrectstatementoithesaidCompany'stinancialconditionasofthe31stdayofDecember.2020.ggioreme CommonwealthofPennsylvania-NotarySealDianeWright.NotaryPublicPhiladelphiaCountyMycommissionexpiresAugust8.2023number1235745
16.E
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YUNEXTRAFFICBIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBID thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoing date],atcity], [state] Signatureof Date reofBidderSign Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) ASiemensBusiness
Theundersigneddeclares:DirectorofService/SalesManagerYunexLL RiversideCalifornia
10/19/2021 10/19/2021
StevenTeal,DirectorofService RobertPaquette,SalesManager Pleaseseeattached"DelegationofApprovalAuthority"forsignatureauthorization
16.E
CandaceGallaher
(3~>ta€v=rP—“«wr='n'e‘whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)Maresubscribedtothewithininstrumentandacknowiedgedtomethathélsyteltheyexecutedthesamehié/hair/theirauthorizedcapacity(ies),andthatbyhhé/her/theirstgnature(s)ontheinstrumenttheperson(s).ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.
ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCCountyof ) -NotaryPublicbeforeme,(insertnameandtitleoftheofficer)personallyappeared IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandofficialseal CANDACEGALLAHERNotaryPublicCaliforniaRiversideCountyCommissionI:2300629MyComm.ExpiresAug8.2023LVNNSignature (Seal) On ‘Lt>'L
1-cm,3
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’UNEXTRAFFICB|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.Proj teofComp Proj
Project
(Attachadditionalpagesasnecessary)
ASiemensBusiness
ectName:CityofChino-TrafficSignalMaintenance$2,000,000.00 -CurrentName,Address,andTelephoneNumberofOwner'sRepresentative:CityofChino,13220CentralAve.,Chino,CA91710MarioFlores,(909)591-9828,mf|[email protected] 07/2006-Current
JohnsonHua,(909)395-2131,[email protected]
TimothyBaltazar,(909)774-4136,Tim.Ba|[email protected]
PleaseseeourcompletelistofReferencesonthefollowingpages ect CityofOntario-TrafficSignalMaintenanceContractPrice: DateofCompletionName,Address,andTelephoneNumberofOwner'sRepresentative:$497,124.50 CityofOntario,303E.BStreet,Ontario,CA91764
CityofRanchoCucamonga-TrafficSignalMaintenanceContractPrice: DateofComp$828,050.00 10/2004-CurrentName,Address,andTelephoneNumberofOwner'sRepresentative:CityofRanchoCucamonga,8794LionStreet,RanchoCucamonga,CA91730
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followinginformationisrequiredforeachsub-contractorwhowillperformworkamountingtomorethanonehalfofonepercentthisformforadditional?rms.SubcontractorNameandLineItem&Description FederalLocation SubcontractPercentageofContractorDBEDBECertAmountBidItemSub-LicenseNumber(YIN) AnnualGrossReceiptsNumbercontractedDIRRegName: Number City,State: l?<$lmillionII <$5million
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Page10of2January2019A1-10
BIDDER'SPROPOSAL(CONT'D)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAProjectNo.5186(017)Exhibit12-BBidder’sListofSubcontractor(DBEandNon-DBE)Pa1't1AsofMarch1,2015Contracors(andsub-contractors)\vishingtobidonpublic\vorkscontractsshallberegisteredwiththeStateDivisionofIndustrialRelationsandcerti?edtobidonPublicWorkscontracts.Pleaseregisterat:https://www.dir.ca.gov/Public—Works/Contractor-RegistrationhtmlInaccordancewithTitle49,Section26.11oftheCodeofFederalRegulations,andSection4104ofthePublicContractCodeoftheStateofCalifornia,asamended,the id
NosubcontractorsnrededfortheScopeof\(cork,aswritten
City,
Name:City,State:
Name:City,State:
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LineItem&DescriptionSubcontractAmountPercentageofBidItemSub-contractedContractorLicenseNumberDIRRegNumber DBE(Y/N)DBECertNumberAnnualGrossReceipts
II <$1millionII <$5millinnI__|<$l5AgeofFirm:I_I<$1million AgeofFim1:vrsII <_‘lilmillionII <$I0million
I_I<$lmillionmillionII <$l0millionII <$l5millionAgeofFimi:vrsI <$lmillionI <$5millionI <$10millionI <$l5millinnAcenFFirmvrs YUNEXTRAFFICASiemensBusinessB|DDER'SPROPOSAL(CONT’D)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Exhibit12-BBidder’sListofSubcontractor(DBEandNon-DBE)Part2InaccordancewithTitle49,Section26oftheCodeofFederalRegulations,theBiddershalllistallsubcontractorwhoprovidedaquoteorbidbutparticipateasasubconractoronthisproject.Photocopythisformforadditional?rms. FederalProjectNumber:5186(017) Nane: aededfortheScopeof‘V ork,aswrittenCity,State:
City
City,State:
Name:City,State:
Name:City,State:
Name:City,State:
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’UNEXTRAFFICASiemensBusinessBIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakese|f—insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon—discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
16.E
’UNEXTRAFFICASiemensBusinessBIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(017) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqua|ifications.”Ifastatementof”PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(3),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete] Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDDER:
Signatureofer DateSignatureof Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) A1—13
1000815000
10/19/2021 10/19/2021
StevenTeal,DirectorofService RobertPaquette,SalesManager Pleaseseeattached"DelegationofApprovalAuthority"forsignatureauthorization
16.E
person(s)whosename(s)ged‘ be’/st1'e/theyexecutedthehi5’/hi?!’/theirauthorizedcaP3C"Y(ie5)v3"dmatbyK/hp CANDACEMLLAHER: NararyFubll:- California; RiversideCounty ’
Cammlsslann1300529MyComm.E1pHesAug8.1021
ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyof Riverside beforeme_CandaceGallaher-NotaryPublic
personallyappearedwhoprovedtomeonthebasisofsatisfactoryevidencetobethe aresubscribedtothewithininstrumentandacknowled0methat sameinh r/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandofficialseal
Signature (Seal)
Onto-4°!- (insertnameandtitleoftheofficer)
16.E
YUNEXTRAFFICBlDDER'SPROPOSAL(Cont’d) mmCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION Thebidder proposed
Note:TheabovecertificationisrequiredbytheEqualEmploymentOpportunityRegulationsoftheSecretaryofLabor(41CFR60-1.7(b)(1)),andmustbesubmittedbybiddersandproposedsubcontractorsonlyinconnectionwithcontractsandsubcontractswhicharesubjecttotheequalopportunityclause.Contractsandsubcontractswhichareexemptfromtheequalopportunityclausearesetforthin41CFR60-1.5.(Generallyonlycontractsorsubcontractsof$10,000orunderareexempt.)Currently,StandardForm100(EEO-1)istheonlyreportrequiredbytheExecutiveOrdersortheirimplementingregulations.ProposedprimecontractorsandsubcontractorswhohaveparticipatedinapreviouscontractorsubcontractsubjecttotheExecutiveOrdersandhavenotfiledtherequiredreportsshouldnotethat41CFR60-1.7(b)(1)preventstheawardofcontractsandsubcontractsunlesssuchcontractorsubmitsareportcoveringthedelinquentperiodorsuchotherperiodspecifiedbytheFederalHighwayAdministrationorbytheDirector,OfficeofFederalContractCompliance,U.S.DepartmentofLabor. subcontractor herebycertifiesthathehas, hasnotZ, participatedinapreviouscontractorsubcontractsubjecttotheequalopportunityclauses,asrequiredbyExecutiveOrders10925,11114,or11246,andthat,whererequired,hehasfiledwiththeJointReportingCommittee,theDirectoroftheOfficeofFederalContractCompliance,aFederalGovernmentcontractingoradministeringagency,ortheformerPresident'sCommitteeonEqualEmploymentOpportunity,allreportsdueundertheapplicablefillingrequirements.
N/A
16.E
YUNEXTRAFFICASiemensBusinessB|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certifiesthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,manager:
Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.
Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification. isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineigibilitybyanyFederalagency;hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years;doesnothaveaproposeddebarmentpending;andhasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.
Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspaceNoexceptionsaretakentotheaboveDebarmentandSuspensionCertification.
16.E
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YUNEXTRAFFICASiemensBusinessB|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) Theprospectiveparticipantcerti?es,bysigningand
NONLOBBYINGCERTIFICATIONFORFEDERALDCONTRACTS
mittingthisbidorproposal,tothebestofhisorherknowledgeandbelief,that:(1) (2)
NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforin?uencingorattemptingtoin?uenceanofficeroreloyeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyFederalcontract,grant,loan,orcooperativeagreement.If dsotherthanFederalappropriatedfundshavebeenpaidorwillbepaidtoanypersonforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyFederalagency,aMemberofCongress,anofficeroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForm-LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.
Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$100,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly.
Thiscerti?cationisamaterialrepresentationoffactuponwhichreiancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistansactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailsto?letherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfaiure.
16.E
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADEScwNo.5651FederalAidProjectNo.5186(017) YunexLLCdoesnotparticipateinLobbyingActivitiesYUNEXTRAFFICASiemensBusiness FORMTO1.TypeofFederalAc2.St eralAction:Ea.contract 3a. ationb.grant b.initialawardc.cooperativeagreementc.post-awardd.loane.loanguaranteef.loaninsurance CongressionalDistrict,ifknown6. 7.FederalProgramName/Description:
CFDANumber,ifapplicable
10.a.NameandAddressofLobbyEntity(Ifindividual,lastname,?rstname,MI) (attachContinuationSheet(s)ifnecessary)11.AmountofPayment(checkallthatapply) 13.TypeofPayment(checkallthatapply)actualElplanned a.retainerb.one-timefeeofPayment(checkallthatapply): c.commissiona.cash d.contingentfeeb.in-kind;specify: edeferredf.other NonSignature:
TelephoneNo.AuthorizedforLocalReproductionFederalUse StandardF0111]-
4.NameandAddressofRepogEntity3PrimeUSubawardeeT1er,ifknownN/A N/AN/A CongressionalDistrict,ifknownFederalDepartment/Agency:
rtType:alb.materialchange
dateoflastreport
N/A
N/A
8.FederalActionNumber,ifknown:
5.IfReportingEntityinNo.4isSubawardee,EnterNameandAddressofPrime:
N/A
N/AN/AN/AN/AN/A N/A
N/A9.AwardAmount,ifknown:
b.IndividualsPerformingServices(includingaddressifdifferentfromNo.10a)(lastname,firstname,MI) N/A
naturevalue14.BriefDescriptionofServicesPerformedortobeperformedandDate(s)ofService,includingof?cer(s),employee(s),ormember(s)contacted,forPaymentIndicatedinItem11:
(attachContinuationShcet(s)ifnecessary)N/A
12.FormN/A
15.ContinuationSheet(s)attached:YesU[6.InformationrequestedthroughthisformisauthorizedbyTitle31U.S.C.Section1352.Thisdisclosureoflobbyingreliancewasplacedbythetierabovewhenhistransactionwasmadeorenteredinto.Thisdisclosureisrequiredpursuantto31U.S.C.1352.ThisinformationwillbereportedtoCongresssemiannuallyandwillbeavailableforpublicinspection.Anypersonwhofailstofiletherequireddisclosureshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.
N/A
PrintName:StevenTeal
(951)784-6600
16.E
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YUNEXTRAFFICASiemensBusiness
Publicreportingburdenforthiscollectionofinformationisestimatedtoaverage30minutesperresponse,includingtimeforreviewinginstruction,searchingexistingdatasources,gatheringandmaintainingthedataneeded,andcompletingandreviewingthecollectionofinfonnation.Sendcommentsregardingthedenestimateoranyotheraspectofthiscollectionofinfonnation,includingsuggestionsforreducingthisburden,totheOf?ceofManagementandBudget,PaperworkReductionProject(0348-0046),Washington,D.C.20503. SF-LLL-InstructionsRev06-04-90«ENDIF» B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofaof?ceroremployeeofanyagency,aMemberofCongressano?iceroremployeeofCongressoranemployeeofaMemberofCongressinconnectionwithacoveredFederalaction.hacontinuationsheetforadditionalinformationifthespaceonthef0I'II1isinadequate.Completeallitemsthatapplyforboththeinitial?lingandmaterialchangereport.RefertotheimplementingguidancepublishedbytheOf?ceofManagementandBudgetforadditionalinformation.1.
10. ll.
12.13.14. 15.16.
IdentifythetypeofcoveredFederalactionforwhich1outcomeofacoveredFederalaction.IdentifythestatusofthecoveredFederalaction.Identifytheappropriateclassi?cationofthisreport.Ifhisisafollow-upreportcausedbyamaterialchangetotheinformationpreviouslyreported,entertheyearandqurinwhichthechangeoccurred.Enterthedateofthelast,previouslysubmittedreportbythisreportingentityforthiscoveredFederalaction.Enterthefullname,address,city,stateandzipcodeofthereportingentity.IncludeCongressionalDistrictifknown.Checktheappropriateclassi?cationofthereportingentitythatdesignatesifitisorexpectstobeaprimeorsubawardrecipient.Identifythetierofthesubawardee,e.g.,the?rstsubawardeeoftheprimeisthefirsttier.Subawardsincludebutarenotlimitedtosubcontracts,subgrantsandcontractawardsundergrants.Iftheorganization?lingthereportinItem4checks'Subawardee"thenenterthefullname,address,city,stateandzipcodeoftheprimeFederalrecipient.IncludeCongressionalDistrict,ifknown.EnterthenameoftheFederalagencymakingtheawardorloancotment.Includeatleastoneorganizationlevelbelowagencyname,ifknown.Forexample,DepartmentofTransportation,UnitedStatesCoastGuard.EntertheFederalprogramnameordescriptionforthecoveredFederalaction(item1).Ifknown,enterthefullCatalogofFederalDomesticAssistance(CFDA)numberforgrants,cooperativeagreements,oansandloancommitments.EnterthemostappropriateFederalidentifyingnumberavailablefortheFederalactionidenti?cationinitem1(e.g.,RequestforProposal(RFP)number,InvitationforBid(IFB)number,grantannouncementnumber,thecontractgrant.or yingactivityisand/orhasbeensecuredtoin?uence,the
"RFP-DE-90-001."ForacoveredFederalactionwheretherehasbeenanawardorloanconunitmentbytheFederalagency,entertheFederalamountoftheaward/loancommitmentsfortheprimeentityidenti?edinitem4or5.(a)Enterthefullname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidenti?edinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)perfonningservicesandincludefulladdressifdifferentfrom10(a).EnterLastName,FirstNameandMiddleInitial(Ml).Entertheamountofcompensationpaidorreasonablyexpectedtobepaidbythereportingentity(item4)tothelobbyingentity(item10).Indicatewhetherthepaymenthasbeenmade(actual)orwillbemade(planned).ckallboxesthatapply.Ifthisisamaterialchangereport,enterthec ativeamountofpaymentmadeorplarmedtobemade.Checktheappropriatebox.Checkallboxesthatapply.Ifpentismadethroughanin-kindcontribution,specifythenatureandvalueofthein-kindpayment.Checktheappropriatebox.Checkallboxesthatapply.Ifother,specifynature.Provideaspeci?canddetaileddescriptionoftheservicesthatthelobbyisthasperformedorwillbeexpectedtoperformandthedate(s)ofanyservicesrendered.IncludeallpreparatoryandrelatedactivitynotjusttimespentinactualcontactwithFederalof?cials.IdentifytheFederalof?cer(s)oremployee(s)contactedortheof?cer(s)employee(s)orMember(s)ofCongressthatwerecontacted.Checkwhetherornotacontinuationsheet(s)isattached.Thecertifyingofficialshallsignanddatetheform,printhis/hernametitleandtelephonener.
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25.AwardAmmml:
3.ProjectDescription4.ProjectLocation:
8.TotalDollarAmountforALLSubcontractors:
10.Bid .. . . 12.DBE"em11.Descriptionoflévlorkiifjrvice,orMaterialsCerti?cationNumber pp Number LocalAgencytoCompletethisSectionuponExecutionofAward21.LocalAgencyContractNumber:22.Federal-AidProjectNumber:23.BidOpeningDate:24.ContractAwardDate:
26.LocalAgencyRepresentative‘sSignature27.Date28.LocalAgencyRepresentative‘sName29.Phone30.LocalAgencyRepresentative‘sTitleDISTRIBUTION:1.Original— LocalAgency2.Copy— CaltransDistrictLocalAssistanceEngineer(DLAE).FailuretosubmittoDLAEwithin30daysof
9.TotalNumberofALLSubcontractors:
13.DBEContactInformation(Mustbecerti?edonthedatebidsareopened)
15.TOTALCLAIMEDDBEPARTICIPATION
YUNEXTRAFFICASiemensBusiness
14.DBEDollarAmount
IMPORTANT:IdentifyallDBE?rmsbeingclaimedforcredit,regardlessoftier.NamesoftheFirstTierDBESubcontractorsandtheirrespectiveitem(s)ofworklistedabovemustbeconsistent,whereapplicablewiththenamesanditemsoftheworkinthe"SubcontractorList"submittedwithyourbid.Writtencon?rmationofeach
19.Phone20.PreparersTitle
contractexecutionmayresultinde-obligationoffederalfundsoncontract.3.includeadditionalcopywithawardpackage.ADANotice:Forindividualswithsensorydisabilities,thisdocumentisavailableinalternateformatsForinfonnationcall(916)654-6410orTDD(916)654-3880orwriteRecordsandFormsManagement,1120NStreet,MS-89,Sacramento,CA95314 B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Exhibit15-GConstructionContractDBECommitmentLocalAgency: 2.ContractDBEGoal:CigofHe__rnet 15%CitvwideTrafficSianalSafetvUouradesVariousintersectionsthrouahouttheCitvofHemet$0.00 0 LogisticalEnterprises:811PurvisAve.,Clovis,CA9361239438(559)797-4034/Attn:DenniseRivera
5.Bidder'sName:YunexLL “(e°lq.00
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LocalAgencycerti?esthatallDBEcerti?cationsarevalidandinformationonhisfonniscompleteandaccurate.
18.PreparersNameStevenTealofService
requred.
17.Date(951)784-6600
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YUNEXTRAFFICAsiemensBusinessBIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONS— CONSTRUCTIONCONTRACTDBECOMMITMENTCONTRACTORSECTION1.LocalAgency-Enterthenameofthelocalagencythatisadministeringthecract.2.ContractDBEGoal-EnterthecontractDBEgoalpercentageasitappearsontheprojectadvertisement.3.ProjectLocation-Entertheprojectlocation(s)asitappearsontheprojectadvertisement.4.ProjectDescription-Entertheprojectdescriptionasitappearsontheprojectadvertisement(BridgeRehab,SeismicRehab,Overlay,Widening,etc).5.Bidder’sName-Enterthecontractor’sfirmname.6.PrimeCerti?edDBE-CheckboxifprimecontractorisacertifiedDBE.7.BidAmount-Enterthetotalcontractbiddollaramountfortheprimecontractor.8.TotalDollarAmountforAgSubcontractors— Enterthetotaldollaramountforallsubcontractedcontractors.SUM=(DBEs+allNon-DBEs).Donotincludetheprimecontractorinformationinthiscount.9.TotalnumberofLsubcontractors— Enterthetotalnumberofallsubcoctedcontractors.SUM=(DBEs+allNon-DBEs).Donotincludetheprimecontractorinformationinthiscount.10.BidItemNumber-Enterbiditemnumberforwork,services,ormaterialssuppliedtobeprovided.11.DescriptionofWork,Services,orMaterialsSupplied-Enterdescriptionofwork,services,ormaterialstobeprovided.IndicateallworktobeperformedbyDBEsincludingworkperformedbytheprimecontractor’sownforces,iftheprimeisaDBE.If100%oftheitemisnottobeperformedorfurnishedbytheDBE,describetheexactportiontobeperformedorfurnishedbytheDBE.SeeLAPMChapter9todeterminehowtocounttheparticipationofDBE?rms.12.DBECerti?cationNumber-EntertheDBE’sCertificationIdenti?cationNumber.AllDBEsmustbecerti?edonthedatebidsareopened.13.DBEContactInformation-Enterthename,address,andphonenumberofallDBEsubcontractedcontractors.Also,entertheprimecontractor’snameandphonenumber,iftheprimeisaDBE.14.DBEDollarAmount-Enterthesubcontracteddollaramountoftheworktobeperformedorservicetobeprovided.IncludetheprimecontractoriftheprimeisaDBE.SeeLAPMChapter9forhowtocountfull/partialparticipation.15.TotalClaimedDBEParticipation-$:Enterthetotaldollaramountsenteredinthe“DBEDollarAmount”column.%:EnterthetotalDBEparticipationclaimed(“TotalClaimedDBEParticipationDollars”dividedbyitem“BidAmount”).Ifthetotal%claimedislessthanitem“ContractDBEGoal,”anadequatelydocumentedGoodFaithEffort(GFE)isrequired(seeExhibit15-HDBEInformation-GoodFaithEffortsoftheLAPM).16.Preparer’sSignature-ThepersoncompletingtheDBEcommitmentformonbehalfofthecontractor’s?nnmustsigntheirne.17.Date- erthedatetheDBEcommitmentformissignedbythecontractor’spreparer.18.Preparer’sName-Enterthenameofthepersonpreparingandsigningthecontractor’sDBEcommitmentform.19.Phone-Entertheareacodeandphonenumberofthepersonsigningthecontractor’sDBEcommitmentform.20.Preparer’sTitle-Entertheposition/titleofthepersonsigningthecontractor’sDBEcommitmentform.
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’UNEXTRAFFCBlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)LOCALAGENCYSECTION21.LocalAgencyContractNumber-EntertheLocalAgencycontractnumberoridenti?er.22.Federal-AidProjectNumber-EntertheFederal-AidProjectNumber(s).23.BidOpeningDate—Enterthedatecontractbidswereopened.24.ContractAwardDate-Enterthedatethecontractwasexecuted.25.AwardAmount— Enterthecontractawardamountasstatedintheexecutedcontract.26.LocalAgencyRepresentative’sSignature-ThepersoncompletingthissectionoftheformfortheLocalAgencymustsigntheirnametocertifythattheinformationinthisandtheContractorSectionofthisformiscompleteandaccurate.27.Date-EnterthedatetheDBEcommitmentformissignedbytheLocalAgencyRepresentative.28.LocalAgencyRepresentative’sName-EnterthenameoftheLocalAgencyRepresentativecertifyingthecontractor’sDBEcommitmentfonn.29.Phone—Entertheareacodeandphonenumberofthepersonsigningthecontractor’sDBEcommitmentform.30.LocalAgencyRepresentativeTitle-Entertheposition/titleoftheLocalAgencyRepresentativecertifyingthecontractor’sDBEcommitmentfonn.
SiemensBusines
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CityofHeme!AgencyName15
YUNEXTRAFFICAsnemensBusiness
CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EXHIBIT15-H:PROPOSERICONTRACTORGOODFAITHEFFORTSCostProposalDueDate PE/CEFederal-aidProjectNo(s). BidOpeningDate CONThe( ) establishedaDisadvantagedBusinessEnterprise(DBE)goalof%forthiscontract.TheinformationprovidedhereinshowstherequiredgoodfaitheffortstomeetorexceedtheDBEcontractgoal.
ThefollowingitemsarelistedintheSectionentitled“SubmissionofDBECommitment"oftheSpecialProvisions,pleaseattachadditionalsheetsasneededA.Thenamesanddatesofwrittennoticessenttocerti?edDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodeterminewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords,faxcon?rmations,etc.):Publications DatesofAdvertisement B.ThenamesanddatesofwrittennoticessenttocertifiedDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodeterminewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords,faxcon?rmations,etc.):NamesofDBEsSolicitedDateofInitialSolicitationFollowUpMethodsandDates 10/19/20215185(017) 10/19/2021
N/A-DBEGoalof15%hasbeenmetwithmaterial
-DBEGoalof15%hasbeenmetwithmaterial
Proposersorbidderssubmitthefollowinginformationtodocumenttheirgoodfaitheffortswithinfive(5)calendardaysfromcostproposalduedateorbidopening.ProposersandbiddersarerecommendedtosubmitthefollowinginformationeveniftheExhibit10-O1:ConsultantProposaDBECommitmentsorExhibit15-G:ConstructionContractDBECommitmentindicatethattheproposerorbidderhasmettheDBEgoal.Thisformprotectstheproposer’sorbidder’seligibilityforawardofthecontractiftheadministeringagencydeterminesthatthebidderfailedtomeetthegoalforvariousreasons,e.g.,aDBEfirmwasnotcerti?edatbidopening,orthebiddermadeamathematicalerror.
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’UN:XTRAFl=_IcBIDDER'SPROPOSAL(Cont’d) ”'""e"5
CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) Itemsof ProposerorBidderBreakdownofAmountPercentageWorkNormallyPerformsItemItems($) Of(Y/N) Contract %%%%
Names,addressesandphonenumbersofrejectedDBEsandthereasonsforthebidder'srejectionoftheDBEs:
E.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtaininginformationrelatedtotheplans,specificationsandrequirementsfortheworkwhichwasprovidedtoDBEs:
C.TheitemsofworkmadeavailabletoDBE?rmsincludingthoseunbundledcontractworkitemsintoeconomicalyfeasibleunitstofacilitateDBEparticipation.Itisthebidder'sresponsibilitytodemonstratethatsuf?cientworktofacilitateDBEparticipationinordertomeetorexceedtheDBEcontractgoal.
N/A-DBEGoalof15%hasbeenmetwithmaterial
N/A-DBEGoalof15%hasbeenmetwithmaterial
N/A-DBEGoalof15%hasbeenmetwithmaterial
-DBEGoalof15%hasbeenmetwithmaterial
D.Thenames,addressesandphonenumbersofrejectedDBE?rms,thereasonsforthebidder'srejectionoftheDBEs,thefirmsselectedforthatworkpleaseattachcopiesofquotesfromthefirmsinvolved),andthepricedifferenceforeachDBEftheselectedfirmisnotaDBE:
Namesaddressesandphonenumbersof?rmsselectedfortheworkabove:
F.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtainingbonding,linesofcreditorinsurance,necessaryequipment,supplies,materials,orrelatedassistanceorservices,excludingsuppliesandequipmenttheDBEsubcontractorpurchasesorleasesfromtheprimecontractororitsaffiliate:-DBEGoalof15%hasbeenmetwithmaterial
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’UNEXTRAFFICASiemensBusinessB|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) Results
G.Thenamesofagencies,organizationsorgroupscontactedtoprovideassistanceincontacting,recruitingandusingDBE?rms(pleaseattachcopiesofrequeststoagenciesandanyresponsesreceived,.e.,lists,Internetpagedownload,etc.):NameofAgency/OrganizationMethod/DateofContact-DBEGoalof15%hasbeenmetmaterial H.Anyadditionadatatosupportademonstrationofgoodfaithefforts:- 15%met
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YUNEXTRAFFcASiemensBusinessCOACTOSDEPARTMENTOI‘CONSUMERAFFAIRS ervices/CheckLicenselI/Licens
YUNEXLLC2250BUSINESSRIVERSIDE,CA92501BusinessPhoneNumber:(951)784-6600 DBA
EntityLtdLiabilétyIssueDate08,a"19f2021ireDate]2023
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Classl?catjons
C10-ELECTRICALA
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YUNEXTRAFFIC
DELEGATIONOFAPPROV ALAUTHORITYFROMCEOMARCBUNCHERANDCFODIRKRAUBERYUNEXTRAFFIC,LLC..TheundersignedMarcBuncher,CEOandDirkRauber,CFOoftheYunexTraffic,LLC.(the"Corporation"),acorporationdulyorganizedandexistingunderthelawsoftheStateofDelaware,byvirtueoftheauthorityvestedasCEOandCFOtosignorcountersignandotherwiseexecuteinthename,oronbehalfoftheCorporation,anybids,projects,contracts,agreementsandanycerti?cates,af?davitsorancillarydocumentsinconnectiontherewithtotheextenttheforegoinginstrumentsandareconsistentwiththelimitsofauthoritygrantedunderLoAguidelinesandgrantsofreleaseforandonbehalfoftheCorporation,doherebydelegatetoandacknowledgethatthefollowingperson(s)mayexercisesuchauthorityforandonourbehalfupto$10million.AUTHORIZEDSIGNATORIES (Name/Position)(Name/Position)
ItisfurtheracknowledgedthatthefollowingindividualsareherebyauthorizedtosignorcountersignandotherwiseexecuteinthenameoronbehalfoftheCorporationthesamedocumentsasreferencedinparagraphA,uptoandincludingatransactionallimitof$5million.Anysuchdelegationextendstobutislimitedtothesamescope,documentsandsubjectmatterasreferencedandgrantedinparagraphA,limitedtothemonetaryamountstatedinthisparagraph.AUTHORIZEDSIGNATORIES (Name/Position)(Name/Position)JaskaranDhimanSinghManager.Procurement ASiemensBusiness
THISDELEGATIONONLYAPPLIESTOYUNEX,LLC.ALLCONTCTS,BIDS,CERTIFICATES,AFFIDA VITSORANCILRYDOCUMENTSTOBESIGNEDONBEHALFOFSIEMENSMOBILITY ,INC.BESIGNEDBYMARCBUNCHERANDDIRK
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BusinessOgsmtions Finance/CentralSuggurtFunction
Buslness0ga[atIons(Name/Posl?on) Finance/CengalSuggortFunction(Name/Position) C.
YUNEXTRAFFIC
itisfurtheracknowledgedthatthefollowingindividualsareherebyauthorizedtosignorcountersignandotherwiseexecuteinthename,oronbehalfoftheCorporation,thesamedocumentsasreferencedinparagraphA,uptoandincludingatransactionallimitof$3million.Anysuchdelegationextendstobutislimitedtothesamescope,documentsandsubjectmatterasreferencedandgrantedinparagraphA,limitedtothemonetaryamountstatedinthisparagraph.AUTHORIZEDSIGNATORIES (Name/Position)AnchalBansalCommercialManager.ServiceCraigDebevoiseProiectsCommercial (Name/Position)MichaelGaertnerDirector.PLM/R&DGouthamLingannagariHeadofBids&ProiectsNilsSoyke ManuelGuioVillarrealProiectManager CommercialProiectManagerSteveTealDirector.ServiceItisfurtheracknowledgedthatthefollowingindividualsareherebyauthorizedtosignorcountersignandotherwiseexecuteinthename,oronbehalfoftheCorporation,thesamedocumentsasreferencedinparagraphA,uptoandincludingatransactionallimitof$1million.Anysuchdelegationextendstobutislimitedtothesamescope,documentsandsubjectmatterasreferencedandgrantedinparagraphA,limitedtothemonetaryamountstatedinthisparagraph.AUTHORIZEDSIGNATORIES JamesBarkerCommercialProiectManagerClaudiaThieleCommercialProjectManager JonBucklesOperationsManagerHeribertoDeLaGarzaVielmaProjectManagerMichaelHutchensOperationsManagerVenkateshJadhavProiectManagerGaryKochetkovProiectManagerSariMahliProiectManagerScottMcCarthyMaterialManagerDelNicholsProjectManagerSyedRahmanProiectManagerClintSchuckelOperationsManagerBrennanSmartisProiectManagerMejoshThomasProiectManagerTG2WilliamTuckerOperationsManager ASiemensBusiness
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BusinessOnergtlongName/Position} Finance/CgnttalSugmnFunctlon1NameIPosilIon)
YUNEXTRAFFIC
E.Itisfurtheracknowledgedthatthefollowingindividualsareherebyauthorizedtosignorcountersignandotherwiseexecuteinthename,oronbehalfoftheCorporation.thesamedocumentsastheyarereferencedinparagraphA,uptoandincludingatransactionallimitof$250thousand.Anysuchdelegationextendstobutislimitedtothesamescope,documentsandsubjectmatterasreferencedandgrantedinparagraphA,limitedtothemonetaryamountstatedinthisparagraph.AUTHORIZEDSIGNATORIES JoshuaFerras JoshSpandiaryServiceAccountManager CommercialServiceManagerDeanaFlynn FrankWernerServiceAccountManagerCommercialServiceManagerMichelleFlynnServiceAccountManagerCandaceGallaherServiceAccountManagerCarlotaHafnerBidManagerDianaJohnsonBidManagerJoshuaLippincottServiceAccountManagerRobertPaquetteSalesManagerJeffreyPierceServiceAccountManagerSyedRahmanProiectManagerMelissaRodriguezSalesManagerShenoaTownsendServiceAccountManager F.ItisfurtheracknowledgedthateachofthesignaturesofthepersonsreferredtoinparagraphsA,B,C.D,andEarebindingupontheCorporation.G.Itisfurtheracknowledgedthatanydocumentshallrequirethesignatureoftwo(2)oftheaboveAuthorizedSignatories,oneeachfromBusinessOperationsandfromFinance/CentralSupportFunctions.whomshallhavetherequisitesignatureauthoritytobelegallybindingupontheCorporation.H.Itisfurtheracknowledgedthateachofthepersonsreferredtohereinisauthorizedtodelegatesuchperson'sauthorityhereundertoadditionalmembersofhisorhermanagementteamuptothelimitofsuchperson'sdelegationofauthority,providedthatsuchdelegationisinwrittenformsignedbythedelegatorand?ledwiththeLegalDepartment.ItisfurtheracknowledgedthattheSecretaryoranAssistantSecretaryoftheCorporationisauthorizedtoissuecerti?cationsattestingtotheincumbency,authorityandstatusofanyofthepersonsreferredtointhisresolution.
ASiemensBusiness
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YUNEXTRAFFICASiemensBusiness
INWITNESSWHEREOF,wehavehereuntosubscribedournamesandaf?xedthecorporatesealofthesaidCorporation,asofthe16"‘dayofAugust,2021. exMarcBuncherCEOYunexTraf?c.LLC. SEAL:2021‘DigitallysignedbyRauber' DIkRauberDIrwas-o7'oo' *DirkRauberCFOYunexTraffic.LLC.
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BlDDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencywillnotbeforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(s13TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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$7,65
BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSCHEDULEBASEBID-CITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651ITEMNo DESCRIPTIONMobilization(NottoExceed5%ofBid)TrafficandPedestrianControlRemoveandSalvageExistingMan/HandModule.FurnishandInstallPedestrianCountdownModule.RemoveandSalvageExistingNon-CompliantPedestrianPushButton.FurnishandInstallPolaraiN2APSADACompliantPedestrianPushButtonAssemblyw/R10-3iPlacard.FurnishandInstallPolaraAPSPushButtonCentralControlUnitandInterconnectBoardandallotherEquipmentNecessaryforaFullyFunctioningAPSSysteminExistingTrafficControllerCabinet.RemoveandSalvageExistingHPSSafetyLightFixtureAssembly.FurnishandInstallLEDSafetyLightFixtureAssembly.RemoveandSalvageExistingController.FurnishandInstallMcCainATCeX2Controller(orapprovedequal)withOmniSoftwareandEquipmentperPlan.RemoveandSalvageExistingController.FurnishandInstallMcCain2070LXController(orapprovedequal)withOmniSoftwareandEquipmentperPlan.
UNIT
LSLS
EA
EA
EA
EA
EA
EA
ESTIMATEDQUANTITY
151
253
37 142
39 UNITEXTENDEDPRICEITEMAMOUNT$15,000.00$15,000.00$2,500.00$2,500.00 $185.00$27,935.00
$724.00$183,172.00
$5,449.00$201,613.00
$440.00$62,480.00
$5,375.00$209,625.00
8.00$7.658.00TOTALBASEBID(numbers)$709,983.00*'k**********************************ENDOF EB|DS***********************'k************
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BASEBIDTOTAL(inwords) (/o//if-JZ¢‘r’Q("Fri5'Contractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedu|e(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandinstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.
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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:CrosstownElectrical&Data,Inc.1000000155,756309Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CorporationBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)DavidP.Heermance,PresidentNameandtitleoftheownerBenjaminHeermance,CFONameandtitleofsecondpartnerorofficer5454DiazSt.Irwindale,CA91756BusinessAddress626-813-6693Telephonenumber626-869-0192FacsimilenumberDavidP.Heermance,dave@cr0sstowndata.comNameandEmailaddressofprimarycontactwww.cr0sstowndata.comCompanyweb 1 1 10/18/2021re DateSignatuBidder DateDavidP.Heermance.PresidentBenjaminHeermance,CFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)
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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicense:StateofCaliforniaClassAContractor'sLicenseCombinationofSpecialtyClassCContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:aBearsthelicensenumber(s):756309bExpireson:11/30/2022 111 £4, 10/13/20215gnatureof DateSignatulleofBidderDateDavidP.Heermance,PresidentBenjaminHeermance,CFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateo?icersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore—eva|uatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651deralAidProjectNo.5186(017)BIDSECURITYFORMFORCHECKNOTEEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINDAccompanthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheroftheCityofHemet,reinafterreferredtoas"Agency",fordollars ,thisamountbeing10 (10%)ofthetotalamountofthebid.Thisshallbereturnedtotheundersignedonlyife rofthefollowingoccurs:A.IfsaidBidshallberejbytheAgency;B.IfsaidBidshallbe theAgencyanheUndersignedshallexecuteanddeliveraContractintheformchedheretoperlycompletedinaccordancewithsaidBid)andshallfurnishbonuiredhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofal rforminglabororfurnishingmaterialsinconnectiontherewith,andshallinal respectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecometheertyofAgencySaidcheckshallalsobecometheppertyoftheAgeniftheUndersignedshallwithdrawhis/her/itsbidwithintheperiodsixty(60)calendard fterthedatesetfortheopeningthereof,unlessotherwiserequbylaw,andnotwithstatheawardoftheContracttoanotherbidder SignatureofBidder DateSignatureofBidder Date
Printnameand Printnameandtitle(IftheBiddercorporation,twosignaturesofcorporateofficersarerequired.)
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BondN0.CSBA-18952B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedDataInc(NameofContractor)asPrincipalandtheundersigned*asSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInwords)TenPercentoftheAmountBidDollars($10% IlawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.*Fide|ityandDepositCompanyofMarylandWHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]CitywideTrafficSignalSafetyUpgrades-CIP5651,FederalAidProjectNo.5186(017)THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis13thdayofOctober 2021.(Month) (CorporateSeal) By
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PrincipalByFidelityandDepositCompanyofMarylandSurety(CorporateSeal) ByDwightReilly,Attorney-in-Fact
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MelissaAnnVaccaroNotaryPublic
ACKNOWLEDGMENT
Anotarypublicorotherof?cercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCaliforniaCountyof Orange) On10/13/2021beforeme,(insertnameandtitleoftheofficer)personallyappearedDwightReillywhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandofficialseal MELISSAANNV ACCAROCOMM.#2241394NotaryPublic-CaliforniaORANGECOUNTYComm.BrpiresMay12.
FRS3Signature Seal)Vaccaro
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ACKNOWLEDGET
Anotarypublicorothercercompletingthiscerti?cateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orofthatdocument.StateofCaliforniaCountyof LosAngeles,onOctober18,2021beforemeShaleaBerry,NotaryPublic(insertnameandtitleoftheof?cer)whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s<)whosename(x)isIat7e<subscribedtothewithininstrumentandacknowledgedtomethatheltmlw?éyexecutedthesameinhis/l1et>lthefl<authorizedcapacity(i1els),andthatbyhis/Pfém?éirsignature(§)ontheinstrumenttheperson(§).ortheentityuponbehalfofwhichtheperson(K)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandofficialseal SHALEAmayNotaryPublic-CaliforniaLosAngelesCountyCmrnisslon4‘2281272MyComm.ExpiresMar16.2023 LVNNSignature (Seal)
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BondNo.CSBA-18952ZURICHAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLANDPOWEROFATTORNEYKNOWALLMENBYTHESEPRESENTS:ThattheZURICHAMERICANINSURANCECOMPANY ,acorporationoftheStateofNewYork,theCOLONIALAMERICANCASUALTYANDSURETYCOMPANY ,acorporationoftheStateofIllinois,andtheFIDELITYANDDEPOSITCOMPANYOFMARYLANDacorporationoftheStateofIllinois(hereincollectivelycalledthe"Companies"),byRobertD.Murray,VicePresident,inpursuanceofauthoritygrantedbyArticleV ,Section8,oftheBy-LawsofsaidCompanies,whicharesetforthonthereversesidehereofandareherebycerti?edtobeinfullforceandeffectonthedatehereof,doherebynominate,constitute,andappointDanielHUCKABAY ,DwightREILLY ,ArturoAY ALA,ShaunnaROZELLEOSTROM,FrankMORONES,BenSTONG,MichaelD.STONGandR.NAPPI,allofOrange,California,EACHitstrueandlaw?ilagentandAttorney-in-Fact,tomake,execute,sealanddeliver,for,andonitsbehalfassurety,andasitsactanddeed:anyandallbondsandundertakings,andtheexecutionofsuchbondsorundertakingsinpursuanceofthesepresents,shallbeasbindinguponsaidCompanies,asfullyandamply,toallintentsandpurposes,asiftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedof?cersoftheZURICHAMERICANINSURANCECOMPANYatitsofficeinNewYork,NewYork.,theregularlyelectedof?cersoftheCOLONIALAMERICANCASUALTYANDSURETYCOMPANYatitsof?ceinOwingsMills,Maryland,andtheregularlyelectedof?cersoftheFIDELITYANDDEPOSITCOMPANYOFMARYLANDatitsofficeinOwingsMills,Maryland.,intheirownproperpersons.ThesaidVicePresidentdoesherebycertifythattheextractsetforthonthereversesidehereofisatruecopyofArticleV ,Section8,oftheBy-LawsofsaidCompanies,andisnowinforce.INWITNESSWHEREOF,thesaidVice-Presidenthashereuntosubscribedhis/hernamesandaf?xedtheCorporateSealsofthesaidZURICHAMERICANINSURANCECOMPANY ,COLONIALAMERICANCASUALTYANDSURETYCOMPANY ,andFIDELITYANDDEPOSITCOMPANYOFMARYLAND,this15thdayofJanuary,A.D.2020.
ATTEST:ZURICHAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLAND By:RobertD.MurrayVicePresident
State0fMarylandCountyofBaltimore
,L 555‘7&4’/,7/{,g.!‘,I1/
By:DawnE.BrownSecretary
Onthis15thdayofJanuary,AD.2020,beforethesubscriber,aNotaryPublicoftheStateofMaryland,dulycommissionedandquali?ed,RobertD.Murray,VicePresidentandDawnE.Brown,SecretaryoftheCompanies,tomepersonallyknowntobetheindividualsandofficersdescribedinandwhoexecutedtheprecedinginstrument,andacknowledgedtheexecutionofsame,andbeingbymedulysworn,deposethandsaith,thathe/sheisthesaidofficeroftheCompanyaforesaid,andthatthesealsaffixedtotheprecedinginstrumentaretheCorporateSealsofsaidCompanies,andthatthesaidCorporateSealsandthesignatureassuchofficerweredulyaffixedandsubscribedtothesaidinstrumentbytheauthorityanddirectionofthesaidCorporationsINTESTIMONYWHEREOF,lhavehereuntosetmyhandandaffixedmyOfficialSealthedayandyearfirstabovewritten ConstanceA.Dunn,NotaryPublicMyCommissionExpires:July9,2023
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:CrosstownElectricalIamthePresidentof&Data[[19,thepartymakingtheforegoingbidThebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon10/18/2021date],atIrwindalecity],California 10/18/2021 10/18/2021ofB DateSignatofBidder DateDavidP.Heermance,PresidentBenjaminHeermance,CFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.)
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.S186(017)CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName;NorthCountyITSExpansionAndTrafficSignalSystemModernizationContractPrice110.00 teofCompletion:03/2021Name,Address,andTelephoneNumberofOwner'sRepresentativeCityofLancaster-JonathonRobnett44933NorthFernAve.Lancaster,CA93534661-945-6889ProjectName:SR-90TSSPContractPrice:64.00 DateofCompletion06/2021Name,Address,andTelephoneNumberofOwner'sRepresentative:CitvofLaHabra—Michae1P1otnik110E.LaHabraBlvd.LaHabra.CA90631562-383-4151projectName;StreetImprovements-PicoNeighborhoodNo.10128ContractPrice642000 ateofCompletion:04/2021Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofSantaMonica-SaadMalim1685MainSt.SantaMonica,CA90401310-458-8721 (Attachadditionalpagesasnecessary)
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,below.STATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled"PreviousDisqua|ifications."Ifastatementof”PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000000155.Subcontractors’registrationnumbersareasindicatedinDocument004314.BI 10/13/2021[/«mama-«10/18/2021SignBier DateSignaturgofBidderW DateDavidP.Heermance,PresidentBeniaminHeermanceCFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) A1-13Page 136 of 352
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled”PreviousDisqualifications.”Ifastatementof"PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000000155Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDD 10/18/2021[/,,,,,,M,,U_/10/18/2021Signatuder DateSignaturléofBidderW DateDavidP.HeermancePresidentBeniaminCFOPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.)
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION ThebidderCrosstownElectrical&Data,Inc. ,proposedsubcontractorXXXX herebycertifiesthathehasA, hasnot,participatedinapreviouscontractorsubcontractsubjecttotheequalopportunityclauses,asrequiredbyExecutiveOrders10925,11114,or11246,andthat,whererequired,hehasfiledwiththeJointReportingCommittee,theDirectoroftheOfficeofFederalContractCompliance,aFederalGovernmentcontractingoradministeringagency,ortheformerPresident'sCommitteeonEqualEmploymentOpportunity,allreportsdueundertheapplicablefillingrequirements.
Note:TheabovecertificationisrequiredbytheEqualEmploymentOpportunityRegulationsoftheSecretaryofLabor(41CFR60-1.7(b)(1)),andmustbesubmittedbybiddersandproposedsubcontractorsonlyinconnectionwithcontractsandsubcontractswhicharesubjecttotheequalopportunityclause.Contractsandsubcontractswhichareexemptfromtheequalopportunityclausearesetforthin41CFR60-1.5.(Generallyonlycontractsorsubcontractsof$10,000orunderareexempt.)Currently,StandardForm100(EEO-1)istheonlyreportrequiredbytheExecutiveOrdersortheirimplementingregulations.ProposedprimecontractorsandsubcontractorswhohaveparticipatedinapreviouscontractorsubcontractsubjecttotheExecutiveOrdersandhavenotfiledtherequiredreportsshouldnotethat41CFR60-1.7(b)(1)preventstheawardofcontractsandsubcontractsunlesssuchcontractorsubmitsareportcoveringthedelinquentperiodorsuchotherperiodspecifiedbytheFederalHighwayAdministrationorbytheDirector,OfficeofFederalContractCompliance,U.S.DepartmentofLabor.
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certifiesthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,manager:isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency;hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years;-doesnothaveaproposeddebarmentpending;andhasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.
Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspace.
Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.
Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification.
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)NONLOBBYINGCERTIFICATIONFORFEDERAL-AIDCONTRACTS Theprospectiveparticipantcerti?es,bysigningandsubmittingthisbidorproposal,tothebestofhisorherknowledgeandbelief,that:
Thiscerti?cationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailstofiletherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. (1)NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyFederalcontract,grant,loan,orcooperativeagreement.(2)IfanyfundsotherthanFederalappropriated?mdshavebeenpaidorwillbepaidtoanypersonforin?uencingorattemptingtoin?uenceanofficeroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForm-LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.
Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$100,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly.
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Federal
COMPLETETHISFORM LOBBVINGACTIVITIES S.C.I352
3.RepoDa.mm
Cunualion
¢mpIoyce(snr
ComlnuntioSlur.-et(s)
B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651AidProjectNo.5186(017)DISCLOSUREOFLOBBYINGACTIVITIESTODISCLOSEPURSUANTTO31U.1 ofFederalAction:2.StatusofFederalAction:rtType:a. Ea.bid/offer/applicationalb b.initialaward b.materialc. agreementc.post-awardd.loan ForMaterialOnly:e.loan yearuarterf.loan dateofreport4.Nameand ReportingEntity 5.IfReportingEntityinNo.Subawardee,EnterNameandAddressPrime:DPrimeSubawardee,ifknown CongressionalDistrict,ifknown District,ifknown6.FederalDepartment/Agency:7.FederalName/Description:
Number,ifapplicable8.FederalActionNumber,ifknown: 9 Amount,ifknown:
10.a.NameandAddressofLobbyEntity b.IndividualsPerformingServices(including(Ifindividual,lastname,firstname,MI) addressifdifferentfromNo.10a)(lastname,firstname,MI) (attachSheet(s)if )11.AmountofPayment(checkallthat 13.ofPayment(checkallthatapply)$ EactualE] retainerb. fee12.FormofPayment(checkallthat c.a.cash d. feeb.in-kind;specify: ef.other,14.BriefDescriptionof PerformedortobeperformedandDate(s)ofService,officer(s),member(s)contacted,forPaymentIndicatedinItem11 (attachContinuationSheet(s)ifnecessary)15. attached:YesDNoD[6,InformationthroughthisformisauthorizedbyTitle31U.S.C.1352.ThisdisclosureoflobbyingreliancewasplacedSignature;bytheabovewhenhistransactionwasmadeorenteredinto.Thisisrequiredpursuantto31U.S.C.1352.ThisinformationreportedtoCongresssemiannuallyandwillbeavailableforinspection.Anypersonwhofailsto?letherequireddisclosurebesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.
FederalUse
PrintName:DavidTi?e;PresidentTelephoneNo.:626'813'6693Date:10/1AuthorizedforLocalReproductionStandardForm-LLL
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Rev.0
September2020
BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofafonnisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyagency,aMemberofCongressanof?ceroremployeeofCongressoranemployeeofaMemberofCongressinconnectionwithacoveredFederalaction.Attachacontinuationsheetforadditionalinformationifthespaceontheformisinadequate.Completeallitemsthatapplyforboththeinitial?lingandmaterialchangereport.RefertotheimplementingguidancepublishedbytheOf?ceofManagementandBudgetforadditionalinformation.1.IdentifythetypeofcoveredFederalactionforwhichlobbyingactivityisand/orhasbeensecuredtoin?uence,theoutcomeofacoveredFederalaction.2.IdentifythestatusofthecoveredFederalaction.3.Identifytheappropriateclassi?cationofthisreport.Ifthisisafollow-upreportcausedbyamaterialchangetotheinformationpreviouslyreported,entertheyearandquarterinwhichthechangeoccurred.Enterthedateofthelast,previouslysubmittedreportbythisreportingentityforthiscoveredFederalaction.4.Enterthefullname,address,city,stateandzipcodeofthereportingentity.IncludeCongressionalDistrictifknown.Checktheappropriateclassi?cationofthereportingentitythatdesignatesifitisorexpectstobeaprimeorsubawardrecipient.Identifythetierofthesubawardee,e.g.,the?rstsubawardeeoftheprimeisthe?rsttier.Subawardsincludebutarenotlimitedtosubcontracts,subgrantsandcontractawardsundergrants.5.Iftheorganization?lingthereportinItem4checks"Subawardee"thenenterthe"fullname,address,city,stateandzipcodeoftheprimeFederalrecipient.IncludeCongressionalDistrict,ifknown.6.EnterthenameoftheFederalagencymakingtheawardorloancommitment.Includeatleastoneorganizationlevelbelowagencyname,ifknown.Forexample,DepartmentofTransportation,UnitedStatesCoastGuard.7.EntertheFederalprogramnameordescriptionforthecoveredFederalaction(item1).Ifknown,enterthefullCatalogofFederalDomesticAssistance(CFDA)numberforgrants,cooperativeagreements,loansandloancommitments.8.EnterthemostappropriateFederalidentifyingnumberavailablefortheFederalactionidenti?cationinitem1(e.g.,RequestforProposal(RFP)number,InvitationforBid(IFB)number,grantannouncementnumber,thecontractgrant.orloanawardnumber,theapplication/proposalcontrolnumberassignedbytheFederalagency).lncludepre?xes,e.g.,"RFP-DE-90-001."9.ForacoveredFedcralactionwheretherehasbeenanawardorloancommitmentbytheFederalagency,entertheFederalamountoftheaward/loancommitmentsfortheprimeentityidenti?edinitem4or5.10.(a)Enterthefullname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidenti?edinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)performingservicesandincludefulladdressifdifferentfrom10(a).EnterLastName,FirstNameandMiddleInitial(MI).11.Entertheamountofcompensationpaidorreasonablyexpectedtobepaidbythereportingentity(item4)tothelobbyingentity(item10).Indicatewhetherthepaymenthasbeenmade(actual)orwillbemade(planned).Checkallboxesthatapply.Ifthisisamaterialchangereport,enterthecumulativeamountofpaymentmadeorplannedtobemade.12.Checktheappropriatebox.Checkallboxesthatapply.Ifpaymentismadethroughanin-kindcontribution,specifythenatureandvalueofthein-kindpayment.13.Checktheappropriatebox.Checkallboxesthatapply.Ifother,specifynature.14.Provideaspeci?canddetaileddescriptionoftheservicesthatthelobbyisthasperformedorwillbeexpectedtoperformandthedate(s)ofanyservicesrendered.IncludeallpreparatoryandrelatedactivitynotjusttimespentinactualcontactwithFederalof?cials.IdentifytheFederalof?cer(s)oremployee(s)contactedortheof?cer(s)employee(s)orMember(s)ofCongressthatwerecontacted.15.Checkwhetherornotacontinuationsheet(s)isattached.16.Thecertifyingof?cialshallsignanddatetheform,printhis/hernametitleandtelephonenumber.Publicreportingburdenforthiscollectionofinformationisestimatedtoaverage30minutesperresponse,includingtimeforreviewinginstruction,searchingexistingdatasources,gatheringandmaintainingthedataneeded,andcompletingandreviewingthecollectionofinformation.Sendcommentsregardingtheburdenestimateoranyotheraspectofthiscollectionofinformation,includingsuggestionsforreducingthisburden,totheOf?ceofManagementandBudget,PaperworkReductionProject(0348-0046),Washington,D.C.20503. SF-LLI,-InstructionsRev.06-04-90«F.NDlF»
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willnotberesgansible
is/he/its pect nges
B|DDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencyforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthath r bidissubmittedwithrestothechatotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwnerInadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNoTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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12.300”V££|2.aoo”-f9
BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSCHEDULEBASEBID—CITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651ITEM ESTIMATEDUNITEXTENDEDNo DESCRIPTIONUNITQUANTITYPRICEAI\|nT§LI\’/INT... 01lg/iI§)blIlZatIOI1(NottoExceed5%;ofL512TrafficandPedestrianControlL51RemoveandSalvageExisting3Man/HandModule.FurnishandEA151InstallPedestrianCountdownModule.RemoveandSalvageExistingNon-CompliantPedestrianPushButton.4FurnishandInstallPolaraiN2APSEA253ADACompliantPedestrianPushButtonAssemblyw/R10—3iPlacard.FurnishandInstallPolaraAPSPushButtonCentralControlUnitandInterconnectBoardandallotherEquipmentNecessaryforaFullyFunctioningAPSSysteminExistingTrafficControllerCabinet.RemoveandSalvageExistingHPSSafetyLightFixtureAssembly.FurnishandInstallLEDSafetyLightFixtureAssembly.RemoveandSalvageExistingController.FurnishandInstall7McCainATCeX2Controller(or EA39approvedequal)withOmniSoftwareandEquipmentperPlan.RemoveandSalvageExistingController.FurnishandInstall8McCain2070LXController(or EA1approvedequal)withOmniSoftwareandEquipmentperPlan.
EA142
TOTALBASEBID(numbers)********************'k****************'k********************************** Rem{}Septembez2329
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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BASEBIDTOTAL(inwords)Contractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedulels)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedu|e(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,ContractorwarrantsthateachbiditemcontainsaproportionateshareofoverheadandothercostsandwhichwillbeincurredtheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces. ex’;{JS:£~.:s%,::i;arré:3:EGE
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N/A
._.., ._. ..,, baker~e|ectric.-_...
B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:BakerElectric.Inc.1000000466181756Legalnameofthebusiness,DIRReg.andContractorLicenseNosCoroorationBusinessType(Corporation,Partnership,SoleProprietor)N/ADBA(ifany)TedBaker-PresidentNameandtitleoftheowner Nameandtitleofsecondpartnerorofficer1298Paci?cOaksPlace.Escondido.97099BusinessAddress (760l745-2001TelephonenumberN/AFacsimilenumberOmarFcheverrioecheverrifcbnnmNameandEmailaddressofprimarycontact www.baker-e|ectric.comCompanywebaddress
atureofBidder DateTedBaker-PresidentPrintnameandtitle
SignatureofBidder
Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) Date
Rev.5i3g;tamb3:*2926
0//2021
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"\x/2021Z22Sinature
3 /Vlflu
B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicenseStateofCaliforniaClassAContractor'sLicenseCombinationofSpecialtyClassCContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:a.Bearsthelicensenumber(s)161756b.Expireson:08/31/2023 10//9091ofBidder DateSignatureofBidder DateTedBaker-PresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal.
Rev.$ep€:ember269.8
16.E
amount
BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) KNOWALLBYTHESEPRESENTS:
BakerElectric.Inc.
NESSWHEREOF,theabovebounden
(CorporateSeal)
(CorporateSeal)
BIDSECURITYFORMFORBOND
Thattheundersigned
(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumoflDollarAmountInWords)TenPercentofthetotalbidDollars(S10%ofthetotalbid)lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidforCIPNo.5651CitywideTrafficSignalSafetyUpgrades.THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWIT partieshaveexecutedthisinstrumentthis12thdayof October2021.(Month)_BakerElectric.Inc. rincipalTedN.Baker.PresidentFidelilvandDepositComoanvMaryland F.McMahon.Attorney-in-Fact
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ACKNOWLEDGMENT
StateofCalifornia_SanDIGQO)
on0Ct0be|‘12.2021beforeme’MariaHallmark,NotaryPublicLawrenceF.McMahon MARIAHALLMARKNotaryPublic-CaliforniaSanDiegoCountyCommissionI!2356793Comm.May9,2025(Seal) Anotarypublicorotherof?cercompletingthiscertificateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy.orvalidityofthatdocument.Countyof (insertnameandtitleoftheofficer)personallyappearedwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandof?cialseal
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ZURICHAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLANDPOWEROFATTORNEYKNOWALLMENBYTHESEPRESENTS:ThattheZURICHAMERICANINSURANCECOMPANY ,acorporationoftheStateofNcwYork,theCOLONIALAMERICANCASUALTYANDSURETYCOMPANY ,acorporationoftheStateofIllinois,andtheFIDELITYANDDEPOSITCOMPANYOFMARYLANDacorporationoftheStateofIllinois(hereincollectivelycalledthe"Companies"),byRobertD.Murray,VicePresident,inpursuanceofauthoritygrantedbyArticleV ,Section8,oftheBy-LawsofsaidCompanies,whicharesetforthonthereversesidehereofandareherebycertifiedtobeinfullforceandeffectonthedatehereof,doherebynominate,constitute,andappointLawrenceF.MCMAHON,SarahMYERS,MariaGUISE,RyanE.W ARNOCK,JaniceMARTIN,TaraBACON,JohnR.QUALIN,MariaHALLMARKofSanDiego,CaliforniaEACH,itstrueandlawfulagentandAttorney-in-Fact,tomake,execute,sealanddeliver,for,andonitsbehalfassurety,andasitsactanddeed:anyandallbondsandundertakings,andtheexecutionofsuchbondsorundertakingsinpursuanceofthesepresents,shallbeasbindinguponsaidCompanies,asfrillyandamply,toallintentsandpurposes,asiftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersoftheZURICHAMERICANINSURANCECOMPANYatitsofficeinNewYork,NewYork.,theregularlyelectedofficersoftheCOLONIALAMERICANCASUALTYANDSURETYCOMPANYatitsofficeinOwingsMills,Maryland.,andtheregularlyelectedofficersoftheFIDELITYANDDEPOSITCOMPANYOFMARYLANDatitsofficeinOwingsMills,Maryland,intheirownproperpersons.ThesaidVicePresidentdoesherebycertifythattheextractsetforthonthereversesidehereofisatruecopyofArticleV ,Section8,oftheBy-LawsofsaidCompanies,andisnowinforce.
ATTEST:ZURICHAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLAND By.‘RobertD.MurrayVicePresident
By:DawnE.BrownSecretary
ConstanceADunn,NotaryPublicMyCommissionExpires:July9,2023 Authenticityofthisbondcanbecon?rmedatbondvalidat0r.zurichna.comor410-559-8790 [NWITNESSWHEREOF,thesaidVice—Presidenthashereuntosubscribedhis/hernamesandaf?xedtheCorporateSealsofthesaidZURICHAMERICANINSURANCECOMPANY ,COLONIALAMERICANCASUALTYANDSURETYCOMPANY ,andFIDELITYANDDEPOSITCOMPANYOFMARYLAND,this12"‘dayofJ1Iy,AD.2021. "./:-/VV_da,4,¢/‘,5(;’(;)}/M1“)\, ,
StateofMarylandCountyofBaltimore
-4‘.
Onthisl2thdayofJuly,A.D,202|,beforethesubscriber,aNotaryPublicoftheStateofMaryland,dulycommissionedandquali?ed,RobertD.Murray,VicePresidentandDawnE.Brown,SecretaryoftheCompanies,tomepersonallyknowntobetheindividualsandofticersdescribedinandwhoexecutedtheprecedinginstrument,andacknowledgedtheexecutionofsame,andbeingbymedulysworn,deposethandsaith,thathe/sheisthesaidofficeroftheCompanyaforesaid,andthatthesealsaffixedtotheprecedinginstrumentaretheCorporateSealsofsaidCompanies,andthatthesaidCorporateSealsandthesignatureassuchofficerweredulyaffixedandsubscribedtothesadnstrumentbytheauthorityanddirectionofthesaidCorporationsINTESTIMONYWHEREOF,Ihaveheleuntosetmyhandandaf?xedmyOf?cialSeathedayandyear?rstabovewritten
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ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscertificateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia_Countyof 53“D'e90onOctober12,2021beforeme_XeniaTashlitslq,NotaryPublic(insertnameandtitleoftheofficer)personallyappearedTedN-Bakerwhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect. XENIATASHLITSKYCOMM#2352725WITNESSmyhandandofficialseal NOTASQGPUBLIC-CALIFORNIASignature (Seal)
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares:IamthePresidentofBakerInc.thepartymakingtheforegoingbid.Thebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon [date],atEgggndigg[city].California[state]. 1ofBidder DateSignatureofBidder DateTedBaker-PresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) Rev.September262
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CONTRACTOR’SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon—responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.ProjectName:CitvwideADAInfrastructureImprovementsContractPrice:$773,303.00DateofCompletion:09/2021Name,Address,andTelephoneNumberofOwner'sRepresentative:JasonLinsdau1CivicCenterDr.SanMCA92069(7603759-2466 ProjectNameMorenoValleyRanchITS&PiaeonPassclITSContractPrice:$539,893.70DateofCompletion08/2021Name,Address,andTelephoneNumberofOwner'sRepresentative:ShirieelMuhammad2141W.OranaewoodAveOranneCa97868(7141573-0317 ProjectName:MultiNeiahborhoodStreetLiahtLEDContractPrice:$304.698.34DateofCompletion:05/2021Name,Address,andTelephoneNumberofOwner'sRepresentativeAmandaRaihart201NBroadwaV_EscondCA99095776m839-4596 (Attachadditionalpagesasnecessary)
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Rev.0
Seplemlver2020BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(O17)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon—discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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00000466
Sign
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled”PreviousDisqua|ifications.”Ifastatementof”PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),Icertifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]10 Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDDER:
atureofBidder DateSignatureofBidder DateTedBaker-PresidentPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) rm
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION ThebidderBakerElectricInc. proposedsubcontractor herebycertifiesthathehas_x_, hasnot_,participatedinapreviouscontractorsubcontractsubjecttotheequalopportunityclauses,asrequiredbyExecutiveOrders10925,11114,or11246,andthat,whererequired,hehasfiledwiththeJointReportingCommittee,theDirectoroftheOfficeofFederalContractCompliance,aFederalGovernmentcontractingoradministeringagency,ortheformerPresident'sCommitteeonEqualEmploymentOpportunity,allreportsdueundertheapplicablefillingrequirements.
Note:TheabovecertificationisrequiredbytheEqualEmploymentOpportunityRegulationsoftheSecretaryofLabor(41CFR60-1.7(b)(1)),andmustbesubmittedbybiddersandproposedsubcontractorsonlyinconnectionwithcontractsandsubcontractswhicharesubjecttotheequalopportunityclause.Contractsandsubcontractswhichareexemptfromtheequalopportunityclausearesetforthin41CFR60-1.5.(Generallyonlycontractsorsubcontractsof$10,000orunderareexempt.)Currently,StandardForm100(EEO-1)istheonlyreportrequiredbytheExecutiveOrdersortheirimplementingregulations.ProposedprimecontractorsandsubcontractorswhohaveparticipatedinapreviouscontractorsubcontractsubjecttotheExecutiveOrdersandhavenotfiledtherequiredreportsshouldnotethat41CFR60-1.7(b)(1)preventstheawardofcontractsandsubcontractsunlesssuchcontractorsubmitsareportcoveringthedelinquentperiodorsuchotherperiodspecifiedbytheFederalHighwayAdministrationorbytheDirector,OfficeofFederalContractCompliance,U.S.DepartmentofLabor.
Rev.0Segiembe:2G2?
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certifiesthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,manager:isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency; 0 hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years; 0 doesnothaveaproposeddebarmentpending;andhasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.
Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspace Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.
Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification. fémi,{E§¥»a§',}‘§%2&2
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NONLOBBYINGCERTIFICATIONFORFEDERAL-AIDCONTRACTS Theprospectiveparticipantcerti?es,bysigningandsubmittingthisbidorproposal,tothebestofhisorherknowledgeandbelief,that:(1)NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodi?cationofanyFederalcontract,grant,loan,orcooperativeagreement.(2)IfanyfundsotherthanFederalappropriatedfundshavebeenpaidorwillbepaidtoanypersonforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForrn-LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.Thiscerti?cationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailsto?letherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$100,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly. $1929.(3?ilggié‘ma?22$:-:i‘§
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)
1. 4.
6. 8.
10. 11.
12. 14.
15.I6.
FederalUse
DISCLOSUREOFLOBBYINGACTIVITIESTHISFORMTODISCLOSELOBBYINGACTIVITIESPURSUANTTO31U.S.C.1352ofFederalAction:2.StatusofFederalAction:rtType:a.contract a.bid/offer/applicationalb.grantN/A b.initialawardN/A b.materialchangeN/Ac.cooperativeagreementc.post-awardd.loan ForMaterialChangeOnly:e.loanguarantee yearquarterf.loaninsurance dateoflastreportNameandAddressofReportingEntity 5.DPrime IfReportingEntityinNo.4isSubawardee,EnterNameandAddressofPrime:DSubawardeeNIA Tier,ifknown N/A CongressionalDistrict,ifknown CongressionalDistrict,ifknownFederalDepartment/Agency:7.FederalProgramName/Description:N/A N/ACFDANumber,ifapplicableFederalActionNumber,ifknown: 9.AwardAmount,ifknown:N/A N/Aa.NameandAddressofLobbyEntity b.IndividualsPerformingServices(including(Ifindividual,lastname,firstname,MI) addressifdifferentfromNo.10a)N/A N/A(attachContinuationSheet(s)ifnecessary)AmountofPayment(checkallthatapply) 13.TypeofPayment(checkallthatapply)$ actualElplanned a.retainerN/Ab.one-timefeeFormofPayment(checkallthatapply): c.comnnsslona.cash d.contingentfeeb.in-kind;specify:natureN/A edeferredvalue f.other,BriefDescriptionofServicesPerformedortobeperformedandDate(s)ofService,includingoff1cer(s),employee(s),ormember(s)contacted,forPaymentIndicatedinItem11:N/A (attachContinuationSheet(s)ifnecessContinuationSheet(s)attached:N/AYesENoDInformationrequestedthroughthisformisauthorizedbyTitle31U.S.C.Section1352.Thisdisclosureoflobbyingreliancewasplacedbythetierabovewhenhistransactionwasmadeorenteredinto.Thisdisclosureisrequiredpursuantto31U.S.C.1352.Thisinformation- _willbereportedtoCongresssemiannuallyandwillbeavailableforPuntName‘TedBakerpublicinspection.Anypersonwhofailsto?letherequireddisclosure_‘ .shallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmoreT1t1e-Presidentthan$100,000foreachsuchfailure. TelephoneNo.(760)7 Date:AuthorizedforLocalReproductionStandardForm-LLL £213,flSrs;3i:,=z?§.3¥=rii}:
Signature:
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Rev.0Seplember2020
APPENDIX1DOCUME
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B|DDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn—keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencyforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.<s)MATheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSCHEDULEBASEBID— CITYWIDETRAFFICSIGNALSAFETYU CIPNo.5651EXTENDED"I:M DESCRIPTIONUNIT ITEM° AMOUNT1Ivloblllzation(NottoExceed5%ofLs 1Bid)2TrafficandPedestrianControlLS 1RemoveandSalvageExistingMan/HandModule.Furnishand3InstallPedestrianCountdownEA151Module.RemoveandSalvageExistingNon-CompliantPedestrianPushButton.4FurnishandInstallPolaraiN2APSEA253ADACompliantPedestrianPushButtonAssemblyw/R10-3iPlacard.FurnishandInstallPolaraAPSPushButtonCentralControlUnitandInterconnectBoardandallotherEquipmentNecessaryforaFullyFunctioningAPSSysteminExistingTrafficControllerCabinet.RemoveandSalvageExistingHPSSafetyLightFixtureAssembly.FurnishandInstallLEDSafetyLightFixtureAssembly.RemoveandSalvageExistingController.FurnishandInstall7McCainATCeX2Controller(or EA39approvedequal)withOmniSoftwareandEquipmentperPlan.RemoveandSalvageExistingController.FurnishandInstall8McCain2070LXController(or EA1approvedequal)withOmniSoftwareandEquipmentperPlan EA142
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BASEBIDTOTAL(inwords)Contractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon—responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedule(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedule(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregularity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(017)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaSpecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:
Legalnameofthebusiness,DIRReg.andContractorLicenseNos
DBA(ifany)
Nameandtitleoftheowner
Companyweba
er Date er Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.) ElecnorBelcoElectric,Inc 1000004804738518
Corporation
October12021 October2021
VicePresident J Treasurer
BusinessType(Corporation,Partnership,SoleProprietor)
Nameandtitleofsecondpartnerorofficer14320AlbersWay,ChinoCA91710BusinessAddress Telephonenumber
FacsimilenumberJohnWongjwong@elecnor.comNameandEmailaddressofprimarycontact
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// // //
UNANIMOUSWRITTENCONSENTINLIEUOF2021ANNUALMEETINGOFTHEBOARDOFDIRECTORSOFELECNORBELCOELECTRIC,INC.January1,2021 Theundersigned,beingallofthemembersoftheBoardofDirectors(the“Board”)ofElecnorBelcoElectric,Inc.,aCaliforniacorporation(the“Company”),inlieuofholdingameetingoftheBoard,herebytakethefollowingactionsandadoptthefollowingresolutionsbyunanimouswrittenconsent:WHEREAS,theBoardhasdeterminedthatitisintheCompany’sbestintereststoappointarevisedslateofOfficersoftheCompany.NOW,THEREFORE,BEITRESOLVED,thatthefollowingpersonsbe,andherebyare,electedtotheofficessetforthoppositetheirrespectivenames,toholdsuchof?cesuntiltheirrespectivesuccessorsareelectedandquali?edatorbeforethenextannualmeetingoftheBoard,oruntiltheirearlierrespectivedeaths,resignationsorremovals:NAMES OFFICEAlbertoGarciaDeLosAngelesPresidentandChiefExecutiveOfficerJeroniGervilla ChiefFinancialOf?cerRogerDeVito SeniorVicePresident,GeneralCounselandAssistantSecretaryPedroEnrile SecretaryLeonardoSanchoFrancés VicePresidentJohnWong VicePresidentforConstruction FURTHERRESOLVED,thatAlbertoGarciaDeLosAngeles,JeroniGervilla,AlbertoGarciaandRogerDeVitointheirrespectivecapacities(listedabove)subjecttosuchsupervisorypowersoftheBoardofDirectors,herebyareauthorizedanddirectedtoperformallthedutiescommonlyincidenttothatoffice;shallhaveauthoritytoexecuteinthenameoftheCompanycontracts,leasesandotherwritteninstrumentstobeexecutedbytheCompany;and,shallperformsuchotherdutiesastheBoardofDirectorsmayfromtimetotimedetermine.FURTHERRESOLVED,thatthePresidentandChiefExecutiveOfficermaydelegateauthoritytoanyChiefFinancialOfficerorChiefOperatingOfficerorSeniorVicePresidentorVicePresidentasandwithintheirauthoritylevelsassetforthintheCompany’sBylaws,asthesamemaybeamendedfromtimetotime;FURTHERRESOLVED,thatRogerDeVito,inhiscapacityofSeniorVicePresident,orLeonardoSanchoFrancésinhiscapacityofVicePresidentareherebyauthorizedanddirectedto:l.Negotiate,sign,amendandterminateagreementsinconnectionwiththepurposeoftheCompany,forallcontractsupto$250,000.00,andactingjointlywithAlbertoGarciaDeLosAngelesorJeroniGervillaforallcontractsinamountsgreaterthan$250,000.00.
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2.Execute,amendand?nalizebidproposalsinconnectionwiththepurposeoftheCompany,forallproposalsupto$1,000,000.00,andactingjointlywithAlbertoGarciaDeLosAngelesorJeroniGervillaforallproposalsinamountsgreaterthan$1,000,000.00.3.ActingjointlywithAlbertoGarciaDeLosAngelesorJeroniGervilla,execute,amendand?nalizepurchaseordersformaterialsandequipmentinconnectionwiththepurposeoftheCompany.4.ActingjointlywithAlbertoGarciaDeLosAngelesorJeroniGervilla,execute,amendandterminateagreementsfortheleaseofrealestatetobeusedasofficesorjobrelatedtemporaryyards.5.ActingjointlywithAlbertoGarciaDeLosAngelesorJeroniGervilla,execute,amendandterminateinsuranceand/orbidbondsarrangementsinconnectionwiththepurposeoftheCompany.6.ActingjointlywithAlbertoGarciaDeLosAngelesorJeroniGervilla,hire,suspend,imposesanctionsanddismisstheadministrativepersonneloftheCompany,settingforththeiremploymenttermsandconditions,obligationsandremuneration.7.ActingjointlywithAlbertoGarciaDeLosAngelesorJeroniGervilla,settleandclaimsonbehalfoftheCompany.ANDITISFURTHERRESOLVED,thatallactionsheretoforetakenbytheofficersoftheCompanyonbehalfofandinthenameoftheCompany,relatingtotheconductofthebusinessoftheCompany,theexpenditureofmoney,themakingofcontractsandallotheractstakenoromittedintheperformanceoftheirdutiestotheCompanybe,andthesameherebyare,inallrespects,approved,ratifiedandaffirmed,asofthedatetaken,doneoromitted,respectively.TheactionstakenbytheBoardConsentshallhavethesameforceandeffectasiftakenbytheundersignedatameetingoftheBoardofDirectors,dulycalledandconstitutedpursuanttotheBylawsoftheCompanyandthelawsoftheStateofCalifornia.ThisBoardConsentmaybeexecutedincounterparts,eachofwhichshallbedeemedanoriginal,butallofwhichtogethershallconstituteoneandthesamedocument.
INWITNESSWHEREOF,theundersigned,beingallofthemembersoftheBoardofDirectorsofElecnorBelcoElectric,lnc.,haveexecutedtheseactionsbywrittenconsentasofthedatefirstwrittenabove.
DirectorLuisAlcibar,Director
AlexanderArrola,Director
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(017)CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicenseStateofCaliforniaClassAContractor'sLicenseCombinationofSpecialtyClassCContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor's|icense(s)which:a.Bearsthelicensenumber(s)b.Expireson:
er DateSign Date
Printnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore—eva|uatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. 7385187/31/2023
October132021 October132021
Wong,VicePresident Gervilla,Treasurer
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORCHECKNOTE:THEFOLLOWINGFORMSHALLBEUSEDINTHECASEOFCHECKACCOMPANYINGBIDAccompanyingthisproposalisaCertifiedCheckorCashier'sCheckpayabletotheorderoftheCityofHemet,hereinafterreferredtoas"Agency",fordollars($ ),thisamountbeing10percent(10%)ofthetotalamountofthebid.Thischeckshallbereturnedtotheundersignedonlyifeitherofthefollowingoccurs:
AIfsaidBidshallberejectedbytheAgency;B IfsaidBidshallbeacceptedbytheAgencyandtheUndersignedshallexecuteanddeliveraContractintheformattachedhereto(properlycompletedinaccordancewithsaidBid)andshallfurnishbondsrequiredforhis/her/itsfaithfulperformanceofsaidContractandforthepaymentofallpersonsperforminglabororfurnishingmaterialsinconnectiontherewith,andshallinallotherrespectsperformtheContractcreatedbyacceptanceofsaidBid.Otherwise,saidcheckshallbecomethepropertyoftheAgencySaidcheckshallalsobecomethepropertyoftheAgencyitheUndersignedshallwithdrawhis/her/itsbidwithintheperiodofsixty(60)calendardaysrthedatesetfortheopeningthereof,unlessotherwiserequiredbylaw,andnotwithstantherdoftheContracttoanotherbidder Sgn DateSignatu Date
Printnameandtitle Printnameane(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) October13,2021 October13,2021
VicePresident Gervilla,Treasurer
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedElecnorBelcoElectric,Inc.(NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITY‘OFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInWords)TenPercentofAmountBidDollars(S10% )lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]CitywideTrafficSignalSafetyUpgradesCIPNo.5651THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis23rddayof September2021,(Month)Elecnor(CorporateSeal) By JohnPrin VicePresidentBy ofandety(CorporateSeal) By Attorney-in- Rev.0SeptemberZ021
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CALIFORNIAALL-PURPOSEERTIFIATEOFAKNOWLEDGMENTC C CAnotarypublicorotherofficercompletingthiscertificateverifiesonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscertificateisattached,andnotthetruthfulness,accuracy,orvalidityofthatdocument.StateofCalifornia}CountyofSanBernardino}OnOctober132021beforeme,ElisaBethLim,NotaryPublic(Hereinsertnameandtitleoftheof?cer)personallyappearedJohnW009whoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)®]aresubscribedtothewithininstrumentandacknowledgedtomethathe/theyexecutedthesameint?gier/theirauthorizedcapacity(ies),andthatby(ljyier/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathatthf '
h’t d teoregoingparagrapISrueancorrec EUSABETHUMCommissionNo.2281937NOTARYPUBLIC-CALIFORNIASANBERNARDINOCOUNTYMyCommExpiresMARCH21.2023 IOON
WITNESSmyhandandof?cialseal
NOC1
Signature(NotaryPublicSeal)INSTRUCTIONSFORCOMPLETINGTHISFORMThisformcomplieswithcurrentCaliforniastatutesregardingnotarywordingand,DESCRIPTIONOFTHEATTACHEDDOCUMENTifneeded,shouldbecompletedandattachedtothedocument.AcknowledgmentsfromotherstatesmaybecompletedfordocumentsbetngsenttothatstatesolongCofHernetdBOnd ZfuthewordingdoesnotrequiretheCalifornianotarytoviolateCalifornianotary(Titleordescriptionofattacheddocument)0StateandCountyinformationmustbetheStateandCountywherethedocumentsigner(s)personallyappearedbeforethenotarypublicforacknowledgment.0Dateofnotarizationmustbethedatethatthesigner(s)personallyappearedwhichmustalsobethesamedatetheacknowledgmentiscompleted.IThenotarypublicmustprinthisorhernameasitappearswithinhisorher(Titleordescriptionofattacheddocumentcontinued)NumberOfPages%_ DOCUmentDate commissionfollowedbyacommaandthenyourtitle(notarypublic).IPrintthename(s)ofdocumentsigner(s)whopersonallyappearatthetimeofnotarization.CApAC|TYCLAIMEDBYTHESIGNER0Indicatethecorrectsingular.orpluralformsbycrossingoffincorrectforms(i.e._ .. he/she/t-l-iey,—is/a-re)orcirclingthecorrectforms.FailuretocorrectlyindicatethisInd“/‘dual(5) informationmayleadtorejectionofdocumentrecording.CorporateOf?cer oThenotarysealimpressionmustbeclearandphotographicallyreproducible.Impressionmustnotcovertextorlines.Ifsealimpressionsmudges,re-sealifa(Tme) sufficientarfeahpermits,othei1'wisecompleteadifferentacknoiévlledginheigltlt‘0[}tf'l'.fPartner(s) otsl?sgztlilitifyoclttrlenotarypubicmustmatchthesignatureon1ewite0ice0 _ Att0rney'in'FaCt02*AdditionalinformationisnotrequiredbutcouldhelptoensurethisTrustee(s) acknowledgmentisnotmisusedorattachedtoadifferentdocument.3other '2'Indicatetitleortypeofattacheddocument,numberofpagesanddate.°.°Indicatethecapacityclaimedbythesigner.Iftheclaimedcapacityisacorporateofficer,indicatethetitle(i.e.CEO,CFO,Secretary).WWWNotawC|asSes‘C0m300_873_gg550Securelyattachthisdocumenttothesigneddocumentwithastaple
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CannccliculStateof?a??omiaxcountyof Hartford
ACKNOWLEDGMENT
Anotarypublicorotherofficercompletingthiscerti?cateveri?esonlytheidentityoftheindividualwhosignedthedocumenttowhichthiscerti?cateisattached,andnotthetruthfulness,accuracy,orvaliditvofthatdocument. onSeptember23,2021beforemeTimothyS.Huffman,NotaryPublic(insertnameandtitleoftheof?cer)personallyappearedJenniferG.Goderewhoprovedtomeonthebasisofsatisfactoryevidencetobetheperson(s)whosename(s)is/aresubscribedtothewithininstrumentandacknowledgedtomethathe/she/theyexecutedthesameinhis/her/theirauthorizedcapacity(ies),andthatbyhis/her/theirsignature(s)ontheinstrumenttheperson(s),ortheentityuponbehalfofwhichtheperson(s)acted,executedtheinstrument.IcertifyunderPENALTYOFPERJURYunderthelawsoftheStateofCaliforniathattheforegoingparagraphistrueandcorrect.
WITNESSmyhandandof?cialseal TIMOTHYS.HUFFMANNOTARYPUBLIC-CT183092Signature (Seal)MyCommissionExpiresFeb.28,2026NotaryPublic
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ZURICHAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLANDPOWEROFATTORNEY ATTEST:ZURICHAMERICANINSURANCECOMPANYCOLONIALAMERICANCASUALTYANDSURETYCOMPANYFIDELITYANDDEPOSITCOMPANYOFMARYLAND StateofMarylandCountyofBaltimore
Authenticityofthisbondcanbeconfirmedatnonavalidator
KNOWALLMENBYTHESEPRESENTS:ThattheZURICHAMERICANINSURANCECOMPANY ,acorporationoftheStateofNewYork,theCOLONIALAMERICANCASUALTYANDSURETYCOMPANY ,acorporationoftheStateofIllinois,andtheFIDELITYANDDEPOSITCOMPANYOFMARYLANDacorporationoftheStateofIllinois(hereincollectivelycalledthe''Companies''),byRobertD.Murray,VicePresident,inpursuanceofauthoritygrantedbyArticleV ,Section8,oftheBy-LawsofsaidCompanies,whicharesetforthonthereversesidehereofandareherebycertifiedtobein?illforceandeffectonthedatehereof,doherebynominate,constitute,andappointJacquelineR.SUSCO,KathrynPRYOR,NicholasTURECAMO,GentrySTEW ART,AmandaP.DANGELO,DonnaM.PLANETA,BethanySTEVENSON,JoshuaSANFORD,AimeeR.PERONDINE,JenniferG.GODERE,AlexisR.APOSTOLIDIS,MichelleAnneMCMAHON,RebeccaM.JOSEPHSON,BrendanW.FLETCHER,CassandraBAEZ,ofHartford,Connecticut,EACH,itstrueandlawfulagentandAttomey-in-Fact,tomake,execute,sealanddeliver,for,andonitsbehalfassurety,andasitsactanddeed:anyandallbondsandundertakings,andtheexecutionofsuchbondsorundertakingsinpursuanceofthesepresents,shallbeasbindinguponsaidCompanies,asfullyandamply,toallintentsandpurposes,asiftheyhadbeendulyexecutedandacknowledgedbytheregularlyelectedofficersoftheZURICHAMERICANINSURANCECOMPANYatitsofficeinNewYork,NewYork.,theregularlyelectedofficersoftheCOLONIALAMERICANCASUALTYANDSURETYCOMPANYatitsofficeinOwingsMills,Maryland,andtheregularlyelectedofficersoftheFIDELITYANDDEPOSITCOMPANYOFMARYLANDatitsofficeinOwingsMills,Maryland.,intheirOwnpI'0pBfp6l‘SOIlS.ThesaidVicePresidentdoesherebycertifythattheextractsetforthonthereversesidehereofisatruecopyofArticleV ,Section8,oftheBy-LawsofsaidCompanies,andisnowinforceINWITNESSWHEREOF,thesaidVice-Presidenthashereuntosubscribedhis/hernamesandaffixedtheCorporateSealsofthesaidZURICHAMERICANINSURANCECOMPANY ,COLONIALAMERICANCASUALTYANDSURETYCOMPANY ,andFIDELITYANDDEPOSITCOMPANYOFMARYLAND,this26thdayofAugust,A.D.2021 By:RobertD.MurrayVicePresident
By:DawnE.BrownSecretary
Onthis26thdayofAugust,AD2021,beforethesubscriber,aNotaryPublicoftheStateofMaryland,dulycommissionedandquali?ed,RobertD.Murray,VicePresidentandDawnE.Brown,SecretaryoftheCompanies,tomepersonallyknowntobetheindividualsandofficersdescribedinandwhoexecutedtheprecedinginstrument,andacknowledgedtheexecutionofsame,andbeingbymedulysworn,deposethandsaith,thathe/sheisthesaidofficeroftheCompanyaforesaid,andthatthesealsaffixedtotheprecedinginstrumentaretheCorporateSealsofsaidCompanies,andthatthesaidCorporateSealsandthesignatureassuchofficerweredulyaffixedandsubscribedtothesaidinstrumentbytheauthorityanddirectionofthesaidCorporationsINTESTIMONYWHEREOF,IhavehereuntosetmyhandandaffixedmyOfficialSealthedayandyearfirstabovewritten ConstanceADunn,NotaryPublicMyCommissionExpires:July9,2023 f‘if{?awM_/)¢,'.:1/£/‘/£/(
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TOREPORTACLAIMWITHREGARDTOASURETYBOND,PLEASESUBMITACOMPLETEDESCRIPTIONOFTHECLAIMINCLUDINGTHEPRINCIPALONTHEBOND,THEBONDNUMBER,ANDYOURCONTACTINFORMATIONTO:
Authenticityofthisbondcanbecon?rmedatbondvalidator.zurichna.comor410-559-8790 "ArticleV ,Section8, TheChiefExecutiveOf?cer,thePresident,oranyExecutiveVicePresidentorVicePresidentmay,bywritteninstrumentundertheattestedcorporateseal,appointattomeys-in-factwithauthoritytoexecutebonds,policies,recognizances,stipulations,undertakings,orotherlikeinstrumentsonbehalfoftheCompany,andmayauthorizeanyof?ceroranysuchattomey-in-facttoaf?xthecorporatesealthereto;andmaywithorwithoutcausemodifyofrevokeanysuchappointmentorauthorityatanytime" CERTIFICATEI,theundersigned,VicePresidentoftheZURICHAMERICANINSURANCECOMPANY ,theCOLONIALAMERICANCASUALTYANDSURETYCOMPANY ,andtheFIDELITYANDDEPOSITCOMPANYOFMARYLAND,doherebycertifythattheforegoingPowerofAttorneyisstillinfullforceandeffectonthedateofthiscerti?cate;andIdo?irthercertifythatArticleV ,Section8,oftheBy-LawsoftheCompaniesisstillinforce.ThisPowerofAttorneyandCerti?catemaybesignedbyfacsimileunderandbyauthorityofthefollowingresolutionoftheBoardofDirectorsoftheZURICHAMERICANINSURANCECOMPANYatameetingdulycalledandheldonthe15thdayofDecember1998RESOLVED:"ThatthesignatureofthePresidentoraVicePresidentandtheattestingsignatureofaSecretaryoranAssistantSecretaryandtheSealoftheCompanymaybeaf?xedbyfacsimileonanyPowerofAttorneyAnysuchPoweroranycerti?catethereofhearingsuchfacsimilesignatureandsealshallbevalidandbindingontheCompany."ThisPowerofAttorneyandCerti?catemaybesignedbyfacsimileunderandbyauthorityofthefollowingresolutionoftheBoardofDirectorsoftheCOLONIALAMERICANCASUALTYANDSURETYCOMPANYatameetingdulycalledandheldonthe5thdayofMay,1994,andthefollowingresolutionoftheBoardofDirectorsoftheFIDELITYANDDEPOSITCOMPANYOFMARYLANDatameetingdulycalledandheldonthe10thdayofMay,1990RESOLVED:"ThatthefacsimileormechanicallyreproducedsealofthecompanyandfacsimileormechanicallyreproducedsignatureofanyVice-President,Secretary,orAssistantSecretaryoftheCompany,whethermadeheretoforeorhereafter,whereverappearinguponacerti?edcopyofanypowerofattorneyissuedbytheCompany,shallbevalidandbindingupontheCompanywiththesameforceandeffectasthoughmanuallyaf?xed.INTESTIMONYWHEREOF,Ihavehereuntosubscribedmynameandaf?xedthecorporatesealsofthesaidCompanies,this23rddayofSeptember2021 By:BrianM.HodgesVicePresident
ZurichSuretyClaims1299ZurichWaySchaumburg,IL60196-1056
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(0l7)NON—COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON—COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclaresof .thepartymakingtheforegoingbidThebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,nddoesexecute,thisdeclarationonbehalfofthebidderIdeclareunderpenaltyofperjuryunderthelawsStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationis [date],at[city], state] dder Sign
P Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersarerequired.) VicePresidentandTreasurer
10/16/Chino California
October13,2021 October13,2021
VicePresident J Gervilla,Treasurer
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BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(017)CONTRACTOR'SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.Proj DateofCompletion Proj
Proj DateofComp
(Attachadditionalpagesasnecessary)
N.VerdugoRd.Traf?cSignalImprovements2,844,613.00 February2021Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofGlendale,SarkisOganesyan,(818)548-3945 ect Traf?cSignalModi?cationsandInterconnectImprovementsContractPrice: DateofCompletion:Name,Address,andTelephoneNumberofOwner'sRepresentative:CityofPalmDesert,RandyBrown,(760)346-0611 August2020
SignalSynchronizationandBusSpeedImprovements1,013,928.00 April2020Name,Address,andTelephoneNumberofOwner'sRepresentativeCityofHuntingtonPark,CesarRoldan,(323)584-6320
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealablefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakese|f—insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON-DISCRIMINATIONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon-discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
A1—12
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled”PreviousDisqua|ifications.”Ifastatementof”PreviousDisqualifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)ofCalirniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete].Subcontractors’registrationnumbersareasindicatedinDocument004314.BIDDER:
Bidd Date Date
Printnameandtitle Printnameantitle(IftheBidderisacorporation,twosignaturesofcorporateo?icersare 1000004804
October13,2021 October13,2021
VicePresident J Gervilla,Treasurer
16.E
yforService:
10/19/21,8:18AMContractorInformation
LegalEntityInformation
CorporationEntityNumber:PresidentName:
Worker'sCompensation
DoyouleaseemployeesthroughProfessionalEmployerOrganization(PEO)?:
https://cadir.secure.force.com/Contractorsearch/registrationSearchDetai|s?id=a1Rt0000001SUOuEAG1/ LegalEntityNameELECNORBELCOELECTRIC,INCLegalEntityTypeCorporationStatusActiveRegistrationNumber1000004804Registrationeffectivedate07/01/19Registrationexpirationdate06/30/22MailingAddress14320ALBERSW AYCHINO91710CAUnitedStatesPhysicalAddress14320ALBERSW AYCHINO91710CAUnitedStatesEmailAddressrwiIk5@e|er:nor.comTradeName/DBALicenseNumber(5)CSLB:738518 AgencAgentofServiceName:14320ALBERSW AYCHINO91710CAUnitedStatesofAmerica InsuredbyCarrierPolicyHolderName:HARTFORDFIREINSURANCECOMPANY10WEAAA6VQ611/01/18 RegistrationsRegistrationHistoryEffectiveDateExpirationDate06/13/1806/30/1905/24/1706/30/1806/01/1606/30/1706/04/1506/30/1601/06/1506/30/1507/01/1906/30/22 C1982436ALBERTOGARCIA
ROGERDEVITO
No
ELECNORBELCOELECTRIC,INC
16.E
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION Thebidder proposedsubcontractor herebycertifiesthathehasX, hasnot,participatedinapreviouscontractorsubcontractsubjecttotheequalopportunityclauses,asrequiredbyExecutiveOrders10925,11114,or11246,andthat,whererequired,hehasfiledwiththeJointReportingCommittee,theDirectoroftheOfficeofFederalContractCompliance,aFederalGovernmentcontractingoradministeringagency,ortheformerPresident'sCommitteeonEqualEmploymentOpportunity,allreportsdueundertheapplicablefillingrequirements.
Note:TheabovecertificationisrequiredbytheEqualEmploymentOpportunityRegulationsoftheSecretaryofLabor(41CFR60—1.7(b)(1)),andmustbesubmittedbybiddersandproposedsubcontractorsonlyinconnectionwithcontractsandsubcontractswhicharesubjecttotheequalopportunityclause.Contractsandsubcontractswhichareexemptfromtheequalopportunityclausearesetforthin41CFR60—1.5.(Generallyonlycontractsorsubcontractsof$10,000orunderareexempt.)Currently,StandardForm100(EEO—1)istheonlyreportrequiredbytheExecutiveOrdersortheirimplementingregulations.ProposedprimecontractorsandsubcontractorswhohaveparticipatedinapreviouscontractorsubcontractsubjecttotheExecutiveOrdersandhavenotfiledtherequiredreportsshouldnotethat41CFR60—1.7(b)(1)preventstheawardofcontractsandsubcontractsunlesssuchcontractorsubmitsareportcoveringthedelinquentperiodorsuchotherperiodspecifiedbytheFederalHighwayAdministrationorbytheDirector,OfficeofFederalContractCompliance,U.S.DepartmentofLabor.
A1—14
ElecnorBelcoElectric,Inc
16.E
BlDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certifiesthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,manager:isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency;hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years;doesnothaveaproposeddebarmentpending;andhasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.
Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspace.
Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.
Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification.
16.E
B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NONLOBBYINGCERTIFICATIONFORFEDERAL-AIDCONTRACTS Rev.0September21.
Theprospectiveparticipantcerti?es,bysigningandsubmittingthisbidorproposal,tothebestofhisorherknowledgeandbelief,that:(1)NoFederalappropriated?indshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodi?cationofanyFederalcontract,grant,loan,orcooperativeagreement.(2)IfanyfundsotherthanFederalappropriatedfundshavebeenpaidorwillbepaidtoanypersonforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForm-LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.Thiscerti?cationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailsto?letherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$100,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly.
16.E
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BlDDER'SPROPOSAL(Cont‘d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)DISCLOSUREOFLOBBYINGACTIVITIESACTIVITIESPURSUANTTo31U.S.C.1352ofFederalAction2.StatusofFederalAction:rtType:a.contract Ea.bid/offer/applicationalgrant b.initialaward b.materialchangec. agreementc.post-awardd. ForMaterialChangeOnly:e.oan yearquarterf.loan dateoflastreport4.NameandofReportingEntity 5.IfReportingEntityinNo.4isEnterNameandAddressofPrime:DPrimeSubawardeeTier,ifknown CongressionalDistrict,ifknown Congressional6.FederalDepartment/Agency:7.FederalProgram CFDA,ifapplicable8.FederalActionNumber,ifknown: 9.Awardifknown:
10.a.NameandAddressofLobbyEntity IndividualsPerformingServices(including(Ifindividual,lastname,firstname,MI) ifdifferentfromNo.1021)firstname,MI) (attachSheet(s)ifnecessary)11.AmountofPayment(checkallthatapply) 13.Typeof allthatapply)$ actual a.retainerb.one-timefee12.FormofPayment(checkallthat e.commissiona.cash d.contingentfeeb.in-kind;specify edeferredvalue f.other,14.BriefDescriptionof PerformedortobeperformedandDate(s)ofService,includingof?cer(s),ormember(s)contacted,forPaymentIndicatedinItem11:
(attachContinuationSheet(s)ifnecessary)15. Sheet(s)attached:Yes No[6, requestedthroughthisformisauthorizedbyTitle31Section1352.ThisdisclosureoflobbyingreliancewasplacedSignature;tierabovewhenhistransactionwasmadeorenteredinto.Thisis pursuantto3U 352.Thisinfomiationwillbe toCongresssemiannuallyandwillbeavailableforpublicinspection.Anypersonwhofailstofiletherequireddisclosure_shallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmoreTltleithan$100,000foreachsuchfailure.
PrintName:
TelephoneNoAuthorizedforLocalReproductionFederalUse StandardForm-LLL 909-993-547010/16/2021
16.E
‘_It-'l-'-l_'l-I-'In'I—I-I-I—I-1-: rl---In-I-I-I--Ir.-I. —|—I-I ||-|.—--I—I-I-.-r|-- -—'I'I'I'I.|.-..l_I-.|.-I-.-I. -.l-I-I--I-I--r I--Ir-.|.|_-.|.I.|.—.|.r.-.|.|.' ] --....___.._.___::-L: I. -T-La.--1:-I.-_|_||._
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--|—| ‘jg.-e-|-I--I---r J-I-I: -1-I-.rI:||—||:I-.|I-I-IETPIF-I FIIZI II II-PSJ"E&I—F I'EI’I’—"fI'—1I'—IJ -I-£—I'§fI'J EI—In'f "HMI“ f— ‘LII: Z— III—IJ———IIuI——1Iu BlDDER'SPROPOSAL(Cont'd) *-.»Zz.=.‘—.v.CITYWIDETRAFFICSIGNALSAFETYUPGRADES3:—'>.,<,%‘t¢:<,r1.l..i:'3z‘i$ii'§}‘1i.7CIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.The?lingofaformisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyagency,aMemberofCongressanofficeroremployeeofCongressoranemployeeofaMemberofCongressinconnectionwithacoveredFederalaction.Attachacontinuationsheetforadditionalinformationifthespaceonthefonnisinadequate.Completeallitemsthatapplyforboththeinitial?lingandmaterialchangereport.RefertotheimplementingguidancepublishedbytheOf?ceofManagementandBudgetforadditionalinformation.1.IdentifythetypeofcoveredFederalactionforwhichlobbyingactivityisand/orhasbeensecuredtoin?uence,theoutcomeofacoveredFederalaction.2.IdentifythestatusofthecoveredFederalaction.3.Identifytheappropriateclassi?cationofthisreport.Ifthisisafollow-upreportcausedbyamaterialchangetotheinformationpreviouslyreported,entertheyearandquarterinwhichthechangeoccurred.Enterthedateofthelast,previouslysubmittedreportbythisreportingentityforthiscoveredFederalaction.4.Enterthefullname,address,city,stateandzipcodeofthereportingentity.IncludeCongressionalDistrictifknown.Checktheappropriateclassi?cationofthereportingentitythatdesignatesifitisorexpectstobeaprimeorsubawardrecipient.Identifythetierofthesubawardee,e.g.,the?rstsubawardeeoftheprimeisthe?rsttier.Subawardsincludebutarenotlimitedtosubcontracts,subgrantsandcontractawardsundergrants.5.Iftheorganization?lingthereportinItem4checks"Subawardee"thenenterthefullname,address,city,stateandzipcodeoftheprimeFederalrecipient.IncludeCongressionalDistrict,ifknown.6.EnterthenameoftheFederalagencymakingtheawardorloancommitment.Includeatleastoneorganizationlevelbelowagencyname,ifknown.Forexample,DepartmentofTransportation,UnitedStatesCoastGuard.7.EntertheFederalprogramnameordescriptionforthecoveredFederalaction(item1).Ifknown,enterthefullCatalogofFederalDomesticAssistance(CFDA)numberforgrants,cooperativeagreements,loansandloancommitments.8.EnterthemostappropriateFederalidentifyingnumberavailablefortheFederalactionidenti?cationinitem1(e.g.,RequestforProposal(RFP)number,InvitationforBid(IFB)number,grantannouncementnumber,thecontractgrant.orloanawardnumber,theapplication/proposalcontrolnumberassignedbytheFederalagency).Includepre?xes,e.g.,"RFP-DE-90-O01."9.ForacoveredFederalactionwheretherehasbeenanawardorloancommitmentbytheFederalagency,entertheFederalamountoftheaward/loancommitmentsfortheprimeentityidenti?edinitem4or5.10.(a)Enterthefullname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidenti?edinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)performingservicesandincludefulladdressifdifferentfrom10(a).EnterLastName,FirstNameandMiddleInitial(M1).11.Entertheamountofcompensationpaidorreasonablyexpectedtobepaidbythereportingentity(item4)tothelobbyingentity(item10).Indicatewhetherthepaymenthasbeenmade(actual)orwillbemade(planned).Checkallboxesthatapply.Ifthisisamaterialchangereport,enterthecumulativeamountofpaymentmadeorplannedtobemade.12.Checktheappropriatebox.Checkallboxesthatapply.Ifpaymentismadethroughanin-kindcontribution,specifythenatureandvalueofthein-kindpayment.13.Checktheappropriatebox.Checkallboxesthatapply.Ifother,specifynature.14.Provideaspeci?canddetaileddescriptionoftheservicesthatthelobbyisthasperfonnedorwillbeexpectedtoperformandthedate(s)ofanyservicesrendered.IncludeallpreparatoryandrelatedactivitynotjusttimespentinactualcontactwithFederalof?cials.IdentifytheFederalof?cer(s)oremployee(s)contactedortheof?cer(s)employee(s)orMember(s)ofCongressthatwerecontacted.15.Checkwhetherornotacontinuationsheet(s)isattached.16.Thecertifyingof?cialshallsignanddatetheform,printhis/hernametitleandtelephonenumber.Publicreportingburdenforthiscollectionofinformationisestimatedtoaverage30minutesperresponse,includingtimeforreviewinginstruction,searchingexistingdatasources,gatheringandmaintainingthedataneeded,andcompletingandreviewingthecollectionofinformation.Sendcommentsregardingtheburdenestimateoranyotheraspectofthiscollectionofinformation,includingsuggestionsforreducingthisburden,totheOf?ceofManagementandBudget,PaperworkReductionProject(0348-0046),Washington,D.C.20503. SF-LLL-InstructionsRev06-04-90«ENDIF»
16.E
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017) 1LocalAgency3ProjectDescription:4.ProjectLocation5.Bidder'sName: 6PrimeCertifiedDBE:El7BidAmount:8.TotalDollarAmountforALLSubcontractors:9TotalNumberofALLSubcontractors:
"1 °*°: cétiiin1......12.2.2:.?:?l:°;;?;°£$:‘;‘:2o....,.‘tot?Number pp Number p Amount LocalAgencytoCompletethisSectionuponExecutionofAward21.LocalAgencyContractNumber: 15.TOTALCLAIMEDDBEPARTICIPATION22.Federal-AidProjectNumber:23.BidOpeningDate:24.ContractAwardDate: IMPORTANT:IdentifyallDBE?rmsbeingclaimedforcredit.regardlessoftierNamesoftheFirstTierDBESubcontractorsandtheirrespectiveitem(s)ofworklistedabovemustbeconsistent.whereapplicablewiththenamesanditemsoftheworkintheLocalAgencycerti?esthatallDBEcerti?cationsarevalidandinformationon"SubcontractorList"submittedwithyourbid.Writtencon?rmationofthisformiscompleteandaccurate eachIS
26.LocalAgencyRepresentative'sSignature27.Date 1628LocalAgencyRepresentative'sName29.Phone 1 19Phone30LocalAgencyRepresentative'sTitle 20Preparer'sTitleDISTRIBUTION:1Original— LocalAgency2.Copy— CaltransDistrictLocalAssistanceEngineer(DLAE).FailuretosubmittoDLAEwithin30daysofcontractexecutionmayresultinde-obligationoffederalfundsoncontract.3.Includeadditionalcopywithawardpackage.ADANotice:Forindividualswithsensorydisabilities,thisdocumentisavailableinalternateformatsForInformationcall(916)654-6410orTDD(916)654-3880orwriteRecordsandFormsManagement,1120NStreet,MS—89,Sacramento,CA95814 Exhibit15-GConstructionContractDBECommitmentContractGoal:CityofHemet 15CitywideTrafficSignalSafetyUpgradesVariousLocationsElecnorBelcoElectric,Inc. '-\-AC». \4mLA'~'~iA+)c»V1.c/Mzeirv
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONS— CONSTRUCTIONCONTRACTDBECOMMITMENTCONTRACTORSECTION1.LocalAgency-Enterthenameofthelocalagencythatisadministeringthecontract.2.ContractDBEGoal—EnterthecontractDBEgoalpercentageasitappearsontheprojectadvertisement.3.ProjectLocation-Entertheprojectlocation(s)asitappearsontheprojectadvertisement.4.ProjectDescription-Entertheprojectdescriptionasitappearsontheprojectadvertisement(BridgeRehab,SeismicRehab,Overlay,Widening,etc).5.Bidder’sName-Enterthecontractor’s?rmname.6.PrimeCerti?edDBE-Checkboxifprimecontractorisacerti?edDBE.7.BidAmount-Enterthetotalcontractbiddollaramountfortheprimecontractor.8.TotalDollarAmountfor£1:Subcontractors— Enterthetotaldollaramountforallsubcontractedcontractors.SUM=(DBEs+allNon-DBEs).Donotincludetheprimecontractorinformationinthiscount.9.TotalnumberofALLsubcontractors— Enterthetotalnumberofallsubcontractedcontractors.SUM=(DBEs+allNon-DBEs).Donotincludetheprimecontractorinformationinthiscount.10.BidItemNumber-Enterbiditemnumberforwork,services,ormaterialssuppliedtobeprovided.11.DescriptionofWork,Services,orMaterialsSupplied-Enterdescriptionofwork,services,ormaterialstobeprovided.IndicateallworktobeperformedbyDBEsincludingworkperformedbytheprimecontractor’sownforces,iftheprimeisaDBE.If100%oftheitemisnottobeperformedorfurnishedbytheDBE,describetheexactportiontobeperformedorfurnishedbytheDBE.SeeLAPMChapter9todeterminehowtocounttheparticipationofDBE?rms.12.DBECertificationNumber-EntertheDBE’sCerti?cationIdenti?cationNumber.AllDBEsmustbecerti?edonthedatebidsareopened.13.DBEContactInformation-Enterthename,address,andphonenumberofallDBEsubcontractedcontractors.Also,entertheprimecontractor’snameandphonenumber,iftheprimeisaDBE.14.DBEDollarAmount—Enterthesubcontracteddollaramountoftheworktobeperformedorservicetobeprovided.IncludetheprimecontractoriftheprimeisaDBE.SeeLAPMChapter9forhowtocountfull/partialparticipation.15.TotalClaimedDBEParticipation-$:Enterthetotaldollaramountsenteredinthe“DBEDollarAmount”column.%:EnterthetotalDBEparticipationclaimed(“TotalClaimedDBEParticipationDollars”dividedbyitem“BidAmount”).Ifthetotal%claimedislessthanitem“ContractDBEGoa1,”anadequatelydocumentedGoodFaithEffort(GFE)isrequired(seeExhibitl5—HDBEInformation-GoodFaithEffortsoftheLAPM).16.Preparer’sSignature—ThepersoncompletingtheDBEcommitmentformonbehalfofthecontractor’s?rmmustsigntheirname.17.Date-EnterthedatetheDBEcommitmentformissignedbythecontractor’spreparer.18.Preparer’sName-Enterthenameofthepersonpreparingandsigningthecontractor’sDBEcommitmentform.19.Phone-Entertheareacodeandphonenumberofthepersonsigningthecontractor’sDBEcommitmentform.20.Preparer’sTitle-Entertheposition/titleofthepersonsigningthecontractor’sDBEcommitmentform.
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B|DDER'SPROPOSAL(Cont’d)Rev.0CITYWIDETRAFFICSIGNALSAFETYUPGRADESSeptember2020CIPNo.5651FederalAidProjectNo.5186(017)LOCALAGENCYSECTION21.LocalAgencyContractNumber-EntertheLocalAgencycontractnumberoridenti?er.22.Federal-AidProjectNumber—EntertheFederal-AidProjectNumber(s).23.BidOpeningDate-Enterthedatecontractbidswereopened.24.ContractAwardDate-Enterthedatethecontractwasexecuted.25.AwardAmount— Enterthecontractawardamountasstatedintheexecutedcontract.26.LocalAgencyRepresentative’sSignature-ThepersoncompletingthissectionoftheformfortheLocalAgencymustsigntheirnametocertifythattheinformationinthisandtheContractorSectionofthisformiscompleteandaccurate.27.Date-EnterthedatetheDBEcommitmentformissignedbytheLocalAgencyRepresentative.28.LocalAgencyRepresentative’sName-EnterthenameoftheLocalAgencyRepresentativecertifyingthecontractor’sDBEcommitmentform.29.Phone-Entertheareacodeandphonenumberofthepersonsigningthecontractor’sDBEcommitmentform.30.LocalAgencyRepresentativeTitle-Entertheposition/titleoftheLocalAgencyRepresentativecertifyingthecontractor’sDBEcommitmentform.
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EXHIBIT15-H:PROPOSERICONTRACTORGOODFAITHEFFORTSCostProposalDueDate PE/CEFederal-aidProjectNo(s). BidOpeningDate CONThe establishedaDisadvantagedBusinessEnterprise(DBE)goalof forthiscontract.TheinformationprovidedhereinshowstherequiredgoodfaitheffortstomeetorexceedtheDBEcontractgoal.Proposersorbidderssubmitthefollowinginformationtodocumenttheirgoodfaitheffortswithinfive(5)calendardaysfromcostproposalduedateorbidopening.ProposersandbiddersarerecommendedtosubmitthefollowinginformationeveniftheExhibit10-O1:ConsultantProposalDBECommitmentsorExhibit15-G:ConstructionContractDBECommitmentindicatethattheproposerorbidderhasmettheDBEgoal.Thisformprotectstheproposer’sorbidder'seligibilityforawardofthecontractiftheadministeringagencydeterminesthatthebidderfailedtomeetthegoalforvariousreasons,e.g.,aDBEfirmwasnotcertifiedatbidopening,orthebiddermadeamathematicalerror.ThefollowingitemsarelistedintheSectionentitled“SubmissionofDBECommitment”oftheSpecialProvisions,pleaseattachadditionalsheetsasneededA.ThenamesanddatesofwrittennoticessenttocertifiedDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodeterminewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords,faxconfirmations,etc.):Publications DatesofAdvertisement B.ThenamesanddatesofwrittennoticessenttocertifiedDBEssolicitingbidsforthisprojectandthedatesandmethodsusedforfollowingupinitialsolicitationstodeterminewithcertaintywhethertheDBEswereinterested(pleaseattachcopiesofsolicitations,telephonerecords,faxconfirmations,etc.):NamesofDBEsSolicitedDateofInitialSolicitationFollowMethodsandDates HSIPL—5l86(0l7)
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(017)C.TheitemsofworkmadeavailabletoDBE?rmsincludingthoseunbundledcontractworkitemsintoeconomicallyfeasibleunitstofacilitateDBEparticipation.Itisthebidder'sresponsibilitytodemonstratethatsufficientworktofacilitateDBEparticipationinordertomeetorexceedtheDBEcontractgoal. ‘
Itemsof ProposerorBidderBreakdownofAmountPercentageWorkNormallyPerformsItemItems($) Of(Y/N) Contract °/o%%D.Thenames,addressesandphonenumbersofrejectedDBE?rms,thereasonsforthebidder'srejectionoftheDBEs,thefirmsselectedforthatwork(pleaseattachcopiesofquotesfromthe?rmsinvolved),andthepricedifferenceforeachDBEiftheselected?rmisnotaDBE:Names,addressesandphonenumbersofrejectedDBEsandthereasonsforthebidder'sectionoftheDBEs:
Naaddressesandnumbersof?rmsselectedfortheworkabove:
E.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtaininginformationrelatedtotheplans,specificationsandrequirementsfortheworkwhichwasprovidedtoDBEs:
F.Efforts(e.g.inadvertisementsandsolicitations)madetoassistinterestedDBEsinobtainingbonding,linesofcreditorinsurance,necessaryequipment,supplies,materials,orrelatedassistanceorservices,excludingsuppliesandequipmenttheDBEsubcontractorpurchasesorleasesfromtheprimecontractororitsaffiliate:
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPN0.5651FederalAidProjectNo.5186(017) G.Thenamesofagencies,organizationsorgroupscontactedtoprovideassistanceincontacting,recruitingandusingDBEfirms(pleaseattachcopiesofrequeststoagenciesandanyresponsesreceived,i.e.,lists,Internetpagedownload,etc.):NameofAgency/OrganizationMethod/DateofContactResults H.Anyadditionaldatatosupportademonstrationofgoodfaithefforts:
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B|DDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencyforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo_(5)Addendum092221-109/22/2021Addendum092721-109/27/2021 TheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis—BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BIDSCHEDULEBASEBID-CITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651EXTENDEDITEM ESTIMATEDUNITDESCRIPTIONUNIT ITEMNo QUANTITYPRICEAMOUNT1IV-I0blIlZatI0n(NottoExceed5%ofLs 1Bid)2Traf?candPedestrianControlL5 1RemoveandSalvageExistingMan/HandModule.Furnishand3InstallPedestrianCountdownEA151Module.RemoveandSalvageExistingNon-CompliantPedestrianPushButton.4FurnishandInstallPolaraiN2APSEA253ADACompliantPedestrianPushButtonAssemblyw/R10-3iPlacard.FurnishandInstallPolaraAPSPushButtonCentralControlUnitandInterconnectBoardandallotherEquipmentNecessaryforaFullyFunctioningAPSSysteminExistingTraf?cControllerCabinet.RemoveandSalvageExistingHPSSafetyLightFixtureAssembly.FurnishandInstallLEDSafetyLightFixtureAssembly.RemoveandSalvageExistingController.FurnishandInstall7McCainATCeX2Controller(or EA39approvedequal)withOmniSoftwareandEquipmentperPlan.RemoveandSalvageExistingController.FurnishandInstall8McCain2070LXController(or EA1approvedequal)withOmniSoftwareandEquipmentperPlan.
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BASEBIDTOTAL(inwords)Contractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon—responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedu|e(s)onlyunlessotherwisespecifiedintheNoticeinvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidschedu|e(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby"(S)"aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces. €r./mLwwl/za,l,,‘/_/'¢;L/{’}\/M4“,¢M\,;,,,‘,(444/};’”<«/W.I*\.»r~A/1444459;»;?ve,«
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BysigningandsubmittingthisbidtheContractorconfirmsthattheyarefamiliarwiththeworksiteandallexistingconditionsthatmayaffecttheirworkandthattheyhavereadandagreetoalltheterms,conditionsandrequirementscontainedorreferencedhereinorintheContractDocumentsandthatalltheaforementionedhasbeenincludedinthebidpriceslistedabove,includingitemsofworkthatmaynothaveaspecificpaylineitemandthatthereshallbenoadditionalcoststotheAgency.W ARNING:IfanaddendumoraddendahavebeenissuedbytheAgencyandnotnotedaboveasbeingreceivedbythebidder,thisBidmayberejected.Completethefollowing:CALPROMAXENGINEERING,INC./1000028249/995933Legalnameofthebusiness,DIRReg.andContractorLicenseNos.CORPORATIONBusinessType(Corporation,Partnership,SoleProprietor)DBA(ifany)NIZARKABBANY—PRESIDENTNameandtitleoftheownerMARIAARMOGEDA-VICEPRESIDENTNameandtitleofsecondpartnerorofficer700S.V ANBURENSTREET,SUITEC,PLACENTIA,CA92870BusinessAddress(714)573-4599Telephonenumber(714)459-7088FacsimilenumbercaIpromax@gmai|.comNameandEmailaddressofprimarycontactwvvw.caIpromaxinc.comCompanywebaddress Sgn Date ofBidde DateNIZARKABBANY-PRESIDENTMARIAARMOGEDA-VICEPRESIDENTPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CERTIFICATEREGARDINGCONTRACTOR'SLICENSE1.ContractorisrequiredtopossessoneofthefollowingStateContractor'sLicenseStateofCaliforniaClassAContractor'sLicenseCombinationofSpecialtyClassCContractor'sLicenses2.Afailureto(1)possesstherequiredlicense,(2)truthfullysetforththefollowinginformation,and/or(3)executethisCertificatemayrendertheproposalnonresponsiveandpermittheCitytorejecttheproposal.(BusinessandProfessionsCodeSection7028.15)3.Contractordeclares,underpenaltyofperjury,thathe/she/itpossessestherequiredContractor'slicense(s)which:aBearsthelicensenumber(s)995933 bExpireson08/31/2022
Date ofBidder DateNIZARKABBANY—PRESIDENTMARIAARMOGEDA-VICEPRESIDENTPrintnameandtitle Printnameandtitle(IftheBidderisacorporationtwosignaturesofcorporateofficersarerequired.)ThisrequiredlicensedeterminationhasbeenmadebytheAgency.AnyContractorholdingadifferentlicensewhofeelsheisqualifiedtobidonthisworkmustsoadvisetheAgencyatleastseven(7)dayspriortothebidopening.TheAgencymayconductareviewofthecontemplatedworktore-evaluatetherequiredlicensedetermination.TheAgencymayinitssolediscretionmaintainorchangetherequiredlicensedetermination;Agency'sdecisionastotherequiredlicensewillbefinal. /(7Signature0Bid
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BIDSECURITYFORMFORBONDKNOWALLBYTHESEPRESENTS:ThattheundersignedCalpromaxEngineering,Inc. (NameofContractor)asPrincipalandtheundersignedasSuretyareheldandfirmlybounduntoOwner,CITYOFHEMET,apoliticalsubdivisionoftheStateofCalifornia,asobligee,inthepenalsumof(DollarAmountInwords)TenPercentoftheBidAmountinDollarsDollars($ )lawfulmoneyoftheUnitedStatesofAmericabeingatleasttenpercent(10%)oftheaggregateamountofsaidPrincipal'sbaseBid,forthepaymentofwhich,wellandtrulytobemade,webindourselves,oursuccessors,executors,administrators,andassigns,jointlyandseverally,firmlybythesepresents.WHEREAS,saidPrincipalissubmittingaBidfor[PROJECTNAMEANDDESCRIPTION]CitywideTraf?cSignalSafetyUpgradesCIPNo.5651-FederalAidProjectNo.5186(017)THECONDITIONOFTHISOBLIGATIONISSUCHthatiftheBidsubmittedbythesaidPrincipalbeacceptedandtheContractbeawardedtosaidPrincipalandsaidPrincipalshallwithintherequiredperiodsenterintotheContractsoawardedandprovidetherequiredConstructionPerformanceBond,ConstructionLaborandMaterialPaymentBond,insurancecertificates,andallotherendorsements,forms,anddocumentsrequiredundertheInstructionstoBidders,thenthisobligationshallbevoid,otherwisetoremaininfullforceandeffect.INWITNESSWHEREOF,theaboveboundenpartieshaveexecutedthisinstrumentthis14th,dayofOctober 2021.(Month)CalpromaxEngineering,Inc._(CorporateSeal) ByPrincipalUn Fire ny inFact
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NON-COLLUSIONAFFIDA VITPUBLICCONTRACTCODESECTION7106NON-COLLUSIONDECLARATIONTOBEEXECUTEDBYBIDDERANDSUBMITTEDWITHBIDTheundersigneddeclares|amthePresidentofCalpromaxEngineering,lnc.thepartymakingtheforegoingbidThebidisnotmadeintheinterestof,oronbehalfof,anyundisclosedperson,partnership,company,association,organization,orcorporation.Thebidisgenuineandnotcollusiveorsham.Thebidderhasnotdirectlyorindirectlyinducedorsolicitedanyotherbiddertoputinafalseorshambid.Thebidderhasnotinanymanner,directlyorindirectly,soughtbyagreement,communication,orconferencewithanyonetofixthebidpriceofthebidderoranyotherbidder,ortofixanyoverhead,profit,orcostelementofthebidprice,orofthatofanyotherbidder.Allstatementscontainedinthebidaretrue.Thebidderhasnot,directlyorindirectly,submittedhisorherbidpriceoranybreakdownthereof,orthecontentsthereof,ordivulgedinformationordatarelativethereto,toanycorporation,partnership,company,association,organization,biddepository,ortoanymemberoragentthereof,toeffectuateacollusiveorshambid,andhasnotpaid,andwillnotpay,anypersonorentityforsuchpurpose.Anypersonexecutingthisdeclarationonbehalfofabidderthatisacorporation,partnership,jointventure,limitedliabilitycompany,limitedliabilitypartnership,oranyotherentity,herebyrepresentsthatheorshehasfullpowertoexecute,anddoesexecute,thisdeclarationonbehalfofthebidder.IdeclareunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrectandthatthisdeclarationisexecutedon10/19/2021date],atPlacentiacity],Califo?iii[5tate]_ SignatureBi Date reofBidde DateNIZARKABBANY-PRESIDENTMARIAARMOGEDA-VICEPRESIDENTPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) 202
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)CONTRACTOR’SREFERENCELISTAttachtothisbidalistofthree(3)projectsinthepastfive(5)yearsonwhichthebidderandhissubcontractor(s)havesuccessfullyconstructedandcompletedprojectswiththesametype(elements),sizeandcomplexityofwork.TheAgencyEngineerwillmakethefinaldeterminationofwhethertheprojectslistedhereareofthesametype,sizeandcomplexityasthisproject.Failureofbiddertosupplysufficientdocumentationofsimilarelectric,telephone,cableandsanitarysewerundergroundfacilitiesexperienceshallbeconsideredgroundsforanon-responsivebidand,attheAgency'sdiscretion,saidbidwillbedisqualified.projectName:ATPCycle2-UncontrolledCrosswalkPedestrianSafetyEnhancementImprovementsContractPrice$1,950-192-00teofCompletion05/11/2021Name,Address,andTelephoneNumberofOwner'sRepresentative:YunusRahi(626)826-756013200CrossroadsParkwayNorth,Suite400,CityofIndustry,CA91746projectName;KatellaAvenue&StruckAvenueIntersectionImprovementsContractPrice:$621,340.00DateofCompletion:04/30/2021Name,Address,andTelephoneNumberofOwner'sRepresentativeLoriWolfe(714)402-9645360E1stStreet#262,Tustin,CA92780ProjectName;ConstructiononStateHighwayinOrangeCountyinTustinat4thStreetOff-Ramp,#12-0N6304ContractPrice:$415119-00ateofCompletion07/24/2020Name,Address,andTelephoneNumberofOwner'sRepresentativeSidhu279-84663533MarineWay,Irvine,CA92618 (Attachadditionalpagesasnecessary)
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Rev.0
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BIDDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)BIDDERCERTIFICATIONSTOBEEXECUTEDBYALLBIDDERSANDSUBMITTEDWITHBIDTheundersignedBiddercertifiestoOwnerassetforthinsections1through10,belowSTATEMENTOFCONVICTIONSBymysignaturehereunder,Iherebyswear,underpenaltyofperjury,thatnomorethanonefinal,unappealabiefindingofcontemptofcourtbyaFederalCourthasbeenissuedagainstBidderwithinthepasttwoyearsbecauseoffailuretocomplywithanorderofaFederalCourtortocomplywithanorderoftheNationalLaborRelationsBoard.CERTIFICATIONOFWORKER'SCOMPENSATIONINSURANCEBymysignaturehereunder,astheContractor,IcertifythatIamawareoftheLaborCodeSection3700,whichrequireseveryemployertobeinsuredagainstliabilityforworker'scompensationortoundertakeself-insuranceinaccordancewiththeprovisionsofthatCode,andIwillcomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisContract.PleasenotethatthesubmittalofthiscertificatedoesnotrelieveContractorfromcomplyingwithalloftheinsurancerequirementsofthePublicWorksAgreementandContractDocuments.CERTIFICATIONOFPREV AILINGW AGERATESANDRECORDSBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSection1773,whichrequiresthepaymentofprevailingwageonpublicprojects.ContractorandanysubcontractorsundertheContractorshallcomplywithLaborCodeSection1776regardingwagerecords,andwithLaborCodeSection1777.5regardingtheemploymentandtrainingofapprentices.ContractorisresponsibletoensurecompliancebyanyandallsubcontractorsperformingworkunderthisContract.CERTIFICATIONOFCOMPLIANCEWITHPUBLICWORKSCHAPTEROFLABORCODEBymysignaturehereunder,astheContractor,IcertifythatIamawareofLaborCodeSections1777.1and1777.7Code,andContractorandSubcontractorsareeligibletobidandworkonpublicworksprojects.CERTIFICATIONOFNON—DISCR|MINAT|ONBymysignaturehereunder,astheContractor,Icertifythattherewillbenodiscriminationinemploymentwithregardtorace,color,religion,gender,sexualorientation,ageornationalorigin;thatallfederal,state,andlocaldirectivesandexecutiveordersregardingnon—discriminationinemploymentwillbecompliedwith;andthattheprincipalofequalopportunityinemploymentwillbedemonstratedpositivelyandaggressively.
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17) CERTIFICATIONOFNON-DISQUALIFICATIONBymysignaturehereunder,astheContractor,Iswear,underpenaltyofperjury,thatthebelowindicatedBidder,anyofficerofBidder,oranyemployeeofBidderwhohasaproprietaryinterestinsuchBidder,hasneverbeendisqualified,removed,orotherwisepreventedfrombiddingon,orcompletingaFederal,State,orlocalgovernmentprojectbecauseofaviolationoflaworsafetyregulation,exceptasindicatedontheseparatesheetattachedheretoentitled”PreviousDisqualifications.”Ifastatementof”PreviousDisqua|ifications”isattached,pleaseexplainthecircumstances.CERTIFICATIONOFADEQUACYOFCONTRACTAMOUNTBymysignaturehereunder,astheContractor,pursuanttoLaborCodeSection2810(a),certifythat,ifawardedtheContractbasedontheundersigned’sBid,theContractwillincludefundssufficienttoallowtheContractortocomplywithallapplicablelocal,state,andfederallawsorregulationsgoverningthelabororservicestobeprovided.IunderstandthatOwnerwillberelyingonthiscertificationifitawardstheContracttotheundersigned.CERTIFICATIONREGARDINGDIRCONTRACTOR/SUBCONTRACTORREGISTRATIONBymysignaturehereunder,astheContractor,IcertifythatContractor,andalllistedSubcontractorsarethesubjectofcurrentandactivecontractorregistrationspursuanttoDivision2,Part7,Chapter1(commencingwithsection1720)oftheCaliforniaLaborCode.Contractor'sregistrationnumberis[pleasecomplete]1000028249Subcontractors’registrationnumbersareasindicatedinDocument004314BIDDER:
Signatureof Date ofBidde DateNIZARKABBANY-PRESIDENTMARIAARMOGEDA—VICEPRESIDENTPrintnameandtitle Printnameandtitle(IftheBidderisacorporation,twosignaturesofcorporateofficersarerequired.) <17 /0
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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)EQUALEMPLOYMENTOPPORTUNITYCERTIFICATION ThebidderCalpromaxEngineering,Inc proposedsubcontractor herebycertifiesthathehashasn contractorsubcontractsubjecttotheequalopportunityclauses,asrequiredbyExecutiveOrders10925,11114,or11246,andthat,whererequired,hehasfiledwiththeJointReportingCommittee,theDirectoroftheOfficeofFederalContractCompliance,aFederalGovernmentcontractingoradministeringagency,ortheformerPresident'sCommitteeonEqualEmploymentOpportunity,allreportsdueundertheapplicablefillingrequirements.
Note:TheabovecertificationisrequiredbytheEqualEmploymentOpportunityRegulationsoftheSecretaryofLabor(41CFR60—1.7(b)(1)),andmustbesubmittedbybiddersandproposedsubcontractorsonlyinconnectionwithcontractsandsubcontractswhicharesubjecttotheequalopportunityclause.Contractsandsubcontractswhichareexemptfromtheequalopportunityclausearesetforthin41CFR60—1.5.(Generallyonlycontractsorsubcontractsof$10,000orunderareexempt.)Currently,StandardForm100(EEO-1)istheonlyreportrequiredbytheExecutiveOrdersortheirimplementingregulations.ProposedprimecontractorsandsubcontractorswhohaveparticipatedinapreviouscontractorsubcontractsubjecttotheExecutiveOrdersandhavenotfiledtherequiredreportsshouldnotethat41CFR60—1.7(b)(1)preventstheawardofcontractsandsubcontractsunlesssuchcontractorsubmitsareportcoveringthedelinquentperiodorsuchotherperiodspecifiedbytheFederalHighwayAdministrationorbytheDirector,OfficeofFederalContractCompliance,U.S.DepartmentofLabor.
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)DEBARMENTANDSUSPENSIONCERTIFICATIONTITLE49,CODEOFFEDERALREGULATIONS,PART29 Thebidder,underpenaltyofperjury,certifiesthat,exceptasnotedbelow,he/sheoranyotherpersonassociatedtherewithinthecapacityofowner,partner,director,officer,manager:isnotcurrentlyundersuspension,debarment,voluntaryexclusion,ordeterminationofineligibilitybyanyFederalagency;-hasnotbeensuspended,debarred,voluntarilyexcludedordeterminedineligiblebyanyFederalagencywithinthepast3years;doesnothaveaproposeddebarmentpending;andhasnotbeenindicted,convicted,orhadaciviljudgmentrenderedagainstitbyacourtofcompetentjurisdictioninanymatterinvolvingfraudorofficialmisconductwithinthepast3years.
Ifthereareanyexceptionstothiscertification,inserttheexceptionsinthefollowingspace Exceptionswillnotnecessarilyresultindenialofaward,butwillbeconsideredindeterminingbidderresponsibility.Foranyexceptionnotedabove,indicatebelowtowhomitapplies,initiatingagency,anddatesofaction.
Notes:Providingfalseinformationmayresultincriminalprosecutionoradministrativesanctions.TheabovecertificationispartoftheProposal.SigningthisProposalonthesignatureportionthereofshallalsoconstitutesignatureofthisCertification.
A1-15
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BIDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)NONLOBBYINGCERTIFICATIONFORFEDERAL-AIDCONTRACTS A1—16
Theprospectiveparticipantcerti?es,bysigningandsubmittingthisbidorproposal,tothebestofhisorherknowledgeandbelief,that:(1)NoFederalappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfoftheundersigned,toanypersonforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyFederalagency,aMemberofCongress,anof?ceroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththeawardingofanyFederalcontract,themakingofanyFederalgrant,themakingofanyFederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyFederalcontract,grant,loan,orcooperativeagreement.(2)IfanyfundsotherthanFederalappropriated?indshavebeenpaidorwillbepaidtoanypersonforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyFederalagency,aMemberofCongress,anofficeroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwiththisFederalcontract,grant,loan,orcooperativeagreement,theundersignedshallcompleteandsubmitStandardForm-LLL,"DisclosureofLobbyingActivities,"inconformancewithitsinstructions.Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscerti?cationisaprerequisiteformakingorenteringintothistransactionimposedbySection1352,Title31,U.S.Code.Anypersonwhofailsto?letherequiredcerti?cationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure.Theprospectiveparticipantalsoagreesbysubmittinghisorherbidorproposalthatheorsheshallrequirethatthelanguageofthiscerti?cationbeincludedinalllowertiersubcontracts,whichexceed$100,000andthatallsuchsubrecipientsshallcertifyanddiscloseaccordingly.
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BlDDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)
1.TypeofFederalAction:3a.contract
4.3Prime
DISCLOSUREOFLOBBYINGACTIVITIESTHISFORMTODISCLOSELOBBYINGACTIVITIESPURSUANTTO31U.S.C.13522.StatusofFederalAction:rtType:Da.bid/offer/applicationalb.gra.nt b.initialaward b.materialchangec.cooperativeagreementc.post-awardd.loan ForMaterialChangeOnly:e.loanguarantee yearquarterf.loaninsurance dateoflastreportNameandAddressofReportingEntity 5.IfReportingEntityinNo.4isSuhawardee,EnterNameandAddressofPrime:ESubawardeeCalpromaxEngineering,Inc.Tier,ifknown700S.VanBurenSt.,Ste.CPlacentia,CA92870CongressionalDistrict,ifknown CongressionalDistrict,ifknown6 FederalDepartment/Agency:7.FederalProgramName/Description:
CFDANumber,ifapplicable8.FederalActionNumber,ifknown: 9.AwardAmount,ifknown:
10.a.NameandAddressofLobbyEntity b.IndividualsPerformingServices(including(Ifindividual,lastname,firstname,MI) addressifdifferent?'o1nNo.10a)(lastname,firstname,MI) (attachContinuationSheet(s)ifnecessary)11.AmountofPayment(checkallthatapply) 13.TypeofPayment(checkallthatapply)$ Dactualplanned a.retainerb.one-timefee12.FormofPayment(checkallthatapply): c,COI1'1I1’11SS10]'la.cash d.contingentfeeb.in—kind;specify:nature edeferredvalue fother,specify14.BriefDescriptionofServicesPerformedortobeperformedandDate(s)ofService,includingof?cer(s),employee(s),ormember(s)contacted,forPaymentIndicatedinItem11:
(attachContinuationSheet(s)ifnecessary)15.ContinuationSheet(s)attached:YesDNoD16.InformationrequestedthroughthisformisauthorizedbyTitle31U.S.C.Section1352.Thisdisclosureoflobbyingreliancewasplacedgig]-laml-e;bythetierabovewhenhistransactionwasmadeorenteredinto.Thisdisclosureisrequiredpursuantto31U.S.C.1352.Thisinfonnation- , NwillbereportedtoCongresssemjarmuallyandwillbeavailableforPrmtName'publicinspection.Anypersonwhofailsto?letherequireddisclosure_shallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmoreTme:PRESIDENTthan$100,000foreachsuchfailure. TelephoneNo.:(714)573‘4599Date:AuthorizedforLocalReproductionFederalUse0 StandardFOITII—LLL
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B|DDER'SPROPOSAL(Cont'd)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)INSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbecompletedbythereportingentity,whethersubawardeeorprimeFederalrecipient,attheinitiationorreceiptofcoveredFederalactionoramaterialchangetoprevious?lingpursuanttotitle31U.S.C.section1352.Thefilingofaformisrequiredforsuchpaymentoragreementtomakepaymenttolobbyingentityforin?uencingorattemptingtoin?uenceanof?ceroremployeeofanyagency,aMemberofCongressanof?ceroremployeeofCongressoranemployeeofaMemberofCongressinconnectionwithacoveredFederalaction.Attachacontinuationsheetforadditionalinformationifthespaceontheformisinadequate.Completeallitemsthatapplyforboththeinitial?lingandmaterialchangereport.RefertotheimplementingguidancepublishedbytheOf?ceofManagementandBudgetforadditionalinformation.1.
10. 11.
12.13.14. 15.16.
IdentifythetypeofcoveredFederalactionforwhichlobbyingactivityisand/orhasbeensecuredtoin?uence,theoutcomeofacoveredFederalaction.IdentifythestatusofthecoveredFederalaction.Identifytheappropriateclassi?cationofthisreport.Ifthisisafollow-upreportcausedbyamaterialchangetotheinformationpreviouslyreported,entertheyearandquarterinwhichthechangeoccurred.Enterthedateofthelast,previouslysubmittedreportbythisreportingentityforthiscoveredFederalaction.Enterthefullname,address,city,stateandzipcodeofthereportingentity.IncludeCongressionalDistrictifknown.Checktheappropriateclassi?cationofthereportingentitythatdesignatesifitisorexpectstobeaprimeorsubawardrecipient.Identifythetierofthesubawardee,e.g.,thefirstsubawardeeoftheprimeisthe?rsttier.Subawardsincludebutarenotlimitedtosubcontracts,subgrantsandcontractawardsundergrants.Iftheorganization?lingthereportinItem4checks"Subawardee"thenenterthefullname,address,city,stateandzipcodeoftheprimeFederalrecipient.IncludeCongressionalDistrict,ifknown.EnterthenameoftheFederalagencymakingtheawardorloancommitment.Includeatleastoneorganizationlevelbelowagencyname,ifknown.Forexample,DepartmentofTransportation,UnitedStatesCoastGuard.EntertheFederalprogramnameordescriptionforthecoveredFederalaction(item1).Ifknown,enterthefullCatalogofFederalDomesticAssistance(CFDA)numberforgrants,cooperativeagreements,loansandloancommitments.EnterthemostappropriateFederalidentifyingnumberavailablefortheFederalactionidenti?cationinitem1(e.g.,RequestforProposal(RFP)number,InvitationforBid(IFB)number,grantannouncementnumber,thecontractgrant.orloanawardnumber,theapplication/proposalcontrolnumberassignedbytheFederalagency).Includepre?xes,e.g.,"RFP-DE-90-001."ForacoveredFederalactionwheretherehasbeena11awardorloancommitmentbytheFederalagency,entertheFederalamountoftheaward/loa11commitmentsfortheprimeentityidenti?edinitem4or5.(a)Enterthefullname,address,city,stateandzipcodeofthelobbyingentityengagedbythereportingentityidenti?edinitem4toin?uencedthecoveredFederalaction.(b)Enterthefullnamesoftheindividual(s)performingservicesandinclude?rlladdressifdifferentfrom10(a).EnterLastName,FirstNameandMiddleInitial(Ml).Entertheamountofcompensationpaidorreasonablyexpectedtobepaidbythereportingentity(item4)tothelobbyingentity(item10).Indicatewhetherthepaymenthasbeenmade(actual)orwillbemade(planned).Cl1eckallboxesthatapply.Ifthisisamaterialchangereport,enterthecumulativeamountofpaymentmadeorplannedtobemade.Checktheappropriatebox.Checkallboxesthatapply.Ifpaymentismadethroughanin-kindcontribution,specifythenatureandvalueofthein-kindpayment.Checktheappropriatebox.Checkallboxesthatapply.Ifother,specifynature.Provideaspeci?canddetaileddescriptionoftheservicesthatthelobbyisthasperformedorwillbeexpectedtoperformandthedate(s)ofanyservicesrendered.IncludeallpreparatoryandrelatedactivitynotjusttimespentinactualcontactwithFederalof?cials.IdentifytheFederalof?cer(s)oremployee(s)contactedortheof?cer(s)employee(s)orMember(s)ofCongressthatwerecontacted.Checkwhetherornotacontinuationsheet(s)isattached.Thecertifyingof?cialshallsignanddatetheform,printhis/hernametitleandtelephonenumber.Publicreportingburdenforthiscollectionofinformationisestimatedtoaverage30minutesperresponse,includingtimeforreviewinginstruction,searchingexistingdatasources,gatheringandmaintainingthedataneeded,andcompletingandreviewingthecollectionofinformation.Sendcommentsregardingtheburdenestimateoranyotheraspectofthiscollectionofinformation,includingsuggestionsforreducingthisburden,totheOfficeofManagementandBudget,PaperworkReductionProject(0348-0046),Washington,D.C.20503. SF-LLL-InstructionsRev06-o4.9o«END1F»
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B|DDER'SPROPOSALCITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(O17)Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651,andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.TheundersignedhasexaminedthelocationoftheproposedworkandalllocalandphysicalconditionsandchallengespresentedbytheProjectsite,isfamiliarwiththeplans,specifications,ContractDocuments(particularlyasdelineatedabove)andtherequirementsofthePublicWorksContract,andalsounderstandsthattheProjectshallbecompletelyconstructedinturn-keyconditionacceptabletotheOwnerwithintheProjecttimerequirementsforthepriceoftheproposal,includingallfeesandsalesand/orusetaxuponanymaterialssofurnished,includinganyunitpricesandadditive/deductiveitems.TheundersignedhasalsocarefullycheckedallofthefiguresgivenandunderstandsthattheAgencywillnotberesponsibleforanyerrorsoromissionsonthepartoftheundersignedinsubmittingthisproposal.Contractorconfirmsthathis/her/itsbidissubmittedwithrespecttothechangestotheContractand/orContractDocumentsincludedinalladdendaissuedbytheOwner.Inadditiontoreaffirmingthatthechangesandinformationcontainedintheaddendahavebeenintegratedintotheirproposal,ContractoracknowledgesreceiptofAddendaNo.(sTheundersignedhasexaminedthecurrentStateofCaliforniascheduleofprevailingwageratesforthetypesofworktobedoneonthisproject(andtheDavis-BaconActiftheAgencyusesfederalfundsfortheProject)andagreestopaynotlessthantheserates.Theundersignedherebyproposestofurnishanyandalllabor,materials,andequipmentfortheCITYWIDETRAFFICSIGNALSAFETYUPGRADES,CIPNo.5651andappurtenantworkinconnectiontherewith,saidworktobedoneandmaterialstobefurnishedinstrictconformitywiththeContractDocuments,includingbutnotlimitedtotheNoticeInvitingBids,InstructionstoBidders,everyAddendum,plans,specifications,GeneralConditions,SpecialProvisions,GeneralProvisions,Greenbook2018asamendedandsupplemented,technicalreferences,allotherreferenceddocuments,allcodes,permitconditionsandregulations,forthetotalamount(s)andanyunitpricesandadditive/deductiveitemsshownonthisproposal.
Rev..‘;::»p'E:e‘:ai:”sEH%r‘?i0?i()
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ESTIMATEDUNITUNITQUANTITYPRICELS1LS1
EA151
EA253
EA37
EA142
EA39
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B|DDER'SPROPOSAL(Cont’d)CITYWIDETRAFFICSIGNALSAFETYUPGRADESCIPNo.5651FederalAidProjectNo.5186(017)BASEBIDTOTAL(inwords)Contractor'sInitialsIntheeventofavariationbetweentheunitpriceandextendedtotal,theunitpricewillbeusedandthecorrectedextensionwillbeconsideredastheamountbid.Ifthebidisillegibleandcannotbereconcileditwillbeconsiderednon-responsiveandwillnotbeconsideredforaward.Ifanadditiveand/oralternatebidscheduleiscalledforintheContractDocuments,thelowestbidwillbedeterminedonthebasisofthebasebidschedu|e(s)onlyunlessotherwisespecifiedintheNoticeInvitingBidsorbyAddendaifissuedtosupersedetheNoticeInvitingBidsonthisspecificissue.ForaContractwhereadeductivebidscheduleiscalledfor,thelowestbidwillbedeterminedbythetotalofallbidschedulesincludingthedeductivebidscheduIe(s).Regardlessofwhethertheadditive/deductiveoralternatesbiditemswillbeconsideredindeterminingthelowbid,theAgencymayelecttoincludeanyornoneoftheadditive/deductiveoralternatebiditems/schedules,ortootherwiseaddorremovecertainworkfromthescopeofWork.Accordingly,Contractorwarrantsthateachbiditemcontainsaproportionateshareofprofit,overheadandothercostsandexpenses,whichwillbeincurredbytheContractorfortheProject.Ifequallowbidsarereceivedfromresponsibleandresponsivebidderstheselectionshallbemadebydrawinglots,orothersimilarrandomblindmethodselectedbytheAgency.IfonlyoneresponsivebidisreceivedfromaresponsiblebiddertheawardshallnotbemadeunlessthepricecanbedeterminedtobereasonablebasedonananalysisbytheAgency.TheAgency'sdeterminationastothereasonablenessofanysuchbidshallbefinal.TheAgencyreservestherighttorejectanyorallbids,towaiveanyirregu|arity(ies),andtotakeallbidsunderadvisementforaperiodofsixty(60)calendardaysafterthedatethebidsarepubliclyopened.BidderacknowledgesthatallcostsincurredasaresultofpreparingtheproposalshallbethesoleresponsibilityofBidder.TheNoticeInvitingBidsandInstructionstoBiddersdoesnotcreateorimposeanyobligationupontheAgencytoenterintoacontract.Allbidsreceivedshallberecordedonanabstract(tabulation)ofbids,andthenmadeavailableforpublicinspectionwithintwobusinessdaysofbidopening.Thequantitieslistedinthebidproposalareprovidedtogiveageneralindicationofthescopeoftheworkandforthecomparisonofbids.Nowarrantyismade,eitherexpressedorimplied,thattheactualquantitiesofworktobedonewillcorrespondtherewith.Itemnumbersfollowedby”(S)”aredesignatedasspecialtyitemswhichwillnotbeincludedtowardsthecalculationofminimumof50percentofworktobeperformedbyContractor'sownforces.
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